sushku/Doc_GSG_dataset · Datasets at Hugging Face

segment_uid string	processed_time string	text string	start_time string	end_time string
GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_0	2025-08-07T19:45:06.079968+05:30	Now to the phone line, Jeanette Esposito, July 1st, 2025. Ms. Esposito comes to the office today with her companion, Faith. I had seen her almost three weeks ago on June 10, 2025. She had a recurrent dislocation of her right shoulder. I had done her rotator cuff repair years ago and she is feeling much better, though she does not have much pain. She is a little stiff. She has been wearing the sling. because we told her in her age group, 72 years old, after one dislocation, likelihood of recurrent dislocation is small,	00:00:00.000	00:00:30.980
GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_1	2025-08-07T19:45:06.079968+05:30	but after two dislocations, significantly increases. Also with two dislocations, she has the potential of re-tearing the rotator cuff and damage the axillary nerve, though she does not have any numbness. PHYSICAL EXAMINATION.	00:00:31.060	00:00:44.640
GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_2	2025-08-07T19:45:06.079968+05:30	Ms. Esposito is a pleasant, cooperative woman. Her temperature in the office is 97.4. Examination of her right shoulder reveals no numbness. She has a nicely healed scar from prior surgery. It is not hot or red. There is really no tenderness. She could forward flex about 65 degrees without any problems. I did not really want to externally rotate her. I did not really want her to abduct. I did not want to put her at any risk of recurrent dislocation. Actually, I really could not do a drop test. I could not do an impingement test. Her biceps looks okay. Neurologically, she is intact.	00:00:44.760	00:01:14.200
GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_3	2025-08-07T19:45:06.079968+05:30	IMPRESSION: My impression is that Jeanette Esposito suffered two dislocations, first on April 18, 2025 as a result of fall and the second one while killing a bug on June 4, 2025. Now, it has just been about four weeks since the second dislocation. She looks okay at this point, but I told her to wear the sling when she goes to sleep at night, wear the sling when she goes out to go to a party, but otherwise, take the sling off and do some gentle forward flexion exercises. I would avoid external rotation, I would avoid any abduction and just be really careful. She is going South Carolina in a few days.	00:01:14.200	00:01:43.400
GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_4	2025-08-07T19:45:06.079968+05:30	She is going to be back at the end of July. So, she will come see me in end of July. We will check on her, and at that point, we will put her through a little bit more range of motion exercises, but I probably would not recommend therapy because I am nervous she is going to re-dislocate her shoulder. She is also going to do a cruise in September. Hopefully, she will be okay at that point, but if over the next few weeks, she has poor abduction, then this could represent a recurrent tear of the rotator cuff. She may need an MRI, though she is really not interested in any type of surgery. So, she is fine with this. She must be nice and gentle,	00:01:43.440	00:02:12.000
GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_5	2025-08-07T19:45:06.079968+05:30	so it may decrease the risk of any type of recurrent dislocation, and I will see her back in my office in next four weeks or so once she is back from South Carolina.	00:02:12.000	00:02:19.500
GSG11242_78f7a749-d721-4d40-9441-1093f5a3e7af_0	2025-08-07T19:48:45.928940+05:30	Now, continuing with the problem with Candida, C-N-D-I-D-A, Marques, M-A-R-Q-U-E-S, dated July 1st, 2025. Ms. Marques comes to the office today. She has primary degenerative joint disease of both knees. She is here because her right knee is bothering the most. She wants to know if we can do an aspiration and cortisone shot. The last one was multiple months ago and I told her I can. It helps her makes her feel better. She is also going to Portugal in the very end of September. So, I told her if she wants to do it again, we could do that again. PHYSICAL EXAMINATION: Ms. Marques is a pleasant and cooperative woman. Examination of the right knee reveals moderate joint effusion present. She cannot fully extend or flex. She has some minimal diffuse tenderness. No gross evidence of instability. She walked with a mildly	00:00:00.000	00:00:32.840
GSG11242_78f7a749-d721-4d40-9441-1093f5a3e7af_1	2025-08-07T19:48:45.928940+05:30	abnormal gait. CANDIDA MARQUES – 07/01/2025 CONTINUED IMPRESSION: My impression is that Candida Marques has primary degenerative joint disease of both knees, but the right knee is much more significantly uncomfortable. She wants me to do an aspiration and cortisone shot, which I aspirated 18 cc of clearish yellow fluid. gave her the injection of 1 cc of 0.125% Marcaine without epinephrine along with 6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate. The complications associated with a cortisone injection include allergic reactions, pain, infection, and complications associated with diabetes to include, but not exclusively, elevation of blood sugar and worsening of your diabetic condition. Complications also include discoloration of the site of the injection, especially in dark-skinned individuals to include a bluish or whitish discoloration. Cortisone injections can also cause degradation of tendons and bone and damage to the articular cartilage. The injection you receive includes 1 cc of 0.125% Marcaine without epinephrine along with 6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate. The Marcaine will take about 20 minutes to work and will last for four hours, then wear off, and you may have some increasing discomfort. The cortisone injection usually takes a day and a half to two days to work. Ice it, take it easy, come to see me a few days before she goes to Portugal. We can always do this again for her right knee and possibly her left knee also.	00:00:32.840	00:01:02.000
GSG11242_78f7a749-d721-4d40-9441-1093f5a3e7af_2	2025-08-07T19:48:45.928940+05:30	Possibly, when she comes in to see me the next time, maybe repeating x-rays of both knees would be appropriate. Possibly when she comes in to see me next time, maybe repeating x-rays of both knees would be appropriate, period.	00:01:02.000	00:01:10.320
GSG11243_e11464f1-0bba-437e-8c41-bb3f03be71a5_0	2025-08-07T19:55:30.316264+05:30	Now dictating a problem on Terrance T-E-R-R-A-N-C-E Henry, H-E-N-R-Y. Take this July 1st, 2025. Mr. Henry comes to the office today. He has long-term right knee problems. He has tears of his medial and lateral meniscus, some insufficiency abnormalities of the lateral condyle. He has chondrocalcinosis. He has had x-rays, cortisone shot, he has been going to therapy. He states it helps a little bit but he has been doing the home exercises. He has been taking the Naprosyn. At this point, he states his right knee is a little bit better, still not great, but now he also gets pain in his low back, radiation of pain down his right leg all the way down to his foot.	00:00:00.000	00:00:32.360
GSG11243_e11464f1-0bba-437e-8c41-bb3f03be71a5_1	2025-08-07T19:55:30.316264+05:30	He has had sciatica in the past on his left leg, now his right leg. and that is starting to make him miserable. I asked him which is worse, the back or the leg at this point or the knee, and he is not sure. PHYSICAL EXAMINATION: Mr. Henry is a pleasant and cooperative male. He has no tenderness in his back. Straight leg raise is negative. Sensory, motor, and reflexes are normal. He is able to toe and heel walk without discomfort. He has a moderate size joint effusion present. He cannot fully extend or flex his leg. He has tenderness over his medial and lateral compartments, positive McMurray, negative Apley grind, 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. TERRANCE HENRY – 07/01/2025 CONTINUED IMPRESSION: My impression is that Terrance Henry has chondrocalcinosis of his right knee, primary degenerative joint disease of his right knee,	00:00:32.360	00:01:07.040
GSG11243_e11464f1-0bba-437e-8c41-bb3f03be71a5_2	2025-08-07T19:55:30.316264+05:30	insufficiency abnormalities of the lateral condyle, tear of the medial and lateral meniscus and it also looks like he may have some sciatica in the right lower extremity, though neurologically intact, and he does not have much back pain. PLAN: So, I explained to Mr. Henry, he does not want to continue with therapy on his knee and he states he can do that on his own at home, but I think going for some therapy on his back might be worthwhile. He will do the home exercises, stretch it, he can take the Naprosyn p.r.n. I gave him an appointment to see him in three weeks and we will see what happens. If this improves with conservative care and he does okay with this, I would do nothing else, and if it does not improve with conservative care, then I think he will have to consider the arthroscopy of the right knee. and that will be up to him to make that final determination.	00:01:07.040	00:01:52.280
GSG11244_4e2070ff-de92-422d-a33b-2c268592e6e8_0	2025-08-07T20:06:54.153915+05:30	JOAN DABON – 07/01/2025 Ms. Dabon comes to the office today. Five days ago, on June 26, 2025, I did release of the right first dorsal extensor compartment of her wrist and she states she is doing great. No pain, no discomfort, happy about the results, no troubles with anesthesia, and she took a couple of Tylenol and she already went back to regular duty tomorrow. PHYSICAL EXAMINATION: Ms. Dabon is a pleasant, cooperative woman. Her temperature in the office is 97.2. Examination of the right wrist revealed nicely healed incision. The sutures were removed. Wound was Steri-Striped.	00:00:00.000	00:00:32.740
GSG11244_4e2070ff-de92-422d-a33b-2c268592e6e8_1	2025-08-07T20:06:54.153915+05:30	She had good range of motion. No localized tenderness. No triggering of the A1 pulleys. No subluxation of the extensor tendons. Negative Finkelstein test and neurologically normal. IMPRESSION: My impression is that Joan Dabon had release of her right first dorsal extensor compartment on June 26, 2025, five days ago, for which her outcome has been excellent. She has no pain, no problems. Her incision looks good. The sutures were removed and she is happy about the results. PLAN: So, I told Ms. Dabon in a couple of weeks, she is going to get a little bit of scar tissue.	00:00:33.260	00:00:58.460
GSG11244_4e2070ff-de92-422d-a33b-2c268592e6e8_2	2025-08-07T20:06:54.153915+05:30	Work on some deep friction massage, otherwise her outcome has been excellent. I sometimes send people to therapy, but her motion is full. She does not really look like she has any problems at all.	00:00:58.540	01:00:07.680
GSG11244_4e2070ff-de92-422d-a33b-2c268592e6e8_3	2025-08-07T20:06:54.153915+05:30	So, if it bothers or if she has any difficulties, then she is obviously welcome back for repeat evaluation.	01:01:07.680	01:01:09.240
GSG11245_fdf1ddc3-e80d-438f-9f0c-e98cdf8ba594_0	2025-08-07T20:23:15.358957+05:30	Now dictating follow-up known as Christopher, last name C-H-E-R-V-E-N-Y-A-K, dated July 1st, 2025. Mr. Chervenyak comes to the office today. I performed surgery on his right shoulder five days ago, on June 26, 2025, when he had an evaluation under anesthesia, manipulation under anesthesia, operative arthroscopy of the right shoulder, abrasion arthroplasty of the humeral head, extensive debridement, subacromial decompression, excision of the distal clavicle, mini arthrotomy, and rotator cuff repair, period. I gave him a copy of the pictures. Everything went fine. He has not a lot of pain. There is a little achiness, The block worked great. He had no troubles with anesthesia. He finished the antibiotics.	00:00:00.000	00:00:34.440
GSG11245_fdf1ddc3-e80d-438f-9f0c-e98cdf8ba594_1	2025-08-07T20:23:15.358957+05:30	He is not taking any pain medications, period. He was able to drive today. period, Physical examination. Mr. Chervenyak, is a pleasant and cooperative male, Examination of his right shoulder, revealed nicely healed, he healed incisions, the state of the wound, the wound was Steri-Striped, Temperature in the mail, examination of his right shoulder, nicely healed incision, Staples were removed and wound was Steri-Striped, period. His temperature in the office is 97.7. He could abduct and forward flex to about 45 degrees and passively about 120 degrees. He had about 30 degrees of active internal and external rotation and passively about 40 degrees. I did not do a drop test or an impingement test because he just had a rotator cuff repair, period.	00:00:34.640	00:01:04.760
GSG11245_fdf1ddc3-e80d-438f-9f0c-e98cdf8ba594_2	2025-08-07T20:23:15.358957+05:30	I took out all the original stitches that were present. It was a small tear, so I think we can push him a little bit more gently on regaining active range of motion. Neurologically, he is normal. X-RAYS: AP and lateral x-rays, of the right shoulder demonstrate he is status post subacromial decompression and excision of distal clavicle. IMPRESSION: My impression is that Mr. Christopher Chervenyak had surgery five days ago on June 26, 2025, when I did an evaluation under anesthesia, manipulation under anesthesia, operative arthroscopy of the right shoulder, abrasion arthroplasty of the humeral He also had a subacromial decompression, excision of distal clavicle, mini arthrotomy, and a rotator cuff repair.	00:01:04.760	00:01:36.060
GSG11245_fdf1ddc3-e80d-438f-9f0c-e98cdf8ba594_3	2025-08-07T20:23:15.358957+05:30	I think everything went well. The rotator cuff tear was small. I was able to repair the rotator cuff, so I think we can treat him more like a bad arthroscopy rather than six weeks of passive range of motion. He is completely fine with this. He is already working on active range of motion. He is just being careful. At this point, Mr. Chervenyak will start his physical therapy. For the first three weeks, let us work on passive range of motion, then come to see me in three weeks, and we will work on active range of motion. It is going to take a few months for him to rehab and build his strength back up to normal. So I gave him a note for out of work. He will do the rehab. Medication wise, not taking anything, which is fine.	00:01:36.400	00:02:08.760
GSG11245_fdf1ddc3-e80d-438f-9f0c-e98cdf8ba594_4	2025-08-07T20:23:15.358957+05:30	and I will see him back in my office in three weeks.	00:02:08.760	00:02:11.200
GSG11248_37eae8f5-eb0c-4f7b-b916-648e14fbdda2_0	2025-08-08T14:53:00.786077+05:30	Now, Dictator and Founder Rodrigo, asking Mr. Ortega, Dacia Olivo, takes your life for three and a half months ago. He sustained a minor compression fracture of superior endplate T11 and L2 along with a little bit of a right frozen shoulder. He is doing much better. He does not really have back pain.	00:00:00.000	00:00:29.540
GSG11248_37eae8f5-eb0c-4f7b-b916-648e14fbdda2_1	2025-08-08T14:53:00.786077+05:30	He does not really have shoulder pain. He still notices reaching behind his back, he is a little bit stiff but otherwise he has finished his therapy. He is not taking any pain medications. He is happy about the outcome. I have been giving him notes for light duty but as far as he is concerned he can go back to regular duty tomorrow. He has no complaints. He can stand, bend, walk, squat, push, pull, lift, carry, and sleep. Carry. Can break a physical examination. Mr. Ortega Olivo is a pleasant and cooperative male. His temperature in the office is 97.0. Period. Examination of the right shoulder revealed no muscle spasm, no trigger points, no ecchymosis, erythema, abrasion, discoloration, edema, localized tenderness. Period. He has forward flexion, full forward flexion.	00:00:30.040	00:01:03.760
GSG11248_37eae8f5-eb0c-4f7b-b916-648e14fbdda2_2	2025-08-08T14:53:00.786077+05:30	Full external rotation. He lacks a little bit of internal rotation of his right shoulder. Negative Neer test, negative Speed test, negative O’Brien test, negative belly press test, negative lift-off test period. No deformity body structure. We're at a macro for an LS normal form. New paragraph X-RAYS. APLX lateral thoracic spine demonstrate completely healed barely visible superior endplate fracture of T11. And extra lumbar spine APLL showed healed minimal compression of formative of the superior endplate of the body of L2.	00:01:04.140	00:01:34.000
GSG11248_37eae8f5-eb0c-4f7b-b916-648e14fbdda2_3	2025-08-08T14:53:00.786077+05:30	Periodic vagal compression, my freshman is Rodrigo Ortega-Olivo, was allowed to work with the accident three-and-a-half months ago on March 16, 2025, sustaining minor compression of fracture of the superior endplate of T11 and L2 and a minor right frozen shoulder. At this point, other than lacking a couple degrees of internalures to the brain, plate of T11 and L2, and a minor right frozen shoulder. At this point, other than lacking a couple degrees of internal rotation of the right shoulder, he has no other complaints. His examination was normal. His x-rays show excellent healing of the fracture of the thoracic lumbar spine. And he has finished his therapy. He has been instructed on home exercises. He is not taking any pain medication. He takes calcium and vitamin D per my recommendation. And as far as work goes, he would like to go back to regular duty tomorrow.	00:01:34.000	00:02:06.180
GSG11248_37eae8f5-eb0c-4f7b-b916-648e14fbdda2_4	2025-08-08T14:53:00.786077+05:30	At this point, Mr. Ortega-Olivo can return to regular duty as of July 2, 2025 without restrictions. I will consider him to be MMI. I answered all of his questions for him and he was discharged from the office. Complaint goes to Great American Strategic Compost. This is Fox 4080, Clinton, Iowa. 52733, Attention, H-U-G-H, Spiegelman, S-P-I-E-G-E-L-M-A-N. Clemens A. Zanartho, 00703618. For his S-U-P-R-E-M-O, Foods, Common, LLC. Fox Capital Rosas, Stagnetic, Agenics. It's 877-883-4947. Thank you.	00:02:06.360	00:02:38.400

GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_0

2025-08-07T19:45:06.079968+05:30

Now to the phone line, Jeanette Esposito, July 1st, 2025. Ms. Esposito comes to the office today with her companion, Faith. I had seen her almost three weeks ago on June 10, 2025. She had a recurrent dislocation of her right shoulder. I had done her rotator cuff repair years ago and she is feeling much better, though she does not have much pain. She is a little stiff. She has been wearing the sling. because we told her in her age group, 72 years old, after one dislocation, likelihood of recurrent dislocation is small,

00:00:00.000

00:00:30.980

GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_1

2025-08-07T19:45:06.079968+05:30

but after two dislocations, significantly increases. Also with two dislocations, she has the potential of re-tearing the rotator cuff and damage the axillary nerve, though she does not have any numbness. PHYSICAL EXAMINATION.

00:00:31.060

00:00:44.640

GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_2

2025-08-07T19:45:06.079968+05:30

Ms. Esposito is a pleasant, cooperative woman. Her temperature in the office is 97.4. Examination of her right shoulder reveals no numbness. She has a nicely healed scar from prior surgery. It is not hot or red. There is really no tenderness. She could forward flex about 65 degrees without any problems. I did not really want to externally rotate her. I did not really want her to abduct. I did not want to put her at any risk of recurrent dislocation. Actually, I really could not do a drop test. I could not do an impingement test. Her biceps looks okay. Neurologically, she is intact.

00:00:44.760

00:01:14.200

GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_3

2025-08-07T19:45:06.079968+05:30

IMPRESSION: My impression is that Jeanette Esposito suffered two dislocations, first on April 18, 2025 as a result of fall and the second one while killing a bug on June 4, 2025. Now, it has just been about four weeks since the second dislocation. She looks okay at this point, but I told her to wear the sling when she goes to sleep at night, wear the sling when she goes out to go to a party, but otherwise, take the sling off and do some gentle forward flexion exercises. I would avoid external rotation, I would avoid any abduction and just be really careful. She is going South Carolina in a few days.

00:01:14.200

00:01:43.400

GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_4

2025-08-07T19:45:06.079968+05:30

She is going to be back at the end of July. So, she will come see me in end of July. We will check on her, and at that point, we will put her through a little bit more range of motion exercises, but I probably would not recommend therapy because I am nervous she is going to re-dislocate her shoulder. She is also going to do a cruise in September. Hopefully, she will be okay at that point, but if over the next few weeks, she has poor abduction, then this could represent a recurrent tear of the rotator cuff. She may need an MRI, though she is really not interested in any type of surgery. So, she is fine with this. She must be nice and gentle,

00:01:43.440

00:02:12.000

GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_5

2025-08-07T19:45:06.079968+05:30

so it may decrease the risk of any type of recurrent dislocation, and I will see her back in my office in next four weeks or so once she is back from South Carolina.

00:02:12.000

00:02:19.500

GSG11242_78f7a749-d721-4d40-9441-1093f5a3e7af_0

2025-08-07T19:48:45.928940+05:30

Now, continuing with the problem with Candida, C-N-D-I-D-A, Marques, M-A-R-Q-U-E-S, dated July 1st, 2025. Ms. Marques comes to the office today. She has primary degenerative joint disease of both knees. She is here because her right knee is bothering the most. She wants to know if we can do an aspiration and cortisone shot. The last one was multiple months ago and I told her I can. It helps her makes her feel better. She is also going to Portugal in the very end of September. So, I told her if she wants to do it again, we could do that again. PHYSICAL EXAMINATION: Ms. Marques is a pleasant and cooperative woman. Examination of the right knee reveals moderate joint effusion present. She cannot fully extend or flex. She has some minimal diffuse tenderness. No gross evidence of instability. She walked with a mildly

00:00:00.000

00:00:32.840

GSG11242_78f7a749-d721-4d40-9441-1093f5a3e7af_1

2025-08-07T19:48:45.928940+05:30

abnormal gait. CANDIDA MARQUES – 07/01/2025 CONTINUED IMPRESSION: My impression is that Candida Marques has primary degenerative joint disease of both knees, but the right knee is much more significantly uncomfortable. She wants me to do an aspiration and cortisone shot, which I aspirated 18 cc of clearish yellow fluid. gave her the injection of 1 cc of 0.125% Marcaine without epinephrine along with 6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate. The complications associated with a cortisone injection include allergic reactions, pain, infection, and complications associated with diabetes to include, but not exclusively, elevation of blood sugar and worsening of your diabetic condition. Complications also include discoloration of the site of the injection, especially in dark-skinned individuals to include a bluish or whitish discoloration. Cortisone injections can also cause degradation of tendons and bone and damage to the articular cartilage. The injection you receive includes 1 cc of 0.125% Marcaine without epinephrine along with 6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate. The Marcaine will take about 20 minutes to work and will last for four hours, then wear off, and you may have some increasing discomfort. The cortisone injection usually takes a day and a half to two days to work. Ice it, take it easy, come to see me a few days before she goes to Portugal. We can always do this again for her right knee and possibly her left knee also.

00:00:32.840

00:01:02.000

GSG11242_78f7a749-d721-4d40-9441-1093f5a3e7af_2

2025-08-07T19:48:45.928940+05:30

Possibly, when she comes in to see me the next time, maybe repeating x-rays of both knees would be appropriate. Possibly when she comes in to see me next time, maybe repeating x-rays of both knees would be appropriate, period.

00:01:02.000

00:01:10.320

GSG11243_e11464f1-0bba-437e-8c41-bb3f03be71a5_0

2025-08-07T19:55:30.316264+05:30

Now dictating a problem on Terrance T-E-R-R-A-N-C-E Henry, H-E-N-R-Y. Take this July 1st, 2025. Mr. Henry comes to the office today. He has long-term right knee problems. He has tears of his medial and lateral meniscus, some insufficiency abnormalities of the lateral condyle. He has chondrocalcinosis. He has had x-rays, cortisone shot, he has been going to therapy. He states it helps a little bit but he has been doing the home exercises. He has been taking the Naprosyn. At this point, he states his right knee is a little bit better, still not great, but now he also gets pain in his low back, radiation of pain down his right leg all the way down to his foot.

00:00:00.000

00:00:32.360

GSG11243_e11464f1-0bba-437e-8c41-bb3f03be71a5_1

2025-08-07T19:55:30.316264+05:30

He has had sciatica in the past on his left leg, now his right leg. and that is starting to make him miserable. I asked him which is worse, the back or the leg at this point or the knee, and he is not sure. PHYSICAL EXAMINATION: Mr. Henry is a pleasant and cooperative male. He has no tenderness in his back. Straight leg raise is negative. Sensory, motor, and reflexes are normal. He is able to toe and heel walk without discomfort. He has a moderate size joint effusion present. He cannot fully extend or flex his leg. He has tenderness over his medial and lateral compartments, positive McMurray, negative Apley grind, 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. TERRANCE HENRY – 07/01/2025 CONTINUED IMPRESSION: My impression is that Terrance Henry has chondrocalcinosis of his right knee, primary degenerative joint disease of his right knee,

00:00:32.360

00:01:07.040

GSG11243_e11464f1-0bba-437e-8c41-bb3f03be71a5_2

2025-08-07T19:55:30.316264+05:30

insufficiency abnormalities of the lateral condyle, tear of the medial and lateral meniscus and it also looks like he may have some sciatica in the right lower extremity, though neurologically intact, and he does not have much back pain. PLAN: So, I explained to Mr. Henry, he does not want to continue with therapy on his knee and he states he can do that on his own at home, but I think going for some therapy on his back might be worthwhile. He will do the home exercises, stretch it, he can take the Naprosyn p.r.n. I gave him an appointment to see him in three weeks and we will see what happens. If this improves with conservative care and he does okay with this, I would do nothing else, and if it does not improve with conservative care, then I think he will have to consider the arthroscopy of the right knee. and that will be up to him to make that final determination.

00:01:07.040

00:01:52.280

GSG11244_4e2070ff-de92-422d-a33b-2c268592e6e8_0

2025-08-07T20:06:54.153915+05:30

JOAN DABON – 07/01/2025 Ms. Dabon comes to the office today. Five days ago, on June 26, 2025, I did release of the right first dorsal extensor compartment of her wrist and she states she is doing great. No pain, no discomfort, happy about the results, no troubles with anesthesia, and she took a couple of Tylenol and she already went back to regular duty tomorrow. PHYSICAL EXAMINATION: Ms. Dabon is a pleasant, cooperative woman. Her temperature in the office is 97.2. Examination of the right wrist revealed nicely healed incision. The sutures were removed. Wound was Steri-Striped.

00:00:00.000

00:00:32.740

GSG11244_4e2070ff-de92-422d-a33b-2c268592e6e8_1

2025-08-07T20:06:54.153915+05:30

She had good range of motion. No localized tenderness. No triggering of the A1 pulleys. No subluxation of the extensor tendons. Negative Finkelstein test and neurologically normal. IMPRESSION: My impression is that Joan Dabon had release of her right first dorsal extensor compartment on June 26, 2025, five days ago, for which her outcome has been excellent. She has no pain, no problems. Her incision looks good. The sutures were removed and she is happy about the results. PLAN: So, I told Ms. Dabon in a couple of weeks, she is going to get a little bit of scar tissue.

00:00:33.260

00:00:58.460

GSG11244_4e2070ff-de92-422d-a33b-2c268592e6e8_2

2025-08-07T20:06:54.153915+05:30

Work on some deep friction massage, otherwise her outcome has been excellent. I sometimes send people to therapy, but her motion is full. She does not really look like she has any problems at all.

00:00:58.540

01:00:07.680

GSG11244_4e2070ff-de92-422d-a33b-2c268592e6e8_3

2025-08-07T20:06:54.153915+05:30

So, if it bothers or if she has any difficulties, then she is obviously welcome back for repeat evaluation.

01:01:07.680

01:01:09.240

GSG11245_fdf1ddc3-e80d-438f-9f0c-e98cdf8ba594_0

2025-08-07T20:23:15.358957+05:30

Now dictating follow-up known as Christopher, last name C-H-E-R-V-E-N-Y-A-K, dated July 1st, 2025. Mr. Chervenyak comes to the office today. I performed surgery on his right shoulder five days ago, on June 26, 2025, when he had an evaluation under anesthesia, manipulation under anesthesia, operative arthroscopy of the right shoulder, abrasion arthroplasty of the humeral head, extensive debridement, subacromial decompression, excision of the distal clavicle, mini arthrotomy, and rotator cuff repair, period. I gave him a copy of the pictures. Everything went fine. He has not a lot of pain. There is a little achiness, The block worked great. He had no troubles with anesthesia. He finished the antibiotics.

00:00:00.000

00:00:34.440

GSG11245_fdf1ddc3-e80d-438f-9f0c-e98cdf8ba594_1

2025-08-07T20:23:15.358957+05:30

He is not taking any pain medications, period. He was able to drive today. period, Physical examination. Mr. Chervenyak, is a pleasant and cooperative male, Examination of his right shoulder, revealed nicely healed, he healed incisions, the state of the wound, the wound was Steri-Striped, Temperature in the mail, examination of his right shoulder, nicely healed incision, Staples were removed and wound was Steri-Striped, period. His temperature in the office is 97.7. He could abduct and forward flex to about 45 degrees and passively about 120 degrees. He had about 30 degrees of active internal and external rotation and passively about 40 degrees. I did not do a drop test or an impingement test because he just had a rotator cuff repair, period.

00:00:34.640

00:01:04.760

GSG11245_fdf1ddc3-e80d-438f-9f0c-e98cdf8ba594_2

2025-08-07T20:23:15.358957+05:30

I took out all the original stitches that were present. It was a small tear, so I think we can push him a little bit more gently on regaining active range of motion. Neurologically, he is normal. X-RAYS: AP and lateral x-rays, of the right shoulder demonstrate he is status post subacromial decompression and excision of distal clavicle. IMPRESSION: My impression is that Mr. Christopher Chervenyak had surgery five days ago on June 26, 2025, when I did an evaluation under anesthesia, manipulation under anesthesia, operative arthroscopy of the right shoulder, abrasion arthroplasty of the humeral He also had a subacromial decompression, excision of distal clavicle, mini arthrotomy, and a rotator cuff repair.

00:01:04.760

00:01:36.060

GSG11245_fdf1ddc3-e80d-438f-9f0c-e98cdf8ba594_3

2025-08-07T20:23:15.358957+05:30

I think everything went well. The rotator cuff tear was small. I was able to repair the rotator cuff, so I think we can treat him more like a bad arthroscopy rather than six weeks of passive range of motion. He is completely fine with this. He is already working on active range of motion. He is just being careful. At this point, Mr. Chervenyak will start his physical therapy. For the first three weeks, let us work on passive range of motion, then come to see me in three weeks, and we will work on active range of motion. It is going to take a few months for him to rehab and build his strength back up to normal. So I gave him a note for out of work. He will do the rehab. Medication wise, not taking anything, which is fine.

00:01:36.400

00:02:08.760

GSG11245_fdf1ddc3-e80d-438f-9f0c-e98cdf8ba594_4

2025-08-07T20:23:15.358957+05:30

and I will see him back in my office in three weeks.

00:02:08.760

00:02:11.200

GSG11248_37eae8f5-eb0c-4f7b-b916-648e14fbdda2_0

2025-08-08T14:53:00.786077+05:30

Now, Dictator and Founder Rodrigo, asking Mr. Ortega, Dacia Olivo, takes your life for three and a half months ago. He sustained a minor compression fracture of superior endplate T11 and L2 along with a little bit of a right frozen shoulder. He is doing much better. He does not really have back pain.

00:00:00.000

00:00:29.540

GSG11248_37eae8f5-eb0c-4f7b-b916-648e14fbdda2_1

2025-08-08T14:53:00.786077+05:30

He does not really have shoulder pain. He still notices reaching behind his back, he is a little bit stiff but otherwise he has finished his therapy. He is not taking any pain medications. He is happy about the outcome. I have been giving him notes for light duty but as far as he is concerned he can go back to regular duty tomorrow. He has no complaints. He can stand, bend, walk, squat, push, pull, lift, carry, and sleep. Carry. Can break a physical examination. Mr. Ortega Olivo is a pleasant and cooperative male. His temperature in the office is 97.0. Period. Examination of the right shoulder revealed no muscle spasm, no trigger points, no ecchymosis, erythema, abrasion, discoloration, edema, localized tenderness. Period. He has forward flexion, full forward flexion.

00:00:30.040

00:01:03.760

GSG11248_37eae8f5-eb0c-4f7b-b916-648e14fbdda2_2

2025-08-08T14:53:00.786077+05:30

Full external rotation. He lacks a little bit of internal rotation of his right shoulder. Negative Neer test, negative Speed test, negative O’Brien test, negative belly press test, negative lift-off test period. No deformity body structure. We're at a macro for an LS normal form. New paragraph X-RAYS. APLX lateral thoracic spine demonstrate completely healed barely visible superior endplate fracture of T11. And extra lumbar spine APLL showed healed minimal compression of formative of the superior endplate of the body of L2.

00:01:04.140

00:01:34.000

GSG11248_37eae8f5-eb0c-4f7b-b916-648e14fbdda2_3

2025-08-08T14:53:00.786077+05:30

Periodic vagal compression, my freshman is Rodrigo Ortega-Olivo, was allowed to work with the accident three-and-a-half months ago on March 16, 2025, sustaining minor compression of fracture of the superior endplate of T11 and L2 and a minor right frozen shoulder. At this point, other than lacking a couple degrees of internalures to the brain, plate of T11 and L2, and a minor right frozen shoulder. At this point, other than lacking a couple degrees of internal rotation of the right shoulder, he has no other complaints. His examination was normal. His x-rays show excellent healing of the fracture of the thoracic lumbar spine. And he has finished his therapy. He has been instructed on home exercises. He is not taking any pain medication. He takes calcium and vitamin D per my recommendation. And as far as work goes, he would like to go back to regular duty tomorrow.

00:01:34.000

00:02:06.180

GSG11248_37eae8f5-eb0c-4f7b-b916-648e14fbdda2_4

2025-08-08T14:53:00.786077+05:30

At this point, Mr. Ortega-Olivo can return to regular duty as of July 2, 2025 without restrictions. I will consider him to be MMI. I answered all of his questions for him and he was discharged from the office. Complaint goes to Great American Strategic Compost. This is Fox 4080, Clinton, Iowa. 52733, Attention, H-U-G-H, Spiegelman, S-P-I-E-G-E-L-M-A-N. Clemens A. Zanartho, 00703618. For his S-U-P-R-E-M-O, Foods, Common, LLC. Fox Capital Rosas, Stagnetic, Agenics. It's 877-883-4947. Thank you.

00:02:06.360

00:02:38.400