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{{Heading|Medical Record|Gold}}[[Lhandon Nilsen/Medical Record]]{{Medical Record LCARS
[[Category:Medical Records]]
|BIRTHYEAR= 2377
 
|BIRTHMONTH= 02
== Basic Information ==
|BIRTHDATE= 04
Name: Lhandon Joseph Nilsen
|SEX= Male
 
|SPECIES= [[Human]]
Date of Birth: 237702.04
|HEIGHT= 6"4' (193 cm)
 
|WEIGHT= 235lbs
Species: Human
|BLOOD TYPE= AB
 
|CHRONIC ILLNESSES= None
Gender: Male
|MEDICATIONS= None
 
|ALLERGIES & REACTIONS=  
Height: 6'4" (193 cm)
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS=
 
'''SD 239804.15: USS Conway Medical Facility - Emergency Treatment:'''
== Medical History ==
'''Severe physical trauma sustained from shuttlecraft incident:'''  
 
'''Initial Assessment:'''  
=== '''Stardate 239706.25: Walk in:''' '''Broken Nose from Rugby Injury:''' ===
*Upon arrival via emergency transporter to the USS Conway, Cadet Lhandon Joseph Nilsen was unconscious and presented with a severe broken ankle as the primary injury. Further examination revealed possible signs of a concussion. Vital signs were stable, but immediate medical intervention was required.
'''Location:'''
 
San Francesco Medical Facility
 
'''Initial Assessment:'''
 
* Upon examination, the patient presented with a broken nose sustained during a rugby match. He reported a direct impact to the nose from a collision with another player.
 
'''Treatment::'''
 
* Broken Nose: The physical examination confirmed a displaced fracture of the nasal bone, resulting in significant swelling and tenderness around the nasal region.
* Epistaxis: The patient experienced a moderate level of epistaxis (nosebleed) as a result of the injury, which was managed promptly.
* Pain Management: Appropriate pain medication was prescribed to manage discomfort and promote a more comfortable recovery. Cadet refused stating that “he was fine and had much worse on the farm”
 
'''Follow up:'''
 
* Patient comment caused concern, prior medical logs were requested from Gault. Found these logs to be lacking in detail. Suggest further guidance and training for medical professionals on Gault in the logging of patient records.
 
=== Stardate 239803.12: Incident during Helm Training ===
'''Location:'''  
 
USS Conway Sick Bay
 
'''Emergency Treatment:'''
 
Severe physical trauma sustained from shuttlecraft inciden'''t:'''
 
'''Initial Assessment:'''
 
* Upon arrival via emergency transporter to the USS Conway, Cadet Lhandon Joseph Nilsen was unconscious and presented with a severe broken ankle as the primary injury. Further examination revealed possible signs of a concussion. Vital signs were stable, but immediate medical intervention was required.
 
'''Treatment::'''
 
* Broken Ankle: A complete fracture of the right ankle was diagnosed. Stabilization and immobilization were performed using a hypospray to administer a bone-regenerating agent. A medical brace was applied to support the affected area.
* Concussion: Due to the impact of the crash, signs of a concussion were evident. Nilsen was closely monitored, and cognitive tests were conducted once he regained consciousness.
 
'''Follow up:'''
 
* His ankle fracture is healing with the applied bone-regenerating agent and the use of a medical brace. The concussion will require close monitoring, and he is advised to rest and avoid strenuous activities until fully recovered.
* As a survivor of a traumatic event, Lhandon may benefit from counseling or support group sessions to address any emotional or psychological challenges resulting from the shuttle crash
 
=== Stardate 240101.05: Seizure ===
'''Location''':
 
Deep Space Nine
 
'''Initial Assessment'''
 
Six weeks post-Alpha Brenkelvi II mission, Ensign Lhandon Joseph Nilsen presented with a severe neurological event. Primary symptoms included loss of ability to speak Federation Standard language, defaulting to Klingon, and experiencing a seizure affecting motor and speech functions.
 
'''Diagnosis'''
 
Medical scans revealed unusual neural pathway branching, attributed to:
 
# Previous consciousness transfer incident
# Newly acquired telepathic communication abilities from Alpha Brenkelvi II Bajorans The patient likely experienced a focal seizure affecting the left hemisphere, particularly the Broca's area and arcuate fasciculus. This resulted in disrupted speech production and temporary loss of muscle control in the legs.
 
'''Treatment'''
 
* Immediate transfer to Hathon Medical Facility on Bajor for specialized treatment
* Implementation of neuro-devices provided by Dr. Brzezinski to facilitate communication
* Administered hydrocortilene
* Intensive physical therapy and rehabilitation
* fMRI scans
* Speech therapy focused on relearning Standard Federation language
 
'''Follow-up'''
 
Recovery period extended over several weeks, involving:


'''Treatment::'''
* Continued physical therapy to regain full motor function control
*Broken Ankle: A complete fracture of the right ankle was diagnosed. Stabilization and immobilization were performed using a hypospray to administer a bone-regenerating agent. A medical brace was applied to support the affected area.
* Ongoing speech therapy, progressing from basic words and phrases to more complex language use
* Regular neurological monitoring to assess progress and prevent recurrence
* Psychological support to address emotional impact of the event
* Involvement of medical team, crew members, and family (particularly brother Madison) in the recovery process


*Concussion: Due to the impact of the crash, signs of a concussion were evident. Nilsen was closely monitored, and cognitive tests were conducted once he regained consciousness.
=== Stardate 240109: Post-Unity Dow Mission Medical Check ===
'''Initial Assessment'''


'''Follow up:'''
Symptoms: Pain, difficulty breathing, radiation exposure
*His ankle fracture is healing with the applied bone-regenerating agent and the use of a medical brace. The concussion will require close monitoring, and he is advised to rest and avoid strenuous activities until fully recovered.


*As a survivor of a traumatic event, Lhandon may benefit from counseling or support group sessions to address any emotional or psychological challenges resulting from the shuttle crash
'''Treatment''':


'''SD 239706.25: San Francesco Medical Facility - Walk in:'''
Administered Hyronalyn for radiation exposure
'''Broken Nose from Rugby Injury:'''
'''Initial Assessment:'''
*Upon examination, the patient presented with a broken nose sustained during a rugby match. He reported a direct impact to the nose from a collision with another player.


'''Treatment::'''  
'''Notes''':  
*Broken Nose: The physical examination confirmed a displaced fracture of the nasal bone, resulting in significant swelling and tenderness around the nasal region.


* Epistaxis: The patient experienced a moderate level of epistaxis (nosebleed) as a result of the injury, which was managed promptly.
Patient initially reluctant to seek treatment, convinced by fellow crew members


*Pain Management: Appropriate pain medication was prescribed to manage discomfort and promote a more comfortable recovery. Cadet refused stating that “he was fine and had much worse on the farm”
=== Recurring Condition: Ankle Injury ===
'''Follow up:'''  
'''Origin''':
*Patient comment caused concern, prior medical logs were requested from Gault. Found these logs to be lacking in detail. Suggest further guidance and training for medical professionals on Gault in the logging of patient records.


Initial injury as SAR pilot, exacerbated by rugby and mission activities


'''Recent Aggravation:'''


|PSYCHIATRIC HISTORY=No previous history
Injury worsened during Cheyd'lang mission (jailbreak incident) and fall down turboshaft
|ALCOHOL USE= Very little. Social once every few months
|RECREATIONAL DRUG USE= None
|OTHER SUBSTANCE USE= None
|PARENT 1= Harold Nilsen
|PARENT 1 MEDICAL HISTORY=
|PARENT 2= Moganie Thompson
|PARENT 2 MEDICAL HISTORY=
|SIBLING MEDICAL HISTORY=
|MARITAL STATUS & SPOUSE=None
|CHILDREN=
|OCCUPATION=Cadet
|DIET=
|EXERCISE=A regular fitness regium
|PHYSICIANS NOTE=
Cadet Nilsen is in excellent physical condition and enjoys an active lifestyle. 
|COUNSELORS NOTE=
Cadet Nilsen does engage with counselling but only to the degree that is required by Starfleet. The cadet seems to have a distrust of counselors and has not yet sought out further support.
}}


[[Category:Medical Records]]
'''Treatment''':  
 
Ongoing. Patient often downplays the severity of the condition.
 
== Additional Notes ==
 
* Patient has a history of downplaying injuries and reluctance to seek medical attention
* Neurological monitoring advised due to multiple incidents involving unusual brain activity
* Regular check-ups recommended for ankle condition to prevent further deterioration
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