Medical Report – Central Osaka Hospital

Fujita Hide aka Yagi Hide

Outline of injuries:

Gunshot wound – Upper left abdomen. No organs damaged but two lower ribs were cracked due to impact. Small-caliber bullet passed through and did not leave fragments. Repaired with stitches, appears to be healing well. Ribs should be taped for some weeks. May experience pain and stiffness due to muscle damage. Fujita-san is advised to eat a high-iron diet during recovery due to blood loss from this wound as well as scalp laceration.

Left hand – four broken metacarpals, simple fracture on 5th and 4th metacarpal. 3rd and and 2nd are of a more complicated nature. Surgery is suggested to reset bones with pins if needed for complete healing. 5th finger also suffered multiple dislocations, with attendant nerve and ligament damage. Post-surgery, supportive wrap will be required and the Western practice of physical therapy is recommended – there is an excellent team teaching at Tokyo University from Austria to whom we will refer Fujita-san.

Left wrist – severe sprain due to repeated falls (per patient). Will improve with wrapping. As with hand, physical therapy with assist with bringing back full function over time.

Right ankle – Shallow lateral malleolus fracture with ligament damage due to impact trauma. Will need to wrap for at least six weeks and should avoid putting weight on the ankle and/or walking with a stick. No surgery advised if healing as expected. Repeat recommendation for physical therapy to regain full use of foot and ankle.

Scalp laceration – repaired with stitches. Healing well.

Neck laceration – Shallow cut, healing well. No scarring anticipated but Fujita-san is advised that regular application of camellia oil or similar will assist with keeping skin supple after healing.

Facing bruising, swelling – much improved. Full recovery expected.

Breasts – Fujita-san is a nursing mother but was able to keep milk flowing for the duration. Pumping as needed suggested until reunited with child, minor inflammation treated.

May be to care at home once stablized, with follow-up visits at the Tokyo University Medical School Clinic for surgical evaluation and follow-up care, including physical therapy.

(OOC – just a report)

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