Session objective

Sam asked for a very brief medical chronology and timeline to update an expert witness regarding Isabel Joanna Philomena.

Work completed

Prepared a concise expert-facing chronology using the prior Drive-verified record review from this same thread. No Google Drive writes or case-file edits were made.

Key chronology points included

• 8/13/2025 dog bite injury to right lower leg with puncture wounds.
• 8/14/2025 UofL Urgent Care treatment with wound cleaning, Tdap, moxifloxacin, and fluconazole.
• 8/19/2025 worsening redness, burning/shooting pain, antibiotic changed to Augmentin, mupirocin added, urgent wound-care referral.
• 8/25/2025 Jewish Hospital Outpatient Wound Care under Timothy C. Ford, DPM, FACFAS. Debridement performed by Gabrielle Humphries, RN. Care plan included antimicrobial cleansing, compounded lidocaine/erythromycin/collagen ointment twice daily, elevation, standing/sitting restrictions, infection monitoring, and follow-up with Dr. Ford.
• 9/8/2025 Baptist Health Eastpoint with Samantha Slider, PA-C. Persistent non-healing wounds and electric-shock pain. Debridement, wet-to-dry dressings, Santyl, and gabapentin.
• 9/12/2025 continued pain, CBC and tib/fib X-ray ordered.
• 9/15/2025 X-ray negative for fracture or osteomyelitis.
• 9/19/2025 worsening inflammation, Bactrim prescribed, referral to Baptist Health Louisville Wound Care.
• 12/2025 ongoing pain, numbness, paresthesia, MRI showing tenosynovitis of plantar flexor tendons.
• 3/10/2026 EMG/NCV confirmed mild deep peroneal neuropathy at ankle secondary to dog bite, gabapentin and strengthening program recommended.

Reason for ending

The requested brief chronology was drafted and the Notion export was completed.

Suggested next steps

If this is going to be sent as a formal expert packet, a future agent could attach the source PDFs or make a one-page PDF chronology with source-file names and Bates/page references if available. The current draft is intentionally brief and suitable for an update email or cover note.