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GSG11267_c3be9e72-aea4-4950-9059-7ddb8df74937_4
| 1,754,983,371 |
and apparently One Call has not called him back with regards to where he can go to therapy. So, he has not been to therapy since I saw him last. It is very important for him to go to therapy after a biceps tenodesis and rotator cuff repair. He has been doing home exercises, but I do not think that is enough. So, I explained to Mr. Bonet, I will speak to Mike Campo at AmTrust North America and make sure we set him up for this physical therapy. If there is any trouble setting up in the next few
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GSG11266_9b268c7f-bf71-420e-b400-999260ec897b_6
| 1,754,983,056 |
She feels much better. It is her left foot, so she is able to drive. She takes her boot off when she home. She wears it when she is out and around. She does not really have any pain. She takes an occasional Advil. She has some achiness. She is taking calcium and vitamin D. Otherwise. |
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GSG21249_3c2c65b3-ad83-4476-af03-581c6af8e184_0
| 1,754,917,452 |
now dictating follow up note on CARMELINO JUAREZ-HERNANDEZ 07/01/2025 Mr. Juarez-Hernandez comes to the office today. Jose in my office helped translate between Spanish and English. His date of injury goes back to August 19, 2024, injured in his right shoulder. and had just operated on his right shoulder five days ago on June 26, 2025, when he had an evaluation under anesthesia. operative arthroscopy of the right shoulder. debridement in the partial exterior of the right calf, debridement of partial fixative carotid debridement of the calcification, subacromial decompression, excision of the distal clavicle, and then through a separate subpectoralis approach,
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GSG21186_cb91c881-9940-48dd-823d-22fcf0030a3d_2
| 1,755,514,471 |
His range of motion is excellent. He has full abduction, full forward flexion, just about full external rotation, still lacks a little bit of internal rotation. That hasn't changed much, and I told him probably a little bit lack of internal rotation or permanent base would be the norm. He's got a negative focus on, no subluxation, negative liftoff test, negative belly press test, negative speed test, negative O'Brien test, negative near test, negative impingement test. No deformity of the biceps, neurologically he's normal, strength is good,
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GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_2
| 1,755,083,299 |
so it is my opinion that the accident of June 4, 2025 was the most likely cause of the SLAP tear of the right shoulder. So, my recommendation in that need for treatment evaluation was that she needed treatment. I recommended cortisone shot, anti-inflammatory medications and some physical therapy and if it did not improve, then potentially surgery. Ms. Silva told me that the doctor who had sent her for the original MRI had recommended surgery. She does not remember the doctor’s name. She has had no cortisone shot. She has been taking some 600 mg of ibuprofen and she has never had any physical therapy. New paragraph.
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00:00:54.700
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GSG11244_a5d52e41-e400-4554-a1ac-1532e2b320b0_0
| 1,754,923,430 |
Now dictating JOAN last name dabon DABON, 07/01/2025 Ms. Dabon comes to the office today. Five days ago, on June 26, 2025, I did release of the right first dorsal extensor compartment of her wrist, and she states she is doing great. No pain, no discomfort, happy about the results, no troubles with anesthesia, and she took a couple of Tylenol and she already went back to regular duty tomorrow. new paragraph PHYSICAL EXAMINATION: Ms. Dabon is a pleasant, cooperative woman. Her temperature in the office is 97.2. Examination of the right wrist revealed nicely healed incision.
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GSG11164_a40168b5-fe0b-47b6-b8a6-5f9da20515f0_0
| 1,755,508,531 |
Now dictating a follow-up note on ANA DEFFER date is 06/10/2025 Ms. Deffer comes to the office today. Maria in my office helped translate between Spanish and English. Her date of injury goes back to January 22, 2025, where she injured her right shoulder at work. Period. I did surgery on her right shoulder on May 8, 2025, four-and-a-half weeks ago. arthroscopy of the right shoulder. Debridement of the superior labrum anterior-posterior tear.
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GSG21260_3370d01d-0ad5-431c-b083-fd3a41e40c7c_4
| 1,754,980,050 |
Completed goes to Amtros North America, Postal Sparks 89404, Cleveland, Ohio 44101, Central Maria, M-A-R-S-Y-N-E-S-W-I-N-E, Clemens 401-6170, Please see the C-A-L-V-A-R-Y Baptist Church of Patterson, P-A-T-R-S-Y-N, Facts, Capital, and Maria Eswine, at Amtrust at 678-258-8395. Thank you.
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00:02:15.480
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00:02:39.100
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GSG21340_9f91330e-971c-467b-abd1-87aec4be4922_0
| 1,755,156,789 |
Now dictating a follow-up note on CARMELINA JEREZ-ALMONTE date is 07/29/2025 Ms. Jerez-Almonte come to the office today. Maria in my office helped translate between Spanish and English. Her date of injury goes back to July 10, 2025. 19 days ago where she sustained contusion of the right shoulder, right elbow, right chest, ribs, right wrist, and right hand. I had seen her previously in my office on July 21, 2025.
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GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_9
| 1,754,989,066 |
Carolina helped translate between Spanish and English along with Maria in my office. Ms. Delgado-Torres had been involved in a work-related accident on June 5, 2025, now four-and-a-half weeks ago, where she sustained a contusion of her left knee and some swelling of the left ankle.
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00:04:40.760
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00:04:51.760
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GSG11269_8093f3a8-09ac-4aa6-abe7-561966ef7e87_0
| 1,754,983,837 |
now dictating follow-up note on JORGE NOGUERA-CHAMORRO 07/08/2025 Mr. Noguera-Chamorro comes to the office today. Jose in my office helped to translate between Spanish and English. His date of injury goes back to April 23, 2025, about 11 weeks ago, where he sustained a strain of his right shoulder. I had seen him in my office on June 24, 2025. and recommended a couple of weeks of therapy, light duty.
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GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_2
| 1,755,173,021 |
subacromial decompression, cystic clavicle, a arthrocarbic rotator cuff repair, and then also through a separate subpactoral suppository biceps in adhesives. He's doing much better. His left shoulder hurts less than the right shoulder. He still has some achiness, some discomfort sleeping at nighttime, but he states he doesn't have any more time out of work. He would like to be out of work longer, but he cannot afford to do that. So at this point, he'd like to go back to regular duty. He'll just be careful, period. He's taken some Tylenol,
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GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_9
| 1,755,080,852 |
With a massive tear, the likelihood of repairing this rotator cuff is not particularly high. With diabetes, she has a high risk of infection. So, my recommendation, treat her conservatively with cortisone shot, additional physical therapy and see if she can get by and live with this problem. PLAN: So, I explained to Ms. Zambrano, my recommendation would be to give her a cortisone shot. She is being treated for diabetes. She should take a Zepbound along with metformin.
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00:04:28.180
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00:04:55.520
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GSG11285_1625cf0f-c994-4c50-a678-54dac7d5c43c_0
| 1,755,004,559 |
Now dictating a follow-up note on MELANIE GONCALVES – 07/09/2025 Ms. Goncalves comes to the office today. Her date of injury goes back to June 6, 2025, just about five weeks ago, where she sustained a cervical strain and a left trapezial strain. I had seen her initially in my office on June 25, 2025 and recommended some therapy. She states she is way better. She has minimal pain. The therapy has helped. She wants to know if she can go a bit longer. Period. She's been doing home exercises. She has no complaints of upper extremity radiculopathy. Period. New paragraph for the examination. PHYSICAL EXAMINATION:
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GSG21155_c6fdd818-47d1-4c7b-b1e1-772d8abc9b5c_2
| 1,755,174,490 |
I told her I only operated at a surgical center, so the operation I'll have to send her to someone who was willing to operate at my hospital, and she understood that. New paragraph. That's for her right shoulder, but her left shoulder is a little bit better, but it's still quite uncomfortable. She's got some outstretched tenderness in her left shoulder. It's not hot, red, or swollen. Her temperature in the office is 98.1. Examination of the shoulder reveals diffuse tenderness. She has about 40 degrees of abduction forward flexion, which is a little bit better as compared to yesterday. Very limited internal rotation. Hard to do an impingement
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00:01:22.000
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00:01:57.780
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GSG11306_6ea4bba3-6bc8-4250-9214-e76392283dd5_0
| 1,755,077,520 |
Now dictating a follow-up note on JOAO FERNANDES date is 07/16/2025 Mr. Fernandes comes to the office today. It is about three months after his last aspiration and cortisone shots. It is bothering him again. He is going to be a candidate for knee replacement, but he is only 54 years old. He would like to be as old as possible for his knee replacement because it is going to wear off, and I cannot disagree with that. If he can go over a few months and help him that is fine. He takes an occasional ibuprofen, but he needs to be careful with that because of his hypertension. um PHYSICAL EXAMINATION:
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GSG21321_7f820669-8d63-4a79-acb2-bad33dc4e139_0
| 1,755,090,214 |
Now taking a follow-up on Anita and ITA Thomas, THMAS, dates July 21st, 2025, Ms. Thomas-Gonzalez. I haven't seen her in almost a year. She had decrevain tetanus cytokinitis to the right wrist. I gave her a cortisone shot about a year ago, worked great, and just last month started coming back. No injury, no accident, nothing after. She finds it very annoying, though. Took a physical examination. Ms. Thomas, plus-12 woman, temperature in the office, though. I got a physical examination. Miss Thomas, plus-well woman. Temperature in the office, 98.1. She got tendons over the foresorce of the sensor part of the right wrist.
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00:00:32.320
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GSG21144_a9e72641-8da8-495c-b0a5-623daafb5a80_0
| 1,755,169,858 |
Now dictating a follow-up note on Ketia, k e t t I a, Pierre, p I e r r e. Date is 06/03/2025. Miss Pierre comes out today. Updated Mitchell was back to 08/21/2024. She injured her right shoulder work. I performed her right shoulder 12/05/2024, six months ago. When she had an evaluation seizure, I put her thrust through the right shoulder to prevent the supralabrio anterior bone shear extension to prevent along with the subacretic pressure
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GSG11283_1e4c78b8-7da2-4654-8551-5a3bc3b3b3e5_2
| 1,755,003,934 |
and spike in the tibial spines, bilateral. Her examination is consistent with primary degenerative joint disease of both knees, of mild-to-moderate nature, which she has trip coming up to Texas and Australia and she would like me to do an aspiration and cortisone shot before she goes away, which is completely fine. The last time she did this was back in 2014. Apparently, there are plans for Ms. Rodrigues. She is going to see her daughter July 30, 2025, so come see me, and then she is going to Australia August 1, 2025. Come see me on July 29, 2025. We will do an aspiration and cortisone shot for both knees, make her feel better, enjoy your trip. and the if she wants to do additional injections in the future including visco supplementation injections, we can also consider that.
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GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_4
| 1,755,079,710 |
I told him because of his hypertension, I could not send him to therapy, so all he had to do was get me a note from his family doctor, because he states when he goes to see his family doctor, his blood pressure is fine, and he has yet to get me that note. He tells me his family doctor has been on vacation for the last five weeks, and I do not believe him. He never got a pair of knee-high compression stockings, so he is not doing anything to benefit himself. I discussed this with he and his wife who accompanied him today.
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GSG21323_3dbf768b-9832-41a5-8589-31d469701dcc_0
| 1,755,093,143 |
Now, dictating a follow-up known as C-R-I-S-T-I-A-N-E, last name Colombo, C-O-L-O-M-B-O, date is July 28, 2025. Ms. Colombo comes off today. She had originally injured her right shoulder at work on February 18, 2025. She did not improve with conservative treatment, so I operated her right shoulder two months ago on May 29, 2025. That surgery was an evaluation of the seizure, operated a thrust through the right shoulder, the bulimia of the partial to the right to the cuff, extension of the prima, and then through a separate subpector alce approach.
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GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_4
| 1,755,174,891 |
tendon rupture but there's no ecchymosis he's got some mild tenderness, but it has been five weeks since the injury So is it possible the swelling and ecchymosis went down if he had an acute rupture of the biceps tendon versus a chronic rupture of the knee, the knee, and the prior history of injury of the region, period. Range of motion of the right shoulder has mildly decreased.
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GSG21193_48b565fa-d2c7-4a25-8e95-8a2647cbb6c2_3
| 1,755,521,547 |
negative anterior drawer, negative posterior sag, no medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. His range of motion was 1 to about 130 degrees. His quadriceps mechanism is intact. There was no tenderness over the quadriceps, patella or patellar tendon.Paragraph My impression is that James Gertman was involved in a work-related accident on May 27, 2025, three weeks ago, where he sustained a contusion/internal derangement of his right knee. What I am a little concerned about is he also has fluid in his left knee, so I am a little concerned he may have some sort of rheumatologic problem. In turn, he did sustain an injury to the right knee. New paragraph PLAN:
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GSG21145_eef664c8-de3e-442d-b5fb-98fe09e46e39_2
| 1,755,170,071 |
My impression is that Patricia Joseph was involved in a work-related accident six and a half weeks ago on April 17, 2025, when she sustained a mild strain of the lateral aspect of both ankles, which at this point has resolved. She has no subjective complaints, no objective findings, full range of motion, no evidence of instability, and her result has been excellent. PLAN: So, at this point, Ms. Joseph At this point, Ms. Joseph can continue with regular duty without restrictions. I will consider her to be MMI. The exercises they taught her to do in therapy, can do
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GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_6
| 1,755,080,852 |
X-rays of the right elbow; AP, lateral, oblique, which show a large calcification off the entire lateral condyle. AP oblique x-rays of right hand demonstrated degenerative arthritis of the DIP joints, especially the long, ring and pinky fingers, and also did x-rays of right knee; AP weightbearing of both knees, skyline view of both knees, tunnel view of the right knee, lateral view of the right knee and comparison view of the left knee. demonstrated degenerative arthritis, severe in both knees, diffuse.
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GSG21315_47379227-76a8-436c-ae89-114dba09de85_0
| 1,755,089,154 |
Now take a look at the following clinical data. VENZINI, date is July 25, 2025. As soon as he comes off today, his data goes back to June 25, 2025. Three and a half weeks ago, he was seeing a lumbar strain. Periodontitis in my office, July 8, 2025. I put him on naproxen in an anti-inflammatory, set him up for some therapy. He's been doing the therapy. He feels much better. Not perfect, but much better.
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GSG11191_b49b9abf-3c4d-4e71-9462-404091bd90c6_4
| 1,755,518,381 |
She can't do anything hard for the biceps, but she can do active and passive range of motion, exercise for the elbow, but they need to push her into physical therapy. She needs to push herself so she doesn't get stiff. New paragraph PLAN, Ms. Colombo will continue with the physical therapy. She'll continue to be out of work. She can take the naproxen PRN, the exercise she turned therapy, doing her own at home. She's got a T-bar and pulley at home, use that. I gave her a note for out of work, and appointments seem to be in two weeks, and I usually send people back to light duty,
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GSG11179_c874c382-8ed6-4d1e-903d-f39d0dae9690_7
| 1,755,513,169 |
West Orange Board of Education. Tax coverage on Cuman.
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GSG21152_8a685605-f9f7-4088-9138-3f6c9d6ca640_6
| 1,755,174,185 |
then I don't see a reason for any additional treatment at that point . I discuss all this in depth with him. We'll get the MRI of his right shoulder. I'll see him back from the office in two weeks period. He'll continue the that point . I discuss all this in depth with him. We'll get the MRI of his right shoulder, and I'll see him back from the office in two weeks . He'll continue the regular duty period. Complements with Great American Strategic Composers, Blacks 4080, Quentin, Iowa, 52733, Tinger, Mary, Moonton, MUN, TONE, Colonies, Aismath, 00691850, Boys, Brown, BLWA Integrated Logistics, Dr. Scabato, Dr. Luz's stagnant at Gen X at 850. Boys Brown, BOW Integrated Logistics, Tax Capital Resources, Stagnant, GenX at 877-883-4947. Thank you.
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GSG11264_9257236e-feee-4e66-b37f-3b9e22a53d46_3
| 1,754,982,599 |
He's not a great candidate for anti-inflammatory medications because of his hypertension, but he has gone to therapy, which has helped him. New paragraph, I offered Mr. Lewis a cortisone shot, but he says he'd rather go back to therapy for another few weeks and see what happens. If he gets better with therapy, then he would avoid the cortisone shot and if he does not get better with therapy, then he will come back and see me and we will consider the cortisone shot and I consider that treatment program acceptable. So, at this point, Mr. Lewis will continue with therapy for another few weeks.
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GSG21164_7be76645-495f-473e-8964-3aceeab6f2fe_1
| 1,755,503,220 |
reveals a small joint effusion present. She cannot fully extend or flex her knee. She has genu varus deformity. Range of motion is 5 degrees to about 100 degrees. Negative Lachman, negative pivot shift, negative anterior drawer, negative posterior sag, no medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. IMPRESSION: My impression is that Vera Semanyshyn has primary degenerative joint disease of her right knee with severe arthritis in the medial compartment. She also has significant arthritis in the patellofemoral joint. patellofemoral joint. She would like to start doing the visco-supplementation check
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00:01:00.800
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GSG11314_b264ea0e-ebfe-4f78-b56b-f4f3b24b099b_1
| 1,755,085,863 |
reveals a little tiny tenderness medially. Negative McMurray, negative Apley grind. She has a little patellar crepitus. She has a tiny joint effusion present. Range of motion was 1 to 140 degrees. Negative Lachman, negative pivot shift, negative anterior drawer, negative posterior sag. No medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. My impression is that Lisa Amato primary degenerative joint disease of her left knee. She is much better after the cortisone shot. She could function in Dollywood. So, at this point, we are starting her Orthovisc injections.
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00:01:00.260
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GSG11328_55a045b7-0761-4432-adbc-63254de1c5b8_1
| 1,755,091,651 |
with distortion of the imaging because of metal. There's not specific subcutaneous demons, subcutaneous fascial fluid with a 0.5 centimeter focus of non-specific nodular decreased signal, period. Radiology put you could do for an MRI with gadolinium. You could do an ultrasound. But Mr. Taipi states at this point he's not so concerned. He feels okay. He doesn't really have any pain in the area, period. Paragraph of physical examination.
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GSG21194_68ed69df-5f31-4884-b3be-ab0b665c125e_5
| 1,755,521,864 |
the norm for this, but functionally I think she is doing very well. I do not need to see her unless there are further problems or difficulties.
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00:02:38.560
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00:02:44.780
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GSG11162_95c3c80c-56cb-4a37-a83d-daa61af20a7d_1
| 1,755,508,171 |
He has been doing regular duty. As a result of his continued complaints of pain down the right lower extremity, I had recommended an EMG. That EMG was done by Dr. Robinton, a neurologist, on June 3, 2025 and interpreted as completely normal. Even the physical examination was normal. Dr. Robinton found no abnormalities whatsoever. I explained to Mr. Cardoso-Mendoza, his EMG is normal, which means there is no evidence of neurologic damage. It is a muscular strain. He is definitely better.
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GSG21319_7e4fbb53-60b1-488f-8601-6d44fc448dcd_0
| 1,755,089,861 |
Now to the Conformative Machinima, CHEA Lee Spears, SPERS, dated July 21, 2025. Ms. Spears comes off today. The date of injury goes back to April 22, 2025, where she has sustained a fracture of the poster and lateral malleus of the right ankle, a mild sprain of the left ankle. She's doing much better. She doesn't really have any problems with the left ankle at all, a little stiffness, achiness in her right ankle. When I had seen her last time in my office on July 9, 2025, I recommended two more weeks
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GSG21275_6b0433bb-8afd-4ba4-932f-8e6aae683997_0
| 1,754,996,172 |
Now dictating a note on LISA D. AMATO – 07/08/2025 Ms. Amato comes to the office today with her daughter, Jiana. She has primary degenerative joint disease of her left knee. She is going to Dollywood tomorrow in Tennessee. She is driving with her husband and daughter. So, she would like me to do an aspiration cortisone shot before she goes away to make her knee more comfortable. and I have done this in the past and she is completely fine with this.
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00:00:32.300
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GSG11313_8a14fb24-9883-4f41-b6c4-6117a02e51c2_3
| 1,755,085,636 |
He has a negative impingement test, negative drop test, negative Speed test, negative O'Brien test, negative belly press test and negative Neer test. Examination of the low back. tenderness, muscle spasms, or trigger points. Motion is full. Straight leg raise is negative. Sensory, motor and reflexes were normal. Babinski’s were downward going. No clonus was present. Examination of the right knee revealed no joint effusion present, no joint effusion present, no joint line tenderness. Negative McMurray, Negative Apley grind He had full range of motion, intact quadriceps, Negative Lachman, negative pivot shift. There is no There is no medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. He also had a negative posterior sag. His gait was entirely normal.
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GSG21249_3c2c65b3-ad83-4476-af03-581c6af8e184_1
| 1,754,917,452 |
also biceps tenodesis. He is doing okay. One of his friends drove him today to the office. He is a little bit uncomfortable. He finished the antibiotics. He is not taking the Percocet. He took the Motrin, but it made him feel funny, so he does not want to take it. I told him, if he does not want to take it, then take some Tylenol instead. He did the block, which worked fine, and he has a little achiness, but nothing terrible. Mr. Juarez-Hernandez is a pleasant, cooperative male. His temperature in the office is 98.3.
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GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_4
| 1,755,172,041 |
and he walked with a mildly abnormal gait. He was recognized by a professional. Maurizio D. Robertus was involved in the work lay-outs on March 28, 2025, now approximately. Nine and a half weeks ago, he sustained an injury to his left knee, . I had a video surveillance of what he did, injuring his left knee, period. I had a video surveillance of him injuring his left knee going up steps. He's got an MRI documenting a significant tear of his medial meniscus. He's got x-rays of his left knee that do not document any significant arthritic changes, . He's had a cortisone shot. He's had ice. He's had physical therapy. He's had home exercises.
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GSG11323_2a16ceea-edc4-4ebf-85e0-5e961d902b0b_3
| 1,755,087,859 |
If I would agree with the interpretation that there is a torn meniscus and it was a chronic problem, because her mechanism of injury is consistent with a sedation, not a torn meniscus, and it does not consist with a foreign antropology ligament or bone bruising. So my my this does not change the opinion set forth in my previous reports that she basically has a strain of both knees. I recommend some therapy. And other than a rehab dilatation exercise program, I see no indication for any type of surgery or additional treatment on the right knee.
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00:01:12.860
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00:01:49.340
|
|
GSG11337_86513b77-c6cf-406b-ad23-b73223c88619_0
| 1,755,092,676 |
Now, dictating a follow-up note on Austin AUSTIN Urban, URBAN, date is July 28, 2025. Mr. Urban comes office today with his mom. He was involved in a work-related accident in July 8, 2025, three weeks ago, he was standing a mile straight over his right calf. He's doing better. He's driving his car in the boot. He takes the boot off when he's home. He goes to the gym and does upper body workout, but he's been careful with the calf. He's been doing light duty at work,
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00:00:00.000
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00:00:28.180
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GSG11307_55cf6428-41c3-40f5-a2c5-feee524ddbfb_0
| 1,755,078,134 |
Now dictating a follow-up note on NAZERA BARRETT date is 07/16/2025 Ms. Barrett comes to the office today accompanied by Meredith Levine, RN, her nurse case manager from Triune Health. Ms. Barrett had been involved in a work-related accident on May 25, 2025, seven-and-a-half weeks ago, where she sustained a lumbar strain. She has been going to therapy, which helped her a significant amount. She has been doing light duty. She takes an occasional Tylenol.
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00:00:00.000
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00:00:32.280
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GSG11267_c3be9e72-aea4-4950-9059-7ddb8df74937_3
| 1,754,983,371 |
negative brine test, no autoimmune attack, no deformity of the biceps. New paragraph .impressed my impression of Raymond Bonet was involved in a work-related accident on December 20, 2023, where he injured his left shoulder. I operated on his left shoulder on April 3, 2025, three months and a week ago, where he had an evaluation under anesthesia, operative arthroscopy of the left shoulder, subacromial decompression, excision of the distal clavicle, extensive debridement, mini-arthrotomy, biceps tenodesis rotator cuff repair. He did very well. He is doing very well postoperatively, but he tried to change therapy,
|
00:01:32.000
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00:02:03.960
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GSG11164_a40168b5-fe0b-47b6-b8a6-5f9da20515f0_2
| 1,755,508,531 |
rotation. I did not do an impingement test, drop test, sulcus sign. I did not do any testing on her because I did not want to stress her rotator cuff. Her biceps has no deformity. range of motion of the elbow was good. actively and passively. Neurologically, she is normal. IMPRESSION: My impression is that Ana Deffer was involved in a work-related accident on January 22, 2025 where she injured her right shoulder. Was an injured right shoulder. I operated on her right shoulder. May, 2025, four and a half weeks ago. When she had an evaluation and seizure, I operated on the right shoulder, debridement of superior labral anterior posterior, subacromial compression of the clavicle,
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00:00:58.140
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00:01:30.160
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GSG11162_95c3c80c-56cb-4a37-a83d-daa61af20a7d_5
| 1,755,508,171 |
Based on as a result of Mr. Cardozo Mendoza's work lead acts on 03/03/2025, he's a max medical benefit from treatment. There's no indication for any additional diagnostic or therapy modalities. He can continue to regular duty without any restrictions . If he gets occasional back pain, he could take an occasional nap or sin. He's got three sessions of therapy left. he can finish those up. And then the exfoliating his insulin therapy just continued doing his own at home, and he was fine with that, period. I answered all of his questions for him, and he was discharged from the office. He was given a note for regular duty, period. Complator goes to Great American Strategic Comp
C o n p. Post is 54080, Clinton, Iowa 52733. Detention Michael, s m t o r t o r e l l I. Name is Azanorth at 0070135.
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00:02:32.160
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00:03:17.640
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GSG11133_b46fc30d-b833-483d-a905-38691804c2ee_6
| 1,755,169,359 |
He will continue with therapy in the right shoulder and I would also initiate therapy in the lumbar spine to just get him moving a little bit better, but again, just be careful with the lumbar spine so we do not further cause any compression deformities. Usually 11½ weeks is more than adequate time to heal. So, I gave him a note for light duty which is currently not available. I gave him an appointment to see me in two weeks for repeat evaluation and repeat x-rays of his thoracolumbar spine and my best estimate at this point is as long as he improves with therapy, he is prob
|
00:02:56.000
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00:03:24.900
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|
GSG21250_6f8d8d1b-dfdb-4e61-99ce-ea3fd52591ae_0
| 1,754,917,875 |
now dictating follow up note on TRACEY ATTERBERRY – 07/01/2025 Ms. Atterberry comes to the office today. Her date of injury goes back to March 19, 2025, approximately 15 weeks ago where she sustained a contusion of her right knee. I had seen her last week in my office on June 25, 2025. I gave her a cortisone shot and resolved all of her pain. I sent her back to regular duty. She is doing regular duty and she is happy about the results. She can stand, bend, walk, and squat. She uses a walker because of the stroke,
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00:00:00.000
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00:00:29.980
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GSG11188_39c707de-a494-4d5f-916b-fc62900fae5e_1
| 1,755,517,249 |
He has less pain in the right shoulder. When I had seen him last time in the office two weeks ago, I recommended therapy on the right shoulder and low back. And for whatever reason, they're only doing the right shoulder. Rosa Stagnita, S-E-A-G-N-I-T-T-A, comma, R-M from Genix, helped translate experience crash into English along with marine wildlife. Rosa already tried to contact a physical therapist and told the therapist they need to do therapy on both his low back and his right shoulder. He's been doing home exercises. He's taking calcium and vitamin D. He doesn't really take
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00:00:31.520
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00:01:02.020
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GSG21188_dedbfd26-2dd2-4547-97e4-d77bd5f14542_3
| 1,755,514,615 |
Operating his right shoulder four months and, less than a week ago where he had an evaluation of seizure, operative arthroscopy of the right shoulder, the breamatory anterior inferior labral anterior inferior posterior labral tear, Subsequent compression consists of clavicle center of Bremont, brief multiplexisic glenoid, and then through a separate subfactor osteoporosis, beta biceps, c and d. He's doing very well. His motion is good. His strength is improving. I think it's probably going to take two more weeks of therapy before MMI and back to regular duty. He hasn't been doing light duty without a problem.
|
00:01:25.740
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00:01:58.320
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GSG11166_031c3d04-7ad9-48e7-80b9-40d5fcab0032_5
| 1,755,508,843 |
Supposed to be box 240819, Apple Valley, Minnesota, 55125. Attention, Sandra, S-A-N-D-R, Barbara, B-A-R-B-R, 01887, W is in water, the report is orange. City of Orange Board of Education. Facts of Governor Brandon, B-R-A, and D-1. Griffins, U-R-A-F-F-I-N at N-J-S-I-G at 609 or 386-2011. Thank you.
|
00:02:28.780
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00:02:52.680
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|
GSG11255_3ad71057-1379-45eb-aeed-0ea26feaf06e_0
| 1,754,976,250 |
now dictating follow-up note on GIANELLA ZAVALA-VILLALTA – 07/02/2025 Ms. Zavala-Villalta comes to the office today. She had been involved in a work-related accident on June 3, 2025 injuring her right shoulder and right wrist. I had seen her previously in my office. She had been taking some Advil and Tylenol. She still takes Tylenol. I recommended some therapy. She is back to regular duty. She states she completed one session of therapy. There was a little bit of delay but at this point she does feel better. She has less pain in the right shoulder and right wrist. She still gets a little achiness in the thumb and
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00:00:00.000
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00:00:33.000
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GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_8
| 1,755,154,712 |
Is it possible he had some mild strain of his rotator cuff or mild strain of his labrum? The answer is it's possible. But 85% to 90% of these problems were resolved with anti-inflammatory medications, physical therapy, cortisone shots, and he refuses that treatment program period. I can't force Mr. Conner to undergo that treatment if he refuses period. He buries himself to this point. As far as work goes, Mr. Conner can resume regular duty as of July 30, 2025 without restrictions period.
|
00:03:55.060
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00:04:24.840
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GSG11196_5744dd01-7608-43d9-8759-657f6f8ee948_0
| 1,755,520,598 |
Now dictating a follow-up note on PRINCESS NELSON-THOMPSON date is 06/17/2025 Ms. Nelson-Thompson date of injury goes back to December 20, 2024. approximately six months ago, where she sustained a strain of her right thumb. She had an MRI of her right thumb, which showed a partial tear of the abductor, the abductor pollicis longus tendon, small ganglion cyst, and tendinitis of the extensor digitorum tendons. When I had seen her in the
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00:00:00.000
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00:00:29.660
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GSG21182_fd0d2ca9-50f6-47cc-b83c-686810f71a0d_0
| 1,755,514,144 |
Now dictating a follow-up note on Jose Munoz, MUNOZ-arce ARCE, date is June 11, 2020. Jose Munoz comes off today. His date of injury goes back to April 29, 2025. Approximately six weeks ago, he was in a lumbar strain. At this point, he's doing much better. He's done four out of the six sessions of therapy. He's used physical therapy notes from Crown CRW Rehab.
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00:00:00.000
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00:00:30.300
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GSG21315_47379227-76a8-436c-ae89-114dba09de85_2
| 1,755,089,154 |
tenderness the recumbos abrasion the discoloration . his range of motion is good sensory motor reflex are normal but this user downward going no close president table telling he walk and get up and down off the table without discomfort here. new paragraph label this x-rays extra is lumber spine dumb health safety the pelvis a pill on the spine left or bleak side was fine we're normal can you push my question that Clint Mizani was involved in a work-related accident in June 25, 2025,
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00:00:58.820
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00:01:28.020
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GSG11166_031c3d04-7ad9-48e7-80b9-40d5fcab0032_4
| 1,755,508,843 |
problems, or difficulties and she was completely fine with that. So, I will see her back in my office in two weeks for repeat evaluation. My best estimate is she will probably be going to be going back to work some sort of light duty in a few weeks when she is more comfortable, but she states her last day at school is June 26, 2025, about two weeks away. So my guess is she probably would not be going back to regular duty until after school ends. So probably she will be going back sometime in September because she does not work in the summer time. Compensation letter goes to Qualink.
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00:01:58.900
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00:02:28.680
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GSG11336_abfc8ae8-0f84-4109-a8bd-a1469eff28a1_1
| 1,755,092,532 |
She's going to Rochester to help her mom put things together. She had taken naproxen and a muscle relaxer previously. She wants to know if she can go back on the naproxen and muscle relaxer. I told her I'm willing to write her prescription for naproxen, but a muscle relaxer really is not indicated, period. New paragraph physical examination, miss stress, is pleasent cooperative woman, period. She's got some mild tennis right side of the neck, a little tennis right to piece of muscle. She's got good range of motion of her neck. Neurologically, she's intact. Hoffman test was negative. Cross-shoulder abduction test was negative. And the Sperling SMRT test was normal, period.
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00:00:28.840
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00:01:01.180
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GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_1
| 1,755,523,220 |
Montigue this is not her fault, but the therapist needs to work on both at the same time. When I saw her in my office, saw her in my office, I did not tell her to see me for the back one day and the knee a different day. The therapist can work on both these body parts at the same time. She has been taking the Naprosyn that helps. I gave her a note for light duty. There is no light duty available, so she has been out of work. She does feel better, but she still has some discomfort in the right knee. I told her I can give her a cortisone shot if she is very uncomfortable. She spoke to her doctor, who takes care of her diabetes,
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00:00:29.680
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00:00:58.220
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GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_4
| 1,755,173,983 |
flexion, about 10 degrees of external rotation, about 15 degrees of internal rotation. New paragraph. X-rays. I went over the actual MRI of his right shoulder. That was on New Jersey Imaging Network in Jersey City on May 31, 2025. I actually went over the actual MRI with him, and he took pictures. It shows about a 50% tear of the supraspinatus tendon,
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00:02:37.940
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00:03:05.700
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GSG21152_8a685605-f9f7-4088-9138-3f6c9d6ca640_5
| 1,755,174,185 |
As far as therapy goes, I don't see an indication to continue with therapy. And you can just do the home exercise period. Tell him when he goes for the MRI of the right shoulder and rosacitagnia, comma, RN is most case management, will help him set up the MRI. Make sure he gets the disc. I gave him an appointment assuming see me two weeks before the results and make a determination if additional treatment is indicated. Obviously, there's a significant road to the curve for labral fibrology. Then additional treatment may be indicated. And if his MRI comes back as benign,
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00:02:49.200
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00:03:16.600
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|
GSG21202_e0d1f1a7-3068-4bfb-be63-e70cf4d5e578_1
| 1,755,524,064 |
Examination Ms. Rush is a pleasant, cooperative woman. Her range of motion in both knees is 5 to 125 degrees. She has no specific joint line tenderness. She has a negative McMurray, negative Apley grind, negative Lachman, negative pivot shift, negative pivot shift, negative anterior drawer, negative posterior sag, no medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. She has a genu varus deformity in both knees. IMPRESSION: My impression is that Estelle Rush has primary degenerative joint disease of both knees with moderate-to-severe degenerative arthritis in the medial compartment of both knees. The aspiration
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00:00:31.880
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00:01:00.860
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GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_4
| 1,755,166,367 |
L2-L3 shows prior laminectomies. L3-L4 shows prior laminectomies and it looks like there is a right-sided disc herniation probably compressing the right L3 nerve root. and it looks like there is a right-sided disc herniation probably compressing the right L3 nerve root. L4-L5 shows disc degeneration, a bulge and facet hypertrophy and L5-S1 shows metal fusion cages status post surgery. My patient, Douglas Lamont, has back pain. He has bilateral lower extremity radiculopathy, right
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00:01:59.100
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00:02:27.680
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GSG11335_964eaf2e-8e22-48d9-81c9-77a2174a9b00_2
| 1,755,092,404 |
He had an MRI documenting some pre-existing arthritis, and it also documented decrevating tenosynovitis. Decrevating tenosynovitis is causally related to the Act in May 6, 2025, and the agenda changes are not, period. Paragraphs. So when I saw Mitch Zavala previous to my office, we could go on July 21, 2025, I give him cortisone shots and he's not 100% better, but he's 95% better. So he's going in the right direction. That's a good sign. He's back to where he's due, and he's happy about the results, period. He has been taken to Naperson, which helps.
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00:01:10.940
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00:01:41.640
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GSG11172_ae8489d3-dfeb-4e2a-8f19-8e963634a84f_4
| 1,755,509,522 |
6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate into both knees. put down a macro four cortisone shot. I told him to ice it, take it easy, do the home exercises, a little bit of weight reduction would help. I gave him an appointment to see me in a week to see what happens. I know in the past I have had to give him a couple of injections in his knees to make him feel more comfortable and he was fine with that
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00:01:53.000
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00:02:14.080
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GSG21168_a8ab5041-45c1-4d2f-a0b1-6d4f7793fc39_2
| 1,755,509,750 |
She walks with an entirely normal gait. She has back pain but she has no evidence of any type of neurologic abnormalities. IMPRESSION: My impression is that Frances Inge has low back pain. She has lumbar strain chronic degenerative disc disease degenerative arthritis There is no lower extremity radiculopathy no bowel or bladder abnormalities No evidence of neurologic damage. So I explained to her like last time, she is not a great candidate for anti-inflammatory medications because of hypertension, so she can take Tylenol. I would also recommend she do the physical therapy. She keeps asking me for a shot but I told her
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00:01:03.680
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00:01:39.260
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GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_2
| 1,755,172,041 |
between Italian and English period. At this point, he has pain all the time. He has swelling, he has difficulty walking. And I told him, try the therapy, try the cortisone shot. If he got better by doing that, we'd avoid surgery. If he did not get better, if he's not better, then the next option would be surgery. This is not a liver-die proposition, it's quality of life. He understood that. But he's just miserable, so if an operation would potentially make him better, he'd like to do that. He has no prior history of injury to the left knee, and I did watch a video surveillance
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00:00:54.020
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00:01:23.320
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GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_1
| 1,754,989,415 |
of May 27, 2025, but as a result of gout. He already had gout in his great toe previously. He just never had it in his knee before. So these problems with his right knee were as a result of gout. I was also asked to evaluate his left knee. So I saw his left knee last week on July 1, 2025, aspirated fluid, gave him a cortisone shot, and at this point both knees are doing very well
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00:00:31.700
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00:00:58.360
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GSG21247_7a3cc4f5-59b1-4e33-b4d2-9acf2a6538c6_7
| 1,754,917,046 |
I told him to ice it, comma. He needs to now go to see his family doctor with regard to this pain in both knees because this is a gouty problem, not a work-related problem. So, as far as work goes, I gave him a note for light duty. I gave him an appointment to see me in a week, what he needs to do is take colchicine 0.6 mg two pills once and then one pill couple of hours later. Then, after the gout has slowly resolved, he can go on allopurinol,
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00:03:22.340
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00:03:52.320
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GSG21343_d98dc2fa-a704-4405-801e-2c5cc7462513_2
| 1,755,157,637 |
ice it down, come see me in a week and see how he does and he was fine with that. So under sterile technique, I gave him an injection of 1 cc of 0.5% Marcaine without epinephrine, along with 6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate. put down a micro for cortisone shot, I put him back on an anti-inflammatory medication, put down a micro for NSAID ice it and take it easy.
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00:01:26.760
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00:01:53.000
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GSG21168_a8ab5041-45c1-4d2f-a0b1-6d4f7793fc39_0
| 1,755,509,750 |
Now dictating a follow-up note on FRANCES M INGE date is 06/10/2025 Ms. Inge comes to the office today. She still complains about back pain. I had seen her previously in my office on May 19, 2025. She had high blood pressure, so I told her to avoid anti-inflammatories. She had degenerative arthritis, degenerative disc disease, lumbar strain. I recommended therapy. She did not go. She wants a shot. I told her there is no shot that I can give her that is going to resolve this problem and she states she had it years ago and it
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00:00:00.000
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00:00:29.960
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GSG11185_765d7819-5f96-48f8-925d-43db3e4308c2_0
| 1,755,515,744 |
Now beginning follow-up on Charles Pallas, PALLAS, the June 17, 2025. Mr. Pallas comes off today. He's got primary joint joint disease above his knees. He's here for the third reflex injection. This is by far the best he's felt. Minimal pain, minimal discomfort, walking better, functioning better. He's working, and he's happy about the results. He's got a physical examination. Mr. Pallas, post-cooperative male. His temperature in the office is 98.3 period examination of his knees filled a tiny joint effusion present he has pretty good range of
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00:00:00.000
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00:00:31.120
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GSG21182_fd0d2ca9-50f6-47cc-b83c-686810f71a0d_1
| 1,755,514,144 |
He has no long-term recovery. Occasional achiness in his back. He has been taking the Naprosyn, which helps. The exercises they gave him to do in therapy, he has been doing on his own at home. He can stand, he can bend, he can walk, he can squat. Bending over sometimes gives him a little achiness, but he is much, much better as compared to previously. He thinks he would just like to finish up the last two sessions of therapy and then go back to regular duty. PHYSICAL EXAMINATION: Mr. Munoz-Arce is a pleasant and cooperative male, in no acute discomfort. New paragraph IMPRESSION: my impression, Jose Munoz-Arce.
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00:00:30.760
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00:01:05.500
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GSG11180_0f9b4889-2e85-4710-b795-f85d2db0d071_4
| 1,755,513,608 |
February 6, 2025, four months and a week ago. arthroscopy of the right shoulder, debridement of the superior-posterior labral tear, extensive debridement, subacromial decompression, excision of the distal clavicle, I also did a mini-arthrotomy, a biceps tenodesis, and a rotator cuff repair. He is doing better. Range of motion is improving a little bit, but he is a little stiff. I thought a cortisone shot would help him. he would like to hold off for a couple of weeks and see if what happens
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00:02:18.240
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00:02:47.300
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GSG21328_f7819aa4-e9be-4596-86d1-941c92c171a9_4
| 1,755,152,596 |
He's a little concerned about going back. So if he doesn't feel just about normal in two weeks, I would potentially authorize another couple of weeks of therapy beyond that, but I think beyond six and a half months of rehab, I don't think additional treatment at that point would be indicated so I'll see him back about two weeks for a repeat evaluation determine whether he's comfortable going back to regular duty at that time
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00:02:11.460
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00:02:35.760
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GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_5
| 1,755,079,710 |
At this point, Mr. Cherry's diagnosis is resolved strain of his lumbar spine, and resolved sprain of his right ankle. PLAN: Mr. Cherry can continue with regular duty without restrictions. If he gets a pair of knee-high compression stockings, that would be great. He can wear those. He does not require any physical therapy, but I told him he should probably see his family doctor because his pitting edema of both legs represents either a blood pressure problem or other abnormalities that need to be addressed. I already had sent him for a Doppler study, which came back as normal.
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00:02:31.320
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00:03:01.340
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GSG11132_15da72a6-cd70-4807-ab5b-300f442535ec_3
| 1,755,168,943 |
It is not hot or red. There is no drainage. She could actively abduct and forward flex about 45 degrees, passively about 90 degrees. She had about 25 to 30 degrees of active internal and external rotation. There is no deformity of the biceps. Neurologically, she is intact. I could not do an impingement test or drop test or sulcus sign or belly press test or lift off test because she is uncomfortable moving her shoulder.
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00:01:29.000
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00:01:57.680
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GSG11351_d76a8fc0-d5a2-4176-a426-7ef8bf29a368_1
| 1,755,155,565 |
otherwise she could do regular duty without restrictions, period. She is feeling better. She has no complaints of upper lower extremity, but she gets a little achiness in her neck, mid-back and low-back, no complaints of right knee pain. She has no difficulty standing, bending, walking, squatting, pushing, pulling, sleeping, or sitting in a car. The exercises they gave her to do in therapy, she does it on her own at home. She takes an occasional Tylenol. period. I have reviewed her physical therapy notes from JAG Physical Therapy. Physical examination
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00:00:32.000
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00:01:00.000
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GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_7
| 1,755,166,367 |
He's going to try the epidural, see how he does. If he does not get better, then we will refer him on to a spine surgeon. I told him that he come to see me once the epidural is completed so we could see how he does. Now dictating
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00:03:24.620
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00:03:35.880
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GSG21305_4a84e25b-8e42-4b55-b2e9-30c74bf4103d_2
| 1,755,079,245 |
I discussed this in depth with him. He has an insufficiency fracture that is consistent with osteoporosis though he also though his DEXA scan does not show osteoporosis, he had an insufficiency fracture and that by definition is osteoporosis. So, he needs to get treatment for this. so I discuss the options my recommendation would be to go see a endocrinologist period they can do blood tests on him to determine if he has factors that are
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00:00:56.480
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00:01:26.180
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GSG21326_4658d9d3-f531-41f9-91f0-8c016f860789_4
| 1,755,150,904 |
questions for her, and she was discharged from the office. Accompanied was a Qual Links. The process was Bikes 240819 Alpha Valley, Minnesota 55125. Claimant number is 25 Debra's and Wires. She's a Christian 02289 W's and Water. The employee is Lyndon LAND and Board of Education. Fax is Gabrierena, r a n a, Coranden, c u r a n d a n. 60903862011. Fax is Gabriere, Sandra, s a n d r e, Barbara, b a r b e r. I'm sorry. I don't have her number. Thank you.
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00:01:49.900
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00:02:20.440
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GSG21318_733c16b2-cb6b-4b46-896b-d794172d8edd_3
| 1,755,089,613 |
50 degrees of internal rotation actively. Passively also a little bit better. He has a negative pitch test, no deforming of biceps, negative liftoff test, negative belly press test, negative speed test, negative O'Brien test, negative neo test, new brain compression by person. Greenbonnet had been involved in a work-related accident dating back to December 20, 2023, injured his left shoulder. Eye operative in his left shoulder, April 3, 2025. Now three and a half months ago, where he had an evaluation season along with arthroscopy in the left shoulder, I did a sub-local chronic depression, excessive clap, low synaptic brima, mini-arthrodomy a biceps, seen a decent work through the cuff repair. he is significantly better. Range of motion continues to improve.
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00:01:11.220
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00:01:52.000
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GSG21262_e5396854-38f8-431b-9068-7e09b3103e16_4
| 1,754,980,832 |
after two epidurals, after physical therapy, after pain medications, and they will not give him light duty. He's going back to see Dr. Yanal, the pain medications, and they will not give him light duty. He's going back to see Dr. Now, the pain management doctor, next week. And then I think also seeing one of the spine surgeons. I gave him the name of Dr. Ashraf, A-S-H-R-A-F, would be appropriate. I discussed surgical options with him. Dr. Ashraf will also. Most people do better with surgery, but there's a high likelihood of recurrent disc herniations,
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00:01:56.760
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00:02:26.580
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GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_1
| 1,754,989,066 |
She was accompanied by Pam Finer, RN. At this point, they would like me to look at the back, both knees, both ankles, and she was also complaining about problems in her upper neck, shoulder blade region, but that was not authorized to be seen. Ms. Delgado-Torres states that she took the Celebrex, but does not think it helps, so I told her if the anti-inflammatory does not help then do not take it any longer.
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00:00:30.500
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00:01:00.560
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GSG11261_92124b2d-157c-4047-9792-dfe9780aa4d2_1
| 1,754,979,531 |
He takes an occasional Tylenol. PHYSICAL EXAMINATION: Mr. Ventura is a pleasant and cooperative male. His temperature in the office is 96.6. Examination of the right shoulder revealed some mild tenderness anteriorly and laterally, some mild tenderness over the AC joint. He has good abduction. He has pretty good forward flexion. He still lacks a little bit of internal and external rotation. He does have a positive impingement test. He does have a positive Neer test, maybe a little bit of Speed test, maybe a little bit of O’Brien test. He has a negative belly press test, negative lift-off test. He has a negative drop test, Neurologically intact.
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00:00:45.040
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00:01:14.700
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GSG21324_89880b5a-ddd2-45af-96af-6e365f943534_0
| 1,755,093,291 |
Now, dictating a follow-up note on Carmelina, C-R-M-E-L-I-N-O, Juarez, J-U-A-R-E-Z-H-E-R-N-A-N-D-E-Z, date is July 28, 2025. Mr. Juarez Hernandez comes off today, Maria and my office, and presents in Spanish and English. His date of injury goes back to August 19, 2024, injured his right shoulder at work. He did not improve with conservative treatment, so I operated on his right shoulder approximately four and a half weeks ago in June 26, 2025.
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00:00:00.000
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00:00:29.560
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GSG11262_933f9426-f483-4fb5-b9be-1f1cbc432a35_1
| 1,754,979,655 |
She ages. New paragraph. The physical examination is Bigley's pleasent cooprative woman. She's got a small joint effusion present. Range of motion is 10 to about 110 degrees. She's got some mild diffuse tenderness. She has no gross evidence of instability. Negative Lachman, negative hip shift. There's no mutal constipation. 10-30s with flexion of the ocular stress. And she walks with a grossly abnormal gait, period. New paragraph. Impression. My impression is that Catherine is big.
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00:00:28.660
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00:00:57.240
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GSG21331_09e4c1b4-8177-47cd-96b7-bb4d1a936a46_2
| 1,755,152,749 |
swelling, abrasions, discoloration, edema, muscle spasm, trigger points, or tenderness. No tenderness with the amygdala. Maliaal, deltoid ligament, or the anterior posterior tail of the superligament. Homo testinago, topsy-toxy normal, Achilles and back. She walked with an entirely normal gait. Without these, crutches came to her at the exhaust goods. Since she was wearing sneakers. Paragraph Impression: my impression Rosendary was involved in work related accident on July 7, 2025, three weeks ago, receiving a contusion of her left foot, which at this point is resolved.
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00:00:56.660
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00:01:25.680
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GSG11330_0cbff2a2-49ad-4f59-b60f-90fe7b3c5eed_2
| 1,755,091,907 |
She's going to pick up her daughter in Texas and go to Australia for a couple weeks. She's going to Texas Wednesday, Australia Thursday or Friday. So she wants me to do an aspiration cortisone shot for both knees before going away to make her trip better. And I've done this in the past, and I have no trouble with that. Neither does she. Period. New paragraph. Plans for an austral technique. I numb both knees, took 3 cc's of cortical fluid out of the right knee, 5 cc's of clear ill fluid from the left knee, gave her injection of one cc of 0.125% of morphine, 6-metotransferred
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00:00:55.120
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00:01:29.440
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GSG11195_b2b5d88c-57a7-46a5-8198-b9a83acf4821_2
| 1,755,519,663 |
which is here for the second ortho injection. It's feeling a little better, which is great. Infertilized plant-centered cell technique. I numb the knee, aspirated three cc's of clear shallow fluid, which is less than last time. It's a good sign. Gave her the second ortho injection. Then I'll see her back next week for the third and final injection.
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00:00:59.120
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00:01:17.160
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GSG11352_2b3f74e5-cf97-4673-b782-3b06644d1d75_2
| 1,755,156,114 |
or flex either knee. She has tenderness over the lateral compartment. Negative Lachman, negative pivot shift, negative anterior drawer, negative posterior sag. There is no medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. Slow abnormal gait with a lot of patellar crepitus.by impression with a lot of patella, crappy disappeared, a lot of pressure, a lot of x-rays. AP weight burn, both knees, lateral view of the right knee, demonstrate degenerative arthritis in the patellofemoral joint of the right knee. She has got significant degenerative arthritis in the lateral compartment of both knees.
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00:01:00.060
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00:01:31.580
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GSG11271_6b457411-49ac-4e5b-aa46-6f0897adabcf_1
| 1,754,987,900 |
she is going to leave on July 23, 2025, so I told her to come see me on July 23, 2025. We will do an aspiration and cortisone shot for her right knee for the posttraumatic degenerative arthritis. She can drive to tournament and we will try to get authorization to do visco supplementation injections in the future. PHYSICAL EXAMINATION Ms. Benne is a pleasant and cooperative woman. She has a small joint effusion present. She has nicely healed scar from prior anterior cruciate ligament reconstruction. Her range of motion was 3 to about 105 to about 120 degrees.
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00:00:32.180
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00:01:01.760
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GSG21156_7f7e4d95-09dc-432c-99ec-a94460ffbb73_2
| 1,755,174,616 |
At this point, she's pretty much asymptomatic. I asked her if she wanted to continue with therapydon't push too hard so she doesn't aggravate the shoulder, and she was fine with that, period. At this point, I told her anything she has to lift or carry it home, be gentle with. If it gets worse, she's welcome back.
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00:01:01.620
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00:01:19.960
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GSG11181_9332ff62-fca7-43ec-9c89-fd0087c1defb_4
| 1,755,513,946 |
two and a half months ago. On March 27th, 2025. That surgery was an arthroscopy of the left shoulder, extensive remont, remont of SLAP tear, subsequent acromiocompression, consistent with clavicle, remaining arthute acromion decompression, consistent with clavicle, mini arthrodomy, bicep, tendinitis, or rotator cuff repair. She's doing okay. Her range of motion is improving actively and passively. She's been doing home exercises. She takes occasional ibuprofen. She uses the ice unit, T-bar, and pulley system as needed.
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00:01:50.800
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00:02:20.000
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GSG11241_eddfa15c-9d37-4ac4-81ff-b20e00fd58d3_0
| 1,754,916,393 |
Now dictating a follow-up note on Jeanette JENETTE Esposito ESPOSITO date is July 1st, 2025 Ms. Esposito comes to the office today with her companion, Faith. I had seen her almost three weeks ago on June 10, 2025. She had a recurrent dislocation of her right shoulder. I had done her rotator cuff repair years ago and she is feeling much better, though she does not have much pain. She does not have much pain. She is a little stiff. She has been wearing the sling. because we told her in her age group 72 years old, after one dislocation, likelihood of recurrent dislocation is small
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00:00:00.000
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00:00:30.980
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GSG11332_d28c95a2-e918-4976-95e3-640f6272b66e_2
| 1,755,092,135 |
and that's a very good sign. He does these injections periodically, which helps him significantly. Paragraph plan. So in the shell technique, I numb both knees, took about two and a half cc's of collisional fluid from the right knee, 2 cc's collisional fluid from the left knee. I gave him the third and final ortho injection of both knees. He's aware of the potential side effects. I told him to ice it, maintain his weight, do the home exercises, and if he wants to repeat these injections in the future, he's welcome to do that, period.
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00:00:59.000
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00:01:26.200
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GSG21339_96ff4ede-4044-4900-bdd6-797adc06a853_2
| 1,755,156,403 |
Augusto Grova has degenerative joint disease of both knees, significant arthritis in the medial compartment of the left knee, significant arthritis in the lateral compartment of the right knee of which the left knee is significantly worse. He has done very well with occasional aspiration and cortisone shots. He has no side effects and he would like to do that again. So, under sterile technique, I numbed both knees. I aspirated 35 cc of clearish yellow fluid
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00:00:55.500
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00:01:25.000
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GSG21152_8a685605-f9f7-4088-9138-3f6c9d6ca640_1
| 1,755,174,185 |
Period. When I'd seen him last time and also May 14th, 2025, I gave him a cortisone shot in the right shoulder, which states helped him significantly for a few days, but when it wore off, the pain came back. He's been going to therapy. He thinks that has resolved his neck and back pain. He has no complaints of upper lobe extremity radiculopathy, but he states the right shoulder pain continues bothering him. When I had seen Mitchell's head previously in my office, I commented if the right shoulder continues bothering him,
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00:00:32.000
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00:01:01.180
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GSG21261_d19d4c5f-2ff3-4505-b667-4bd27ef15094_0
| 1,754,980,158 |
Now, technical follow-up note on Maiko, M-A-I-K-O, Harada, H-A-R-A-D-A, dated July 2, 2025. Ms. Harada comes off today. She was allowed to work the act on March 14, 2024. Three and a half months ago, her standing injury to her left shoulder consists of some road to the peripheral labral pathology. She has been going to therapy, which has helped her. She has less pain as compared to previously. She is dancing. She is doing normal
|
00:00:00.000
|
00:00:25.840
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GSG11196_5744dd01-7608-43d9-8759-657f6f8ee948_1
| 1,755,520,598 |
office, x-rays showed a little bit of degenerative changes in the basal joint of the thumb. I had recommended a cortisone shot, but she does not want to do it. She took the Motrin, which she is not sure helped. She has done five out of six sessions of therapy, which she thinks helped. She has one session of therapy left. I asked her if she has been instructed on home exercises. She states she has. She is able to push, pull, squeeze, and do forceful activities without restrictions. She has no complaints of numbness or weakness.
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00:00:29.660
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00:00:56.120
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