In view of the urgency of the Governor’s original chest injury it was impossible to definitely ascertain the status of the circulation and the nerve supply to the hand and wrist on the right side. Accordingly, it was determined as best we could at the time of operation and the radial artery was found to be intact and pulsating normally. The integrity of the median nerve and the ulnar nerve is not clearly established but it is presumed to be present. Following closure of the volar wound and partial closure of the radial wound, dry sterile dressings were applied and a long arm cast was then applied with skin tape traction, rubber band variety, attached to the thumb and index finger of the right hand. The-righ An attitude of flexon was created at the right elbow, and post operatively the limbus suspended from an overhead frame using tape traction. The post operative diagnosis for the right forearm remains the same and again I suggest that you incorporate this particular dictation together with other dictations which will be given to you by the surgeons concerned with this patient.
Charles Gregory, M.D.
CG:bl
Commission Exhibit No. 392—Continued
Commission Exhibit No. 392—Continued
PARKLAND MEMORIAL HOSPITAL
OPERATIVE RECORD