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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 aw... | 00:01:00.810 | 00:01:34.410 | |
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. ... | 00:01:34.410 | 00:01:59.500 | |
GSG21421_proc_d9fff2f5-2acc-49fa-9ab1-a3fad6db9411_4 | 1,758,701,180 | AP weightbearing of both knees, lateral view of the left knee demonstrates a mild narrowing of the medial compartment of the left knee. He has some spiking of the tibial spines bilaterally and osteophytes off the superior pole of the patella, period. New paragraph. Impression My impression is that Edwin Hurtado has pri... | 00:01:59.500 | 00:02:28.750 | |
GSG21421_proc_d9fff2f5-2acc-49fa-9ab1-a3fad6db9411_5 | 1,758,701,180 | was appropriate with regard to giving him a Medrol Dosepak, it helped for a few days, but the pain has come back, period. He also has a history of high blood pressure, which he does not want to take medications for, so taking the anti-inflammatory would probably be a bad idea, period. PLAN: So, I explained to Mr. Hurta... | 00:02:28.750 | 00:02:55.600 | |
GSG21421_proc_d9fff2f5-2acc-49fa-9ab1-a3fad6db9411_6 | 1,758,701,180 | He is on his way to watch his diet, which is okay because if he loses 10 to 20 pounds, his blood pressure is going to be better and the pain in his left knee is going to be better. So, I told him I can do an aspiration cortisone shot for the left knee. And he was fine with that. So, I numbed the area, aspirated 12 cc o... | 00:02:55.600 | 00:03:24.410 | |
GSG21421_proc_d9fff2f5-2acc-49fa-9ab1-a3fad6db9411_7 | 1,758,701,180 | I gave him a brochure on visco-supplementation injection, so I cannot guarantee I can get authorization for that. I gave him an appointment to see me in a week. We will check on him to see how he is doing. and I think if he loses weight, he takes the blood pressure medication. He may excuse me. He takes the blood press... | 00:03:24.410 | 00:03:54.170 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_0 | 1,758,701,795 | Now dictating a report to V.T. Medical Incorporated. Attention Rosemarie Chidichimo, and that's Regarding Michael Bello. Last name, Bello, b e l l o. Date of Injury is August 20, 2024. And the cc goes to Biancamano & DiStefano, and that should be Joseph Biancamano, Esq. Joseph Biancamano, Esq. and that's Regarding Mich... | 00:00:00.800 | 00:00:44.515 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_1 | 1,758,701,795 | Claim number 2440389989001. CP number 2024-22032. Date of Injury is August 20, 2024. Your File number 60075-40056. J as john V as victory B as boy. date this September 08, 2025. so you're gonna address to Rosemarie Chidichimo. New paragraph. | 00:00:44.755 | 00:01:14.435 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_2 | 1,758,701,795 | I had the opportunity to evaluate Michael Bello in my office on September 8, 2025 for the purpose of an Orthopaedic Independent Medical Evaluation based on a work-related accident he was involved on August 28, 2024. At the time of evaluation, Mr. Bello was a 43-year-old right-hand dominant truck driver for Gate Gourmet... | 00:01:14.435 | 00:01:43.605 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_3 | 1,758,701,795 | He stated while at work on August 20, 2024, he was getting off a catering truck, when he fell and struck his left forearm and elbow region. He immediately complained of pain and discomfort. States he continued to work, | 00:01:43.685 | 00:01:59.910 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_4 | 1,758,701,795 | And after he finished his job, he went to Newark Beth Israel Medical Center, where he was evaluated. He thinks he may have had some x-rays taken. He is not sure. He thinks he was placed on Naprosyn and I asked if they told him something was broken, and he states no. They did not tell him anything was broken. Paragraph. | 00:02:03.750 | 00:02:33.125 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_5 | 1,758,701,795 | He was subsequently seen at Concentra the following day. I reviewed notes from Concentra dated August 21, 2024 through December 17, 2024. The initial note of August 21, 2024 comments he hit his left elbow and forearm region, had some abrasions present as a result of a slip and fall at work. | 00:02:33.125 | 00:03:00.545 | |
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... | 00:03:00.545 | 00:03:24.400 | |
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 t... | 00:03:24.855 | 00:03:58.905 | |
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. | 00:03:59.065 | 00:04:26.245 | |
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 | |
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... | 00:04:57.145 | 00:05:28.345 | |
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. | 00:05:28.745 | 00:05:55.775 | |
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. 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. Examination of the left elbow showed that ... | 00:05:56.770 | 00:06:27.220 | |
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 l... | 00:06:28.340 | 00:06:55.280 | |
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 reg... | 00:06:55.280 | 00:07:21.145 | |
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... | 00:07:21.750 | 00:07:58.570 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_16 | 1,758,701,795 | No swelling. There was some tenderness present. Strength was mildly decreased. Diagnosis was strain of the left elbow, contusion of the left elbow, contusion of the left forearm and left shoulder strain. He was given prednisone and again physical therapy was recommended. New paragraph. The next evaluation was on Septem... | 00:07:58.570 | 00:08:31.520 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_17 | 1,758,701,795 | Physical examination of the left shoulder showed some tenderness present, otherwise, pretty benign. Examination of the left elbow revealed the abrasions were healed. He had some tenderness present. Examination of the left forearm also revealed some tenderness present, period. Examination of the left wrist was normal, p... | 00:08:32.025 | 00:08:49.690 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_18 | 1,758,701,795 | Diagnosis remained left shoulder strain, strain of the left elbow, contusion of the left elbow, contusion of the left forearm and MRI of the left elbow and left shoulder was recommended, period. New paragraph. The next evaluation at Concentra was on September 24, 2024, period. There were still complaints of pain in the... | 00:08:49.770 | 00:09:17.640 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_19 | 1,758,701,795 | Physical examination of the left shoulder revealed some tenderness present, maybe a little bit of weakness. Otherwise, examination was pretty much normal, period. Examination of the left elbow revealed the abrasions were healed. There was no ecchymosis. There was some tenderness present in the antecubital fossa. Otherw... | 00:09:18.520 | 00:09:50.440 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_20 | 1,758,701,795 | Diagnosis remained left shoulder strain, strain of the left elbow, contusion of the left elbow, and contusion of the left forearm, period. New paragraph. The next evaluation at Concentra was on September 24, 2024, now about five weeks after the original injury, period. | 00:09:50.440 | 00:10:08.645 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_21 | 1,758,701,795 | There were still mild subjective complaints. There was no specific physical examination noting any significant abnormalities, period. There was some mild tenderness in the left shoulder and left elbow. There was some mild tenderness in the left shoulder and left elbow. Motion was mildly decreased. Neurologically intact... | 00:10:08.645 | 00:10:41.280 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_22 | 1,758,701,795 | Examination of the left wrist was normal and the diagnosis remains unchanged, period. New paragraph. The next evaluation at Concentra was on October 1, 2024 and there were still complaints of pain in the left elbow and left forearm region, period. Physical examination of the left shoulder revealed some tenderness prese... | 00:10:41.280 | 00:11:11.190 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_23 | 1,758,701,795 | But I feel there was some tenderness present. No significant other abnormality. Exam to left forearm also revealed some tenderness. Exam to left wrist was normal, period. The diagnosis remains strain of the left shoulder, left elbow, contusion of the left elbow, period. Neurologic examination is completely normal, peri... | 00:11:11.190 | 00:11:39.630 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_24 | 1,758,701,795 | There's still some complaints of pain in the left shoulder and left elbow region. Examination remains there's a little bit of tenderness, otherwise relatively benign, period. The diagnosis remained unchanged, period. Paragraph. They do comment on the work-related accident on August 20, 2024 causing these problems, peri... | 00:11:43.310 | 00:12:12.120 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_25 | 1,758,701,795 | Examination of the left shoulder is pretty much normal at this point. Examination of the left elbow showed some tenderness present, otherwise relatively normal. Examination of the left forearm revealed some tenderness. Examination of the left wrist is normal, period. Diagnosis remained strain of the left elbow, contusi... | 00:12:12.280 | 00:12:43.850 | |
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 elbo... | 00:12:43.850 | 00:13:11.080 | |
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 examinatio... | 00:13:12.600 | 00:13:43.010 | |
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... | 00:13:48.265 | 00:14:15.635 | |
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 a... | 00:14:15.635 | 00:14:46.615 | |
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 | |
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 | |
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_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_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 fo... | 00:16:36.525 | 00:17:05.785 | |
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 ... | 00:17:06.905 | 00:17:35.805 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_36 | 1,758,701,795 | And if he gets any discomfort, he may take an occasional Naprosyn, period. He has never had problems with this area previously, period. New paragraph. PHYSICAL EXAMINATION. Mr. Bello is a 5 feet 9 inches, 200-plus pound individual, in no acute discomfort. His temperature in the office is 98.4, period. | 00:17:36.205 | 00:18:00.965 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_37 | 1,758,701,795 | Examination of the left shoulder revealed no muscle spasm, no trigger points, no ecchymosis, erythema, abrasions, discoloration, edema, or localized tenderness. No tenderness over the lateral, anterior or posterior rotator cuff. No tenderness over the sternoclavicular or acromioclavicular joint. He had full pain free s... | 00:18:01.045 | 00:18:25.255 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_38 | 1,758,701,795 | He had a negative drop test, negative Neer test, negative impingement test, negative sulcus sign, no subluxation, negative belly press test, negative lift-off test, negative Speed test, negative O’Brien test. Examination of the left arm and elbow region. revealed there was no tenderness of the medial or lateral epicond... | 00:18:25.415 | 00:18:53.705 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_39 | 1,758,701,795 | Range of motion of both elbows was full 0 to 140 degrees of flexion and extension, 85 degrees of pronation and supination. No tenderness behind the medial epicondyle in line with the ulnar nerve, period. Neurologic status of both upper extremities was completely normal. There was no numbness in the ulnar nerve, median ... | 00:18:53.705 | 00:19:11.680 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_40 | 1,758,701,795 | Examination of the left forearm and wrist reveals he has pain-free symmetric range of motion of both wrists 55 degrees of flexion and extension, 85 degrees of pronation and supination, 25 degrees of ulnar and 20 degrees of radial deviation. No triggering of the A1 pulleys. No subluxation of the extensor tendon. No evid... | 00:19:11.680 | 00:19:38.380 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_41 | 1,758,701,795 | Arm and forearm circumferences were found to be within 1 cm of symmetry, period. New paragraph. Label this X-ray. So APL x-ray is left shoulder mass or normal. X-ray of left elbow, APL oblique were normal. X-ray of left forearms, APL are normal. And X rays of left hand and wrist, the APL oblique were normal, period. Pa... | 00:19:39.180 | 00:19:58.495 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_42 | 1,758,701,795 | My patient Michael Bellow was involved at work with Axel on 08/20/2024, where he had some mild complaints of pain in his left shoulder, left arm, left elbow, left forearm, and left hand and wrist region, period. His examinations were quite benign from Concentra and relatively benign by Doctor. Ashraf, period. Doctor. A... | 00:19:58.495 | 00:20:22.465 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_43 | 1,758,701,795 | Bell had some lateral condylitis of the elbow and some tardy ulnar nerve, and so I'm sorry, from some cubital subretia tunnel symptoms but mister Bell says he never had any numbness after this accident and doctor. I'm sure I've had recommended a PRP injection a lot of condyle an EEG nerve conduction today, but mister B... | 00:20:22.465 | 00:20:49.365 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_44 | 1,758,701,795 | He never had any numbness, didn't want the EMG, and didn't want the injection because he wasn't having any pain, period. He was out of he he did short. He was doing light duty for a short period of time, and now he's back to running duties without restriction. Other than occasional achiness in his left elbow, he has no... | 00:20:49.365 | 00:21:19.665 | |
GSG09081729_proc_c9ec85be-7518-49bd-a984-23ac1f8ddc12_45 | 1,758,701,795 | I think his treatment to date was medically appropriate except doctor Oshroff recommending a PRP injection and an EMG when there was no evidence of neurologic damage or significant abnormalities, period. Paragraph. PLAN: Based on Mr. Bello’s work-related accident on August 20, 2024, he is at maximum medical benefits fr... | 00:21:23.025 | 00:21:45.285 | |
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... | 00:21:45.285 | 00:22:15.635 | |
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_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 th... | 00:22:39.245 | 00:23:08.535 | |
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.... | 00:23:08.535 | 00:23:31.670 | |
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 | |
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 | |
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 repetiti... | 00:01:22.950 | 00:01:52.140 | |
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 fro... | 00:01:52.140 | 00:02:18.330 | |
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_5 | 1,758,707,186 | It comments on her date of injury March 1, 2020 but she has no knowledge of date of injury of March 1, 2020, period. It comments she injured both shoulders, right arm, right hand while taking off and putting on RTP, SS and opening latches for RTP, period. I asked her if she has any recollection of that. She states she ... | 00:02:18.330 | 00:02:46.400 | |
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_6 | 1,758,707,186 | Physical examination showed some diffuse tenderness present. Diagnosis was chronic pain in both shoulders and x-rays were performed at that time though there is no report of the x-rays, period. | 00:02:46.400 | 00:02:56.335 | |
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_7 | 1,758,707,186 | The interpretation from Concentra was, "Based on the 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, period. Released fro... | 00:02:56.335 | 00:03:25.745 | |
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_8 | 1,758,707,186 | it does not appear that the presenting complaints arose out of their job duties in the course of the patient performing those duties. Released from care, returned to full work/activity today. I was able to get x-ray reports from 3119 Edison with regard to both shoulders, | 00:03:26.145 | 00:03:39.390 | |
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_9 | 1,758,707,186 | these x-rays being performed on November 13, 2020 and the x-ray report of both shoulders showed some early osteoarthritic changes in the right shoulder and the left shoulder was normal. X-rays of the right elbow performed at that same location were normal and x-rays of the right hand performed at that same location wer... | 00:03:39.390 | 00:04:07.420 | |
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_10 | 1,758,707,186 | states she then went through a private health insurance to Dr. Patel, an orthopedic surgeon where she underwent extensive treatment. She states she had MRIs of both shoulders. she does not remember where they were done or the outcome, period. She states Dr. Patel did surgery in her right shoulder and I have no medical ... | 00:04:07.420 | 00:04:35.630 | |
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_11 | 1,758,707,186 | And one of these notes, dated January 9, 2021 comment on that she had surgery 19 days ago for R RTC and biceps tenodesis, period. | 00:04:35.630 | 00:05:01.295 | |
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_12 | 1,758,707,186 | That would mean that this surgery took place at the end of May of 2021. In turn all of Ms. Rios' treatment from Kessler Rehab went through a private health insurance not through Workers' Compensation, period. I asked Ms. Rios did she tell the physical therapist that she injured herself at work? | 00:05:01.295 | 00:05:22.405 | |
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_13 | 1,758,707,186 | and the notes comment that the onset was slow starting last year and suspects strenuous repetitive activities at work. In turn, she states Dr. Patel treated her through the private health insurance, the MRI through the private health insurance, Kessler Rehab also through the private health insurance, the surgery on her... | 00:05:22.405 | 00:05:52.385 | |
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_14 | 1,758,707,186 | She has no pain in her right elbow or right wrist, period. The date she was out of work about six months before and after the surgery of her right shoulder. She doesn't really remember when it was. She thought it was in 02/2019, maybe 02/2020, but it would appear based on her medical records and the physical therapy no... | 00:05:52.385 | 00:06:21.845 | |
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.... | 00:06:22.005 | 00:06:49.625 | |
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 ... | 00:06:49.625 | 00:07:20.125 | |
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, edem... | 00:07:20.570 | 00:07:47.225 | |
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, trach... | 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 edem... | 00:08:12.890 | 00:08:46.160 | |
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_20 | 1,758,707,186 | No trigger of the and extensor tens. No anatomical, period. No atrophy, no hypothenar, intrinsical musculature. No tennis soft box. No evidence of Dupuytren's contractures. new paragraph. X-RAYS: She refused to have any x-rays performed. new paragraph. Telling me that she started having some pain in both shoulders, rig... | 00:08:46.320 | 00:09:22.845 | |
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 dut... | 00:09:47.835 | 00:10:15.810 | |
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 ... | 00:10:15.975 | 00:10:38.990 | |
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 ... | 00:10:38.990 | 00:11:06.190 | |
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_25 | 1,758,707,186 | She never told the MRI facility that these problems were work-related, period. When she had a surgery on the right shoulder, she never told the facility that these problems were work-related. When she went to physical therapy, they treated her through a private health insurance and they never treated her with regard to... | 00:11:06.190 | 00:11:33.840 | |
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_26 | 1,758,707,186 | I would agree 100% with the note from Concentra dated November 13, 2020 where they saw no causal relationship between any of the complaints and her work, period. New paragraph. PLAN: As a result of Ms. Rios' alleged occupational exposure involving both shoulders, right elbow, and right wrist, she is at maximum medical ... | 00:11:34.000 | 00:12:04.500 | |
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_27 | 1,758,707,186 | She can continue with her regular duty without restrictions. She has absolutely no objective evidence of any restriction of function other than lacking a couple of degrees of external rotation of her right shoulder as compared to her left shoulder. The non-work activities she was able to perform prior to this alleged o... | 00:12:04.500 | 00:12:34.720 | |
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_28 | 1,758,707,186 | new paragraph. Based on Ms. Rios' alleged occupational exposure while working at MTF Biologics she has a 0% partial permanent impairment of total involving the left shoulder, a 0% partial permanent impairment of total involving the right shoulder, with regard to the right elbow 0% statutory impairment of the right arm,... | 00:12:34.720 | 00:13:04.420 | |
GSG11439_proc_fda9226e-b778-42e7-accd-b5a9177524ff_29 | 1,758,707,186 | Her prognosis remains excellent and she can continue with regular working activities without restrictions. new paragraph. Write a macro for an IME. Thank You. | 00:13:04.660 | 00:13:12.420 | |
GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_0 | 1,758,720,405 | Now dictating a letter to V.T. Medical Incorporated Attention Rosemarie Chidichimo Regarding Lily More Insured Macy's Claim number 20241204114133897 VT File number VT-29E07769 Date of loss April 25, 2024 and cc goes Biancamano & DiStefano and that should be Attention Matthew Gitterman, Esq. Lily More | 00:00:00.480 | 00:00:34.070 | |
GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_1 | 1,758,720,405 | Date of injury April 25, 2024 Insured Macy's Your File number 60006-40280 MA as Arthur G as gregory Claim number 20241204114133897 Date this September 8, 2025 Address to Rosemarie Chidichimo new paragraph. | 00:00:34.070 | 00:01:00.410 | |
GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_2 | 1,758,720,405 | I had the opportunity to evaluate Lily More in my office on September 8, 2025 for the purpose of an Orthopaedic Independent Medical Evaluation based on a work-related accident she was involved in on April 25, 2024. At the time of evaluation, Ms. More was a 71-year-old right-hand dominant store customer associate for Ma... | 00:01:00.410 | 00:01:28.290 | |
GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_3 | 1,758,720,405 | she tripped and fell injuring her left forearm, left wrist, and left hand region. She complained of some swelling, she notified her supervisor, and she was seen at the Urgent Care Center a couple of days later. They did some x-rays and told her that she may have a little chip. They sent her for about a month of therapy... | 00:01:28.450 | 00:01:58.960 | |
GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_4 | 1,758,720,405 | New paragraph. She does not think she was out of work following the accident, may be light duty, and at this point she is back to her normal activities without restrictions. Complains of occasional achiness in her left wrist, period. She has no complaints of numbness, though she does complain of a little bit of weaknes... | 00:01:58.960 | 00:02:24.830 | |
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: Examinatio... | 00:02:25.230 | 00:02:55.160 | |
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 do... | 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 | |
GSG11444_proc_cde6a7d6-76c9-4007-bfe1-9148453b926a_8 | 1,758,720,405 | No triggering of the A1 pulley, those luxation extension forearm, left forearm, hand, and wrist done in my office were normal, period. New paragraph. My impression is that Lily More. | 00:03:41.995 | 00:04:05.895 | |
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 t... | 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 restrict... | 00:04:25.585 | 00:04:54.755 | |
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... | 00:04:54.755 | 00:05:20.385 | |
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... | 00:05:20.385 | 00:05:49.235 | |
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 followi... | 00:05:49.555 | 00:06:18.306 |
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