CentraLogic/GSG_cleaned_dataset · Datasets at Hugging Face

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GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_35	1,758,701,795	Mister Bella states he was on light duty for a short period of time, and now he's back to regular duty, period. Plays a little bit of the few sakiness in his left elbow. He has no complaints of pain in his left shoulder. No complaints of pain in the left arm. No complaints of pain in the left forearm. No complaints of pain in the left hand or wrist region, period. He has no trouble pushing, pulling, lifting, carrying, doing forceful activities. He has no complaints of numbness. He has no complaints of weakness. He is not under the care of any doctor, not looking for medical care.	00:17:06.905	00:17:35.805
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_46	1,758,701,795	physical therapy, chiropractic visits, x-rays, CAT scans, MRIs, EMGs, bone scans, pain management, medications, or surgery. He can continue with the regular duty without restrictions. There is absolutely no objective evidence of any restriction of function involving his left shoulder, left arm, left elbow, left forearm, or left hand or wrist based on the accident of August 20, 2024. The non-work activities he was able to do prior to this accident are the same activities he has been doing at this point. There is no need for any type of temporary or permanent work restrictions period new paragraph.	00:21:45.285	00:22:15.635
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_34	1,758,701,795	The next evaluation with doctor Ashraf was on 12/17/2024 and He comments the EMG has not been done PRP injection has been had not been authorized, but Mr. Bellow say he was feeling much better. He wasn't having any numbness in his hand, and he was didn't want any type of injection, and he was not interested in going for a nerve test, period.	00:16:36.525	00:17:05.785
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_47	1,758,701,795	I was not provided with Mr. Mr. Bello’s MRI of his left elbow, but if the interpretation sided by Concentra and Dr. Ashraf is accurate that there was some partial tearing of the extensor carpi radialis brevis tendon which would be consistent with lateral epicondylitis,	00:22:15.715	00:22:38.045
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_33	1,758,701,795	The diagnosis was left lateral epicondylitis with possible cubital c b BITL tunnel syndrome, period. The recommendation was a PRP injection along with an EMG, period. New paragraph.	00:16:10.155	00:16:35.325
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_48	1,758,701,795	then based on Mr. Bello’s work-related accident of August 20, 2024 involving his left elbow, he would have a 2% statutory impairment of the left arm, period. With regards to Mr. Bello’s left shoulder, he has a 0% partial permanent impairment of total. With regards to his left arm, he has a 0% statutory impairment of the left arm. With regards to the left forearm, he has a 0% statutory impairment of the left forearm. With regards to the left hand and wrist, he has a 0% statutory impairment of the left hand/wrist, period.	00:22:39.245	00:23:08.535
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_32	1,758,701,795	Tinel was positive over the cubital cu b I t l a l tunnel and some impressionable tendons of the left condyle appeared. Comments in the MRI showed tearing of the common extension tendon in the area of extensor carpi radialis brevis, period.	00:15:44.490	00:16:09.835
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_49	1,758,701,795	His prognosis remains excellent and can continue with the regular duty without restrictions, period. new paragraph. If I could be provided with the actual MRI of the left elbow on disc and a report, I would be more than willing to review that and send an addended report, period. new paragraph. write a macro for an IME. Thank You.	00:23:08.535	00:23:31.670
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_31	1,758,701,795	He comments in the work related injury and that there were problems with regards to the left elbow and some numbness in the left pinky finger, period. Physical examination at that time, there are normal strength, normal motion, normal reflexes.	00:15:19.960	00:15:42.455
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_0	1,758,707,186	Now dictating a letter to V.T. Medical Incorporated Attention Rosemarie Chidichimo Regarding Yolanda Rios vs. MTF Biologics Claim number 2230472995001 VT File number VT-29E 03550 Date of loss is Occupational and the cc goes	00:00:02.720	00:00:32.180
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_30	1,758,701,795	The no comments to the MRI of the left elbow had shown low grade partial tearing of the extensor tendons and otherwise benign examination, period. Period. The next evaluation was with Doctor. Ashraf, a s h r e f, orthopedic surgeon, dated 11/26/2024, period.	00:14:52.600	00:15:19.455
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_1	1,758,707,186	Biancamano & DiStefano That's attention Joseph Biancamano, Esq. That's Yolanda Rios vs. MTF Biologics. CP number 2022-16723. Date of Injury was Occupational. Claim number 2230472995001.	00:00:32.580	00:00:55.730
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_2	1,758,707,186	Your File number 60075-37705 JVB J as in john v as in victory B as in boy addresses to Rosemarie Chidichimo. new paragraph. I had the opportunity to evaluate Yolanda Rios in my office on September 8, 2025 for the purpose of an Orthopaedic Independent Medical Evaluation based on alleged occupational exposure.	00:00:56.050	00:01:22.950
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_29	1,758,701,795	The next evaluation, Concentra dated 11/15/2024. Comments on left elbow and forearm pain. Physical examination of left shoulder is normal. Physical examination of left elbow is normal. Physical examination left forearm is normal. Examination of the left wrist is normal, period. He was told to continue with an Aprazin and continue with the physical therapy, period.	00:14:15.635	00:14:46.615
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_3	1,758,707,186	Ms. Rios was involved in while working as a tissue technician for MTF Biologics. She states she started working in the job in 2018. she continues to do that job, period. I asked her to describe the job to me. She states she pushes and pulls certain things. She had to work with mechanical devices. She never did repetitive heavy lifting or forceful activities, period. I asked Ms. Rios was there ever an injury, accident, did something ever happen to her at work,	00:01:22.950	00:01:52.140
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_28	1,758,701,795	was normal. Physical examination of the left forearm reveals no significant symptoms. Physical examination of the left wrist was normal. Naprosyn was recommended as an anti-inflammatory. Naprosyn was recommended as an anti-inflammatory. Naprosyn was recommended as an anti-inflammatory. The next evaluation and the final evaluation I had at Concentra dated 11/15/2000 .	00:13:48.265	00:14:15.635
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_4	1,758,707,186	and she stated that she started noticing some pain and discomfort in her shoulders and both upper extremities in March 2020 but there was no injury, no accident, nothing ever happened to her. She never told work of an episode or had any complaints specifically related to work, period. Paragraph. I did review a note from Concentra dated November 13, 2020 where she was sent by Workers' Compensation, period.	00:01:52.140	00:02:18.330
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_15	1,758,707,186	She states she does not do heavy forceful repetitive activities at her job, which would have caused pain in either shoulder, elbow, or wrist region, period. At this point, she has no complaints of sleeping, pushing, pulling, doing overhead work. She is not under the care of any doctor, not looking for any medical care. She takes may be an occasional Aleve or Advil if she has any discomfort in her right shoulder. She denied ever being involved in a motor vehicle accident or any other injuries period new paragraph.	00:06:22.005	00:06:49.625
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_27	1,758,701,795	Examination of the left wrist was normal, period. Diagnosis remained the same. He was given lidocaine patches and again physical therapy was recommended, period. The next evaluation with Concentra was on November 8, 2024. There were still complaints of pain in the left elbow and left forearm region. Physical examination of the left shoulder was normal. Physical examination of the left elbow	00:13:12.600	00:13:43.010
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_16	1,758,707,186	PHYSICAL EXAMINATION: Ms. Rios is a 5 feet 4 inches and 128-pound pleasant, cooperative woman in no acute discomfort. Her temperature in the office is 97.5. Examination of the right shoulder revealed nicely healed arthroscopic portals. No tenderness, swelling, abrasions, discoloration, edema, muscle spasm, and trigger points. Erythema. No tenderness over the lateral, anterior or posterior rotator cuff. No tenderness over the sternoclavicular joint or acromioclavicular joint, period. Range of motion of the right shoulder was 135 degrees abduction and forward flexion, 55 degrees of internal and external rotation, period.	00:06:49.625	00:07:20.125
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_26	1,758,701,795	He was told to continue with the Naprosyn, period. New paragraph. The next evaluation was on October 24, 2024, now two months after the original injury. There continued to be some mild discomfort in the left shoulder and elbow region. Examination of the left shoulder was pretty much normal. Examination of the left elbow showed a little bit of weakness, otherwise normal. Examination of the left forearm revealed some tenderness present, otherwise normal.	00:12:43.850	00:13:11.080
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_17	1,758,707,186	She had a negative impingement test, negative lift-off test, negative belly press test, negative Speed test, negative Neer test, negative drop test, period. Arm and forearm circumferences within 1 cm of symmetry, period. new paragraph. Examination of left shoulder. revealed no ecchymosis, abrasions, discoloration, edema, muscle spasm, trigger points, or localized tenderness, period. Range of motion was 140 degrees abduction and forwards. Flexion, 60 degrees of external rotation, 55 degrees internal rotation.	00:07:20.570	00:07:47.225
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_15	1,758,701,795	Physical examination at this time of the left shoulder revealed some tenderness present. There was some pain with range of motion, period. Exam is the left elbow. Feeled healed abrasion. There's no ecchymosis. Skin trauma was noted. There's some tenderness present in antecubital fossa. Bicep strength was four over five. Triceps strength was four over five. There was no neurologic abnormalities, period. In tumor's left elbow excuse me, form.	00:07:21.750	00:07:58.570
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_18	1,758,707,186	Negative pinch test, negative drop test, negative near test, negative speed test, negative test, negative lift off test, negative belly press test, period. No deforms of biceps, period. New paragraph. Right elbow is compared to left elbows. No swelling, no tenderness, abrasions, discoloration, edema, muscle mass, tracheal points, or erythema. No tenderness over the medial lateral epicondyles. No tenderness to the radial head or neck. No tenderness over the olecranon.	00:07:47.790	00:08:12.665
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_19	1,758,707,186	Range of motion, both elbows with full pain, trans symmetrical, zero to a 140 degrees of flexion and extension, 85 degrees of pronation and supination, period. Distal biceps and triceps and tensor are normal. New paragraph. Examination of both wrists revealed there's no swelling, no abrasions, no discoloration, no edema, no erythema, no localized tenderness, muscle spasms, and trigger points. Range of motion of both wrists was full. 65 degrees of flexion and extension, 85 degrees of pronation and supination, 25 degrees of ulnar, 20 degrees of radial deviation.	00:08:12.890	00:08:46.160
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_14	1,758,701,795	I did review physical therapy notes from Concentra dated September 4, 2024 through November 22, 2024, period. Paragraph. The next note from Concentra was dated September 10, 2024, about three weeks after the original accident, period. There were still some mild complaints of pain in the left shoulder and left elbow region, period.	00:06:55.280	00:07:21.145
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_13	1,758,701,795	There was some mild diffuse tenderness. Neurologically intact. Examination of the left forearm revealed there was some ecchymosis and tenderness present. There was some swelling present. Examination of the left wrist was normal, period. The diagnosis was sprain of the left elbow, contusion of the left forearm and the left elbow region, period. Again, physical therapy was recommended, period. New paragraph.	00:06:28.340	00:06:55.280
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_12	1,758,701,795	Some physical therapy was recommended and he was placed on Naprosyn as an anti-inflammatory medication period. New paragraph. The next evaluation was on September 3, 2024, about two weeks after the original injury and there were still complaints of pain in the left elbow and forearm period. Examination of the left elbow showed that there was a healing abrasion. There was no ecchymosis.	00:05:56.770	00:06:27.220
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_21	1,758,707,186	She states she never had an injury at work, no accident, nothing ever happened to her at work, period. I reviewed one note from Concentra where she was sent through Workers' Compensation on November 13, 2020 which comments on a possible accident on March 1, 2020 while opening a latch, period.	00:09:23.085	00:09:42.810
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_22	1,758,707,186	The person treating her at Concentra commented in the report that, "Based on a careful exam of the patient as well as the information obtained about their job duties and mechanism of injury, it does not appear that the presenting complaints arose out of their job duties in the course of the patient performing those duties." I would agree 100%. She had no forceful activities, no repetitive activities, not lifting up anything heavy.	00:09:47.835	00:10:15.810
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_11	1,758,701,795	He had some mild weakness of the biceps. Examination of the left forearm reveals some tenderness present, small superficial abrasion. Strength was good. Examination of the left wrist and fingers was normal. The diagnosis was strain of the left elbow and left forearm period.	00:05:28.745	00:05:55.775
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_23	1,758,707,186	There was nothing at her job which would have given her pain in either shoulder, given her pain in her right elbow or right wrist. Paragraph. She states that she went through a private health insurance for treatment. And the only thing I have are notes from physical therapy which commented on some type of rotator cuff and biceps tenodesis involving the right shoulder in May 2021.	00:10:15.975	00:10:38.990
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_10	1,758,701,795	The patient commented that he had some bruising and swelling in the forearm region. Physical examination at that time of the left shoulder was completely normal. Exam was the left elbow. There was some ecchymosis and some swelling. There was some skin trauma noted. There was some tenderness in the antecubital fossa but not the biceps tendon, the lateral epicondyle and the medial epicondyle period. He had full range of motion.	00:04:57.145	00:05:28.345
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_24	1,758,707,186	But I have no other medical records of Dr. Patel and apparently I do not have them because those treatment records went through private health insurance and not through Workers' Compensation. I told Ms. Rios if she could provide me with those medical records from Dr. Patel. I would be more than willing to review those along with the operative report, and send an addended report. Ms. Rios states she never told Dr. Patel that these problems were work-related. She went through a private health insurance when she went for the MRI.	00:10:38.990	00:11:06.190
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_9	1,758,701,795	He was told he could resume work with light activities. New paragraph. The next evaluation at Concentra was on August 29, 2024. He was complaining about some pain in his left elbow and forearm region.	00:04:28.005	00:04:53.705
GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_5	1,758,720,405	At this point, she takes no pain medication, not even Tylenol, aspirin, or Advil based on this accident of April 25, 2024. She had no subsequent injuries and no prior injuries to the region, period. She denied numbness, period. She has no complaints of night pain, period. New paragraph. Physical examination: Examination of both elbows reveal no swelling, no tenderness, no abrasions, discoloration, edema, muscle spasm, or trigger points. There is no tenderness over the radial head or radial neck. No tenderness over the olecranon.	00:02:25.230	00:02:55.160
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_8	1,758,701,795	No signs of infection or drainage. He had some slight swelling and he had full range of motion. Examination of the left wrist was normal. Diagnosis was contusion of the left elbow and contusion of the left forearm. X-rays performed at that time of the left forearm and left elbow were interpreted as normal period.	00:03:59.065	00:04:26.245
GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_6	1,758,720,405	No tenderness over the medial or lateral condyles. Range of motion of both elbows is full, 0 to 140 degrees flexion and extension, 85 degrees of pronation and supination. Examination of the left forearm as compared to the right forearm and left wrist and hand reveals she has a little bit of tenderness over the first dorsal extensor compartment, period. She has a very weakly positive Finkelstein test, period. There is no redness, swelling, abrasions, discolorations, or edema.	00:02:55.160	00:03:20.720
GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_7	1,758,720,405	She has full range of motion of both wrists with 65 degrees of flexion and extension, 85 degrees of pronation and supination, and 25 degrees of ulnar, 20 degrees of radial deviation but with ulnar deviation she had some pain in the first dorsal extensor compartment. Neurologically she was normal.	00:03:20.720	00:03:41.515
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_7	1,758,701,795	no deformity, no dislocation, no ecchymosis, no erythema, and no swelling. There was some tenderness in the antecubital fossa, but not in the biceps insertion and the lateral epicondyle, period. He had full range of motion. He was neurologically intact, period. Examination of the left proximal forearm, There was some tenderness present. There was a superficial abrasion.	00:03:24.855	00:03:58.905
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_6	1,758,701,795	It comments he went to the emergency room yesterday. He had some x-rays taken, given an elbow brace and it comments that the x-rays were negative for fracture. He was given a prescription for Tylenol and naproxen, period. Physical examination at that time of the left shoulder was completely normal. Physical examination of the left elbow.	00:03:00.545	00:03:24.400
GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_9	1,758,720,405	was involved in a work-related accident on April 25, 2024, where she complained of pain in her left forearm, left wrist, and left hand region, period. I was not provided with any medical records, period. At this point, she is telling me that she was seen at the Urgent Care Center. They sent her for some therapy. They told her originally there was a crack,	00:04:06.055	00:04:25.190
GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_10	1,758,720,405	but when she had an MRI, she states apparently they did not find any type of fracture, but she does not know the results of the MRI or she at least does not remember the results of the MRI. She states after she went to therapy she felt better. She went back to regular duty and she is doing regular duty without restrictions. She complains of a little bit of weakness and some achiness in the left wrist region. Her examination is consistent with some mild tenderness over the first dorsal extensor compartment potentially consistent with de Quervain's tenosynovitis. Paragraph.	00:04:25.585	00:04:54.755
GSG21421_proc_d9fff2f5-2acc-49fa-9ab1-a3fad6db9411_3	1,758,701,180	I weighed him without his shoes. Examination of the left knee reveals a moderate joint effusion present. Range of motion is 3 to about 130 degrees on the left, 0 to 140 degrees on the right. He has some tenderness noted. He has a 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 and his quadriceps mechanism is intact period. New paragraph.	00:01:34.410	00:01:59.500
GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_11	1,758,720,405	Obviously, I was not provided with any of her medical records so if those records could be provided to me, I would be more than willing to review those and send an addended report. New paragraph. PLAN So, as a result of Ms. More's work-related accident of April 25, 2024, her examination today is quite benign and other than a little tenderness over the first dorsal extensor compartment, weakly positive Finkelstein test, her examination is normal. X-rays were also normal. So, if she did have a small chip fracture in that region, that has healed period	00:04:54.755	00:05:20.385
GSG21421_proc_d9fff2f5-2acc-49fa-9ab1-a3fad6db9411_2	1,758,701,180	He also has high blood pressure. Dr. Munoz has recommended blood pressure medication, but he does not want to take the medication, so he has not been taking it. PAST MEDICAL HISTORY: I went over his past medical history. He takes no medication routinely. He has no known allergies. He denies having surgery. He is not aware of his family history and went to view his system. Head and neck, negative; Heart and lung, positive for high blood pressure; Stomach and intestine, negative; Muscle and joints, negative. Nonsmoker and nondrinker. PHYSICAL EXAMINATION: Mr. Hurtado is a 5 feet 11 and 257 pound male,	00:01:00.810	00:01:34.410
GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_12	1,758,720,405	If she had de Quervain's tenosynovitis back on April 25, 2024, then that problem has significantly improved, although still has some mild discomfort in the region. It is hard for me to comment on maximum medical benefits/improvement and a permanency rating until I am able to see her medical records from the Urgent Care Center where she was evaluated after the accident of April 25, 2024. Her examination otherwise today is relatively benign.	00:05:20.385	00:05:49.235
GSG21421_proc_d9fff2f5-2acc-49fa-9ab1-a3fad6db9411_1	1,758,701,180	it is just bothering him. He was seen by Dr. Munoz, his family physician who put him on a Medrol Dosepak a couple of months ago. It helped for about five to six days, but the pain is still there. It is painful. It is swollen. He had similar pain in his left knee about two years ago, but it got a little bit better, but this has gotten a little bit worse. He used to be very active in weightlifting, though he does not do it recently. He drives a truck and he has to do some heavy lifting though he has had no injury at work. He has most of the complaints of pain on the medial aspect.	00:00:30.170	00:01:00.810
GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_13	1,758,720,405	She is doing regular duty without restrictions and she can continue with regular duty, period. New paragraph. Once I am provided with the medical records with regard to her accident of April 25, 2024 and the MRI report and MRI on disk with regard to, she states was performed of her left hand, wrist, and forearm following the accident. I would be more than willing to review those and send an addended report with regard to MMI status and permanency rating period New paragraph.	00:05:49.555	00:06:18.306
GSG21421_proc_d9fff2f5-2acc-49fa-9ab1-a3fad6db9411_0	1,758,701,180	Now dictating a letterhead on Edwin Edwin E D W I N Hurtado HURTADO Age 49 Date of injury March 2025 Referred by Doctor Munoz MUNOZ at 824 Elizabeth Avenue Elizabeth, New Jersey 07201 Attention Francisco F R A N C I S C O date this September 2nd 2025 This is an office visit for this 49-year-old right-hand-dominant truck driver accompanied by his wife, who states that he has been having pain in his left knee since March 2025. There was no injury, no accident,	00:00:00.240	00:00:30.170
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_2	1,758,782,623	your file number is 60006-40392 J as in john Vas in victory Bas in boy date this September 10, 2025 we gonna address this to Rosemarie Chidichimo comma New paragraph.	00:01:01.270	00:01:14.575
GSG21417_proc_cd2683bf-a34a-46c4-aebd-6bd3dd4599d1_7	1,758,700,148	I gave her an appointment to see me in a week. I told her to take it easy. And if she is doing okay in a week, I will discharge her. If it is still bothering her, then possibly some outpatient therapy may be indicated. She can also do an MRI of the knee for further evaluation, but she has had injections in the past, which improved her significantly and hopefully this will also period.	00:03:18.290	00:03:36.835
GSG21417_proc_cd2683bf-a34a-46c4-aebd-6bd3dd4599d1_6	1,758,700,148	She has taken that in the past without any difficulties and taken with a proton pump inhibitor. New paragraph. So, under sterile technique, I numbed the area. I aspirated 32 cc of clearish yellow fluid, gave her injection of 1 cc of 0.125% Marcaine without epinephrine along with 6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate. I put her on the Naprosyn, but I told her to take it easy, be careful, if that does not bother her stomach.Write a micro for NSAI.period	00:02:47.830	00:03:18.210
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_9	1,758,782,623	Paragraph. The next evaluation at Concentra was on January 15, 2025, now approximately five weeks after the original accident, period. There were still complaints of pain in the left shoulder and the low back, period. Physical examination of the lumbar spine showed some tenderness present, otherwise normal with some limited range of motion, period. Straight leg raise is negative, period. There is no examination of the thoracic spine.	00:04:04.225	00:04:33.015
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_10	1,758,782,623	No examination of the left shoulder. No examination of the foot, period. The diagnosis remained left shoulder strain and lumbar strain, period. New paragraph. The next evaluation at Concentra was on January 21, 2025. She was there for a followup for her left shoulder and low back, period. There were no complaints of lower extremity radiculopathy or bowel or bladder abnormalities, period. Physical examination of the left shoulder showed some tenderness present with full range of motion, period.	00:04:33.015	00:05:04.735
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_11	1,758,782,623	Examination of the lumbar spine showed some tenderness present. Otherwise, some pain with range of motion. Neurologically intact. No examination of the left shoulder or left foot though the diagnosis remains left shoulder and lumbar strains, period. MRIs of the left hip, left shoulder and spinal canal with lumbar spine were recommended, period. Paragraph.	00:05:05.055	00:05:30.055
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_12	1,758,782,623	I reviewed extensive physical therapy notes from Concentra dated January 21, 2025 through February 21, 2025, period. New paragraph. The next evaluation was on January 24, 2025 at Concentra with regard to complaints of pain in the low back and the left shoulder, period. Physical examination of the lumbar spine showed some tenderness present and some pain with range of motion. Neurologically, she is intact, period. There was no physical examination of the shoulder.	00:05:30.055	00:05:58.405
GSG21417_proc_cd2683bf-a34a-46c4-aebd-6bd3dd4599d1_5	1,758,700,148	very likely degenerative meniscal injury, which has been there chronic and long-term, period. She had visco-supplementation injections in the past, which helped. At this point, she is acutely uncomfortable, so she was wondering if I could just aspirate the fluid and give her a cortisone shot. and I told her I can, but I cannot guarantee it is going to resolve all her complaints. She told me she is really not allergic. She has been taking Aleve, not a problem. I told her I can write a prescription for Naprosyn.	00:02:21.800	00:02:47.670
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_13	1,758,782,623	Diagnosis remains left shoulder strain and lumbar strain. She was placed on cyclobenzaprine. New paragraph. MRIs of the left shoulder and lumbar spine were performed on January 31, 2025 at New Jersey Imaging Network in Belleville	00:05:58.485	00:06:24.575
GSG21417_proc_cd2683bf-a34a-46c4-aebd-6bd3dd4599d1_4	1,758,700,148	She has some mild diffuse tenderness more medially than laterally. negative Apley grind negative Lachman negative pivot shift No medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. New paragraph. X-RAYS: X-rays of the right knee done in my office, AP weightbearing of both knees, lateral view of the right knee demonstrate some spiking of the tibial spines and bilateral some irregularity of the medial joint line with some small osteophytes present. New paragraph. IMPRESSION: My impression is that Theresa Gates-Ford has primary degenerative joint disease.	00:01:53.610	00:02:21.800
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_14	1,758,782,623	with the MRI of the left shoulder commenting on suspect distal clavicle osteolysis and subchondral fracture. Rotator cuff was normal. The MRI of the lumbar spine was interpreted as disc bulge anteriorly at L1-L2 and L2-L3 with no disc herniation, no central or foraminal narrowing, no compression upon the neurologic structures period New paragraph.	00:06:24.575	00:06:50.605
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_15	1,758,782,623	She was next reevaluated at Concentra on February 4, 2025 with complaints of low back and left shoulder pain. They commented on the MRI of the lumbar spine, the MRI of the left shoulder and physical examination of the left shoulder showed some tenderness in the distal clavicle. This is the first examination of the left shoulder in weeks. Examination of the lumbar spine is pretty much normal.	00:06:50.605	00:07:20.415
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_16	1,758,782,623	The diagnosis was left shoulder strain, lumbar strain and an orthopedic evaluation was recommended period Paragraph. The next evaluation was with Dr. Doidge, an orthopedic surgeon on February 11, 2025. He comments on the work-related injury and he was seeing her for the left shoulder. Comments on the results of the MRI of the left shoulder.	00:07:20.415	00:07:44.570
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_17	1,758,782,623	Physical examination of the left shoulder shows normal range of motion, positive crossover test with some tenderness in the AC joint and some mild tenderness in the biceps period Examination of the lumbar spine is normal. The diagnosis was left shoulder strain and he thought possibly a cortisone shot in the AC joint might be beneficial. This is the only note I had from Dr. Doidge, but Ms. Casado-DeMendez states that she went back to Dr.	00:07:44.915	00:08:14.775
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_18	1,758,782,623	Doidge the second time and had a cortisone shot in the AC joint for which she states there was no relief whatsoever. I asked Ms. Casado-DeMendez whether Dr. Doidge recommended any additional medical care. Ms. Casado-DeMendez was also seen by Dr. Grob, a spine specialist, reviewed his note of February 12, 2025.	00:08:14.775	00:08:37.090
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_29	1,758,782,623	Considering Ms. Casado-DeMendez' MRI report of January 31, 2025 performed at NJIN in Belleville showing suspected distal clavicle osteolysis, cortisone shot would have been appropriate, period. Considering Ms. Casado-DeMendez states she had no improvement from the cortisone shot whatsoever that clearly documents that there were no abnormalities in the AC joint. If you have an abnormal AC joint with some type of injury and you get a cortisone shot, you have significant improvement at least short-term.	00:13:22.600	00:13:51.635
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_30	1,758,782,623	And considering there was no improvement whatsoever that clearly documents that there was no injury to the AC joint of the left shoulder based on the accident of December 9, 2024. Obviously, if you could send me the actual MRI performed at NJIN in Belleville on January 31, 2025, I can comment whether there was any injury to the AC joint. At this point, Casado-DeMendez is back to regular duty without restrictions. She is not under care of any doctor. not looking for any medical care. She takes no pain medication not even Tylenol, aspirin, Advil,	00:13:51.635	00:14:19.130
GSG21417_proc_cd2683bf-a34a-46c4-aebd-6bd3dd4599d1_3	1,758,700,148	head and neck, positive for dizzy spells, failing vision; heart and lung, negative; stomach and intestine, negative; urinary tract, positive for excessive urination and night urination; muscle and joints, tingling, numbness, and disturbance walking, period. She is an ex-smoker and does not consume alcohol, period. PHYSICAL EXAMINATION: Ms. Gates-Ford is a pleasant, cooperative 5 feet 6 and 198 pound female who walks with a grossly abnormal gait. She has a large joint effusion in her right knee. Range of motion is 5 to about 90 degrees.	00:01:22.355	00:01:53.530
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_31	1,758,782,623	muscle relaxers or narcotics based on the accident of December 9, 2024. She has no complaints of thoracic pain, lumbar pain, or left foot pain, period. New paragraph. Plan. Based on Ms. Casado-DeMendez' work-related accident of December 9, 2024, she is at maximum medical benefits from treatment. There is clearly no indication for any additional doctor visits, physical therapy, chiropractic visits, x-rays, CAT scans, MRIs, EMGs, bone scans, pain management, medications or surgery. She can continue with the regular duty without restrictions.	00:14:19.835	00:14:47.160
GSG21417_proc_cd2683bf-a34a-46c4-aebd-6bd3dd4599d1_2	1,758,700,148	She has allergies to contrast dye and ibuprofen though she states she has been taking Aleve without a problem. Apparently, ibuprofen upsets her stomach, but the Aleve, she does fine with, period. She has no known allergies. Her family history is positive for allergies on her father's side, tuberculosis on the mother's side. I went over review of systems,	00:00:59.510	00:01:22.275
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_32	1,758,782,623	She has absolutely no objective evidence of any restriction of function involving the left shoulder, thoracic spine, lumbar spine, and left foot based on this accident of December 9, 2024. The non-work activities she was able to do prior to this accident are the same activities she has been doing at this point. There is no need for any type of temporary or permanent work restrictions and there has been no lessening to a material degree in her work status based on the accident of December 9, 2024, period. New paragraph.	00:14:48.015	00:15:09.630
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_33	1,758,782,623	If the actual MRIs that were performed of the low back and left shoulder at NJIN in Belleville on January 31, 2025 could be forwarded to my office, I would be more than willing to review those and send an addended report. If the MRIs are interpreted accurately, the MRI of the left shoulder comments on a suspected distal clavicle injury. She was given a cortisone shot by Dr. Doidge Doidge per Ms.	00:15:09.630	00:15:36.300
GSG21416_proc_0f6790b7-ed2f-4c16-b4a9-e51550dfe210_5	1,758,699,460	Muscle and joints, negative. Nonsmoker and nondrinker, period. PHYSICAL EXAMINATION: Ms. Garcia-Ceballos is a 5 feet 1 and 125 pound woman. Examination of her cervical spine. reveals some minimal tenderness. Range of motion may be slightly decreased. Neurologic status of both upper extremities was intact. Hoffmann test was negative. Cross shoulder abduction test was normal and her Spurling test was normal period. Examination of the thoracic spine revealed no swelling, no tenderness, good range of motion.	00:02:16.670	00:02:45.375
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_34	1,758,782,623	Casado-DeMendez' recollection, though I do not have a note that actually says cortisone shot was performed. So, if cortisone shot was performed and the MRI of her left shoulder was interpreted accurately, then based on Ms. Casado-DeMendez' work-related accident on December 9, 2024 involving her left shoulder, she would have a 2% partial permanent impairment of total. With regard to the thoracic spine, she has a 0% partial permanent impairment of total.	00:15:36.300	00:16:04.780
GSG21416_proc_0f6790b7-ed2f-4c16-b4a9-e51550dfe210_4	1,758,699,460	She had never injured these areas previously period. She had no complaints of upper or lower extremity radiculopathy, no complaints of headaches. She pointed to the AC joint of the left shoulder that bothered her the most period. Paragraph. I went over her past medical history. She takes levotirolyn period. She is allergic to Bactrim. Surgery in the past includes C-sections. Family history, she is not aware of. Review of systems, Head and neck, positive for double vision, discharge from the ears; Head and neck, positive for double vision, discharge from the ears; Heart and lung, negative; Stomach and intestine, negative; Urinary tract, positive for three pregnancies.	00:01:43.965	00:02:16.670
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_35	1,758,782,623	With regard to the lumbar spine, if the MRI of the lumbar spine on January 31, 2025 is accurate with minor disc bulges at L1-L2, and L2-L3, but no disc herniation. no neurologic encroachment, then Ms. Casado-DeMendez would have a 1% partial permanent impairment of total involving her lumbar spine. With regard to Ms. Casado-DeMendez' left foot, she has a 0% statutory impairment of the left foot. New paragraph. Her prognosis remains excellent and can continue with regular duty without restrictions period New paragraph	00:16:05.820	00:16:34.930
GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_36	1,758,782,623	write a macro for IME thank you.	00:16:34.930	00:16:36.850
GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_0	1,758,787,440	Now dictating a letter to V T Medical Incorporated Attention Rosemarie Chidichimo Insured 11th Street Workshop Incorporated claim number 2440356664001 your file number is V as in victory T as in tom-29Eas in edward-07624 date of loss is 06/14/2022	00:00:00.240	00:00:29.005
GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_1	1,758,787,440	and cc goes to Biancamano and DiStefano address and that should be Attention Robert Klausner, Esquares and that regrading Henderson Vargas verses 11th Street Workshop Incorporated claim number 2440356664001 C P number 2023-10145 date of injury 06/14/2022 your file number 60075	00:00:29.460	00:00:59.830
GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_12	1,758,787,440	He comments on the MRI as showing a partial of the rotator cuff and evidence of impingement. On physical examination, he had a positive Neer and Hawkins test. He had some weakness present, limited range of motion, and Dr. Deramo recommended surgery, period. This is a little unusual because most people with this type of injury will have a cortisone shot, will have a more extensive physical therapy program prior to surgery, but nonetheless surgery was recommended, period. New paragraph.	00:05:28.915	00:05:57.765
GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_13	1,758,787,440	That surgery was performed at Hudson Crossing Surgery Center in Fort Lee on September 13, 2022. The surgical procedure was right shoulder arthroscopy with a SLAP repair, subacromial decompression, and arthroscopic distal clavicle excision and limited debridement. I reviewed the operative report and it appeared that everything went well. The next evaluation with Dr. Deramo was on October 19, 2022.	00:05:57.765	00:06:26.835
GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_14	1,758,787,440	now about five weeks after the surgery, and he had not been consistently taking the anti-inflammatory medications, He had only started with physical therapy, so he was not doing what was necessary to make his shoulder better. The next evaluation was on November 2, 2022, now about seven weeks after the original surgery. He was taking the medicine which helped partially.	00:06:27.315	00:06:55.705
GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_15	1,758,787,440	He had been doing physical therapy in Brooklyn and Dr. Deramo did not have any postoperative notes. Physical examination showed some limited range of motion. Dr. Deramo recommended that he go back to physical therapy, he should take the Naprosyn, and work on a strengthening program period The next evaluation was on February 22, 2023.	00:06:56.985	00:07:21.035
GSG21416_proc_0f6790b7-ed2f-4c16-b4a9-e51550dfe210_3	1,758,699,460	Center for an MRI of the left shoulder done on July 24, 2025, which was interpreted as moderate supraspinatus tendinosis, mild infraspinatus and mild subscapularis tendinosis, and some arthritis in the AC joint period. He told her that she was out of work for about six to seven weeks then went back to regular duty. She went to therapy for about a month and she is currently on light duty though she showed me a note from Dr. Sclafani that said she should not go back to regular duty for another week period.	00:01:14.985	00:01:43.965
GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_16	1,758,787,440	It is little unclear why we have a note of November 2, 2022 and we do not have another note until three and a half months later on February 22, 2023. Dr. Deramo comments of continued complaints of pain in the shoulder. He had gone to the Dominican Republic for an emergency and he had not done any physical therapy and missed about two months of therapy period	00:07:21.755	00:07:43.600
GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_17	1,758,787,440	Physical examination showed some limited range of motion and Dr. Deramo again recommended physical therapy, a Medrol Dosepak, and taking the Naprosyn. New paragraph. The next evaluation was on March 22, 2023, which would have been five months after excuse me, six months after the shoulder six and a half months after shoulder surgery September 13. Was looking And there's still complaints of some pain.	00:07:43.600	00:08:11.800
GSG21416_proc_0f6790b7-ed2f-4c16-b4a9-e51550dfe210_2	1,758,699,460	She states her left shoulder is what hurts the most. States that following the accident. Did notify work. She was seen at Morristown Medical Center Emergency Room. They did some x-rays and discharged her period. New paragraph. She then came under the care of Dr. Sclafani in Rockaway, New Jersey.	00:00:55.740	00:01:14.905
GSG21416_proc_0f6790b7-ed2f-4c16-b4a9-e51550dfe210_1	1,758,699,460	Board of Education fax copy to Ann Capitanio C A P I T A N I O at FMCO at 973-257-2284 this is an office visit date this September 02, 2025. This is an office visit of this 57-year-old right-hand-dominant custodian for Madison Board of Education who states while at work on July 1, 2025, she was up on a ladder, fell down, and injured her neck, mid back, left shoulder, and left elbow.	00:00:27.365	00:00:55.565
GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_18	1,758,787,440	Physical examination was relatively benign. Had a positive knee and positive Hawkins test and some limited range of motion. He'd been sent back to work light duty, but it's unclear whether he actually went, period. Doctor. Comayano comments on how much physical therapy mister Vargas had missed, period. A cortisone shot was recommended to take down some of the inflammation, period. New paragraph. The next evaluation was on April 19, 2023 with Doctor. Duramo.	00:08:12.575	00:08:41.270
GSG21416_proc_0f6790b7-ed2f-4c16-b4a9-e51550dfe210_0	1,758,699,460	Now dictating a letterhead note on Ana A N A Garcia G A R C I A- Ceballos C E B A L L O S Age 57 Date of injury JULY 01 2025 Referred by Inservco Post Office Box 1457 Harrisburg, PA 17105 Attention Dawn D A W N Cueman C U E M A N claim number 2270006234 employer Madison	00:00:00.960	00:00:27.365
GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_19	1,758,787,440	Now seven seven months after the surgery of March excuse me. Sept thirteen thousand twenty. States cortisone shot worked a little bit. Physical examination still showed some limited range of motion and there was some tenderness in the AC joint, period. Dr. Deramo states that he did the surgery including arthroscopic SLAP repair performed on September 13, 2022 and that the patient started therapy late, period. Dr.	00:08:41.270	00:09:08.055
GSG21431_proc_5317a115-5bc4-4ee9-8f11-f0413af88643_4	1,758,699,342	So I told him the left thumb still bothering him in a few months, and it's okay for his trans for his transplant doctor to give him a cortisone shot, then he's welcome back. I can give him a cortisone shot. Otherwise, I would just leave it alone, do his normal activities. And if it gets worse, he is welcome back, period.	00:01:59.900	00:02:15.485
GSG21431_proc_5317a115-5bc4-4ee9-8f11-f0413af88643_3	1,758,699,342	In turn, he probably does not have much pain, he has good range of motion, he has no evidence of instability, He's neurologically intact, period. Wants to know if I can give him a cortisone shot, I told him he's had this for a few months. It doesn't bother him very much. His examination is benign. And especially after a liver transplant, I would just leave it alone, period. Bargain plan. I told mister Kowalski, just be careful taking supplements and medications after a liver transplant. Also, be careful about doing any type of injections, especially when he has minimal discomfort.	00:01:30.920	00:01:59.900
GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_20	1,758,787,440	Deramo recommended a repeat MRI of the shoulder for further evaluation, period. That repeat MRI of the right shoulder was performed at South Brooklyn Radiology on June 9, 2023 and interpreted as mild AC impingement, posterior labral tear. No fracture or contusions seen, period. The next evaluation with Dr. Deramo was on June 14, 2023. Now approximately nine months after the shoulder surgery of September 13, 2022.	00:09:08.055	00:09:36.845
GSG21431_proc_5317a115-5bc4-4ee9-8f11-f0413af88643_2	1,758,699,342	No tenderness over the basilar joint of the thumb. He is neurologically intact. No evidence of instability. No evidence of active Boutonnière, swan neck or mallet finger deformities. X-RAYS: AP lateral and oblique x-rays of the left thumb demonstrate some very minimal degenerative arthritis in the basilar joint of the thumb and a tiny bit of arthritis in the MCP joint of the left thumb. My impression is that Edward Kowalewski has some very minimal degenerative changes in the MCP joint of his left thumb. There are some minimal degenerative changes in the basilar joint of his left thumb.	00:01:01.220	00:01:30.920
GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_21	1,758,787,440	And he went over the MRI findings. Physical examination showed he has tenderness over the AC joint. And again Dr. Deramo comments that he performed surgery on the right shoulder previously on September 13, 2022 and he thought part of the issue was that the AC joint was not bothering him at the time of the surgery, so it was not addressed, period. Postoperatively he developed AC joint pain. and there was also concern about posterior labral tear, period. The problem is I do not think Dr. Deramo has a clear understanding of what he did.	00:09:37.005	00:10:08.185
GSG21431_proc_5317a115-5bc4-4ee9-8f11-f0413af88643_1	1,758,699,342	that is giving him some pain. It does not click, it does not bother him. He could extend it, He could do all of his normal activities, but it sometimes is a little bit sore. He had a liver transplant. No history of high blood pressure or diabetes. He has no triggering or swelling in his left thumb. PHYSICAL EXAMINATION: On examination, Mr. Kowalewski is a 5 feet 8 inches and 140-pound pleasant, cooperative male. Examination of his left thumb reveals maybe a little tenderness over the first metacarpophalangeal joint but the motion was full.	00:00:30.780	00:01:01.220
GSG21390_proc_0a1ef40c-93d6-46f5-a131-36002042db41_12	1,758,386,296	He has hypertrophic changes of the AC joint, some bone marrow edema in the greater tuberosity, but these findings are probably more as a result of weightlifting rather than a specific injury, period. He has no tear of the rotator cuff, period. He was very happy to hear that, period. My name is. I will put him on anti-inflammatories. He was taking Naprosyn, but because of his reflux, I changed him to Celebrex and take his proton pump inhibitor, period. I told him he needs to monitor his blood pressure, make sure it does not affect his blood pressure.	00:05:15.300	00:05:45.180
GSG21390_proc_0a1ef40c-93d6-46f5-a131-36002042db41_11	1,758,386,296	so this is a very benign-looking MRI in a 60-year-old weightlifter. Typically in a 60-year-old weightlifter, I would expect to see significant arthritic changes and he only has mild arthritic changes. New paragraph. And he has no torn rotator cuff. New paragraph. Impression by pressure is mild, staining a strain of his left shoulder based on the work-related accident on July 17, 2025, period.	00:04:52.570	00:05:15.300
GSG11378_proc_c6950ca5-66d3-41e0-bfad-8abdab1d40a7_6	1,758,391,765	She's got full pain free range of motion of both shoulders. When she moves her left shoulder, she gets some pain in the left trapezium region, period. Got a negative impingement test, negative drop test, negative Neer test, negative lift-off test, negative belly press test, negative Speed test, negative O’Brien test, period. Paragraph. Biceps and triceps tendons were intact. Neurologically, she was normal. New paragraph. Left wrist and hand revealed no redness, swelling, abrasions, discoloration, edema, muscle spasms, trigger points, or erythema, period. No tenderness over the distal radial or ulnar joint.	00:02:56.100	00:03:26.740

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_35

1,758,701,795

Mister Bella states he was on light duty for a short period of time, and now he's back to regular duty, period. Plays a little bit of the few sakiness in his left elbow. He has no complaints of pain in his left shoulder. No complaints of pain in the left arm. No complaints of pain in the left forearm. No complaints of pain in the left hand or wrist region, period. He has no trouble pushing, pulling, lifting, carrying, doing forceful activities. He has no complaints of numbness. He has no complaints of weakness. He is not under the care of any doctor, not looking for medical care.

00:17:06.905

00:17:35.805

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_46

1,758,701,795

physical therapy, chiropractic visits, x-rays, CAT scans, MRIs, EMGs, bone scans, pain management, medications, or surgery. He can continue with the regular duty without restrictions. There is absolutely no objective evidence of any restriction of function involving his left shoulder, left arm, left elbow, left forearm, or left hand or wrist based on the accident of August 20, 2024. The non-work activities he was able to do prior to this accident are the same activities he has been doing at this point. There is no need for any type of temporary or permanent work restrictions period new paragraph.

00:21:45.285

00:22:15.635

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_34

1,758,701,795

The next evaluation with doctor Ashraf was on 12/17/2024 and He comments the EMG has not been done PRP injection has been had not been authorized, but Mr. Bellow say he was feeling much better. He wasn't having any numbness in his hand, and he was didn't want any type of injection, and he was not interested in going for a nerve test, period.

00:16:36.525

00:17:05.785

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_47

1,758,701,795

I was not provided with Mr. Mr. Bello’s MRI of his left elbow, but if the interpretation sided by Concentra and Dr. Ashraf is accurate that there was some partial tearing of the extensor carpi radialis brevis tendon which would be consistent with lateral epicondylitis,

00:22:15.715

00:22:38.045

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_33

1,758,701,795

The diagnosis was left lateral epicondylitis with possible cubital c b BITL tunnel syndrome, period. The recommendation was a PRP injection along with an EMG, period. New paragraph.

00:16:10.155

00:16:35.325

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_48

1,758,701,795

then based on Mr. Bello’s work-related accident of August 20, 2024 involving his left elbow, he would have a 2% statutory impairment of the left arm, period. With regards to Mr. Bello’s left shoulder, he has a 0% partial permanent impairment of total. With regards to his left arm, he has a 0% statutory impairment of the left arm. With regards to the left forearm, he has a 0% statutory impairment of the left forearm. With regards to the left hand and wrist, he has a 0% statutory impairment of the left hand/wrist, period.

00:22:39.245

00:23:08.535

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_32

1,758,701,795

Tinel was positive over the cubital cu b I t l a l tunnel and some impressionable tendons of the left condyle appeared. Comments in the MRI showed tearing of the common extension tendon in the area of extensor carpi radialis brevis, period.

00:15:44.490

00:16:09.835

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_49

1,758,701,795

His prognosis remains excellent and can continue with the regular duty without restrictions, period. new paragraph. If I could be provided with the actual MRI of the left elbow on disc and a report, I would be more than willing to review that and send an addended report, period. new paragraph. write a macro for an IME. Thank You.

00:23:08.535

00:23:31.670

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_31

1,758,701,795

He comments in the work related injury and that there were problems with regards to the left elbow and some numbness in the left pinky finger, period. Physical examination at that time, there are normal strength, normal motion, normal reflexes.

00:15:19.960

00:15:42.455

GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_0

1,758,707,186

Now dictating a letter to V.T. Medical Incorporated Attention Rosemarie Chidichimo Regarding Yolanda Rios vs. MTF Biologics Claim number 2230472995001 VT File number VT-29E 03550 Date of loss is Occupational and the cc goes

00:00:02.720

00:00:32.180

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_30

1,758,701,795

The no comments to the MRI of the left elbow had shown low grade partial tearing of the extensor tendons and otherwise benign examination, period. Period. The next evaluation was with Doctor. Ashraf, a s h r e f, orthopedic surgeon, dated 11/26/2024, period.

00:14:52.600

00:15:19.455

GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_1

1,758,707,186

Biancamano & DiStefano That's attention Joseph Biancamano, Esq. That's Yolanda Rios vs. MTF Biologics. CP number 2022-16723. Date of Injury was Occupational. Claim number 2230472995001.

00:00:32.580

00:00:55.730

GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_2

1,758,707,186

Your File number 60075-37705 JVB J as in john v as in victory B as in boy addresses to Rosemarie Chidichimo. new paragraph. I had the opportunity to evaluate Yolanda Rios in my office on September 8, 2025 for the purpose of an Orthopaedic Independent Medical Evaluation based on alleged occupational exposure.

00:00:56.050

00:01:22.950

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_29

1,758,701,795

The next evaluation, Concentra dated 11/15/2024. Comments on left elbow and forearm pain. Physical examination of left shoulder is normal. Physical examination of left elbow is normal. Physical examination left forearm is normal. Examination of the left wrist is normal, period. He was told to continue with an Aprazin and continue with the physical therapy, period.

00:14:15.635

00:14:46.615

GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_3

1,758,707,186

Ms. Rios was involved in while working as a tissue technician for MTF Biologics. She states she started working in the job in 2018. she continues to do that job, period. I asked her to describe the job to me. She states she pushes and pulls certain things. She had to work with mechanical devices. She never did repetitive heavy lifting or forceful activities, period. I asked Ms. Rios was there ever an injury, accident, did something ever happen to her at work,

00:01:22.950

00:01:52.140

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_28

1,758,701,795

was normal. Physical examination of the left forearm reveals no significant symptoms. Physical examination of the left wrist was normal. Naprosyn was recommended as an anti-inflammatory. Naprosyn was recommended as an anti-inflammatory. Naprosyn was recommended as an anti-inflammatory. The next evaluation and the final evaluation I had at Concentra dated 11/15/2000 .

00:13:48.265

00:14:15.635

GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_4

1,758,707,186

and she stated that she started noticing some pain and discomfort in her shoulders and both upper extremities in March 2020 but there was no injury, no accident, nothing ever happened to her. She never told work of an episode or had any complaints specifically related to work, period. Paragraph. I did review a note from Concentra dated November 13, 2020 where she was sent by Workers' Compensation, period.

00:01:52.140

00:02:18.330

GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_15

1,758,707,186

She states she does not do heavy forceful repetitive activities at her job, which would have caused pain in either shoulder, elbow, or wrist region, period. At this point, she has no complaints of sleeping, pushing, pulling, doing overhead work. She is not under the care of any doctor, not looking for any medical care. She takes may be an occasional Aleve or Advil if she has any discomfort in her right shoulder. She denied ever being involved in a motor vehicle accident or any other injuries period new paragraph.

00:06:22.005

00:06:49.625

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_27

1,758,701,795

Examination of the left wrist was normal, period. Diagnosis remained the same. He was given lidocaine patches and again physical therapy was recommended, period. The next evaluation with Concentra was on November 8, 2024. There were still complaints of pain in the left elbow and left forearm region. Physical examination of the left shoulder was normal. Physical examination of the left elbow

00:13:12.600

00:13:43.010

GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_16

1,758,707,186

PHYSICAL EXAMINATION: Ms. Rios is a 5 feet 4 inches and 128-pound pleasant, cooperative woman in no acute discomfort. Her temperature in the office is 97.5. Examination of the right shoulder revealed nicely healed arthroscopic portals. No tenderness, swelling, abrasions, discoloration, edema, muscle spasm, and trigger points. Erythema. No tenderness over the lateral, anterior or posterior rotator cuff. No tenderness over the sternoclavicular joint or acromioclavicular joint, period. Range of motion of the right shoulder was 135 degrees abduction and forward flexion, 55 degrees of internal and external rotation, period.

00:06:49.625

00:07:20.125

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_26

1,758,701,795

He was told to continue with the Naprosyn, period. New paragraph. The next evaluation was on October 24, 2024, now two months after the original injury. There continued to be some mild discomfort in the left shoulder and elbow region. Examination of the left shoulder was pretty much normal. Examination of the left elbow showed a little bit of weakness, otherwise normal. Examination of the left forearm revealed some tenderness present, otherwise normal.

00:12:43.850

00:13:11.080

GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_17

1,758,707,186

She had a negative impingement test, negative lift-off test, negative belly press test, negative Speed test, negative Neer test, negative drop test, period. Arm and forearm circumferences within 1 cm of symmetry, period. new paragraph. Examination of left shoulder. revealed no ecchymosis, abrasions, discoloration, edema, muscle spasm, trigger points, or localized tenderness, period. Range of motion was 140 degrees abduction and forwards. Flexion, 60 degrees of external rotation, 55 degrees internal rotation.

00:07:20.570

00:07:47.225

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_15

1,758,701,795

Physical examination at this time of the left shoulder revealed some tenderness present. There was some pain with range of motion, period. Exam is the left elbow. Feeled healed abrasion. There's no ecchymosis. Skin trauma was noted. There's some tenderness present in antecubital fossa. Bicep strength was four over five. Triceps strength was four over five. There was no neurologic abnormalities, period. In tumor's left elbow excuse me, form.

00:07:21.750

00:07:58.570

GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_18

1,758,707,186

Negative pinch test, negative drop test, negative near test, negative speed test, negative test, negative lift off test, negative belly press test, period. No deforms of biceps, period. New paragraph. Right elbow is compared to left elbows. No swelling, no tenderness, abrasions, discoloration, edema, muscle mass, tracheal points, or erythema. No tenderness over the medial lateral epicondyles. No tenderness to the radial head or neck. No tenderness over the olecranon.

00:07:47.790

00:08:12.665

GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_19

1,758,707,186

Range of motion, both elbows with full pain, trans symmetrical, zero to a 140 degrees of flexion and extension, 85 degrees of pronation and supination, period. Distal biceps and triceps and tensor are normal. New paragraph. Examination of both wrists revealed there's no swelling, no abrasions, no discoloration, no edema, no erythema, no localized tenderness, muscle spasms, and trigger points. Range of motion of both wrists was full. 65 degrees of flexion and extension, 85 degrees of pronation and supination, 25 degrees of ulnar, 20 degrees of radial deviation.

00:08:12.890

00:08:46.160

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_14

1,758,701,795

I did review physical therapy notes from Concentra dated September 4, 2024 through November 22, 2024, period. Paragraph. The next note from Concentra was dated September 10, 2024, about three weeks after the original accident, period. There were still some mild complaints of pain in the left shoulder and left elbow region, period.

00:06:55.280

00:07:21.145

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_13

1,758,701,795

There was some mild diffuse tenderness. Neurologically intact. Examination of the left forearm revealed there was some ecchymosis and tenderness present. There was some swelling present. Examination of the left wrist was normal, period. The diagnosis was sprain of the left elbow, contusion of the left forearm and the left elbow region, period. Again, physical therapy was recommended, period. New paragraph.

00:06:28.340

00:06:55.280

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_12

1,758,701,795

Some physical therapy was recommended and he was placed on Naprosyn as an anti-inflammatory medication period. New paragraph. The next evaluation was on September 3, 2024, about two weeks after the original injury and there were still complaints of pain in the left elbow and forearm period. Examination of the left elbow showed that there was a healing abrasion. There was no ecchymosis.

00:05:56.770

00:06:27.220

GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_21

1,758,707,186

She states she never had an injury at work, no accident, nothing ever happened to her at work, period. I reviewed one note from Concentra where she was sent through Workers' Compensation on November 13, 2020 which comments on a possible accident on March 1, 2020 while opening a latch, period.

00:09:23.085

00:09:42.810

GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_22

1,758,707,186

The person treating her at Concentra commented in the report that, "Based on a careful exam of the patient as well as the information obtained about their job duties and mechanism of injury, it does not appear that the presenting complaints arose out of their job duties in the course of the patient performing those duties." I would agree 100%. She had no forceful activities, no repetitive activities, not lifting up anything heavy.

00:09:47.835

00:10:15.810

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_11

1,758,701,795

He had some mild weakness of the biceps. Examination of the left forearm reveals some tenderness present, small superficial abrasion. Strength was good. Examination of the left wrist and fingers was normal. The diagnosis was strain of the left elbow and left forearm period.

00:05:28.745

00:05:55.775

GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_23

1,758,707,186

There was nothing at her job which would have given her pain in either shoulder, given her pain in her right elbow or right wrist. Paragraph. She states that she went through a private health insurance for treatment. And the only thing I have are notes from physical therapy which commented on some type of rotator cuff and biceps tenodesis involving the right shoulder in May 2021.

00:10:15.975

00:10:38.990

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_10

1,758,701,795

The patient commented that he had some bruising and swelling in the forearm region. Physical examination at that time of the left shoulder was completely normal. Exam was the left elbow. There was some ecchymosis and some swelling. There was some skin trauma noted. There was some tenderness in the antecubital fossa but not the biceps tendon, the lateral epicondyle and the medial epicondyle period. He had full range of motion.

00:04:57.145

00:05:28.345

GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_24

1,758,707,186

But I have no other medical records of Dr. Patel and apparently I do not have them because those treatment records went through private health insurance and not through Workers' Compensation. I told Ms. Rios if she could provide me with those medical records from Dr. Patel. I would be more than willing to review those along with the operative report, and send an addended report. Ms. Rios states she never told Dr. Patel that these problems were work-related. She went through a private health insurance when she went for the MRI.

00:10:38.990

00:11:06.190

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_9

1,758,701,795

He was told he could resume work with light activities. New paragraph. The next evaluation at Concentra was on August 29, 2024. He was complaining about some pain in his left elbow and forearm region.

00:04:28.005

00:04:53.705

GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_5

1,758,720,405

At this point, she takes no pain medication, not even Tylenol, aspirin, or Advil based on this accident of April 25, 2024. She had no subsequent injuries and no prior injuries to the region, period. She denied numbness, period. She has no complaints of night pain, period. New paragraph. Physical examination: Examination of both elbows reveal no swelling, no tenderness, no abrasions, discoloration, edema, muscle spasm, or trigger points. There is no tenderness over the radial head or radial neck. No tenderness over the olecranon.

00:02:25.230

00:02:55.160

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_8

1,758,701,795

No signs of infection or drainage. He had some slight swelling and he had full range of motion. Examination of the left wrist was normal. Diagnosis was contusion of the left elbow and contusion of the left forearm. X-rays performed at that time of the left forearm and left elbow were interpreted as normal period.

00:03:59.065

00:04:26.245

GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_6

1,758,720,405

No tenderness over the medial or lateral condyles. Range of motion of both elbows is full, 0 to 140 degrees flexion and extension, 85 degrees of pronation and supination. Examination of the left forearm as compared to the right forearm and left wrist and hand reveals she has a little bit of tenderness over the first dorsal extensor compartment, period. She has a very weakly positive Finkelstein test, period. There is no redness, swelling, abrasions, discolorations, or edema.

00:02:55.160

00:03:20.720

GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_7

1,758,720,405

She has full range of motion of both wrists with 65 degrees of flexion and extension, 85 degrees of pronation and supination, and 25 degrees of ulnar, 20 degrees of radial deviation but with ulnar deviation she had some pain in the first dorsal extensor compartment. Neurologically she was normal.

00:03:20.720

00:03:41.515

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_7

1,758,701,795

no deformity, no dislocation, no ecchymosis, no erythema, and no swelling. There was some tenderness in the antecubital fossa, but not in the biceps insertion and the lateral epicondyle, period. He had full range of motion. He was neurologically intact, period. Examination of the left proximal forearm, There was some tenderness present. There was a superficial abrasion.

00:03:24.855

00:03:58.905

GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_6

1,758,701,795

It comments he went to the emergency room yesterday. He had some x-rays taken, given an elbow brace and it comments that the x-rays were negative for fracture. He was given a prescription for Tylenol and naproxen, period. Physical examination at that time of the left shoulder was completely normal. Physical examination of the left elbow.

00:03:00.545

00:03:24.400

GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_9

1,758,720,405

was involved in a work-related accident on April 25, 2024, where she complained of pain in her left forearm, left wrist, and left hand region, period. I was not provided with any medical records, period. At this point, she is telling me that she was seen at the Urgent Care Center. They sent her for some therapy. They told her originally there was a crack,

00:04:06.055

00:04:25.190

GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_10

1,758,720,405

but when she had an MRI, she states apparently they did not find any type of fracture, but she does not know the results of the MRI or she at least does not remember the results of the MRI. She states after she went to therapy she felt better. She went back to regular duty and she is doing regular duty without restrictions. She complains of a little bit of weakness and some achiness in the left wrist region. Her examination is consistent with some mild tenderness over the first dorsal extensor compartment potentially consistent with de Quervain's tenosynovitis. Paragraph.

00:04:25.585

00:04:54.755

GSG21421_proc_d9fff2f5-2acc-49fa-9ab1-a3fad6db9411_3

1,758,701,180

I weighed him without his shoes. Examination of the left knee reveals a moderate joint effusion present. Range of motion is 3 to about 130 degrees on the left, 0 to 140 degrees on the right. He has some tenderness noted. He has a 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 and his quadriceps mechanism is intact period. New paragraph.

00:01:34.410

00:01:59.500

GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_11

1,758,720,405

Obviously, I was not provided with any of her medical records so if those records could be provided to me, I would be more than willing to review those and send an addended report. New paragraph. PLAN So, as a result of Ms. More's work-related accident of April 25, 2024, her examination today is quite benign and other than a little tenderness over the first dorsal extensor compartment, weakly positive Finkelstein test, her examination is normal. X-rays were also normal. So, if she did have a small chip fracture in that region, that has healed period

00:04:54.755

00:05:20.385

GSG21421_proc_d9fff2f5-2acc-49fa-9ab1-a3fad6db9411_2

1,758,701,180

He also has high blood pressure. Dr. Munoz has recommended blood pressure medication, but he does not want to take the medication, so he has not been taking it. PAST MEDICAL HISTORY: I went over his past medical history. He takes no medication routinely. He has no known allergies. He denies having surgery. He is not aware of his family history and went to view his system. Head and neck, negative; Heart and lung, positive for high blood pressure; Stomach and intestine, negative; Muscle and joints, negative. Nonsmoker and nondrinker. PHYSICAL EXAMINATION: Mr. Hurtado is a 5 feet 11 and 257 pound male,

00:01:00.810

00:01:34.410

GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_12

1,758,720,405

If she had de Quervain's tenosynovitis back on April 25, 2024, then that problem has significantly improved, although still has some mild discomfort in the region. It is hard for me to comment on maximum medical benefits/improvement and a permanency rating until I am able to see her medical records from the Urgent Care Center where she was evaluated after the accident of April 25, 2024. Her examination otherwise today is relatively benign.

00:05:20.385

00:05:49.235

GSG21421_proc_d9fff2f5-2acc-49fa-9ab1-a3fad6db9411_1

1,758,701,180

it is just bothering him. He was seen by Dr. Munoz, his family physician who put him on a Medrol Dosepak a couple of months ago. It helped for about five to six days, but the pain is still there. It is painful. It is swollen. He had similar pain in his left knee about two years ago, but it got a little bit better, but this has gotten a little bit worse. He used to be very active in weightlifting, though he does not do it recently. He drives a truck and he has to do some heavy lifting though he has had no injury at work. He has most of the complaints of pain on the medial aspect.

00:00:30.170

00:01:00.810

GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_13

1,758,720,405

She is doing regular duty without restrictions and she can continue with regular duty, period. New paragraph. Once I am provided with the medical records with regard to her accident of April 25, 2024 and the MRI report and MRI on disk with regard to, she states was performed of her left hand, wrist, and forearm following the accident. I would be more than willing to review those and send an addended report with regard to MMI status and permanency rating period New paragraph.

00:05:49.555

00:06:18.306

GSG21421_proc_d9fff2f5-2acc-49fa-9ab1-a3fad6db9411_0

1,758,701,180

Now dictating a letterhead on Edwin Edwin E D W I N Hurtado HURTADO Age 49 Date of injury March 2025 Referred by Doctor Munoz MUNOZ at 824 Elizabeth Avenue Elizabeth, New Jersey 07201 Attention Francisco F R A N C I S C O date this September 2nd 2025 This is an office visit for this 49-year-old right-hand-dominant truck driver accompanied by his wife, who states that he has been having pain in his left knee since March 2025. There was no injury, no accident,

00:00:00.240

00:00:30.170

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_2

1,758,782,623

your file number is 60006-40392 J as in john Vas in victory Bas in boy date this September 10, 2025 we gonna address this to Rosemarie Chidichimo comma New paragraph.

00:01:01.270

00:01:14.575

GSG21417_proc_cd2683bf-a34a-46c4-aebd-6bd3dd4599d1_7

1,758,700,148

I gave her an appointment to see me in a week. I told her to take it easy. And if she is doing okay in a week, I will discharge her. If it is still bothering her, then possibly some outpatient therapy may be indicated. She can also do an MRI of the knee for further evaluation, but she has had injections in the past, which improved her significantly and hopefully this will also period.

00:03:18.290

00:03:36.835

GSG21417_proc_cd2683bf-a34a-46c4-aebd-6bd3dd4599d1_6

1,758,700,148

She has taken that in the past without any difficulties and taken with a proton pump inhibitor. New paragraph. So, under sterile technique, I numbed the area. I aspirated 32 cc of clearish yellow fluid, gave her injection of 1 cc of 0.125% Marcaine without epinephrine along with 6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate. I put her on the Naprosyn, but I told her to take it easy, be careful, if that does not bother her stomach.Write a micro for NSAI.period

00:02:47.830

00:03:18.210

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_9

1,758,782,623

Paragraph. The next evaluation at Concentra was on January 15, 2025, now approximately five weeks after the original accident, period. There were still complaints of pain in the left shoulder and the low back, period. Physical examination of the lumbar spine showed some tenderness present, otherwise normal with some limited range of motion, period. Straight leg raise is negative, period. There is no examination of the thoracic spine.

00:04:04.225

00:04:33.015

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_10

1,758,782,623

No examination of the left shoulder. No examination of the foot, period. The diagnosis remained left shoulder strain and lumbar strain, period. New paragraph. The next evaluation at Concentra was on January 21, 2025. She was there for a followup for her left shoulder and low back, period. There were no complaints of lower extremity radiculopathy or bowel or bladder abnormalities, period. Physical examination of the left shoulder showed some tenderness present with full range of motion, period.

00:04:33.015

00:05:04.735

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_11

1,758,782,623

Examination of the lumbar spine showed some tenderness present. Otherwise, some pain with range of motion. Neurologically intact. No examination of the left shoulder or left foot though the diagnosis remains left shoulder and lumbar strains, period. MRIs of the left hip, left shoulder and spinal canal with lumbar spine were recommended, period. Paragraph.

00:05:05.055

00:05:30.055

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_12

1,758,782,623

I reviewed extensive physical therapy notes from Concentra dated January 21, 2025 through February 21, 2025, period. New paragraph. The next evaluation was on January 24, 2025 at Concentra with regard to complaints of pain in the low back and the left shoulder, period. Physical examination of the lumbar spine showed some tenderness present and some pain with range of motion. Neurologically, she is intact, period. There was no physical examination of the shoulder.

00:05:30.055

00:05:58.405

GSG21417_proc_cd2683bf-a34a-46c4-aebd-6bd3dd4599d1_5

1,758,700,148

very likely degenerative meniscal injury, which has been there chronic and long-term, period. She had visco-supplementation injections in the past, which helped. At this point, she is acutely uncomfortable, so she was wondering if I could just aspirate the fluid and give her a cortisone shot. and I told her I can, but I cannot guarantee it is going to resolve all her complaints. She told me she is really not allergic. She has been taking Aleve, not a problem. I told her I can write a prescription for Naprosyn.

00:02:21.800

00:02:47.670

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_13

1,758,782,623

Diagnosis remains left shoulder strain and lumbar strain. She was placed on cyclobenzaprine. New paragraph. MRIs of the left shoulder and lumbar spine were performed on January 31, 2025 at New Jersey Imaging Network in Belleville

00:05:58.485

00:06:24.575

GSG21417_proc_cd2683bf-a34a-46c4-aebd-6bd3dd4599d1_4

1,758,700,148

She has some mild diffuse tenderness more medially than laterally. negative Apley grind negative Lachman negative pivot shift No medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. New paragraph. X-RAYS: X-rays of the right knee done in my office, AP weightbearing of both knees, lateral view of the right knee demonstrate some spiking of the tibial spines and bilateral some irregularity of the medial joint line with some small osteophytes present. New paragraph. IMPRESSION: My impression is that Theresa Gates-Ford has primary degenerative joint disease.

00:01:53.610

00:02:21.800

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_14

1,758,782,623

with the MRI of the left shoulder commenting on suspect distal clavicle osteolysis and subchondral fracture. Rotator cuff was normal. The MRI of the lumbar spine was interpreted as disc bulge anteriorly at L1-L2 and L2-L3 with no disc herniation, no central or foraminal narrowing, no compression upon the neurologic structures period New paragraph.

00:06:24.575

00:06:50.605

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_15

1,758,782,623

She was next reevaluated at Concentra on February 4, 2025 with complaints of low back and left shoulder pain. They commented on the MRI of the lumbar spine, the MRI of the left shoulder and physical examination of the left shoulder showed some tenderness in the distal clavicle. This is the first examination of the left shoulder in weeks. Examination of the lumbar spine is pretty much normal.

00:06:50.605

00:07:20.415

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_16

1,758,782,623

The diagnosis was left shoulder strain, lumbar strain and an orthopedic evaluation was recommended period Paragraph. The next evaluation was with Dr. Doidge, an orthopedic surgeon on February 11, 2025. He comments on the work-related injury and he was seeing her for the left shoulder. Comments on the results of the MRI of the left shoulder.

00:07:20.415

00:07:44.570

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_17

1,758,782,623

Physical examination of the left shoulder shows normal range of motion, positive crossover test with some tenderness in the AC joint and some mild tenderness in the biceps period Examination of the lumbar spine is normal. The diagnosis was left shoulder strain and he thought possibly a cortisone shot in the AC joint might be beneficial. This is the only note I had from Dr. Doidge, but Ms. Casado-DeMendez states that she went back to Dr.

00:07:44.915

00:08:14.775

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_18

1,758,782,623

Doidge the second time and had a cortisone shot in the AC joint for which she states there was no relief whatsoever. I asked Ms. Casado-DeMendez whether Dr. Doidge recommended any additional medical care. Ms. Casado-DeMendez was also seen by Dr. Grob, a spine specialist, reviewed his note of February 12, 2025.

00:08:14.775

00:08:37.090

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_29

1,758,782,623

Considering Ms. Casado-DeMendez' MRI report of January 31, 2025 performed at NJIN in Belleville showing suspected distal clavicle osteolysis, cortisone shot would have been appropriate, period. Considering Ms. Casado-DeMendez states she had no improvement from the cortisone shot whatsoever that clearly documents that there were no abnormalities in the AC joint. If you have an abnormal AC joint with some type of injury and you get a cortisone shot, you have significant improvement at least short-term.

00:13:22.600

00:13:51.635

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_30

1,758,782,623

And considering there was no improvement whatsoever that clearly documents that there was no injury to the AC joint of the left shoulder based on the accident of December 9, 2024. Obviously, if you could send me the actual MRI performed at NJIN in Belleville on January 31, 2025, I can comment whether there was any injury to the AC joint. At this point, Casado-DeMendez is back to regular duty without restrictions. She is not under care of any doctor. not looking for any medical care. She takes no pain medication not even Tylenol, aspirin, Advil,

00:13:51.635

00:14:19.130

GSG21417_proc_cd2683bf-a34a-46c4-aebd-6bd3dd4599d1_3

1,758,700,148

head and neck, positive for dizzy spells, failing vision; heart and lung, negative; stomach and intestine, negative; urinary tract, positive for excessive urination and night urination; muscle and joints, tingling, numbness, and disturbance walking, period. She is an ex-smoker and does not consume alcohol, period. PHYSICAL EXAMINATION: Ms. Gates-Ford is a pleasant, cooperative 5 feet 6 and 198 pound female who walks with a grossly abnormal gait. She has a large joint effusion in her right knee. Range of motion is 5 to about 90 degrees.

00:01:22.355

00:01:53.530

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_31

1,758,782,623

muscle relaxers or narcotics based on the accident of December 9, 2024. She has no complaints of thoracic pain, lumbar pain, or left foot pain, period. New paragraph. Plan. Based on Ms. Casado-DeMendez' work-related accident of December 9, 2024, she is at maximum medical benefits from treatment. There is clearly no indication for any additional doctor visits, physical therapy, chiropractic visits, x-rays, CAT scans, MRIs, EMGs, bone scans, pain management, medications or surgery. She can continue with the regular duty without restrictions.

00:14:19.835

00:14:47.160

GSG21417_proc_cd2683bf-a34a-46c4-aebd-6bd3dd4599d1_2

1,758,700,148

She has allergies to contrast dye and ibuprofen though she states she has been taking Aleve without a problem. Apparently, ibuprofen upsets her stomach, but the Aleve, she does fine with, period. She has no known allergies. Her family history is positive for allergies on her father's side, tuberculosis on the mother's side. I went over review of systems,

00:00:59.510

00:01:22.275

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_32

1,758,782,623

She has absolutely no objective evidence of any restriction of function involving the left shoulder, thoracic spine, lumbar spine, and left foot based on this accident of December 9, 2024. The non-work activities she was able to do prior to this accident are the same activities she has been doing at this point. There is no need for any type of temporary or permanent work restrictions and there has been no lessening to a material degree in her work status based on the accident of December 9, 2024, period. New paragraph.

00:14:48.015

00:15:09.630

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_33

1,758,782,623

If the actual MRIs that were performed of the low back and left shoulder at NJIN in Belleville on January 31, 2025 could be forwarded to my office, I would be more than willing to review those and send an addended report. If the MRIs are interpreted accurately, the MRI of the left shoulder comments on a suspected distal clavicle injury. She was given a cortisone shot by Dr. Doidge Doidge per Ms.

00:15:09.630

00:15:36.300

GSG21416_proc_0f6790b7-ed2f-4c16-b4a9-e51550dfe210_5

1,758,699,460

Muscle and joints, negative. Nonsmoker and nondrinker, period. PHYSICAL EXAMINATION: Ms. Garcia-Ceballos is a 5 feet 1 and 125 pound woman. Examination of her cervical spine. reveals some minimal tenderness. Range of motion may be slightly decreased. Neurologic status of both upper extremities was intact. Hoffmann test was negative. Cross shoulder abduction test was normal and her Spurling test was normal period. Examination of the thoracic spine revealed no swelling, no tenderness, good range of motion.

00:02:16.670

00:02:45.375

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_34

1,758,782,623

Casado-DeMendez' recollection, though I do not have a note that actually says cortisone shot was performed. So, if cortisone shot was performed and the MRI of her left shoulder was interpreted accurately, then based on Ms. Casado-DeMendez' work-related accident on December 9, 2024 involving her left shoulder, she would have a 2% partial permanent impairment of total. With regard to the thoracic spine, she has a 0% partial permanent impairment of total.

00:15:36.300

00:16:04.780

GSG21416_proc_0f6790b7-ed2f-4c16-b4a9-e51550dfe210_4

1,758,699,460

She had never injured these areas previously period. She had no complaints of upper or lower extremity radiculopathy, no complaints of headaches. She pointed to the AC joint of the left shoulder that bothered her the most period. Paragraph. I went over her past medical history. She takes levotirolyn period. She is allergic to Bactrim. Surgery in the past includes C-sections. Family history, she is not aware of. Review of systems, Head and neck, positive for double vision, discharge from the ears; Head and neck, positive for double vision, discharge from the ears; Heart and lung, negative; Stomach and intestine, negative; Urinary tract, positive for three pregnancies.

00:01:43.965

00:02:16.670

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_35

1,758,782,623

With regard to the lumbar spine, if the MRI of the lumbar spine on January 31, 2025 is accurate with minor disc bulges at L1-L2, and L2-L3, but no disc herniation. no neurologic encroachment, then Ms. Casado-DeMendez would have a 1% partial permanent impairment of total involving her lumbar spine. With regard to Ms. Casado-DeMendez' left foot, she has a 0% statutory impairment of the left foot. New paragraph. Her prognosis remains excellent and can continue with regular duty without restrictions period New paragraph

00:16:05.820

00:16:34.930

GSG11455_proc_7fbe372a-ffcc-4817-90b0-6640311debd5_36

1,758,782,623

write a macro for IME thank you.

00:16:34.930

00:16:36.850

GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_0

1,758,787,440

Now dictating a letter to V T Medical Incorporated Attention Rosemarie Chidichimo Insured 11th Street Workshop Incorporated claim number 2440356664001 your file number is V as in victory T as in tom-29Eas in edward-07624 date of loss is 06/14/2022

00:00:00.240

00:00:29.005

GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_1

1,758,787,440

and cc goes to Biancamano and DiStefano address and that should be Attention Robert Klausner, Esquares and that regrading Henderson Vargas verses 11th Street Workshop Incorporated claim number 2440356664001 C P number 2023-10145 date of injury 06/14/2022 your file number 60075

00:00:29.460

00:00:59.830

GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_12

1,758,787,440

He comments on the MRI as showing a partial of the rotator cuff and evidence of impingement. On physical examination, he had a positive Neer and Hawkins test. He had some weakness present, limited range of motion, and Dr. Deramo recommended surgery, period. This is a little unusual because most people with this type of injury will have a cortisone shot, will have a more extensive physical therapy program prior to surgery, but nonetheless surgery was recommended, period. New paragraph.

00:05:28.915

00:05:57.765

GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_13

1,758,787,440

That surgery was performed at Hudson Crossing Surgery Center in Fort Lee on September 13, 2022. The surgical procedure was right shoulder arthroscopy with a SLAP repair, subacromial decompression, and arthroscopic distal clavicle excision and limited debridement. I reviewed the operative report and it appeared that everything went well. The next evaluation with Dr. Deramo was on October 19, 2022.

00:05:57.765

00:06:26.835

GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_14

1,758,787,440

now about five weeks after the surgery, and he had not been consistently taking the anti-inflammatory medications, He had only started with physical therapy, so he was not doing what was necessary to make his shoulder better. The next evaluation was on November 2, 2022, now about seven weeks after the original surgery. He was taking the medicine which helped partially.

00:06:27.315

00:06:55.705

GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_15

1,758,787,440

He had been doing physical therapy in Brooklyn and Dr. Deramo did not have any postoperative notes. Physical examination showed some limited range of motion. Dr. Deramo recommended that he go back to physical therapy, he should take the Naprosyn, and work on a strengthening program period The next evaluation was on February 22, 2023.

00:06:56.985

00:07:21.035

GSG21416_proc_0f6790b7-ed2f-4c16-b4a9-e51550dfe210_3

1,758,699,460

Center for an MRI of the left shoulder done on July 24, 2025, which was interpreted as moderate supraspinatus tendinosis, mild infraspinatus and mild subscapularis tendinosis, and some arthritis in the AC joint period. He told her that she was out of work for about six to seven weeks then went back to regular duty. She went to therapy for about a month and she is currently on light duty though she showed me a note from Dr. Sclafani that said she should not go back to regular duty for another week period.

00:01:14.985

00:01:43.965

GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_16

1,758,787,440

It is little unclear why we have a note of November 2, 2022 and we do not have another note until three and a half months later on February 22, 2023. Dr. Deramo comments of continued complaints of pain in the shoulder. He had gone to the Dominican Republic for an emergency and he had not done any physical therapy and missed about two months of therapy period

00:07:21.755

00:07:43.600

GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_17

1,758,787,440

Physical examination showed some limited range of motion and Dr. Deramo again recommended physical therapy, a Medrol Dosepak, and taking the Naprosyn. New paragraph. The next evaluation was on March 22, 2023, which would have been five months after excuse me, six months after the shoulder six and a half months after shoulder surgery September 13. Was looking And there's still complaints of some pain.

00:07:43.600

00:08:11.800

GSG21416_proc_0f6790b7-ed2f-4c16-b4a9-e51550dfe210_2

1,758,699,460

She states her left shoulder is what hurts the most. States that following the accident. Did notify work. She was seen at Morristown Medical Center Emergency Room. They did some x-rays and discharged her period. New paragraph. She then came under the care of Dr. Sclafani in Rockaway, New Jersey.

00:00:55.740

00:01:14.905

GSG21416_proc_0f6790b7-ed2f-4c16-b4a9-e51550dfe210_1

1,758,699,460

Board of Education fax copy to Ann Capitanio C A P I T A N I O at FMCO at 973-257-2284 this is an office visit date this September 02, 2025. This is an office visit of this 57-year-old right-hand-dominant custodian for Madison Board of Education who states while at work on July 1, 2025, she was up on a ladder, fell down, and injured her neck, mid back, left shoulder, and left elbow.

00:00:27.365

00:00:55.565

GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_18

1,758,787,440

Physical examination was relatively benign. Had a positive knee and positive Hawkins test and some limited range of motion. He'd been sent back to work light duty, but it's unclear whether he actually went, period. Doctor. Comayano comments on how much physical therapy mister Vargas had missed, period. A cortisone shot was recommended to take down some of the inflammation, period. New paragraph. The next evaluation was on April 19, 2023 with Doctor. Duramo.

00:08:12.575

00:08:41.270

GSG21416_proc_0f6790b7-ed2f-4c16-b4a9-e51550dfe210_0

1,758,699,460

Now dictating a letterhead note on Ana A N A Garcia G A R C I A- Ceballos C E B A L L O S Age 57 Date of injury JULY 01 2025 Referred by Inservco Post Office Box 1457 Harrisburg, PA 17105 Attention Dawn D A W N Cueman C U E M A N claim number 2270006234 employer Madison

00:00:00.960

00:00:27.365

GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_19

1,758,787,440

Now seven seven months after the surgery of March excuse me. Sept thirteen thousand twenty. States cortisone shot worked a little bit. Physical examination still showed some limited range of motion and there was some tenderness in the AC joint, period. Dr. Deramo states that he did the surgery including arthroscopic SLAP repair performed on September 13, 2022 and that the patient started therapy late, period. Dr.

00:08:41.270

00:09:08.055

GSG21431_proc_5317a115-5bc4-4ee9-8f11-f0413af88643_4

1,758,699,342

So I told him the left thumb still bothering him in a few months, and it's okay for his trans for his transplant doctor to give him a cortisone shot, then he's welcome back. I can give him a cortisone shot. Otherwise, I would just leave it alone, do his normal activities. And if it gets worse, he is welcome back, period.

00:01:59.900

00:02:15.485

GSG21431_proc_5317a115-5bc4-4ee9-8f11-f0413af88643_3

1,758,699,342

In turn, he probably does not have much pain, he has good range of motion, he has no evidence of instability, He's neurologically intact, period. Wants to know if I can give him a cortisone shot, I told him he's had this for a few months. It doesn't bother him very much. His examination is benign. And especially after a liver transplant, I would just leave it alone, period. Bargain plan. I told mister Kowalski, just be careful taking supplements and medications after a liver transplant. Also, be careful about doing any type of injections, especially when he has minimal discomfort.

00:01:30.920

00:01:59.900

GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_20

1,758,787,440

Deramo recommended a repeat MRI of the shoulder for further evaluation, period. That repeat MRI of the right shoulder was performed at South Brooklyn Radiology on June 9, 2023 and interpreted as mild AC impingement, posterior labral tear. No fracture or contusions seen, period. The next evaluation with Dr. Deramo was on June 14, 2023. Now approximately nine months after the shoulder surgery of September 13, 2022.

00:09:08.055

00:09:36.845

GSG21431_proc_5317a115-5bc4-4ee9-8f11-f0413af88643_2

1,758,699,342

No tenderness over the basilar joint of the thumb. He is neurologically intact. No evidence of instability. No evidence of active Boutonnière, swan neck or mallet finger deformities. X-RAYS: AP lateral and oblique x-rays of the left thumb demonstrate some very minimal degenerative arthritis in the basilar joint of the thumb and a tiny bit of arthritis in the MCP joint of the left thumb. My impression is that Edward Kowalewski has some very minimal degenerative changes in the MCP joint of his left thumb. There are some minimal degenerative changes in the basilar joint of his left thumb.

00:01:01.220

00:01:30.920

GSG11456_proc_71fe6476-598b-47fe-8fe0-9cb91e608ba5_21

1,758,787,440

And he went over the MRI findings. Physical examination showed he has tenderness over the AC joint. And again Dr. Deramo comments that he performed surgery on the right shoulder previously on September 13, 2022 and he thought part of the issue was that the AC joint was not bothering him at the time of the surgery, so it was not addressed, period. Postoperatively he developed AC joint pain. and there was also concern about posterior labral tear, period. The problem is I do not think Dr. Deramo has a clear understanding of what he did.

00:09:37.005

00:10:08.185

GSG21431_proc_5317a115-5bc4-4ee9-8f11-f0413af88643_1

1,758,699,342

that is giving him some pain. It does not click, it does not bother him. He could extend it, He could do all of his normal activities, but it sometimes is a little bit sore. He had a liver transplant. No history of high blood pressure or diabetes. He has no triggering or swelling in his left thumb. PHYSICAL EXAMINATION: On examination, Mr. Kowalewski is a 5 feet 8 inches and 140-pound pleasant, cooperative male. Examination of his left thumb reveals maybe a little tenderness over the first metacarpophalangeal joint but the motion was full.

00:00:30.780

00:01:01.220

GSG21390_proc_0a1ef40c-93d6-46f5-a131-36002042db41_12

1,758,386,296

He has hypertrophic changes of the AC joint, some bone marrow edema in the greater tuberosity, but these findings are probably more as a result of weightlifting rather than a specific injury, period. He has no tear of the rotator cuff, period. He was very happy to hear that, period. My name is. I will put him on anti-inflammatories. He was taking Naprosyn, but because of his reflux, I changed him to Celebrex and take his proton pump inhibitor, period. I told him he needs to monitor his blood pressure, make sure it does not affect his blood pressure.

00:05:15.300

00:05:45.180

GSG21390_proc_0a1ef40c-93d6-46f5-a131-36002042db41_11

1,758,386,296

so this is a very benign-looking MRI in a 60-year-old weightlifter. Typically in a 60-year-old weightlifter, I would expect to see significant arthritic changes and he only has mild arthritic changes. New paragraph. And he has no torn rotator cuff. New paragraph. Impression by pressure is mild, staining a strain of his left shoulder based on the work-related accident on July 17, 2025, period.

00:04:52.570

00:05:15.300

GSG11378_proc_c6950ca5-66d3-41e0-bfad-8abdab1d40a7_6

1,758,391,765

She's got full pain free range of motion of both shoulders. When she moves her left shoulder, she gets some pain in the left trapezium region, period. Got a negative impingement test, negative drop test, negative Neer test, negative lift-off test, negative belly press test, negative Speed test, negative O’Brien test, period. Paragraph. Biceps and triceps tendons were intact. Neurologically, she was normal. New paragraph. Left wrist and hand revealed no redness, swelling, abrasions, discoloration, edema, muscle spasms, trigger points, or erythema, period. No tenderness over the distal radial or ulnar joint.

00:02:56.100

00:03:26.740