> ## Content Index
> Fetch the complete content index at: https://www.theplasticsfella.com/llms.txt
> Use this file to discover other available public pages before exploring further.

# Paper vs Electronic Records?, 3 Must-Knows on Scars, Wounds, & Keloids
- URL: https://www.theplasticsfella.com/january-12th/
- Published: 2025-01-10T18:40:42.000Z
- Updated: 2025-01-11T20:43:54.000Z
- Description: Also: The Sunday quiz, Key Notes review, & 3 featured articles.
- Author: PlasticsFella
- Tags: thePlasticsPaper

#### In this week's edition

1. ****✍️** [****Letter from P'Fella**](https://www.theplasticsfella.com/january-12th/#a-letter-from-pfella)  
Was paper better than electornic?
2. ****🤓** [****The Sunday Quiz**](https://www.theplasticsfella.com/january-12th/#the-sunday-quiz)  
How well do you know **wound healing*?
3. [🖼️](https://emojipedia.org/framed-picture?ref=theplasticsfella.com) [****Image of the Week**](https://www.theplasticsfella.com/january-12th/#image-of-the-week)  
What does a keloid scar look like after steroid injection**?*
4. ****🚑** [****Technique Tip**](https://www.theplasticsfella.com/january-12th/#technique-tip)  
How to pick the right wound dressing
5. 📚 [****Book Review**](https://www.theplasticsfella.com/january-12th/#book-review)  
Reviewing **Key Notes on Plastic Surgery*
6. 📖 [****What Does the Evidence Say**](https://www.theplasticsfella.com/january-12th/#what-does-the-evidence-say)  
How many injections for a keloid scar?
7. ****🔥** [****Articles of the Week**](https://www.theplasticsfella.com/january-12th/#articles-of-the-week)  
Algorithm for scar management, keloid treatment, & caring for your incision: with 1 sentence summaries.
8. 💕 [****Feedback**](https://www.theplasticsfella.com/january-12th/#feedback)  
Suggest ideas & give feedback!

## A Letter from P'Fella

**Was Paper Better Than* Electronic**?*

👋

****Hey all!**  
  
Let’s face it — electronic medical records (EMRs) were supposed to be a game-changer. Designed to streamline workflows, reduce errors, and improve patient care. They’ve done some of that… but not without introducing their own headaches. So, let’s ask: ****Was paper really worse than what we’re dealing with today?**

Here’s the truth. EMRs might be legible, but they’re often unintelligible. You’ve probably dealt with it — endless drop-down menus, duplicate medications, and alerts that serve the system more than the clinician. Worse, if you miss a step, the system doesn’t just flag it — it creates errors, from stopping critical meds to delaying discharges.

**The Numbers Don’t Lie**  
A recent study showed that EMR has its downsides: On average, there were slightly more positive perceptions of EHR usage than negative. The most commonly perceived issues with EHR were wasted time and barriers to user-friendliness ([PRS](https://pmc.ncbi.nlm.nih.gov/articles/PMC7209869/?ref=theplasticsfella.com), 2020)

With paper charts, you might have struggled with messy handwriting, but the notes had meaning. Today, we’ve traded that for legible, standardized gibberish. Add to this the endless hoops clinicians must jump through: fixing insurance issues from home, sorting mismatched med lists, or manually correcting system errors.

**A System That Works for Us**  
EMRs weren’t built for us — they were built for billing and compliance. When tools meant to help create more work and errors, it’s time to rethink their design. We need systems that adapt to clinicians — not the other way around.

P'Fella ❤️

## The Sunday Quiz

**How Well Do You Know* ***Wound Healing?**

****Are you ready to make it to the leaderboard?**  
  
Welcome to ****the next round** of The Weekly Quiz.  
  
Each edition of thePlasticsPaper includes a quiz question designed to challenge and engage our readers. Keep your wits about you and join in every week — the winner at the end of six rounds will earn you a one-year subscription to thePlasticsPro.

![Phases of Wound Healing](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/01/image-6.png)

Phases of Wound Healing

## Image of the Week

**Keloid Scar After Steroid Injection*

🖼️

****Image of the Week**   
  
In this section, we feature an anatomical illustration. This week, we’re looking at a keloid scar following steroid injection.   
  
Read more about keloids [here](https://www.theplasticsfella.com/keloid-scars/). 

![Keloid Scar After Steroid Injection](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/01/AI-generated-image--18-.png)

Keloid Scar After Steroid Injection

## Technique Tip

**How to Pick the Right Dressing*

🚑

****Technique Tip of the Week**   
  
This week’s technique focuses on ****picking the right wound dressing**.   
  
Select a dressing that balances wound needs (exudate, infection risk, healing phase) with patient factors (allergies, compliance). Adjust as conditions evolve.  
  
Key considerations include,  
****\- Healing:** Maintain moisture and promote cell regeneration.  
****\- Protection:** Prevent trauma, guard against infection, and regulate temperature.   
****\- Safety:** Use sterile, non-toxic, and hypoallergenic options.  
  
Read in more detail [here](https://www.theplasticsfella.com/wound-dressings/#choice-of-wound-dressing).

![Dressing approaches for different types of wounds](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/01/image-7.png)

Dressing Approaches for Types of Wounds

## Book Review

**Key Notes on Plastic Surgery*

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/01/images--1-.jpeg) 

#### ****Key Notes on Plastic Surgery**

"****Key Notes on Plastic Surgery**" is a comprehensive guide to the field of plastic surgery, authored by two renowned plastic surgeons, Adrian Richards and Hywel Dafydd. The book covers a wide range of plastic surgery topics, including ****facial surgery**, ****breast surgery**, ****body contouring**, and ****non-surgical procedures**. 

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/01/image-8.png)

[Check Out the Full Review](https://www.theplasticsfella.com/key-notes-on-plastic-surgery-book-review/)

## What Does the Evidence Say?

**How Many Injections for a Keloid Scar?*

In this section, we dive deep into the latest research and evidence on medical practices and surgical techniques. 

Intralesional corticosteroid injections, particularly ****triamcinolone acetonide**, are a widely used first-line treatment for keloid scars (Wang et al., 2021; Yin et al., 2023). Treatment protocols vary, with injection intervals ranging from ****weekly to monthly** and dosages from 1 to 20 mg/cm² (Yin et al., 2023). Corticosteroid injections can be effective alone or combined with ****surgical excision**, achieving recurrence rates as low as 14.3% for keloids and 16.7% for hypertrophic scars (Hayashi et al., 2012).   
  
Long-term studies show improvement in 82% of patients for subjective symptoms and 63% for objective symptoms, though treatment may require 20-30 injections over 3-5 years (Muneuchi et al., 2006). Combining corticosteroids with other treatments like ****5-fluorouracil** or ****laser therapy** may enhance efficacy and reduce side effects (Morelli Coppola et al., 2018).   
  
****Three-dimensional imaging** can objectively assess treatment response, showing significant volume reduction after steroid therapy (Ardehali et al., 2007).

## Articles of the Week

**3 Interesting Articles with 1 Sentence Summaries*

✅

****Scar Management Made Smarter for Hypertrophic Scars & Keloids** ([Ogawa](https://journals.lww.com/plasreconsurg/fulltext/2022/01000/the%5Fmost%5Fcurrent%5Falgorithms%5Ffor%5Fthe%5Ftreatment%5Fand.39.aspx?ref=theplasticsfella.com), 2022)  
  
Current scar management algorithms integrate compression, corticosteroids, and adjunctive radiotherapy, offering a structured approach to treating persistent fibroproliferative conditions.

✅

****Wound Coverage, Adjuvant Treatments, & Surgical Outcomes for Keloid Scars** ([Cardenas](https://academic.oup.com/asjopenforum/advance-article/doi/10.1093/asjof/ojae129/7932569?ref=theplasticsfella.com), 2024)  
  
Combining surgical excision, local flap coverage, and radiotherapy reduces keloid recurrence to 21%, emphasizing integrated treatment strategies.

✅

****A Simple Yet Effective Practical Guide to Wound Care** ([Lalonde](https://journals.lww.com/prsgo/fulltext/2019/10000/simple%5Feffective%5Fways%5Fto%5Fcare%5Ffor%5Fskin%5Fwounds%5Fand.24.aspx?ref=theplasticsfella.com), 2019)  
  
Effective wound management doesn’t always require costly resources. Clean water rinses, petroleum-based moisture barriers, & non-sterile clean dressings — a simplified care approach for open/closed wounds.

## Feedback

### I hope you enjoyed it 😄

---