processed_time,segment_uid,start_time,end_time,text,audio_file
1754916393,GSG11241_eddfa15c-9d37-4ac4-81ff-b20e00fd58d3_0,00:00:00.000,00:00:30.980,"Now dictating a follow-up note on Jeanette JENETTE Esposito ESPOSITO date is July 1st, 2025 Ms. Esposito comes to the office today with her companion, Faith. I had seen her almost three weeks ago on June 10, 2025. She had a recurrent dislocation of her right shoulder. I had done her rotator cuff repair years ago and she is feeling much better, though she does not have much pain. She does not have much pain. She is a little stiff. She has been wearing the sling. because we told her in her age group 72 years old, after one dislocation, likelihood of recurrent dislocation is small",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11241_eddfa15c-9d37-4ac4-81ff-b20e00fd58d3_0.mp3
1754916393,GSG11241_eddfa15c-9d37-4ac4-81ff-b20e00fd58d3_1,00:00:31.060,00:00:44.640,"but after two dislocations, the likelihood of a third dislocation 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. New paragraph. PHYSICAL EXAMINATION:",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11241_eddfa15c-9d37-4ac4-81ff-b20e00fd58d3_1.mp3
1754916393,GSG11241_eddfa15c-9d37-4ac4-81ff-b20e00fd58d3_2,00:00:44.760,00:01:14.200,"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.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11241_eddfa15c-9d37-4ac4-81ff-b20e00fd58d3_2.mp3
1754916393,GSG11241_eddfa15c-9d37-4ac4-81ff-b20e00fd58d3_3,00:01:14.200,00:01:43.400,"Can be better than pressure myopathy or genitis. 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.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11241_eddfa15c-9d37-4ac4-81ff-b20e00fd58d3_3.mp3
1754916393,GSG11241_eddfa15c-9d37-4ac4-81ff-b20e00fd58d3_4,00:01:43.440,00:02:12.000,"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,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11241_eddfa15c-9d37-4ac4-81ff-b20e00fd58d3_4.mp3
1754916393,GSG11241_eddfa15c-9d37-4ac4-81ff-b20e00fd58d3_5,00:02:12.000,00:02:19.500,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.,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11241_eddfa15c-9d37-4ac4-81ff-b20e00fd58d3_5.mp3
1754916990,GSG11242_0e5a1ce6-fe88-45f9-9588-a9c3f2abf764_0,00:00:00.000,00:00:32.840,"Now dictating a follow-up note on Candida CANDIDA MARQUES Marques, date is 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. New paragraph 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",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11242_0e5a1ce6-fe88-45f9-9588-a9c3f2abf764_0.mp3
1754916990,GSG11242_0e5a1ce6-fe88-45f9-9588-a9c3f2abf764_1,00:00:32.840,00:01:02.000,"Paragraph IMPRESSION: My impression is that Candida Marques Marquez has got primitive joint fluency both knees which the right knee is much more significantly uncomfortable period. She wants me to do an aspiration cortisone shot which I find completely acceptable period. New paragraph. I want to thank the NECI. Aspirated 18 cc school shell fluid. Gave the injection 1 cc of 0.125% Marcaine without epinephrine along with 6 mg of betamethasone acetate, 6 mg of betamethasone sodium phosphate, Macro four cortisone shot. Ice it, take it easy, come to see me a few days before she goes to Portugal.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11242_0e5a1ce6-fe88-45f9-9588-a9c3f2abf764_1.mp3
1754916990,GSG11242_0e5a1ce6-fe88-45f9-9588-a9c3f2abf764_2,00:01:02.000,00:01:10.320,"We can always do this again for her right knee and possibly her left knee also. Possibly, when she comes in to see me the next time, maybe repeating x-rays of both knees would be appropriate.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11242_0e5a1ce6-fe88-45f9-9588-a9c3f2abf764_2.mp3
1754923430,GSG11244_a5d52e41-e400-4554-a1ac-1532e2b320b0_0,00:00:00.000,00:00:32.740,"Now dictating JOAN last name dabon DABON, 07/01/2025 Ms. Dabon comes to the office today. Five days ago, on June 26, 2025, I did release of the right first dorsal extensor compartment of her wrist, and she states she is doing great. No pain, no discomfort, happy about the results, no troubles with anesthesia, and she took a couple of Tylenol and she already went back to regular duty tomorrow. new paragraph PHYSICAL EXAMINATION: Ms. Dabon is a pleasant, cooperative woman. Her temperature in the office is 97.2. Examination of the right wrist revealed nicely healed incision.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11244_a5d52e41-e400-4554-a1ac-1532e2b320b0_0.mp3
1754923430,GSG11244_a5d52e41-e400-4554-a1ac-1532e2b320b0_1,00:00:33.260,00:01:07.680,"The sutures were removed. Wound was Steri-Striped. 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. My impression is The bond released at the 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. So, I told Ms. Dabon in a couple of weeks, she is going to get a little bit of scar tissue. Work on some deep friction massage, otherwise her outcome has been excellent. otherwise her outcome has been excellent.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11244_a5d52e41-e400-4554-a1ac-1532e2b320b0_1.mp3
1754923430,GSG11244_a5d52e41-e400-4554-a1ac-1532e2b320b0_2,00:01:07.680,00:01:18.040,"I sometimes send people to therapy, but her motion is full. She does not really look like she has any problems at all. So, if it bothers or if she has any difficulties, then she is obviously welcome back for repeat evaluation.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11244_a5d52e41-e400-4554-a1ac-1532e2b320b0_2.mp3
1754924591,GSG11245_14095c0b-2c45-48e9-bcac-6666b1946100_0,00:00:00.000,00:00:34.440,"now dictating follow-up note on CHRISTOPHER M. CHERVENYAK 07/01/2025 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, rotator cuff repair. 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.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11245_14095c0b-2c45-48e9-bcac-6666b1946100_0.mp3
1754924591,GSG11245_14095c0b-2c45-48e9-bcac-6666b1946100_1,00:00:34.640,00:01:03.760,"he's not taking any pain medications, period. He was able to drive today, period, and break a physical examination. Giovene, he was supposed to go out with a male, an examination of his right shoulder, he healed nicely, he healed incisions, the state of the wound, wound was Steri-Striped. 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.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11245_14095c0b-2c45-48e9-bcac-6666b1946100_1.mp3
1754924591,GSG11245_14095c0b-2c45-48e9-bcac-6666b1946100_2,00:01:04.760,00:01:32.380,"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. 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 head, extensive debridement,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11245_14095c0b-2c45-48e9-bcac-6666b1946100_2.mp3
1754924591,GSG11245_14095c0b-2c45-48e9-bcac-6666b1946100_3,00:01:32.480,00:02:03.760,"he also had a subacromial decompression, excision of distal clavicle, mini arthrotomy, and a rotator cuff repair. repair period. 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. So, 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, but it is going to take a few months for him to rehab and build his strength back up to normal.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11245_14095c0b-2c45-48e9-bcac-6666b1946100_3.mp3
1754924591,GSG11245_14095c0b-2c45-48e9-bcac-6666b1946100_4,00:02:04.220,00:02:11.200,"So, I gave him a note for out of work. He will do the rehab. Medication wise, he is not taking anything, which is fine. And I will see him back in my office in three weeks.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11245_14095c0b-2c45-48e9-bcac-6666b1946100_4.mp3
1754916451,GSG21246_1a967a5d-20ac-4040-affc-a5a2068fa9ec_0,00:00:00.000,00:00:28.180,"now dictating a follow-up note on RICHARD OLIVA – 07/01/2025 Mr. Oliva comes to the office today. His date of injury goes back to June 6, 2025, where he sustained a strain of his right shoulder. I put him on Naprosyn and he thinks that really did not help very much.  I gave him a cortisone shot back on June 17, 2025. He is not sure if it helped very much. I had recommended therapy. He is on three sessions of therapy and he is still pretty miserable. He has pain with rotation, pain with activity, pain with sleeping at nighttime.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21246_1a967a5d-20ac-4040-affc-a5a2068fa9ec_0.mp3
1754916451,GSG21246_1a967a5d-20ac-4040-affc-a5a2068fa9ec_1,00:00:28.240,00:00:58.720,"He is driving. He is going to work light duty, but he thinks they are pushing him too hard at work. I did review his physical therapy notes from GIG Physical Therapy. They thought he was doing okay. PHYSICAL EXAMINATION: Mr. Oliva is a pleasant and cooperative male. Examination of the right shoulder revealed most of his tenderness is over the anterior aspect, little tenderness over the AC joint. He has some tenderness posteriorly. He has a positive impingement test, positive Neer test. He still has limited range of motion, 8 to about 105 degrees of abduction and forward flexion, maybe about 45 degrees of external rotation, 40 degrees of internal rotation, questionably positive Speed test, questionably positive",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21246_1a967a5d-20ac-4040-affc-a5a2068fa9ec_1.mp3
1754916451,GSG21246_1a967a5d-20ac-4040-affc-a5a2068fa9ec_2,00:00:58.720,00:01:31.600,"O'Brien test, negative drop test. Neurologically, his examination was completely normal. The person I present at Richard Levo was involved in a work-lead accident in June 6, 2025. Three and a half weeks ago, he was seen as estranged of his right shoulder. He's had a cortisone shot, naproxen, physical therapy rehab. He's still pretty miserable. He had a history of a problem with his left shoulder years ago, labral pathology. So, considering the mechanism of injury, it's possible he may have damaged his labrum based on this accident in June 6, 2025 over to the cuff. the answer is possible Period of plans, so I'll explain to him. So, leave him at my recommendation. Continue with the therapy.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21246_1a967a5d-20ac-4040-affc-a5a2068fa9ec_2.mp3
1754916451,GSG21246_1a967a5d-20ac-4040-affc-a5a2068fa9ec_3,00:01:31.600,00:02:00.060,"will continue with the light duty. he can take the Naprosyn as needed. At this point, an MR arthrogram of the right shoulder would be appropriate to make a determination whether there is evidence of rotator cuff or labral pathology and then treat him appropriately. He was fine with this. He'll get the MRI of arthogram, make sure when he goes for the MRI of arthogram, he gets the actual disc, brings it to my office. I gave him an appointment to see me in a couple weeks. We will go over the MRI to determine the need for appropriate treatment in the future.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21246_1a967a5d-20ac-4040-affc-a5a2068fa9ec_3.mp3
1754916451,GSG21246_1a967a5d-20ac-4040-affc-a5a2068fa9ec_4,00:02:00.060,00:02:17.540,"but after two dislocations, the likelihood of a third dislocation 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:--",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21246_1a967a5d-20ac-4040-affc-a5a2068fa9ec_4.mp3
1754917046,GSG21247_7a3cc4f5-59b1-4e33-b4d2-9acf2a6538c6_0,00:00:00.000,00:00:31.720,"now dictating follow up note on JAMES GERTMAN – 07/01/2025 Mr. Gertman comes to the office today. His date of injury goes back to May 27, 2025. He injured his right knee at work. That was approximately five weeks ago. He had an aspiration and cortisone shot for his right knee. He has high blood pressure, therefore I told him to avoid the anti-inflammatory medications. Though he has been taking ibuprofen 600 mg. He has been going to therapy, though he does not think it has really helped him.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21247_7a3cc4f5-59b1-4e33-b4d2-9acf2a6538c6_0.mp3
1754917046,GSG21247_7a3cc4f5-59b1-4e33-b4d2-9acf2a6538c6_1,00:00:31.720,00:00:59.020,"I have been giving him notes for light duty, but he states there is no light duty available. When I had seen Mr. Gertman in the past, he was also complaining about pain in his left knee, but it was my opinion that I did not think any problems with the left knee were causally related to the accident of May 27, 2025. So, he complains of more pain in his left knee today, a lot of swelling, difficulty walking, he comes with a crutch. He states his right knee is little bit better, but the left knee is miserable. PHYSICAL EXAMINATION: Examination of his right knee reveals a very small",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21247_7a3cc4f5-59b1-4e33-b4d2-9acf2a6538c6_1.mp3
1754917046,GSG21247_7a3cc4f5-59b1-4e33-b4d2-9acf2a6538c6_2,00:00:59.020,00:01:29.080,"joint effusion present. There was no significant tenderness. Range of motion was 3 to about 135 degrees. He had 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. Examination of the left knee revealed a huge joint effusion present. His temperature in the office is 97.3. He had significantly decreased range of motion. just moving the knee gave him agonizing pain. It was a little warm, but not hot. and he was afebrile. His range of motion was severely limited in his left",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21247_7a3cc4f5-59b1-4e33-b4d2-9acf2a6538c6_2.mp3
1754917046,GSG21247_7a3cc4f5-59b1-4e33-b4d2-9acf2a6538c6_4,00:01:55.940,00:02:25.140,"I also was able to obtain the synovial fluid results of his right knee that I had aspirated when I had seen him in my office initially on June 10, 2025 and it came back as monosodium urate crystals observed by polarized light microscopy, which is consistent with gout. I asked him if he had gout in the past. He states never in his knee, but he had it in his left right toe. So, I told him this is gout.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21247_7a3cc4f5-59b1-4e33-b4d2-9acf2a6538c6_4.mp3
1754917046,GSG21247_7a3cc4f5-59b1-4e33-b4d2-9acf2a6538c6_5,00:02:25.440,00:02:51.460,"His problems with his knees are gout, though it does not appear to be specifically related to the accident of May 27, 2025.  I do not consider this pain in his left knee to be specifically causally related to the accident of May 27, 2025. He is in excellent physical condition. I understand if a 75-year-old out-of-shape, overweight individual having an injury to the right knee, is putting more weight on the left knee may bother the left knee, but he is a young individual who looks like he is in good physical condition.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21247_7a3cc4f5-59b1-4e33-b4d2-9acf2a6538c6_5.mp3
1754917046,GSG21247_7a3cc4f5-59b1-4e33-b4d2-9acf2a6538c6_6,00:02:51.660,00:03:22.340,"So my impression at this point is Mr. Gertman's examination of both knees as a result of gouty arthritis in both knees and not specifically causally related to the accident of May 27, 2025. PLAN: So, I told Mr. Gertman, considering the amount of pain he has in his left knee, He'll do an aspiration cortisone shot. So I took out 105 cc's of cloudy fluid from the left knee, gave him an injection of 1 cc of 0.125% more campyloctin, 6 milligrams of metastatic, 6 milligrams of metastatic and 75 of spain, put down a macro four cortisone shot period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21247_7a3cc4f5-59b1-4e33-b4d2-9acf2a6538c6_6.mp3
1754917046,GSG21247_7a3cc4f5-59b1-4e33-b4d2-9acf2a6538c6_7,00:03:22.340,00:03:52.320,"I told him to ice it, comma. He needs to now go to see his family doctor with regard to this pain in both knees because this is a gouty problem, not a work-related problem. So, as far as work goes, I gave him a note for light duty. I gave him an appointment to see me in a week, what he needs to do is take colchicine 0.6 mg two pills once and then one pill couple of hours later. Then, after the gout has slowly resolved, he can go on allopurinol,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21247_7a3cc4f5-59b1-4e33-b4d2-9acf2a6538c6_7.mp3
1754917452,GSG21249_3c2c65b3-ad83-4476-af03-581c6af8e184_0,00:00:00.000,00:00:30.940,"now dictating follow up note on CARMELINO JUAREZ-HERNANDEZ 07/01/2025 Mr. Juarez-Hernandez comes to the office today. Jose in my office helped translate between Spanish and English. His date of injury goes back to August 19, 2024, injured in his right shoulder. and had just operated on his right shoulder five days ago on June 26, 2025, when he had an evaluation under anesthesia. operative arthroscopy of the right shoulder. debridement in the partial exterior of the right calf, debridement of partial fixative carotid debridement of the calcification, subacromial decompression, excision of the distal clavicle, and then through a separate subpectoralis approach,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21249_3c2c65b3-ad83-4476-af03-581c6af8e184_0.mp3
1754917452,GSG21249_3c2c65b3-ad83-4476-af03-581c6af8e184_1,00:00:30.940,00:00:58.500,"also biceps tenodesis. He is doing okay. One of his friends drove him today to the office. He is a little bit uncomfortable. He finished the antibiotics. He is not taking the Percocet. He took the Motrin, but it made him feel funny, so he does not want to take it. I told him, if he does not want to take it, then take some Tylenol instead. He did the block, which worked fine, and he has a little achiness, but nothing terrible. Mr. Juarez-Hernandez is a pleasant, cooperative male. His temperature in the office is 98.3.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21249_3c2c65b3-ad83-4476-af03-581c6af8e184_1.mp3
1754917452,GSG21249_3c2c65b3-ad83-4476-af03-581c6af8e184_2,00:00:58.500,00:01:22.040,"Examination of the right shoulder reveals nicely healed arthroscopic portals. They are all clean and dry. The Steri-Strips were changed. He had a subpectoralis incision. The staples movement when the Steri-Strips appeared. He had no deformity of the biceps. He had a little bit of ecchymosis. Neurologically intact. He had about 40 degrees of abduction, 40 degrees of abduction before flexion, passively about 70. He had about 25 degrees",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21249_3c2c65b3-ad83-4476-af03-581c6af8e184_2.mp3
1754917452,GSG21249_3c2c65b3-ad83-4476-af03-581c6af8e184_3,00:01:22.040,00:01:51.780,"active internal rotation, passively it may be about 30. We did not do an impingement test or a drop test or a sulcus sign or a belly press test or a lift-off test because of his limited range of motion. Neurologic examination was normal. AP and lateral x-rays of the right shoulder demonstrates he is status post subacromial decompression, excision of the distal clavicle and just about complete removal of the calcification that was there previously. impression Carmelino Juarez-Hernandez was involved in a work-related accident on August 19, 2024, where he injured his right shoulder. He did not improve with conservative treatment.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21249_3c2c65b3-ad83-4476-af03-581c6af8e184_3.mp3
1754917452,GSG21249_3c2c65b3-ad83-4476-af03-581c6af8e184_4,00:01:51.900,00:02:25.060,"Therefore, I operated on his right shoulder five days ago. On June 26, 2025, when he had an evaluation under anesthesia, operative arthroscopy of the right shoulder. I debrided the partial tear of his rotator cuff, a small tear, extensive debridement, debridement of the calcification. I did a subacromial decompression, excision of the distal clavicle, and then through a separate subpectoralis approach, also biceps tenodesis. I think he is doing okay. He cannot take the Motrin because it makes him feel funny, so I told him, just take some Tylenol. He finished the antibiotics. His incisions looked good. He has pretty good passive and active range of motion, and we just need to work on improving that. He had no trouble from anesthesia.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21249_3c2c65b3-ad83-4476-af03-581c6af8e184_4.mp3
1754917452,GSG21249_3c2c65b3-ad83-4476-af03-581c6af8e184_5,00:02:25.060,00:02:55.960,"So at this point Mr. Juarez-Hernandez will start his physical therapy. He was again instructed on ice units, T-bar and pulley system and explained how to use that, which he has been using already. I gave him a note for out-of-work and appointment to see me in two weeks. As far as therapy goes, we want to work on range of motion exercises for his shoulder to improve that and you want to avoid any type of forceful biceps exercise. We do not put him at risk of any type of recurrence. I usually start biceps exercises about six weeks postoperatively. I usually send people back to light duty 8 to 12 weeks postoperatively. and regular duty usually somewhere between four and four-and-a-half months postoperatively.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21249_3c2c65b3-ad83-4476-af03-581c6af8e184_5.mp3
1754917875,GSG21250_6f8d8d1b-dfdb-4e61-99ce-ea3fd52591ae_0,00:00:00.000,00:00:29.980,"now dictating follow up note on TRACEY ATTERBERRY – 07/01/2025 Ms. Atterberry comes to the office today. Her date of injury goes back to March 19, 2025, approximately 15 weeks ago where she sustained a contusion of her right knee. I had seen her last week in my office on June 25, 2025. I gave her a cortisone shot and resolved all of her pain. I sent her back to regular duty. She is doing regular duty and she is happy about the results. She can stand, bend, walk, and squat. She uses a walker because of the stroke,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21250_6f8d8d1b-dfdb-4e61-99ce-ea3fd52591ae_0.mp3
1754917875,GSG21250_6f8d8d1b-dfdb-4e61-99ce-ea3fd52591ae_1,00:00:30.360,00:00:57.100,"but that has nothing to do with the accident of March 19, 2025. PHYSICAL EXAMINATION: Ms. Atterberry is a pleasant cooperative woman. Her temperature in the office is 98.4. Examination of the right knee revealed no tenderness, swelling, abrasion, discoloration, edema, muscle spasm, trigger points, or erythema. She had full range of motion, 0 to 140 degrees. Negative Lachman, negative pivot shift. No medial or lateral instability was noted 30 degrees of flexion with valgus and varus stress and her motion was quite good at this point",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21250_6f8d8d1b-dfdb-4e61-99ce-ea3fd52591ae_1.mp3
1754917875,GSG21250_6f8d8d1b-dfdb-4e61-99ce-ea3fd52591ae_2,00:00:57.100,00:01:27.680,"being 3 to about 115 degrees. But, genu varus deformity present bilaterally. IMPRESSION: Tracey Atterberry was involved in a work-related accident on March 19, 2025, 15 weeks ago, where she sustained a contusion of her right knee, which at this point has resolved to its pre-injury state. Obviously, she has a significant arthritic condition of her right knee having nothing to do with the accident of March 19, 2025, 2025, and when I gave her the cortisone shot last week on June 25, 2025, that resolved the contusion. She is back to the pre-injury state, she is happy about the results, and she is doing regular duty ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21250_6f8d8d1b-dfdb-4e61-99ce-ea3fd52591ae_2.mp3
1754917875,GSG21250_6f8d8d1b-dfdb-4e61-99ce-ea3fd52591ae_3,00:01:27.680,00:01:59.020,"restrictions. PLAN: So, at this point, Ms. Atterberry can continue with normal work without restrictions. She is at maximum medical benefits from treatment. Any additional problems with regard to her knees based on the arthritic condition, will need to go through her private health insurance, and she was aware of this. I answered all of her questions, I gave her a note for regular duty, and she was discharged from the office. She is MMI at this time. Public goes to Walmart Claim Services. The post is 14731 Lexington, Kentucky, 40512. Attention, Lindell, L-I-N-D-E-L-L-M-O-R-E, and the 25076894. The post is Walmart in Bayonne.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21250_6f8d8d1b-dfdb-4e61-99ce-ea3fd52591ae_3.mp3
1754917875,GSG21250_6f8d8d1b-dfdb-4e61-99ce-ea3fd52591ae_4,00:01:59.420,00:02:06.740,"The fax is up at Danielle, D-A-N-Y-E-L, freeze, F-R-E-S-E, at FMCO at 973-257-2284. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21250_6f8d8d1b-dfdb-4e61-99ce-ea3fd52591ae_4.mp3
1754918036,GSG21251_24f970f4-7ab9-4a09-8ae9-850fbf32d748_0,00:00:00.000,00:00:30.280,"now dictating follow up note on KHONDAKER last name is FAQRUL HASAN date is 07/01/2025 Mr. Faqrul Hasan comes to the office today. His son helped translate. Mr. Faqrul Hasan continues to complain of some pain in his low back, occasional pain down the right lower extremity. He complains about a little bit of atrophy in his right thigh I had seen him previously on October 7, 2024. I recommended a few weeks of therapy,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21251_24f970f4-7ab9-4a09-8ae9-850fbf32d748_0.mp3
1754918036,GSG21251_24f970f4-7ab9-4a09-8ae9-850fbf32d748_1,00:00:30.280,00:00:59.940,"and he states continuing he has continued to go since I saw him back in October 2024. He thinks it has been for ___ more time. The therapists are recommending more therapy. He states it has helped him, but it has not resolved all of his pain and he has already been instructed on all of the home exercises that he can do on his own at home. PHYSICAL EXAMINATION: Mr. Faqrul Hasan is a pleasant, cooperative male. His temperature in the office is 98.5. Examination of low back reveals no tenderness, swelling, abrasions, discoloration. Straight leg raise is negative. He may have 1 cm atrophy of the right thigh",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21251_24f970f4-7ab9-4a09-8ae9-850fbf32d748_1.mp3
1754918036,GSG21251_24f970f4-7ab9-4a09-8ae9-850fbf32d748_2,00:00:59.940,00:01:29.780,"as compared to the left. Sensory, motor, and reflexes are normal. Babinski’s were downward going. He had good range of motion of his hip, good range of motion of his knee, no evidence of instability. He walked with an entirely normal gait. New record brush by brush. Khondaker Faqrul Hasan has been complaining about back pain, some right lower extremity radiculopathy drop. It looks like he may have a little bit of atrophy of his right thigh. He complains about this pain going down his right leg. His x-rays that were done previously in my office on October 7, 2024, involving his lumbar spine, right hip, and knee were all pretty much normal.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21251_24f970f4-7ab9-4a09-8ae9-850fbf32d748_2.mp3
1754918036,GSG21251_24f970f4-7ab9-4a09-8ae9-850fbf32d748_3,00:01:30.180,00:02:00.220,"Minimal arthritic changes. Simply, this represents some sciatica. It is possible. He has been through physical therapy, home exercises, He has been icing this, He has tried different medications, none of which have helped him. He is not a great candidate for anti-inflammatory medication because he takes Plavix because of heart surgery. plan So, at this point, I explained to Mr. Faqrul Hasan, why do not we send him for an EMG nerve conduction study of his back to see if he has lumbar radiculopathy. If he does, then potentially a more aggressive treatment program may be indicated to include epidurals, But considering he has these cardiac problems,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21251_24f970f4-7ab9-4a09-8ae9-850fbf32d748_3.mp3
1754918036,GSG21251_24f970f4-7ab9-4a09-8ae9-850fbf32d748_4,00:02:00.220,00:02:08.820,"I am not sure he is a great candidate for epidurals either. So, get the EMG, come back and see me. We will sit down, We will look at the results, and make a determination of what can be done.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21251_24f970f4-7ab9-4a09-8ae9-850fbf32d748_4.mp3
1754976250,GSG11255_3ad71057-1379-45eb-aeed-0ea26feaf06e_0,00:00:00.000,00:00:33.000,"now dictating follow-up note on GIANELLA ZAVALA-VILLALTA – 07/02/2025 Ms. Zavala-Villalta comes to the office today. She had been involved in a work-related accident on June 3, 2025 injuring her right shoulder and right wrist. I had seen her previously in my office. She had been taking some Advil and Tylenol. She still takes Tylenol. I recommended some therapy. She is back to regular duty. She states she completed one session of therapy. There was a little bit of delay but at this point she does feel better. She has less pain in the right shoulder and right wrist. She still gets a little achiness in the thumb and",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11255_3ad71057-1379-45eb-aeed-0ea26feaf06e_0.mp3
1754976250,GSG11255_3ad71057-1379-45eb-aeed-0ea26feaf06e_2,00:01:00.340,00:01:22.480,"She has a negative impingement test, negative drop test, negative lift-off test, negative belly press test, negative speed test, and negative O’Brien test. She has a negative Neer test. No deformity of the biceps. Examination of the right hand and wrist She points to the thumb and long finger that bother her a little bit. She points to the right wrist that bothers her a little bit, but there is no swelling, no tenderness, full range of motion, no triggering of the A1 pulley, no subluxation of the extensor tendons.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11255_3ad71057-1379-45eb-aeed-0ea26feaf06e_2.mp3
1754976250,GSG11255_3ad71057-1379-45eb-aeed-0ea26feaf06e_4,00:01:49.680,00:02:00.900,can do on her own at home. Pain wise she will take occasional Tylenol that is okay. I gave her an appointment to see me in two weeks. We will check on her. If she is doing If she is doing okay at that point she will be MMI and discharged. If she still has some pain in the right shoulder then possibly a cortisone shot may be indicated.,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11255_3ad71057-1379-45eb-aeed-0ea26feaf06e_4.mp3
1754977207,GSG11256_slow_879f281e-e022-41e3-8e60-fdea5093bf10_0,00:00:00.000,00:00:30.860,"now dictating follow-up note on Francisco Gonzalez date is  July 2, 2025 Mr. Gonzalez comes to the office today. I had seen him previously. He was having back pain. right lower extremity radiculopathy. I put him on a Medrol Dosepak and Naprosyn. It has helped, but he still has some back pain. He gets some radicular pain down the right leg towards his foot. He has done the rehab session. He has been doing home exercises. He had an MRI of his back years ago, back on May 10, 2017,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11256_slow_879f281e-e022-41e3-8e60-fdea5093bf10_0.mp3
1754977207,GSG11256_slow_879f281e-e022-41e3-8e60-fdea5093bf10_1,00:00:30.860,00:00:58.720,which showed disc herniations right-sided component. He is a little concerned that this might have gotten worse. I told him it probably has gotten worse. He is just not happy with the way it is and he would be interested in doing additional diagnostic tests. He has done the rehab. He has taken the anti-inflammatory medications. He has altered his work status. He's also going away to Puerto Rico and the Dominican Republic between July 9th and July,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11256_slow_879f281e-e022-41e3-8e60-fdea5093bf10_1.mp3
1754977207,GSG11256_slow_879f281e-e022-41e3-8e60-fdea5093bf10_2,00:00:58.720,00:01:25.140,"27th, 2025. He also has arthritis in his knee and he'd like to come in prior to going away to get a cortisone shot in his knee, which I've done in the past, which has helped him significantly for the right knee. PHYSICAL EXAMINATION Mr. Gonzalez is a pleasant and cooperative male. Examination of his lumbar spine revealed some mild tenderness present. He has some tenderness in the right sciatic notch. He has some tenderness over the right sacroiliac joint.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11256_slow_879f281e-e022-41e3-8e60-fdea5093bf10_2.mp3
1754977207,GSG11256_slow_879f281e-e022-41e3-8e60-fdea5093bf10_3,00:01:25.140,00:01:54.760,"Range of motion is mildly decreased. Neurologic status including sensory, motor, and reflex were normal. normal, maybe questionably positive straight leg raise on the right and negative on the left, Babinski’s were downward going. No clonus was present. He walked with a grossly normal gait. IMPRESSION: My impression is that Francisco Gonzalez has low back pain, right lower extremity radiculopathy that has come and gone. He has gotten progressively worse. He had an MRI back in 2017 which showed disc herniations on the right side.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11256_slow_879f281e-e022-41e3-8e60-fdea5093bf10_3.mp3
1754977207,GSG11256_slow_879f281e-e022-41e3-8e60-fdea5093bf10_4,00:01:56.360,00:02:29.180,"He has taken the Naprosyn. He has done Tylenol and Advil. He has been icing his back. He went to therapy. He has changed some of his work status, but he is still pretty uncomfortable with regard to his low back with some radiation of pain down the right lower extremity. I think doing an MRI of his lumbar spine would be appropriate. I will continue with the Naprosyn p.r.n. and he is aware of the side effects. I will continue with the home exercises. He will get the MRI of his lumbar spine. He is going away on July 9, 2025,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11256_slow_879f281e-e022-41e3-8e60-fdea5093bf10_4.mp3
1754977207,GSG11256_slow_879f281e-e022-41e3-8e60-fdea5093bf10_5,00:02:29.180,00:02:46.180,"so I am not sure he is going to be able to get the MRI by then. He is coming back on July 27, 2025. So, when he comes back, bring the MRI and the disk with him. We will go over the results to determine what additional treatment may be indicated I will also see him next week for a cortisone shot for his knee prior to going away",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11256_slow_879f281e-e022-41e3-8e60-fdea5093bf10_5.mp3
1754977696,GSG11257_b0fa0988-3246-4e0e-9676-93446055f9f5_0,00:00:00.000,00:00:33.720,"now dictating follow-up note on DOUGLAS B. LAMONT date 07/02/2025 Mr. Lamont comes to the office today. He still complains about back pain. He has lower extremity radiculopathy. He is pretty miserable. He had a hip replacement, which helped him. but he is just uncomfortable. I told him there is not much else I can do. I had seen him recently. He went to see a spine surgeon. who told him there was nothing else they could do. He went to see a pain management doctor. They put him on Lyrica. Lyrica He has been on that for about two weeks. I told him two weeks is not enough. I would give it a little bit more time and see what happens. If he gets better with the Lyrica that is great. He is going back to the pain management doctor in two weeks.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11257_b0fa0988-3246-4e0e-9676-93446055f9f5_0.mp3
1754977696,GSG11257_b0fa0988-3246-4e0e-9676-93446055f9f5_1,00:00:33.740,00:01:03.280,"and if he is not, then they will talk about injections or a spinal cord stimulator. He had a spinal cord stimulator 20 years ago. He did not do well. But the electronics have improved, so I would give it some time and see what happens though I cannot guarantee it is going to resolve his complaints. PHYSICAL EXAMINATION: Mr. Lamont is a pleasant and cooperative male. He has nicely healed incision in his back. He has very decreased range of motion. He has diffuse numbness in both legs. He could not sit down because it was too uncomfortable. He had trouble toe and heel walking and trouble getting up and down off the examining table. He has diffuse weakness in both lower extremities.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11257_b0fa0988-3246-4e0e-9676-93446055f9f5_1.mp3
1754977696,GSG11257_b0fa0988-3246-4e0e-9676-93446055f9f5_2,00:01:03.760,00:01:32.240,"Sensory a little bit decreased also and had difficulty getting reflexes. I could get him a little bit but not great. He walked with a hunched over gait utilizing a cane. My impression is that Douglas Lamont has chronic back problems. He has had surgery on his back, multiple surgeries. He has back pain. He has lower extremity radiculopathy. He has an MRI documenting a right-sided L3-L4 disc herniation. He has been seen by the spinal doctor. He did not think there was anything else that could be done. He was",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11257_b0fa0988-3246-4e0e-9676-93446055f9f5_2.mp3
1754977696,GSG11257_b0fa0988-3246-4e0e-9676-93446055f9f5_3,00:01:32.240,00:01:58.800,"He was seen by the pain management. They put him on Lyrica, but I do not think two weeks of Lyrica is enough. He wants to know if I can give him additional pain medication, but I told him he is under the care of a pain management doctor. They are going to have to treat him for the pain. So, I filled out a form for jury duty because he is not going to be able to go to jury duty because he cannot sit. Go see the pain management doctor and try a couple of injections and see if it helps. You can consider bone stimulator, but I again told him there is no guarantee that these problems are going to resolve and he understood that.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11257_b0fa0988-3246-4e0e-9676-93446055f9f5_3.mp3
1754978856,GSG11259_0223ea71-6fdd-4d04-b683-d19c8c30214f_0,00:00:00.000,00:00:32.580,"Now dictating follow-up note on YOLANDA SMITH  date is 07/02/2025 Ms. Smith comes to the office today. She has primary degenerative joint disease of her right knee. She is here for the second Orthovisc injection. She is definitely better from the first injection. On July 4, 2025, she is going to a pool party and she is bringing in some elements of punch. PHYSICAL EXAMINATION: Ms. Smith is a pleasant and cooperative woman. She walks with a grossly normal gait, She has a small joint effusion in her right knee. She does not really have any tenderness at this point. Range of motion does lack a couple of degrees of both flexion, a couple of degrees of extension. She has a negative Lachman, negative pivot shift,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11259_0223ea71-6fdd-4d04-b683-d19c8c30214f_0.mp3
1754978856,GSG11259_0223ea71-6fdd-4d04-b683-d19c8c30214f_1,00:00:32.680,00:00:44.680,"negative anterior drawer, negative posterior sag, no medial or lateral instability in 10 and 30 degrees of flexion with valgus or varus stress. A little bit of patella crepitus. She has primary degenerative joint disease of her right knee. She is here for the second Orthovisc injection. She is feeling better from the first injection, which is great.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11259_0223ea71-6fdd-4d04-b683-d19c8c30214f_1.mp3
1754979276,GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_0,00:00:00.000,00:00:29.460,"now dictating follow-up note on SUSANA CASTIMORE – 07/02/2025 Ms. Castimore comes to the office today. Her date of accident goes back to December 30, 2024, when she was involved in a motor vehicle accident. She sustained multiple injuries including lumbar strain, some bilateral lower extremity radiculopathy, left shoulder strain, contusion/strain of both knees, and a fracture of the transverse process of L2. She failed her nuclear stress test.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_0.mp3
1754979276,GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_1,00:00:29.780,00:01:00.040,"Therefore, I have not allowed her to go to therapy because I wanted to be cleared by the cardiologist before considering physical therapy which would then put her at risk. She states she had a calcium score, which came back as 0, which is a very good sign, but that does not clear her with regard to the cardiologist. She is going to see the cardiologist next week and if she clears with the cardiologist, I will allow her to start her therapy again, period, because of physical examination. New paragraph. I had also sent her for an EMG/nerve conduction study and it was not available when she was",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_1.mp3
1754979276,GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_2,00:01:00.040,00:01:27.100,"seen in the office, but she states she was seen by Dr. Choi and was told that the EMG was normal. I did not do this dictation until later that day. I was able to get the EMG result and it showed some reduced amplitude of the right sural nerve but no evidence of active radiculopathy or a neuropathic process, which is a good sign. I did contact her later and told her that the EMG came back as normal, which is good.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_2.mp3
1754979276,GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_3,00:01:27.520,00:01:53.780,"that does not mean that she does not have a back issue. She has already had an MRI of her back performed on January 4, 2025, which showed disc desiccation, facet arthropathy at L4-L5, similar problems at L5-S1, and the fracture of the transverse spinous process at L2 is also going to give her some of her complaints of back pain, though at this point she does not clearly have evidence of any type of neurologic damage.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_3.mp3
1754979276,GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_4,00:01:54.220,00:02:23.780,"I think once she is cleared by the cardiologist, we will send her back to physical therapy, which I think would help her significantly. Ms. Castimore is a pleasant and cooperative woman. Examination of the left shoulder revealed some mild tenderness over the anterolateral aspect. She has a weakly positive impingement test. She has some pain at the extremes of motion. She has a weakly positive Speed test. negative drop test, no deformity of the biceps. Neurologically, she was normal. Examination of the lumbosacral continues to show some tenderness present.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_4.mp3
1754979276,GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_5,00:02:23.780,00:02:54.020,"She has a scar from having prior surgery on her back. She has some diffuse tenderness in the mid back region. Range of motion is decreased. She walked with a grossly abnormal gait. Hunched over utilizing a cane. Her patellar reflexes were normal. Her Achilles reflex, I still cannot get the Achilles reflex in either of the lower extremities. She has a little bit of numbness over the dorsal aspect. Now it is more on the left leg, minimal on the right leg. Babinski’s are downward going. No clonus was present. though she did have trouble toe and heel walking,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_5.mp3
1754979276,GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_6,00:02:54.180,00:03:26.020,"trouble getting up and down off the table, and she was utilizing a cane, period. New paragraph. I'm sorry, new paragraph. Examines her knees. Relatively benign examination. Really no tendons at this point, good range of motion, no evidence of instability, no joint effusion present, maybe a little bit of patella crepitus, pretty big impression by pressure. Susanna Casamore was involved in a motor vehicle accident December 30, 2024, now seven months ago now six months ago. lumbar strain with some lower extremity radiculopathy, strain of her left shoulder, contusion/strain of both knees,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_6.mp3
1754979276,GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_7,00:03:26.180,00:03:54.980,"fracture of the transverse process of L2, and her EMG comes back as normal, which is a good thing, but I think this fracture of the transverse process has given her intermittent funny feelings going down her leg. I have not been able to send her to therapy because she failed her stress test. She had cardiac calcium score which came back as 0 which is good, but she needs to be cleared by the cardiologist before I could send her back to physical therapy. She understood this. As far as work goes, she is not going to be able to work like this. So, I kept her out of work and I gave her an appointment to see me in three weeks.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_7.mp3
1754979276,GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_8,00:03:55.400,00:04:25.240,"Once she gets cleared by the cardiologist, to let me know. We will reinitiate therapy and if she does not get cleared by the cardiologist, I will not be able to reinitiate the therapy and she understood that. and she understood that. So, at this point, I gave Ms. Castimore an appointment to see me in three weeks. I gave her a note for out of work. She will continue with some gentle home exercises but nothing forceful until she is cleared by the cardiologist. Medication wise, I probably will stay off any medication especially considering she has high blood pressure until again she is cleared by the cardiologist.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_8.mp3
1754979276,GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_9,00:04:25.240,00:04:39.120,"I did call her after the examination and told her the EMG was normal. Her telephone number is 908-447-2767. and that is a good sign. Once she is cleared by the cardiologist, we will reinitiate her physical therapy.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11260_1020f074-3d13-4cd9-b9bb-3cf6fbb6be0d_9.mp3
1754979531,GSG11261_92124b2d-157c-4047-9792-dfe9780aa4d2_0,00:00:00.000,00:00:43.380,"Now, dictating follow-up note on RAFAEL VENTURA date is 07/02/2025. Mr. Ventura comes to the office today. His date of injury goes back to March 24, 2025, now more than three months ago, where he sustained an injury to the right shoulder. I had seen him for a need for treatment evaluation. I have seen him couple of times. He has had a cortisone shot, which has helped him. I have avoided anti-inflammatory medication because of his hypertension and history of heart attack. I have avoided anti-inflammatory medication because of his hypertension and history of heart attack. He has been going to therapy, which definitely helps. He has less pain, less discomfort. I gave him a note for regular duty, but he states they let him go from work, so he is not doing work. I asked him if he can do the regular job. He states he is more than willing to try. They have not taken him back. He was laid off.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11261_92124b2d-157c-4047-9792-dfe9780aa4d2_0.mp3
1754979531,GSG11261_92124b2d-157c-4047-9792-dfe9780aa4d2_1,00:00:45.040,00:01:14.700,"He takes an occasional Tylenol. PHYSICAL EXAMINATION: Mr. Ventura is a pleasant and cooperative male. His temperature in the office is 96.6. Examination of the right shoulder revealed some mild tenderness anteriorly and laterally, some mild tenderness over the AC joint. He has good abduction. He has pretty good forward flexion. He still lacks a little bit of internal and external rotation. He does have a positive impingement test. He does have a positive Neer test, maybe a little bit of Speed test, maybe a little bit of O’Brien test. He has a negative belly press test, negative lift-off test. He has a negative drop test, Neurologically intact.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11261_92124b2d-157c-4047-9792-dfe9780aa4d2_1.mp3
1754979531,GSG11261_92124b2d-157c-4047-9792-dfe9780aa4d2_2,00:01:14.780,00:01:44.180,"There is no deformity of the biceps. New paragraph IMPRESSION: My impression is that Rafael Ventura was involved in a work-related accident on March 24, 2025, more than three months ago, where he sustained an injury to the right shoulder. His mechanism of injury and his complaints would be consistent with possible rotator cuff pathology or labral pathology, possible SLAP tear, period. Cortisone shot helped. He cannot take anti-inflammatory medications because of his hypertension, cardiac problems. He's been going to therapy, which has definitely helped him. I gave him a note for regular duty.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11261_92124b2d-157c-4047-9792-dfe9780aa4d2_2.mp3
1754979531,GSG11261_92124b2d-157c-4047-9792-dfe9780aa4d2_3,00:01:44.240,00:02:12.760,"He thought he could do regular duty, but the job did not take him back. He was laid off. I asked him if he can continue with therapy a little bit longer. I think that will resolve the problem. And he states he is definitely better but he is not sure it is going to resolve the problems. Paragraph plan: I recommended Mr. Ventura to continue with the therapy two more weeks. At this point, I think doing an MR arthrogram of his right shoulder for further evaluation to determine whether he has labral or rotator cuff pathology would be appropriate and he",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11261_92124b2d-157c-4047-9792-dfe9780aa4d2_3.mp3
1754979531,GSG11261_92124b2d-157c-4047-9792-dfe9780aa4d2_4,00:02:12.760,00:02:41.640,"can continue with regular duty and I told him when he goes for the MR arthrogram make sure he gets the disk, bring it to my office in a couple of weeks. We will go over the MR arthrogram. If it comes back as relatively benign, I think after a couple of more weeks of therapy, he would probably be MMI and back to regular duty the MMI back to regular duty. If it comes back as a significant rotator cuff or labral pathology, then a more aggressive treatment program may be indicated. The company goes to ACCUR Solutions slash Midwestern Insurance at 1735 East Carson CRS",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11261_92124b2d-157c-4047-9792-dfe9780aa4d2_4.mp3
1754979531,GSG11261_92124b2d-157c-4047-9792-dfe9780aa4d2_5,00:02:41.640,00:03:03.460,"on Street Box 304, Pittsburgh, Pennsylvania, 15203-1705. Attention to Denise, D-E-N-I-S-E, Toledo, T-O-L-E-D-O, Miss 20250401004, Amazon Mary, Pisa, Peter, Boys, I-N-T-E-R, Atlas, ATLS Logistics. Fox Company to Denise, Toledo, 5020426-7067. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11261_92124b2d-157c-4047-9792-dfe9780aa4d2_5.mp3
1754979655,GSG11262_933f9426-f483-4fb5-b9be-1f1cbc432a35_0,00:00:00.000,00:00:28.460,"Now dictating a follow-up note on Catherine Izbicki, I-Z-B-I-C-K-I. Her name is Katie Adjariani. Date is July 2, 2025. Mrs. Izbicki comes off today. Got genome over twice in the left knee. She's not much better as a result of doing the orthovisc injections, which were three and a half months ago. She liked to do a cortisone shot. Got a lot of activities coming up on July 4. She has trouble bending, squatting, kneeling, doing most activities, and she's just getting more uncomfortable.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11262_933f9426-f483-4fb5-b9be-1f1cbc432a35_0.mp3
1754979655,GSG11262_933f9426-f483-4fb5-b9be-1f1cbc432a35_1,00:00:28.660,00:00:57.240,"She ages. New paragraph. The physical examination is Bigley's pleasent cooprative woman. She's got a small joint effusion present. Range of motion is 10 to about 110 degrees. She's got some mild diffuse tenderness. She has no gross evidence of instability. Negative Lachman, negative hip shift. There's no mutal constipation. 10-30s with flexion of the ocular stress. And she walks with a grossly abnormal gait, period. New paragraph. Impression. My impression is that Catherine is big.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11262_933f9426-f483-4fb5-b9be-1f1cbc432a35_1.mp3
1754979655,GSG11262_933f9426-f483-4fb5-b9be-1f1cbc432a35_2,00:00:57.240,00:01:28.300,"She's got primary degenerative joint disease of her left knee, which did not have much improvement from the visco-supplementation injections. I told her I can do an aspiration and cortisone shot. She was fine with this. I numbed the area, aspirated 6 cc of clearish yellow fluid and little bit of debris. I gave her an injection of 1 cc of 0.125% Marcaine without epinephrine along with 6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate. but then a macro four cortisone shot. I said take it easy. Weight reduction will help. I don't see an indication for an MRI, because even if she has meniscal damage,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11262_933f9426-f483-4fb5-b9be-1f1cbc432a35_2.mp3
1754979655,GSG11262_933f9426-f483-4fb5-b9be-1f1cbc432a35_3,00:01:28.300,00:01:36.540,"we're not going to do an operation on this woman, and she's in complete agreement. Hopefully this will help her, and I'll let you be if any assistance. She's welcome back for repeat evaluation, period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11262_933f9426-f483-4fb5-b9be-1f1cbc432a35_3.mp3
1754979896,GSG21259_a80b9f72-887c-414e-bac3-4d4ffc7e1588_0,00:00:00.000,00:00:30.160,"Now dictating a follow-up on the MILTO in McCord, MCORD. Date is July 2, 2025. Mr. McCord comes to the office today. The date of injury goes back to May 7, 2025. Eight weeks ago, where he sustained mild left shoulder lumbar, sacral, left hip, left leg, left knee, and bilar hand strain contusions. When I had seen him in my office previously on June 18, 2025, he really had no objective findings whatsoever. Other than nicely healed off discovered portals in his left knee",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21259_a80b9f72-887c-414e-bac3-4d4ffc7e1588_0.mp3
1754979896,GSG21259_a80b9f72-887c-414e-bac3-4d4ffc7e1588_1,00:00:30.160,00:00:58.500,"from prior surgery. There was no redness, swelling, abrasion, discoloration, edema, or muscle spasm period. I'd recommend a therapy. He states the therapy is not starting until July 7th period. I had put him on light duty, but he stays on light duty. He doesn't start until July 7th. Period. He is feeling better. He's got a little achiness in the comfort. He has no complaints of upper lobe tremor, no neurologic problems. He can stand, bend, walk, squat, push, pull, sleep. Period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21259_a80b9f72-887c-414e-bac3-4d4ffc7e1588_1.mp3
1754979896,GSG21259_a80b9f72-887c-414e-bac3-4d4ffc7e1588_2,00:00:58.500,00:01:26.880,"physical examination. New paragraph of physical  Examination examination of left shoulder, muscle spasm and trigger points, no ecumos, abrasions, discoloration, edema, no localized tenderness, four-inch motion, negative pitch test, negative near test, negative speed test, negative O'Brien test, negative belly press test, negative lift-off test. Examination of his lumbar spine revealed no tenderness, swelling, abrasions, discoloration, edema, muscle spasm, trigger points or erythema or any discoloration.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21259_a80b9f72-887c-414e-bac3-4d4ffc7e1588_2.mp3
1754979896,GSG21259_a80b9f72-887c-414e-bac3-4d4ffc7e1588_4,00:01:57.900,00:02:22.960,"Feel no tenderness, swelling, abrasions, discoloration, edema. Motion is full. No tendency of a sagged notch. No tenderness in the groin. Feel he has nicely healed arthroscopic portals, . There was no tendons, swelling, abrasive discoloration, edema, motion is full, no medial lab, joint line tendons, got a negative lock, a negative shift, and her jaw, making a poster of sag, period. There was no medial labs to go in, 10 thirds of the flight pathologist was very stressed, and his gait was normal.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21259_a80b9f72-887c-414e-bac3-4d4ffc7e1588_4.mp3
1754979896,GSG21259_a80b9f72-887c-414e-bac3-4d4ffc7e1588_5,00:02:22.960,00:02:56.760,"He was impressed by President Milton McCord, was allowed to work with X in May 7, 2025, where he sustained left shoulder, both hands, low back, left hip, left knee, and left leg, which I've seen twice, and I find no objective abnormalities whatsoever. I had recommended some physical therapy when I saw him previously in Boston, June 18, 2025, but he states that doesn't start until July 7, 2025. I had recommended light duty, but he states that does not start until July 7, 2025, period. In a period of plants, my",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21259_a80b9f72-887c-414e-bac3-4d4ffc7e1588_5.mp3
1754979896,GSG21259_a80b9f72-887c-414e-bac3-4d4ffc7e1588_6,00:02:56.760,00:03:25.500,"Mr. McCorn. I think going to therapy is appropriate. As far as work goes, I see no reason he cannot resume regular duties by third 2025 without restrictions period i really don't see anything physically wrong with him i'm sending therapy give him the benefit of the doubt .the x-rays give him doing therapy he can do on his own at home i gave him an appointment see me in two weeks and once he's finished with his therapy with the mmi and discharged period i see no indication for MRIs or any additional diagnostic tests.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21259_a80b9f72-887c-414e-bac3-4d4ffc7e1588_6.mp3
1754979896,GSG21259_a80b9f72-887c-414e-bac3-4d4ffc7e1588_7,00:03:25.500,00:03:51.140,"The complaint goes to Cedric, Postal Spots 14151, Lexington, Kentucky 40512, attention to VALENTINA, Carney, CRNEY, Ms. 4, A's and R's 25056, J's and J's, X's 0X, F's of rank 3-0001, Blair's National, D's and David, C as in Christian, P as in Peter. Tract Goblet of Valentina Carney at 859-264-4060. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21259_a80b9f72-887c-414e-bac3-4d4ffc7e1588_7.mp3
1754980050,GSG21260_3370d01d-0ad5-431c-b083-fd3a41e40c7c_0,00:00:00.000,00:00:26.160,"Now dictating a follow-up note on vilma, VILMA Marquez, M-A-R-Q-E-Z, date is July 2, 2025. Ms. Marquez comes off today. Her date of injury goes back to May 7, 2025, now approximately eight weeks ago, where she sustained a left trapezial strain. I had seen her in my office on June 18, 2025, recommended some therapy. She states she has done five out of six sessions of therapy.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21260_3370d01d-0ad5-431c-b083-fd3a41e40c7c_0.mp3
1754980050,GSG21260_3370d01d-0ad5-431c-b083-fd3a41e40c7c_1,00:00:26.280,00:00:58.600,"I have reviewed her physical therapy notes from TheraPhysical-Garfield and they thought she was doing very well. Say she has one session left in therapy. I asked her if she wanted to complete it. She said she would. She has been instructed on home exercises. She's back to regular duty. School is out at this point, so it's not an issue, but as far as work goes, she would have no trouble doing regular duty. She has no complaints of shoulder pain, no complaints of neck pain, no complaints of upper extremity radiculopathy, period. New paragraph label is physical examination.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21260_3370d01d-0ad5-431c-b083-fd3a41e40c7c_1.mp3
1754980050,GSG21260_3370d01d-0ad5-431c-b083-fd3a41e40c7c_2,00:00:58.600,00:01:36.560,"Ms. Marquez, close, qualified woman. Her temperature in the office is 97.6. Examination of shoulder blade. Feels no tense trapezium muscle, no tense interlateral push-out sprains of the shoulder. She had full range of motion of her shoulder. Negative pinch test, negative drop test, negative sulcus, sinus fixation, negative belly press test, negative lift-off test, negative speed test, negative rebind test. New paragraph. I labeled this, my president, Marquez, was allowed to work two months ago on May 7th, excuse me, eight weeks ago on May 7th, 2025, retained a left trapezoidal strain .",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21260_3370d01d-0ad5-431c-b083-fd3a41e40c7c_2.mp3
1754980050,GSG21260_3370d01d-0ad5-431c-b083-fd3a41e40c7c_3,00:01:36.560,00:02:12.620,"At this point, she has really no certificate of complaints, no objective findings. Since I saw her last time in the office in June 18, 2025, she's completed five out of the six sessions of therapy and she's 19,025. She's completed five out of the six sessions of therapy, and she's happy about the results. She has one session left tomorrow, and she would like to finish that up. She's okay doing regular duty, though she's out of work for the summertime . New paragraph plans. Ms. Marquez will finish up the last session of therapy tomorrow. At this point, she can continue the regular duty. I would consider her to be at maximum medical treatment, of therapy tomorrow. At this point, she can continue the regular duty. Make sure that all the exercises I give her are doing therapy, doing her own at home.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21260_3370d01d-0ad5-431c-b083-fd3a41e40c7c_3.mp3
1754980050,GSG21260_3370d01d-0ad5-431c-b083-fd3a41e40c7c_4,00:02:15.480,00:02:39.100,"Completed goes to Amtros North America, Postal Sparks 89404, Cleveland, Ohio 44101, Central Maria, M-A-R-S-Y-N-E-S-W-I-N-E, Clemens 401-6170, Please see the C-A-L-V-A-R-Y Baptist Church of Patterson, P-A-T-R-S-Y-N, Facts, Capital, and Maria Eswine, at Amtrust at 678-258-8395. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21260_3370d01d-0ad5-431c-b083-fd3a41e40c7c_4.mp3
1754980158,GSG21261_d19d4c5f-2ff3-4505-b667-4bd27ef15094_0,00:00:00.000,00:00:25.840,"Now, technical follow-up note on Maiko, M-A-I-K-O, Harada, H-A-R-A-D-A, dated July 2, 2025. Ms. Harada comes off today. She was allowed to work the act on March 14, 2024. Three and a half months ago, her standing injury to her left shoulder consists of some road to the peripheral labral pathology. She has been going to therapy, which has helped her. She has less pain as compared to previously. She is dancing. She is doing normal",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21261_d19d4c5f-2ff3-4505-b667-4bd27ef15094_0.mp3
1754980158,GSG21261_d19d4c5f-2ff3-4505-b667-4bd27ef15094_1,00:00:25.840,00:00:57.660,"working activities. The therapist would recommend she continue with therapy a little bit longer. This is the first time she seems like she's gotten significantly better since I've been taking care of her. Paragraph Physical examination. Mr. Rada is a post-claw woman. Her temperature in the office is 98.4. Examination of the left shoulder. Revealed just a little tenderness anteriorly. She has full abduction, full forward flexion, full external rotation. Lacks a little tiny bit of internal rotation period. She has a weekly positive impingement test,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21261_d19d4c5f-2ff3-4505-b667-4bd27ef15094_1.mp3
1754980158,GSG21261_d19d4c5f-2ff3-4505-b667-4bd27ef15094_2,00:00:57.780,00:01:30.120,"a weekly positive O'Brien test, negative speed test, negative belly press test, negative drop test, negative near test. Neurologically normal.There's no deformity of the biceps. New paragraph Impression. My impression, Michael Arata, was involved in a work-life action March 14, 2025. Three and a half months ago, we were seeing a strain of her left shoulder. Mechanism of injury and her complaints would be consistent with the label or work-life cosmology. She has gotten significantly better with the physical therapy. Not seeing any pain medications at this point other than occasional naproxen. The exercises I taught her in therapy to do, she can do in her own home,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21261_d19d4c5f-2ff3-4505-b667-4bd27ef15094_2.mp3
1754980158,GSG21261_d19d4c5f-2ff3-4505-b667-4bd27ef15094_3,00:01:30.460,00:02:01.000,"and she has performed with the Carol Dorfman Dance Company where she was injured. Paragraph At this point, I explained to Ms. Rada, let's do another three weeks of physical therapy. She'll continue with the home exercises. She'll continue with regular duty. She has a performance in Miami with the Carol Dorff and Dance Company between July 13th and July 24th. So I told her to do the next couple weeks of therapy. When she comes back from there, do another week or so of therapy. Come back and see me about five weeks. We'll check on her. If she's doing okay at that point, I'd probably discharge her. And if she has increasing problems or difficulties",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21261_d19d4c5f-2ff3-4505-b667-4bd27ef15094_3.mp3
1754980158,GSG21261_d19d4c5f-2ff3-4505-b667-4bd27ef15094_4,00:02:01.000,00:02:19.880,"then potential additional diagnostic tests may be indicated, period. The complier goes to NYSIF. Opposite is 66699 Albany, New York, 12206. Claim number is 75091728. The floor is Carol Dorfman-Dantz. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21261_d19d4c5f-2ff3-4505-b667-4bd27ef15094_4.mp3
1754980832,GSG21262_e5396854-38f8-431b-9068-7e09b3103e16_0,00:00:00.000,00:00:33.020,"Now dictating a follow-up note on Ibrahim. I-B-R-A-H-I-M. Last name is Muhammad. M-U-H-A-M-M-A-D. Date is 07/02/2025. Mr. Muhammad comes off state with his nurse case manager, Nancy N. Ansu. I-B-U-S-S-E-Y, R-N. Period. Mr. Muhammad had injured his back with some right low tremor. based on an accident on January 16, 2025. He had an MRI of his back performed on February 6, 2025 which showed right-sided disc herniation compressing the right S1 nerve root.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21262_e5396854-38f8-431b-9068-7e09b3103e16_0.mp3
1754980832,GSG21262_e5396854-38f8-431b-9068-7e09b3103e16_1,00:00:33.460,00:01:03.640,"He had an EMG nerve conduction study which also confirmed right L5-S1 nerve root irritation. He has been seen by Dr. Yanow, a pain management specialist. He has had two epidural steroid injections. The last one was on June 17, 2025, and he has had really no improvement. He continues to get back pain, right lower extremity radiculopathy. I have been giving him notes for light duty. There is no light duty, and physical therapy has not helped him in the past period. New paragraph, physical examination. Mr. Mohamad",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21262_e5396854-38f8-431b-9068-7e09b3103e16_1.mp3
1754980832,GSG21262_e5396854-38f8-431b-9068-7e09b3103e16_2,00:01:03.640,00:01:33.700,"is black male. He has a low back. There's maybe a little bit of tenderness. Range of motion is mildly decreased. Sensory motor reflex of both lower extremities are completely normal, but Binsky's are downward going. No clonus is present. He's able to tell me to walk and get up and down off the table without discomfort, period. New paragraph, impression by impression. Ibrahim Mohamed was involved in a work-related accident in January 16, 2025. Five and a half months ago, he was staying in a lumber train with some right lobe-sternal radiculopathy, an MRI-documented disc herniation, L5-S1, and an EMG-documenting right L5-S1 radiculopathy, period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21262_e5396854-38f8-431b-9068-7e09b3103e16_2.mp3
1754980832,GSG21262_e5396854-38f8-431b-9068-7e09b3103e16_3,00:01:33.840,00:01:56.760,"He was not approved with two epidural serum injections, did not approve with therapy, did not approve with medications. So at this point, he has an appointment to see Dr. Yanal, YNOW, the pain management specialist, next week. So I told him I'd probably make that appointment, but at this point, I don't think conservative care is going to resolve his complaints prior to the plan. So I explained to him, so I'm considering continuing to have complaints of back pain",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21262_e5396854-38f8-431b-9068-7e09b3103e16_3.mp3
1754980832,GSG21262_e5396854-38f8-431b-9068-7e09b3103e16_4,00:01:56.760,00:02:26.580,"after two epidurals, after physical therapy, after pain medications, and they will not give him light duty. He's going back to see Dr. Yanal, the pain medications, and they will not give him light duty. He's going back to see Dr. Now, the pain management doctor, next week. And then I think also seeing one of the spine surgeons. I gave him the name of Dr. Ashraf, A-S-H-R-A-F, would be appropriate. I discussed surgical options with him. Dr. Ashraf will also. Most people do better with surgery, but there's a high likelihood of recurrent disc herniations,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21262_e5396854-38f8-431b-9068-7e09b3103e16_4.mp3
1754980832,GSG21262_e5396854-38f8-431b-9068-7e09b3103e16_5,00:02:27.100,00:02:56.760,"so some people have trouble going back to regular duty after this type of operation. So I did discuss with him. That will be between him, but between Ms. Muhammad and Dr. Ashraf, his spine surgeon, to make that final determination of the appropriate route to go. As far as work goes, I gave him a note for light duty. It's apparently not available, and he does not need to follow my office in the future unless I can be of any assistance, period. A couple of the groups, Gallagher and Bassett, Postal Box 2934, Clinton, Iowa, 52733,,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21262_e5396854-38f8-431b-9068-7e09b3103e16_5.mp3
1754980832,GSG21262_e5396854-38f8-431b-9068-7e09b3103e16_6,00:02:56.760,00:03:15.700,"Deneen, D-E-N, E-E-N, Brantley, B-R-A-T-L-E-Y, 010683-16000-WY6CRISH-01. Of course, P-E-N-S-K-E Logistics. Dr. Calvin and Nancy, Blue CBUSS, EY, R-N, 609-455-1124. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21262_e5396854-38f8-431b-9068-7e09b3103e16_6.mp3
1754982599,GSG11264_9257236e-feee-4e66-b37f-3b9e22a53d46_0,00:00:00.000,00:00:31.280,"now dictating follow-up note on KVKENRICK last name is LEWIS date is 07/08/2025 I saw Mr. Lewis a month ago He was having pain in his left knee. No specific injury. Looks like either, considering he's 64 years old, degenerative meniscal tear, or possible arthritis. His x-rays were quite benign. I did some more therapy and it helped him. I did not recommend anti inflammatory medication because of his",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11264_9257236e-feee-4e66-b37f-3b9e22a53d46_0.mp3
1754982599,GSG11264_9257236e-feee-4e66-b37f-3b9e22a53d46_1,00:00:31.280,00:01:00.480,"high blood pressure. He states he is definitely better. He has less pain as compared to previously though still little uncomfortable. He wanted to know if more therapy would help him, and I told him it may very well help. I told him I can also offer him a cortisone shot, but he states he would rather go to physical therapy a little bit longer and see what happens and at the end of therapy, if he is not much better, then he would consider the cortisone shot and that is acceptable. PHYSICAL EXAMINATION: Mr. Lewis",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11264_9257236e-feee-4e66-b37f-3b9e22a53d46_1.mp3
1754982599,GSG11264_9257236e-feee-4e66-b37f-3b9e22a53d46_2,00:01:00.480,00:01:42.820,"Plus, a while for male examination of the left knee reveals no joint effusion. Range of motion is probably 1 to about 130 degrees. He's got 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 he has had a little bit of tenderness now over the lateral joint line, little bit more than his medial joint line. Weakly positive McMurray. Negative Apley grind and he walked with a grossly normal gait. IMPRESSION: My impression is that Kendrick Lewis has got internal derangement of his left knee. This could represent some moderate arthritis, which does not show up on x-ray. It could also represent a gendered meniscal tear. He has no specific injury, period. A new paragraph.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11264_9257236e-feee-4e66-b37f-3b9e22a53d46_2.mp3
1754982599,GSG11264_9257236e-feee-4e66-b37f-3b9e22a53d46_3,00:01:43.140,00:02:12.200,"He's not a great candidate for anti-inflammatory medications because of his hypertension, but he has gone to therapy, which has helped him. New paragraph, I offered Mr. Lewis a cortisone shot, but he says he'd rather go back to therapy for another few weeks and see what happens. If he gets better with therapy, then he would avoid the cortisone shot and if he does not get better with therapy, then he will come back and see me and we will consider the cortisone shot and I consider that treatment program acceptable. So, at this point, Mr. Lewis will continue with therapy for another few weeks.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11264_9257236e-feee-4e66-b37f-3b9e22a53d46_3.mp3
1754982599,GSG11264_9257236e-feee-4e66-b37f-3b9e22a53d46_4,00:02:12.300,00:02:43.520,"He will continue with the home exercises. I would probably avoid the anti inflammatory medication because of hypertension. I asked him if he wanted me to give an appointment to see me in a few weeks or when he finishes his therapy, if it still bothers him, he is welcome back. He states he will follow up with my office if needs to. If it continues to bother him, then potentially, a cortisone shot would be helpful, and if it still bothers him after that, then you can always do an MRI of his knee to see if there's some meniscal damage. You can consider knee surgery slash arthroscopy. But I would make that the..",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11264_9257236e-feee-4e66-b37f-3b9e22a53d46_4.mp3
1754982599,GSG11264_9257236e-feee-4e66-b37f-3b9e22a53d46_5,00:02:43.520,00:03:00.780,"last option considering he had no specific injury. So if he has a meniscal tear, it's probably degenerative in nature, and these people don't always do great with surgery. So, if it still bothers him after therapy, we will consider the cortisone shot, and if he is still uncomfortable, then possibly an MRI of his left knee in the future and I discussed all these findings with him.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11264_9257236e-feee-4e66-b37f-3b9e22a53d46_5.mp3
1754983056,GSG11266_9b268c7f-bf71-420e-b400-999260ec897b_0,00:00:00.000,00:00:29.680,"now dictating follow-up note on SUSAN MORALES – 07/08/2025 Ms. Morales comes to the office today. Her date of injury goes back to May 15, 2025, seven-and-a-half weeks ago, where she sustained an undisplaced fracture of the base of the left fifth metatarsal. She feels much better. It is her left foot, so she is able to drive. She takes her boot off when she home. She wears it when she is out and around. She does not really have any pain. She takes an occasional Advil. She has to make an issue. ..",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11266_9b268c7f-bf71-420e-b400-999260ec897b_0.mp3
1754983056,GSG11266_9b268c7f-bf71-420e-b400-999260ec897b_1,00:00:29.680,00:00:56.280,"She's taking calcium and vitamin D. Otherwise, she's happy about the results. She's back to regular duty, but she states the school system is closed for the summertime, so she's really not going to work, period. Paragraph of physical examination. Ms. Morales is a pleasant and cooperative woman. Her temperature in the office is 97.6. Examination of the left foot revealed no tenderness, swelling, abrasions, discoloration, edema, muscle spasm, trigger points, or ecchymosis. She",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11266_9b268c7f-bf71-420e-b400-999260ec897b_1.mp3
1754983056,GSG11266_9b268c7f-bf71-420e-b400-999260ec897b_2,00:00:56.280,00:01:20.380,"has no tenderness over the base of the fifth metatarsal. Homan test is negative. Thompson test was normal. Achilles is intact. She had full range of motion of the ankle and foot. X-RAYS. I explained to Ms. Morales the x-ray machine in my office was shorted out because there was a power failure yesterday in the office. It would probably be fixed later on today, so we will bring her back later on today and do her x-rays.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11266_9b268c7f-bf71-420e-b400-999260ec897b_2.mp3
1754983056,GSG11266_9b268c7f-bf71-420e-b400-999260ec897b_4,00:01:51.100,00:02:20.140,"entirely neurologically intact. So, at this point, Ms. Morales will continue with the calcium and vitamin D. She could take an Advil p.r.n. She will continue with regular duty. Once my x-ray machine is up and working, either today or tomorrow, we will bring her back and do the x-rays. My guess is those x-rays will probably show significant healing. If it is completely healed, she will be MMI and discharged. If it is 95% healed, I would probably bring her back one more time in two weeks to do final x-rays.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11266_9b268c7f-bf71-420e-b400-999260ec897b_4.mp3
1754983056,GSG11266_9b268c7f-bf71-420e-b400-999260ec897b_5,00:02:20.140,00:02:51.900,"Paragraph She will continue with the home exercises, just be a little bit gentle with the ankle, and hopefully the x-ray machine will be fixed today or tomorrow. We will bring her back and do the x-rays. She will continue the regular duty without restrictions. Completed with the Qual links, the post is box 240819, Apple Valley, Minnesota, 55125. Attention, Sandra Barber, b a r b e r. Miss 25. W as Washington, 01887. W as in water. Deploys Orange City the City of Orange Board of Education.""",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11266_9b268c7f-bf71-420e-b400-999260ec897b_5.mp3
1754983056,GSG11266_9b268c7f-bf71-420e-b400-999260ec897b_6,00:02:52.440,00:03:02.840,"She feels much better. It is her left foot, so she is able to drive. She takes her boot off when she home. She wears it when she is out and around. She does not really have any pain. She takes an occasional Advil. She has some achiness. She is taking calcium and vitamin D. Otherwise. |",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11266_9b268c7f-bf71-420e-b400-999260ec897b_6.mp3
1754983371,GSG11267_c3be9e72-aea4-4950-9059-7ddb8df74937_0,00:00:00.000,00:00:32.120,"now dictating follow-up note on RAYMOND BONET date is 07/08/2025 Mr. Bonet comes to the office today. His date of injury goes back to December 20, 2023, where he injured his left shoulder at work. I operated on his left shoulder on April 3, 2025, operated on his left shoulder on April 3, 2025. Three months and a week ago, where he had an arthroscopy of the left shoulder, subacromial decompression, excision of the distal clavicle, extensive debridement, Mini-arthrotomy, biceps tenodesis and a rotator cuff repair. When I saw him When I saw him last time in the office, he was not happy about where he was going to therapy, so I told him",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11267_c3be9e72-aea4-4950-9059-7ddb8df74937_0.mp3
1754983371,GSG11267_c3be9e72-aea4-4950-9059-7ddb8df74937_1,00:00:32.120,00:01:04.760,"to change the therapy location. He states he has spoken to the insurance company. He has spoken to One Call and they have not helped him. . So, he has only done one session of therapy since I last saw him in my office on June 24, 2025, which obviously was not helpful. He is feeling better. He's been doing light duty. He's been doing home exercises. He takes the ibuprofen, but he would like to go to therapy, , for a physical examination. Mr. Burnett's plus-quapinal, his temperature in the office is 97.5, period. Examines the left shoulder, feel no tennis, swelling, abrasion, discoloration, must be",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11267_c3be9e72-aea4-4950-9059-7ddb8df74937_1.mp3
1754983371,GSG11267_c3be9e72-aea4-4950-9059-7ddb8df74937_2,00:01:04.760,00:01:32.000,"trigger points, or erythema. His range of motion is pretty good. Actively, he has about 125 degrees of abduction and forward flexion, passively probably about 135 degrees, about 50 degrees of external rotation actively, about 45 degrees of active internal rotation, passively a little bit better. He had a negative drop test, negative liftoff test, no belly press test, negative speed test,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11267_c3be9e72-aea4-4950-9059-7ddb8df74937_2.mp3
1754983371,GSG11267_c3be9e72-aea4-4950-9059-7ddb8df74937_3,00:01:32.000,00:02:03.960,"negative brine test, no autoimmune attack, no deformity of the biceps. New paragraph .impressed my impression of Raymond Bonet was involved in a work-related accident on December 20, 2023, where he injured his left shoulder. I operated on his left shoulder on April 3, 2025, three months and a week ago, where he had an evaluation under anesthesia, operative arthroscopy of the left shoulder, subacromial decompression, excision of the distal clavicle, extensive debridement, mini-arthrotomy, biceps tenodesis rotator cuff repair. He did very well. He is doing very well postoperatively, but he tried to change therapy,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11267_c3be9e72-aea4-4950-9059-7ddb8df74937_3.mp3
1754983371,GSG11267_c3be9e72-aea4-4950-9059-7ddb8df74937_4,00:02:04.480,00:02:32.380,"and apparently One Call has not called him back with regards to where he can go to therapy. So, he has not been to therapy since I saw him last. It is very important for him to go to therapy after a biceps tenodesis and rotator cuff repair. He has been doing home exercises, but I do not think that is enough. So, I explained to Mr. Bonet, I will speak to Mike Campo at AmTrust North America and make sure we set him up for this physical therapy. If there is any trouble setting up in the next few",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11267_c3be9e72-aea4-4950-9059-7ddb8df74937_4.mp3
1754983371,GSG11267_c3be9e72-aea4-4950-9059-7ddb8df74937_5,00:02:32.380,00:03:01.880,"days, he will let me know. As far as work goes, we will maintain him on light duty. He will continue the home exercises, take the ibuprofen p.r.n. and he needs to do as much stretching as possible to loosen up his shoulder and he understood that. Typically, most people are in physical therapy five to six months postoperatively before being MMI and back to regular duty, but obviously, delaying his therapy by not authorizing therapy it is going to set him back a little bit.  Complications of AmTrust North America",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11267_c3be9e72-aea4-4950-9059-7ddb8df74937_5.mp3
1754983680,GSG11268_2c44278a-f62e-4f88-b1f1-3bde2a362693_0,00:00:00.000,00:00:28.840,"now dictating follow-up note on CALVIN THOMAS – 07/08/2025 Mr. Thomas comes to the office today. I have not seen him since February. He has primary degenerative joint disease of his left knee. primary degenerative joint disease of his left knee. He gets occasional pain and I had to do aspiration and cortisone shots. The last one back in February 2025 and another one in February of 2024. When I do the shots, he feels better. He feels better. Short of that, it is not much we can do other than considering MRIs ..",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11268_2c44278a-f62e-4f88-b1f1-3bde2a362693_0.mp3
1754983680,GSG11268_2c44278a-f62e-4f88-b1f1-3bde2a362693_1,00:00:28.840,00:00:59.000,"and surgery, and hopefully we can avoid any type of surgery. He has complained of pain, some swelling and stiffness, and difficulty with stairs. PHYSICAL EXAMINATION: Mr. Thomas is a pleasant and cooperative male. His temperature is 98.2. Examination of the left knee reveals a moderate joint effusion present. He lacks a few degrees of flexion and extension. He has some mild diffuse tenderness. No gross evidence of instability. He walks with a mildly abnormal gait. by President Calvin Thomas. He's got primary joint valencies of his left knee and a terminal arrangement of his left knee,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11268_2c44278a-f62e-4f88-b1f1-3bde2a362693_1.mp3
1754983680,GSG11268_2c44278a-f62e-4f88-b1f1-3bde2a362693_2,00:00:59.000,00:01:27.580,"he's had a couple of aspirated cortisone shots, they tend to last for months, So, until we have to do this periodically that is okay. If it gets so frequent that he is miserable, then we can talk about an MRI, then we can talk about knee arthroscopy and obviously, we would like to try to avoid the surgery. PLAN: So, under sterile technique, I numbed the left knee. I aspirated the fluid. I gave him an injection of 1 cc of 0.125% 6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11268_2c44278a-f62e-4f88-b1f1-3bde2a362693_2.mp3
1754983680,GSG11268_2c44278a-f62e-4f88-b1f1-3bde2a362693_3,00:01:27.580,00:01:52.840,"cortisone injection I told him to ice it, take it a little bit easy He can take some Tylenol Probably avoid anti-inflammatory In case of hypotension And if the pain becomes worse Or he gets more swelling and difficulties Obviously welcome back I aspirated 8 cc of clearish yellow fluid. I gave him an injection of 1 cc of 0.125% Marcaine without epinephrine along with 6 mg of betamethasone acetate and 6 mg of betamethasone",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11268_2c44278a-f62e-4f88-b1f1-3bde2a362693_3.mp3
1754983837,GSG11269_8093f3a8-09ac-4aa6-abe7-561966ef7e87_0,00:00:00.000,00:00:29.240,"now dictating follow-up note on JORGE NOGUERA-CHAMORRO 07/08/2025 Mr. Noguera-Chamorro comes to the office today. Jose in my office helped to translate between Spanish and English. His date of injury goes back to April 23, 2025, about 11 weeks ago, where he sustained a strain of his right shoulder. I had seen him in my office on June 24, 2025. and recommended a couple of weeks of therapy, light duty.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11269_8093f3a8-09ac-4aa6-abe7-561966ef7e87_0.mp3
1754983837,GSG11269_8093f3a8-09ac-4aa6-abe7-561966ef7e87_1,00:00:29.240,00:00:56.460,"He states he has done four out of six sessions of therapy and he feels much better. He has minimal pain and discomfort. Jose in my office helped to translate between Spanish and English. He's been doing light duty, but he feels once he finishes up the therapy this week, he'd like to go back to regular duty next week. He can push, he can pull, he can lift, he can carry, he can sleep, he can sit in a car, he can do overhead activities. Physical examination, Ms. Noguera-Chimera, is a post-covid male. He has a little pain and tenderness over the anterior rotator cuff of the right shoulder.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11269_8093f3a8-09ac-4aa6-abe7-561966ef7e87_1.mp3
1754983837,GSG11269_8093f3a8-09ac-4aa6-abe7-561966ef7e87_2,00:00:56.460,00:01:27.720,"He has got full range of motion. Negative impingement test, negative drop test, negative lift-off test, negative belly press test, negative Speed test, negative O'Brien test, and negative Neer's test. My impression is that Jorge Noguera-Chamorro was involved in a work-related acts 11 weeks ago. On April 23, 1925, when he sustained a strain of his right shoulder, I think it was appropriate. I had seen him a couple weeks ago. I recommend some therapy. He states the therapy has significantly improved him. he would like to finish up the therapy this week, continue with the light duty this week and then go back to regular duty next week,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11269_8093f3a8-09ac-4aa6-abe7-561966ef7e87_2.mp3
1754983837,GSG11269_8093f3a8-09ac-4aa6-abe7-561966ef7e87_3,00:01:27.720,00:01:58.600,"which I find completely acceptable. PLAN: So, at this point, Mr. Noguera-Chamorro will finish up his therapy. He will continue with home exercises. He is not taking pain medications. He will finish up his light duty this week and then we will let him go back to regular duty next week, July 14, 2025 and at that point, I will consider him to be at maximum medical benefits from treatment. I answered all of his questions for him and he was discharged from the office. Complicated Walmart claim services, opposed to those bikes, 14731, Lexington, Kentucky, 40512. ..",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11269_8093f3a8-09ac-4aa6-abe7-561966ef7e87_3.mp3
1754984199,GSG11270_2631cf16-e5dc-4eb1-a737-0e563b66471c_0,00:00:00.000,00:00:32.620,"now dictating follow-up note on STANLEY C. SACKNER, DO – 07/08/2025 Dr. Sackner comes to the office today. He has just been miserable. His knees are bothering him again. I had given him an aspiration and cortisone shot couple of months ago He wants to know if he can do it again because he can barely walk. I told him he can. He is also having back problems. He is going to be going to see a spine surgeon, so he wants me to do an MRI of his back. He has had multiple surgical procedures. So, I told him I think it would be better to do an MRI with contrast.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11270_2631cf16-e5dc-4eb1-a737-0e563b66471c_0.mp3
1754984199,GSG11270_2631cf16-e5dc-4eb1-a737-0e563b66471c_1,00:00:33.400,00:01:09.360,"contrast/gadolinium. He was completely fine with this. He complains of back pain, occasional lower extremity radiculopathy. He takes some Tylenol. His daughter drove him to the office today. PHYSICAL EXAMINATION: Dr. Sackner is a pleasant and cooperative male. His temperature in the office is 97.8. Examination of his low back reveals multiple scars. There is some mild diffuse tenderness. Range of motion is significantly decreased. He had a little bit of diffuse numbness in his feet. Babinski’s were downward going. He had trouble toe and heel walking. he walked with an abnormal gait. New pregnancy. Examination of both knees. ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11270_2631cf16-e5dc-4eb1-a737-0e563b66471c_1.mp3
1754984199,GSG11270_2631cf16-e5dc-4eb1-a737-0e563b66471c_2,00:01:09.600,00:01:42.820,"Genu varus deformity. His range of motion was 5 to about 100 degrees bilaterally. He's got tenderness immediately. Naked memory. Negative Apley grind Negative Lachman Negative pivot shift Negative anterior drawer Negative posterior sag No medial or lateral stability. 10-30s of flexion. Was out of the various stress. New pregnancy from Presh. My impression of Stanley Sackner. He's got low back pain, lower extremity radiculopathy, multiple surgical procedures. He is going to see one of the spine surgeons, so I told him at this point, probably doing a MRI of his lumbar spine with gadolinium would be the right route to go to show the spine surgeon.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11270_2631cf16-e5dc-4eb1-a737-0e563b66471c_2.mp3
1754984199,GSG11270_2631cf16-e5dc-4eb1-a737-0e563b66471c_3,00:01:42.820,00:02:12.000,". With regards to his knees, he would like me to do another aspiration and cortisone shot. I told him about potential side effects associated with this treatment. since the last one was less than two months away. He was aware of this, but he can at this point barely function. So, under sterile technique, I numbed both knees. I took put about 2 cc out of the right knee and 3 cc of clearish yellow fluid from his left knee. I gave him an injection of 1 cc of 0.125% Marcaine without epinephrine along with 6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate. ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11270_2631cf16-e5dc-4eb1-a737-0e563b66471c_3.mp3
1754984199,GSG11270_2631cf16-e5dc-4eb1-a737-0e563b66471c_4,00:02:12.000,00:02:19.060,"and a macro 4-quartazone shot. I used to take it easy, and if I could be of any assistance, he's welcome back for retreat evaluation.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11270_2631cf16-e5dc-4eb1-a737-0e563b66471c_4.mp3
1754987900,GSG11271_6b457411-49ac-4e5b-aa46-6f0897adabcf_0,00:00:00.000,00:00:32.180,"now dictating follow-up note on ELIZABETH M. BENNE date is 07/08/2025 Ms. Benne comes to the office today. She has posttraumatic degenerative joint disease of the right knee status post ACL reconstruction years ago. got pain and stiffness. She has pain and stiffness. She had a cortisone shot couple of months ago on May 7, 2025, two months ago. She has a tournament coming up in Des Moines, Iowa on July 24, 2025,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11271_6b457411-49ac-4e5b-aa46-6f0897adabcf_0.mp3
1754987900,GSG11271_6b457411-49ac-4e5b-aa46-6f0897adabcf_1,00:00:32.180,00:01:01.760,"she is going to leave on July 23, 2025, so I told her to come see me on July 23, 2025. We will do an aspiration and cortisone shot for her right knee for the posttraumatic degenerative arthritis. She can drive to tournament and we will try to get authorization to do visco supplementation injections in the future. PHYSICAL EXAMINATION Ms. Benne is a pleasant and cooperative woman. She has a small joint effusion present. She has nicely healed scar from prior anterior cruciate ligament reconstruction. Her range of motion was 3 to about 105 to about 120 degrees.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11271_6b457411-49ac-4e5b-aa46-6f0897adabcf_1.mp3
1754987900,GSG11271_6b457411-49ac-4e5b-aa46-6f0897adabcf_2,00:01:01.760,00:01:32.420,"She has some mild diffuse tenderness. Negative McMurray. Negative Apley grind. Negative Lachman. Negative pivot shift. Negative anterior drawer. Negative posterior sag. Negative Lachman, Negative pivot shift, Negative anterior drawer, Negative posterior sag, No medial or lateral instability, valgus or varus stress. IMPRESSION: My impression is that Elizabeth Benne has posttraumatic degenerative joint disease of her right knee, which she is quite uncomfortable. She had a cortisone shot two months ago. It is a little too soon to do it now, but she has a tournament on July 25, 2025 and July 26, 2025 in Des Moines, Iowa. So, it told her to come see me on July 23, 2025. She will be leaving on July 24, 2025, that will be two-and-a-half months since the last",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11271_6b457411-49ac-4e5b-aa46-6f0897adabcf_2.mp3
1754987900,GSG11271_6b457411-49ac-4e5b-aa46-6f0897adabcf_3,00:01:32.420,00:01:45.000,"injection. We will do an aspiration and cortisone shot for her right knee and then when she comes back from Iowa, we will talk about potentially trying to get authorization for visco supplementation injections in the future.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11271_6b457411-49ac-4e5b-aa46-6f0897adabcf_3.mp3
1754988106,GSG11272_5c5bf714-c0c6-4768-b02b-2a90b5e2da18_0,00:00:00.000,00:00:29.700,"now dictating follow-up note on Francisco Gonzalez. dated July 2025. Mr. Gonzalez comes off today. He's got primary joint influences of his right knee. He's going to Puerto Rico and Dominican Republic tomorrow. So before he goes away, he'd like me to do an aspiration cortisone shot for his right knee because of arthritis. I told him I'm completely fine with that. The last time he had it was almost three months ago. I told him about some potential side effects associated with these",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11272_5c5bf714-c0c6-4768-b02b-2a90b5e2da18_0.mp3
1754988106,GSG11272_5c5bf714-c0c6-4768-b02b-2a90b5e2da18_1,00:00:29.700,00:01:00.580,"injections, and he's fine with that. He's had no problems so far. He's got a physical examination, Mr. Gonzalez, post co ops male. In his right knee, a little lax, a couple of degrees of flexion extension. He's got a small joint infusion present, It's a modular fused tendon. It's got some for the whole crepitus. He walks with a gross abnormal gait. It's got a negative block or negative tip chip, negative anterior, negative posterior sag, no medial or lateral instability, and 10 to 30 degrees of flexion valgus stress. Treating the impact of my question, strength testicles, and valves. Got pancreatic joint disease of his right knee.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11272_5c5bf714-c0c6-4768-b02b-2a90b5e2da18_1.mp3
1754988106,GSG11272_5c5bf714-c0c6-4768-b02b-2a90b5e2da18_2,00:01:01.240,00:01:39.420,"which he's going to Puerto Rico and Dominican Republic tomorrow for some religious events that he takes care of. He happens to be a very nice individual. He'd like me to do an aspiration cortisone shot before he goes away to make him more comfortable. I'm completely fine with that. He broke a plant so I'm going to show it to you. The right knee aspirated four cc's of cholesterol fluid. Gave him injection of one 1 CC is 0.125% more KMF. 6 milligrams of acetic acid, 6 milligrams of beta-sensory sodium phosphate, but then a macro for a cortisone shot. I used to take it easy, work on some home strengthening exercises, and he can take the Nephrosyn.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11272_5c5bf714-c0c6-4768-b02b-2a90b5e2da18_2.mp3
1754988272,GSG11272_2e3863fe-25e7-4d3d-b9e2-24121ceb0138_0,00:00:00.000,00:00:29.700,"now dictating follow-up note on FRANCISCO GONZALEZ 07/08/2025 Mr. Gonzalez comes to the office today. He has primary degenerative joint disease of his right knee. He is going to Puerto Rico and Dominican Republic tomorrow. So before he goes away, he would like me to do an aspiration and cortisone shot for his right knee because of arthritis. I told him that I am completely fine with that. The last time, he had it was almost three months ago. I told him about potential side effects associated with these",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11272_2e3863fe-25e7-4d3d-b9e2-24121ceb0138_0.mp3
1754988272,GSG11272_2e3863fe-25e7-4d3d-b9e2-24121ceb0138_1,00:00:29.700,00:01:00.580,"injections and he is fine with that. He has had no problems so far. PHYSICAL EXAMINATION: Mr. Gonzalez lacks couple of degrees of flexion and extension. He has a small joint effusion present. Some mild diffuse tenderness. He has some patellar crepitus. He walks with a grossly normal gait. 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 or varus stress. He's got a very impaired person, Francisco Gonzalez. He has primary degenerative joint disease of his right knee,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11272_2e3863fe-25e7-4d3d-b9e2-24121ceb0138_1.mp3
1754988272,GSG11272_2e3863fe-25e7-4d3d-b9e2-24121ceb0138_2,00:01:01.240,00:01:39.420,"He is going to Puerto Rico and Dominican Republic tomorrow for some religious events that he takes care. He happens to be a very nice individual. He would like me to do an aspiration and cortisone shot before he goes away to make him more comfortable, and I am completely fine with that. fine with that. So, under sterile technique, I numbed the right knee. I aspirated 4 cc of clearish yellow fluid. I gave him an injection of 1 cc of 0.125% Marcaine without epinephrine along with 6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate. 6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate. Cortisone injections Ice it, take it easy. Work on some home strengthening exercises. and he could take the Naprosyn p.r.n.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11272_2e3863fe-25e7-4d3d-b9e2-24121ceb0138_2.mp3
1754989066,GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_0,00:00:00.000,00:00:30.500,"now dictating follow-up note on MARIA DELGADO-TORRES –date is 07/08/2025 Ms. Delgado-Torres comes to the office today. Carolina helped translate between Spanish and English along with Maria in my office. Ms. Delgado-Torres had been involved in a work-related accident on June 5, 2025, now four-and-a-half weeks ago. She sustained a contusion of her left knee and some swelling of the left ankle. She is also now complaining about some pain in her right knee, some problems in her right ankle, and also in her hemipelvic region.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_0.mp3
1754989066,GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_1,00:00:30.500,00:01:00.560,"She was accompanied by Pam Finer, RN. At this point, they would like me to look at the back, both knees, both ankles, and she was also complaining about problems in her upper neck, shoulder blade region, but that was not authorized to be seen. Ms. Delgado-Torres states that she took the Celebrex, but does not think it helps, so I told her if the anti-inflammatory does not help then do not take it any longer.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_1.mp3
1754989066,GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_2,00:01:00.560,00:01:32.020,"She states that she gets some low back pain. She denied lower extremity radiculopathy. She states that her left knee does not really feel any better. so just looking at the left knee, it is significantly less swollen. She complains of little bit of achiness in her right knee, little bit of achiness in both ankles. I told her previously that the swelling in her left knee from the contusion is what is going down her leg. She has also had an MRI of her left knee performed on June 11, 2025 at Hudson Regional Medical Center, at Hudson Regional Medical Center, which did show a small joint effusion present,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_2.mp3
1754989066,GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_3,00:01:32.200,00:02:01.800,"showed some prepatellar swelling, showed some abnormalities in the medial meniscus with a torn medial meniscus, but the mechanism of this injury is consistent with a contusion, prepatellar bursitis, and not consistent with an ACL tear or a medial meniscal tear. prepatellar bursitis, and not consistent with an ACL tear or a medial meniscal tear. Apparently, they are going to send me an aged MRI report, but I do not consider the tear of the medial meniscus or any abnormalities of the anterior cruciate ligament to be causally related. PHYSICAL EXAMINATION:",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_3.mp3
1754989066,GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_4,00:02:01.800,00:02:33.440,"Ms. Delgado-Torres is doing regular duty without restrictions. She takes one Celebrex a day. CONTINUED PHYSICAL EXAMINATION: Examination of the low back. reveals minimal tenderness, good range of motion. Straight leg raise is negative. Sensory, motor, and reflexes were normal. Babinski’s were downward going. No clonus was present. She is able to toe and heel walk and get up and down off the exam table without discomfort. Examination of the left knee reveals much less prepatellar bursal swelling. She has no joint effusion present. No medial or lateral joint line tenderness. Negative McMurray. Negative Apley grind.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_4.mp3
1754989066,GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_5,00:02:33.940,00:03:06.380,"She had 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. Examination of the right knee is completely normal. No swelling, no tennis, no effusion, full range of motion, no events stress. Examination of the left ankle reveals a little bit of ecchymosis present, but there is no localized tenderness over the medial or lateral malleolus, over the medial deltoid ligament, or over the anterior or posterior talofibular ligaments. Homan test was negative. Thompson test was normal. Achilles tendon was intact. New paragraph label is Examination of the right ankle ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_5.mp3
1754989066,GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_6,00:03:06.500,00:03:35.860,"No swelling, no tenderness, no ecchymosis, abrasion, discoloration, or edema. She had full range of motion. Homan test was negative. Thompson test was normal. Achilles tendon was intact. IMPRESSION: My impression is that. My impression is that. Maria Delgado-Torres was involved in a work-related accident on June 5, 2025, Now about five weeks ago, where she sustained a contusion/prepatellar bursitis of her left knee, some swelling of the left ankle, a little bit of contusion of the left knee, mild strain of her low back region,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_6.mp3
1754989066,GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_7,00:03:36.200,00:04:10.360,"I really see no evidence of an injury to the right knee or right ankle. So, I explained to Ms. Delgado-Torres as far as work goes, I will let her continue with the regular duty. If the Celebrex does not help, stop taking it. She can just take some Tylenol if she has any pain. She tells me that her left knee is not any better, yet there is significant less swelling in the prepatellar region. New paragraph I would not consider the MRI of the left knee showing a torn meniscus to be causally related to her accident of June 5, 2025. My recommendation is to undergo some therapy in the back.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_7.mp3
1754989066,GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_8,00:04:10.960,00:04:40.760,"She can do both knees and both ankles. The exercises they gave her to do in therapy, she is doing on her own at home. I gave her an appointment to see me in two weeks. We'll check on her, see how she's doing. And I think probably a four-week rehab program probably resolves this back to the pre-injury state period. Obviously, if there's any increasing pain, problems or difficulties, neurologic problems, let me know, period. The compensation letter goes to Great American Strategic Comp, Postal Spikes 4080 in Clinton, now dictating follow-up note on MARIA DELGADO-TORRES – 07/08/2025 Ms. Delgado-Torres comes to the office today.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_8.mp3
1754989066,GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_9,00:04:40.760,00:04:51.760,"Carolina helped translate between Spanish and English along with Maria in my office. Ms. Delgado-Torres had been involved in a work-related accident on June 5, 2025, now four-and-a-half weeks ago, where she sustained a contusion of her left knee and some swelling of the left ankle.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11276_71fcb06f-ccce-4c7c-bf05-02ca1e3fde52_9.mp3
1754989415,GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_0,00:00:00.000,00:00:31.700,"now dictating follow-up note on JAMES GERTMAN – 07/08/2025 Mr. Gertman comes to the office today. His date of injury goes back to May 27, 2025, where he allegedly sustained an injury to his right knee. I took fluid out of his right knee, sent it for a synovial fluid analysis, and it came back as monosodium urate crystals consistent with gout. So his problem with his right knee is not as a result of this alleged accident",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_0.mp3
1754989415,GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_1,00:00:31.700,00:00:58.360,"of May 27, 2025, but as a result of gout. He already had gout in his great toe previously. He just never had it in his knee before. So these problems with his right knee were as a result of gout. I was also asked to evaluate his left knee. So I saw his left knee last week on July 1, 2025, aspirated fluid, gave him a cortisone shot, and at this point both knees are doing very well",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_1.mp3
1754989415,GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_2,00:00:58.360,00:01:29.340,"as a result of that. I told him when I had seen him last week that he needs to take colchicine two pills, 0.6 mg and then one or two hours later, one more pill. That is a typical treatment for acute gout. and then once the acute gout is done, then he can take allopurinol, which decreases the likelihood of recurrence of gout. In turn, his problems with his knees are not causally related to any accident of May 27,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_2.mp3
1754989415,GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_3,00:01:29.340,00:02:01.620,"01/06/2025, but as a result of preexisting gout. Gout is not causally related nor aggravated as a result of this accident of May 27, 2025. As I explained to him lastly any additional treatment in his knees, he needs to go through his private health insurance. He states he has colchicine prescription, but he never filled it. So I explained to Mr. Gertman any treatment in the future for his knees is for the gout, which is not work related and he understood that. Mr. Gertman does feel much better at this point. Minimal pain. He can stand. He can bend. He can walk.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_3.mp3
1754989415,GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_4,00:02:01.680,00:02:33.860,"He was at the mall yesterday with his son walking around. PHYSICAL EXAMINATION: Mr. Gertman is a pleasant and cooperative male. His temperature in the office is 97.6. Examination of the knees. Veal no joint effusion present. Maybe some mild diffused tenderness. He has good range of motion, 2 to 135 degrees bilaterally. Naked of out of grind. Naked of, negative shift, negative hand draw, period. There is no medial or lateral instability noted in both 10 and 30 degrees of flexion with valgus and varus stress, and he walks with grossly normal gait. ..",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_4.mp3
1754989415,GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_5,00:02:34.000,00:03:08.100,"My impression is that James Gertman was allegedly involved in a work-related accident on May 27, 2025, now approximately six weeks ago, where he sustained a contusion of his right knee. His pain is right knee, and then subsequent pain is left knee. It's not a result of his accident in May 27, 2025, but it's a result of his gout. The gout has nothing to do with the accident in May 27, 2025. He'd already had gouty problems with his great toe in the past. His gout is preexisting and is not causally related",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_5.mp3
1754989415,GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_6,00:03:08.100,00:03:36.480,"nor aggravated as a result of the accident of May 27, 2025. I had already told Mr. Gertman when I saw him last time in my office on July 1, 2025, go to see his family doctor and get the colchicine. He states the doctor gave him prescription of colchicine, but he never picked it up. It is unclear whether he ever gave him allopurinol. I explained to Mr. Gertman that these medications need to be filled through",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_6.mp3
1754989415,GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_7,00:03:36.480,00:04:00.260,"His private health insurance, not through Worker's Compensation. Gout is not a Worker's Compensation problem. It is a preexisting medical condition having nothing to do with a work-related accident. So, at this point, Mr. Gertman can return to regular duty on July 9, 2025 without restrictions. If he has any additional issues with his gout, that needs to go through his private health insurance. At this point, he is MMI,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_7.mp3
1754989415,GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_8,00:04:00.620,00:04:23.520,"I answered all of his questions for him, and he was discharged from the office. Complications of Broadspire. Post was flagged 14645. Lexington, Kentucky 40512. Attention, Joe Luz, l u z a. It was 190617202. Employees, PC Richards and Sons. Type copy Jollousa, a 59-5502179. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21266_28d1fda0-4dae-43cf-96d2-60dc12ecbfb2_8.mp3
1754995053,GSG21274_0672ed62-8b3d-4f1f-ad40-f61526f36d3c_0,00:00:00.000,00:00:39.980,"now dictating follow-up note on LAURA last name DELRIOS date is 07/08/2025. Ms. Delrios comes to the office today complaining about pain and swelling in her right knee. She had originally injured her right knee on May 1, 2025, when she sustained a minor contusion. I have seen her multiple times in my office and at no point has she had any objective abnormalities. No swelling, good range of motion, no evidence of instability. She comes to the office today complaining about swelling. And her examination is again completely normal. She is doing regular duty. She is taking some Tylenol. PHYSICAL EXAMINATION:",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21274_0672ed62-8b3d-4f1f-ad40-f61526f36d3c_0.mp3
1754995053,GSG21274_0672ed62-8b3d-4f1f-ad40-f61526f36d3c_1,00:00:44.320,00:01:14.380,"No acute discomfort, Examination of the right knee reveals no swelling, no tenderness, no abrasions, no discoloration, full range of motion from 0 to 140 degrees. Negative Lachman, negative pivot shift, negative anterior drawer, negative posterior sag. There is no medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. She walked with an entirely normal gait.  My impression , Laura Delrios was involved in a work-related accident on May 1, 2025 now approximately 10 weeks ago where she sustained a minor contusion",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21274_0672ed62-8b3d-4f1f-ad40-f61526f36d3c_1.mp3
1754995053,GSG21274_0672ed62-8b3d-4f1f-ad40-f61526f36d3c_2,00:01:14.380,00:01:45.740,"of her right knee, which completely resolved. She is complaining about some swelling and her examination of her right knee is completely normal. There is no swelling. There is no tenderness. She has full range of motion. No evidence of ligamentous instability. Her diagnosis remains completely resolved contusion of the right knee. New paragraph. Plan. new paragraph, my recommendation for Ms Delrois is, new paragraph,  plan. Ms. Delrios at this point does not require any additional treatment. She remains at maximum medical benefits from treatment since that last visit in my office",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21274_0672ed62-8b3d-4f1f-ad40-f61526f36d3c_2.mp3
1754995053,GSG21274_0672ed62-8b3d-4f1f-ad40-f61526f36d3c_3,00:01:45.740,00:02:13.560,"dating back to June 9, 2025. Her physical examination is normal. She is doing regular duty without restrictions and there is no indication of any additional diagnostic or therapeutic modalities. New paragraph. I answered all Ms. Delrios’ questions and she was discharged from the office.  Complicated to the Walmart Cleaning Services at Post Office Box. 14731 Lexington, Kentucky 40512.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21274_0672ed62-8b3d-4f1f-ad40-f61526f36d3c_3.mp3
1754995053,GSG21274_0672ed62-8b3d-4f1f-ad40-f61526f36d3c_4,00:02:13.560,00:02:28.800,"Kimberly Bridges, b r d g e s. Number is 25090905. The employer is Walmart in Linden. Fax to Danielle, d a n y l, Frieza for ESE at FMCO at 973-257-2284. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21274_0672ed62-8b3d-4f1f-ad40-f61526f36d3c_4.mp3
1754996172,GSG21275_6b0433bb-8afd-4ba4-932f-8e6aae683997_0,00:00:00.000,00:00:32.300,"Now dictating a note on LISA D. AMATO – 07/08/2025 Ms. Amato comes to the office today with her daughter, Jiana. She has primary degenerative joint disease of her left knee. She is going to Dollywood tomorrow in Tennessee. She is driving with her husband and daughter. So, she would like me to do an aspiration cortisone shot before she goes away to make her knee more comfortable. and I have done this in the past and she is completely fine with this.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21275_6b0433bb-8afd-4ba4-932f-8e6aae683997_0.mp3
1754996172,GSG21275_6b0433bb-8afd-4ba4-932f-8e6aae683997_1,00:00:34.360,00:01:08.600,"She has some achiness and stiffness. PHYSICAL EXAMINATION: Ms. Amato is a pleasant and cooperative woman. Her temperature in the office is 96.8. Examination of the left knee reveals a small joint effusion present. A little tiny tenderness over the medial compartment. Negative McMurray, negative Apley grind, negative Lachman, negative pivot shift, negative anterior drawer. She has some patellar crepitus present. She walks with a grossly normal gait. IMPRESSION: My impression is that Lisa Amato does have primary degenerative joint disease of her left knee. She did very well with visco-supplementation injections in the past.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21275_6b0433bb-8afd-4ba4-932f-8e6aae683997_1.mp3
1754996172,GSG21275_6b0433bb-8afd-4ba4-932f-8e6aae683997_2,00:01:08.600,00:01:34.120,"She is going to Dollywood in Tennessee tomorrow. She would like me to do an aspiration cortisone shot before she goes away to make the knee more comfortable. And then when she comes back start doing the visco-supplementation injections, and I am completely fine with that. So, under sterile technique, I numbed the left knee. I aspirated 4 cc of clearish yellow fluid, gave her an injection of 1 cc of 0.125% Marcaine without epinephrine along with 6 mg of betamethasone",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21275_6b0433bb-8afd-4ba4-932f-8e6aae683997_2.mp3
1754996172,GSG21275_6b0433bb-8afd-4ba4-932f-8e6aae683997_3,00:01:34.120,00:01:47.760,"acetate and 6 mg of betamethasone sodium phosphate. Put that in macropore cortisone shot. I say take it easy enjoy your trip and then when she comes back, we will talk about doing visco-supplementation injections again for her left knee.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21275_6b0433bb-8afd-4ba4-932f-8e6aae683997_3.mp3
1755001608,GSG11282_224afc35-a226-4c2e-8551-f6890b4e51dc_0,00:00:00.000,00:00:30.800,"Now dictating a follow-up note on FIDA FARESS – 07/09/2025 Ms. Faress comes to the office today. Her date of injury goes back to June 5, 2025, about five weeks ago, where she sustained a cervical strain. I had seen her in my office on June 25, 2025. I had recommended some physical therapy and she states she has gone to therapy, which has helped her. She has less pain, less discomfort, occasional achiness. She has no complaints of upper extremity radiculopathy. She has done six sessions of therapy. She says she does not really want to do more.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11282_224afc35-a226-4c2e-8551-f6890b4e51dc_0.mp3
1755001608,GSG11282_224afc35-a226-4c2e-8551-f6890b4e51dc_1,00:00:30.920,00:01:04.440,"She states at this point, she does not really want to do more. She states the amount she has done has been okay. She is better but not perfect. So I told her to keep doing the exercises. think posture. Just be careful in the position she is in. As far as work goes, she is on summer vacation, so she can continue with regular duty. PHYSICAL EXAMINATION: Ms. Faress is a pleasant and cooperative woman. Examination of the cervical spine revealed no tenderness, muscle spasm, or trigger points. Bill of attendance. Must pass the trick points. Motion is good. Neurologics and vascular return is intact. Period. Her Spurling test was normal. Her shoulder abduction test was normal. and the Hoffman test was normal.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11282_224afc35-a226-4c2e-8551-f6890b4e51dc_1.mp3
1755001608,GSG11282_224afc35-a226-4c2e-8551-f6890b4e51dc_2,00:01:05.900,00:01:36.160,"IMPRESSION: My impression is that Fida Faress was involved in a work-related accident on June 5, 2025, about five weeks ago where she sustained a cervical strain. five weeks ago where she sustained a cervical strain. That is doing much better. She has occasional achiness, but her examination is normal. She finished her therapy. I told her if she wants to go for additional therapy, I will send her, but she states at this point, she feels okay and if indeed it gets worse in the future, then she will consider going back to therapy and I find that acceptable. Her diagnosis is mostly resolved cervical strain and she is happy with her outcome.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11282_224afc35-a226-4c2e-8551-f6890b4e51dc_2.mp3
1755001608,GSG11282_224afc35-a226-4c2e-8551-f6890b4e51dc_3,00:01:36.880,00:02:12.360,"So, at this point, Ms. Faress will continue with home exercises, think posture. At this point, I will basically consider her to be MMI. I do not need to see her unless there are further problems or difficulties in the future. She can continue the regular duty period. Complimentary goes to ql- links linx. The postal is 5240819. Apple Valley, Minnesota 55125. Claim number is 25W1. It's the discretion 02327, b as in boy, Employers Union Board of Education. Thacklum and Nichelle, n I c h e l o e, Lynn l y n n, and n j s I g at (609) 386-2011.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11282_224afc35-a226-4c2e-8551-f6890b4e51dc_3.mp3
1755003934,GSG11283_1e4c78b8-7da2-4654-8551-5a3bc3b3b3e5_0,00:00:00.000,00:00:33.680,"Now dictating a follow-up note on CARMINA RODRIGUES – 07/09/2025 Ms. Rodrigues comes to the office today. She has just gotten back from seven weeks from Portugal. Her knees are pretty miserable. She has pain, discomfort, and swelling. She probably should have had a cortisone shot before she went away, which is typical. She is going to Australia on August 1, 2025, but she is going to her daughter’s house in Texas on July 30, 2025. So I told her if she wants to get a cortisone shot before she goes to Texas and Australia, come see me on July 29, 2025 and she was fine with that.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11283_1e4c78b8-7da2-4654-8551-5a3bc3b3b3e5_0.mp3
1755003934,GSG11283_1e4c78b8-7da2-4654-8551-5a3bc3b3b3e5_1,00:00:35.300,00:01:14.080,"She has pain, some swelling, some clicking. No history of diabetes. She has hypertension. PHYSICAL EXAMINATION: Ms. Rodrigues is a pleasant, cooperative woman. She's got small joint effusion present in both knees. She cannot fully extend or flex either knee. More tenderness over the medial compartment of both knees, maybe left a little bit more than the right. She has patellar crepitus. She has a negative 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 or varus stress. AP weightbearing of both knees and lateral view of both knees demonstrate some mild narrowing in the medial compartment of both knees left, more than right, degenerative arthritis, patellofemoral joint, of both knees, right, more to the left, scott osteophytes,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11283_1e4c78b8-7da2-4654-8551-5a3bc3b3b3e5_1.mp3
1755003934,GSG11283_1e4c78b8-7da2-4654-8551-5a3bc3b3b3e5_2,00:01:17.060,00:01:58.880,"and spike in the tibial spines, bilateral. Her examination is consistent with primary degenerative joint disease of both knees, of mild-to-moderate nature, which she has trip coming up to Texas and Australia and she would like me to do an aspiration and cortisone shot before she goes away, which is completely fine. The last time she did this was back in 2014. Apparently, there are plans for Ms. Rodrigues. She is going to see her daughter July 30, 2025, so come see me, and then she is going to Australia August 1, 2025. Come see me on July 29, 2025. We will do an aspiration and cortisone shot for both knees, make her feel better, enjoy your trip. and the if she wants to do additional injections in the future including visco supplementation injections, we can also consider that.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11283_1e4c78b8-7da2-4654-8551-5a3bc3b3b3e5_2.mp3
1755004559,GSG11285_1625cf0f-c994-4c50-a678-54dac7d5c43c_0,00:00:00.000,00:00:34.660,"Now dictating a follow-up note on MELANIE GONCALVES – 07/09/2025 Ms. Goncalves comes to the office today. Her date of injury goes back to June 6, 2025, just about five weeks ago, where she sustained a cervical strain and a left trapezial strain. I had seen her initially in my office on June 25, 2025 and recommended some therapy. She states she is way better. She has minimal pain. The therapy has helped. She wants to know if she can go a bit longer. Period. She's been doing home exercises. She has no complaints of upper extremity radiculopathy. Period. New paragraph for the examination. PHYSICAL EXAMINATION:",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11285_1625cf0f-c994-4c50-a678-54dac7d5c43c_0.mp3
1755004559,GSG11285_1625cf0f-c994-4c50-a678-54dac7d5c43c_1,00:00:34.840,00:01:05.060,"There may be a little tiny tenderness in the neck. no tenderness in the trapezial muscles. She has full range of motion of her neck. Neurologic status of both upper extremities was intact. She had negative impingement test, negative drop test, negative sulcus sign, no subluxation, negative lift-off test, negative belly press test, negative Speed test. period. And you're very open to My impression Melanie Goncalves was involved in a work-related accident on June 6, 2025, now approximately four and a half to five weeks ago, where she sustained a cervical strain and a left trapezial strain. She is doing way better. The therapy",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11285_1625cf0f-c994-4c50-a678-54dac7d5c43c_1.mp3
1755004559,GSG11285_1625cf0f-c994-4c50-a678-54dac7d5c43c_2,00:01:05.060,00:01:33.960,"Helped her a great deal. She has been doing home exercises. She takes occasional Tylenol. She is apparently going to be seeing a neurologist in the next few weeks. She can do regular duty though the Linden Board of Education is out for the summertime. So, my recommendation for Ms. Goncalves is to do Ms. Goncalves is to do two more weeks of physical therapy. She will continue with the home exercises. She will take the Tylenol p.r.n. The exercises they gave her to do in therapy she can do on her own at home. She will continue with regular duty. I gave her an appointment to see me in two weeks. Her examination today is quite benign.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11285_1625cf0f-c994-4c50-a678-54dac7d5c43c_2.mp3
1755004559,GSG11285_1625cf0f-c994-4c50-a678-54dac7d5c43c_3,00:01:34.480,00:02:01.680,"at that point she will probably be MMI and discharged from care. The company goes to Qual Links. They're posted at 524-0819, Apple Valley, Minnesota, 55125. Claiming to 25W's YSU secretion 02289W's and water. The employee is Linden Board of Education. Facts copied RANA, R-A-N-A, C-R-A-N-D-A-N at 609-386-2011. Thank You",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11285_1625cf0f-c994-4c50-a678-54dac7d5c43c_3.mp3
1755005060,GSG11287_87d48324-ee41-4cd7-8c2c-6aae8ce6571e_0,00:00:00.000,00:00:31.920,"Now dictating a follow-up note on ERNESTO FERNANDEZ-MACIA 07/09/2025 Mr. Fernandez-Macia comes to the office today, accompanied by Rosa Stagnitta, RN, nurse case manager and Rosa along with Maria in my office helped translate between Spanish and English. His date of injury goes back to June 11, 2025, about four weeks ago, where he sustained contusion of his right ribs and chest wall and I had been giving him notes for light duty though there is no light duty. Today he feels fine.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11287_87d48324-ee41-4cd7-8c2c-6aae8ce6571e_0.mp3
1755005060,GSG11287_87d48324-ee41-4cd7-8c2c-6aae8ce6571e_1,00:00:32.000,00:01:03.400,"He does not really have any pain. He can push. He can pull. He can lift. He can drive. As far as work goes, he is ready to go back to regular duty tomorrow. He is not taking any pain medication at this point and feels fine. No shortness of breath. No chest pain. ERNESTO FERNANDEZ-MACIA – 07/09/2025 CONTINUED PHYSICAL EXAMINATION: Mr. Fernandez-Macia is a pleasant and cooperative male. Examination of his chest and rib region revealed no tenderness, swelling, abrasions, discolorations, or edema. His motion is full. Lungs are clear to auscultation. He walks with a grossly normal gait. He walks with a grossly normal gait. IMPRESSION: My impression is that",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11287_87d48324-ee41-4cd7-8c2c-6aae8ce6571e_1.mp3
1755005060,GSG11287_87d48324-ee41-4cd7-8c2c-6aae8ce6571e_1,00:00:32.000,00:01:03.400,"He does not really have any pain. He can push. He can pull. He can lift. He can drive. As far as work goes, he is ready to go back to regular duty tomorrow. He is not taking any pain medication at this point and feels fine. No shortness of breath. No chest pain. ERNESTO FERNANDEZ-MACIA – 07/09/2025 CONTINUED PHYSICAL EXAMINATION: Mr. Fernandez-Macia is a pleasant and cooperative male. Examination of his chest and rib region revealed no tenderness, swelling, abrasions, discolorations, or edema. His motion is full. Lungs are clear to auscultation. He walks with a grossly normal gait. He walks with a grossly normal gait. IMPRESSION: My impression is that",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11287_87d48324-ee41-4cd7-8c2c-6aae8ce6571e_1.mp3
1755005060,GSG11287_87d48324-ee41-4cd7-8c2c-6aae8ce6571e_2,00:01:03.400,00:01:32.240,"Ernesto Fernandez-Macia was involved in a work-related accident on June 11, 2025, approximately four weeks ago, where he sustained a contusion of his right rib and chest wall, which at this point that problem has resolved. I had given him notes for light duty. There was no light duty available, but at this point he feels comfortable going back to regular duty tomorrow and I think that is appropriate. Mr. Fernandez-Macia's diagnosis is resolved contusion of his right chest wall and ribs based on the accident of June 11, 2025.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11287_87d48324-ee41-4cd7-8c2c-6aae8ce6571e_2.mp3
1755005060,GSG11287_87d48324-ee41-4cd7-8c2c-6aae8ce6571e_3,00:01:32.240,00:02:03.720,"So, at this point Mr. Fernandez-Macia can return to regular duty as of July 10, 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. Accomplished as a great American strategic comp. Post was like 4080, Clinton, Iowa, 52733. Attention, Gina, G-I-N-A, Borton, B-O-R-T-O-N Conversation Arthur 00728422. Bergen, b e r Shippers, S H I P E R S, Corporation. Fax governor is",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11287_87d48324-ee41-4cd7-8c2c-6aae8ce6571e_3.mp3
1755071566,GSG11302_a036b71d-0b02-42c0-b4f7-64f1f8d65e12_0,00:00:00.000,00:00:30.360,"Now dictating a follow-up note on GIANELLA ZAVALA-VILLALTA – date is 07/16/2025 Ms. Zavala-Villalta comes to the office today. Her date of injury goes back to June 3, 2025, approximately six weeks ago, where she sustained a strain of her right shoulder, right wrist, and right hand. At this point, she feels pretty much normal. Right shoulder is fine. Right wrist is 99% normal. Her hand does not bother her. She has no complaints of numbness or weakness. She can push. She can pull.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11302_a036b71d-0b02-42c0-b4f7-64f1f8d65e12_0.mp3
1755071566,GSG11302_a036b71d-0b02-42c0-b4f7-64f1f8d65e12_1,00:00:30.460,00:01:05.720,"She can lift. She can carry. Doing regular duty. She has done 4/6 sessions of therapy. She has two sessions of therapy this week that are still left. I asked her if she wants to complete those or if she feels okay at this point. She says she would like to complete those. She has been instructed on home exercises, at most she may take an occasional Tylenol. Otherwise, she is happy about the results. New paragraph, PHYSICAL EXAMINATION: Ms. Zavala-Villalta is a pleasant and cooperative woman. Her temperature in the office is 98.1. Examination of the right shoulder revealed no muscle spasm, no trigger points, no tenderness, no ecchymosis, erythema, abrasion, discoloration, or edema. ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11302_a036b71d-0b02-42c0-b4f7-64f1f8d65e12_1.mp3
1755071566,GSG11302_a036b71d-0b02-42c0-b4f7-64f1f8d65e12_2,00:01:06.140,00:01:36.120,"It's got full pain free symmetric range of motion above shoulders, negative pinch test, negative Neer test, negative lift-off test, negative belly press test, negative Speed test, negative drop test, negative impingement test, period. Invertebrate exam, right hand and wrist, feels full pain free symmetric range of motion, flexion, extension, pronation, supination, and radial and ulnar deviation. Full range of motion of the MCP and IP joints of the fingers. Tinel and Phalen's tests were negative. Neurologically, she was intact. No triggering of the A1 pulleys. No subluxation of the extensor tendons. No ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11302_a036b71d-0b02-42c0-b4f7-64f1f8d65e12_2.mp3
1755071566,GSG11302_a036b71d-0b02-42c0-b4f7-64f1f8d65e12_3,00:01:36.120,00:02:05.400,"Boutonnière, swan neck or mallet finger deformities. No tenderness over the snuffbox. New paragraph IMPRESSION: My impression is that Gianella Zavala-Villalta was involved in a work-related accident on June 3, 2025, approximately six weeks ago weeks ago, seeing a mild strain of the right shoulder, right hand, and right wrist, which at this point is basically resolved, period. She's been going to therapy, which helps. She's got two sessions of therapy left. I asked if she wanted to complete those and she states she would, which is completely fine with me. She is doing regular duty. She is happy about the results.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11302_a036b71d-0b02-42c0-b4f7-64f1f8d65e12_3.mp3
1755071566,GSG11302_a036b71d-0b02-42c0-b4f7-64f1f8d65e12_4,00:02:05.980,00:02:35.020,"At this point, her diagnosis is resolved strain of the right shoulder, right wrist, and right hand. Very good plan. At this point, Ms. Alvarado will continue with regular duty. She'll finish up the last two sessions of therapy this week and then continue with home exercise. Medication-wise, she doesn't really need anything. I will consider her to be MMI. I answered all of her questions for her and she was discharged from the office. A couple years ago, I linked the Postal Service Bikes 240819, Apple Valley, Minnesota, 5512,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11302_a036b71d-0b02-42c0-b4f7-64f1f8d65e12_4.mp3
1755071566,GSG11302_a036b71d-0b02-42c0-b4f7-64f1f8d65e12_5,00:02:35.860,00:02:53.120,"Cleveland is 25, Duggan's and Watt, Sears, Christian, 02120, Wives and Youth, Flores Morris, Amores, Batch Union, UN Joint Church, UN Teoria Commission, Task Officer Christine, C.H. Rice, T.N.A. James, T.M.E.S., and N.J.S.A.G. at 6093 at 6-2011. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11302_a036b71d-0b02-42c0-b4f7-64f1f8d65e12_5.mp3
1755076686,GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_0,00:00:00.720,00:00:25.400,"Now dictating a follow-up note on ARTHUR or ETIENNE date is July 16, 2025. Mr. Etienne comes to the office today. His date of injury goes back to June 22, 2025, now approximately three-and-a-half weeks ago, where he sustained an injury to his right shoulder at work. I had seen him a couple of weeks ago in my office on July 2, 2025. He had already had what looks like a rotator cuff repair",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_0.mp3
1755076686,GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_1,00:00:25.400,00:00:50.920,"right shoulder back in 2022 by apparently Dr. Rothenberg, R-O-T-H-E-N-B-E-R-G, from Riverside Orthopedics, which is now Optimum Orthopedics, period. I sent a release of medical records in with regards to his operative report and post-operative records and they never responded. I called the office today.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_1.mp3
1755076686,GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_2,00:00:50.920,00:01:20.020,"We cannot really get anybody from this office, but I eventually got someone and they will send a note to the office to try to give us those medical records. Mr. Etienne states he was recently seen by Dr. Rothenberg through his private health insurance. He was sent for an MRI of his right shoulder. It was done at NJIN in Union on July 15, 2025. There was no report available. I did review physical therapy notes from Ivy Rehab in Union. He states he does not think it is helping very much.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_2.mp3
1755076686,GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_3,00:01:20.420,00:01:49.580,"He has been taking the Naprosyn and he is supposed to be seeing Dr. Rothenberg tomorrow with regards to reviewing the MRI of the right shoulder. I explained to him this will not be covered through Worker’s Compensation. So, he can go through his own private health insurance or pay for this out-of-pocket but Worker’s Compensation will not pay for unauthorized care. He understood this. I have given him a note for light duty, but there was no light duty available for him. Mr. Etienne still complains of pain and limited range of motion of his right shoulder.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_3.mp3
1755076686,GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_4,00:01:49.580,00:02:19.460,"PHYSICAL EXAMINATION: Mr. Etienne is a pleasant, cooperative male. His temperature in the office is 98.4. Examination of the right shoulder revealed nicely healed incisions. There is no redness, mild diffuse tenderness. He still has limited range of motion actively maybe 80 to 85 degrees of abduction and forward flexion. Passively, I can get him to maybe about 110 to 115 degrees. He has very limited internal and external rotation actively. Passively, I can probably get him to about 30 degrees. He just cannot really lift up his shoulder.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_4.mp3
1755076686,GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_5,00:02:19.460,00:02:48.620,"I cannot do an impingement test. I really cannot do a belly press test or lift-off test , Speed test, or O’Brien test because of his limited range of motion. It looks like he probably has a positive drop test. X-RAYS: I went over the actual MRI of the right shoulder done at NJIN in Union on July 15, 2025. It shows prior rotator cuff repair, anchors in the humeral head. It shows evidence of degenerative arthritis in the AC joint. It shows evidence of small superior labral anterior/posterior tear.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_5.mp3
1755076686,GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_6,00:02:48.620,00:03:15.900,"It also shows extensive tearing of the rotator cuff of the right shoulder. There are multiple postoperative changes. Pretty big compression by pressure. Arthur Etienne was involved in a work-related accident. June 22, 2025, where he injured his right shoulder. It is possible that injury may have caused tear of the rotator cuff, which is documented on this MRI done at NJIN in Union on July 15, 2025. But it is also possible that his rotator cuff never did well after he went through his ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_6.mp3
1755076686,GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_7,00:03:15.900,00:03:41.620,"health insurance three years ago for a rotator cuff repair. I have been trying to get the medical records from Optimum Orthopedics, Dr. Rothenberg, and I am not able to get those records. I sent a release of records back on July 2, 2025, which they never responded to. I then called the office today. I could not really get the office. I got one woman who states she will contact the office and try to send me the records.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_7.mp3
1755076686,GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_8,00:03:41.740,00:04:09.500,"I even had Mr. Etienne on the phone talking to them saying he will get absolute release of medical records, so that we can provide those records. I do not feel secure that Optimum Orthopedics is going to provide me with those records because there is always an issue trying to get medical record from. So, it is possible that this tear in Mr. Etienne’s Etienne’s rotator cuff of the right shoulder is causally related to the accident of June 22,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_8.mp3
1755076686,GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_9,00:04:09.720,00:04:42.240,"2025, but it is just potentially causally related to the previous poor results he had in his right shoulder after rotator cuff repair three years ago. If Dr. Rothenberg’s records state he did great after the rotator cuff repair, he had no problems or difficulties, then it is possible that this accident of June 22, 2025 caused the additional tear of the rotator cuff of the right shoulder. If Dr. Rothenberg’s notes comment that Mr. Etienne did not do well after the repair of the rotator cuff back in 2022, then it is more likely that these preexisting problems",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_9.mp3
1755076686,GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_10,00:04:42.240,00:05:11.620,"was the cause of the tear of rotator cuff. I cannot make that determination until I get Dr. Rothenberg’s medical records from Optimum Orthopedics. PLAN: So, at this point, Mr. Etienne will continue with therapy. He will continue with home exercises. He can take the Naprosyn p.r.n. I have given him a note for light duty, which is apparently not available. And I gave him an appointment to see me in two weeks. Hopefully within that two weeks span, I will be able to get his medical records from Dr. Rothenberg in Optimum Orthopedics.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_10.mp3
1755076686,GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_11,00:05:11.920,00:05:40.340,"And I stressed to Mr. Etienne, he is going to back to see Dr. Rothenberg tomorrow, get the medical records from Dr. Rothenberg, bring it back to my office. uh If I can obtain these records from uh, Riverside, from Optimum Orthopedics, Dr. Rothenberg, then I will take responsibility and work will take responsibility based on what those records show, but if I am not able to get those records from Optimum Orthopedics and Dr. Rothenberg, then I explained to Mr. Etienne",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_11.mp3
1755076686,GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_12,00:05:40.340,00:06:09.320,"Worker’s Compensation will no longer take responsibility for this problem and he can go through his private health insurance or pay cash out of his pocket for additional medical care and he understood that. The company goes to NJM at 301 Sullivan Way, West Grand New Jersey 08628, attention L-A-N-E-L Gunzlez, G-U-N-Z-L-E-Z, uh, claim number W-2025-064800. for his Village Supermarket slash shop ShopRite. class cabin l a n a l Gonzales",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11304_15a3b168-32ef-446a-9a6c-ee6688178f5d_12.mp3
1755077149,GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_0,00:00:00.000,00:00:31.020,"Now dictating a follow-up note on MILTON MCCORD date is 07/16/2025 Mr. McCord comes to the office today. His date of injury goes back to May 7, 2025, 10 weeks ago, where he allegedly sustained an injury to his left shoulder, low back, left hip, left leg, left knee, and both hands. and I have seen him multiple times in the office. I have never seen anything wrong. The last time I had seen him in the office, I had recommended some therapy. That goes back to June",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_0.mp3
1755077149,GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_1,00:00:31.020,00:00:57.440,"18 and that is not starting until tomorrow. Which today, which I find impossible to believe that this is an insurance issue. I think it is Mr. McCord’s problem. When I had last seen him on July 2, 2025, I sent him back to regular duty on July 3, 2025. He states he went back to regular duty, lifted a container. He had severe left shoulder pain. He states he was then seen at Jersey City Medical Center without",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_1.mp3
1755077149,GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_2,00:00:57.440,00:01:23.100,"authorization, apparently did tell work. He was supposed to see me yesterday for his left shoulder because of the new injury on July 3, 2025, he never came in for the evaluation. So I was only asked to evaluate his him based on the accident of May 7, 2025, which gave him allegedly left shoulder, low back, left hip, left leg, left knee, both hand pain.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_2.mp3
1755077149,GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_3,00:01:23.260,00:01:48.580,"The only pain he has at this point is his left shoulder. He has no complaints of back pain. No complaints of hip pain, no complaints of leg pain, knee pain, or hand pain. I asked him when he had this accident on July 3, 2025, did he get black and blue, swollen, any abnormalities noted. He states no. He has been out of work since that injury apparently without authorization. PHYSICAL EXAMINATION:",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_3.mp3
1755077149,GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_4,00:01:49.240,00:02:20.940,"Mr. McCord’s temperature is 96.9. Examination of the left shoulder revealed no swelling, no abrasions, no discoloration, no ecchymosis, no severe tennis. I'm talking about just barely touching the skin on his shoulder. He's dying in agonizing pain. His pulse is 74. I touch his skin, agonizing pain, yet the pulse remains 74, period. He can barely lift his left shoulder up not more than 10-15 degrees,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_4.mp3
1755077149,GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_5,00:02:21.420,00:02:52.500,"but when I asked him to take his shirt off, so I can look at him, he is rotating his shoulder and lifting it up without anything. So, these are multiple signs of symptom magnification. Examination of his low back, left hip, left knee, both hands are completely normal. normal, no swelling, no tenderness, neurologically normal. No effusion in his knee, no evidence of instability with regards to the left shoulder, I could not do any testing because he could not lift his shoulder up. He was screaming and dying in agonizing pain, yet his pulse remains normal.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_5.mp3
1755077149,GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_6,00:02:53.680,00:03:23.040,"You paragraph and press. My impression is that Milton McCord He's telling me he was involved in a work-related accident on May 7, 2025, 10 weeks ago, where he complains of original pain in his left shoulder, low back, left hip, left leg, left knee, and both hands, which I have never seen anything wrong with him and today is the exact same. He apparently had another injury at work after I sent him back to work on July 3, 2025, where he was lifting something heavy and he felt a sharp pain in his left shoulder.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_6.mp3
1755077149,GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_7,00:03:23.040,00:03:53.200,"He had an appointment to see me yesterday in the office on July 15, 2025, to evaluate the July 3, 2025 problem in the left shoulder and he never came in. Um I just do not find this case believable. I explained to Mr. McCourt I have already written a prescription for therapy on his left shoulder, low back, and left knee. He has elected to do that. As far as work goes, I see no reason he cannot do regular duty without restrictions. I gave him an appointment to see me in two weeks. The exercises they gave him.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_7.mp3
1755077149,GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_8,00:03:53.220,00:04:22.880,"he can do on his own at home and medication wise, if he has discomfort, he is welcome to take an Advil occasionally. Considering I have now seen him multiple times, I can see nothing wrong with any of his body parts. Once he has completed his therapy, he would be MMI and discharged. The public goes to Cedric, Postal Spikes 14151, Lexington, Kentucky 40512, Tension Valentina, V-E-L-E-N-T-I-N-A, Carney, C-R-N-E-Y, Claimants 4, A's and R's, 25056,j as in John, and X's,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_8.mp3
1755077149,GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_9,00:04:23.560,00:04:36.440,"F's and Frank, 3-0001, For his National, D's and David's, C's, Christian Peace and Peter. Facts copied to Valentina Carney, CRNE1, at 859-264-4060.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11305_80531cd3-df51-4152-a05a-dada393eaad6_9.mp3
1755077520,GSG11306_6ea4bba3-6bc8-4250-9214-e76392283dd5_0,00:00:00.000,00:00:33.320,"Now dictating a follow-up note on JOAO FERNANDES date is 07/16/2025 Mr. Fernandes comes to the office today. It is about three months after his last aspiration and cortisone shots. It is bothering him again. He is going to be a candidate for knee replacement, but he is only 54 years old. He would like to be as old as possible for his knee replacement because it is going to wear off, and I cannot disagree with that. If he can go over a few months and help him that is fine. He takes an occasional ibuprofen, but he needs to be careful with that because of his hypertension. um PHYSICAL EXAMINATION:",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11306_6ea4bba3-6bc8-4250-9214-e76392283dd5_0.mp3
1755077520,GSG11306_6ea4bba3-6bc8-4250-9214-e76392283dd5_1,00:00:33.780,00:01:05.320,"His temperature is 98.1. His blood pressure in the office was 135/86. He has a moderate sized joint effusion in his right knee, small joint effusion in his left knee. He has a genu varus deformity. He has some mild tenderness over the medial compartment, more in the right knee than the left knee. He cannot fully extend or flex his knees. He walks with a slow steady gait. He has a negative Lachman, negative pivot shift, negative anterior drawer, negative posterior sag. no medial or lateral stability, and 10-3 reflexional valve for the varus truss. ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11306_6ea4bba3-6bc8-4250-9214-e76392283dd5_1.mp3
1755077520,GSG11306_6ea4bba3-6bc8-4250-9214-e76392283dd5_2,00:01:05.780,00:01:38.240,"Squatch assessment will attack your nebrographic impression. My impression is that Jerome Fernandez has primary germ joint disease and medial compartment of both knees, period. He's got almost bone on bone He has significant arthritis in the medial compartment. He does well with the aspiration and cortisone shots. I told him he is a candidate for knee replacement, but he would like to wait as long as possible. He also has some atrophic skin on both legs. Weight reduction would help him, especially considering he is heading towards a total knee replacement in the future, and I also discussed that with him. So, under sterile technique,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11306_6ea4bba3-6bc8-4250-9214-e76392283dd5_2.mp3
1755077520,GSG11306_6ea4bba3-6bc8-4250-9214-e76392283dd5_3,00:01:38.920,00:02:00.980,"I numbed both knees. Aspirated 14 cc of clearish yellow fluid from the right knee. and 6 cc of clearish yellow fluid from the left knee. Gave him an injection of 1 cc of 0.125% Marcaine without epinephrine with 6 mg of betamethasone acetate, and 6 mg of betamethasone sodium phosphate. put that in a macro for a cortisone shot. take it easy, and if he wants to repeat these injections in the future, he is welcome to do that.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11306_6ea4bba3-6bc8-4250-9214-e76392283dd5_3.mp3
1755078134,GSG11307_55cf6428-41c3-40f5-a2c5-feee524ddbfb_0,00:00:00.000,00:00:32.280,"Now dictating a follow-up note on NAZERA BARRETT date is 07/16/2025 Ms. Barrett comes to the office today accompanied by Meredith Levine, RN, her nurse case manager from Triune Health. Ms. Barrett had been involved in a work-related accident on May 25, 2025, seven-and-a-half weeks ago, where she sustained a lumbar strain. She has been going to therapy, which helped her a significant amount. She has been doing light duty. She takes an occasional Tylenol.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11307_55cf6428-41c3-40f5-a2c5-feee524ddbfb_0.mp3
1755078134,GSG11307_55cf6428-41c3-40f5-a2c5-feee524ddbfb_1,00:00:32.660,00:01:00.600,"I asked her if she felt comfortable going back to work. she states she would like to do little bit more therapy, but she does not feel comfortable going back to work as of yet, She denied any neurologic abnormalities or bowel or bladder abnormalities. She broke her physical examination. Ms. Barrett's pleasant, cooperative woman, her examination of the spine, revealed no tenderness, no swelling, no ecchymosis, abrasion, discoloration, no muscle spasm trigger points, no tenderness to sciatic notch. She has no tenderness over the",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11307_55cf6428-41c3-40f5-a2c5-feee524ddbfb_1.mp3
1755078134,GSG11307_55cf6428-41c3-40f5-a2c5-feee524ddbfb_2,00:01:00.600,00:01:29.500,"sacroiliac joints. Range of motion was good. Sensory, motor, and reflexes were normal. Babinski’s were downward going. No clonus was present. She walked with entirely normal gait. MPRESSION: My impression is that Nazera Barrett was involved in a work-related accident on May 25, 2025, seven-and-a-half weeks ago. where she sustained a mild lumbar strain. Her examination is normal, but she still does not feel comfortable going back to regular duty. She has been doing light duty. She has done two weeks of therapy.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11307_55cf6428-41c3-40f5-a2c5-feee524ddbfb_2.mp3
1755078134,GSG11307_55cf6428-41c3-40f5-a2c5-feee524ddbfb_3,00:01:29.500,00:01:59.780,"She would like to go to therapy a little bit longer. I would recommend lets go for two more weeks of therapy. Let us continue with the home exercises. I will maintain her on light duty. I gave her an appointment to see me in two weeks. And considering her examination today is normal, I am sure in two weeks, this is probably going to be even better. So, at that point, as long as she looks fine, she would be MMI and discharged back to regular duty. It is very important that the exercises they gave her to do in therapy, do her own at home and she is doing that already. Public goes to Great American Strategic",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11307_55cf6428-41c3-40f5-a2c5-feee524ddbfb_3.mp3
1755078134,GSG11307_55cf6428-41c3-40f5-a2c5-feee524ddbfb_4,00:01:59.780,00:02:19.360,"Comp, Postal Box 4080, Clinton, Iowa, 55733. Attention, Gina, G-I-N-A, Borton, B-O-R-T-O-N. Communicators, Northwood 00724186. There's MARQS Health Consulting Services.  Tax governor, Meredith Levine. Come on in at (630) 586-9441. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11307_55cf6428-41c3-40f5-a2c5-feee524ddbfb_4.mp3
1755078791,GSG21303_6d93f63f-d2ea-4102-af4b-2492f2e1318a_0,00:00:00.000,00:00:36.260,"Now dictating a note on MAAJIID M AKBAR date is 07/16/2025 Mr. Akbar comes to the office today. He has primary degenerative joint disease of both knees. He is here for the second Orthovisc injection. The first one I gave him last week. he says he feels better. He has less pain, less discomfort. I went over his x-rays again which showed significant loss of the medial compartment of both knees Right a little bit more than the left. Period of physical examination. He walks with a normal gait He has a mild genu varus deformity. He has some minimal tenderness in the medial compartment of both knees. Negative McMurray, Negative Apley grind. He has a negative Lachman. negative pivot shift. negative anterior drawer. Period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21303_6d93f63f-d2ea-4102-af4b-2492f2e1318a_0.mp3
1755078791,GSG21303_6d93f63f-d2ea-4102-af4b-2492f2e1318a_1,00:00:37.360,00:00:59.260,"There is no medial or lateral instability. in 10 and 30 degrees of flexion with valgus and varus stress. Negative posterior sag. He did have a small joint effusion present bilaterally. PLAN: So, under sterile technique, I numbed both knees. took out 3 cc from the right knee, 2 cc of clearish yellow fluid from the left knee. gave him a second Orthovisc injection to both knees, and I will see him back in my office next week for the third and final injection.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21303_6d93f63f-d2ea-4102-af4b-2492f2e1318a_1.mp3
1755079245,GSG21305_4a84e25b-8e42-4b55-b2e9-30c74bf4103d_0,00:00:00.000,00:00:27.760,"Now dictating a note on STANLEY C. SACKNER date is 07/16/2025 Dr. Sackner went for a DEXA scan and an MRI of the sacrum done at NJIN in West Caldwell on July 15, 2025. I have the results of the DEXA scan, all I got was it is -1.8 in the right femoral neck. umm",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21305_4a84e25b-8e42-4b55-b2e9-30c74bf4103d_0.mp3
1755079245,GSG21305_4a84e25b-8e42-4b55-b2e9-30c74bf4103d_1,00:00:27.760,00:00:56.480,"The lumbar spine and other parts were also minus but not to the extent of osteoporosis. I also went over the MRI of his sacrum done at NJIN in West Caldwell on July 15, 2025 and that clearly documented a sacral insufficiency fracture, bone marrow edema extending transversely across the mid sacrum. Also had a disc bulge and disc protrusion at L5-S1 and a large prostate which I did inform.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21305_4a84e25b-8e42-4b55-b2e9-30c74bf4103d_1.mp3
1755079245,GSG21305_4a84e25b-8e42-4b55-b2e9-30c74bf4103d_2,00:00:56.480,00:01:26.180,"I discussed this in depth with him. He has an insufficiency fracture that is consistent with osteoporosis though he also though his DEXA scan does not show osteoporosis, he had an insufficiency fracture and that by definition is osteoporosis. So, he needs to get treatment for this. so I discuss the options my recommendation would be to go see a endocrinologist period they can do blood tests on him to determine if he has factors that are",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21305_4a84e25b-8e42-4b55-b2e9-30c74bf4103d_2.mp3
1755079245,GSG21305_4a84e25b-8e42-4b55-b2e9-30c74bf4103d_3,00:01:26.180,00:01:54.700,"associated with risk of osteoporosis. I told him I had a similar problem happening years ago from excessive running activities. And I took Forteo, F-O-R-T-O, which is a parathyroid hormone, every day for about five months. I then took a prolia pyrolea, and that improved me significantly. So short term, I would not recommend he do anything about the disc abnormality at L5-S1 because",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21305_4a84e25b-8e42-4b55-b2e9-30c74bf4103d_3.mp3
1755079245,GSG21305_4a84e25b-8e42-4b55-b2e9-30c74bf4103d_4,00:01:54.700,00:02:12.100,"of the insufficiency fracture was cause of his pain. Once that heals and if he gets by without doing any type of surgery in his back, that would clearly be the right route to go and he was completely fine with that. So, I gave him the names of endocrinologists to see and if I could be of any assistance to let me know.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21305_4a84e25b-8e42-4b55-b2e9-30c74bf4103d_4.mp3
1755079710,GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_0,00:00:00.000,00:00:28.600,"Now dictating a follow-up note on ELLIS CHERRY date is 07/16/2025 Mr. Cherry comes to the office today. His date of injury goes back to May 14, 2025, more than two months ago, complaining of some low back pain and some right ankle pain. Since the first day I saw him, he had extensive hypertension. I had recommended some therapy, but because of his elevated blood pressure, I told him he could not go for therapy until his blood pressure is under control.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_0.mp3
1755079710,GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_1,00:00:28.700,00:01:02.140,"He told me when he goes to see his family doctor, his blood pressure is under control, so I told him to get me a note from his family doctor. So that started back on June 9, 2025. It is now July 16, 2025, five weeks later, he has yet to get his knee-high compression stocking, he has yet to get me a note from his family doctor. So, I cannot send him to therapy if, one, he does not do anything I tell him to do. In turn, he complains of minimal back pain, states his swelling in his right ankle leg is feeling much better. I have already",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_1.mp3
1755079710,GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_2,00:01:02.140,00:01:31.680,"instructed him on home exercise and he states he takes an occasional Tylenol and is doing regular duty. He states his family doctor has been on vacation. I told him I find it impossible to believe his family doctor has been on vacation for the last five weeks. I just find Mr. Cherry not doing what I have asked him to do. PHYSICAL EXAMINATION: Mr. Cherry's temperature in the office is 97.9. Um, Write a macro for an RLS normal.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_2.mp3
1755079710,GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_3,00:01:31.680,00:02:04.540,"Examination of both legs revealed 2 to 3+ pitting edema. He has diffuse swelling in both ankles. His Homan test is negative. His Thompson test was normal. has some mild decreased range of motion of his ankle, but he walks with an entirely normal gait. There is no specific tenderness, this is just diffuse swelling. Thigh and calf circumferences were within 1 cm of symmetry. My impression is that Ellis Cherry was involved in a work-related accident, more than two months ago, on May 14, 2025, where he allegedly sustained a mild lumbar strain and sprain of his right ankle.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_3.mp3
1755079710,GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_4,00:02:04.540,00:02:31.140,"I told him because of his hypertension, I could not send him to therapy, so all he had to do was get me a note from his family doctor, because he states when he goes to see his family doctor, his blood pressure is fine, and he has yet to get me that note. He tells me his family doctor has been on vacation for the last five weeks, and I do not believe him. He never got a pair of knee-high compression stockings, so he is not doing anything to benefit himself. I discussed this with he and his wife who accompanied him today.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_4.mp3
1755079710,GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_5,00:02:31.320,00:03:01.340,"At this point, Mr. Cherry's diagnosis is resolved strain of his lumbar spine, and resolved sprain of his right ankle. PLAN: Mr. Cherry can continue with regular duty without restrictions. If he gets a pair of knee-high compression stockings, that would be great. He can wear those. He does not require any physical therapy, but I told him he should probably see his family doctor because his pitting edema of both legs represents either a blood pressure problem or other abnormalities that need to be addressed. I already had sent him for a Doppler study, which came back as normal.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_5.mp3
1755079710,GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_6,00:03:01.800,00:03:32.240,"So, at this point Mr. Cherry is at maximum medical benefits from treatment. I answered all of his questions for him. he was discharged from the office. His blood pressure today in the office is 167 over 98. His pulse was 96. Company goes to PMA. Pulse is Black's 5231, Janesville, Wisconsin, 53547. Attention, Denise, DNIC, kushel, KUSHEL. Climate service, water, 004595185. For his county of Essex, Juvenile Detention Center, Tract Center in East Coast, Shell, PMA, to 800-432-9762.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_6.mp3
1755079710,GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_7,00:03:32.520,00:03:32.980,Thank you.,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21307_eb1c30b7-3ad3-4926-9dd2-19cb3230889f_7.mp3
1755080126,GSG21308_5d902ed7-a6d2-4c31-9892-b34b611dd1cb_0,00:00:00.000,00:00:30.240,"Now dictating a follow-up note on ANDREA SPEARS date is 07/16/2025 I saw Ms. Spears last week in the office. She has a diagnosis of posttraumatic degenerative arthritis of her left knee. I did an aspiration cortisone shot today. She is doing great. Really no pain, no problems. She takes a Naprosyn periodically. She can walk, she can stand, she can push, she can pull, and she is happy about the results. PHYSICAL EXAMINATION:",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21308_5d902ed7-a6d2-4c31-9892-b34b611dd1cb_0.mp3
1755080126,GSG21308_5d902ed7-a6d2-4c31-9892-b34b611dd1cb_1,00:00:31.120,00:01:03.680,"Ms. Spears is a pleasant, cooperative woman. Her temperature in the office is 98.3. Examination of the right knee reveals no joint effusion present. She has nicely healed arthroscopic portals. Her range of motion is 5 degrees to about 105 degrees. No tenderness. Negative McMurray. She also 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. Her quadriceps mechanism is intact. Andrea Spears has posttraumatic degenerative joint disease",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21308_5d902ed7-a6d2-4c31-9892-b34b611dd1cb_1.mp3
1755080126,GSG21308_5d902ed7-a6d2-4c31-9892-b34b611dd1cb_2,00:01:03.680,00:01:34.820,"of her left knee. I did her left knee arthroscopy back in March 2016, nine years ago and she developed a little arthritis, which is not at all unusual. The aspiration cortisone shot has basically put her back to being asymptomatic though there is a possibility some of these problems can recur again in the future and she understood that. and she understood that. So, at this point, Ms. Spears will continue with normal activity. Weight reduction is a good idea. Try not to run after her grandson because it is going to aggravate her knee, and if I could be",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21308_5d902ed7-a6d2-4c31-9892-b34b611dd1cb_2.mp3
1755080126,GSG21308_5d902ed7-a6d2-4c31-9892-b34b611dd1cb_3,00:01:34.820,00:01:43.600,"of any assistance, then she is welcome back for repeat evaluation. You can obviously repeat the cortisone shot in the future. You can also do visco-supplementation injections.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21308_5d902ed7-a6d2-4c31-9892-b34b611dd1cb_3.mp3
1755080852,GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_0,00:00:00.000,00:00:28.860,"Now dictating a follow-up note on LAURA ZAMBRANO date is 07/16, 2025. Ms. Zambrano comes to the office today. Her date of injury goes back to May 7, 2025, 10 weeks ago, where she sustained multiple injuries to include her cervical spine, right shoulder, right elbow, right hand, right leg, and right knee. I had seen her previously in my office on July 8, 2025. Her biggest complaint was her right shoulder.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_0.mp3
1755080852,GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_1,00:00:29.640,00:01:02.520,"I had an MRI report that commented on a retracted massive tear of the rotator cuff with atrophy. That MRI was done in Jersey City on June 19, 2025. She had brought the MRI of the cervical spine that was also performed at that time, which showed some degenerative disc disease. Considering she had been going to therapy made her worse, they told her to stop the therapy and bring me the actual MRI of the right shoulder, which she did. At this point, she complains of pain in her right shoulder, some pain with overhead activities.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_1.mp3
1755080852,GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_4,00:02:02.800,00:02:29.280,"There was no triggering of the A1 pulleys, no subluxation of the extensor tendons, No evidence of active Boutonniere, swan neck or mallet finger deformities, period. New paragraph, Examination of the right knee. range of motion is slightly decreased, 5 degrees to about 140 degrees. There is no joint line tenderness. Negative McMurray. She also had a negative Lachman, negative pivot shift, negative anterior drawer, negative posterior sag. There is no medial or lateral instability in 10 and 30 degrees of flexion with both valgus and varus stress. The quadriceps mechanism is intact. She walked with a normal gait.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_4.mp3
1755080852,GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_5,00:02:29.280,00:02:59.740,"X-RAYS: I went over the actual MRI of the right shoulder That was performed at NJIN in Jersey City on June 19, 2025. and it does show large retracted tear of the supraspinatus tendon with muscular atrophy There is hypertrophic change of the AC joint and evidence of impingement. I also did additional x-rays in my office of the cervical spine; AP, lateral left and right obliques, which were normal. AP and lateral x-rays of the right shoulder It demonstrated degenerative arthritis in the AC joint, type 2 acromion.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_5.mp3
1755080852,GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_6,00:03:01.100,00:03:28.360,"X-rays of the right elbow; AP, lateral, oblique, which show a large calcification off the entire lateral condyle. AP oblique x-rays of right hand demonstrated degenerative arthritis of the DIP joints, especially the long, ring and pinky fingers, and also did x-rays of right knee; AP weightbearing of both knees, skyline view of both knees, tunnel view of the right knee, lateral view of the right knee and comparison view of the left knee. demonstrated degenerative arthritis, severe in both knees, diffuse.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_6.mp3
1755080852,GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_7,00:03:28.360,00:03:58.820,"She tryna change the both knees spiking of the tibial spines, multiple osteophytes present and sclerosis. My impression is that Laura Zambrano was involved in a work-related accident on May 7, 2025, approximately 10 weeks ago, sustaining cervical strain, injury to the right shoulder consistent with a torn rotator cuff, a strain of her right elbow and right hand and her right knee. She obviously has significant arthritic changes in her right elbow, right hand and right knee. ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_7.mp3
1755080852,GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_8,00:03:58.820,00:04:28.180,"Those areas at this point do not really bother her. She has some mild discomfort in her neck and her overriding complaint appears to be the right shoulder. She had gone to therapy in the past, which aggravated her shoulder. She had tried some anti-inflammatory medications, and they were not particularly helpful. helpful. When I saw her previously, I told her to stop the therapy, bring me the MRI and she does have a large, retracted, massive tear of the rotator cuff with atrophy, and that is not an ideal type of tear to try to repair.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_8.mp3
1755080852,GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_9,00:04:28.180,00:04:55.520,"With a massive tear, the likelihood of repairing this rotator cuff is not particularly high. With diabetes, she has a high risk of infection. So, my recommendation, treat her conservatively with cortisone shot, additional physical therapy and see if she can get by and live with this problem. PLAN: So, I explained to Ms. Zambrano, my recommendation would be to give her a cortisone shot. She is being treated for diabetes. She should take a Zepbound along with metformin.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_9.mp3
1755080852,GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_10,00:04:56.400,00:05:26.300,"I talked about a cortisone shot. She was completely fine with that. I told her about the complications. It will elevate her blood sugar. So, under sterile technique into the subacromial region, I gave her an injection of 1 cc of 0.125% Marcaine without epinephrine along with 6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate. Cortisone shot. Go back into physical therapy in two to three days, but tell the therapist to be gentle. As far as work goes, she can do regular duty. I gave her an appointment to see me in a couple of weeks and see what happens. see what happens.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21309_b75bf5e6-2431-4ef1-9ac3-25557eff2a38_10.mp3
1755081474,GSG21310_0cd317af-239f-40eb-8bad-22b90be88312_0,00:00:00.000,00:00:50.240,"Now taking formal answer ANDREW J. LEWIS date is 07/16/2025 Mr. Lewis comes to the office today with Cynthia, his wife. I had seen him two weeks ago for olecranon bursitis of the left elbow. No more swelling. I aspirated the fluid, gave him a cortisone shot, put him on Naprosyn. At this point, he feels perfect. There is no more swelling. He did stop the Naprosyn. He did not even feel like he needed to come today. but his wife just wanted to make he is okay. PHYSICAL EXAMINATION: Mr. Lewis is a pleasant and cooperative male. His temperature in the office is 97.3. Examination of the left elbow reveals no swelling, no tenderness, no bursal effusion, full range of motion and no evidence of instability. Neurologically intact. Distal biceps and triceps tendons were normal. IMPRESSION: I saw Andrew Lewis two weeks ago on July ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21310_0cd317af-239f-40eb-8bad-22b90be88312_0.mp3
1755081474,GSG21310_0cd317af-239f-40eb-8bad-22b90be88312_1,00:00:50.240,00:01:18.140,"2, 2025, and he had left olecranon bursitis. I did an aspiration cortisone shot, put him on some Naprosyn and at this point he looks perfect. No pain, no swelling, no problems whatsoever. He stopped the Naprosyn. He did not feel like he even needed to come today, but his wife thought it was a good idea. I would agree with that. So, at this point, Mr. Lewis does not need to do anything. He may just pad his elbow for a little bit when he puts it down. He takes a baby aspirin, which puts him at increased risk of developing this problem.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21310_0cd317af-239f-40eb-8bad-22b90be88312_1.mp3
1755081474,GSG21310_0cd317af-239f-40eb-8bad-22b90be88312_2,00:01:18.140,00:01:25.540,"So, this can always happen in the future, but hopefully that will not be the case. If there are additional problems, then he is welcome back for repeat evaluation.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21310_0cd317af-239f-40eb-8bad-22b90be88312_2.mp3
1755083299,GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_0,00:00:00.000,00:00:28.760,"Now dictating a follow-up note on AIXA SILVA date is 07/21/2025 Ms. Silva comes to the office today accompanied by her husband, Marcio. Her English is not bad, but Marie in my office helped translate between Spanish and English. I had seen Ms. Silva for the purpose of a need for treatment evaluation on July 9, 2025, based on a work-related accident she had been involved in on June 4, 2025.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_0.mp3
1755083299,GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_1,00:00:28.760,00:00:54.700,"In my evaluation, I had noted that she had an MRI of her right shoulder on June 10, 2025 at NJIN in Nutley which was interpreted as superior labrum anterior-posterior tear. I had taken care of Ms. Silva as a result of prior injury involving the shoulder back on November 4, 2019 and the MRI she had previously, showed no evidence of a SLAP tear.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_1.mp3
1755083299,GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_2,00:00:54.700,00:01:34.880,"so it is my opinion that the accident of June 4, 2025 was the most likely cause of the SLAP tear of the right shoulder. So, my recommendation in that need for treatment evaluation was that she needed treatment. I recommended cortisone shot, anti-inflammatory medications and some physical therapy and if it did not improve, then potentially surgery. Ms. Silva told me that the doctor who had sent her for the original MRI had recommended surgery. She does not remember the doctor’s name. She has had no cortisone shot. She has been taking some 600 mg of ibuprofen and she has never had any physical therapy. New paragraph.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_2.mp3
1755083299,GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_3,00:01:39.240,00:02:15.640,"Tomorrow she will be going for three weeks. She comes back in the middle of August. She has been doing regular duty. PHYSICAL EXAMINATION: Ms. Silva is a pleasant and cooperative woman. Her temperature in the office is 98.4. Examination of the right shoulder reveals tenderness anteriorly, laterally and posteriorly, tenderness over the AC and sternoclavicular joint. I think she has a little bit more tenderness than what she would expect considering when I push on it, she complains of significant pain though she has no elevation of her pulse. So there is obviously some evidence of symptom",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_3.mp3
1755083299,GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_4,00:02:15.640,00:02:42.800,"magnification. She can abduct and forward flex about 65 to 70 degrees. She has about 30 degrees of internal and external rotation. Her neurologic examination is completely normal. There is no evidence of muscular atrophy. I could not do an impingement test, could not do a drop test, could not do a lift-off test, could not do a belly press test, could not do a Speed test, could not do an O’Brien test because of her complaints of pain and limited range of motion.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_4.mp3
1755083299,GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_5,00:02:42.800,00:03:09.280,"IMPRESSION: My impression is Aixa Silva had been involved in a work-related accident on June 4, 2025, six and a half weeks ago where she sustained an injury to her right shoulder most likely consistent with a superior labrum anterior-posterior tear. The MRI that was performed on June 10, 2025 at NJIN of Nutley did show evidence of a small partial tear of the rotator cuff, some hypertrophic changes",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_5.mp3
1755083299,GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_6,00:03:09.280,00:03:40.220,"of the AC joint, some impingement and the superior labrum anterior-posterior tear along with some tendinosis of the biceps tendon. Ms. Silva was already having significant problems with the right shoulder all pre-dating this accident of June 4, 2025 as a result of her previous injury on November 4, 2019. She thinks the accident of June 4, 2025 further exacerbated her right shoulder problem. considering I did the need for treatment evaluation on July 9, 2025",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_6.mp3
1755083299,GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_7,00:03:40.440,00:04:25.180,"and I recommended cortisone shot, physical therapy, and anti-inflammatory medications. She is willing to do that, but she states she is going to Peru tomorrow to see her family. So I can write her a prescription for Naprosyn, 500 mg twice a day. She can take that put down the macro for an SAI. I recommended therapy and a cortisone shot, but considering she is not going to do any therapy for at least three weeks until she comes back in the middle of August. I told her when she comes back in the middle of August and I gave her an appointment of August 19, 2025, I will give her a cortisone shot in the right shoulder. I'll set her up for some physical therapy, and I gave her home exercises to do. She does have diabetes, so she is aware of the side effects associated with the cortisone",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_7.mp3
1755083299,GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_8,00:04:25.180,00:04:55.720,"shot and I told her she can also clear this with her family physician. She states she does take Jardiance, metformin, and Ozempic. She takes another medication, but she is not sure what it is. So, when I see her on August 19, 2025 based on how she is feeling, we will talk about the cortisone shot for her right shoulder and some outpatient therapy. As far as work goes, she can continue with regular duty without restrictions. If she fails conservative treatment for the right shoulder, then she potentially could be a candidate for surgery,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_8.mp3
1755083299,GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_9,00:04:55.840,00:05:22.360,"but obviously conservative treatment would go before any type of surgical procedure. A report goes to Walmart Claims Services. Opposed, Ms. Wex. 14731. Lexington, Kentucky, 40512. Attention, Bellum, B-E-L-E-M. Torres, D-O-R-E-S. Ms. 25158068. For us, Walmart and Carney. Fax copy to D-A-N-Y-E-L Friess, f r e s c at FMCO (973) 257-2284.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11309_22b31ddc-fc41-4bc6-87a0-bf66e3c1dcb9_9.mp3
1755084259,GSG11312_46a2afd9-578e-4990-a0fd-0b5b5b02e5ad_0,00:00:00.000,00:00:29.000,"Now Peter Hallman Terrance TERRANCE HENRY date is 07/21/2025 Mr. Henry comes to the office today. He has had long-term problems with his right knee. He has an MRI documenting some insufficiency abnormalities and also tears of his medial and lateral meniscus. He has had considerable conservative treatment including an aspiration and cortisone shot, ice, home exercises, a rehab program. He states his knee is ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11312_46a2afd9-578e-4990-a0fd-0b5b5b02e5ad_0.mp3
1755084259,GSG11312_46a2afd9-578e-4990-a0fd-0b5b5b02e5ad_1,00:00:29.000,00:00:57.080,"bit better. What is bothering the most is his low back. He has low back pain. he has right lower extremity radiculopathy. He states it keeps him up at nighttime. The pain radiates from the buttocks down to his midcalf. He states therapy did not really help to any great extent. I told him if he is just miserable with this which he is, the next time we will do an MRI because sometimes the insurance companies will not like to do an MRI of your back until you had six weeks of therapy and he has only had three weeks. He has been taking the Naprosyn, icing his back, and the ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11312_46a2afd9-578e-4990-a0fd-0b5b5b02e5ad_1.mp3
1755084259,GSG11312_46a2afd9-578e-4990-a0fd-0b5b5b02e5ad_2,00:00:57.260,00:01:27.960,"Doing therapy he has been doing on his own at home. PHYSICAL EXAMINATION. Mr. Henry is a pleasant and cooperative male. He has tenderness in his low back. He has tenderness in the right sciatic notch. He has weakly positive straight leg raise. Sensory, motor and reflexes were normal. Babinski's were downward going. No clonus was present. He was able to toe and heel walk and get up and down off the exam table without any significant discomfort, but he's in his right knee, he feels a small joint effusion present, he lacks a couple of degrees of flexion and extension. He has tenderness both over the medial and lateral compartment areas",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11312_46a2afd9-578e-4990-a0fd-0b5b5b02e5ad_2.mp3
1755084259,GSG11312_46a2afd9-578e-4990-a0fd-0b5b5b02e5ad_3,00:01:27.960,00:02:01.760,"with the positive McMurray test, positive Apley grind. He also has negative Lachman, negative pivot shift, negative anterior drawer, negative posterior sag. There is no medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. IMPRESSION: My impression is that Terrance Henry has internal derangement of his right knee with an insufficiency injury. also has tears of his medial and lateral meniscus based on his MRI. He is a little bit better, but not great. What is overwhelming for him at this point is his low back pain and some right lower extremity radiculopathy, which looks like sciatica. He has taken the anti-inflammatories, he has done the rehab, he has been doing home exercises,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11312_46a2afd9-578e-4990-a0fd-0b5b5b02e5ad_3.mp3
1755084259,GSG11312_46a2afd9-578e-4990-a0fd-0b5b5b02e5ad_4,00:02:02.500,00:02:35.420,"icing, alternating his activities, but at this point, he is pretty miserable. The back is the worst condition and situation. by complaince. So, I told Mr. Henry let us do an MRI of his back. Hopefully, the insurance company will authorize that. He has had the anti-inflammatories, he has had physical therapy, he has had home exercises, and he has not had improvement. Obviously if that MRI comes back as disc herniation or neurologic encroachment, then we may consider an epidural steroid injection. and he may also be a candidate for an EMG. Paragraph If the MRI comes back as no significant disc herniation, that would be a good sign.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11312_46a2afd9-578e-4990-a0fd-0b5b5b02e5ad_4.mp3
1755084259,GSG11312_46a2afd9-578e-4990-a0fd-0b5b5b02e5ad_5,00:02:36.020,00:02:48.760,"As far as the right knee goes, we are going to hold off on the right knee right now, see how he does and if the right knee gets worse in the future, we may talk about a knee arthroscopy. So, he will get the MRI of his low back.  I can see him in a few weeks.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11312_46a2afd9-578e-4990-a0fd-0b5b5b02e5ad_5.mp3
1755085636,GSG11313_8a14fb24-9883-4f41-b6c4-6117a02e51c2_0,00:00:00.000,00:00:29.340,"Now dictating a follow-up note on EDDY JEAN-MARY date is 07/21/2025 Mr. Jean-Mary comes to the office today. Jeffrey Jene helped translate between Creole and English. He was accompanied by Rosa Stagnitta, RN, his nurse case manager from Genex. Mr. Jean-Mary had been involved in a work-related accident on April 29, 2025, Approximately 12 weeks ago, he sustained a strain of his right shoulder,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11313_8a14fb24-9883-4f41-b6c4-6117a02e51c2_0.mp3
1755085636,GSG11313_8a14fb24-9883-4f41-b6c4-6117a02e51c2_1,00:00:29.440,00:01:01.200,"for which he had an MRI of his right shoulder performed on June 13, 2025 at Fair Lawn Diagnostic Imaging which came back as relatively benign. He also complains of some pain in his right knee and low back. He denied lower extremity radiculopathy or bowel or bladder abnormalities. He also recently had an injury to his left hand, but that is fine. He states his right shoulder continues to bother him, his low back continues to bother him and his right knee continues to bother him. I had already sent him back to regular duty. He has already been to therapy.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11313_8a14fb24-9883-4f41-b6c4-6117a02e51c2_1.mp3
1755085636,GSG11313_8a14fb24-9883-4f41-b6c4-6117a02e51c2_3,00:01:32.780,00:02:05.400,"He has a negative impingement test, negative drop test, negative Speed test, negative O'Brien test, negative belly press test and negative Neer test. Examination of the low back. tenderness, muscle spasms, or trigger points. Motion is full. Straight leg raise is negative. Sensory, motor and reflexes were normal. Babinski’s were downward going. No clonus was present. Examination of the right knee revealed no joint effusion present, no joint effusion present, no joint line tenderness. Negative McMurray, Negative Apley grind He had full range of motion, intact quadriceps, Negative Lachman, negative pivot shift. There is no There is no medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. He also had a negative posterior sag. His gait was entirely normal.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11313_8a14fb24-9883-4f41-b6c4-6117a02e51c2_3.mp3
1755085636,GSG11313_8a14fb24-9883-4f41-b6c4-6117a02e51c2_4,00:02:05.400,00:02:35.620,"IMPRESSION: My impression is Eddy Jean-Mary was involved in a work-related accident on April 29, 2025, approximately 12 weeks ago where he sustained a contusion of his right shoulder, strain of his lumbar spine, strain of his right knee strain of his right knee, for which his examination today is completely benign. He has already had an MRI of the right shoulder that came back as normal. At this point, I explained to him everything looks normal. I see nothing wrong with him and I see no reason he cannot do regular duty without restrictions. So, I explained to Mr. Jean-Mary everything looks completely normal.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11313_8a14fb24-9883-4f41-b6c4-6117a02e51c2_4.mp3
1755085636,GSG11313_8a14fb24-9883-4f41-b6c4-6117a02e51c2_5,00:02:36.160,00:03:10.400,"I will consider him to be at maximum medical benefits from treatment. As far as work goes, he can do regular duty without restrictions. I answered all of his questions for him and he was discharged from the office. I told him the exercises that he has learned in physical therapy, he can continue to do on his own at home. Thank you for your invitation. Comply goes to Great America Strategic Comp. Post office box 4080, Clinton, Iowa, 52733. Attention, Mary Mouton, M-U-N-T-O-N-E. It's ASMR through 00716649. It plays S-C-H-U-L-T-Z, Container Systems Incorporated. Fax capital roses is Agnina,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11313_8a14fb24-9883-4f41-b6c4-6117a02e51c2_5.mp3
1755085636,GSG11313_8a14fb24-9883-4f41-b6c4-6117a02e51c2_6,00:03:10.660,00:03:16.140,"comma, Arnagenics at 877-83-4947 thank you",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11313_8a14fb24-9883-4f41-b6c4-6117a02e51c2_6.mp3
1755085863,GSG11314_b264ea0e-ebfe-4f78-b56b-f4f3b24b099b_0,00:00:00.000,00:00:30.000,"Now dictating a follow-up note on LISA D AMATO date is 07/21/2025 Ms. Amato comes to the office today. She just got back from Dollywood where she went with the family. It was a nice trip. I had given her a cortisone shot before going away, so at this point, she did great. She does have primary degenerative joint disease of her right knee, and she is here to start her Orthovisc injections. PHYSICAL EXAMINATION: Ms. Amato is a pleasant and cooperative woman. Examination of her left knee",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11314_b264ea0e-ebfe-4f78-b56b-f4f3b24b099b_0.mp3
1755085863,GSG11314_b264ea0e-ebfe-4f78-b56b-f4f3b24b099b_1,00:00:30.000,00:01:00.260,"reveals a little tiny tenderness medially. Negative McMurray, negative Apley grind. She has a little patellar crepitus. She has a tiny joint effusion present. Range of motion was 1 to 140 degrees. Negative Lachman, negative pivot shift, negative anterior drawer, negative posterior sag. No medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. My impression is that Lisa Amato primary degenerative joint disease of her left knee. She is much better after the cortisone shot. She could function in Dollywood. So, at this point, we are starting her Orthovisc injections.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11314_b264ea0e-ebfe-4f78-b56b-f4f3b24b099b_1.mp3
1755085863,GSG11314_b264ea0e-ebfe-4f78-b56b-f4f3b24b099b_2,00:01:01.560,00:01:11.000,"So, under sterile technique, I numbed the left knee, I aspirated 3 cc of clearish yellow fluid, gave her the first Orthovisc injection to the left knee and I will see her back in the office next week for the second injection.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11314_b264ea0e-ebfe-4f78-b56b-f4f3b24b099b_2.mp3
1755086583,GSG11315_6177aeec-4067-48cb-8a5c-0e0364381193_0,00:00:00.000,00:00:32.440,"Now dictating a follow note ROXANA MEDINA-LOPEZ 07/21/2025 Ms. Medina-Lopez comes to the office today. Her date of injury goes back to December 11, 2024 where she injured her left shoulder at work. I operated on her left shoulder on March 27, 2025, three months and three weeks ago where she underwent an evaluation under anesthesia, operative arthroscopy of the left shoulder, extensive debridement, debridement of a SLAP tear, subacromial decompression, excision of the distal clavicle, mini-arthrotomy, biceps tenodesis and rotator cuff repair, She is doing much better",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11315_6177aeec-4067-48cb-8a5c-0e0364381193_0.mp3
1755086583,GSG11315_6177aeec-4067-48cb-8a5c-0e0364381193_1,00:00:32.860,00:01:03.820,"She has less pain, better range of motion, She has been doing light duty. The exercises they gave her do in therapy, she does on her own at home. She takes the ibuprofen, uses the ice machine occasionally. She does not really use the T-bar and pulley system any longer because she does not need to. PHYSICAL EXAMINATION: Ms. Medina-Lopez is a pleasant and cooperative woman. Her temperature in the office is 97 98.4. Examination of the left shoulder revealed no redness, swelling, abrasion,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11315_6177aeec-4067-48cb-8a5c-0e0364381193_1.mp3
1755086583,GSG11315_6177aeec-4067-48cb-8a5c-0e0364381193_2,00:01:03.820,00:01:32.580,"discoloration, edema, muscle spasms, or trigger points. She had nicely healed incisions. Her range of motion is really very good. Actively, she abducts and forward flexes about 130 degrees, passively about 140 degrees. She has about 50 degrees of internal rotation actively; passively a little bit better. bit better. She had a negative drop test. I did not really push hard on impingement test, but she has no deformity of the biceps. Neurologically, she is normal. My impression is Roxana Medina-Lopez was involved in a work-related ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11315_6177aeec-4067-48cb-8a5c-0e0364381193_2.mp3
1755086583,GSG11315_6177aeec-4067-48cb-8a5c-0e0364381193_3,00:01:32.580,00:02:05.060,"December 11, 2024 where she did suffer an injury to the left shoulder. I operated on her left shoulder on March 27, 2025, three months and three weeks ago. When I did an arthroscopy of the left shoulder, extensive debridement, debridement of a SLAP tear, subacromial decompression, excision of the distal clavicle, mini-arthrotomy, biceps tenodesis and rotator cuff repair. and rotator cuff repair. I think she is doing very well. Her motion is good. She has less pain. She is more functional. She can do more activities as compared to previously. And she has been doing light duty without a problem, PLAN: So, I told Ms. Medina-Lopez we are going to continue with her therapy.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11315_6177aeec-4067-48cb-8a5c-0e0364381193_3.mp3
1755086583,GSG11315_6177aeec-4067-48cb-8a5c-0e0364381193_4,00:02:05.240,00:02:39.960,"She will continue with home exercises. She will continue with the light duty status. and most people after this type of operation require five to six months rehab before being MMI and back to regular duty. so my best estimate is one and a half to two months away from being MMI and back to regular duty. Completed with a qual link. Supposedly it was like 240819, Aber Valley, Minnesota 55125, Jensen, Cynthia, CYNTHI, Amerik, MYRICK, claimant 24WYC, description 04408, Amazon Mary, whereas Morris MRI slash Union,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11315_6177aeec-4067-48cb-8a5c-0e0364381193_4.mp3
1755086583,GSG11315_6177aeec-4067-48cb-8a5c-0e0364381193_5,00:02:40.600,00:02:50.260,"joint or joint to your commission, fact company Odell, ADELE, Dumas, DMAS, and NJS, and N-J-S-I-G 699-386-2011. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11315_6177aeec-4067-48cb-8a5c-0e0364381193_5.mp3
1755087166,GSG11319_ec4b6577-cfaa-4f5e-b056-b9c57d0d214c_0,00:00:00.000,00:00:28.500,"Now I'm taking a follow up with Christopher M. Chervenyak, date is 07/21/2025. Mr. Chervenyak comes to the office today. He is about four weeks three-and-a-half weeks status post operative arthroscopy of his right shoulder, abrasion arthroplasty of the humeral head, extensive debridement, subacromial decompression, excision of the distal clavicle, mini arthrotomy and rotator cuff repair. That took place on June 26, 2025.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11319_ec4b6577-cfaa-4f5e-b056-b9c57d0d214c_0.mp3
1755087166,GSG11319_ec4b6577-cfaa-4f5e-b056-b9c57d0d214c_1,00:00:28.500,00:01:01.640,"He is doing okay at this point. This is a small rotator cuff. The tear of the rotator cuff was small I was able to repair. So, I think starting him on some early range of motion exercises would be the right route to go. I did review his physical therapy notes from his therapy location that he thought he was doing well. New paragraph. PHYSICAL EXAMINATION: Mr. Chervenyak is a pleasant and cooperative male. Examination of his right shoulder revealed nicely-healed incisions. Not hot or red. There is some mild diffuse tenderness. He could abduct and forward flex about 130 degrees actively. He had about 50 degrees of active internal and external rotation.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11319_ec4b6577-cfaa-4f5e-b056-b9c57d0d214c_1.mp3
1755087166,GSG11319_ec4b6577-cfaa-4f5e-b056-b9c57d0d214c_2,00:01:03.060,00:01:28.640,"I did not really do an impingement test on him. really do an impingement test on him. Biceps shows no significant deformity. Neurologically, he is intact. IMPRESSION: My impression is that Christopher Chervenyak injured his right shoulder after I performed rotator cuff years ago. As a result of his recurrent injury, he re-tore the rotator cuff and I did surgery three-and-a-half weeks ago on",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11319_ec4b6577-cfaa-4f5e-b056-b9c57d0d214c_2.mp3
1755087166,GSG11319_ec4b6577-cfaa-4f5e-b056-b9c57d0d214c_3,00:01:28.640,00:02:00.240,"June 26, 2025, when I performed 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 distal clavicle, arthrotomy and a rotator cuff repair. I think he is doing very well. He is three-and-a-half weeks status post surgery. It was only a small tear of the rotator cuff, which I was able to repair, so I think starting him on some early range of motion exercises would be the right route to go, and he was completely fine with that. So, at this point, he will continue with passive and active range of motion exercises no forceful activities",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11319_ec4b6577-cfaa-4f5e-b056-b9c57d0d214c_3.mp3
1755087166,GSG11319_ec4b6577-cfaa-4f5e-b056-b9c57d0d214c_4,00:02:00.400,00:02:23.940,"be nice and gentle. The exercises they gave him to do in therapy, he can do on his own at home. Medication wise, he is not taking anything. He is out of work. I wrote him a prescription for four weeks of therapy and reevaluation in four weeks. My best estimate is it is going to take him five to six months rehab program to build strength up before being discharged and back to more normal activities, but in the future, he needs to be careful, so he does not put himself at risk of recurrent tear of the rotator cuff.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11319_ec4b6577-cfaa-4f5e-b056-b9c57d0d214c_4.mp3
1755087486,GSG11321_e6a156bf-12be-4704-80ac-94c988a383bc_0,00:00:00.000,00:00:31.120,"Now dictating a follow-up note on ANA DEFFER date is 07/21/2025 Ms. Deffer comes to the office today. Jose along with Maria in my office helped translate between Spanish and English. Ms. Deffer's injury goes back to January 22, 2025 where she injured her right shoulder while at work. I operated on her right shoulder on May 8, 2025, two and half months ago where she had an evaluation under anesthesia, operative arthroscopy of the right shoulder, debridement of SLAP tear, subacromial decompression, excision of the distal clavicle, arthrotomy, biceps tenodesis and rotator cuff repair.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11321_e6a156bf-12be-4704-80ac-94c988a383bc_0.mp3
1755087486,GSG11321_e6a156bf-12be-4704-80ac-94c988a383bc_1,00:00:31.120,00:01:00.720,"She is doing better she has less pain and discomfort. She is moving better. I had given her a note for light duty, though there was no light duty available. She has taken the ibuprofen. I told her that she has to refill on the prescription. and she just refilled the prescription. She is okay with that. She has not taken the narcotics and she uses the ice machine, T-bar, and pulley system occasionally. PHYSICAL EXAMINATION: Ms. Deffer is a pleasant and cooperative woman. Examination of her right shoulder revealed really no redness, no swelling, no abrasions, discoloration. Actively",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11321_e6a156bf-12be-4704-80ac-94c988a383bc_1.mp3
1755087486,GSG11321_e6a156bf-12be-4704-80ac-94c988a383bc_2,00:01:00.720,00:01:30.440,"she can abduct and forward flex about 120 degrees. She had about 50 degrees of external rotation and about 45 to 50 degrees of internal rotation, all actively and passively a little bit better. She had negative impingement test, negative drop test, negative lift-off test, negative belly press test, negative Speed test, negative O'Brien test, and no deformity of the biceps. Her neurologic examination was also completely normal. IMPRESSION: My impression is that Ana Deffer was involved in a work-related accident on January 22, 2025 where she has sustained an injury to the right shoulder.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11321_e6a156bf-12be-4704-80ac-94c988a383bc_2.mp3
1755087486,GSG11321_e6a156bf-12be-4704-80ac-94c988a383bc_3,00:01:30.580,00:02:03.040,"She had a right shoulder two and half months ago. on May 8, 2025, where she had an evaluation under anesthesia operative arthroscopy of the right shoulder, debridement of a superior labrum anterior-posterior tear, extensive debridement, subacromial decompression, excision of the distal clavicle, mini-arthrotomy, biceps tenodesis, and rotator cuff repair. I think she is doing pretty well. Her range of motion is improving. I told her biceps tenodesis and rotator cuff repair takes five to six months of rehab to go back to normal activities and it has been two and half months since the surgery. So, I think she is doing fine. I have been giving her notes for light duty, though",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11321_e6a156bf-12be-4704-80ac-94c988a383bc_3.mp3
1755087486,GSG11321_e6a156bf-12be-4704-80ac-94c988a383bc_4,00:02:03.040,00:02:35.240,"apparently no light duty was available Can you break your plans So, at this point, Ms. Deffer will continue with physical therapy. She will continue with light duty. She will continue with home exercises. She can refill her Motrin prescription as needed and just monitor her blood pressure because she does have history of high blood pressure. I gave her an appointment to see me in two weeks and typically after this type of operation, five to six months of rehab program before going back to regular duty, which means she is two and half to and three months away from MMI and back to regular duty. Thank you. Ending dictation.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11321_e6a156bf-12be-4704-80ac-94c988a383bc_4.mp3
1755087486,GSG11321_e6a156bf-12be-4704-80ac-94c988a383bc_5,00:02:35.240,00:03:07.840,"Comp letter goes to next level administrative post was by 30, Milwaukee, Wisconsin 53201. To Joe Maldonado, M-A-L-D-O-N-E-D-O. Client is using the universe service 1 at 2500-84063. Employees linear, L-Y-N-E-R, Staffing Solutions. Fax card to Joe Maldonado at 941-444-6200. Fax card to Ashton, A-S-H-T-O-N, Edney, E-D-N-E-Y. At 941-269-4328. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11321_e6a156bf-12be-4704-80ac-94c988a383bc_5.mp3
1755087686,GSG11322_cb49db17-9413-433f-80f0-6c98d6beacc0_0,00:00:00.000,00:00:31.820,"Now dictating a follow-up note on ELIZABETH M. BENNE date is 07/21/2025 Ms. Benne is very active pickleball player. She is going out to Des Moines, Iowa for big tournament for a couple of days. She would like me to give her a cortisone shot in her right knee because of the arthritic changes and I told her that is completely acceptable. Stiff, aches, shakes, and occasional cell breaks. You bring a physical examination. Ms. Benny's a  post-covid woman, she's got a small joint infusion present, she's going to have fully extended flexor knee, scaly scar in her right knee from",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11322_cb49db17-9413-433f-80f0-6c98d6beacc0_0.mp3
1755087686,GSG11322_cb49db17-9413-433f-80f0-6c98d6beacc0_1,00:00:31.820,00:01:01.680,"prior ACL reconstruction, got a negolocular, negativ shift, negative hand furor, range of motion was 5 to about 135 degrees. She walks with Rosalie Norman-Gate, you bring her in pressure by a person, Elizabeth Benney, she's got post-traumatic genital arthritis in her right knee, which is like me to do an aspiration and cortisone shot before she goes to Des Moines, Iowa for pickleball tournament. New paragraph, under sterile technique, I numbed the area aspirated about 5 cc's of clear gel fluid. Gave her the injection",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11322_cb49db17-9413-433f-80f0-6c98d6beacc0_1.mp3
1755087686,GSG11322_cb49db17-9413-433f-80f0-6c98d6beacc0_2,00:01:01.680,00:01:19.880,"of 1 cc of 0.12% more cannabinoid. Nephro 6granate spedosynacetate, 6-milgranate spedosynsodium phosphate, put down a typical, put down a macro for a cortisone shot. So to ice it, have a good time, and if I can be of any assistance in the future, she's welcome back.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11322_cb49db17-9413-433f-80f0-6c98d6beacc0_2.mp3
1755087859,GSG11323_2a16ceea-edc4-4ebf-85e0-5e961d902b0b_0,00:00:00.000,00:00:27.660,"Now dictating a follow-up note on MARIA DELGADO-TORRES date is 07/21/2025 Ms. Delgado-Torres had been involved in a work-related accident on June 5, 2025 for which I had seen her left knee. My opinion with regards to her left knee is that she had a preexisting arthritic condition, but her mechanism of injury is more consistent with a contusion rather than a torn meniscus.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11323_2a16ceea-edc4-4ebf-85e0-5e961d902b0b_0.mp3
1755087859,GSG11323_2a16ceea-edc4-4ebf-85e0-5e961d902b0b_1,00:00:27.840,00:00:46.480,"She did have an MRI of her left knee performed previously on June 11, 2025, which showed possible small tear of the medial meniscus and but the interpretation was tear of the medial meniscus and strain of the medial collateral ligament and the anterior cruciate ligament along with bone bruising and I saw no evidence of a torn anterior cruciate ligament. ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11323_2a16ceea-edc4-4ebf-85e0-5e961d902b0b_1.mp3
1755087859,GSG11323_2a16ceea-edc4-4ebf-85e0-5e961d902b0b_2,00:00:46.800,00:01:12.860,"I had an aged MRI report from July 15, 2025 that interpreted the MRI as no acute pre-patellar subcutaneous. There's acute pre-patellar subcutaneous edema without a bone contusion or fracture. There's chronic full-thickness tear of the posterior tibial reattachment of the meniscus, a result of osteoarthritis, and this was a chronic problem.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11323_2a16ceea-edc4-4ebf-85e0-5e961d902b0b_2.mp3
1755087859,GSG11323_2a16ceea-edc4-4ebf-85e0-5e961d902b0b_3,00:01:12.860,00:01:49.340,"If I would agree with the interpretation that there is a torn meniscus and it was a chronic problem, because her mechanism of injury is consistent with a sedation, not a torn meniscus, and it does not consist with a foreign antropology ligament or bone bruising. So my my this does not change the opinion set forth in my previous reports that she basically has a strain of both knees. I recommend some therapy. And other than a rehab dilatation exercise program, I see no indication for any type of surgery or additional treatment on the right knee.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11323_2a16ceea-edc4-4ebf-85e0-5e961d902b0b_3.mp3
1755087859,GSG11323_2a16ceea-edc4-4ebf-85e0-5e961d902b0b_4,00:01:49.640,00:02:18.100,"As I stated in my report of July 2025 under plan, in quotations, I would not consider the MRI of the left knee showing a torn meniscus to be caused related to her accident of June 5, 2025. quotation. So send a copy of this to Great American Strategic Compost with Facts 4080, Clinton, Iowa, 52733, attention, Gina, GNA, Borton, BOR, TUN, Mzezenar, 00727145, Leporez, Bergen, B.R., and Schiffers, Facts, Governor, Meredith, Levine,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11323_2a16ceea-edc4-4ebf-85e0-5e961d902b0b_4.mp3
1755087859,GSG11323_2a16ceea-edc4-4ebf-85e0-5e961d902b0b_5,00:02:18.100,00:02:27.400,"ComArn, and Triune Health Group at 630-586-9441, and send them a $100 bill for this report.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11323_2a16ceea-edc4-4ebf-85e0-5e961d902b0b_5.mp3
1755088318,GSG11324_aed0866f-69f5-41cc-8161-bbd79c16b526_0,00:00:00.000,00:00:29.040,"I'll take a note on Sharonda, S-H-I-R-O-N-D-A, Murphy, M-U-R-P-H-Y, dated July 21st, 2025. Ms. Murphy had an appointment seen in the office. She had an original injury between 11th, 2025, right seen in my office on July 8th, 2025, sent her back to where she was due to recommend some therapy. I was contacted by Portia, P-R-I-ADONNA at Hoover HOVR with regards to Ms. Murphy.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11324_aed0866f-69f5-41cc-8161-bbd79c16b526_0.mp3
1755088318,GSG11324_aed0866f-69f5-41cc-8161-bbd79c16b526_1,00:00:29.820,00:00:59.860,"And at this point, Portia told me that Ms. Murphy does not need any additional follow-up visits. Obviously, if there's a problem and Ms. Murphy needs any additional follow-up visits, she's welcome back to my office. But if the insurance company feels everything is under control and there's no need for any additional treatment that is also acceptable for me. so this point she will be discharged from the office but again she's welcome back to the office if there's any additional problems or difficulties. public was in Servco post was twice 1457 Harrisburg",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11324_aed0866f-69f5-41cc-8161-bbd79c16b526_1.mp3
1755088318,GSG11324_aed0866f-69f5-41cc-8161-bbd79c16b526_2,00:00:59.860,00:01:18.580,"Pennsylvania 1705 tension dawn da WN last, last name C-U-E-M-A-N, numbers 151004535, towards East Orange Board of Education, tax capital Porsche PRC, and Madonna M-A-D-O-N-N-A at Hoover HOVR 717-72-HH 5512. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11324_aed0866f-69f5-41cc-8161-bbd79c16b526_2.mp3
1755088792,GSG21313_91e69ddd-8c37-4f26-b3fc-4d9151d92dcc_0,00:00:00.000,00:00:32.080,"Now to the component of Susan S-U-S-A-N-A-S-M-C-S-T-I-M-O-R-E, dated July 21, 2025. Ms. Castamore comes off today. Her date of injury goes back to December 30, 2024, a year and a half ago, where she sustained multiple injuries and a motor vehicle accident. She failed her cardiac stress test, therefore I could not send her to therapy. She now passed a CT angiogram. So her cardiologist says she can now go back to therapy. She is invisible in regards to pain in",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21313_91e69ddd-8c37-4f26-b3fc-4d9151d92dcc_0.mp3
1755088792,GSG21313_91e69ddd-8c37-4f26-b3fc-4d9151d92dcc_1,00:00:32.080,00:01:02.920,"her left shoulder. Both knees are low back with radiation of pain into her legs. She has an MRI. She had a cascading of her back which showed a fracture at the L2 spinous process. Transverse process, it's got disc degeneration, disc bulges, stenosis, pressure on the exiting nerve root. It's got an MRI of her shoulder, showed a partial tear of the rotator cuff, hypertrophic chain, VAC joint. It's got an EMG nerve conduction study of the back and lower extremities,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21313_91e69ddd-8c37-4f26-b3fc-4d9151d92dcc_1.mp3
1755088792,GSG21313_91e69ddd-8c37-4f26-b3fc-4d9151d92dcc_2,00:01:03.040,00:01:36.000,"which showed no evidence of acute neurologic abnormalities. So at this point, she at least has clearance from the cardiologist to go for physical therapy. Hopefully that will help her. She states she cannot do a regular job, so I can give her no trial to work. She's talking to me about disability. She may want to get a disability attorney who has a better expertise in that. physical examination. Ms. Castamore is a positive-warm woman. her temperature in the office is 97.4. Examination of the left shoulder, tenderness anteriorly, a little tenderness laterally, a little tenderness posteriorly.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21313_91e69ddd-8c37-4f26-b3fc-4d9151d92dcc_2.mp3
1755088792,GSG21313_91e69ddd-8c37-4f26-b3fc-4d9151d92dcc_3,00:01:36.000,00:02:07.500,"She has some tenderness over the AC joints. She has a strongly positive impingement test. she lacks the extremes of all motion, got a negative liftoff test, negative belly press test, weekly clap positive speed test, weekly positive near test. You better continue on the flumbar spine, do some tennis, some decreased range of motion. She's got a positive straight leg raise, bilateral. I can't get Achilles reflexes, patella reflex are normal. She's got numbness over the dorsal aspect, more in the left foot. The fins are downward going, no close presence. She had trouble telling heel walking. She also had trouble getting up and down with the table",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21313_91e69ddd-8c37-4f26-b3fc-4d9151d92dcc_3.mp3
1755088792,GSG21313_91e69ddd-8c37-4f26-b3fc-4d9151d92dcc_4,00:02:07.500,00:02:37.480,"and she utilized a correction in the office pretty big image both knees feel no swelling no fusion she's got a good range of motion maybe a little mild diffuse tennis name it running about grinding block negative shift think of him for our negative poster sack There was also no medial instability. Tendency to disaffection without reverse traction, bigger compression by a pair of suits and castamoles. Evolved in a motor vehicle accident dating back to December 30, 2024, about a year and a half ago.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21313_91e69ddd-8c37-4f26-b3fc-4d9151d92dcc_4.mp3
1755088792,GSG21313_91e69ddd-8c37-4f26-b3fc-4d9151d92dcc_5,00:02:37.560,00:03:04.680,"I'm sorry, I said a year and a half ago. Now, seven months ago, we're standing alone by the train, the lower extremity of the heliopathy. MRI document disc problems, a fracture of the transverse process of L2, strain of her left shoulder, contusion of both knees. She's got an MRI of her left shoulder, which does show evidence of impingement, some rotary cuff abnormalities. She got cleared by the cardiologist, started therapy again, so hopefully that will help her. She doesn't feel comfortable working as of yet.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21313_91e69ddd-8c37-4f26-b3fc-4d9151d92dcc_5.mp3
1755088792,GSG21313_91e69ddd-8c37-4f26-b3fc-4d9151d92dcc_6,00:03:04.680,00:03:31.340,"at this point. Ms. Castamore will start her therapy because authorization comma I recommend four weeks of therapy give her home exercise due. I gave her a note for out of out of work. I recommend a followup in my office in four weeks for repeat evaluation, but I would not consider her a candidate for any type of surgical intervention for the lumbar spine or left shoulder. Possible cortisone shots or epidural for the lumbar spine may benefit her, but we will have to wait and see how she does with the rehab program.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21313_91e69ddd-8c37-4f26-b3fc-4d9151d92dcc_6.mp3
1755088986,GSG21314_e67d97b9-e04e-43d4-9794-8ff7718e3cea_0,00:00:00.000,00:00:29.500,"Dr. Vivaldo, Stephanie, S-T-E-P-H-A-N-I-E, Grizales, G-R-A-J-A-L-E-S, dates July 21, 2025. Ms. Grizales comes off, state of date of injury, back to December 20, 2024. First, her ACL in her right knee. I did surgery on her right knee. dating back to February 6, 2025, five and a half months ago. when she had an evaluation under anesthesia, operative arthroscopy of the right knee, partial medial and partial lateral meniscectomies, abrasion of the right placematopharmacondyle, and an ACL reconstruction with a cadaver ligament. She's doing very well.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21314_e67d97b9-e04e-43d4-9794-8ff7718e3cea_0.mp3
1755088986,GSG21314_e67d97b9-e04e-43d4-9794-8ff7718e3cea_1,00:00:29.540,00:00:56.540,"She doesn't really have any pain, no problems, difficulties. She did her physical therapy and IVY rehab in Cranford, and they thought she was doing very well. She's basically done with therapy. She's done her structural exercises. At this point, she needs to be fitted for an ACL brace. As far as work goes, she can do regular duty. She's normally out of work in the summer because she works for the Westfield Board of Education. She can stand, bend, walk, squat, sit, push, pull, sleep, drive, go up and down",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21314_e67d97b9-e04e-43d4-9794-8ff7718e3cea_1.mp3
1755088986,GSG21314_e67d97b9-e04e-43d4-9794-8ff7718e3cea_2,00:00:56.540,00:01:26.640,"stairs without any problems. Physical examination, Ms. Grijalos, post-covid woman, examination, walks, normal day. She has no effusion present, no localized tenderness, full range of motion, 0 to 140 degrees. She had a negative memory, negative out of the grind, she had a negative locker, negative fifth shift, negative antler, negative posterior set, no medial or lateral stability, intense nervous deflection, vagus nerve stress. Begginer of the price by professional Stephanie Grijales was involved in the work they did in December 20, 2024, which was for the ASO in her right knee.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21314_e67d97b9-e04e-43d4-9794-8ff7718e3cea_2.mp3
1755088986,GSG21314_e67d97b9-e04e-43d4-9794-8ff7718e3cea_3,00:01:26.740,00:01:58.640,"I operated on her right knee dating back to December February 6, 2025, five and a half months ago, when she had an arthroscopy of the right knee, partial medial and lateral meniscectomy, subversion of the lats, blastoma, and medial firmulocondyle, and then used a reconstruction with a cadaver ligament. Her outcome has been excellent. She does not require additional therapy, but she needs an ACL brace before going back to heavy sporting or hard work activities. Her plan is at this point, Mr. Guitales will continue with home exercise. She can continue with regular duties in ACL brace,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21314_e67d97b9-e04e-43d4-9794-8ff7718e3cea_3.mp3
1755088986,GSG21314_e67d97b9-e04e-43d4-9794-8ff7718e3cea_4,00:01:58.740,00:02:30.840,"so we'll try to set her up with the insurance company fitting for an ACL brace. And she needs to wear that ACL brace during sporting activities or forceful activities while at work. I gave her a plan to see me in three weeks, and if there's any problem setting up the ACL bracing, they'll let me know. Comfort goes to Quan. I would see her in three weeks to check on her brace, make sure everything fits fine, and then I'd normally see people a year after the surgery, make sure everything's fine. If she's good at that point she would be MMI discharge. Comfort goes to Quantico-Links, OANX, Postal",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21314_e67d97b9-e04e-43d4-9794-8ff7718e3cea_4.mp3
1755088986,GSG21314_e67d97b9-e04e-43d4-9794-8ff7718e3cea_5,00:02:30.840,00:02:58.000,"Sparks 240819, Apatow Valley, Minnesota 55125, Plymouth 24001, I see a description 04556, Kays and Kangaroo, Westfield Board of Education. Facts to copy to NJSAG at Dennis D. Yannon, I.S. Petronella, P-E-T-R-O-N-E-L-L-A, 6 and 9 to 386-2011. Facts to copy to Heather H. E. A. T. H. Williams,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21314_e67d97b9-e04e-43d4-9794-8ff7718e3cea_5.mp3
1755088986,GSG21314_e67d97b9-e04e-43d4-9794-8ff7718e3cea_6,00:02:58.000,00:03:03.560,W. I. L. I. M. S. at 732-562-2815. Thank you.,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21314_e67d97b9-e04e-43d4-9794-8ff7718e3cea_6.mp3
1755089154,GSG21315_47379227-76a8-436c-ae89-114dba09de85_0,00:00:00.000,00:00:26.560,"Now take a look at the following clinical data. VENZINI, date is July 25, 2025. As soon as he comes off today, his data goes back to June 25, 2025. Three and a half weeks ago, he was seeing a lumbar strain. Periodontitis in my office, July 8, 2025. I put him on naproxen in an anti-inflammatory, set him up for some therapy. He's been doing the therapy. He feels much better. Not perfect, but much better.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21315_47379227-76a8-436c-ae89-114dba09de85_0.mp3
1755089154,GSG21315_47379227-76a8-436c-ae89-114dba09de85_1,00:00:26.660,00:00:58.820,"He's going to Kessler KSSL Air Rehab in Bloomfield, B-L-O-M-F-A-L-D, New Jersey. The note. At this point, he had given him a note for light-due. There's no light-due available. He's been out of work. He has no complaints of low-sherm reticulopathy. He's driving his car. He just has some stiffness period physical examination of the Venezia he's a pleasant cooperative male his temperature in the office is 97.7 period examination of the low back feeling the muscle spasm the trigger points on",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21315_47379227-76a8-436c-ae89-114dba09de85_1.mp3
1755089154,GSG21315_47379227-76a8-436c-ae89-114dba09de85_2,00:00:58.820,00:01:28.020,"tenderness the recumbos abrasion the discoloration . his range of motion is good sensory motor reflex are normal but this user downward going no close president table telling he walk and get up and down off the table without discomfort here. new paragraph label this x-rays extra is lumber spine dumb health safety the pelvis a pill on the spine left or bleak side was fine we're normal can you push my question that Clint Mizani was involved in a work-related accident in June 25, 2025,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21315_47379227-76a8-436c-ae89-114dba09de85_2.mp3
1755089154,GSG21315_47379227-76a8-436c-ae89-114dba09de85_3,00:01:28.260,00:01:54.380,"three and a half weeks ago, received a lumbar strain. Boy, she's much better. He's been taking an absence, which helps. He's been doing sessions of therapy, which has helped him. I had given him a note for light duty. There's no light duty available, but he states he's going to finish the therapy this week, and he feels much better, so he thinks once he finishes the therapy, he'll be able to go back to regular duty. i find that acceptable. of regular plan so at this point mr vananzani will finish up his physical therapy the x i gave him to therapy doing his",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21315_47379227-76a8-436c-ae89-114dba09de85_3.mp3
1755089154,GSG21315_47379227-76a8-436c-ae89-114dba09de85_4,00:01:54.380,00:02:23.460,"own at home he can take the naperson prn he can wean off as he feels better. i'll keep him on light due to the rest of the week which is not available and then he can resume regular duty as of July 28, 2025 without restrictions. I answered all of his questions for him and I discharged him from the office. At this point I would consider him to be MMI as of July 28, 2025. A couple of those are qual links. I posted this by 240819, Apple Valley, Minnesota 55125",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21315_47379227-76a8-436c-ae89-114dba09de85_4.mp3
1755089613,GSG21318_733c16b2-cb6b-4b46-896b-d794172d8edd_0,00:00:00.000,00:00:31.300,"Now taking a formal amendment, R-A-Y-M-O-N-D, Bonnett, B-O-N-E-T, dated July 21st, 2025. Mr. Bonnett comes office today. His date of mention goes back to December 20th, 2023, where he had sustained an injury to the left shoulder. I operated his left shoulder on April 3rd, 2025, three and a half months ago, where he had an evaluation of the left shoulder. So, it can be capacity. I have a little stent of brima, an arthronomy of biceps, and a decent roto-pigup repair. He's a little stiff, but he's moving better. He's taking the average growth and he's been doing light duty.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21318_733c16b2-cb6b-4b46-896b-d794172d8edd_0.mp3
1755089613,GSG21318_733c16b2-cb6b-4b46-896b-d794172d8edd_1,00:00:31.300,00:00:43.700,"The X-ray gave doing therapy. He's been doing on his own at home. I've used physical therapy notes from the KOPACK physical therapy and Fairfield FAIRFLD, New Jersey. Break up physical examination. Mr.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21318_733c16b2-cb6b-4b46-896b-d794172d8edd_1.mp3
1755089613,GSG21318_733c16b2-cb6b-4b46-896b-d794172d8edd_2,00:00:43.700,00:01:11.060,"Burnett's positive quality of the male. His temperature in the office is 98.2. Examination of the left shoulder. You'll know redness, tenderness, abrasion, discoloration, beam, mustache and trigger points. motion each and every time I see him. He's got about 130 to 135 degrees active adductor before flexion. Passively a little bit better. He's got about 55 degrees of external rotation,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21318_733c16b2-cb6b-4b46-896b-d794172d8edd_2.mp3
1755089613,GSG21318_733c16b2-cb6b-4b46-896b-d794172d8edd_3,00:01:11.220,00:01:52.000,"50 degrees of internal rotation actively. Passively also a little bit better. He has a negative pitch test, no deforming of biceps, negative liftoff test, negative belly press test, negative speed test, negative O'Brien test, negative neo test, new brain compression by person. Greenbonnet had been involved in a work-related accident dating back to December 20, 2023, injured his left shoulder. Eye operative in his left shoulder, April 3, 2025. Now three and a half months ago, where he had an evaluation season along with arthroscopy in the left shoulder, I did a sub-local chronic depression, excessive clap, low synaptic brima, mini-arthrodomy a biceps, seen a decent work through the cuff repair. he is significantly better. Range of motion continues to improve. ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21318_733c16b2-cb6b-4b46-896b-d794172d8edd_3.mp3
1755089613,GSG21318_733c16b2-cb6b-4b46-896b-d794172d8edd_5,00:02:18.500,00:02:38.860,"My best estimate is he's somewhere between two and two and a half months before being MMI and back to regular duty. The company is Amtros North America, Postal Box 89404, Cleveland, Ohio, 44101. Central Mike Campo, CAMPO, Clemens 3779925. Port of Sewell, T.E.R. Peterson, P.E.T.E.R. S.O.N.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21318_733c16b2-cb6b-4b46-896b-d794172d8edd_5.mp3
1755089861,GSG21319_7e4fbb53-60b1-488f-8601-6d44fc448dcd_0,00:00:00.000,00:00:29.860,"Now to the Conformative Machinima, CHEA Lee Spears, SPERS, dated July 21, 2025. Ms. Spears comes off today. The date of injury goes back to April 22, 2025, where she has sustained a fracture of the poster and lateral malleus of the right ankle, a mild sprain of the left ankle. She's doing much better. She doesn't really have any problems with the left ankle at all, a little stiffness, achiness in her right ankle. When I had seen her last time in my office on July 9, 2025, I recommended two more weeks",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21319_7e4fbb53-60b1-488f-8601-6d44fc448dcd_0.mp3
1755089861,GSG21319_7e4fbb53-60b1-488f-8601-6d44fc448dcd_1,00:00:29.860,00:00:58.000,"of therapy, but she states the insurance company just got back to her, so she's going to start the therapy today. I asked her if she wanted to go. She states she would. She has been doing regular duty, and she is off in the summertime,. The next day, given doing therapy, she's been doing her own at home. She has no trouble standing, bending, walking, squatting, pushing, pulling, going up and down stairs. She wears an ankle brace for support. physical examination. Ms. Spears walks",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21319_7e4fbb53-60b1-488f-8601-6d44fc448dcd_1.mp3
1755089861,GSG21319_7e4fbb53-60b1-488f-8601-6d44fc448dcd_3,00:01:49.820,00:02:18.160,"When I had last seen Ms. Spears in my office on July 9, 2025, two weeks ago, I recommended some outpatient therapy and it just got authorized, so she's going to be starting today. I asked her if she still wants to go and she said she would. At this point, Ms. Spears will do her physical therapy for two weeks. I'll let her do regular duty. At a given point this evening, two weeks, we'll do final x-rays of her right ankle and if everything looks good, she would be in the mind discharge from care. Very important to",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21319_7e4fbb53-60b1-488f-8601-6d44fc448dcd_3.mp3
1755089861,GSG21319_7e4fbb53-60b1-488f-8601-6d44fc448dcd_4,00:02:18.160,00:02:47.680,"the exercise, give her to her therapy, do it on her own at home and take in some calcium and vitamin D. This might also be beneficial. For all the questions, I don't see you back in the last two weeks. Complicators in Servico, Postal Slacks 1457, Harrisburg, Pennsylvania, 1715. Attention, Dawn, DAWN, Lansing, CUEMAN, Clemens, 444-SPACE-0000-170. Post West Orange Board of Education, Thanks, Don. Cuman at 866-356-0438. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21319_7e4fbb53-60b1-488f-8601-6d44fc448dcd_4.mp3
1755090214,GSG21321_7f820669-8d63-4a79-acb2-bad33dc4e139_0,00:00:00.000,00:00:32.320,"Now taking a follow-up on Anita and ITA Thomas, THMAS, dates July 21st, 2025, Ms. Thomas-Gonzalez. I haven't seen her in almost a year. She had decrevain tetanus cytokinitis to the right wrist. I gave her a cortisone shot about a year ago, worked great, and just last month started coming back. No injury, no accident, nothing after. She finds it very annoying, though. Took a physical examination. Ms. Thomas, plus-12 woman, temperature in the office, though. I got a physical examination. Miss Thomas, plus-well woman. Temperature in the office, 98.1. She got tendons over the foresorce of the sensor part of the right wrist.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21321_7f820669-8d63-4a79-acb2-bad33dc4e139_0.mp3
1755090214,GSG21321_7f820669-8d63-4a79-acb2-bad33dc4e139_1,00:00:32.660,00:01:00.200,"There's a little bit of swelling, quite a bit of tendons. Got a swelling positive Finkelstein test. No trigger-reducing follies, no subluxation extensor tendons, no evidence of active gluten-air-fluonide-permolfing in the form. New Gregory, my president, and Anita Thomas. I've got degravine, sinusitis, and a white wrist. I gave her a cortisone shot a year ago back in August of 2024. Did great until a month ago. I told her 85% to 90% of the time with one cortisone shot, the time resolves. After a second, after the recurrence,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21321_7f820669-8d63-4a79-acb2-bad33dc4e139_1.mp3
1755090214,GSG21321_7f820669-8d63-4a79-acb2-bad33dc4e139_2,00:01:00.680,00:01:49.880,"you have less likelihood that another cortisone shot is going to resolve this problem, but I think it's clearly the right route to go. It does have a high blood pressure, but I told him maybe take a leaf for a couple days and help take down inflammation, put some ice on it. Just take it easy. and you're very good to plan. So there's several techniques. In the first orthostatic requirement, I gave him a rejection of 1 cc of 0.5% of marchoethanol, like 6-metrotransferbetasomacetate, 6-metrotransferbetamines, and sodium phosphate. But a typical macro for a cortisone shot. I used to take it a little bit easy, try the elite for a couple days. I'll see you next week. We'll just check on her and see how she's doing. If she's doing okay, I'll discharge her. If this problem recurs in the future, then we could consider some type of surgical intervention, if she understood that. The second cortisone shot does not work as well as the first cortisone shot, and I made",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21321_7f820669-8d63-4a79-acb2-bad33dc4e139_2.mp3
1755091651,GSG11328_55a045b7-0761-4432-adbc-63254de1c5b8_0,00:00:00.000,00:00:32.200,"Now dictating a follow-up note on JORGE last name is TAIPE date is 07/28/2022 25 I saw Mr. Tapie a few weeks ago on July 8, 2025. He is a little concerned because he felt a little mass along the medial aspect of his right leg. He had prior surgery for bimalleolar ankle fracture. I sent him for an MRI of his right tib-fib done at NJIN in Union on July 9, 2025 and interpreted a status post-operative reduction internal fixation",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11328_55a045b7-0761-4432-adbc-63254de1c5b8_0.mp3
1755091651,GSG11328_55a045b7-0761-4432-adbc-63254de1c5b8_1,00:00:32.200,00:01:05.340,"with distortion of the imaging because of metal. There's not specific subcutaneous demons, subcutaneous fascial fluid with a 0.5 centimeter focus of non-specific nodular decreased signal, period. Radiology put you could do for an MRI with gadolinium. You could do an ultrasound. But Mr. Taipi states at this point he's not so concerned. He feels okay. He doesn't really have any pain in the area, period. Paragraph of physical examination.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11328_55a045b7-0761-4432-adbc-63254de1c5b8_1.mp3
1755091651,GSG11328_55a045b7-0761-4432-adbc-63254de1c5b8_2,00:01:05.800,00:01:33.360,"Is supposed to be a male. He's got this soft, non-transluminating mass along the medial aspect of his joint in the middle and distal third of the medial leg, period. He's got nicely healed scars in the medial and lumbar. There's no tenderness in this region. Motion of his ankle is probably slightly decreased because of prior surgery. His gait was normal. Homeostasis and atoptosis were normal.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11328_55a045b7-0761-4432-adbc-63254de1c5b8_2.mp3
1755091651,GSG11328_55a045b7-0761-4432-adbc-63254de1c5b8_3,00:01:33.360,00:01:57.400,"New paragraph. x-rays.One of the MRIs, the right tib fib, performed July 9, 2025, which showed metal artifact as a result of having prior open adductorvant fixation of the bimolar ankle fracture. He's got a subcutaneous fascial fluid, subcutaneous edema on the medial aspect proximal to the hardware, period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11328_55a045b7-0761-4432-adbc-63254de1c5b8_3.mp3
1755091651,GSG11328_55a045b7-0761-4432-adbc-63254de1c5b8_4,00:01:57.980,00:02:49.940,"This is not ,This is all superficial, does not look like anything dangerous or cancerous, period. Paragraph. My impression Jorge Tapia's got a small subcutaneous mass over the medial aspect of the junction, middle, and distal third of his right leg. He doesn't know how long it's been there. It doesn't give him any pain. He has no tenderness. The MRI shows a benign appearing subcutaneous fluid. If this was deep to the fascia, it's a little more concerning. I told him you can go for an MRI with gadolinium. You can do a targeted ultrasound, which the radiologist recommended. But he states at this point He feels okay He doesn't really feel like he needs to do anything else about this and if it gets worse about some more in the future",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11328_55a045b7-0761-4432-adbc-63254de1c5b8_4.mp3
1755091651,GSG11328_55a045b7-0761-4432-adbc-63254de1c5b8_5,00:02:49.940,00:03:15.380,"He would consider doing those tests and I think that's appropriate period of bigger plants at this point Mr. Typey will can continue with his normal activities if he feels his mask gets bigger or bothers them Then I think doing MRI with gadolinium or targeted ultrasound would be appropriate, but otherwise I would just leave it alone. I answered all those questions for him. He's happy about the results, and I don't need to see him unless there are further problems or difficulties.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11328_55a045b7-0761-4432-adbc-63254de1c5b8_5.mp3
1755091907,GSG11330_0cbff2a2-49ad-4f59-b60f-90fe7b3c5eed_0,00:00:00.000,00:00:28.540,"Now, dictating a follow-up not on Carmina, C-R-M-I-N-A, Rodriguez, R-D-R-I-G-U-E-S. Date is July 28, 2025. Ms. Rodriguez comes off today. She's got primary genital joint disease in both knees. Going to Texas to pick up her daughter and granddaughter. She's then going to Australia for a couple weeks. So she would like me to do an aspiration cortisone shot both knees before going away to give her less discomfort and make her feel more comfortable and completely fine with it. New paragraph physical examination.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11330_0cbff2a2-49ad-4f59-b60f-90fe7b3c5eed_0.mp3
1755091907,GSG11330_0cbff2a2-49ad-4f59-b60f-90fe7b3c5eed_2,00:00:55.120,00:01:29.440,"She's going to pick up her daughter in Texas and go to Australia for a couple weeks. She's going to Texas Wednesday, Australia Thursday or Friday. So she wants me to do an aspiration cortisone shot for both knees before going away to make her trip better. And I've done this in the past, and I have no trouble with that. Neither does she. Period. New paragraph. Plans for an austral technique. I numb both knees, took 3 cc's of cortical fluid out of the right knee, 5 cc's of clear ill fluid from the left knee, gave her injection of one cc of 0.125% of morphine, 6-metotransferred",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11330_0cbff2a2-49ad-4f59-b60f-90fe7b3c5eed_2.mp3
1755091907,GSG11330_0cbff2a2-49ad-4f59-b60f-90fe7b3c5eed_3,00:01:29.440,00:01:42.920,"medicine acetate, 6-metotransferred medicine sodium phosphate, but then a macro four cortison shot. I said have a nice time, and if she wants to repeat viscous or potential cortison shots in the future, she's welcome to have that done, period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11330_0cbff2a2-49ad-4f59-b60f-90fe7b3c5eed_3.mp3
1755092057,GSG11331_9f308a6b-775e-4b34-af25-8a0e939bd89f_0,00:00:00.000,00:00:33.440,"Now dictating a follow-up note on Lisa L-I-S-A Amato, A-M-A-T-O, dates is July 28, 2025. Ms. Amato comes off today with her daughter. She's here for the second orthodontic injection of the left knee. She feels a little bit better. She has less pain. She's walking better, functioning better. And she does these injections routinely, which significantly improves the arthritis. New paragraph physical examination. Ms. Amato is a pleasant cooperative woman. She's got a tiny joint effusion present. She's got some very mild tenderness.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11331_9f308a6b-775e-4b34-af25-8a0e939bd89f_0.mp3
1755092057,GSG11331_9f308a6b-775e-4b34-af25-8a0e939bd89f_1,00:00:33.640,00:01:02.580,"She's got a negative lock, a negative shift, negative fans, a negative flow, sort of sag. Range of motion is 2 to about 135 degrees. She also goes to the normal gait, period. There's no medial instability, period. New paragraph impression. My impressionto Lisa Mott. It's got primary degenerative incisions of her left knee, which is here for the second ortho injection of left knee, and it's feeling better, which is great. New paragraph plan on a sterile technique. I numb the area, aspirated two cc's, closed well fluid. Gave her this second ortho injection of left knee, and then I'll see you back in the office next week for the third and final injection.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11331_9f308a6b-775e-4b34-af25-8a0e939bd89f_1.mp3
1755092135,GSG11332_d28c95a2-e918-4976-95e3-640f6272b66e_0,00:00:00.000,00:00:28.140,"Now dictating a follow-up note of Maajiad M-A-A-J-I-A-D, Akbar, A-K-B-A-R, date is July 28, 2025. Mr. Akbar comes off today. He's got perineal joint disease of both knees. He's here for the third and final worth of his injection, and he's feeling better, which is great. New paragraph physical examination. Mr. Akbar is pleasent cooperative male.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11332_d28c95a2-e918-4976-95e3-640f6272b66e_0.mp3
1755092135,GSG11332_d28c95a2-e918-4976-95e3-640f6272b66e_1,00:00:28.280,00:00:59.000,"His temperature in the office is 97.0, period. Examination of the knees. Real genuvarious performance. He cannot fully extend or flex the knees. He's got some mild tennis immediately. negative memory, negative vapid ride, negative block, negative fist shift, negative vanter, negative poster sag. He's got some patellar crepitus, pretty. Walk with a grossing on the gait. Impression my impression He's got primary DG 120 on both knees, which is here for the third and final ortho injection of his knees. He's doing better, ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11332_d28c95a2-e918-4976-95e3-640f6272b66e_1.mp3
1755092135,GSG11332_d28c95a2-e918-4976-95e3-640f6272b66e_2,00:00:59.000,00:01:26.200,"and that's a very good sign. He does these injections periodically, which helps him significantly. Paragraph  plan. So in the shell technique, I numb both knees, took about two and a half cc's of collisional fluid from the right knee, 2 cc's collisional fluid from the left knee. I gave him the third and final ortho injection of both knees. He's aware of the potential side effects. I told him to ice it, maintain his weight, do the home exercises, and if he wants to repeat these injections in the future, he's welcome to do that, period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11332_d28c95a2-e918-4976-95e3-640f6272b66e_2.mp3
1755092270,GSG11333_54e1ea37-eaf8-40d2-99ee-3408754c8db8_0,00:00:00.000,00:00:28.460,"Now dictating a follow-up note on  Christine CHRISTINE Williams, WI-L-I-M-S, dated July 28, 2025. Ms. Williams comes off today. Date of injury goes back to July 10, 2025, two and a half weeks, scared to stand alone, restrained, and internal drainage in her right knee. Because of pain, swelling in the right knee, I recommend an MRI of the right knee. That was done at University of Radiology in Linden on July 24, 2025, and it shows a small joint effusion, comma, some",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11333_54e1ea37-eaf8-40d2-99ee-3408754c8db8_0.mp3
1755092270,GSG11333_54e1ea37-eaf8-40d2-99ee-3408754c8db8_1,00:00:28.460,00:01:18.880,"arthritic changes in the medial tibia plateau, lateral tibia plateau, medial lateral meniscus is normal, and there's gray tooth sprain of the medial collateral ligament. There's significant conjugal lesion of the medial lateral patella facets, period. New paragraph, well, that wasola facets, period. period. Miss Williams states she started therapy today. She feels a little better, still a little sore and stiff. She's been out of work and paying medication while she's on a baby ass because of stroke. So I told her probably stay away from the anti-inflammatory medication, maybe just take some time on it, period. paragraph Physical examination. Miss Williams, pleasent cooperative woman. She works with my lab on the gate. She has some mild tenderness in her back, slightly decreased range of motion, no tenderness, neostatic notch, short leg raise negative, sensorimeter reflects normal, but then she's down and going, no close present, she walks with a mildly abnormal gait because of very low extremity. You've got an exam for the right knee,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11333_54e1ea37-eaf8-40d2-99ee-3408754c8db8_1.mp3
1755092270,GSG11333_54e1ea37-eaf8-40d2-99ee-3408754c8db8_2,00:01:18.880,00:01:53.320,"reveal tiny joint, fusion present, range of motion was three to about 135 degrees. She has some mild tenderness through a medial aspect of the knee. Glucose positive at the brain. Negative alpha grind. Negative lock. Negative PIFGF. Negative anterior. Negative posterior sag. No medial allowance to build. Tendinitis of flexional valgus of her stress. New bedrock exam for right foot. Tendinitis, no swelling. Good range of motion. Hormone test negative. Test was normal. Periodic breakdown. X-rays. I went over the actual MRI at the right knee during the University of Radiology in Linden, LINDEN, on July 24, 2045. I showed a small joint infusion present. It medial lateral meniscus, normal.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11333_54e1ea37-eaf8-40d2-99ee-3408754c8db8_2.mp3
1755092270,GSG11333_54e1ea37-eaf8-40d2-99ee-3408754c8db8_4,00:02:22.000,00:03:06.860,"She does feel a little bit better today, period. I had recommended avoiding the anti-inflammatory medications. Of course, she had a stroke. She's on baby aspirin. I would hold off on a cortisone shot because of her diabetes. But I think going to physical therapy for the sprain and medial clavicle ligaments or right root duct. She doesn't have any growth sensibility, so I told her this type of injury usually takes about six to eight weeks to heal, period. New Paragraph plans. At this point, Ms. Williams will remain out of work. She'll undergo her physical therapy. I gave her a appointment to see me in two weeks for a evaluation. The x-ray, give her to a therapy, do her on her own at home, period. Paragraph She also has an arthritic condition and a right knee, so if that continues to bother her,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11333_54e1ea37-eaf8-40d2-99ee-3408754c8db8_4.mp3
1755092270,GSG11333_54e1ea37-eaf8-40d2-99ee-3408754c8db8_5,00:03:07.280,00:03:36.700,"we can always consider a cortisone shot, but she has to realize a cortisone shot will affect her diabetes, and we'll decide on what happens in the next couple weeks with regards to the cortisone shot, period. The company goes to PMA, Postal Box 5231, Janesville, Wisconsin, 53547, Tension, Denny's, Coachell, KUSHEL, UW Water 004630612, Bluers, Essex County, Employee Health Services. Fax copy Denys Koshell at 800-432-9762. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11333_54e1ea37-eaf8-40d2-99ee-3408754c8db8_5.mp3
1755092404,GSG11335_964eaf2e-8e22-48d9-81c9-77a2174a9b00_1,00:00:30.000,00:01:10.540,"Occasional achiness, period. His MRI of his right wrist that was unprecedented on July 11, 2025 at NJ and Edison showed diffuse degenerative arthritic changes, which have nothing to do with his accident on May 6, 2025, their pre-existing, period. New paragraph physical examination, Mr. Cabello's pleasent cooperative male.  He's got no tennis for social extension department. He's got a negative fixing test, full range of motion with his thumb, neurologically intact, period. No evidence active, but an S1 acromial finger deformity. New paragraph Impression, my impression, Daniel Sabala, was involved in the Workly Act in May 6, 2025, where he developed decrevating tenosynovitis as the first source of extensive compartmentalization of the right wrist.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11335_964eaf2e-8e22-48d9-81c9-77a2174a9b00_1.mp3
1755092404,GSG11335_964eaf2e-8e22-48d9-81c9-77a2174a9b00_2,00:01:10.940,00:01:41.640,"He had an MRI documenting some pre-existing arthritis, and it also documented decrevating tenosynovitis. Decrevating tenosynovitis is causally related to the Act in May 6, 2025, and the agenda changes are not, period. Paragraphs. So when I saw Mitch Zavala previous to my office, we could go on July 21, 2025, I give him cortisone shots and he's not 100% better, but he's 95% better. So he's going in the right direction. That's a good sign. He's back to where he's due, and he's happy about the results, period. He has been taken to Naperson, which helps.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11335_964eaf2e-8e22-48d9-81c9-77a2174a9b00_2.mp3
1755092404,GSG11335_964eaf2e-8e22-48d9-81c9-77a2174a9b00_3,00:01:41.840,00:02:10.740,"New paragraph plans at this point, explaining to Mitch Zavala. He can wean if the naperson I told him previously he's gonna need five to ninety percent chances problem will resolve he's got a ten to fifteen percent chance of problems can recur so if it recurs and he's more than welcome back to my office but otherwise he's happy about the results I would be northern a person continue the regular duty at this point I will consider him to be MMI. I answered all of his questions for him and he was discharged from the office period. Couple of those, Zerk America Insurance,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11335_964eaf2e-8e22-48d9-81c9-77a2174a9b00_3.mp3
1755092404,GSG11335_964eaf2e-8e22-48d9-81c9-77a2174a9b00_4,00:02:10.740,00:02:28.800,"Postal Spots 968044, Sean Bergeronoi 60168, Senator Joe Ize, AYS, number 2440399435, whereas Allied ALLIED Aviation, with High Discovery Joe Ize, AYS, and 973-394-5262, thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11335_964eaf2e-8e22-48d9-81c9-77a2174a9b00_4.mp3
1755092532,GSG11336_abfc8ae8-0f84-4109-a8bd-a1469eff28a1_0,00:00:00.000,00:00:28.840,"Now dictating a follow-up note on fida, FIDA, FARESS, F-A-R-E-S-S, date is July 28, 2025, Mr. faress . Date of injury goes back to June 5, 2025. Seven and a half weeks ago, she had a cervical strain, period. She had gone to therapy, which helped. Recently, she just noticed some pain in her neck, a little bit of stiffness in her right shoulder blade. She has no complaints of upper extremity colitis. There's been no new injury. Work is not an issue.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11336_abfc8ae8-0f84-4109-a8bd-a1469eff28a1_0.mp3
1755092532,GSG11336_abfc8ae8-0f84-4109-a8bd-a1469eff28a1_1,00:00:28.840,00:01:01.180,"She's going to Rochester to help her mom put things together. She had taken naproxen and a muscle relaxer previously. She wants to know if she can go back on the naproxen and muscle relaxer. I told her I'm willing to write her prescription for naproxen, but a muscle relaxer really is not indicated, period. New paragraph physical examination, miss stress, is pleasent cooperative woman, period.  She's got some mild tennis right side of the neck, a little tennis right to piece of muscle. She's got good range of motion of her neck. Neurologically, she's intact. Hoffman test was negative. Cross-shoulder abduction test was negative. And the Sperling SMRT test was normal, period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11336_abfc8ae8-0f84-4109-a8bd-a1469eff28a1_1.mp3
1755092532,GSG11336_abfc8ae8-0f84-4109-a8bd-a1469eff28a1_2,00:01:02.520,00:01:29.480,"Neurologically, she's normal, period. She's got good range of motion for her shoulders, period. Impressoin, my impression the feet are fresh. Was allowed to work with her in June 5, 2025, seven and a half weeks ago. She's going to be seeing a mild cervical strain. At this point, she has minimal complaints of pain in her neck and a little bit of complaints of pain in her right trapezoid region, period. I asked her if she wanted to go back to the therapist. She states no. She can do these exercises on her own at home. I showed her additional exercises to do and also to think posture, period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11336_abfc8ae8-0f84-4109-a8bd-a1469eff28a1_2.mp3
1755092532,GSG11336_abfc8ae8-0f84-4109-a8bd-a1469eff28a1_3,00:01:30.540,00:02:00.320,"I can write her a new prescription for naproxen, but there's no indication for muscle relaxers, period, New paragraph plan. So just point her in this. For a prescription for naproxen, she can take that as needed, put down a macro for NSAI, period. There's no indication for muscle relaxers. As far as work goes, she can do regular duty. She can do home exercises, think posture, and this type of problem can take a few weeks to resolve, but I don't see any long-term problems or repercussions with this period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11336_abfc8ae8-0f84-4109-a8bd-a1469eff28a1_3.mp3
1755092532,GSG11336_abfc8ae8-0f84-4109-a8bd-a1469eff28a1_4,00:02:00.320,00:02:25.860,"If she has questions, then she was discharged from the office. She can do regular duty period. The public goes to Qual-Links, Postal Spikes, 240-819, Apple Valley, Minnesota, 55125. Claim number is 25WYCH, and the description is 02327B, as Employers Union Board of Education. Facts come in the shell on C-H-E-L-L-E-L-N-O-I-N-N at N-J-S-I-G-H-6-9-3-8-6-2-0-1-1. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11336_abfc8ae8-0f84-4109-a8bd-a1469eff28a1_4.mp3
1755092676,GSG11337_86513b77-c6cf-406b-ad23-b73223c88619_0,00:00:00.000,00:00:28.180,"Now, dictating a follow-up note on Austin AUSTIN Urban, URBAN, date is July 28, 2025. Mr. Urban comes office today with his mom. He was involved in a work-related accident in July 8, 2025, three weeks ago, he was standing a mile straight over his right calf. He's doing better. He's driving his car in the boot. He takes the boot off when he's home. He goes to the gym and does upper body workout, but he's been careful with the calf. He's been doing light duty at work,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11337_86513b77-c6cf-406b-ad23-b73223c88619_0.mp3
1755092676,GSG11337_86513b77-c6cf-406b-ad23-b73223c88619_1,00:00:28.560,00:00:58.940,"though the academy will not let him come back in until the repeat academy happens in either December of 2025 or January of 2026. Period. He has not taken any medications and he's significantly improved. Period.new paragraph physical examination. Mr. Urban's pleasent cooperative male. His temperature in the office is 97.0. examination of the right calf. He comes in a short-leg walk-in orthosis. He's got maybe a little tiny tenderness in the calf. It's not hot, red or swollen.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11337_86513b77-c6cf-406b-ad23-b73223c88619_1.mp3
1755092676,GSG11337_86513b77-c6cf-406b-ad23-b73223c88619_2,00:00:59.080,00:01:26.860,"Home intestinal, aintropic, gastro-normal, Achilles tendon attack. Calf and ankle and foot circumference were within one centimeter of symmetry, period. Stretching his calf did give him some mild discomfort, period. New paragraph impression. Impression that Austin Urban was involved in the work related accident. He was going July 2025, so he had a mild strain of his right calf. Scoot also represented part of the planteras tendon, but either way, conservative treatment is the right route to go, period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11337_86513b77-c6cf-406b-ad23-b73223c88619_2.mp3
1755092676,GSG11337_86513b77-c6cf-406b-ad23-b73223c88619_3,00:01:27.680,00:01:55.280,"Paragraph, if he's feeling better, he has less pain and discomfort, but if he drives, take the boot off, period. If he goes to the gym, wear the boot of the gym and just do upper body exercises in a seated position, period. plan, Mr. Irwin will continue with light duty. He'll continue with a gentle home stretching exercise, nothing forceful. He can go to the gym and do upper body workout, but wear the boot when he goes to the gym. When he drives, take the boot off, and again, just be gentle, period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11337_86513b77-c6cf-406b-ad23-b73223c88619_3.mp3
1755092676,GSG11337_86513b77-c6cf-406b-ad23-b73223c88619_4,00:01:55.840,00:02:20.180,"He and his mom asked about therapy, and I told them if for the next four or so weeks he's stiff or achy or uncomfortable, I will consider some therapy, but he's otherwise a healthy 24-year-old athletic individual. I think this problem is going to resolve without the need for therapy. I'll see him back in two weeks for a repeat evaluation, and my best estimate is he's probably four to six weeks away from being MMI in regular duty.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11337_86513b77-c6cf-406b-ad23-b73223c88619_4.mp3
1755092676,GSG11337_86513b77-c6cf-406b-ad23-b73223c88619_5,00:02:20.540,00:02:48.940,"The company goes to Insurafco, Post Office box 1470 Harrisburg, Pennsylvania 1705. Attention. Veronica George, GRGE, call 403-000-1408. Police, Linden, LAND Police. Fax copy to Jessica Sheehy. Linden, please be attention. Jessica Sheehy. And fax copy to Jeanine, J-E-A-N-I-E. Summers, H-M-M-E-R-S at MedLogic at 609-631-9732. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11337_86513b77-c6cf-406b-ad23-b73223c88619_5.mp3
1755092823,GSG11340_2f14be82-157b-4e91-87ac-2e864548a122_0,00:00:00.000,00:00:32.380,"Now, dictating a follow-up note on Julian, J-U-L-I-A-N, last name, M-O-N-S-A-L-V-E-A-R-E-N-A-S. These is July 28, 2025. Mr. Arenas comes to office today. Data images go back to May 7, 2025, two and a half months ago. We're seeing the lumbar strain period. He had an MRI of his lumbar spine done in June 26, 2025, which showed mild disc degeneration, but no disc herniation at all, to encourage him. I had seen him in my office July 15, 2025. I thought going back for a couple of weeks of therapy, I'd put him on some naproxen, light duty would be appropriate.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11340_2f14be82-157b-4e91-87ac-2e864548a122_0.mp3
1755092823,GSG11340_2f14be82-157b-4e91-87ac-2e864548a122_1,00:00:32.960,00:01:21.720,"He states he tried to get the therapy scheduled, but the insurance company hasn't authorized it yet. My office puts the insurance company in. They're trying to get it authorized, period. He can take the naproxen as needed. He does feel better. They didn't give him light duty. They asked him if he could do regular duty. He states he authorized, period. New paragraph, physical examination mr.sovereign is pleasent cooperative male. His temperature in the office is 98.3, period. He's got no tendons to the back. Good range of motion. Straight leg raise is negative. Sensory motor reflex is normal. But Vince goes down and going. There was no cornice in the area, period. Be able to tell him he'll walk and get up and down off the table without his comfort. New paragraph impression. my impression Julian Monsalvo Arenas was involved in work related accident on May 7, 2025, two and a half months ago, received a lumbar strain period. I had seen him two weeks ago. I put him on light duty, gave him an Aperson,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11340_2f14be82-157b-4e91-87ac-2e864548a122_1.mp3
1755092823,GSG11340_2f14be82-157b-4e91-87ac-2e864548a122_2,00:01:21.720,00:02:10.940,"recommended some therapy. He took the Aperson. It helps.  He's been doing home exercise, but the insurance company has not authorized the therapy as he's had it put a call to the insurance company, and they'll try to call me back. Paragraph plan. So at this point, he's going to explain sovereignness. The examination is mostly benign. I asked him if he still wanted to go to therapy, would like to go. So I told him, let's try to get him authorized for two weeks of therapy. If he doesn't hear from the insurance company and dare to, let me know. As far as work goes, he can return regular duty. He can resume regular duty July 29, 2025 without restrictions. I gave him an appointment to see me in two weeks. And if his examination remains benign, whether he's completed or not completed his therapy, he would be MMI discharge . Complicus Escedric, CMS, at Postal Spikes, 14151, Lexington, Kentucky, 40512.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11340_2f14be82-157b-4e91-87ac-2e864548a122_2.mp3
1755092823,GSG11340_2f14be82-157b-4e91-87ac-2e864548a122_3,00:02:11.540,00:02:37.140,"Attention, ALICE, LCI, ALICE, S-C-H-W-E-R-Z-T-S-E-G-E-R. Ms. 4, Azimuth, 25057, Casing Kangaroo, 6K, Kangaroo, Zizu, dash, 0001, employees Toyota, TYOTA Logistics, Fax Copy to Alice Schwetzer, as Cedric claims, 859-264-4060, thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11340_2f14be82-157b-4e91-87ac-2e864548a122_3.mp3
1755093011,GSG11341_787eb877-6b4d-40c3-afec-dc74fbbe21d5_0,00:00:00.000,00:00:30.740,"Now dictating now dictating a follow-up note on Michelle  Michelle Holmes, HOLMES, dated July 1st, July 28, 2025. Ms. Holmes comes office today. Her date of injury goes back to May 27, 2025, two months ago. We're seeing a strain of her right shoulder, some questionable right upper sternum vertebrae, right trapezoid strain, strain of her right wrist, and a ganglion cyst of her right wrist, period. I had seen she was accompanied by Meredith Levine, our nurse case manager. I had seen her previously in July 1, 2025.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11341_787eb877-6b4d-40c3-afec-dc74fbbe21d5_0.mp3
1755093011,GSG11341_787eb877-6b4d-40c3-afec-dc74fbbe21d5_1,00:00:31.200,00:01:03.960,"I sent her for some therapy, states it has helped, and the therapist thought going for additional therapy would help. She's also been taken to the Asian and Munger United Probe, which has also helped. She's been doing light duty, does not feel comfortable going back to regular duty. New paragraph. She's willing to numbness and weakness, allowing the right of extremity, though she has no complaints of neck pain. Period. New paragraph physical examination. Examine her neck. You'll know swelling, tenderness, full range of motion. Period. You better go for the examination of her right shoulder. Reveals a little tenderness over the anterior calf. Weakly paused in pinch test. Negative drop test. Negative circle sense. Subluxation.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11341_787eb877-6b4d-40c3-afec-dc74fbbe21d5_1.mp3
1755093011,GSG11341_787eb877-6b4d-40c3-afec-dc74fbbe21d5_2,00:01:04.520,00:01:34.260,"She's got a good abduction of forward flex flexion, lacks a little bit of internal rotation, got a negative impingement test, negative knee test, negative belly press test, negative speed test, negative abduction test. New paragraph , same as right hand, feels a small ganglion cyst present dorsally, period. Motion is otherwise full, no trigger, the pull is no subluxation, censored. Tendons, . At this point, she complains about weakness. She has weakness in grip strength, weakness in wrist flexion and extension, and there's clearly evidence of symptom magnification here, period. Tinal and phalanx tests were negative.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11341_787eb877-6b4d-40c3-afec-dc74fbbe21d5_2.mp3
1755093011,GSG11341_787eb877-6b4d-40c3-afec-dc74fbbe21d5_3,00:01:34.380,00:02:03.800,"No activity of the phenohypertin intrinsic musculature. No evidence of numbness involving dermatomal and peripheral nerve patterns, period. New paragraph Impressoin my impressoin Michelle Holmes. Was involved in work related accident  two months ago, May 27, 2025. She complained about right shoulder pain, which she has an MRI of the right shoulder done on June 6, 2025 at University of Radiology in Monroe, which did not show any significant abnormalities, period. She also complains about some right upper extremity radiculopathy,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11341_787eb877-6b4d-40c3-afec-dc74fbbe21d5_3.mp3
1755093011,GSG11341_787eb877-6b4d-40c3-afec-dc74fbbe21d5_4,00:02:04.040,00:02:33.260,"and she does have a small ganglion cyst off the left side of her right wrist and she's going to be seeing Dr. Tan TAN, an upper extremity specialist on Wednesday. She states that therapy has helped and she would like to continue with therapy. I told her that sometimes a cortisone shot will also help the right shoulder, but she'd like to continue with therapy before considering a cortisone shot period new paragraph plan. So at this point, I'm going to recommend two more weeks of therapy on the right shoulder. She can continue therapy with , PRM. She can maintain the light-duty status.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11341_787eb877-6b4d-40c3-afec-dc74fbbe21d5_4.mp3
1755093011,GSG11341_787eb877-6b4d-40c3-afec-dc74fbbe21d5_5,00:02:33.880,00:03:01.160,"I gave her an appointment to see me in two weeks, and if her right shoulder is still bothering her, I would, again, offer her a cortisone shot. If she'd like to choose to get it, that would be fine, and if she doesn't choose to get it, that would also be fine. I think in two weeks, with regards to her right shoulder, she would be in maximum medical medicine treatment and sent back to regular duty, and as far as this right upper extremity radiculopathy, I don't really see any neurologic abnormalities, and clearly this funny feeling",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11341_787eb877-6b4d-40c3-afec-dc74fbbe21d5_5.mp3
1755093011,GSG11341_787eb877-6b4d-40c3-afec-dc74fbbe21d5_6,00:03:01.160,00:03:23.740,"she's getting down into her right upper extremity is is not caused related to a right shoulder issue period. Comply visit Great America's Procedure Comp Post Office Box 4080, Clinton, Iowa 53733 Attention Mary, Munton, and Muntioni with A's and R's at 007-24092 The employer's PAR-KAR Health Group Fox Company Mayor is Levina 630-586-S9441",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11341_787eb877-6b4d-40c3-afec-dc74fbbe21d5_6.mp3
1755093143,GSG21323_3dbf768b-9832-41a5-8589-31d469701dcc_0,00:00:00.000,00:00:30.620,"Now, dictating a follow-up known as C-R-I-S-T-I-A-N-E, last name Colombo, C-O-L-O-M-B-O, date is July 28, 2025. Ms. Colombo comes off today. She had originally injured her right shoulder at work on February 18, 2025. She did not improve with conservative treatment, so I operated her right shoulder two months ago on May 29, 2025. That surgery was an evaluation of the seizure, operated a thrust through the right shoulder, the bulimia of the partial to the right to the cuff, extension of the prima, and then through a separate subpector alce approach.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21323_3dbf768b-9832-41a5-8589-31d469701dcc_0.mp3
1755093143,GSG21323_3dbf768b-9832-41a5-8589-31d469701dcc_1,00:00:30.620,00:01:04.300,"If I said to see my deceased, she's doing much better. She has less pain. She has improved range of motion, takes occasional Tylenol. She's been out of work. In the next day, I started doing therapy she's been doing on her own at home. I asked her if I sent her back to light duty. Could she do that? She states as long as she doesn't have to lift anything heavy, she thinks she can. Period. She's sleeping better, functioning better, and she's happy. New paragraph Physical examination. Ms. Columbus, pleasent cooperative woman. Examination of right shoulder. Fibroma redness. Muscles passing. Trigger points. Tenderness. Hecumos. Arrhythmia. Abrasions. Discoloration. Redeemer.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21323_3dbf768b-9832-41a5-8589-31d469701dcc_1.mp3
1755093143,GSG21323_3dbf768b-9832-41a5-8589-31d469701dcc_2,00:01:04.860,00:01:36.000,"Her motion is really excellent. She's got full abduction, full forward flexion, full external rotation, maybe lacks a couple degrees of internal rotation period. She had a negative impingement test, negative liftoff test, negative belly press test, negative speed test, negative obraine test, negative drop test, negative near test period. New paragraph in the front. and she has no deformity biceps bicep strength is good but I did not push real hard . New paragraph Impression, my impression is Christian Colombo had been involved in work wax February 2025",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21323_3dbf768b-9832-41a5-8589-31d469701dcc_2.mp3
1755093143,GSG21323_3dbf768b-9832-41a5-8589-31d469701dcc_4,00:02:12.480,00:02:40.500,"As far as work goes, I gave her a note for light duty July 29, 2025. Just no repetitive overhead work or no lifting more than five pounds with the right shoulder and right biceps, period. I gave her a appointment to see me in two weeks and most people go back to regular duty somewhere between four and four and a half months postoperatively, which means she's two to two and a half months away from being MMI and back to regular duty, period. complete",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21323_3dbf768b-9832-41a5-8589-31d469701dcc_4.mp3
1755093143,GSG21323_3dbf768b-9832-41a5-8589-31d469701dcc_5,00:02:40.500,00:03:01.480,"Completed goes to Walmart, Claim Services and Posts, Box 14731, Lexington, Kentucky, 40512, Attention, Bellum, B-E-L-E-M, Tores, T-O-R-E-S, 250-49046. Accomplished goes to Walmart, Lexington, California, Donna, D-U-N-N-A, Lexington, V-I-V-I-A-N-I, at F-N-C-O-973-257-2284. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21323_3dbf768b-9832-41a5-8589-31d469701dcc_5.mp3
1755093291,GSG21324_89880b5a-ddd2-45af-96af-6e365f943534_0,00:00:00.000,00:00:29.560,"Now, dictating a follow-up note on Carmelina, C-R-M-E-L-I-N-O, Juarez, J-U-A-R-E-Z-H-E-R-N-A-N-D-E-Z, date is July 28, 2025. Mr. Juarez Hernandez comes off today, Maria and my office, and presents in Spanish and English. His date of injury goes back to August 19, 2024, injured his right shoulder at work. He did not improve with conservative treatment, so I operated on his right shoulder approximately four and a half weeks ago in June 26, 2025.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21324_89880b5a-ddd2-45af-96af-6e365f943534_0.mp3
1755093291,GSG21324_89880b5a-ddd2-45af-96af-6e365f943534_1,00:00:30.320,00:00:58.300,"When he had an evaluation seizure, I put a thrust through the right shoulder, debris amount of parts fixed, tear at the cuff, extensive debris amount, debris amount of calcification, sublucan decompression, consistent sclerotical, and then through a separate subpectoralis, S-U-B-P-E-C- to all the subparcs of biceps tenodesis. He is doing better. He has less pain, moving better. He is driving. He's taking the ibuprofen. He uses the ice machine occasionally. And the exercise that he's been doing on his own at home.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21324_89880b5a-ddd2-45af-96af-6e365f943534_1.mp3
1755093291,GSG21324_89880b5a-ddd2-45af-96af-6e365f943534_2,00:00:58.300,00:01:29.940,"Period He was interviewed as a physical therapist from IVY Rehab in Jersey City. They thought he was doing well. New paragraph physical examination. Mr. Orzvanan is a pleasent cooperative male. His temperature in the office is 98.3. Appeared to be on an examination of the right shoulder. Feels some mild diffused tenderness. The incisions look good. It's not hard of read. He had therapy originally delayed, so he's only going for four sessions. So at this point,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21324_89880b5a-ddd2-45af-96af-6e365f943534_2.mp3
1755093291,GSG21324_89880b5a-ddd2-45af-96af-6e365f943534_3,00:01:30.020,00:01:57.540,"he's got about 110 degrees of abduction forward flaking actively, passively about 120. He's got about 40 degrees of internal rotation actively, passively about 45 degrees. He has no deformity biceps, so I didn't push hard on strength. Really hard to do a belly press test, liftoff test, speed test, O'Brien test because of his limited range of motion and just his recent surgery, period. He had a negative drop test,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21324_89880b5a-ddd2-45af-96af-6e365f943534_3.mp3
1755093291,GSG21324_89880b5a-ddd2-45af-96af-6e365f943534_4,00:01:57.540,00:02:23.100,"period. Neurologically, he was normal, period. New paragraph. Impression, my impression mr.Hernandez had been involved in work related accident on August 19, 2024, where he sustained an injury to the right shoulder. It did not improve with conservative care, so I operated on his right shoulder approximately four and a half weeks ago on June 26, 2025. When he had an evaluation seizure, I operated arthroscopy to the right shoulder, added a debridement of partially-exterior orthococcus, extensor debridement, debridement of large",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21324_89880b5a-ddd2-45af-96af-6e365f943534_4.mp3
1755093291,GSG21324_89880b5a-ddd2-45af-96af-6e365f943534_5,00:02:23.100,00:02:55.420,"calcification, subclinic compression, cystic colifable, then through a separate subpacturized bicep. He's doing better. His original therapy was delayed, so we developed a little scar tissue, but his motion is improving. It's a little bit less than what I'd like to see, but he's much better as compared to previously. He's been doing the home exercise, but taking the ibuprofen. He uses the ice unit occasionally and he uses the T-bar and pulley system whenever necessary. Period. He has been out of work. Period. Paragraph plan. At this point, Mr. Juarez",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21324_89880b5a-ddd2-45af-96af-6e365f943534_5.mp3
1755093291,GSG21324_89880b5a-ddd2-45af-96af-6e365f943534_6,00:02:55.420,00:03:27.180,"as he continue with his physical therapy. He'll continue with his home exercises. He'll take the ibuprofen. All the exercises given to him in therapy are very important to do on his own at home. He really needs to passively stretch and actively move his shoulder. I don't want him to do any forceful bicep exercise until six weeks postoperatively, which is another two weeks from now. Paragraph So I gave him a note for out of work, a prescription for additional therapy, discussed with him exercise, and I gave him an appointment to see me in two weeks. I usually send people back to light duty somewhere between eight and ten weeks postoperatively",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21324_89880b5a-ddd2-45af-96af-6e365f943534_6.mp3
1755093434,GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_0,00:00:00.000,00:00:32.400,"Now, dictating a follow-up note on  author AUTHOR, last name E-T-I-E-N-N-E, date is July 28, 2025. Mr. Etienne comes office today. His date of injury goes back to June 22, 2025. Approximate five weeks ago, he was standing on the strain of his right shoulder. I've seen him a couple times in the office. I put him on naproxen. Didn't really help. Sent him to therapy. Didn't really help. He's been seen by his own doctor through his private health insurance who did prior rotator cuff repair of his right shoulder, Dr. Rothenberg,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_0.mp3
1755093434,GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_1,00:00:32.480,00:00:59.780,"R-O-T-H-E-N-B-E-R-G, in Rutherford, R-U-T-H-E-R-F-O-D, New Jersey. I've contacted Dr. Rothenberg's office multiple times. Apparently, he's now optimum orthopedics. I've been trying to get medical records, and he will not send me any of the medical records. Mr. Etienne was sent for an MRI of his right shoulder, done in New Jersey Median Network and Union on July 15, 2025 by Dr. Rothenberg outside of workers' compensation.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_1.mp3
1755093434,GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_2,00:00:59.780,00:01:29.720,"And the MRI was interpreted as no fulcrum stare, attenuation of the supra-sidus tendon, which could be related to prior surgery, degenerative signal at the posterior labrum, AC joint, osteoarthritis, period. Paragraph Ms. Rothenberg states at this point he still complains of pain in his right shoulder, but he was having pain in his right shoulder prior to this accident at work on June 22, 2025, period. Paragraph  I had explained to Mr. Eddy in previous email offers. If he's not able to provide me with his records or if his MRI of his right shoulder comes back",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_2.mp3
1755093434,GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_3,00:01:29.720,00:01:58.280,"recently done on July 15, 2025 and NGIN Union comes back as normal, then obviously no additional treatment would be indicated. I told him at this point I would send him back to work. Break of duty. He states he's willing to do that. He states inaptism and physical therapy doesn't help. Under those circumstances, no reason to take Naprosyn or undergo physical therapy. Paragraph. physical examination. Mr. Eddie pleasent cooperative male. His temperature in the office is 97.7, period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_3.mp3
1755093434,GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_4,00:01:58.620,00:02:30.740,"An examination of his right shoulder reveals he is nicely healed and is in surgery for a prior surgery. Still, some mild or restricted range of motion. His abduction and forward flexion is about 120 degrees. Actively, passively, about 130. He's got about 40 degrees of internal fermentation. Actively, passively, a little bit better. He had a negative pinch test, negative belly press test, negative drop test, negative speed test, negative The O'Brien's test. No deformity of the biceps, no lock-in intact. New paragraph, Impression: my impressoin, went over the actual MRI of the right shoulder done on an NGIN",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_4.mp3
1755093434,GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_5,00:02:30.740,00:02:59.980,"union, July 15, 2025. Shows where he had prior surgery, on his rotator cuff, and the rotator cuff is intact. Maybe some mild fraying. The labrum is normal, the biceps tendon is normal. He's got a little bit of GM changes in the coronary cervical joint. There's no evidence of impingement. Paragraph, Impression: my impression Arthur Eddien was involved in a work-related accident on June 22, 2025, where he sustained an injury slash train of his right shoulder. Period. Providentially, Mr. Eddien already had a problem",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_5.mp3
1755093434,GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_6,00:02:59.980,00:03:32.060,"with his right shoulder previously. He was involved in a non-work-related motor vehicle accident years ago, ended up having surgery on his right shoulder previously.  It's in 2022. He's had pain ever since. Paragraph, so his examination today is relatively benign, the MRI of his right shoulder, which I had the opportunity to review, perform an NGIN union. I viewed the actual MRI on the computer. It shows some prior rotator cuff repair, but no evidence of any acute findings . Paragraph So at this point, Mr. Eddy's diagnosis based",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_6.mp3
1755093434,GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_7,00:03:32.060,00:03:59.420,"on the answer June 26, 2025, results strain of the right shoulder. The plant is like staining of dead end. At this point, there's no reason he cannot return to regular duty as of July 29, 2025, without restrictions. I will consider him to be at maximum medical benefits and treatment, period. There's no indication to take naproxen or undergo physical therapy. Dr. Loffler, obviously, is welcome to see his own physician.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_7.mp3
1755093434,GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_8,00:04:00.040,00:04:30.800,"Dr. Rothenberg, R-O-T-H-E-N-B-E-R-G, through his private health insurance, considering his problems with his right shoulder, are not work-related. He answered all of his questions for him, and he was discharged from the office. The call concludes NJM at 301 Sullivan Way, West Trenton, New Jersey 08628 Detention, Enel, a n e Enel Gonzalez, g u n z l e z. Dubs in water, 2025064800. Employees Village Supermarket slash ShopRite. Tax company in Nel Gonzalez at 609052. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21325_38db358d-61cd-42cf-a487-5a4b025a022b_8.mp3
1755150904,GSG21326_4658d9d3-f531-41f9-91f0-8c016f860789_0,00:00:00.000,00:00:28.000,"Now dictating a follow-up note on melanie MELANIE goncalves GONCALVES date is 07/28/2025 Ms. Goncalves comes to the office today. Her date of injury goes back to June 6, 2025, seven and a half weeks ago, sustained a cervical strain and left trapezial strain. I have seen her multiple times in the office, and she is doing way better. She is not taking any pain medication. She finished her therapy. She's been instructed on home exercises",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21326_4658d9d3-f531-41f9-91f0-8c016f860789_0.mp3
1755150904,GSG21326_4658d9d3-f531-41f9-91f0-8c016f860789_1,00:00:28.000,00:00:54.520,"viewed her physical therapy notes from kesoer KESOER rehab, and you knew they thought she had done very well, period. She is on summer vacation, so work is not an issue, and otherwise she's happy about the results, period. And by the physical examination, Ms. Goncalves posedlog wound, damaged cervical spine, healed muscle spasm, trigger points, neurochemo, serotonin abrasion, discoloration, motion is full, neurologic status, blood over extremities were",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21326_4658d9d3-f531-41f9-91f0-8c016f860789_1.mp3
1755150904,GSG21326_4658d9d3-f531-41f9-91f0-8c016f860789_2,00:00:54.520,00:01:20.660,"intact. She had no tenderness to the trapeze muscles. New paragraphImpression: my impression, Melanie Concovies, was involved in the work related accident on June 6, 2025, seven and a half weeks ago, her standard cervical strain left trapezoid strain, which at this point has resolved with her physical therapy program. She's been instructed on home exercises. She's doing regular duty, though she's off in the summertime.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21326_4658d9d3-f531-41f9-91f0-8c016f860789_2.mp3
1755150904,GSG21326_4658d9d3-f531-41f9-91f0-8c016f860789_3,00:01:21.440,00:01:49.900,"She's also going to be seeing a neurologist for some vertigo problems on Thursday and then she's going on vacation to Portugal for three weeks . Paragraph ms.goncalves diagnosis, point of resolve cervical train, resolve left trapezoid train, based on the action June 6, 2025. Paragraph Plan: ms.goncalves can continue the regular due to that restrictions. The exercise is hard to do in therapy. She can do it on her own at home. At this point, I would consider her to be a maximum medical medicine treatment. I answered all of her",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21326_4658d9d3-f531-41f9-91f0-8c016f860789_3.mp3
1755150904,GSG21326_4658d9d3-f531-41f9-91f0-8c016f860789_4,00:01:49.900,00:02:20.440,"questions for her, and she was discharged from the office. Accompanied was a Qual Links. The process was Bikes 240819 Alpha Valley, Minnesota 55125. Claimant number is 25 Debra's and Wires. She's a Christian 02289 W's and Water. The employee is Lyndon LAND and Board of Education. Fax is Gabrierena, r a n a, Coranden, c u r a n d a n. 60903862011. Fax is Gabriere, Sandra, s a n d r e, Barbara, b a r b e r. I'm sorry. I don't have her number. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21326_4658d9d3-f531-41f9-91f0-8c016f860789_4.mp3
1755152328,GSG21327_3c9d52bb-104f-4f7d-abdb-71fd964ca6b5_0,00:00:00.000,00:00:26.040,"Now dictating a follow-up note on belkis BELKIS olivera OLIVERA date is 07/28/2025 Ms. Olivera comes to the office today. She was accompanied by her daughter, Jayline JAYLINE. Marie in my office along with her daughter helped translate between Spanish and English. Ms. Olivera had been involved in a work-related accident on July 1, 2025, four weeks ago where she sustained tuft ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21327_3c9d52bb-104f-4f7d-abdb-71fd964ca6b5_0.mp3
1755152328,GSG21327_3c9d52bb-104f-4f7d-abdb-71fd964ca6b5_1,00:00:26.100,00:00:55.980,"fractures of the distal phalanges of the left first, second, and third toes. She does feel better. She has less pain. When I had seen her previously in my office on July 16, 2025, I had told her she can get into a regular sneaker if she is comfortable but she states she is better in the postop shoe because her sneaker was still a little uncomfortable for her. She's being careful. I had given her no for light duty, though there's no light duty available . She's been elevating her foot. She states",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21327_3c9d52bb-104f-4f7d-abdb-71fd964ca6b5_1.mp3
1755152328,GSG21327_3c9d52bb-104f-4f7d-abdb-71fd964ca6b5_2,00:00:55.980,00:01:21.500,"at the end of the day it swells up a little bit, but she definitely feels better. Paragraph physical examination: Miss Olivera is pleasent cooperative woman. She's got a healed abrasion over the dorsal a aspect of the great toe. There's a little bit of tenderness over the distal phalanges. Range of motion is slightly decreased. Neurologically, she's normal. She walks with a mildly abnormal gait with regards to the left lower extremity and a post-operative shoe . Formal test today of constant test for normal. Achilles tendon is intact.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21327_3c9d52bb-104f-4f7d-abdb-71fd964ca6b5_2.mp3
1755152328,GSG21327_3c9d52bb-104f-4f7d-abdb-71fd964ca6b5_3,00:01:21.600,00:01:41.360,"The big x-rays, AP, lateral peak x-rays of the left foot perform my office demonstrated minimally displaced they needed tough GFT fractures of the distal portion of the distal phalanx of the left first second and third toes. Paragraph Impression: my impression is Belkis Oliveira was involved",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21327_3c9d52bb-104f-4f7d-abdb-71fd964ca6b5_3.mp3
1755152328,GSG21327_3c9d52bb-104f-4f7d-abdb-71fd964ca6b5_4,00:01:41.360,00:02:12.660,"with a workly action July 1st, 2025, four weeks ago, which named tough TFT fractures of the distal phalanges of the left first, second, and third toes. X-rays show good alignment. She has less pain as compared to previously. She's been wearing the post-operative shoes. She doesn't quite feel comfortable getting into a sneaker as of yet. She's been taking calcium and vitamin D, and she takes no pain medication because she has less pain. I had given her a note for light duty previously, but there was apparently no light duty available. New paragraph Plan:",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21327_3c9d52bb-104f-4f7d-abdb-71fd964ca6b5_4.mp3
1755152328,GSG21327_3c9d52bb-104f-4f7d-abdb-71fd964ca6b5_5,00:02:12.760,00:02:40.240,"So at this point, Ms. Oliveira, again, I told her that once she can get out of the post office, she would give me some regular sneaker. That's fine. I will continue with the calcium and vitamin D. If her foot bothers her, she can put some ice on it. She can take some Tylenol. I gave her an appointment to see me in two weeks for repeat evaluation, repeat x-rays. And my best estimate is she's somewhere between about four and six weeks away from being MMI and back to regular duty. But like I did explain here,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21327_3c9d52bb-104f-4f7d-abdb-71fd964ca6b5_5.mp3
1755152328,GSG21327_3c9d52bb-104f-4f7d-abdb-71fd964ca6b5_6,00:02:40.320,00:02:47.400,"these tough fractures, you'll find there's no long-term repercussions with these fractures. I'll see her back in the last two weeks. Repeat evaluation,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21327_3c9d52bb-104f-4f7d-abdb-71fd964ca6b5_6.mp3
1755152328,GSG21327_3c9d52bb-104f-4f7d-abdb-71fd964ca6b5_7,00:02:47.400,00:03:16.080,"repeat x-rays of the left foot. Company goes to q l dash links, so I n x. Supposedly, sir, it's 240819. Apple Valley, Minnesota 55125. Claim of 2 five thirty's of wire. It's a subscription 02516, u as in universe. The employer is Perth Amboy Board of Education. The fax copy is Stephanie, s t e p h a n I e Martinez, m a r t n e z, Das Rosales, r o s l e s, at NJSIG at 60903862011. Thank you. ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21327_3c9d52bb-104f-4f7d-abdb-71fd964ca6b5_7.mp3
1755152596,GSG21328_f7819aa4-e9be-4596-86d1-941c92c171a9_0,00:00:00.000,00:00:28.040,"Now dictating a follow-up note on carlos CARLOS ZAPATA, Z-A-P-A-T-A, date is July 28, 2025, Mr. Zapata comes office today with his wife. He had injured his right shoulder working September 4, 2024. It did not improve with conservative care and operated on his right shoulder on February 6, 2025. Five and a half months ago, we had an evaluation of the seizure, operated with a frostbite on the right shoulder. Debridement of superior lateral posterior labrum, extensive debridement of cervical depression,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21328_f7819aa4-e9be-4596-86d1-941c92c171a9_0.mp3
1755152596,GSG21328_f7819aa4-e9be-4596-86d1-941c92c171a9_1,00:00:28.220,00:00:58.480,"dyslexia, myofotomy, biceps tenodesis, and a rotator cuff repair. He's definitely doing better. He has improving range of motion. He has improving strength. He's been doing light duty, and yet he's been doing therapy he's been doing on his own at home. He takes an occasional ibuprofen. New paragraph. physical examination: Mr. Zapato is a pleasent cooperative male. His temperature in the office is 97.6. Examination of the right shoulder. All the incisions are good. There's no",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21328_f7819aa4-e9be-4596-86d1-941c92c171a9_1.mp3
1755152596,GSG21328_f7819aa4-e9be-4596-86d1-941c92c171a9_2,00:00:58.480,00:01:27.380,"tenderness, swelling, abrasion, discoloration, de-emulsification. Basically, it's slow abduction forward flexion, maybe lacks a couple degrees of internal and external rotation. Actively, it's got a negative belly press test, negative lift off test, negative speed test, negative grind test, negative knee test, negative drop test, negative impingement test. Biceps was intact, neurologically normal. Paragraph Impressin: my impression is Carlos Zapata was involved in the work of that, September 4, 2024, injured his right shoulder, Alpert",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21328_f7819aa4-e9be-4596-86d1-941c92c171a9_2.mp3
1755152596,GSG21328_f7819aa4-e9be-4596-86d1-941c92c171a9_3,00:01:27.380,00:02:10.760,"and his right shoulder, five and a half months ago. On February 6, 2025, when he had an evaluation procedure, Alpert flossed through the right shoulder, debridement of superior lateral posterior labrum, extension of debridement, cervical decompression, excessive cough, laminar orthodontia, biceps, tenodesis, and a rotator cuff repair. He's definitely doing better. He's a little concerned about going back to regular duty at some point, that he could re-injure his right shoulder, considering work said, county vests, corrections. New paragraph plan: Let's continue him in physical therapy. Let's continue him on home exercises. He can take ibuprofen, PRN. I'll maintain him on light duty. I usually discharge people about six months postoperatively, which would be about two weeks from now.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21328_f7819aa4-e9be-4596-86d1-941c92c171a9_3.mp3
1755152596,GSG21328_f7819aa4-e9be-4596-86d1-941c92c171a9_4,00:02:11.460,00:02:35.760,"He's a little concerned about going back. So if he doesn't feel just about normal in two weeks, I would potentially authorize another couple of weeks of therapy beyond that, but I think beyond six and a half months of rehab, I don't think additional treatment at that point would be indicated so I'll see him back about two weeks for a repeat evaluation determine whether he's comfortable going back to regular duty at that time",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21328_f7819aa4-e9be-4596-86d1-941c92c171a9_4.mp3
1755152596,GSG21328_f7819aa4-e9be-4596-86d1-941c92c171a9_5,00:02:35.760,00:03:03.100,"complete goes to PMA at post office box 5 2 3 1 Janesville, Wisconsin 53547 Attention, Denise Koschel, KUSHE Outcomes W-1004413778 Port County Investments Corrections Tax Cognitive Denise Koschel at 800-432-9762 and Tax Cognitive Dana Deanne Ortiz",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21328_f7819aa4-e9be-4596-86d1-941c92c171a9_5.mp3
1755152596,GSG21328_f7819aa4-e9be-4596-86d1-941c92c171a9_6,00:03:03.100,00:03:09.120,or TIZ at GenX at 877-883-4947 Thank you.,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21328_f7819aa4-e9be-4596-86d1-941c92c171a9_6.mp3
1755152749,GSG21331_09e4c1b4-8177-47cd-96b7-bb4d1a936a46_0,00:00:00.000,00:00:30.360,"Now dictating a follow-up note on the Loretta L-O-R-E-T-T-A last name, R-O-S-E-N-D-A-R-Y. Date is July 28, 2025. Ms. Rosendary comes off today. Her date of injury was July 7, 2025. Three weeks over, she's in a contusion of the dorsal aspect of her left foot. I'd seen her initially in my office on July 15, 2025. I put her on some light duty, gave her an appointment to see me in a week. She missed a couple appointments, but she comes to the office today, stayed in her left foot, and at this point",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21331_09e4c1b4-8177-47cd-96b7-bb4d1a936a46_0.mp3
1755152749,GSG21331_09e4c1b4-8177-47cd-96b7-bb4d1a936a46_1,00:00:30.360,00:00:56.660,"feels fine. No pain, no problems. She's been doing light duty, but as far as she's concerned, she can go back to regular duty. She can stand, bend, walk, squat, pull, sleep, sit in the car, and she's happy about the results. She's not in the care of any doctor, not taking any pain medications at this point. Paragraph Physical examination: Rosendary is pleasent cooperative woman. Her temperature in the office is 97.9. Examination of the left foot. There's no",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21331_09e4c1b4-8177-47cd-96b7-bb4d1a936a46_1.mp3
1755152749,GSG21331_09e4c1b4-8177-47cd-96b7-bb4d1a936a46_2,00:00:56.660,00:01:25.680,"swelling, abrasions, discoloration, edema, muscle spasm, trigger points, or tenderness. No tenderness with the amygdala. Maliaal, deltoid ligament, or the anterior posterior tail of the superligament. Homo testinago, topsy-toxy normal, Achilles and back. She walked with an entirely normal gait. Without these, crutches came to her at the exhaust goods. Since she was wearing sneakers. Paragraph Impression: my impression Rosendary was involved in work related accident on July 7, 2025, three weeks ago, receiving a contusion of her left foot, which at this point is resolved.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21331_09e4c1b4-8177-47cd-96b7-bb4d1a936a46_2.mp3
1755152749,GSG21331_09e4c1b4-8177-47cd-96b7-bb4d1a936a46_3,00:01:25.780,00:01:58.140,"At this point, she has no subjective complaints, no objective findings, normal physical examination. She's been doing like duty, but I asked her if she could go back to regular duty at this point, and she stated absolutely, paragraph Plan:  At this point, Ms. Rosendary can resume regular duty tomorrow, July 29, 2025, without restrictions. I will consider her to be MMI. Her outcome is excellent. I answered all of her questions for her, and she was discharged from the office. The company goes to Qual Links, Postal's Box 240819, Apple Valley, Minnesota 55125,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21331_09e4c1b4-8177-47cd-96b7-bb4d1a936a46_3.mp3
1755152866,GSG21333_6d9fb94c-422a-4e06-8f40-76d951cbd22f_0,00:00:00.000,00:00:29.900,"Now dictating a follow-up note on Nazera Nazera Barrett, B-A-R-R-E-T-T, date is July 28, 2025. Ms. Barrett comes off today. Accomplished by Meredith Levine, L-E-V-I-N-E, ComRN, or in this case, manager from Triune. Ms. Barrett had been involved in a work-related accident on May 25, 2025, approximately two months ago, where she sustained a mild lumbar strain. Paragraph She's been going to therapy, got four sessions left. She's been doing light duty. I asked her if she would like to go back to regular duty now.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21333_6d9fb94c-422a-4e06-8f40-76d951cbd22f_0.mp3
1755152866,GSG21333_6d9fb94c-422a-4e06-8f40-76d951cbd22f_1,00:00:30.000,00:01:04.020,"She said she would like to finish up the therapy this week and then go back to regular duty next week. She can stand, bend, walk, squat, push, pull, sleep, go up and down stairs, and she's very happy about the results. All the exercises Gabe would do in therapy, she's been doing on her own at home. New paragraph, physical examination: Ms.Barrett is a pleasant cooperative woman. Her temperature in the office is 97.6. Examination of the lumbar spine. No muscle spasm or trigger points. No ecchymosis or erythema,no discoloration, edema, or tenderness. Range of motion is good. Sensory motor reflex both legs are in contact. But Vince gives her down going. No clonus present.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21333_6d9fb94c-422a-4e06-8f40-76d951cbd22f_1.mp3
1755152866,GSG21333_6d9fb94c-422a-4e06-8f40-76d951cbd22f_2,00:01:04.160,00:01:32.780,"She had no trouble toning hill walking. she was able to get up and down all things table that's covered and the gate was normal. Paragraph Impression: my impression Ms.Barrett was involved in work related accident practically two months go may 25, 2025 in a mild bumper strength that strain is basically resolved I asked her she could do regular duty she would like to finish up the last few sessions of therapy before going back to regular duty, and I think that's acceptable. Paragraph Plan: to this point. Ms. Barrett will finish up light duty this week, go back to regular duty August 4, 2025,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21333_6d9fb94c-422a-4e06-8f40-76d951cbd22f_2.mp3
1755152866,GSG21333_6d9fb94c-422a-4e06-8f40-76d951cbd22f_3,00:01:33.060,00:02:04.920,"and at that point she would be MMI. She'll finish up the therapy and just make sure the X-ray is given to her therapy. She continues to do it on her own at home, and she was fine with that, period. All of her questions were answered, and she was discharged from the office. ComproGood's Great American Strategic Compost was Box 4080, Klan, Iowa, 52733. Gina, GNA, Borden, BORTO, Inc. 070724186. President of the Mayor's QS Health Consulting Services. Tax Company of Marathon, V.E.M. Com. R. 630586-9441.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21333_6d9fb94c-422a-4e06-8f40-76d951cbd22f_3.mp3
1755152866,GSG21333_6d9fb94c-422a-4e06-8f40-76d951cbd22f_4,00:02:09.840,00:02:22.560, to don't know medical records period there's another note of September 27 2021 again a quick note doesn't represent any medical record the only actual medical record,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21333_6d9fb94c-422a-4e06-8f40-76d951cbd22f_4.mp3
1755153099,GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_0,00:00:00.000,00:00:53.400,"Now dictating a follow-up note on Maria Delgado DELGADO-TORES, T-O-R-E-S, date is July 28, 2025. Ms. Delgado-Torres comes off today. Jose in my office along with Carolina, C-R-L-N-A, help translate into Spanish and English. Ms. Delgado-Torres had been involved in a work related accident on June 5, 2025, now approximately. Seven and a half weeks ago, we received a contusion of her right knee, back pain, also some mild discomfort in her right knee, some minimal discomfort in her ankles. She had a lot of prepatellar bursitis. She was having the blood from her leg go down towards her, on the left side down towards her ankle. So I told her there was a swelling discoloration on the left ankle.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_0.mp3
1755153099,GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_1,00:00:53.400,00:01:24.440,"That was a result of a specific left ankle injury because of swelling going down her left leg. That was from the knee. She'd already had an ultrasound done on June 11, 2025. She came back with no evidence of a deep vein thrombosis. At this point, she feels much better. She's been doing regular duty. She's been going to therapy, which helps, but she's wearing a halter HLTR monitor because of some sort of cardiac problem. So I told her until she gets clearance from her cardiologist that it's okay to exercise, she's got to stop her therapy. She's going to see the cardiologist at the end of this week.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_1.mp3
1755153099,GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_2,00:01:24.800,00:01:52.760,"So I told her if she gets clearance, we can always reinitiate the physical therapy again. Paragraph Physical examination: Miss Delgado-Torres is pleasent cooperatibe woman. Examiners will respond. No tenderness, swelling, redness, good range of motion, straight leg raise is negative, sensory motor reflex normal. So examination of the right knee. No tenderness, no swelling, no effusion, full range of motion, no evidence of instability. The left knee feels at this point the prepathelial bursal swelling is just about gone.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_2.mp3
1755153099,GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_3,00:01:52.760,00:02:19.740,"Got a little bit of firmness, a little bit of tenderness measuring approximately three centimeters in diameter over the medial tibia plateau. There's no joint attrition present, no medial joint line tenderness, negative block, negative fifth shift, negative hand roar, negative poster sag, no medial joint length tenderness, and tendon throated deflection with valve because of varus stress. And her quadriceps negative was intact. Paragraph examination of the right angle, feel no tendon swelling, abrade discoloration, no localized tenderness.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_3.mp3
1755153099,GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_4,00:02:20.380,00:02:53.000,"Examination of the left angle, feels a little bit of ecchymosis over the lateral medial aspect, which is significantly less than previously. Home intestine negative, tonsil gastroenoma, Achilles tendon attack. There was no evidence of instability. New paragraph label is Impression: My impression is that,  Delgado-Torres had been involved in the work related accident sevenv and a half weeks ago on June 5, 2025. She had lumbar strain, contusion, and a size pre-filtral bursitis in the left knee, mild",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_4.mp3
1755153099,GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_5,00:02:53.000,00:03:22.160,"contusion in the right knee, mild strain of both ankles, appeared at this point. The lower back is fine. The right knee is fine. The right ankle is fine. The left ankle has minimal swelling from the bursitis from the left knee, and the left knee looks the best it's looked since I've been taking care of her, period. Therapy has helped, but because she's having some cardiac problems and she has a Holter monitor on, she needs to get clearance from the cardiologist before starting the therapy again, period. So at this point, I told her to stop the therapy, period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_5.mp3
1755153099,GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_6,00:03:22.160,00:03:54.660,"At this point, Ms. Delgado-T's going to stop the therapy, period. At this point, Ms. Ogata Torres will stop the therapy. Her diagnosis resolves low back pain, resolves right knee pain, resolves right ankle pain, resolving left knee and resolving left ankle pain, period. This is by far the best she's looked, period. She's not taking any pain medication. She's okay doing regular duty. And she has to stop the therapy until she gets clearance from the cardiologist because she's having cardiac abnormalities, period. She says she's going to the cardiologist later this week, so if she gets clearance, I can reinitiate the therapy, but I need to know from the cardiologist saying it's okay to",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_6.mp3
1755153099,GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_7,00:03:54.660,00:04:21.240,"exercise, period. My best estimate is it's probably going to take about two more weeks of physical therapy rehab for this left knee problem to be adequate such that she could be discharged, period. I answered all the questions for her. She is significantly better at this point, and I'll see her back in the last two weeks for a good evaluation, period. Public goes to Great American Strategic Comp. Post was Box 4080, Clinton, Iowa, 52733. Attention, Gina, GNA, Borton, BOR, TUN.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_7.mp3
1755153099,GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_8,00:04:21.800,00:04:51.580,"Aids and Arthur, 00727145 BORGEN E. ANN CHIPPERS S.H.I. PPRS Now at the end of the dictation that Ms. Delgado-Torres has an attorney, so Meredith Levine, LEVN and Comerator Nurse Case Manager for IUN Health was not able to be present during the evaluation, but I did discuss the case with her after Ms. Delgado-Torres was discharged, period. In fact, Robert and Meredith Levine at 630-586-S9441.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21335_dc3c89ff-bae0-42b3-8713-ab7b30612153_8.mp3
1755153307,GSG21336_51feec00-7d7e-4286-9086-29ef75ee1cb0_1,00:00:30.500,00:01:02.100,"all predating this accident of April 21, 2025. He's already had a right total knee replacement period. So Mr. Aponte has multiple, multiple, multiple preexisting problems. It predated this accident of April 21, 2025, and he's trying to tell me that work is responsible for all these problems, and clearly they are not, period. I have sent him therapy, which has helped him, period. He has less pain in the right shoulder, but he saw his back pain and some low extremity radiculopathy, period. He sees the low extremity radiculopathy had improved after he had the",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21336_51feec00-7d7e-4286-9086-29ef75ee1cb0_1.mp3
1755153307,GSG21336_51feec00-7d7e-4286-9086-29ef75ee1cb0_2,00:01:02.100,00:01:32.300,"epidural steroid injection a few years ago, but it's coming back to this point. I had given him some naproxen, but he states it's starting to upset his stomach, so I told him to stop that. I can change him over to some Celebrex, take it once a day with a proton pump inhibitor, and if it upsets his stomach, stop it. And if it doesn't, then he can take it as needed, period. He's doing regular duty, period. He's concerned about regular duty, but I told him he's a 61-year-old with chronic low back problems and lumbar radiculopathy. He's a 61-year-old after a total knee replacement on the right side.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21336_51feec00-7d7e-4286-9086-29ef75ee1cb0_2.mp3
1755153307,GSG21336_51feec00-7d7e-4286-9086-29ef75ee1cb0_3,00:01:32.400,00:02:03.880,"He's a 61-year-old with chronic rotator cuff and right shoulder problems with arthritis. Again, all predating this accident of April 21, 2025, period. New paragraph, plan. So I explained to Mr. Pondy, let's continue with the physical therapy. I changed NAPRAS into Celebrex, put down a macro for an NSAI, period. As far as work goes, you can do regular duty. I gave him an appointment to see me, and I recommended a cortisone shot for his right shoulder, so an astral technique into the subacranial region.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21336_51feec00-7d7e-4286-9086-29ef75ee1cb0_3.mp3
1755153307,GSG21336_51feec00-7d7e-4286-9086-29ef75ee1cb0_4,00:02:03.880,00:02:33.240,"I gave him an injection of 1 cc of 0.5% Marquina of epinephrine, with 6 milligrams of betasone acetate, 6 milligrams of betasone, and studying a phosphate, but then a macro four quarters on a shot period. I gave him an appointment to see me in two weeks, and if he's not much better with regards to the lower extremity radiculopathy, then potentially an MRI of his back and possibly an EMG nerve conduction study of the back and lower extremities to further evaluate if his numbness may be indicated. He had these problems previously that predated the exit of April 24, 2025. He had epidural serum injections, which improved that.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21336_51feec00-7d7e-4286-9086-29ef75ee1cb0_4.mp3
1755153307,GSG21336_51feec00-7d7e-4286-9086-29ef75ee1cb0_5,00:02:33.740,00:03:01.700,"So it may be necessary to do an MRI and possible EMG and possible epidurals based on how he does over the next few weeks with his physical therapy program. Comply the goods to Cedric CMS at Positives Box 14517, Lexington, Kentucky, 40512. In transaction with Brittany Bearty and A.Y. Adams, ZVMS. It was 4-Azenothor 250 for Accusing Queen 1, Wise Youth, Ems and Mary 1-0001. In question is Hilton in Short Hills.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21336_51feec00-7d7e-4286-9086-29ef75ee1cb0_5.mp3
1755153307,GSG21336_51feec00-7d7e-4286-9086-29ef75ee1cb0_6,00:03:02.080,00:03:07.740,In transaction with Brittany Adams at 215-231-3800. Thank you.,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21336_51feec00-7d7e-4286-9086-29ef75ee1cb0_6.mp3
1755154712,GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_0,00:00:00.000,00:00:31.060,"Now I'm taking a follow-up on Adam, A.D.A.M. Conner, C.O.N.N.E.R., dated July 29, 2025. Mr. Conner comes to the office today. Date of injury was affected June 24, 2025, approximately five weeks ago. Restained a strain of his left shoulder, period. I had seen him in my office previously on July 9, 2025. I recommended Motrin 800 milligrams and physical therapy, period. Stacey never filled the prescription for the Motrin, period. Stacey finished the therapy, didn't think it would help very much, period. He's doing light duty, period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_0.mp3
1755154712,GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_1,00:00:31.340,00:01:01.620,"New paragraph, he states, I did review his physical therapy notes from Riverwalk. It's one word, R-I-V-R-W-I-K, physical therapy, Raritan, New Jersey, period. Paragraph, Mr. Conner stated that the therapist told him he needs to get an MRI of his left shoulder. And I explained to Mr. Conner that typical protocol is you take an anti-inflammatory medication, which he didn't take, period. You go to therapy, which he did, period. I would then recommend, again, that he take an anti-inflammatory, and I would give him",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_1.mp3
1755154712,GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_2,00:01:01.620,00:01:26.100,"a cortisone shot and continue with the therapy, period. If he failed to improve with that treatment program, the next option would be to do an MRI of his left shoulder. But the typical scenario is the vast majority of people get better by taking an anti-inflammatory, going to physical therapy, getting a cortisone shot. He refused to do that, period. I explained to him that that's the routine for this. Even if an MRI came back as some damage was rotated",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_2.mp3
1755154712,GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_3,00:01:26.100,00:01:53.360,"for labor, the conservative care always goes before surgery period. All the studies document that if you get a cortisone shot, take an anti-inflammatory medication, you undergo physical therapy, 85 to 90% of the pain will resolve with routine treatment without the need for any type of MRI surgical intervention, period. He didn't want to hear about that, period. He was argumentative during the entire evaluation, period. He was demanding an MRI of his left shoulder, and I told him,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_3.mp3
1755154712,GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_4,00:01:53.820,00:02:22.780,"if he does not get better with conservative treatment, then an MRI of his left shoulder would be appropriate, but it is not appropriate at this point, period. He didn't even take the ibuprofen I gave him, period. He is not even trying to improve himself. He did the physical therapy. Otherwise, he has not taken the Motrin, and he's refusing to get the cortisone shot. Mr. Conner still complains that Hamad is suffering his left shoulder. He has no pain sleeping at nighttime. He can push, pull, lift, carry, sleep, and drive.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_4.mp3
1755154712,GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_5,00:02:22.780,00:02:50.680,"phyisical examination.Mr. Conner's uncooperative, argumentative male. He could have discovered his temperature in the office is 97.2. Period. Examination of the left shoulder. He feels no redness, no swelling, no ecchymosis, abrasions, discoloration, demus, dizziness, and pretty things. He's got a little tennis anteriorly. He's got full abduction, full foreflexion, and he lacks a couple degrees of internal rotation, but he's got full external rotation. He has a very weakly positive in pinch test, negative drop test, negative belly press test,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_5.mp3
1755154712,GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_6,00:02:50.780,00:03:21.180,"negative liftoff test, negative speed test, negative O'Brien test, and neurologically entirely intact, period. He was involved in work-relatedrelated back to June 24, 2025, now approximately five weeks ago, and he's in a strain of his left shoulder. My recommendation was to take an anti-inflammatory medication, go to therapy, never full prescription for the anti-inflammatory medication. Sounds like he's trying to do everything he can not to make himself better.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_6.mp3
1755154712,GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_7,00:03:21.500,00:03:54.700,"He's demanding an MRI of his left shoulder, but I told him the typical scenario is take the anti-inflammatory, get a cortisone shot in your shoulder, go back to the physical therapy. If he does not improve that treatment program, then potentially an MRI of his left shoulder would be appropriate, period. He doesn't want to do that, period. New paragraph I explained to Mr. Conner. We have a disagreement, period. My recommendation, get the cortisone shot, he refuses. Take an anti-inflammatory medication he refuses, and go to physical therapy, which he states hasn't helped, period. There is absolutely no indication for an MRI of his left shoulder, period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_7.mp3
1755154712,GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_8,00:03:55.060,00:04:24.840,"Is it possible he had some mild strain of his rotator cuff or mild strain of his labrum? The answer is it's possible. But 85% to 90% of these problems were resolved with anti-inflammatory medications, physical therapy, cortisone shots, and he refuses that treatment program period. I can't force Mr. Conner to undergo that treatment if he refuses period. He buries himself to this point. As far as work goes, Mr. Conner can resume regular duty as of July 30, 2025 without restrictions period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_8.mp3
1755154712,GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_9,00:04:24.840,00:04:48.560,"I would consider him to be a maximum medical treatment. If he changes his mind in the future and wants to get the cortisone shot or undergo the physical therapy or take an anti-inflammatory medication, I'm willing to offer him that, but at this point he refuses, period. I can't do anything if he refuses appropriate treatment. I would consider Mr. O'Connor to be MMI. All of his questions are answered and he was discharged from the office, period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11346_4617190e-2c90-427f-8e7b-42619ae32d47_9.mp3
1755155129,GSG11348_78c4a476-1762-4fba-a444-e4cec0d873df_0,00:00:00.000,00:00:28.980,"Now dictating a follow-up note on MACDALIE JEAN-BAPTISTE date is 07/29/2025 Ms. Jean-Baptiste comes to the office today. She was accompanied by Meredith Levine, her nurse case manager from Triune Health. Ms. Jean-Baptiste had been involved in a work-related accident on September 29, 2024, ten months ago, where she sustained mild cervical strain, lumbar strain, and strain of the right shoulder.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11348_78c4a476-1762-4fba-a444-e4cec0d873df_0.mp3
1755155129,GSG11348_78c4a476-1762-4fba-a444-e4cec0d873df_1,00:00:29.760,00:01:01.720,"She states that the only thing bothers her now is a little bit of pain in the neck. She does not have back pain, she does not have shoulder pain. She has no complaints of upper or lower extremity radiculopathy. The last time I had seen her in my office was on October 30, 2024. I put her back to regular duty and found her to be MMI. She states there has been no recent injury. Originally when she had these problems, she utilized the Lidoderm patch, which helped her. and she wants to know if I could write a prescription for that. I told her that I cannot tell her Lidoderm patch is going to be helpful for this,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11348_78c4a476-1762-4fba-a444-e4cec0d873df_1.mp3
1755155129,GSG11348_78c4a476-1762-4fba-a444-e4cec0d873df_2,00:01:02.220,00:01:34.180,"but if she wants a prescription for Lidoderm patch which helped previously, I do not have any problem doing that. Paragraph of physical examination is Ms. Jean-Baptiste, a pleasant and cooperative woman. Her temperature in the office is 97.6. Examination of the cervical spine revealed no muscle spasms, no trigger points, no tenderness, full range of motion. Hoffmann test was negative, cross-shoulder abduction test was negative and Spurling test was negative. Neurovascular status of both upper extremities was intact. Examination of",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11348_78c4a476-1762-4fba-a444-e4cec0d873df_2.mp3
1755155129,GSG11348_78c4a476-1762-4fba-a444-e4cec0d873df_4,00:02:05.340,00:02:50.360,"Her examination today is benign. I was asked to reevaluate her by Meredith Levine, her nurse case manager. Ms. Jean-Baptiste states the only thing she wants at this point is a prescription for lidocaine patches, and I told her that I can give her that prescription, though I cannot guarantee it is going to make her feel any better, and in turn her examination is completely benign. So, I explained to Ms. Jean-Baptiste that she can continue with regular duty without restrictions. I did give her a prescription for the Lidoderm patches. She can use them as needed. The exercises they gave her previously in physical therapy, she can do on her own at home. I will consider her to be MMI. I answered all of her questions for her and she was discharged from the office. Completed with the Great American Teacher Comp. Attention, Gina G. Annie Borden, B-O-R-T-O-N.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11348_78c4a476-1762-4fba-a444-e4cec0d873df_4.mp3
1755155565,GSG11351_d76a8fc0-d5a2-4176-a426-7ef8bf29a368_0,00:00:00.000,00:00:32.000,"Now dictating a follow-up note on LUZ VIVANCO date is 07/29/2025 Ms. Vivanco comes to the office today. Her date of injury goes back to June 12, 2025 six-and-a-half weeks ago where she sustained mild cervical, thoracic, and lumbar strain, strain of her right knee. Maria in my office helped translate between Spanish and English. She has been going to therapy, which helps her, and she thinks she has one session left. As far as work goes, she is out of work because of the summertime, but otherwise she can do regular duty without restrictions. period. As far as work goes, she's been doing, she's out of work because of the summertime, but",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11351_d76a8fc0-d5a2-4176-a426-7ef8bf29a368_0.mp3
1755155565,GSG11351_d76a8fc0-d5a2-4176-a426-7ef8bf29a368_1,00:00:32.000,00:01:00.000,"otherwise she could do regular duty without restrictions, period. She is feeling better. She has no complaints of upper lower extremity, but she gets a little achiness in her neck, mid-back and low-back, no complaints of right knee pain. She has no difficulty standing, bending, walking, squatting, pushing, pulling, sleeping, or sitting in a car. The exercises they gave her to do in therapy, she does it on her own at home. She takes an occasional Tylenol. period. I have reviewed her physical therapy notes from JAG Physical Therapy. Physical examination",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11351_d76a8fc0-d5a2-4176-a426-7ef8bf29a368_1.mp3
1755155565,GSG11351_d76a8fc0-d5a2-4176-a426-7ef8bf29a368_2,00:01:00.000,00:01:31.320,"Ms. Vivanco is a pleasant and cooperative woman in no acute discomfort. Examination of the cervical spine revealed no muscle spasms, tenderness, no trigger points, no ecchymosis, erythema, abrasions, or discoloration. Her motion is full. Neurological status of both upper extremities were intact. Severe symptom magnification she has had on previous evaluation is gone. New paragraph, Examination of the left shoulder revealed full range of motion, negative impingement test, negative drop test, negative lift-off test, negative belly press test, negative Speed test, negative O'Brien test.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11351_d76a8fc0-d5a2-4176-a426-7ef8bf29a368_2.mp3
1755155565,GSG11351_d76a8fc0-d5a2-4176-a426-7ef8bf29a368_3,00:01:31.480,00:02:05.000,"no muscle spasms, no trigger points, good range of motion. Sensory, motor and reflexes of both lower extremities were intact. Babinski’s were downward going. No clonus was present. She is able to toe and heel walk and get up and down off the exam table without discomfort and she walks with an entirely normal gait. Paragraph, physical Examination of the right knee revealed no tenderness, no swelling, good range of motion, pain free. Negative Lachman, negative pivot shift, negative anterior drawer. There is no medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. Negative posterior sag. Negative patellar crepitus. No localized tenderness. IMPRESSION: My impression is that Luz Vivanco was involved in a work-related accident",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11351_d76a8fc0-d5a2-4176-a426-7ef8bf29a368_3.mp3
1755155565,GSG11351_d76a8fc0-d5a2-4176-a426-7ef8bf29a368_5,00:02:34.380,00:03:02.140,"Her diagnosis is complete. It resolves cervical, thoracic, lumbar strain, strain of her shoulder, and strain of her right knee. At this point, Ms. Vivanco can do regular duty without restrictions. She has a maximum medical benefit from treatment. I told her if she wants to finish up the last session of therapy she's welcome to do that but but otherwise she should just continue the home exercise program. She is MMI at this time. All the questions were answered and she was discharged from the office period. Completed goes to Amtras North",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11351_d76a8fc0-d5a2-4176-a426-7ef8bf29a368_5.mp3
1755156114,GSG11352_2b3f74e5-cf97-4673-b782-3b06644d1d75_0,00:00:00.000,00:00:32.540,"Now dictating a follow-up note on MAUREEN M. MCNULTY date is 07/29/2025 Ms. McNulty comes to the office today. I recently did an aspiration and cortisone shot for her knees. It helped her a great deal on June 9, 2025. It has been about seven weeks, but she is just miserable. She wants to know if she can do it again. I told her she can, but there is always risk associated with these injections for the degeneration of her knee, but at 79 years of age, where she can barely walk and function, her",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11352_2b3f74e5-cf97-4673-b782-3b06644d1d75_0.mp3
1755156114,GSG11352_2b3f74e5-cf97-4673-b782-3b06644d1d75_1,00:00:32.540,00:01:00.060,"husband is in a rehab program, she needs as much help as she wants, so I told her yes I can do another aspiration and cortisone shot, but there is significant complication associated with it. She states she understands that, but if I can do that, she would be very appreciative. PHYSICAL EXAMINATION: Ms. McNulty is a pleasant and cooperative woman. Her temperature in the office is 97.4. She has a small joint effusion present bilaterally. She has genu valgus bilaterally. She cannot fully extend",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11352_2b3f74e5-cf97-4673-b782-3b06644d1d75_1.mp3
1755156114,GSG11352_2b3f74e5-cf97-4673-b782-3b06644d1d75_2,00:01:00.060,00:01:31.580,"or flex either knee. She has tenderness over the lateral compartment. Negative Lachman, negative pivot shift, negative anterior drawer, negative posterior sag. There is no medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. Slow abnormal gait with a lot of patellar crepitus.by impression with a lot of patella, crappy disappeared, a lot of pressure, a lot of x-rays. AP weight burn, both knees, lateral view of the right knee, demonstrate degenerative arthritis in the patellofemoral joint of the right knee. She has got significant degenerative arthritis in the lateral compartment of both knees.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11352_2b3f74e5-cf97-4673-b782-3b06644d1d75_2.mp3
1755156114,GSG11352_2b3f74e5-cf97-4673-b782-3b06644d1d75_4,00:02:04.800,00:02:32.280,"under sterile technique, I numbed both knees. I aspirated 4 cc of clearish yellow fluid from the right knee and 3 cc of clearish yellow fluid from the left knee. from the left knee. Gave her an injection of 1 cc of 0.125% Marcaine without epinephrine, 6 mg of betamethasone acetate, 6 mg of betamethasone sodium phosphate. put down a micro cortisone shot just Take it nice and  easy. Just be careful, and if she needs to repeat this injection, hopefully in three months in the future, we can always do that again.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11352_2b3f74e5-cf97-4673-b782-3b06644d1d75_4.mp3
1755156403,GSG21339_96ff4ede-4044-4900-bdd6-797adc06a853_0,00:00:00.000,00:00:31.580,"Now dictating a follow-up note on AUGUSTO R GROVA date is 07/29/2025 Mr. Grova comes to the office today. Marie helped translate between Portuguese/Spanish and English. He has degenerative joint disease of both knees, painful and stiff. I tend to do aspiration and cortisone shots every three months. The last shot was three months ago on April 28, 2025. Pain has come back, especially the left knee. Swelling has come back. He wants me to do another cortisone shot. I told him he can. He has high blood pressure, no diabetes.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21339_96ff4ede-4044-4900-bdd6-797adc06a853_0.mp3
1755156403,GSG21339_96ff4ede-4044-4900-bdd6-797adc06a853_1,00:00:31.860,00:00:55.500,"New paragraph of PHYSICAL EXAMINATION: He has a large joint effusion in his left knee, small in his right knee. He cannot fully extend or flex either knee, left clearly being worse than the right. He has a genu varus deformity of the left knee, genu valgus deformity for his right knee. He has more tenderness medially in the left knee, more tenderness laterally of the right knee. Range of motion is very limited and he does walk with a fairly abnormal gait utilizing a cane. There is no gross evidence of instability.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21339_96ff4ede-4044-4900-bdd6-797adc06a853_1.mp3
1755156403,GSG21339_96ff4ede-4044-4900-bdd6-797adc06a853_2,00:00:55.500,00:01:25.000,"Augusto Grova has degenerative joint disease of both knees, significant arthritis in the medial compartment of the left knee, significant arthritis in the lateral compartment of the right knee of which the left knee is significantly worse. He has done very well with occasional aspiration and cortisone shots. He has no side effects and he would like to do that again. So, under sterile technique, I numbed both knees. I aspirated 35 cc of clearish yellow fluid",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21339_96ff4ede-4044-4900-bdd6-797adc06a853_2.mp3
1755156403,GSG21339_96ff4ede-4044-4900-bdd6-797adc06a853_3,00:01:25.000,00:01:53.420,"I gave him an 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 then numbed the right knee under sterile technique and aspirated 6 cc of clearish yellow fluid and gave him the similar injection of cortisone and Marcaine into his right knee. I told him to ice it, take it easy. If he wants to repeat these injections, he is welcome to do that. He would obviously be a candidate for knee replacement but he is not interested in any type of surgery.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21339_96ff4ede-4044-4900-bdd6-797adc06a853_3.mp3
1755156789,GSG21340_9f91330e-971c-467b-abd1-87aec4be4922_0,00:00:00.000,00:00:29.400,"Now dictating a follow-up note on CARMELINA JEREZ-ALMONTE date is 07/29/2025 Ms. Jerez-Almonte come to the office today. Maria in my office helped translate between Spanish and English. Her date of injury goes back to July 10, 2025. 19 days ago where she sustained contusion of the right shoulder, right elbow, right chest, ribs, right wrist, and right hand. I had seen her previously in my office on July 21, 2025.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21340_9f91330e-971c-467b-abd1-87aec4be4922_0.mp3
1755156789,GSG21340_9f91330e-971c-467b-abd1-87aec4be4922_1,00:00:31.040,00:01:01.000,"because of her hypertension and diabetes. I did not recommend any type of steroid injections or anti-inflammatory medications. I put her on light-duty states, light-duty is not available, period. I didn't see Maria transferring to Spanish-language. In turn, at this point, she feels much better, period. In turn, at this point she feels much better period. She has minimal pain in the right shoulder, elbow, chest, right hand, and wrist. She got a little achiness, but she is back to more normal activities. As far as work goes, she would like to go back to regular duty now. She denied numbness or weakness. She's happy about the results.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21340_9f91330e-971c-467b-abd1-87aec4be4922_1.mp3
1755156789,GSG21340_9f91330e-971c-467b-abd1-87aec4be4922_2,00:01:01.000,00:01:32.840,"She states she does take an occasional ibuprofen, but I told her she probably shouldn't take that because of her hypertension and she was aware of that. New paragraph. PHYSICAL EXAMINATION: Examination of Ms. Jerez-Almonte is a pleasant and cooperative woman. Her temperature in the office is 97.8. Examination of the right shoulder. no muscle spasms or trigger points, no ecchymosis, erythema or abrasions. She's got full range of motion, symmetrical as compared to the uninvolved left shoulder. It's got a negative pinch test, negative drop test, negative lift off test, negative belly press test, negative speed test, negative grind test.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21340_9f91330e-971c-467b-abd1-87aec4be4922_2.mp3
1755156789,GSG21340_9f91330e-971c-467b-abd1-87aec4be4922_3,00:01:33.320,00:02:06.800,"We've got an examined chest and ribs. Revealed no tendons, swelling, ecumosus, abrasions. Motion is full. Heart has a regular rhythm. Lungs are clear to auscultation. New paragraph. Examination of the right elbow. Revealed no ecchymosis, no abrasions, no discoloration, no tenderness over the radial head, radial neck, medial or lateral condyles or epicondyles, no tenderness over the olecranon. Full range of motion at 0 to 140 degrees of flexion and extension, 85 degrees of pronation and supination. appeared. No evidence of instability. Examination of the right hand and wrist. Tinel and Phalen tests were negative. No triggering over the pulleys.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21340_9f91330e-971c-467b-abd1-87aec4be4922_3.mp3
1755156789,GSG21340_9f91330e-971c-467b-abd1-87aec4be4922_4,00:02:06.800,00:02:34.660,"No subluxation of the extensor tendons. Motion was full. 60 degrees of flexion and extension. 85 degrees of pronation and supination. 25 degrees of ulnar. 20 degrees of radial deviation. Neurologically intact. There is no tenderness in the snuffbox. No evidence of Dupuytren's contractures and she had a negative Finkelstein test. IMPRESSION: My impression is that Carmelina Jerez-Almonte was involved in a work-related accident 19 days ago on July 10, 2025 where she sustained multiple contusions including the right shoulder, right ribs, right elbow, right wrist, and right hand.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21340_9f91330e-971c-467b-abd1-87aec4be4922_4.mp3
1755156789,GSG21340_9f91330e-971c-467b-abd1-87aec4be4922_5,00:02:35.220,00:03:06.920,"At this point other than a little achiness in the right hand and forearm region, she does not really have any complaints. I had originally given her a note for light duty when I saw her in my office on July 21, 2025. There was no light duty, but at this point, she feels okay. She would like to go back to regular duty tomorrow. New paragraph. Her diagnosis is to resolve multiple contusions. The little residual achiness she has in her right hand, wrist and forearm region, I think it's just going to probably resolve over the next week or so, period. She's comfortable going back to regular duty, and I'm fine with that, period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21340_9f91330e-971c-467b-abd1-87aec4be4922_5.mp3
1755156789,GSG21340_9f91330e-971c-467b-abd1-87aec4be4922_6,00:03:07.000,00:03:37.320,"So, at this point, Ms. Jerez-Almonte can resume regular duty as of July 30, 2025 without restrictions. At this point, I will consider her to be MMI, I told her a little achiness she has in her right forearm and wrist region probably will resolve over the next week, and I do not need to see her unless there are further problems or difficulties. I answered all the questions for her and she was discharged from the office. Qual Links it processes bikes 240819 Apple Valley Minnesota 55125",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21340_9f91330e-971c-467b-abd1-87aec4be4922_6.mp3
1755157067,GSG21341_fa3b9312-153f-4e8b-a81b-bfac7ab87b58_0,00:00:00.000,00:00:31.980,"Now dictating a follow-up note on JULIAN MONSALVE-ARENAS date is 07/29/2025 I had seen Mr. Monsalve-Arenas in the office yesterday on July 28, 2025. I had sent him back to regular duty. I got a call from Liz, the nurse at Toyota Logistics saying that he is having trouble doing regular duty and asked if I could put him back on light duty. I explained to Liz that I did not really see anything significantly wrong with Mr. Monsalve-Arenas",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21341_fa3b9312-153f-4e8b-a81b-bfac7ab87b58_0.mp3
1755157067,GSG21341_fa3b9312-153f-4e8b-a81b-bfac7ab87b58_1,00:00:32.060,00:00:59.820,"when I had seen him in my office yesterday on July 28, 2025. I actually found symptom magnification, but I am willing to give him the benefit of doubt considering he had not gone to therapy. so at this point, I will put him back on light duty. He can drive, just no pushing or pulling more than 25 pounds. He will do his physical therapy. He will come back and see me in two weeks, and if his examination continues to be normal, he would be MMI and back to regular duty at that point. So, I did discuss all this with Liz.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21341_fa3b9312-153f-4e8b-a81b-bfac7ab87b58_1.mp3
1755157067,GSG21341_fa3b9312-153f-4e8b-a81b-bfac7ab87b58_2,00:00:59.880,00:01:31.740,"I told her that I will send a letter to Sedgwick CMS with regard to putting Mr. Monsalve-Arenas back on light duty where he can drive. Completed with Sedgwick CMS. Postal is 14151 Lexington, Kentucky 40512. Attention, Allison. Last name S-C-H-W-E-R-Z-T-S-E-G-E-R. Claims for A's and R's are 2-5-0-5-7. K's and kangaroos, 6. K's and kangaroos, Z as in zoo, dash 0-0-0-1. For Toyota Logistics, Max, Scott, and Alice,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21341_fa3b9312-153f-4e8b-a81b-bfac7ab87b58_2.mp3
1755157067,GSG21341_fa3b9312-153f-4e8b-a81b-bfac7ab87b58_3,00:01:32.180,00:01:35.360,859-264-4060. Thank you.,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21341_fa3b9312-153f-4e8b-a81b-bfac7ab87b58_3.mp3
1755157637,GSG21343_d98dc2fa-a704-4405-801e-2c5cc7462513_0,00:00:00.000,00:00:34.460,"Now to the family of Andre and Deary Williams. Date is July 29, 2025. So Mr. Williams, back on April 28, 2025, had typical left greater trochanteric bursitis. Again, cortisone shot. He states it worked well for a few days, but the pain came back. and he is just sort of miserable. I asked him if he had some short-term relief from the injection. He states he did. He took meloxicam. He took Naprosyn. He took Motrin. He does not think anything helped. He has been very uncomfortable, especially sleeping at night on that side. I asked him if he has any pain in his groin, pain in his buttocks, pain down his leg or back pain. He does not.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21343_d98dc2fa-a704-4405-801e-2c5cc7462513_0.mp3
1755157637,GSG21343_d98dc2fa-a704-4405-801e-2c5cc7462513_1,00:00:34.520,00:01:24.000,"He points to the left greater trochanteric bursa where he has the pain. PHYSICAL EXAMINATION: Mr. Williams is a pleasant and cooperative male. His temperature in the office is 97.6. Examination of left hip reveals good range of motion. He has tenderness directly over the greater trochanteric bursa. I spent a long time trying to identify the area of maximum tenderness. He has no tenderness at the buttocks. Sensory, motor, and reflexes are normal. Babinskis are downward going. No clonus was present. He was able to toe and heel walk. He can get up and down off the exam table without discomfort. IMPRESSION: PLAN: My impression is Andre Williams looks like he has left greater trochanteric bursitis. It is a little unclear why the last cortisone shot did not resolve these problems. and it does 85-90% of the time. So, I spent a long time identifying the point of maximum tenderness. And I told him let us give him another cortisone shot",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21343_d98dc2fa-a704-4405-801e-2c5cc7462513_1.mp3
1755157637,GSG21343_d98dc2fa-a704-4405-801e-2c5cc7462513_2,00:01:26.760,00:01:53.000,"ice it down, come see me in a week and see how he does and he was fine with that. So under sterile technique, I gave him an injection of 1 cc of 0.5% Marcaine without epinephrine, along with 6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate. put down a micro for cortisone shot, I put him back on an anti-inflammatory medication, put down a micro for NSAID ice it and take it easy.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21343_d98dc2fa-a704-4405-801e-2c5cc7462513_2.mp3
1755158163,GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_0,00:00:00.000,00:00:33.020,"Now dictating a follow-up note on ROBERT MAURER date is 07/29/2025 Mr. Maurer comes to the office today. His date of injury goes back to June 9, 2025, seven weeks ago, where he sustained a contusion of his right ribs. Period. He's accompanied by Meredith Levine. Come on. His nurse is a catering manager at Triune Health. Period. I had seen Mr. Maurer in my office on July 1, 2025. He had minimal discomfort. I let him go back to regular duty. He does mostly supervisory work, so I told him he could do that. He states he has some achiness in his right chest.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_0.mp3
1755158163,GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_1,00:00:33.740,00:01:01.000,"He does not have any shortness of breath, does not have any pain when he coughs or sneezes. He takes occasional ibuprofen and he has been doing his regular job. He points to the anterior aspect of his chest on the right side at the costochondral level where he has noticed some discomfort and maybe a little bit of a bump. He did not even have any pain in this area previously.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_1.mp3
1755158163,GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_2,00:01:01.000,00:01:27.460,"Paragraph I explained to Mr. Maurer that most of his pain was over the posterolateral aspect of his right ribs from the original accident. and those x-rays were normal. There is always a possibility of an occult rib fracture which can be identified on a bone scan or CAT scan, but even if there is a small occult fracture, we do not treat this any differently than having a bruise. This pain in the right costochondral region of his chest wall is new.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_2.mp3
1755158163,GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_3,00:01:27.960,00:01:57.480,"He states that it probably started a couple of weeks ago and he is actually feeling worse. I told him if this is a rib injury you don't feel worse seven weeks after the accident. you feel better. You may still have some achiness, so these could be other problems that are not specifically causally related to the accident of June 9, 2025. So if he wanted to go see his family physician for further followup visit through his private health insurance, he would be welcome to do that. I also explained that costochondritis is not usually related to some sort of traumatic event.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_3.mp3
1755158163,GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_4,00:01:57.880,00:02:30.360,"It is usually idiopathic and it usually resolves on its own. It normally affects people 40-50 years of age. I explained to Mr. Maurer, costochondritis is benign and self-limited condition, which will resolve with time. PHYSICAL EXAMINATION: Mr. Maurer is a pleasant and cooperative male. He has a little tenderness in the right costochondral margin. His lungs are clear to auscultation, His heart had a regular rhythm. There was really no tenderness over his ribs.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_4.mp3
1755158163,GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_5,00:02:30.480,00:03:03.720,"Range of motion of his thoracic spine was full. and he walked with a normal gait. Periodic brigh and pressure. My pleasure. Robert Maurer was involved in a work-related accident seven weeks ago on June 9, 2025, which is a contusion of his right chest wall and rib region. I think that problem is mostly resolved. At this point, he's got a little costal contritis over the inter-aspect of his right chest wall and rib region. I think that problem is mostly resolved. At this point, he's got a little costochondritis of the interaspect of his right sternal rib region. I explained to him costochondritis has nothing to do with his accident of June 9, 2025. It's a self-limiting and benign situation, and it is just going to go away on its own, it just may take a few more weeks. So, I explained to Mr. Maurer",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_5.mp3
1755158163,GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_6,00:03:03.840,00:03:33.000,"At this point I do not think any additional treatment is indicated This worsening of his pain is a result of the costal chondritis which again has nothing to do with the accident of June 9, 2025 period. There is really no treatment for this, it's self-limited and will resolve on its own. If he's feeling bad physically as a result of non-work related problems then he's obviously welcome to go to his family physician and have further evaluation through his private health insurance and I explained that to him. As far as work goes, he can do regular duty.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_6.mp3
1755158163,GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_7,00:03:33.000,00:04:01.000,"point of consider him to be in MMI. He was accompanied by Meredith Levine, his nurse case manager, and I discussed all these findings with her also. He was discharged from the office. Completed goes the Great American Strategic Compost with Box 4080, Clinton, Iowa, 53733. Attention, it's NISC, N-I-C, Schultz, that's C-H-U-L-T-Z. Ms. Azenarth is 00729504. Input is V-I-T-A-Q-U-S-T, International, comma, LLC.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_7.mp3
1755158163,GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_8,00:04:01.000,00:04:08.920,"Facts, comma, numeric, Levine, comma, Arnett, Triune, at 630.586-9441.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21344_d558ac0f-3d51-4e4a-a328-67dd641315f0_8.mp3
1755162532,GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_0,00:00:00.000,00:00:29.160,"Now dictating a follow-up note on laura LAURA zambrano ZAMBRANO date is July 29, 2025. Ms. Zambrano comes to the office today. Date of injury goes back to May 7, 2025. Now approximately 12 weeks ago, where she sustained a strain of her right shoulder, low back, right elbow, right hand, right leg and right knee. And the only thing that continues to bother is a little bit of pain in her right shoulder. She had an MRI of her right shoulder performed on June 19, 2025",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_0.mp3
1755162532,GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_1,00:00:29.460,00:01:00.660,"which showed a massive retracted tear of the rotator cuff with atrophy of the muscle, which is clearly consistent with long-term pre-existing problem with the rotator cuff. and this tear of the rotator cuff in my opinion is not specifically causally related to her accident of May 7, 2025. With regard to her back, that feels pretty normal at this point. She has no complains of hand pain or leg pain, no complaints of knee pain. She is doing regular duty and I had given her a cortisone shot when I had seen her last",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_1.mp3
1755162532,GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_2,00:01:00.660,00:01:31.540,"time in my office dating back to July 16, 2025 which helped her significantly. She had been also going to physical therapy which has also helped her. She is doing her regular job and she is just being careful. New paragraph PHYSICAL EXAMINATION: Ms. Zambrano is a pleasant and cooperative woman. Examination of the right shoulder revealed just about full range of motion. She has good abduction, good forward flexion, good external rotation, lacks a couple of degrees of internal rotation. She has a very weakly positive impingement test.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_2.mp3
1755162532,GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_3,00:01:32.040,00:02:05.260,"She has a negative Neer test, negative belly press test, negative lift-off test, negative Speed test, negative O'Brien test, negative drop test. There was no deformity of the biceps, neurologically normal. Examination of the right elbow. no tenderness, swelling. There is no muscle spasm or trigger points; full range of motion. Examination of the hand. revealed she has degenerative arthritic changes in the DIP joints, but otherwise, she has good range of motion. Tinel's and Phalen's test were negative. No subluxation of the extensor tendons. Period. Bear examination of the right knee. Feels no tenderness present.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_3.mp3
1755162532,GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_4,00:02:05.520,00:02:37.500,"Range of motion was 3 to about 135 degrees. Negative memory, negative fatally grind. Negative Lachman, negative pivot shift negative anterior drawer, negative posterior sag So, I explained to Ms. Zambrano I will continue with the physical therapy No stress. Examination of the cervical spine. No tenderness, no swelling. abrasions or discoloration. Range of motion is good. Neurologically, she is normal. IMPRESSION: My impression is Laura Zambrano was involved in a work-related accident on May 7, 2025, now approximately 12 weeks ago, where she sustained cervical strain, strain of her right shoulder, right elbow, right hand, right leg and right knee,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_4.mp3
1755162532,GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_5,00:02:37.920,00:03:06.740,"which her only complaint at this point is some mild discomfort in the right shoulder. She has an MRI of the right shoulder which did document a large retracted tear of the rotator cuff with muscle atrophy and it is impossible to believe that this accident that Ms. Zambrano was involved in on May 7, 2025 was the cause of the torn rotator cuff that clearly shows a pre-existing problem. She has a massive retracted tear. She has muscle atrophy and that is documenting a long-term pre-existing tear of the rotator cuff.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_5.mp3
1755162532,GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_6,00:03:07.060,00:03:41.000,"She is much better from the cortisone shot. She is much better by going to therapy. She is doing regular duty. She is in general happy with the results. put down at beginning Marie in my office helped translate between Spanish and English. So I'll explain. I'm going to present random. I will continue with the physical therapy. I will continue with the home exercise. Just be gentle with the physical therapy. I will continue with the home exercise. Just be gentle with the physical therapy period. Because of her diabetes and a massive retracted tear of the rotator cuff, she is not really a candidate for rotator cuff repair or additional surgery. She is comfortable working, so I wrote a prescription for two more weeks of therapy. She can do regular duty. I gave her an appointment to see me in two weeks",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_6.mp3
1755162532,GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_7,00:03:41.000,00:04:09.240,"Two weeks for your evaluation. And I can imagine another two to four weeks of physical rehab before being MMI discharged, period. Obviously, if there's any increased problems or difficulties, let me know. Period. Links.
ZIP code is back 2 408 19, Apple Valley, Minnesota 55125. Claim of 25. W's and W's. Description 01765. U as in university, employers union, city board of education.
The fact of the copy is Stephanie, s t e p h a n I n e.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_7.mp3
1755162532,GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_8,00:04:09.240,00:04:20.060,"S t e p h a n I e, Martinez, m a r n t e z dash Rosales, or s o a s at n j s I g. 6090 3 8 62011. Thank",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21345_b8b53336-2110-49f0-af48-c52b3a5d6cd2_8.mp3
1755165067,GSG11125_0246cc77-0125-4881-853f-7f21a4c5f27d_0,00:00:00.000,00:00:30.600,"Now dictating a follow-up note on kenneth KENNETH LOFTON date is 06/02/2025 Mr. Lofton comes to the office today. He is approximately two months status post mallet finger fracture of the left ring finger. At this point he is doing okay. The only pain he has if he hits it, but otherwise it looks pretty good. It does not really bother him. He could bend his finger. He has been doing light duty, but as far as he is concerned, he can go back to regular duty. He can push, he can pull, He can lift. And he feels pretty good.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11125_0246cc77-0125-4881-853f-7f21a4c5f27d_0.mp3
1755165067,GSG11125_0246cc77-0125-4881-853f-7f21a4c5f27d_1,00:00:30.600,00:00:51.400,"New paragraph, physical examination. Mr. Lofton is a pleasant, cooperative male. Examination of the left ring finger. Reveals no swelling, no tenderness, excellent range of motion, really no deformity at this point. point. Neurologically intact. No triggering of the A1 pulley or subluxation of the extensor tendon. No evidence of mallet finger deformity at this point. AP, lateral, and oblique x-rays of the left ring finger",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11125_0246cc77-0125-4881-853f-7f21a4c5f27d_1.mp3
1755165067,GSG11125_0246cc77-0125-4881-853f-7f21a4c5f27d_2,00:00:52.420,00:01:23.160,"demonstrate a fracture of the dorsal proximal aspect of the distal phalanx of the left ring finger. There is no fracture callus present. So, this is consistent with fibrous union. IMPRESSION: My impression is that Kenneth Lofton sustained a left ring mallet finger fracture two months ago as a result of work-related accident he was involved in on April 1, 2025. At this point, he is asymptomatic. No pain, no swelling.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11125_0246cc77-0125-4881-853f-7f21a4c5f27d_2.mp3
1755165067,GSG11125_0246cc77-0125-4881-853f-7f21a4c5f27d_3,00:01:23.160,00:01:54.600,"He has no deformity. No loss of extension. Full range of motion. No tenderness. He's not watching the tag. His x-rays show a fibrous union, but I explained to him sometimes these fractures would heal with a fibrous union. Sometimes they heal with a bony union. But most people with this fracture do quite well long term. He wants to know if there is a possibility you can refracture the finger in the future. And the answer is it is possible. And if that happens, then he is obviously welcome back. I asked him if he wants me to maintain him on light duty. He states no. He feels fine. He is okay getting back to regular duty. He is happy about the results.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11125_0246cc77-0125-4881-853f-7f21a4c5f27d_3.mp3
1755165067,GSG11125_0246cc77-0125-4881-853f-7f21a4c5f27d_4,00:01:54.600,00:02:25.320,"I think his outcome has been excellent. I answered all of his questions for him. At this point, I would consider him to be MMI. He was discharged from the office, period. Complications of Qua Links, supposed to be 5240 819, Apple Valley, Minnesota 55125. Claim is 25WandsonsFloridaCityChristian01295BAsInBoyEmployees, Hillside Township, Board of Education. Fact from an initial is n as in Nathan,  I-C-H-E-L-L-E, Lynn, L-Y-N-N, and NJS-A-G is 609-386-2011, thank you",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11125_0246cc77-0125-4881-853f-7f21a4c5f27d_4.mp3
1755165319,GSG11126_27268fbd-4deb-450b-90c3-abc3f2ee6421_0,00:00:00.000,00:00:30.440,"Now dictating a follow-up note on LEAH ISRAEL date is 06/02/2025 Ms. Israel contacted the office a couple days ago and wanted additional treatment based on the motor vehicle accident she was involved in on December 13, 2023. Ms. Israel had been involved in a significant motor vehicle accident for 13,023, injuring multiple body parts to include both shoulders and right knee, and the left shoulder",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11126_27268fbd-4deb-450b-90c3-abc3f2ee6421_0.mp3
1755165319,GSG11126_27268fbd-4deb-450b-90c3-abc3f2ee6421_1,00:00:30.440,00:01:02.200,"was the overwhelming problem, period. When I had last seen her on November 15, 2024, I recommended surgery on the left shoulder, including arthroscopy, subacromial decompression, excision of the distal clavicle, repair of the SLAP tear, rotator cuff tear, and possible biceps tenodesis. Because of other medical problems and family situations she was not able to comply and undergo that surgery, but at this point she states her family situation has changed",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11126_27268fbd-4deb-450b-90c3-abc3f2ee6421_1.mp3
1755165319,GSG11126_27268fbd-4deb-450b-90c3-abc3f2ee6421_2,00:01:02.200,00:01:28.220,"and she is ready to have the surgery. So, at this point, I am requesting authorization to reopen this case with regards to Ms. Israel’s both shoulders and right knee for which the left shoulder appears to be the overwhelming complaint. She still complains of significant pain in her left shoulder. I had recommended surgery when I had seen her last on her left shoulder and she states at this point.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11126_27268fbd-4deb-450b-90c3-abc3f2ee6421_2.mp3
1755165319,GSG11126_27268fbd-4deb-450b-90c3-abc3f2ee6421_3,00:01:28.260,00:01:57.160,"she would like to go through with the surgery. Paragraph : So, at this point, I will request authorization to reopen this case. I will have her come back in the office and we will discuss the findings, then if her condition is similar as it was last time when I had seen her on November 15, 2024, we will go about scheduling the surgery for her left shoulder. Paragraph, I had explained to Ms. Israel when I spoke to her couple of days ago, I will get authorization from the insurance company, and once I get authorization, she will come back and see me, and we will discuss the findings.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11126_27268fbd-4deb-450b-90c3-abc3f2ee6421_3.mp3
1755165319,GSG11126_27268fbd-4deb-450b-90c3-abc3f2ee6421_4,00:01:57.320,00:02:16.600,"She had told me that she could not have the surgery when I had last spoken to her back in November of 2024 because of other medical problems and family conditions, which were unrelated to the accident of December 13, 2023. So, reopening the case at this point would be medically appropriate.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11126_27268fbd-4deb-450b-90c3-abc3f2ee6421_4.mp3
1755165674,GSG11129_9c168915-bcf1-4751-b723-06fdf3874a4e_0,00:00:00.000,00:00:32.640,"Now dictating a follow-up note on stephanie STEPHANIE last name GRAJALES date is 06/02/2025 Ms. Grajales comes to the office today. Her date of injury goes back to December 20, 2024, where she tore the ACL in her right knee. I did surgery on her right knee on February 6, 2025, four months ago, where she had an arthroscopy of the right knee, partial medial and lateral meniscectomies, abrasion arthroplasty of the medial femoral condyle and an ACL reconstruction with a cadaver ligament.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11129_9c168915-bcf1-4751-b723-06fdf3874a4e_0.mp3
1755165674,GSG11129_9c168915-bcf1-4751-b723-06fdf3874a4e_1,00:00:32.760,00:01:04.320,"She is doing very well, really no pain, no complaints. She is still a little bit weak. She has been going to therapy. She also belonged to the gym but she has not gone to the gym, so I told her go to the gym. Do the aerobic exercises. Do the bike, do the elliptical machine, do treadmill and do upper body weightlifting, period. That will also help her with regard to build up her strength. She is already back to regular duty. She does not work in the summertime for the Westfield Board of Education but she does other types of jobs. She is not taking any pain medications and all the exercises they have given her to do in therapy, she has been doing on her own.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11129_9c168915-bcf1-4751-b723-06fdf3874a4e_1.mp3
1755165674,GSG11129_9c168915-bcf1-4751-b723-06fdf3874a4e_2,00:01:04.320,00:01:36.460,"And I did review her physical therapy notes from IVY rehab, period. New paragraph. Physical examination of Mr. Grigioz's post-cooperative performance. The temperature in the office is 96.6, period. Examination of the right knee reveals no effusion present, iso-healing station, range of motion is full, 0 to 140 degrees, negative Negative Lachman, negative pivot shift, negative anterior drawer, negative posterior sag. There is no medial or lateral instability. in 10 thirds of the height of the lateral stress. and she walked with an entirely normal gait. Her examination looks great. Just a little bit of residual weakness.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11129_9c168915-bcf1-4751-b723-06fdf3874a4e_2.mp3
1755165674,GSG11129_9c168915-bcf1-4751-b723-06fdf3874a4e_3,00:01:37.040,00:02:09.380,"Breaking impression by patient Stephanie Grajales was involved in a work-related accident on December 20, 2024, where she tore the ACL in her right knee. I did surgery on her right knee four months ago on February 6, 2025, when she had an evaluation under anesthesia, operative arthroscopy of the right knee, partial medial and partial lateral meniscectomies, abrasion arthroplasty of the medial femoral condyle, and I also did an ACL reconstruction with a cadaver ligament.Her outcome has been excellent. My best estimate is she probably is going to require about a month of physical therapy before being discharged, period. She has been doing regular duty.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11129_9c168915-bcf1-4751-b723-06fdf3874a4e_3.mp3
1755165674,GSG11129_9c168915-bcf1-4751-b723-06fdf3874a4e_4,00:02:09.600,00:02:39.480,"The exercises they gave her to do in therapy, she has been doing on her own at home. So, at this point, Ms. Grajales will continue with the physical therapy. but she belongs to a gym, so also go to the gym and start doing some aerobic activities and upper body weightlifting. Just no sports. I gave her a note for regular duty. I gave her an appointment to see me in two weeks. My best estimate is it is probably going to be about another month of physical therapy before being discharged and MMI. She will also need a brace to go back so when she goes back to either heavy or forceful activities at work or",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11129_9c168915-bcf1-4751-b723-06fdf3874a4e_4.mp3
1755165674,GSG11129_9c168915-bcf1-4751-b723-06fdf3874a4e_5,00:02:39.480,00:02:57.280,Heavy or recreational activities. but I told her we will probably wait four weeks before getting her a brace so that if she gets her leg up the brace is formed fitted to make sure it fits her appropriately. I will see her back in my office in two weeks for repeat evaluation. ,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11129_9c168915-bcf1-4751-b723-06fdf3874a4e_5.mp3
1755165674,GSG11129_9c168915-bcf1-4751-b723-06fdf3874a4e_6,00:02:57.280,00:03:20.980,"819. Apivoli, Minnesota 55125. Attention, Betty, b e t t I, eleven l e a v I t t. Room is 24 W Y C. Description is 04556.
Case in Kangaroo. The employee is Westfield, Port of Education. Faxlovid to Dennis Deanna Nias Petronella, p e t r o n e l l a, and NJSIG at (609) 386-2011. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11129_9c168915-bcf1-4751-b723-06fdf3874a4e_6.mp3
1755166053,GSG21134_3190763e-7a2b-4296-8a63-280048d2048b_0,00:00:00.000,00:00:27.960,"Now dictating a follow-up note on irene IRENE donohuse DONOHUE date is 06/02/2025 Ms. Donohue comes to the office today. She is 84 years old. She is here to start her Gelsyn-3 injections. She has less pain and less discomfort after the aspiration and cortisone shot. It is a little sore and achy, but much better. PHYSICAL EXAMINATION:  for her physical examination for non use plus one woman, examined for knees, a little small",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21134_3190763e-7a2b-4296-8a63-280048d2048b_0.mp3
1755166053,GSG21134_3190763e-7a2b-4296-8a63-280048d2048b_1,00:00:27.960,00:00:57.120,"effusion present, some mild diffuse tenderness. No gross evidence of instability. She lacks a couple of degrees of flexion and extension. She walks with a mildly abnormal gait utilizing a cane. IMPRESSION: Irene Donohue has primary degenerative joint disease of both knees for which she is here for Gelsyn-3 injection. She is doing much better after cortisone shot, which is great. So, under sterile technique, I numbed both knees. I numbed both knees. I aspirated 2 cc of clearish yellow fluid from the right knee and 3 cc of clearish yellow fluid from the left knee I gave her the first Gelsyn-3 injection",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21134_3190763e-7a2b-4296-8a63-280048d2048b_1.mp3
1755166053,GSG21134_3190763e-7a2b-4296-8a63-280048d2048b_2,00:00:57.120,00:01:06.040, Three injection of both knees.  I will see her back in the office next week for the second set of injections and this is one injection a week for three weeks ||,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21134_3190763e-7a2b-4296-8a63-280048d2048b_2.mp3
1755166367,GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_0,00:00:00.000,00:00:27.620,"Now dictating a follow-up note on douglas DOUGLAS B. LAMONT date is 06/02/2025 I saw Mr. Lamont recently because of increasing back pain and right lower extremity radiculopathy. He had right hip replacement. He was limited for physical therapy because of his back. So, I recommended he go for an MRI of his lumbar spine. I told him it is going to be difficult to evaluate. That MRI was done at New Jersey Imaging Network in Cranford on May 20, 2025.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_0.mp3
1755166367,GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_1,00:00:28.180,00:00:59.500,"That was interpreted as L1-L2 subtle left central disc herniation present on the prior examination of October 3, 2020. L2-L3 showed disc space narrowing. There is a Schmorl's node and endplate nerve changes. There is evidence of bilateral laminectomies. There is no gross interval change. At L3-L4, there are bilateral laminectomies. 
There's disc bulge with foraminal narrowing greater on the right. There appears to be a right foraminal herniated disc on the current examination with compression of the right l three nerve root.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_1.mp3
1755166367,GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_2,00:01:00.180,00:01:28.940,"L4-L5, there is a bulge at the disc and facet hypertrophy without interval change. At L5-S1, there is intervertebral disc device present on prior study and unchanged. There's grade one retrolysisis, r e t r o l e s I t h e s, at l two l three, period. You better feel the examination. Mister Umak close to five miles.
He walks through the abnormal gait utilizing the cane. He's got nicely healed incision in his back. He's got can definitely decrease range of motion.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_2.mp3
1755166367,GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_3,00:01:29.160,00:01:58.980,"He has numbness in both legs, maybe a little bit worse than the right. He had trouble getting up and down the table. He was unable to toe and heel walk. He had significantly decreased range of motion. motor exam, he had some diffuse weakness and reflexes also decreased. X-RAYS: I went over the actual MRI of the lumbar spine done at NJIN In Cranford on May 20, 2025. L1-L2 shows a small central disc herniation. No neurological encroachment.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_3.mp3
1755166367,GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_4,00:01:59.100,00:02:27.680,"L2-L3 shows prior laminectomies. L3-L4 shows prior laminectomies and it looks like there is a right-sided disc herniation probably compressing the right L3 nerve root. and it looks like there is a right-sided disc herniation probably compressing the right L3 nerve root. L4-L5 shows disc degeneration, a bulge and facet hypertrophy and L5-S1 shows metal fusion cages status post surgery. My patient, Douglas Lamont, has back pain. He has bilateral lower extremity radiculopathy, right ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_4.mp3
1755166367,GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_5,00:02:27.680,00:02:54.680,"than left. He has had multiple surgical procedures, none of which have resolved his complaints. He is not interested in any more surgery. MRI looks like it is showing a L3-L4 right-sided disc herniation. He has more He has more right-sided leg pain than left-sided leg pain. His back pain is 60%. His leg pain is 40%. PLAN: So, I told Mr. Lamont considering he is not interested in any type of surgery, medications have not helped him",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_5.mp3
1755166367,GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_6,00:02:54.680,00:03:24.200,"in the past, and every time he has an operation he just seems to get worse, I would recommend let us try an epidural steroid injection at the L3-L4 level and see if that helps him. If it does, he can always repeat that. If it does not, you could potentially consider surgery. There is no guarantee the operation is going to resolve this. I told him you go for an epidural. It helps leg pain, not back pain. So at best, it's going to improve him 40%. It may not improve him at all. I told him he can go to spine surgeons, but he's got a very complicated back.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_6.mp3
1755166367,GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_7,00:03:24.620,00:03:35.880,"He's going to try the epidural, see how he does. If he does not get better, then we will refer him on to a spine surgeon. I told him that he come to see me once the epidural is completed so we could see how he does. Now dictating",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21135_1c171f2d-5aa8-4279-8bee-6e76fde454ee_7.mp3
1755166739,GSG21138_446fd8db-ffd2-4719-a48b-1778a1569b6e_0,00:00:00.000,00:00:30.240,"Now dictating a follow-up note on Joan Dabon, D-A-B-O-N, date is 06/02/2025. Ms. Dabon comes to the office today. She has recurrence of de Quervain's tenosynovitis of the right wrist. I had seen her previously in my office on January 31, 2025. I gave her a cortisone shot. I saw her a week later, she was fine. I told her because of her diabetes, there is a possibility of recurrence. It has recurred over",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21138_446fd8db-ffd2-4719-a48b-1778a1569b6e_0.mp3
1755166739,GSG21138_446fd8db-ffd2-4719-a48b-1778a1569b6e_1,00:00:30.240,00:01:01.240,"the last couple of months. She is miserable with this. I told her if it recurred, it was bothering her, then potentially an operation would be necessary. She states whatever is necessary should be done. should be done. With regards to the surgery, she can do that. I told her I can always give her another cortisone shot, but she states she has the same thing happened with the trigger thumb in the past. She had a couple of cortisone shots, it never resolved. She had surgery and She was great. So she would just prefer the surgery on her right wrist. She does have high blood pressure and diabetes, and she would need medical clearance for that.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21138_446fd8db-ffd2-4719-a48b-1778a1569b6e_1.mp3
1755166739,GSG21138_446fd8db-ffd2-4719-a48b-1778a1569b6e_2,00:01:01.560,00:01:31.180,"She is in constant pain with motion, activities, and anything that manipulates or moves her right wrist. PHYSICAL EXAMINATION: Her blood pressure is 145/90, heart rate was 95, O2 saturation 96%, and pulse was 84. Temperature in the office is 98.2. Examination of the right wrist reveals tenderness, swelling over the first dorsal extensor compartment of the right wrist.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21138_446fd8db-ffd2-4719-a48b-1778a1569b6e_2.mp3
1755166739,GSG21138_446fd8db-ffd2-4719-a48b-1778a1569b6e_3,00:01:31.280,00:02:06.320,"Got a positive Finkelstein test. No trigger of the employees. No subluxation of the tendon. Wrist strength tested via dynamometer. It was 30 pounds less on the right hand as compared to the left hand, period. No evidence of Dupuytren’s contractures. My impression is that Joan Dabon has a recurrence of right de Quervain's tenosynovitis of her wrist. She had a cortisone shot months ago, it worked short term, the pain is resolved and she has diabetes and hypertension, so she is not a great candidate for anti-inflammatories. She states every time she gets a cortisone shot, she ends up elevating her blood sugar, so she does not want to do this.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21138_446fd8db-ffd2-4719-a48b-1778a1569b6e_3.mp3
1755166739,GSG21138_446fd8db-ffd2-4719-a48b-1778a1569b6e_4,00:02:06.320,00:02:35.760,"She also as a result of having significant cortisone over the years has developed osteoporosis. She is taking Forteo, which is a parathyroid hormone injection every day. So, at this point, she would like to go for surgery of the right wrist which is a release of the first dorsal extensor compartment of the right wrist. So, I explained to Ms. Dabon the surgery for this is a release of the first dorsal extensor compartment of the right wrist.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21138_446fd8db-ffd2-4719-a48b-1778a1569b6e_4.mp3
1755166739,GSG21138_446fd8db-ffd2-4719-a48b-1778a1569b6e_5,00:02:41.440,00:03:12.620,"This is a same-day surgical procedure. Most people with this are good. Low risk of recurrence, and after discussing all of this in depth with her, informed consent was obtained, she will need her medical clearance before having surgery. I also will have to research whether Forteo is a contraindication for any type of surgical procedures. I did review Forteo with regards to the surgery, and there does not appear to be a problem with regards to Forteo and undergoing surgical procedures. ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21138_446fd8db-ffd2-4719-a48b-1778a1569b6e_5.mp3
1755167157,GSG21139_4256bd37-4505-4c58-bfc7-d936f35a035a_0,00:00:00.000,00:00:32.340,"Now dictating a follow-up note on billy BILLY ly LY date is 06/02/2025 Mr. Ly comes to the office today. He had torn his ACL. I did an ACL reconstruction on his left knee back on March 28, 2024 14 months ago. He had an arthroscopy of the left knee, partial medial meniscectomy, partial lateral meniscectomy, abrasion arthroplasty of the lateral femoral condyle and an ACL reconstruction with a cadaver ligament. He is doing great. Deep Squats",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21139_4256bd37-4505-4c58-bfc7-d936f35a035a_0.mp3
1755167157,GSG21139_4256bd37-4505-4c58-bfc7-d936f35a035a_1,00:00:32.340,00:01:00.740,"running, playing, doing everything, and then he did a lot of heavy legs one day, he picked up his daughter, sort of stepped awkwardly on the steps and started noticing some swelling in his left knee. noticing some swelling in his left knee. He has been taking some Advil. that has been going on for about a week to 10 days. and he just wants to make sure it is okay. He has been testing his knee. He's had no evidence of instability, and he was completely asymptomatic until about a week and a half ago. New paragraph PHYSICAL EXAMINATION:",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21139_4256bd37-4505-4c58-bfc7-d936f35a035a_1.mp3
1755167157,GSG21139_4256bd37-4505-4c58-bfc7-d936f35a035a_2,00:01:01.540,00:01:30.340,"Mr. Ly is a pleasant, cooperative male. He is a really nice guy. It looks like he is in great physical condition. His temperature in the office is 97.8. Examination of the left knee reveals a moderate joint effusion present. He has nicely healed incisions. He has no localized tenderness. Negative McMurray, negative Apley grind, negative Lachman, negative pivot shift, negative anterior drawer, and negative posterior sag. No medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. His range of motion is 0 to 120 degrees. X-RAYS: AP",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21139_4256bd37-4505-4c58-bfc7-d936f35a035a_2.mp3
1755167157,GSG21139_4256bd37-4505-4c58-bfc7-d936f35a035a_3,00:01:30.340,00:01:59.540,"weightbearing of both knees demonstrate tunnels in the medial tibial plateau and the lateral femoral condyle in the left knee from prior ACL reconstruction and maybe a little bit of irregularity of the medial femoral condyle. No significant joint space narrowing. My impression is that Billy Ly had surgery about 14 months ago on March 28, 2024 when I did an arthroscopy of the left knee, partial medial and lateral meniscectomies, abrasion arthroplasty of the lateral femoral condyle,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21139_4256bd37-4505-4c58-bfc7-d936f35a035a_3.mp3
1755167157,GSG21139_4256bd37-4505-4c58-bfc7-d936f35a035a_4,00:01:59.540,00:02:28.940,"ACL reconstruction with a cadaver ligament. He was completely asymptomatic, running, doing deep deep squats, forceful activities until about a week ago when he did a tremendous amount of squatting, and was picking up his daughter, sort of stepped awkwardly and started noticing some pain in his left knee with swelling, more swelling than pain, no evidence of instability, Paragraph, I explained to Mr. Ly the possibility that he just did a little too much or overdid a little bit",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21139_4256bd37-4505-4c58-bfc7-d936f35a035a_4.mp3
1755167157,GSG21139_4256bd37-4505-4c58-bfc7-d936f35a035a_5,00:02:28.940,00:02:55.820,"with the squatting and just inflamed his knee. Option two is he could have potentially damaged part of his cartilage/meniscus. Option three is, you can develop a little bit of arthritis after an ACL reconstruction with damage and that can also bother you. PLAN: So my recommendation, I put Mr. Ly on Naprosyn 500 mg. I put down a macrophin and SAI. I told him to take it for about three days. I recommend aspiration cortisone.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21139_4256bd37-4505-4c58-bfc7-d936f35a035a_5.mp3
1755167157,GSG21139_4256bd37-4505-4c58-bfc7-d936f35a035a_6,00:02:56.320,00:03:26.360,"So interstitial technique, I named the area, aspirated 33 cc of cholesterol-colored fluid with particulate debris consistent with possible articular or meniscal cartilage. This does not represent an ACL problem but is more likely related to meniscal or articular cartilage pathology. Following aspiration, an intra-articular injection was administered consisting of 1 cc of 0.125% Marcaine without epinephrine, 6 mg of betamethasone acetate, and 6 mg of betamethasone sodium phosphate. A cortisone injection was documented. The patient was instructed to take it easy may be.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21139_4256bd37-4505-4c58-bfc7-d936f35a035a_6.mp3
1755167157,GSG21139_4256bd37-4505-4c58-bfc7-d936f35a035a_7,00:03:26.360,00:03:48.080,"Maybe instead of running all the time, do the elliptical machine or stationary bicycle instead of doing deep squats do minor squats. Just take it a little bit easy. I gave him appointment to see me in a week to see what happens. If he continues to improve with this treatment program, that is great, if it continues to bother him and he continues to have swelling or discomfort, then an MRI of his left knee for further evaluation of his meniscus and articular cartilage would be appropriate.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21139_4256bd37-4505-4c58-bfc7-d936f35a035a_7.mp3
1755167966,GSG21140_a8acb494-9884-4d72-8bdf-274823f394ed_0,00:00:00.000,00:00:30.000,"Now dictating a follow-up note on PATRICIA last name is disanto DISANTO date is 06/02/2025 Ms. Disanto comes to the office today. Her date of injury goes back to April 15, 2025 approximately six weeks ago where she sustained a contusion of the right hemipelvic region. She always has subjective complaints and no objective findings She has been going to therapy and states that therapy makes her worse every time she goes.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21140_a8acb494-9884-4d72-8bdf-274823f394ed_0.mp3
1755167966,GSG21140_a8acb494-9884-4d72-8bdf-274823f394ed_1,00:00:30.000,00:00:56.640,"I told her if therapy makes her worse, I would cancel the therapy, she says why cancel the therapy, she wants to go to therapy. That does not make any sense at all. Why would you go to therapy if it is making you worse? Paragraph, It is like you went to a restaurant, had the chicken dish, and you were sick for two days afterwards and so a couple of days later if you go back to the same restaurant, you do not order a chicken dish. If the therapy makes her worse, she needs to cancel.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21140_a8acb494-9884-4d72-8bdf-274823f394ed_1.mp3
1755167966,GSG21140_a8acb494-9884-4d72-8bdf-274823f394ed_2,00:00:56.640,00:01:45.000,"and stop the therapy. She wants additional diagnostic tests, but I told her she already had x-rays, she had CAT scans, she had multiple evaluations, and during the evaluations in my office at no point did she have any abnormalities at all, not one area of redness, swelling, ecchymosis, abrasions, discoloration, or edema. There may be a little bit of tenderness. She has a lot of symptom magnification going on here, no objective findings, period. Paragraph of PHYSICAL EXAMINATION: Ms. Disanto is an uncooperative argumentative woman. Her temperature in the office is 97.6. Examination of the right hemipelvic region. Veiled no muscle spasm, no trigger points, no ecchymosis, or hemorrhagic discoloration or edema. Straight leg ribs negative. Sensory motor reflex normal. The fins are downward going. No clonus present. Forward flexion. Put a fingertip an inch from the floor.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21140_a8acb494-9884-4d72-8bdf-274823f394ed_2.mp3
1755167966,GSG21140_a8acb494-9884-4d72-8bdf-274823f394ed_3,00:01:45.000,00:02:18.600,"You're welcome to Tyler and Lick eight. You have four inch motion of both hips, fluid abduction, adduction, flexion, extension, internal and external rotation. Patient impression is that Patricia DeSanto was involved in the Louisiana of 161925 seeing a minor confusion of the right hand and pelvic region, which at this point is completely resolved. Stays she's been going to therapy and makes it worse, so I told her we'll cancel the physical therapy. As far as work goes, she could do regular duty without restrictions, and I see no indication for an additional treatment, period. her diagnosis resolved contusion of the right hemipelvic regime.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21140_a8acb494-9884-4d72-8bdf-274823f394ed_3.mp3
1755167966,GSG21140_a8acb494-9884-4d72-8bdf-274823f394ed_4,00:02:18.600,00:02:53.660,"compliance to this point, Ms. Disanto, can continue with regular duty without restrictions, period. I will consider her to be a maximum medicine treatment. There is no indication for any additional physical therapy, and I put a call in to Sandra S. Andrea Barber, B-A-R-B-E-R, at Qual Links with regards to canceling the physical therapy. Period. I provided her with additional home exercises. I answered all of her questions for her, and she was discharged from the office. Period. She will continue the regular duty. Period. Complicates with QualLink. Supposed to the price 240819. Apple Valley, Minnesota 55125. Attention Jeff Smith, SMITH. Claimant is 25W.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21140_a8acb494-9884-4d72-8bdf-274823f394ed_4.mp3
1755167966,GSG21140_a8acb494-9884-4d72-8bdf-274823f394ed_5,00:02:53.880,00:03:12.140,"Discretion 015312. For his Hudson, HDS1 County School of Tech. Tax copy to Jeff Smith, SMITH at NJSAG at 609-386-2011. Facts copy to Sandra Barber, BRBR at Qualinix at 732-562-2815. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21140_a8acb494-9884-4d72-8bdf-274823f394ed_5.mp3
1755168943,GSG11132_15da72a6-cd70-4807-ab5b-300f442535ec_0,00:00:00.000,00:00:19.880,"Now dictating a follow-up note on CRISTIANE colombo COLOMBO date is 06/03/2025 Ms. Colombo comes to the office today. Her English is pretty good, but Jose and Maria in my office helped to translate between Spanish/Portuguese and English.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11132_15da72a6-cd70-4807-ab5b-300f442535ec_0.mp3
1755168943,GSG11132_15da72a6-cd70-4807-ab5b-300f442535ec_1,00:00:19.880,00:00:55.680,"Ms. Colombo had injured her right shoulder at work on February 18, 2025. She failed to improve with conservative treatment, so I operated on her right shoulder five days ago on May 29, 2025. That surgery was an evaluation under anesthesia operative arthroscopy of the right shoulder, debridement of the partial tear of the rotator cuff, extensive debridement, then through a separate subpectoralis approach a biceps tenodesis. She has done okay. Her husband drove her today. He had to leave, but she is going to an Uber home. She has been using the ice machine. She finished the Keflex. She is not taking the narcotics. She has been taking the Naprosyn.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11132_15da72a6-cd70-4807-ab5b-300f442535ec_1.mp3
1755168943,GSG11132_15da72a6-cd70-4807-ab5b-300f442535ec_2,00:00:56.200,00:01:29.000,"She has been wearing the sling but she wants to know if she can discontinue the use of the sling. She states she has some pain but not as much as she thought she would have. She has no complaints of numbness and she had no troubles with anesthesia. I did show her the intraoperative pictures and gave her a copy. PHYSICAL EXAMINATION: Ms. Colombo is a pleasant, cooperative woman. Her temperature in the office is 97.7. Examination of the right shoulder revealed all the incisions looked good. The Steri-Strips were changed. The staples at the subpectoralis region were removed. The wound looks fine.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11132_15da72a6-cd70-4807-ab5b-300f442535ec_2.mp3
1755168943,GSG11132_15da72a6-cd70-4807-ab5b-300f442535ec_3,00:01:29.000,00:01:57.680,"It is not hot or red. There is no drainage. She could actively abduct and forward flex about 45 degrees, passively about 90 degrees. She had about 25 to 30 degrees of active internal and external rotation. There is no deformity of the biceps. Neurologically, she is intact. I could not do an impingement test or drop test or sulcus sign or belly press test or lift off test because she is uncomfortable moving her shoulder.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11132_15da72a6-cd70-4807-ab5b-300f442535ec_3.mp3
1755168943,GSG11132_15da72a6-cd70-4807-ab5b-300f442535ec_4,00:01:57.920,00:02:27.880,"AP and lateral x-rays of the right shoulder were normal. My impression is that Cristiane Colombo was involved in a work-related accident on February 18, 2025, where she injured her right shoulder. She did not improve with conservative treatment, so I operated on her right shoulder five days ago on May 29, 2025. That surgery was an evaluation under anesthesia, operative arthroscopy of the right shoulder, debridement of the partial tear of the rotator cuff, extensive debridement, then through a separate subpectoralis approach a biceps tenodesis. She is doing okay at this point. this point. She's doing okay at this point. She's been taking the anti-inflammatory medication.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11132_15da72a6-cd70-4807-ab5b-300f442535ec_4.mp3
1755168943,GSG11132_15da72a6-cd70-4807-ab5b-300f442535ec_5,00:02:27.880,00:02:57.060,"She's not taking the narcotics. She finished the antibiotics. And her passive range of motion is not bad. She just cannot do any forceful activities with the biceps, so she does not put herself at risk of further damage to the biceps. PLAN: At this point, she will continue with the ice machine. She can take the Naprosyn as needed. I provided her with the T-Bar and pulley system and showed her how to use it. She is going to start therapy and make sure all the exercises she does in therapy, does on her own at home, just no forceful biceps exercises.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11132_15da72a6-cd70-4807-ab5b-300f442535ec_5.mp3
1755168943,GSG11132_15da72a6-cd70-4807-ab5b-300f442535ec_6,00:02:57.260,00:03:34.340,"I gave her note for out of work and appointment to see me in two weeks for a good evaluation. Usually, we start increasing bicep exercise about six weeks postoperatively, and most people are back to life duty somewhere between 8 and 12 weeks postoperatively, and most people are back to regular duty somewhere between four and four and a half months postoperative leave period. Completely goes to Walmart claim services as opposed to tax 14731 Lexington, Kentucky 40512. Tension Bellum, b e l a m, Torres, d o r e s. Claim is 25049046. Port is Walmart. Plexigab Donna, d u n n a, Vivianna, v I v I n I, at FMCO at 973257228.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11132_15da72a6-cd70-4807-ab5b-300f442535ec_6.mp3
1755169359,GSG11133_b46fc30d-b833-483d-a905-38691804c2ee_0,00:00:00.000,00:00:26.280,"Now dictating a follow-up note on rodrigo RODRIGO ortega ORTEGA-OLIVO date is 06/03/2025 Mr. Ortega-Olivo comes to the office today accompanied by Rosa Stagnitta, RN, his nurse case manager from Genex. His date of injury goes back to March 16, 2025. Eleven and a half weeks ago, he sustained a minimal compression fracture of T11, about a 10%",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11133_b46fc30d-b833-483d-a905-38691804c2ee_0.mp3
1755169359,GSG11133_b46fc30d-b833-483d-a905-38691804c2ee_1,00:00:26.280,00:00:55.000,"compression fracture of L2, so a little bit of frozen shoulder on the right side. I had given him a cortisone shot at the last evaluation in my office back on May 20, 2025, and that helped significantly. He has been going to therapy for the right shoulder. that has also helped. I gave him a light duty note but there is no light duty. At this point, he has minimal discomfort in his back, maybe a 1 or 2. He has no lower extremity radiculopathy, no bowel or bladder abnormalities. He is functioning better and he is happy about the results. PHYSICAL EXAMINATION:",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11133_b46fc30d-b833-483d-a905-38691804c2ee_1.mp3
1755169359,GSG11133_b46fc30d-b833-483d-a905-38691804c2ee_2,00:00:55.000,00:01:24.520,"Mister Rodrigo Alivas postcard mail. His temperature in the office is 98.4, period. Examination of the right shoulder revealed. He has excellent abduction before his flexion. Still lacks a few degrees of internal and external rotation. He has a negative pinch test, negative drop test, negative lift off test, negative belly press test, negative speed test, negative librarians test. Pure. You've got your cameras, lumbar spines, no tension, no swelling, no acing motion, abrasion, discoloration, straight leg raise negative.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11133_b46fc30d-b833-483d-a905-38691804c2ee_2.mp3
1755169359,GSG11133_b46fc30d-b833-483d-a905-38691804c2ee_3,00:01:24.660,00:01:52.960,"sensory reflex normal, but then scoots down regarding no ecchymosis, abrasion, go forward flexion, gave him a little bit of discomfort in the back. New paragraph, X-RAYS: AP lateral x-rays, thoracic spine, AP lateral x-rays, lumbar spine demonstrate just a 1 or 2% deformity of the superior endplate of T11 and maybe about a 10% deformity of the superior endplate of L2. My impression is that Rodrigo Ortega-Olivo",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11133_b46fc30d-b833-483d-a905-38691804c2ee_3.mp3
1755169359,GSG11133_b46fc30d-b833-483d-a905-38691804c2ee_4,00:01:53.060,00:02:24.360,"was involved in a work-related accident 11½ weeks ago on March 16, 2025, where he sustained a minimal compression deformity of T11, minimal 10% compression deformity/fracture of the superior endplate of L2 and a right frozen shoulder. He is significantly better with regards to the low back. He has minimal complaints. No lower extremity radiculopathy or bowel or bladder abnormalities. I had given him a cortisone shot at the last evaluation on May 20, 2025, into his right shoulder, and that also significantly improved him",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11133_b46fc30d-b833-483d-a905-38691804c2ee_4.mp3
1755169359,GSG11133_b46fc30d-b833-483d-a905-38691804c2ee_5,00:02:24.360,00:02:56.000,"without giving him any problems with regards to his diabetes. New paragraph. Mr. Ortega-Olivo did sustain compression fractures of the superior endplate of T11 and L2, along with a right frozen shoulder based on the accident of March 16, 2025. Also as a result of him having diabetes that increases his risk of developing a compression fracture. So, at this point, I told him we could get rid of the thoracolumbosacral orthosis (TLSO brace).",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11133_b46fc30d-b833-483d-a905-38691804c2ee_5.mp3
1755169359,GSG11133_b46fc30d-b833-483d-a905-38691804c2ee_6,00:02:56.000,00:03:24.900,"He will continue with therapy in the right shoulder and I would also initiate therapy in the lumbar spine to just get him moving a little bit better, but again, just be careful with the lumbar spine so we do not further cause any compression deformities. Usually 11½ weeks is more than adequate time to heal. So, I gave him a note for light duty which is currently not available. I gave him an appointment to see me in two weeks for repeat evaluation and repeat x-rays of his thoracolumbar spine and my best estimate at this point is as long as he improves with therapy, he is prob",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11133_b46fc30d-b833-483d-a905-38691804c2ee_6.mp3
1755169359,GSG11133_b46fc30d-b833-483d-a905-38691804c2ee_7,00:03:24.900,00:03:52.320,"About four weeks away from going back to regular duty, period. Completely, it's a great American strategic comp. This is Bikes four zero eight zero Clinton, Iowa five two seven three three. Attention, Hugh Spiegelman, s b I e g e l m a n. Mister Azanoff at 00703618. Or it's s u p r e m o Foods, comma, LLC. Fax Capital Rose is Stagnita, comma, RNigenix at 877834947. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11133_b46fc30d-b833-483d-a905-38691804c2ee_7.mp3
1755169858,GSG21144_a9e72641-8da8-495c-b0a5-623daafb5a80_0,00:00:00.000,00:00:30.000,"Now dictating a follow-up note on Ketia, k e t t I a, Pierre, p I e r r e. Date is 06/03/2025. Miss Pierre comes out today. Updated Mitchell was back to 08/21/2024. She injured her right shoulder work. I performed her right shoulder 12/05/2024, six months ago. When she had an evaluation seizure, I put her thrust through the right shoulder to prevent the supralabrio anterior bone shear extension to prevent along with the subacretic pressure",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21144_a9e72641-8da8-495c-b0a5-623daafb5a80_0.mp3
1755169858,GSG21144_a9e72641-8da8-495c-b0a5-623daafb5a80_1,00:00:30.000,00:01:08.460,"To the class of women, the arthronomy, advise, and they're gonna prepare her. She's never had good pain tolerance. She's never been willing to push hard in therapy. I had offered her cortisone shot to help her, but she didn't wanna do it, period. Face of pain comes to go.
She doesn't have much pain. She takes some occasional naproxen. She's finished her therapy. I sent her for a functional capacity evaluation, which shows she's able to do sedentary light duty, but it also showed self limiting behavior and submaximal effort, which means there's some attempt to falsify the results, period. If I told her in those circumstances, she'd probably have to be placed on some permanent light duty restrictions that she understood that.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21144_a9e72641-8da8-495c-b0a5-623daafb5a80_1.mp3
1755169858,GSG21144_a9e72641-8da8-495c-b0a5-623daafb5a80_2,00:01:08.880,00:01:37.520,"She was accompanied by Meredith Levine, RN, her nurse case manager from Triune Health. PHYSICAL EXAMINATION: Ms. Pierre is a pleasant, cooperative woman. Her temperature in the office is 98.1. Examination of the right shoulder reveals range of motion is pretty identical, 120 degrees of abduction and forward flexion, 50 degrees of internal and external rotation actively, passively not much better. She had a negative Neer test,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21144_a9e72641-8da8-495c-b0a5-623daafb5a80_2.mp3
1755169858,GSG21144_a9e72641-8da8-495c-b0a5-623daafb5a80_3,00:01:37.640,00:02:07.840,"negative impingement test, negative drop test, negative belly press test, negative lift-off test, negative Speed test, negative O'Brien test. Neurologic examination was normal. There was no deformity of the biceps tendon. The body was impressed by the project. Katie Pierre had been involved in the work we had. August 21, 2024, she injured her right shoulder. She had a right shoulder. Six months ago, on December 5, 2024, that was for an arthroscopy of the right shoulder, debridement of the superior labrum anterior-posterior tear, extensive debridement subacromial decompression, mini-arthrotomy, biceps",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21144_a9e72641-8da8-495c-b0a5-623daafb5a80_3.mp3
1755169858,GSG21144_a9e72641-8da8-495c-b0a5-623daafb5a80_4,00:02:07.840,00:02:36.700,"tenodesis, and rotator cuff repair. Postoperatively, she never pushed hard. She had very bad pain tolerance. She never wanted to make herself better trying to push through. I had offered her a cortisone shot, but she did not want to do it. So, everything I was trying to do to help her, she was just not willing to undergo any type of treatment other than go to therapy. She has plateaued in therapy. Her functional capacity evaluation",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21144_a9e72641-8da8-495c-b0a5-623daafb5a80_4.mp3
1755169858,GSG21144_a9e72641-8da8-495c-b0a5-623daafb5a80_5,00:02:37.320,00:03:03.020,"JAG physical therapy on May 23, 2025, shows that she is able to do light sedentary work, and there is also evidence of self-limiting behavior and submaximal effort consistent with her attempting to falsify the results. I did explain to Ms. Pierre, under these circumstances that I would put her on permanent light duty restrictions, and she understood that.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21144_a9e72641-8da8-495c-b0a5-623daafb5a80_5.mp3
1755169858,GSG21144_a9e72641-8da8-495c-b0a5-623daafb5a80_6,00:03:03.020,00:03:37.700,"So at this point, miss Pierre will resume will will continue with will do permanent light duty restrictions, period. The exercise I gave you in therapy, she can do on her own at home, period. At this point, I would consider her to be MMI. I answered all of her questions for her, and she was discharged from the office, period. Complicated with Great America Street, CJ Compass, Los Angeles, Fox 4080, Clinton, Iowa 52733. Attention, Michael Tortorelli, t o r t o r e l l I. Clinton's 800649560. For his m a r q s health consulting services and fax company, Meredith Levine.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21144_a9e72641-8da8-495c-b0a5-623daafb5a80_6.mp3
1755169858,GSG21144_a9e72641-8da8-495c-b0a5-623daafb5a80_7,00:03:37.760,00:03:42.060,630-586-9441. Thank you.,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21144_a9e72641-8da8-495c-b0a5-623daafb5a80_7.mp3
1755170071,GSG21145_eef664c8-de3e-442d-b5fb-98fe09e46e39_0,00:00:00.000,00:00:31.740,"Now dictating a follow-up note on PATRICIA JOSEPH – 06/03/2025 Ms. Joseph comes to the office today. Her date of injury goes back to April 17, 2025. where she sustained a mild sprain of the lateral aspect of both ankles. At this point, she feels much better. She does not really have any pain or problems. She is back to regular duty. She has finished her therapy. She has been instructed on home exercises, and she feels okay. She can stand, bend, walk, squat, push, pull, sleep, sit in a car, and go up and down stairs. If it bothers her, she takes an occasional ibuprofen.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21145_eef664c8-de3e-442d-b5fb-98fe09e46e39_0.mp3
1755170071,GSG21145_eef664c8-de3e-442d-b5fb-98fe09e46e39_1,00:00:32.160,00:01:02.480,"PHYSICAL EXAMINATION: Ms. Joseph is a pleasant, cooperative woman. Her temperature in the office in 98.4. Examination of her ankles reveals there is no tenderness, swelling, abrasion, discoloration, edema, muscle spasm, and trigger points. No tenderness over the medial or lateral malleolus, over the medial deltoid ligament, or over the anterior or posterior talofibular ligament. Motion is full. Homan test is negative. Thompson test is normal. Achilles tendon is intact. She walked with a normal gait. Calf, ankle, and foot circumferences were within 1 cm of symmetry.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21145_eef664c8-de3e-442d-b5fb-98fe09e46e39_1.mp3
1755170071,GSG21145_eef664c8-de3e-442d-b5fb-98fe09e46e39_2,00:01:02.480,00:01:32.620,"My impression is that Patricia Joseph was involved in a work-related accident six and a half weeks ago on April 17, 2025, when she sustained a mild strain of the lateral aspect of both ankles, which at this point has resolved. She has no subjective complaints, no objective findings, full range of motion, no evidence of instability, and her result has been excellent. PLAN: So, at this point, Ms. Joseph At this point, Ms. Joseph can continue with regular duty without restrictions. I will consider her to be MMI. The exercises they taught her to do in therapy, can do",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21145_eef664c8-de3e-442d-b5fb-98fe09e46e39_2.mp3
1755170071,GSG21145_eef664c8-de3e-442d-b5fb-98fe09e46e39_3,00:01:32.620,00:01:59.400,"on her own at home. There's no indication for any additional medications or treatment. I answered all of her questions for her and she was discharged from the office, period. Complicated as a PMA, Postal Box 5231, Jamesville, Wisconsin, 53547. Attention, Denise, DNIC, Koshell, KUSCGL, W1 or 00458 2258, the Boers County of Essex. Tax recovery, Denise, Koshell at 800-432-9762. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21145_eef664c8-de3e-442d-b5fb-98fe09e46e39_3.mp3
1755171801,GSG21146_3ffb12ae-d777-45ef-a71e-38aa6f7490cc_0,00:00:00.000,00:00:29.920,"Now dictating a follow-up note on Susan Morales, m o r e l e s. Date is 06/03/2025. Ms. Morales, when she also stated that the injury range goes back to 05/15/2025. We're seeing a fracture of the basal left ventricular tharasoid, a little work related accident, period. That was approximate a little more than two and a half weeks ago, period. At this point, she feels better, though she's still uncomfortable. She states she has one young daughter at home.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21146_3ffb12ae-d777-45ef-a71e-38aa6f7490cc_0.mp3
1755171801,GSG21146_3ffb12ae-d777-45ef-a71e-38aa6f7490cc_1,00:00:30.640,00:01:00.880,"I was gonna change her over to a brace today, but she feels more comfortable in the cash. Like, the only cash one more week to just give her a little bit, more security, period. She's been she got the scooter, s c o o t e r, that she just got a couple days ago. She's been utilizing crutches, but she has a hard time on the crutches. She's concerned that when I take her out of the cast and put her into a brace, she may have a harder time on the crutches, and I told her that's a possibility. In turn, she doesn't have a lot of pain. She's more uncomfortable. She takes some calcium vitamin D",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21146_3ffb12ae-d777-45ef-a71e-38aa6f7490cc_1.mp3
1755171801,GSG21146_3ffb12ae-d777-45ef-a71e-38aa6f7490cc_2,00:01:01.000,00:01:30.400,"She's been out of and she's just having difficulty walking, period. Period. Physical examination, miss Morales plus wife woman. Her temperature in the office is 96.8. Exam she's in a short leg cast, which is comfortable. Neurologically intact, got good range of motion of her toes. She's partial weight bearing, but she is very awkward with the crutches, period. In terms of X rays, APL breakouts of the left foot demonstrating undisplaced fracture at the base of the left hip, metatarsal of her left foot.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21146_3ffb12ae-d777-45ef-a71e-38aa6f7490cc_2.mp3
1755171801,GSG21146_3ffb12ae-d777-45ef-a71e-38aa6f7490cc_3,00:01:30.680,00:02:06.500,"Paragraph, Susan Morales was involved in a work-related accident on May 15, 2025, two and a half weeks ago where she sustained a nondisplaced fracture of the base of the left fifth metatarsal. She is comfortable in the cast. She would like me to keep her in the cast for another week, and I told her that is okay, I just do not want to keep her in the cast for a long period of time. I realized it is a little bit more stable, a little safer for her, but it is going to give her a stiff foot. As far as work goes, she is able to drive because it is her left foot that is broken, but she is obviously not going to be able to go to work in a cast taking care of young kids as a teacher. So, I explained to Ms. Morales",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21146_3ffb12ae-d777-45ef-a71e-38aa6f7490cc_3.mp3
1755171801,GSG21146_3ffb12ae-d777-45ef-a71e-38aa6f7490cc_4,00:02:06.920,00:02:38.380,"I will see her back in my office in a week, remove her cast, repeat her x-rays, change her over to a short-leg walking orthosis, and she can be weightbearing as tolerated at this point. She can take the calcium and vitamin D, and I told her when she comes back to see me next time, ask her her principal at school if I can give her a light-duty note. note. If I can give her a light duty note that says sedentary work, that would be fine. But obviously, she would have to do sedentary work because running around after kids would not be compatible with a healing fracture of her fifth metatarsal base.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21146_3ffb12ae-d777-45ef-a71e-38aa6f7490cc_4.mp3
1755171801,GSG21146_3ffb12ae-d777-45ef-a71e-38aa6f7490cc_5,00:02:39.020,00:03:09.860,"I also explained to her that half the people with this fracture heal with a fibrous union, half the people heal with a bone union, but usually either way it heals, fibrous or bone union. 99.9% of the people who have this injury are completely asymptomatic down the road. If she does have stiffness once the cast is removed in the next few weeks, some outpatient therapy may also be indicated. So again, I'll see you back in a month. One week for removal of casts, repeat x-rays, and change of over to a short-league walker in orthosis slash CAMCAM",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21146_3ffb12ae-d777-45ef-a71e-38aa6f7490cc_5.mp3
1755171801,GSG21146_3ffb12ae-d777-45ef-a71e-38aa6f7490cc_6,00:03:09.860,00:03:37.620,"walker period. Public visit, QualLink, Supposedly Spikes, 240819, Apple Valley, Minnesota, 55125. Attention, Sandra, Barbara, BAR, BR, Cominus 2501, it's the description 01887. W's in water, the employees Orange, City of Orange Board of Education, Fax Copic, Brandon, B-R-A-N-D-O-N, Griffin, G-R-I-F-F-I-N, and N-J-S-I-G-S-6-9-3-8-6-2-0-1-1. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21146_3ffb12ae-d777-45ef-a71e-38aa6f7490cc_6.mp3
1755172041,GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_0,00:00:00.000,00:00:23.480,"Now to count a fault number. Rezio mayor Isaiah lesson D capital R. B. R. T. I. S. Date is June 3rd, 2025. Mr. Deaver business comes off stage. Data venture goes back to March 28, 2020, nine and a half weeks ago, received an injury to his left knee period. His x rays don't show any significant out of the mouse with regards to the left knee, but he has an MRI of his left knee,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_0.mp3
1755172041,GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_1,00:00:23.480,00:00:54.020,"which is an MRI of his left knee. Then on May 9, 2025 at NGN Union, which showed a big tear of his medial meniscus, acute and chronic sprain of the medial collateral ligament, joint effusion, and some mild conjugal malation, . Paragraph I explained to Mr. DeRivertis, He's already had some conservative treatment to include physical therapy and aspiration cortisone shot, ice, thylacine therapy. He's been trying to work, and he's having a miserable time . His wife, Marie, helped translate it",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_1.mp3
1755172041,GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_2,00:00:54.020,00:01:23.320,"between Italian and English period. At this point, he has pain all the time. He has swelling, he has difficulty walking. And I told him, try the therapy, try the cortisone shot. If he got better by doing that, we'd avoid surgery. If he did not get better, if he's not better, then the next option would be surgery. This is not a liver-die proposition, it's quality of life. He understood that. But he's just miserable, so if an operation would potentially make him better, he'd like to do that. He has no prior history of injury to the left knee, and I did watch a video surveillance",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_2.mp3
1755172041,GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_3,00:01:23.320,00:01:50.680,"where he did trip and injure his left knee going upstairs at work. Period. He broke a physical examination. Deep revert. It's a plus 12 male. His temperature in the office is 97.9. Period. Examination of the knee reveals a moderate joint effusion present. He's got motion of the tendon of the medial compartment, positive McMurray, positive Apple groin. His range of motion continues to be limited, 5 to about 110 degrees. The block of the negative pitch of GF, negative antiroid, negative poster of SAG, pneumoidal and seborrheic tendon, through his deflection, rocked his very stress,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_3.mp3
1755172041,GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_4,00:01:50.760,00:02:21.280,"and he walked with a mildly abnormal gait. He was recognized by a professional. Maurizio D. Robertus was involved in the work lay-outs on March 28, 2025, now approximately. Nine and a half weeks ago, he sustained an injury to his left knee, . I had a video surveillance of what he did, injuring his left knee, period. I had a video surveillance of him injuring his left knee going up steps. He's got an MRI documenting a significant tear of his medial meniscus. He's got x-rays of his left knee that do not document any significant arthritic changes, . He's had a cortisone shot. He's had ice. He's had physical therapy. He's had home exercises.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_4.mp3
1755172041,GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_5,00:02:22.260,00:02:53.680,"I've avoided anti-inflammatory medications because of his hypertension. At this point, he's just miserable with his left knee. He's failed to improve and conserve the treatment. So a left knee arthroscopy at this point would be medically appropriate and cause related to his accident March 28, 2025. Obviously, he would need to get a medical clearance prior to undergoing the surgery because of his hypertension and diabetes. New paragraph plans at this point. I explain to Mr. Roberta's, my recommendation would be to do a left neophosphorus period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_5.mp3
1755172041,GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_6,00:02:54.040,00:03:25.980,"Write a macro for K-O-P-A. Because of his hypertension and diabetes, he will need medical clearance. His blood pressure today in the office, 136 over 95. Heart rate was 90. O2 saturation, 96%. and the respirations were 19 he takes tylenol he takes him low sarni takes metformin for cytoplasm diabetes .he has no allergies medication .so as far as work goes i asked him if he could do regular duties they do the best he can but he's having difficulty with it. He'll need medical clearance,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_6.mp3
1755172041,GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_7,00:03:25.980,00:03:46.680,"I'll help him set that up. So my best estimate is he'll probably be a few weeks away before getting authorization from the insurance company, getting medical clearance before undergoing the surgery in his left knee. So I told him if he can continue the regular duty, that's great, if at some point he's not able to do it, then he needs to let me know, period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21147_f634a2ad-b716-46d9-b15a-9c90559df2fb_7.mp3
1755172892,GSG11138_55d6c848-3eb5-44b7-91cb-3b5c577b9c44_0,00:00:00.000,00:00:30.000,"Now, dictating a follow-up note on M-A-R-I-O-Y-N, last Miss Corman, K-O-R-M-A-N, dated June 4, 2025. Saw Miss Corman a few weeks ago. For typical, what took a cut of tendonitis and pinching of the right shoulder, gave her a cortisone shot, put her in physical therapy. Because of hypertension, I told her to stay away from anti-inflammatories, just take some Tylenol. She takes a cortisone shot within a couple of days. We're great. At this point, she doesn't have any pain. She's finished her therapy. She doesn't take any medication anymore.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11138_55d6c848-3eb5-44b7-91cb-3b5c577b9c44_0.mp3
1755172892,GSG11138_55d6c848-3eb5-44b7-91cb-3b5c577b9c44_1,00:00:30.000,00:01:01.220,"And she's very happy about the results. I reviewed her physical therapy notes. They thought she had done very well. She can push, she can pull, she can lift, she can carry, she can sleep. She can drive. She's just going to be careful she doesn't re-injure her shoulder again. .  Break off physical examination. Squirming is plus-plus. Woman comes from the office. It's 97-7. . Examinations of the right shoulder. No muscle spasm, no trigger points, no tendinitis, no ecchymosis, or eczema, or abrasive discoloration, or edema. Her motion is full. Negative liftoff test, negative spear, negative near test, negative drop test, negative pinch for test.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11138_55d6c848-3eb5-44b7-91cb-3b5c577b9c44_1.mp3
1755172892,GSG11138_55d6c848-3eb5-44b7-91cb-3b5c577b9c44_2,00:01:01.720,00:01:34.000,"No logical issues intact. Period. No deformity of the biceps, period. The bag is enticed by a person, Marilyn Corwin. Had some rotator cuff tendonitis, impingement of a right shoulder, probably due to moving her shoulder incorrectly while taking care of her grandkids, period. A little cortisone shot and physical therapy. Her pain is resolved, which is great. Prepared plans to this point. Ms. Corwin looks fine. I'd probably stop the therapy. She's done great. She'll continue with general exercises. Just be careful because there's always a possibility this can recur. And if it does, then additional therapy or diagnostic tests with an MRI may be indicated,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11138_55d6c848-3eb5-44b7-91cb-3b5c577b9c44_2.mp3
1755173021,GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_0,00:00:00.000,00:00:31.680,"Now dictating a follow-up note on Evan E. Van Kline, V.N. Kline, K-L-A-N-E, date this June 4, 2025. Mr. Van Kline comes off today. He had been involved in a significant motor vehicle accident on February 13, 2024, injuring multiple body parts. I operated on both of his shoulders at this point. The surgeon on the left shoulder was taking place on December 15, 2026, six months ago, when he had an evaluation of the seizure, operable flaccid left shoulder, debridement of superior liver,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_0.mp3
1755173021,GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_1,00:00:31.760,00:00:59.860,"anterior posterior tear, abrasion of the plasmal and humeral joints, subacromial decompression, excisive clavicle, and rotator cuff repair, and then also through a separate subpactorous approach by 17 to D. C. He had surgery on his right shoulder on February 20, 2025, approximately three and a half months ago. We had an arthroscopy of the right shoulder, debridement of the superior limbic interposterior tear. He also had an operation on the orthoplasmal head, extension of the brima,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_1.mp3
1755173021,GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_2,00:01:00.080,00:01:30.760,"subacromial decompression, cystic clavicle, a arthrocarbic rotator cuff repair, and then also through a separate subpactoral suppository biceps in adhesives. He's doing much better. His left shoulder hurts less than the right shoulder. He still has some achiness, some discomfort sleeping at nighttime, but he states he doesn't have any more time out of work. He would like to be out of work longer, but he cannot afford to do that. So at this point, he'd like to go back to regular duty. He'll just be careful, period. He's taken some Tylenol,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_2.mp3
1755173021,GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_3,00:01:31.200,00:02:05.780,"the exercise, they told him to do therapy. He's been doing on his own at home, and he's happy about the results, so it obviously has never returned to normal, period. Paragraph, physical examination, examination of the right shoulder, of the left shoulder, nicely healed incisions, not hot or red. There's no muscle mass, no trigger points. His range of motion still lacks a couple degrees of internal rotation. He's got a little bit of diffuse tendon. Weakly positive in pinch test, negative drop test, negative sulcus, endosulciation. Biceps looks good and neurolog and neurological is intact, period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_3.mp3
1755173021,GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_4,00:02:06.200,00:02:30.480,"New paragraph, examination of the right shoulder, feels a little tennis of the EC joint, a little tennis of the intervertebral cuff. He lacks a couple degrees of abduction before flexion, a couple degrees of internal rotation. He has a negative drop test, negative sulcus, sinus fixation, negative belly press test, negative liftoff test, weekly positive impingement test, weekly positive near test, period. No deformity of the biceps, neurologically he's normal.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_4.mp3
1755173021,GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_5,00:02:30.480,00:02:56.860,"My impression of Evan VanClein, had been involved in a significant motor vehicle accident dating back to February 13, 2024, entering multiple body parts, which I had been taking care of his shoulders. He has had surgery on both shoulders the surgery on his left shoulder was six months ago in December 3rd 2024 when he had a evaluation these possibly",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_5.mp3
1755173021,GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_6,00:02:56.860,00:03:27.540,"left shoulder to Bremond of SL AP terror brace not supplies winner of the glenoy supplicant express exists the class was that's a dream and it wrote arthroplasty of the glenoid, subacromial decompression, extensive decryphal, extensive debridement, arthroscopic or atypical repair, and a subpacture alis, and through a separate decision, a subpacture alis by synesthesia. He had similar surgery on his right shoulder on February 20, 2025, three and a half months ago, when he had a evaluation of the seizure, operative arthroscopy of the right shoulder, debridement of a slap, severe labor and intubation, operation of orthoplastic humeral head,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_6.mp3
1755173021,GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_7,00:03:27.640,00:03:59.100,"extensive debridement. He also had a subacuatic comparison, consistent to clavicle and orthoscopic rotator cuff repair, and then through a separate subpatriotal approach. I also did a biceps tenodesis period. The right shoulder had only been four and a half, excuse me, three and a half months ago, which means that one is still not at maximum medical benefit from treatment. He has a little achiness, some other restricted range of motion, minimal tenderness, but he states at this point he cannot afford to be out of work any longer because he doesn't have any more time. He'd like to go back to regular duty,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_7.mp3
1755173021,GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_8,00:03:59.100,00:04:31.360,"do the best he can. He'd like to talk to his therapist, do his own at home, and this is something he'll learn to live with. Paragraph, obviously, Mr. Van Kleine has a significant permanent injury to both shoulders based on his accident on February 13, 2024. He will require additional treatment in the future. He already is developing an arthritic condition as a result of this accident, and if that worsens in the future, then potentially shoulder replacement or reversal replacement may be indicated period. His prognosis is guarded period. If there's increasing severity of pain in the future, he's welcome back for repeat evaluation.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11139_f335a15d-101c-4ded-ba7d-a2fa1466fbe5_8.mp3
1755173360,GSG11140_a7dd1670-033e-4fb5-a852-08b530c35c7b_0,00:00:00.000,00:00:33.940,"Now dictating a follow-up note on Abigail, A-B-I-G-A-I-N. Last name is Folsick F-O-L-S-I-C-K. Date is June 4, 2025. Ms. Folsick comes off today. Her date of injury goes back to May 2025. She's in a mild right shoulder and trapezoid strain period. It's been about three and a half to four weeks period. I'd seen her originally in my office on May 21, 2025. I recommend some therapy. She's okay doing regular duty. She's done one week of therapy at Kessler Rehab in Westfield. She feels better, period. She'd like to go a little bit longer, which I find acceptable.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11140_a7dd1670-033e-4fb5-a852-08b530c35c7b_0.mp3
1755173360,GSG11140_a7dd1670-033e-4fb5-a852-08b530c35c7b_1,00:00:34.560,00:01:03.000,"She has less pain, better function. I've avoided anti-inflammatories because she did have a gastric sleeve in the past, period. In turn, she definitely feels better. She's got better range of motion. She has less pain. She's happy about it. Not perfect, but definitely feels better. She's got better range of motion. The physical examination is pulse-wise, pulse-cloth woman. Her temperature in the office is 98.4, period. Examination of the right shoulder. She had a little tennis over the AC joint, a little tiny tennis",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11140_a7dd1670-033e-4fb5-a852-08b530c35c7b_1.mp3
1755173360,GSG11140_a7dd1670-033e-4fb5-a852-08b530c35c7b_2,00:01:03.000,00:01:36.060,"Him also she's got good range of motion of the right shoulder, very weakly positive pinched up, mega focus, sinus fixation, mega near test, mega drop test, practical distal biceps and triceps, sense of attack, neurological issues, normal. People have been impressed by her. I've been getting close. She was involved with the Workly Act in May 2025. Almost four weeks ago, we've seen mild right shoulder trapezoid strain. Her actual results show some mild arthritis in the EC joint. I've avoided anti-inflammatory medication because of her gastric sleep. She has done a week of therapy, which has helped her significantly.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11140_a7dd1670-033e-4fb5-a852-08b530c35c7b_2.mp3
1755173360,GSG11140_a7dd1670-033e-4fb5-a852-08b530c35c7b_3,00:01:36.260,00:02:07.060,"She would like to continue with that, which I find appropriate. We're going to break the plans at this point. Ms. Fulcid will continue with therapy another couple weeks. She'll continue with regular duty. She'll do the home exercises. I gave her an appointment to see me in a few weeks. We'll check on her. If she's doing okay at that point, I'll discharge her. If she still has tenderness over the AC joint, then potentially a cortisone shot in the AC joint may be beneficial, and we'll base that on how she feels when I see her next time in the office period. Make sure all the exercises you ever do on therapy, does on her own at home, she time in the office.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11140_a7dd1670-033e-4fb5-a852-08b530c35c7b_3.mp3
1755173360,GSG11140_a7dd1670-033e-4fb5-a852-08b530c35c7b_4,00:02:07.540,00:02:31.560,"Company goes to Qual Links. Go to links. OANX. Postal box 240819. Apple Valley, Minnesota 55125. Claimant is 25WYC. Subscription 01797. WSM Water. Deployers Roselle Park. Board of Education. Facts go to Shana Sajana Karandan, CRO and DAN and NJSAG at 693-6-2011. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11140_a7dd1670-033e-4fb5-a852-08b530c35c7b_4.mp3
1755173635,GSG11141_85462723-93d1-4581-a88b-b6d618e64936_0,00:00:00.000,00:00:33.380,"Now dictating a follow-up to Christopher. Last is Ms. Kaminski, K-A-M-I-N-S-K-I. Date is June 4, 2025. Mr. Kaminski comes out today. He's got primary genoid joint disease of both knees. He's here for the final orthodontic injection of both knees. He definitely feels better. He's playing softball. He's doing more recreational activities. And he's happy about the results. He's not taking any pain medications, period. Paragraph of physical examination. Mr. Kaminsky, 12 o'clock. Let's get a very small joint effusion present bilaterally.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11141_85462723-93d1-4581-a88b-b6d618e64936_0.mp3
1755173635,GSG11141_85462723-93d1-4581-a88b-b6d618e64936_1,00:00:34.300,00:01:05.320,"His temperature is 97.8. He has, lacks probably a couple degrees of flexion and extension. He doesn't have tendons over the medullal aquarum. Naked myocardial, naked vaginal, naked vascular, naked parotid, naked fanator, naked posterior sag. No medullal instability. Periodic burgundy pressure. My impression. Sorry, new paragraph. He's got nicely healed scars in both knees from prior ACL reconstruction. burgundy pressure. My impression is that Christopher Kaminsky",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11141_85462723-93d1-4581-a88b-b6d618e64936_1.mp3
1755173635,GSG11141_85462723-93d1-4581-a88b-b6d618e64936_2,00:01:05.320,00:01:34.460,"underwent bilateral ACL reconstructions years ago. He's developed some post-traumatic degenerative arthritis and primary degenerative arthritis. And he does very well from the visceral subluxation injections. He's here for the third set of injections to both knees. And he's happy about the results, which is great. He doesn't have any of his instability, period, no bigger plans on his shell technique. Now on both knees, aspirated about two cc's of cholesterol fluid from both knees, gave him the third orthosis injection,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11141_85462723-93d1-4581-a88b-b6d618e64936_2.mp3
1755173635,GSG11141_85462723-93d1-4581-a88b-b6d618e64936_3,00:01:34.460,00:01:41.500,"and if he wants to repeat these injections in six months, he's welcome to do that period. Continue with home exercises.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11141_85462723-93d1-4581-a88b-b6d618e64936_3.mp3
1755173983,GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_0,00:00:00.000,00:00:27.980,"Now, dictating a file known as CARMALINO Juarez J-U-A-R-Z-H-E-R-N-A-N-D-E-Z Dated June 4, 2025. Mr. Juarez Hernandez comes off today. His date of injury is back to August 19, 2020. Almost 10 months ago where he had injured his right shoulder. Period. He had extensive treatment to include anti-inflammatory medications, cort cortisone shot, corton physical therapy, a rehabilitation exercise, an altered work status.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_0.mp3
1755173983,GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_1,00:00:28.920,00:00:59.540,"But he just got miserable. I had most recently seen him in my office for a need for treatment evaluation on February 21, 2025. And I thought doing an MRI of his right shoulder would be appropriate to roll out rotator cuff or label pathology. So we just recently had that MRI performed on May 31, 2025 at New Jersey M&G Network",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_1.mp3
1755173983,GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_2,00:00:59.540,00:02:02.860,"in Jersey City, and it was interpreted as approximately 50% tear of the distal supraspinatus tendon, less than a 50% tear of the infraspinatus tendon, evidence of a superior labor anterior posterior tear, common mild to moderate acromioclavicular arthritis, bicipital tenosynovitis, and a large calcium deposit, calcite evidence of bursitis, period. New paragraph. Mr. Flores Hernandez had a large calcium deposit in his right shoulder. I had given him a cortisone shot, which helped him. But when the cortisone wore off, the pain came back, period. He continues to have pain with overactivity, pain sleeping, pain with rotation. Jose and Maria and my office helped translate between Spanish and English, period. He states he left the job because he just could not do it any longer, and he has not found a new job as of yet, period. New paragraph, physical examination. His blood pressure is 153 over 96. His pulse was 82. Respirations were 19, and O2 saturation was 97%, period. Examination of the right shoulder.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_2.mp3
1755173983,GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_3,00:02:10.060,00:02:37.940,"impingement  test he's got a positive near test, got a very weakly positive speed test. He's got pain with the belly press test and lift off test, though there did not appear to be any weakness. Neurologically, he was intact, and there was no identifiable deformity of the biceps. His range of motion lacked about 10 to 12 degrees of abduction and forward",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_3.mp3
1755173983,GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_4,00:02:37.940,00:03:05.700,"flexion, about 10 degrees of external rotation, about 15 degrees of internal rotation. New paragraph. X-rays. I went over the actual MRI of his right shoulder. That was on New Jersey Imaging Network in Jersey City on May 31, 2025. I actually went over the actual MRI with him, and he took pictures. It shows about a 50% tear of the supraspinatus tendon,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_4.mp3
1755173983,GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_5,00:03:05.820,00:03:34.240,"about a 30% tear of the infraspinatus tendon. He's got a large calcium deposit within the infraspinatus tendon measuring 1.7 by 1.0 centimeters. He's got significant impingement, got a hypertrophic chain of the ASU joint. He's got some biceps sinus sinivitis, and he's got evidence of a superior labor injury, posterior tear. Paragraph impression, my impression of Carmelo Juarez-Hernandez was involved in a work-related",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_5.mp3
1755173983,GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_6,00:03:34.240,00:04:04.540,"accident August 19, 2020, almost 10 months ago, where he injured his right shoulder August 19, 2024. Since that time, he's had pain, limited range of motion, he's had a cortisone shot, he's had anti-inflammatory medications, he's had physical therapy, he's had altered work status, all of which improved him short term, but the pain keeps coming back. This MRI is clearly consistent with superior labor anterior posterior tear, palmar partial",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_6.mp3
1755173983,GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_7,00:04:04.540,00:04:31.920,"tear of the roof of the cuff, evidence of impingement. And he also has a large calcium deposit in the infraspinatus tendon perioperative plant. So I explained to Mr. Juarez-Fernandez his options with this are conservative versus surgical period. Conservative treatment is you can get another cortisone shot and you go back to physical therapy. But he had done that. It helped to physical therapy, but he had done that. It helped short-term, but the pain recurred, and he doesn't want to do that period. The next option would be",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_7.mp3
1755173983,GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_8,00:04:31.920,00:04:59.540,"The surgery for this would be an evaluation of the right shoulder, subacromial decompression, excision of the clavicle, excision, debridement of the calcification, debridement or repair of the tear of the rotator cuff, comma, debridement of the slap tear, possible biceps tenodesis, period. I took him through the entire operation in depth. I explained to him there is partial tear of the superior labrum, partial tear of the rotator cuff and impingement.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_8.mp3
1755173983,GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_9,00:04:59.540,00:05:27.440,"I showed him a shoulder monitor or a thoracic brush and I told him the treatment for the slap tear is an evaluation of seizure operative arthroscopy of the shoulder. If the treatment or repair of the slap tear, most likely a biceps tenodesis . We use anchors for this operation. The anchors were demonstrated to Mr. Juarez-Hernandez, and they're usually bioabsorbable plastic anchors. Also with the rotator cuff tear, we'll need to breed or repair that and also do a",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_9.mp3
1755173983,GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_10,00:05:27.440,00:05:54.460,"subacupuncture compression that exists in its galapagal period. I took Mr. Juarez-Hernandez through the preoperative intraoperative post-op status, semicolon timing to be out of work, semicolon physical therapy and rehab, and all the alternative associated with conservative surgical management period. This is not a liver-diaproposition common, but a quality of life issue period. Most people whose operation do quite well, but some, there's some pain, some achiness, and some lost emotion can be permanent period. There are also complications associated with",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_10.mp3
1755173983,GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_11,00:05:54.460,00:06:23.660,"surgery that include nerve damage comma, artery damage comma, potential recurrence comma, loosening of the hardware, re-rupture of the labrum, and also complications associated with development of arthritis, complications associated with anesthesia, the worst complication being death. After the surgery, may need to wear a sling for three to four weeks based on what we do with the slap tear. You're both, you get general anesthesia plus local interscaling block. All of his questions were answered with regards to surgery and he understood the complications, risks",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_11.mp3
1755173983,GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_12,00:06:23.660,00:06:50.680,"benefits associated with the surgical procedure. Your NPO as of midnight the night before the surgery most people were back to life duty six to eight weeks post-operatively and regular duties somewhere between four and six months based on what we do during the surgery . An assistant is needed for the operation, need an ice unit, a post-operative sling and a t-bar and pulley system .of discuss all this in depth with him and informed consent was obtained. As far as work goes, I'll let him continue with regular duty.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_12.mp3
1755173983,GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_13,00:06:51.100,00:07:00.160,"He will need clearance for his diabetes from his family physician, or we'll send him to a physician, and I'll go back to getting authorization for the surgery.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_13.mp3
1755173983,GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_14,00:07:00.380,00:07:28.980,"Complicative travelers insurance, Postal Box 4614, Buffalo, New York, 14240, Attention, EDNA, PELAEZ, Claims F, Rank 5, T as in Tom, 4658, Report as B-U-W-O-O-D, Cabin Tree, C-A-B-I-N-E-T-R-Y, Facts and Copy to Edna, EDNA, PELAEZ, P-E-L-A-E-Z, Travelers, 877-786-5568, Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21150_8f836a46-a778-4fd7-a921-cafd7acc6901_14.mp3
1755174185,GSG21152_8a685605-f9f7-4088-9138-3f6c9d6ca640_0,00:00:00.000,00:00:30.940,"Now dictating a follow-up on Hernan, H-E-R-N-A-N, last name Lucero, L-U-C-E-R-O, date this June 4, 2025, Mr. Lucero comes off today with ROSA stagnant, S-D-H-E-N-I-T-T-A, comma, R-N, notice case manager. Maria from my office, along with ROSA, helped translate from Spanish and English. Great. Mr. Lucero, though his English is very good, period. Mr. Lucero had been involved in work back January 31st, 2025. Stainless cervical strain, lumbar strain, and right shoulder strain.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21152_8a685605-f9f7-4088-9138-3f6c9d6ca640_0.mp3
1755174185,GSG21152_8a685605-f9f7-4088-9138-3f6c9d6ca640_1,00:00:32.000,00:01:01.180,"Period. When I'd seen him last time and also May 14th, 2025, I gave him a cortisone shot in the right shoulder, which states helped him significantly for a few days, but when it wore off, the pain came back. He's been going to therapy. He thinks that has resolved his neck and back pain. He has no complaints of upper lobe extremity radiculopathy, but he states the right shoulder pain continues bothering him. When I had seen Mitchell's head previously in my office, I commented if the right shoulder continues bothering him,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21152_8a685605-f9f7-4088-9138-3f6c9d6ca640_1.mp3
1755174185,GSG21152_8a685605-f9f7-4088-9138-3f6c9d6ca640_2,00:01:01.260,00:01:47.820,"then potentially an MRI of the right shoulder may be indicated for further evaluation. He is doing regular duty.  He does not think the therapy helps him, and I did review his physical therapy notes from a twin TWM boro, BORO from newyork, New Jersey. New paragraph, leave his physical examination. Mr. Lucero's pleasant and cooperative  males,temperature  in the office is 97.4. Pure. Examination of the spine. You'll notice the tendons must be trigger points. Good range of motion. You're not actually intact. You break the damage from the right shoulder. You'll see the tendons go to the anterior itself. A little bit laterally. A little bit over the AC joint. He's got a weakly positive Impingement for test. He's got pretty good. He still lacks a few degrees of abduction and forward flexion. A little bit more of internal rotation. He's got a weakly positive Impingement test, weakly positive near test.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21152_8a685605-f9f7-4088-9138-3f6c9d6ca640_2.mp3
1755174185,GSG21152_8a685605-f9f7-4088-9138-3f6c9d6ca640_3,00:01:48.080,00:02:20.460,"Questionably, he has a little bit of a positive speed in the brine test. He has a negative belly press test, negative lift off test. There's no deformity of the biceps that could be identified. You're very impressed by the person. Hernan Lucero was involved in a work with the acrogenic 31st of 2020. More than four months ago, he was saying the cervical limb was strained. The strain of his right shoulder, cervical limb was strained at this point if resolved. The right shoulder contained his bothering period. When I gave him a cortisone shot last time in my office, dating back to May 14th, 2025,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21152_8a685605-f9f7-4088-9138-3f6c9d6ca640_3.mp3
1755174185,GSG21152_8a685605-f9f7-4088-9138-3f6c9d6ca640_4,00:02:20.460,00:02:49.200,"about three weeks ago, I had significant relief from the pain for a short period of time, but the pain recurred. So usually when you get a cortisone shot and it gives you at least short-term relief, you need to probably have some inter-articular pathology inside the right shoulder. So I explained in this little serum. My recommendation at this point would be to do an MRI of the right shoulder for further evaluation. As far as work goes, you can do regular duty. He can take the ibuprofen PRN.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21152_8a685605-f9f7-4088-9138-3f6c9d6ca640_4.mp3
1755174185,GSG21152_8a685605-f9f7-4088-9138-3f6c9d6ca640_5,00:02:49.200,00:03:16.600,"As far as therapy goes, I don't see an indication to continue with therapy. And you can just do the home exercise period. Tell him when he goes for the MRI of the right shoulder and rosacitagnia, comma, RN is most case management, will help him set up the MRI. Make sure he gets the disc. I gave him an appointment assuming see me two weeks before the results and make a determination if additional treatment is indicated. Obviously, there's a significant road to the curve for labral fibrology. Then additional treatment may be indicated. And if his MRI comes back as benign,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21152_8a685605-f9f7-4088-9138-3f6c9d6ca640_5.mp3
1755174185,GSG21152_8a685605-f9f7-4088-9138-3f6c9d6ca640_6,00:03:17.100,00:03:51.100,"then I don't see a reason for any additional treatment at that point . I discuss all this in depth with him. We'll get the MRI of his right shoulder. I'll see him back from the office in two weeks period. He'll continue the that point . I discuss all this in depth with him. We'll get the MRI of his right shoulder, and I'll see him back from the office in two weeks . He'll continue the regular duty period. Complements with Great American Strategic Composers, Blacks 4080, Quentin, Iowa, 52733, Tinger, Mary, Moonton, MUN, TONE, Colonies, Aismath, 00691850, Boys, Brown, BLWA Integrated Logistics, Dr. Scabato, Dr. Luz's stagnant at Gen X at 850. Boys Brown, BOW Integrated Logistics, Tax Capital Resources, Stagnant, GenX at 877-883-4947. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21152_8a685605-f9f7-4088-9138-3f6c9d6ca640_6.mp3
1755174358,GSG21153_558cd3ea-1315-4959-bb3e-591287999f79_0,00:00:00.000,00:00:33.520,"Now, Dictator and Follower, Angra 9, GRG, Delacruz, D-E-L-E-C-R-U-Z, dated June 4, 2025. Ms. Delacruz comes off today, Jose and Maria Mastro, translating Spanish and English. Her date of injury goes back to June 9, 2024. She injured her left shoulder, worked out her left shoulder on January 9, 2025. Just almost five months ago, when she had an evaluation seizure, operated a frostbite on her left shoulder, sent her to Bremont, abraded arthroplasty of the glenoid, subacute decompression of the cystic clavicle, and the arthronomy of the road to the cuff repair. She's definitely better. I had given her a cortisone shot",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21153_558cd3ea-1315-4959-bb3e-591287999f79_0.mp3
1755174358,GSG21153_558cd3ea-1315-4959-bb3e-591287999f79_1,00:00:33.520,00:01:00.840,"because of some stiffness on May 9, 2025, and that definitely helped her. She'd been going to therapy. She'd been doing home exercise. She has much less pain. She's sleeping fine. The exercise she's been doing at home, and's been doing it on her own at home. And they just won't give her light duty. Asked if she's able to do regular duties. Thinks maybe after two more weeks of therapy she would be able to. The period of physical examination is still a cruise plus walk woman. Her temperature in the office is 97.4.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21153_558cd3ea-1315-4959-bb3e-591287999f79_1.mp3
1755174358,GSG21153_558cd3ea-1315-4959-bb3e-591287999f79_2,00:01:00.840,00:01:32.080,"The examination of the left shoulder revealed no tendons, no swelling, no abrasions, no discolouration, edema. He's got a very good range of motion, about 135 to 140 degrees of abduction, forward flexion, 60 degrees of external rotation, 50 degrees of internal rotation. She had a negative in the impingement test, negative drop test, negative liftoff test, negative belly press test, negative speed test, negative OBrion test, no reform to biceps, neurological issue was normal. We've been impressed by President Ingrid Dela Cruz. Was involved in the Workly Act, June 19, 2024.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21153_558cd3ea-1315-4959-bb3e-591287999f79_2.mp3
1755174358,GSG21153_558cd3ea-1315-4959-bb3e-591287999f79_3,00:01:32.300,00:02:00.780,"She injured her left shoulder, upper and her left shoulder almost five months ago on January 9, 2025. Vet surgery was an evaluation of the seizure, upper and her flask was left shoulder, center debridement, abrasion of the plastic glenoid, subacute decompression, existence of clavicle, and I also did a mini-arthrodomyontic rotator cuff repair I think she's doing much better the cortisone shot I gave her back on May 9 2025 clearly broke up some of the scar tissue shows she's improving without also .she does not think she can do regular duty yet I've been giving her notes for light",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21153_558cd3ea-1315-4959-bb3e-591287999f79_3.mp3
1755174358,GSG21153_558cd3ea-1315-4959-bb3e-591287999f79_4,00:02:00.780,00:02:32.740,"duty but there is no light duty she thinks two more weeks of therapy will put it back to regular duty, and I would agree with that. At this point, Ms. Della Cruz will continue with light duty two more weeks. She'll continue with her therapy. She'll continue with her own exercises. I gave her an appointment to see me in two weeks, and at that point, she'll be five and a half months after surgery. She would be MMI and back to regular duty, period. The public is Amtras North America. Postal is Fox 89404, Cleveland, Ohio, 44101. Attention, John Trader, TRA, DER, Comments 386-2286-1.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21153_558cd3ea-1315-4959-bb3e-591287999f79_4.mp3
1755174358,GSG21153_558cd3ea-1315-4959-bb3e-591287999f79_5,00:02:33.120,00:02:48.580,"There's A's and R's and Roger P's and Peter Hospitality Group. Facts, copy to John Trader at 678-258-8395. Fax, copy to Patricia Killian, K-I-L-L-I-N, comma R at 800-711-4404. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21153_558cd3ea-1315-4959-bb3e-591287999f79_5.mp3
1755174490,GSG21155_c6fdd818-47d1-4c7b-b1e1-772d8abc9b5c_0,00:00:00.000,00:00:30.720,"Now taking involvement of Rose, R.S.U. and M.C. Capital, A.U.L.Y.F.F. A.U.L.Y.F.F. dated June 4, 2025. Ms. McAuliffe comes to office today, accompanied by her husband. I had seen her yesterday for her right shoulder, doing much better. Today, her left shoulder, she was putting leftovers into the refrigerator. On May 29th, had this sharp, searing pain in her left shoulder. She went to Union Hospital ER. May 30th, they this sharp, searing pain in her left shoulder. they didn't do much for her. At this point, she's complaining about severe pain.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21155_c6fdd818-47d1-4c7b-b1e1-772d8abc9b5c_0.mp3
1755174490,GSG21155_c6fdd818-47d1-4c7b-b1e1-772d8abc9b5c_1,00:00:31.500,00:01:22.000,"Not much not neck pain, pain in her left shoulder, decreased range of motion. A little bit better today as compared to when I had seen her for her right shoulder yesterday. She had already had an MRI of her left shoulder performed back on January 6, 2025, which shows some rotator cuff tendinosis without a tear, biceps tendinosis, osteoarthritis. So putting leftovers in the refrigerator is not going to tear your rotator cuff, but it probably aggravated your shoulder period. She had a previous cortisone shot back in March, so it's been three months since her injection. But she also has a history of high blood pressure, diabetes. She has stents. So she's a high risk. But I already told her for her right shoulder, she's got a large tear rotator cuff. She's going to need surgery at some point, but she can't do it in the summertime because she takes care of her daughter's kids, her grandchildren, for the whole summer.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21155_c6fdd818-47d1-4c7b-b1e1-772d8abc9b5c_1.mp3
1755174490,GSG21155_c6fdd818-47d1-4c7b-b1e1-772d8abc9b5c_2,00:01:22.000,00:01:57.780,"I told her I only operated at a surgical center, so the operation I'll have to send her to someone who was willing to operate at my hospital, and she understood that. New paragraph. That's for her right shoulder, but her left shoulder is a little bit better, but it's still quite uncomfortable. She's got some outstretched tenderness in her left shoulder. It's not hot, red, or swollen. Her temperature in the office is 98.1. Examination of the shoulder reveals diffuse tenderness. She has about 40 degrees of abduction forward flexion, which is a little bit better as compared to yesterday. Very limited internal rotation. Hard to do an impingement",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21155_c6fdd818-47d1-4c7b-b1e1-772d8abc9b5c_2.mp3
1755174490,GSG21155_c6fdd818-47d1-4c7b-b1e1-772d8abc9b5c_3,00:01:57.780,00:02:26.800,"test, hard to do a drop test, really couldn't do a belly press test or a liftoff test. Neural actually intact. She's quite heavy, but I do not identify any deformity of the biceps. The period of impression, my period of Rose McAuliffe. Looks like she has typical rotator cuff tendon outside of her left shoulder. She had an MRI done on January 6, 2025, five months ago, which didn't show a significant tear, so I don't think there's a tear. I think she just aggravated the left shoulder, per plan.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21155_c6fdd818-47d1-4c7b-b1e1-772d8abc9b5c_3.mp3
1755174490,GSG21155_c6fdd818-47d1-4c7b-b1e1-772d8abc9b5c_4,00:02:26.800,00:02:55.240,"So I on a sterile technique into the bristle region and the silver grime region, I gave her injection of 1 cc of 0.5% Markanumophenethanol, 6-metotranesyl-beta-synacetate, 6-metotranesyl-beta-synosodiofosfate, put down a macro for a cortisone shot. She wants to know if she needs an MRI. Is it very much older? No. Just ice it, take it easy, be gentle, come see me in a week, let's see what happens. If she does okay with this, I would do nothing. If so, why would I possibly consider some outpatient therapy? And she was fine with that.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21155_c6fdd818-47d1-4c7b-b1e1-772d8abc9b5c_4.mp3
1755174616,GSG21156_7f7e4d95-09dc-432c-99ec-a94460ffbb73_0,00:00:00.000,00:00:31.080,"Now dictating a follow-up, known as Carol, C-A-R-O-L-E, Harsh, H-A-R-S-C-H, date is June 4, 2025. Saw Ms. Harsh a few weeks ago. She had typical roads to the cup, 10-mile height, right shoulder, no injury. I gave her a cortisone shot, sent her for some therapy. Didn't take a Mobic. I had written her a prescription for it, but she states at this point she's really doing well. Doesn't really have any pain. Got a good range of motion. She's happy about the results. Otherwise, she looks great. Break of physical examination. Ms. Schwarz is a political health woman.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21156_7f7e4d95-09dc-432c-99ec-a94460ffbb73_0.mp3
1755174616,GSG21156_7f7e4d95-09dc-432c-99ec-a94460ffbb73_1,00:00:31.220,00:01:01.620,"Her temperature in the office is 97.7. Examination of the right shoulder. The muscle mass, the trigger points, the tendons, the reclamosis, good range of motion, negative near test, negative belly press test, negative liftoff test, negative speed test, negative O'Brien test, and very impressed by the person. Carol Harsch had a strain of her right shoulder, probably some ritz-carotenoiditis, and this just happens when it sort of just wears out. I give her a cortisone shot and send her to therapy.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21156_7f7e4d95-09dc-432c-99ec-a94460ffbb73_1.mp3
1755174616,GSG21156_7f7e4d95-09dc-432c-99ec-a94460ffbb73_2,00:01:01.620,00:01:19.960,"At this point, she's pretty much asymptomatic. I asked her if she wanted to continue with therapydon't push too hard so she doesn't aggravate the shoulder, and she was fine with that, period. At this point, I told her anything she has to lift or carry it home, be gentle with. If it gets worse, she's welcome back.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21156_7f7e4d95-09dc-432c-99ec-a94460ffbb73_2.mp3
1755174891,GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_0,00:00:00.000,00:00:22.200,"Now dictating a follow-up note on Eddy, E-D-D-Y, Gene, J-A-N-M-A-R-Y, date this June 4, 2025. Mr. Gene, Mary comes off today. His date of injury goes back to April 29, 2025. Approximately five weeks ago, where he was saving a lumbar strain,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_0.mp3
1755174891,GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_1,00:00:22.420,00:00:50.200,"A contusion of his right knee.Contusion of his left hand.
At this point, I was also asked to evaluate his and his right elbow. I also asked to evaluate his right shoulder.Mr. Jean-mary states he's been going to therapy.That's not sure if it helps.He states his right hand is doing okay.His left knee is doing okay, but he still has some discomfort.His back and I was asked to evaluate his right shoulder. Period.He states he did injure his right shoulder at the time of the accident of June.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_1.mp3
1755174891,GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_2,00:00:50.200,00:01:17.540,"to April 29, 2025, and I was authorized to see his shoulder today, period. He was accompanied by Rosa Stagnita, S-T-A-G-N-I-T-T-A, comma, R, and his nurse case manager from Genix, period. Jeffrey helped translate between Creole and English, period. Paragraph, Mr. G. Merritt complains of mild discomfort in his back, no complaints of lotion, no right knee or left hand pain.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_2.mp3
1755174891,GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_3,00:01:17.540,00:01:53.440,"He complains of pain in his right shoulder, pain in his rotation, pain in his activities. New paragraph for the examination. The examination of the left hand and thumb field, no swelling, tenderness, abrasion, discoloration, edema, full range of motion, no triggering of the impulse, no subluxation, excessive tenderness. Paragraph for the examination of the right elbow, field, no tenderness, no swelling, no abrasion, no discoloration, no edema, no muscle passing, full range of motion, distal biceps and triceps, tenderness or attack. New paragraph for the examines the right shoulder reveals some mild diffuse tenderness it looks like he has a deformity of the proximal biceps",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_3.mp3
1755174891,GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_4,00:01:58.880,00:02:16.820," tendon rupture but there's no ecchymosis he's got some mild tenderness, but it has been five weeks since the injury  So is it possible the swelling and ecchymosis went down if he had an acute rupture of the biceps tendon versus a chronic rupture of the knee, the knee, and the prior history of injury of the region, period. Range of motion of the right shoulder has mildly decreased.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_4.mp3
1755174891,GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_5,00:02:16.960,00:02:52.160,"He got a weakly positive ventricle test, negative drop test, weakly positive veneer test, weakly positive near test, questionably positive speed test, and O'Brien test. New paragraph. Examination of the lumbar spine. Feel no tenderness, swelling, abrasion, discoloration. Motion is mildly decreased from forward flexion. Sensory motor reflex are normal, but the insoles are down. We're going to know if the muscle is present. New paragraph. Examination of the right knee. Feel no swelling, no tenderness, no abrasion, no discoloration. Excuse me. Downward going. No clonus was present. New paragraph. Examination of the right knee. No swelling. No tenderness. No abrasions. No discoloration. No muscle spasm or trigger points. He had no effusion present.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_5.mp3
1755174891,GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_6,00:02:52.300,00:03:22.260,"Range of motion was full. 040 degrees. Negative lacrimal. Negative fifth shift. Negative anterior. Negative posterior sac. No medial ambstabilum. stress and his quadriceps may have been intact. The big one is by a person, Eddie Jane Mary, telling me he was involved in a work-related accident on April 29, 2025, when he was hit by a forklift. He states that his left hand, his left thumb, his right elbow, right knee are all fine. His low back continues to bother him.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_6.mp3
1755174891,GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_7,00:03:22.280,00:03:50.560,"And I told him he has significant degenerative arthritis in his low back, spondylolisthesis, degenerative disc disease, and these problems are clearly pre-existing and not cause-related nor aggravated with the accident of April 29, 2025. I can't resolve these pre-existing arthritic conditions. If indeed therapy helps a little bit, I can continue therapy. With regards to the right knee, the right elbow and left hand, no additional treatment is indicated.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_7.mp3
1755174891,GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_8,00:03:50.880,00:04:23.140,"With regards to the right shoulder, it looks like he may have an injury to the proximal biceps tendon, which means he could have a slap tear, possible rotator cuff pathology. So additional testing on the right shoulder would be appropriate. It's also possible he has a chronic injury to the biceps tendon or just a mild deformity that's been present previously, but it's impossible to tell at this point the time frame when that took place. So at this point, I explain to Mr. Eugene and Mary, I'd recommend you do an MRI of the right shoulder",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_8.mp3
1755174891,GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_9,00:04:23.140,00:04:57.420,"to further evaluate the rotator cuff and labrum. As far as therapy goes, I would do the therapy on the low back of the right shoulder. As far as work goes, I'll maintain him on light duty. He can do the home exercises. He can take a Tylenol PN, PRN. I would avoid anti-inflammatory medications because of his hypertension. I told him when he goes for the MRI, he has to make sure he gets the disc, bring it to my office in two weeks, we'll go over the results of the MRI, make a determination of what additional treatment would be indicated. At that point, if his back remains normal, he would be MMI",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_9.mp3
1755174891,GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_10,00:04:57.420,00:05:21.400,"and with no additional treatment on the back. If the right shoulder shows significant pathology, a more aggressive treatment program may be indicated.If the right shoulder shows no significant pathology, then he would also be MMI for the right shoulder, period. Public goes to Grand American Strategic Comp. Postal 54080, Clinton, Iowa, 55733, Tension Mary, Montana, MUN, TONE, and the status of an officer is 00716649.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21157_cc6f1323-cb88-4a71-af27-a9a7f227e2c3_10.mp3
1755175064,GSG21159_50342292-6690-4aa0-9fc7-9ec4ddbc8bb8_0,00:00:00.880,00:00:31.580,"Now dictating a follow-up note on Nicole, N-I-C-O-L-E, Allen, A-L-L-E-N, dated June 4, 2025. Ms. Allen comes off today. Her day of injury goes back to May 19, 2025, now approximately two and a half weeks ago, where she was staying in a strain of the lateral aspect of her right foot. I had seen her previously in my office in May 28, 2025. I put her on some Celebrex as an anti-plantar medication. She has a bleeding disorder, so I told her to clear that with the hematologist before she took it.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21159_50342292-6690-4aa0-9fc7-9ec4ddbc8bb8_0.mp3
1755175064,GSG21159_50342292-6690-4aa0-9fc7-9ec4ddbc8bb8_1,00:00:31.660,00:01:01.180,"She said it was fine to take. I gave her Celebrex. She's trying to fill the Celebrex prescription. She hasn't. They're giving her a hard time at the pharmacy. They haven't filled it out yet, but she stays to this point. Her right foot feels pretty good. It doesn't really bother her. She doesn't have any discomfort. She's back to walking. She states if she's barefoot, she gets a little achiness, but otherwise she feels fine. She has no trouble doing normal activities. And she states it's a pain to come",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21159_50342292-6690-4aa0-9fc7-9ec4ddbc8bb8_1.mp3
1755175064,GSG21159_50342292-6690-4aa0-9fc7-9ec4ddbc8bb8_3,00:01:33.000,00:02:02.300,"Paragraph from my president, Nicole Allen, was involved in a work-related accident in 19,020. Two and a half weeks ago, we sustained a mild strain of the lateral aspect of her right ankle and right foot region period this point she feels fine period she tried to fill the cell breaks prescription they didn't fill it so it's still possible they may fill it it was okay with her hematologist take it so I told her she has an achiness and they fill the cell breaks prescription take it otherwise if they don't fill the",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21159_50342292-6690-4aa0-9fc7-9ec4ddbc8bb8_3.mp3
1755175064,GSG21159_50342292-6690-4aa0-9fc7-9ec4ddbc8bb8_4,00:02:02.300,00:02:28.160,prescription I don't think she has to do anything also if she doesn't have any pain she doesn't have to do anything as far as work oh she's comfortable working she does not feel it's necessary to come back and see me she's happy about her outcome so at this point diagnosed a resolved strain of the lateral aspects of the right foot I will consider her to be at max medical and from treatment I answered all the questions foreign she was discharged from the office. She can do regular duty without restrictions.,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21159_50342292-6690-4aa0-9fc7-9ec4ddbc8bb8_4.mp3
1755175064,GSG21159_50342292-6690-4aa0-9fc7-9ec4ddbc8bb8_5,00:02:28.160,00:02:55.900,"The completer goes to Qual Links at Postal Spikes 240819, Upper Valley, Minnesota 55125, Limits 25W, Water City, Description 01976, U.S. and Universe, Ploy's Summit Board of Education, Fax Government, Stephanie, S.D.E.P-H-A-N-I-E, Martinez, M-A-R-T-I-N-E, Zedes Rosales, R-S-A-L-E-S, and N-J-S-I-G, at 609-0386-2011. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21159_50342292-6690-4aa0-9fc7-9ec4ddbc8bb8_5.mp3
1755499990,GSG11147_c14c9e77-b237-478c-a369-08f2642bc879_0,00:00:00.000,00:00:30.060,Now dictating a note on MAUREEN MCNULTY date is 06/09/2025 Ms. McNulty comes to the office today. She has arthritis in both knees. Her husband was recently hospitalized at Trinitas Hospital. T-R-I-N-I-T-A-S. She's been walking around a lot. She can't always get a handicapped parking permit. Been miserable. She wants to know if she can get an aspiration cortisone shot for her knees.,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11147_c14c9e77-b237-478c-a369-08f2642bc879_0.mp3
1755499990,GSG11147_c14c9e77-b237-478c-a369-08f2642bc879_1,00:00:30.680,00:01:01.860,"Appeared she'd been seen by a rheumatologist for other problems, and the rheumatologist also recommended that. The last time I gave her a shot was on March 20, 2025, so it has only been two-and-a-half plus months. considering she is miserable and her husband has been in the hospital, I think whatever I can do to help her would be worthwhile and she agrees with this. She has no history of diabetes. PHYSICAL EXAMINATION: Ms. McNulty is a pleasant and cooperative woman. She has a small joint effusion present in both knees. She has some mild diffuse tenderness in both knees.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11147_c14c9e77-b237-478c-a369-08f2642bc879_1.mp3
1755499990,GSG11147_c14c9e77-b237-478c-a369-08f2642bc879_2,00:01:01.960,00:01:33.080,"She has a genu valgus deformity of both knees. tenderness more laterally than medially. She has patellofemoral crepitus. She has a negative Lachman, negative pivot shift, negative anterior drawer, and negative posterior sag. No medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. her range of motion was 5 to about 125 degrees. Her gait was slow and abnormal. My impression is that Maureen McNulty has primary degenerative joint disease of both knees which she has significant significant arthritis in the lateral compartment She had a cortisone shot and an aspiration",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11147_c14c9e77-b237-478c-a369-08f2642bc879_2.mp3
1755499990,GSG11147_c14c9e77-b237-478c-a369-08f2642bc879_3,00:01:33.080,00:02:01.060,"two-and-a-half months ago in both knees. Pain has gotten worse. Her husband is in the hospital and she is doing a lot of walking. She can barely get by. She wants to do an aspiration and cortisone shot. I told her about potential side effects associated with these injections sooner than three months, but at this point, her husband is in the hospital. We have to do whatever we have to do to help her and she is fine with that. under sterile technique. I numbed both knees. I aspirated 5 cc of clearish yellow fluid from the right knee and 2 cc of clearish yellow fluid from the left knee.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11147_c14c9e77-b237-478c-a369-08f2642bc879_3.mp3
1755499990,GSG11147_c14c9e77-b237-478c-a369-08f2642bc879_4,00:02:01.700,00:02:19.760,"I gave her an injection of 1 cc of 0.125% Marcaine without epinephrine along with 6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate. put down microphone for cortisone shot  Ice it, take it easy. I wished her husband the best, and if I could be of any help in the future, she is welcome back.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11147_c14c9e77-b237-478c-a369-08f2642bc879_4.mp3
1755501675,GSG11150_2b160498-a418-41bd-b438-a18b29a6e2b1_0,00:00:00.000,00:00:49.680,"Now dictating a follow-up note on BILLY LY date is 06/09/2025 Mr. Ly comes to the office today. I had done an ACL reconstruction on his left knee dating back to March 28, 2024 and he has done great. He just had an episode last week, where he was working up really really hard doing deep squats. He had swelling, pain. I numbed the area, aspirated fluid. got 33 C's, colloidal fluid, with some particular debris out of his knee. I gave him a cortisone shot. At this point, he feels perfect. No pain, no problems, no discomfort. He does not take any pain medication. He is happy about the results, which is great. He asked me questions about why this happened. I told him when we did the operation, he had damage to his meniscus, so I had to take out a part of his meniscus. I did an abrasion of his lateral femoral condyle,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11150_2b160498-a418-41bd-b438-a18b29a6e2b1_0.mp3
1755501675,GSG11150_2b160498-a418-41bd-b438-a18b29a6e2b1_1,00:00:49.680,00:01:17.180,"some of the debris may recur. He wants to know if he needs an operation, I told him probably 95% of the people I do an ACL reconstruction never have a second operation, but there is a possibility. possibility. I would decrease his squatting. I would decrease his running. He could swim, he could bike, he could do the elliptical machine and just be gentle on his knees, so he puts himself at less risk of recurrent problems. If this problem recurs again in the future, you can always aspirate the fluid and give him",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11150_2b160498-a418-41bd-b438-a18b29a6e2b1_1.mp3
1755501675,GSG11150_2b160498-a418-41bd-b438-a18b29a6e2b1_2,00:01:17.180,00:01:47.320,"another cortisone shot, but if it keeps happening week after week after week, then we would talk about doing an MRI for further evaluation. PHYSICAL EXAMINATION: Mr. Ly is a pleasant, cooperative male. His temperature in the office is 97.1. Examination of the left knee is perfect. No effusion, full range of motion, no tenderness, negative McMurray, negative Apley grind, negative negative Lachman, negative pivot shift, negative anterior drawer, and negative posterior sag. No medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress and his gait was normal. IMPRESSION: My impression is that Billy Ly had",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11150_2b160498-a418-41bd-b438-a18b29a6e2b1_2.mp3
1755501675,GSG11150_2b160498-a418-41bd-b438-a18b29a6e2b1_3,00:01:48.200,00:02:18.720,"had a internal derangement of his left knee probably as a result of overuse, so I aspirated his knee and did a cortisone shot when I had seen him last week in the office on June 2, 2025. At this point, he is completely asymptomatic. I cannot guarantee it is going to be continue to be that way, but I have a high likelihood that if he takes it easy, he does not hurt himself, does not do the deep squats, does a little bit of less running, I think he will be okay. If it gets worse in the future months down the road, you can always do another aspiration. He can take an occasional anti inflammatory medication.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11150_2b160498-a418-41bd-b438-a18b29a6e2b1_3.mp3
1755501675,GSG11150_2b160498-a418-41bd-b438-a18b29a6e2b1_4,00:02:18.720,00:02:26.720,"If it is terrible in the future, then repeating the MRI of his left knee may be helpful. I answered all of his questions. He was discharged from the office.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11150_2b160498-a418-41bd-b438-a18b29a6e2b1_4.mp3
1755501813,GSG11153_84e0f0b9-6dfa-48a9-b205-267c19a092ec_0,00:00:00.000,00:00:29.880,"Now dictating a follow-up note on ROBERT NILAN date is 06/09/2025 Mr. Nilan comes to the office today. I had seen him last week. He had primary degenerative joint disease of both knees. He had been seen by other doctors in the past. They did cortisone shots, no aspirations. I did an aspiration and cortisone shot to both knees. He is doing great much better than when he had treatment by the other doctors. He can stand, he can bend, he can walk, he can squat, he can push, he can go up and down stairs, and he has done superb.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11153_84e0f0b9-6dfa-48a9-b205-267c19a092ec_0.mp3
1755501813,GSG11153_84e0f0b9-6dfa-48a9-b205-267c19a092ec_1,00:00:30.380,00:00:56.320,"He never filled the Naprosyn prescription because he did not feel like he needed it. He is going on a trip to Croatia on a tour in September. He wants to know if he should come in and get a cortisone shot before he goes on the tour. I told him I think that is a good idea. So figure out whenever he is going and come and see me a couple of days before he leaves and I think that will make his trip much better. Obviously, if he has additional pain, problems or difficulties, he is welcome back for repeat evaluation.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11153_84e0f0b9-6dfa-48a9-b205-267c19a092ec_1.mp3
1755502024,GSG11154_7c150203-8977-4cf6-8116-92490e2fe82a_0,00:00:00.000,00:00:26.840,"Now dictating a follow-up note on KIMBERLY LEARY date is 06/09/2025 Ms. Leary comes to the office today. She has posttraumatic degenerative joint disease of her left knee and primary degenerative joint disease of her right knee. primary degenerative joint disease of her right knee. I performed cortisone shot in both knees back on November 13, 2024. She did great. She has a big performance coming up on June 21st, so I told her to come see",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11154_7c150203-8977-4cf6-8116-92490e2fe82a_0.mp3
1755502024,GSG11154_7c150203-8977-4cf6-8116-92490e2fe82a_1,00:00:26.840,00:00:55.380,"me on June 18th and we will do another aspiration and cortisone shot in both knees and I think it will make her feel better. If I do it today, by the time she has the performance, it may wear off and she was completely fine with this. She just complains of pain and swelling. I told her maybe weight reduction would help. She is trying to lose weight. I talked about the Wegovy and she does not want to consider that at all. PHYSICAL EXAMINATION: Ms. Leary is a pleasant and cooperative woman. She has small joint effusion present in both knees.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11154_7c150203-8977-4cf6-8116-92490e2fe82a_1.mp3
1755502024,GSG11154_7c150203-8977-4cf6-8116-92490e2fe82a_2,00:00:55.460,00:01:26.000,"and she has nicely healed arthroscopic portals in her left knee. She cannot fully extend or flex either knee. She has some very mild diffuse tenderness. No evidence of gross instability. Examination of the right knee. reveals also small joint effusion present. She lacks a couple of degrees of both flexion and extension. She has some tenderness present. Again, no gross evidence of instability. No x-rays were done today in my office. My impression is that Kimberly Leary has primary degenerative joint disease of her right knee and posttraumatic degenera",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11154_7c150203-8977-4cf6-8116-92490e2fe82a_2.mp3
1755502024,GSG11154_7c150203-8977-4cf6-8116-92490e2fe82a_3,00:01:26.000,00:01:51.800,"joint disease of her left knee. When I had seen her back in October of 2024, x-ray showed severe loss of medial compartment of the left knee and moderate loss of medial compartment of the right knee. She has mild genu varus deformity of both knees and some tenderness over the medial compartment of both knees. So, at this point, she would like to do another cortisone shot before her performance on June 21st, so I told her to come and see me on June",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11154_7c150203-8977-4cf6-8116-92490e2fe82a_3.mp3
1755502024,GSG11154_7c150203-8977-4cf6-8116-92490e2fe82a_4,00:01:51.800,00:02:14.180,"18th before the performance a few days, we will give her a cortisone shot and I think it will work great and she was fine with that. I will see Ms. Leary on June 18, 2025 for an aspiration and cortisone shot for both knees. Obviously, she could be a candidate for knee replacement in the future. and she wants to put that off as long as possible.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11154_7c150203-8977-4cf6-8116-92490e2fe82a_4.mp3
1755502396,GSG11155_0bcb3ed8-1c57-4cbd-ad2f-954f1460b170_0,00:00:00.000,00:00:33.120,"Now dictating a follow-up note on KEYONNAH Castro CASTRO date is 06/09/2025 Ms. Castro comes to the office today. Her date of injury goes back to October 23, 2023 where she tore the ACL in her left knee. I performed surgery on her left knee on October 24, 2024, now seven and a half months ago, I performed surgery on her left knee on October 24, 2024, now seven and a half months ago, where she had an arthroscopy of the left knee, partial lateral meniscectomy, abrasion arthroplasty of the lateral tibial plateau, and an ACL reconstruction with cadaver ligament. She states she is doing much better. She is now running.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11155_0bcb3ed8-1c57-4cbd-ad2f-954f1460b170_0.mp3
1755502396,GSG11155_0bcb3ed8-1c57-4cbd-ad2f-954f1460b170_1,00:00:34.060,00:01:03.780,"She does not really have any pain. She takes an occasional Naprosyn. Sometimes the weather will give her some achiness. She has had no episodes of giving out, and she is definitely doing better. Paragraph, Ms. Castro is obviously way beyond the typical timeframe of going back to work after an ACL reconstruction, but she works as a police officer and does not feel comfortable going back and she has had trouble running. Most people are back to regular activities at six months. PHYSICAL EXAMINATION: Ms. Castro is a pleasant and cooperative woman.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11155_0bcb3ed8-1c57-4cbd-ad2f-954f1460b170_1.mp3
1755502396,GSG11155_0bcb3ed8-1c57-4cbd-ad2f-954f1460b170_2,00:01:03.880,00:01:33.660,"Her temperature in the office is 96.9. Examination of the left knee revealed no tenderness, swelling, abrasions, discoloration or edema. She has nicely healed scars. She has full range of motion, 0 to 140 degrees. She has negative Lachman, negative pivot shift, negative anterior drawer, negative posterior sag, no medial or lateral instability in both 10 and 30 degrees of flexion with valgus and varus stress. period IMPRESSION: My impression is that Keyonnah Castro was wall to work the act October 23rd 2023 were still he's over lifting",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11155_0bcb3ed8-1c57-4cbd-ad2f-954f1460b170_2.mp3
1755502396,GSG11155_0bcb3ed8-1c57-4cbd-ad2f-954f1460b170_3,00:01:33.660,00:01:57.520,"operator left me October 24 2024 seven a half months ago over Shannon Ross with left knee partial endometriosis the operation off the place to level to go back so and an AC reconstruction with cadaver ligament. She is way slower than the average individual. In fact, she's slower in her rehab than anyone I have ever taken care of. In turn, there was a long delay between her injury on October 23,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11155_0bcb3ed8-1c57-4cbd-ad2f-954f1460b170_3.mp3
1755502396,GSG11155_0bcb3ed8-1c57-4cbd-ad2f-954f1460b170_4,00:01:57.520,00:02:24.760,"2023, and her subsequent surgery of October of 2024, a year that can sometimes give you a little bit of weakness. This was her choice to delay the surgery and not the insurance company's or mine. In turn, she is doing better. She is starting to run. She has minimal discomfort. Her examination is quite benign and her ACL looks great. PLAN: So, at this point, will continue with the physical therapy, continue with the home exercises.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11155_0bcb3ed8-1c57-4cbd-ad2f-954f1460b170_4.mp3
1755502396,GSG11155_0bcb3ed8-1c57-4cbd-ad2f-954f1460b170_5,00:02:24.760,00:03:05.360,"She will continue with the light duty. She can take the Naprosyn p.r.n. I gave her an appointment to see me in two weeks and I think at that evaluation, she will continue with the rehab program and home exercises, it is possible in two weeks based on how well she does. At some point, we will probably end up doing a functional capacity evaluation to see how she does. She thinks she is going to be able to return to full working activities as a police officer. It is a little unclear to me whether she will. Complicas and Servico, Postal Facts 1457, Harrisburg, Pennsylvania, 1705, Tensher Kim, Weiderhold, WEIDERHOLD, Economy 414-0000451, City of Orange Police Department.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11155_0bcb3ed8-1c57-4cbd-ad2f-954f1460b170_5.mp3
1755502396,GSG11155_0bcb3ed8-1c57-4cbd-ad2f-954f1460b170_6,00:03:06.080,00:03:14.780,"Tax Company of Maryland, M-A-R-I-L-Y-N, less than M-O-J-A-R-E-S, at FMCO at 973-257-2284. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11155_0bcb3ed8-1c57-4cbd-ad2f-954f1460b170_6.mp3
1755502634,GSG21162_4bdbb1bb-03b9-4160-bc50-7188ed5ec060_0,00:00:00.000,00:00:31.000,"Now dictating a follow-up note on COMPTON HENRY date is 06/09/2025 Mr. Henry comes to the office today. His date of injury goes back to May 27, 2025, approximately two weeks ago, where he sustained a contusion of his right hand and wrist region. I had seen him last week in the office on June 2, 2025. He was pretty swollen. He had limited range of motion. I put him on some 800 mg of ibuprofen and I told him if the swelling did not resolve, we would consider some physical therapy. He states he has gotten way better.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21162_4bdbb1bb-03b9-4160-bc50-7188ed5ec060_0.mp3
1755502634,GSG21162_4bdbb1bb-03b9-4160-bc50-7188ed5ec060_1,00:00:31.000,00:01:00.500,"The swelling is way down. His motion has improved. He still has some achiness and he has been doing light duty without problems. He has taken the 800 mg of ibuprofen twice a day. PHYSICAL EXAMINATION: Mr. Henry is a pleasant, cooperative male. He has a little bit of tenderness over the dorsal aspect of his right hand and wrist region. It is not hot or red. There is no swelling. He has good range of motion. He is neurologically intact. No trigger of the impulsions, no subluxation, extensor tendons, no Evans or active blue near swan ectomol.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21162_4bdbb1bb-03b9-4160-bc50-7188ed5ec060_1.mp3
1755502634,GSG21162_4bdbb1bb-03b9-4160-bc50-7188ed5ec060_2,00:01:00.500,00:01:28.560,"He's appeared in the Prysor-Prysor. Compton Henry was involved in a work with X in May 27, 2025 probably two weeks ago where he sustained a contusion of his right hand and wrist. He is way better. He has a little bit of tenderness, a little bit of achiness, but his motion is good. He does not have the swelling any longer. He is neurologically intact. intact. He wanted to know if going to therapy at this point would be helpful and I told him, his motion is good. The idea behind therapy is to improve his range of motion, so the",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21162_4bdbb1bb-03b9-4160-bc50-7188ed5ec060_2.mp3
1755502634,GSG21162_4bdbb1bb-03b9-4160-bc50-7188ed5ec060_3,00:01:28.560,00:01:59.720,"Therapy is not indicated, period. In term, he's still a little sore and uncomfortable. He's nervous about going back working as a corrections officer, period. Rep. And so I told mister Kronthol I told mister Henry, my recommendation is let's keep him in therapy excuse me. Let's continue the home exercise, continue to be ibuprofen. Again, a note for light duty. Again, appointment sent me in a week. If he's okay in a week, he probably be in my mind back to regular duty, period. Completely visit PMA. Post 55231 Janesville, Wisconsin 5354",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21162_4bdbb1bb-03b9-4160-bc50-7188ed5ec060_3.mp3
1755502634,GSG21162_4bdbb1bb-03b9-4160-bc50-7188ed5ec060_4,00:01:59.920,00:02:13.300,"Tencha Denise, e n I c, Kaushel, k u s h e l. W Water 004601327. For Essex County corrections, Faxaca Avenue, Denise Kaushel at 804329762. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21162_4bdbb1bb-03b9-4160-bc50-7188ed5ec060_4.mp3
1755502976,GSG21163_48e8f9d0-416a-4faa-a5a6-edc40aa2fc40_0,00:00:00.000,00:00:43.580,"Now dictating a note on Laura LAURA Delrios DELRIOS date is 06/09/2025 Ms. Delrios comes to the office today. She is approximately four and a half weeks status post strain of her right knee. I had seen her previously in my office on June 2, 2025. I could really see nothing significantly wrong. A lot of subjective complaints, a lot of symptom magnification, a lot of symptom magnification, but I recommended some therapy. Today she comes to the office. She states her right knee feels fine. She has been doing light duty, but she can do regular duty. She doesn't really think going to therapy matters anymore. and she is happy with the results. She can stand, bend, walk, squat, push, pull, sleep, sit in a car,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21163_48e8f9d0-416a-4faa-a5a6-edc40aa2fc40_0.mp3
1755502976,GSG21163_48e8f9d0-416a-4faa-a5a6-edc40aa2fc40_1,00:00:43.660,00:01:15.880,"go up and down stairs. PHYSICAL EXAMINATION: Ms. Delrios is a pleasant, cooperative woman. Her temperature in the office is 97.7. Examination of the right knee revealed no muscle spasms, no trigger points, no ecchymosis, erythema, abrasions, discoloration, edema, or tenderness. No effusion present. No popliteal cyst. Range of motion was full, 0 to 140 degrees. 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. Negative posterior sag. She walked with an entirely normal gait",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21163_48e8f9d0-416a-4faa-a5a6-edc40aa2fc40_1.mp3
1755502976,GSG21163_48e8f9d0-416a-4faa-a5a6-edc40aa2fc40_2,00:01:16.340,00:01:51.080,"without the use of crutches, canes, or orthopedic soft goods. Period. Laura Del Rios was involved in a work-related accident June 9, 2025. Approximately five weeks ago, received a contusion of right knee, which at this point has resolved the period. She has no subjective complaints, no objective findings, no more physical examination, and she wants to go back to regular duty tomorrow, which I find acceptable. So, at this point, Ms. Delrios can resume full working activity on June 10, 2025 without restrictions. There is no reason for any additional physical therapy. The exercises they taught her to do in therapy, she can do on her own at home.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21163_48e8f9d0-416a-4faa-a5a6-edc40aa2fc40_2.mp3
1755502976,GSG21163_48e8f9d0-416a-4faa-a5a6-edc40aa2fc40_3,00:01:51.680,00:02:21.840,"She is MMI at this time. I answered all of her questions for her, and she was discharged from the office. The company goes to Walmart Claim Services. Their post is Wax 14731, Lexington, Kentucky, 40512. Attention, Kimberly Kambi ROI bridges period G Yes, when the 25090905 reports Walmart and Linden. So I discovered a Danielle D and I E LLE freeze for ESC at FMC 0973 dash 257 dash 2284. Thank",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21163_48e8f9d0-416a-4faa-a5a6-edc40aa2fc40_3.mp3
1755503220,GSG21164_7be76645-495f-473e-8964-3aceeab6f2fe_0,00:00:00.000,00:00:28.760,"Now dictating a follow-up note on VERA SEMANYSHYN date is 06/09/2025 Ms. Semanyshyn comes to the office today. She has primary degenerative joint disease of the right knee. She is here today for her Orthovisc injections. She had already completed the Orthovisc injections to the left knee, which helped. At this point, she would like to start doing her right knee. PHYSICAL EXAMINATION: Ms. Semanyshyn is a pleasant, cooperative woman. She walks with a mildly abnormal gait. Examination of the right knee",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21164_7be76645-495f-473e-8964-3aceeab6f2fe_0.mp3
1755503220,GSG21164_7be76645-495f-473e-8964-3aceeab6f2fe_1,00:00:28.760,00:01:00.800,"reveals a small joint effusion present. She cannot fully extend or flex her knee. She has genu varus deformity. Range of motion is 5 degrees to about 100 degrees. Negative Lachman, negative pivot shift, negative anterior drawer, negative posterior sag, no medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. IMPRESSION: My impression is that Vera Semanyshyn has primary degenerative joint disease of her right knee with severe arthritis in the medial compartment. She also has significant arthritis in the patellofemoral joint. patellofemoral joint. She would like to start doing the visco-supplementation check",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21164_7be76645-495f-473e-8964-3aceeab6f2fe_1.mp3
1755503220,GSG21164_7be76645-495f-473e-8964-3aceeab6f2fe_2,00:01:00.920,00:01:14.000,"Orthovisc in the right knee. I am completely fine with that. PLAN: So, under sterile technique, I numbed the right knee. I aspirated 11 cc of clearish yellow fluid, gave her the first Orthovisc injection of the right knee and then I will see her back in the office next week",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21164_7be76645-495f-473e-8964-3aceeab6f2fe_2.mp3
1755507492,GSG11160_2d693e38-2d06-4f4b-8fa9-317a9018dd37_0,00:00:00.000,00:00:32.720,"Now dictating a follow-up note on Alina ALINA Adamczyk  ADAMCZYK date is 06/10/2025 Ms. Adamczyk comes to the office today accompanied by Meredith Levine, her nurse case manager of Triune Health. Ms. Adamczyk had been involved in a work-related accident on May 19. 2025, Approximately three weeks ago, where she sustained a cervical strain and bilateral trapezial strain. I had seen her in my office on May 28, 2025. I told her to stay away from anti-inflammatories because of her hypertension. She is also on Plavix. She is already taking Baby Aspirin.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11160_2d693e38-2d06-4f4b-8fa9-317a9018dd37_0.mp3
1755507492,GSG11160_2d693e38-2d06-4f4b-8fa9-317a9018dd37_0,00:00:00.000,00:00:32.720,"Now dictating a follow-up note on Alina ALINA Adamczyk  ADAMCZYK date is 06/10/2025 Ms. Adamczyk comes to the office today accompanied by Meredith Levine, her nurse case manager of Triune Health. Ms. Adamczyk had been involved in a work-related accident on May 19. 2025, Approximately three weeks ago, where she sustained a cervical strain and bilateral trapezial strain. I had seen her in my office on May 28, 2025. I told her to stay away from anti-inflammatories because of her hypertension. She is also on Plavix. She is already taking Baby Aspirin.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11160_2d693e38-2d06-4f4b-8fa9-317a9018dd37_0.mp3
1755507492,GSG11160_2d693e38-2d06-4f4b-8fa9-317a9018dd37_1,00:00:33.660,00:01:03.120,"She has been taking the occasional Tylenol. I had recommended some therapy. She has done one-week of therapy. She thinks it has helped. It gives her a little bit of less stiffness. She has been thinking posture, trying to keep it in the right position, so it does not aggravate her shoulder blades. and the exercises they taught her to do in therapy, she has been doing on her own at home. She is also doing okay with work. She denied upper extremity radiculopathy or bowel or bladder abnormalities. She takes an occasional Advil, which she has to be careful with, but she monitors her blood pressure and she states that has been okay.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11160_2d693e38-2d06-4f4b-8fa9-317a9018dd37_1.mp3
1755507492,GSG11160_2d693e38-2d06-4f4b-8fa9-317a9018dd37_2,00:01:03.120,00:01:32.760,"PHYSICAL EXAMINATION: Ms. Adamczyk is a pleasant and cooperative woman. Her temperature in the office is 97.4. Examination of the cervical spine reveals really no tenderness, a little tenderness over the trapezial muscles. Range of motion of the cervical spine is probably mildly decreased. Neurological lesion is actually a good range of motion of the shoulders. Negative pitch test, negative drop test, negative focus and no fixation. She had a negative Hoffman test, negative cross shoulder abduction test, negative sperm Spurling test.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11160_2d693e38-2d06-4f4b-8fa9-317a9018dd37_2.mp3
1755507492,GSG11160_2d693e38-2d06-4f4b-8fa9-317a9018dd37_3,00:01:32.760,00:01:59.320,"IMPRESSION: My impression is that Alina Adamczyk was involved in a work-related accident on May 19, 2025, three weeks ago, where she sustained a cervical strain and bilateral trapezial strain. She obviously has x-rays that are consistent with significant degenerative disc disease and degenerative arthritis. She had a non-work related motor vehicle accident back in 1980 where she injured her neck and she has had stiffness ever since. I told her that is probably result of having the accident from 1980s giving her some arthritis,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11160_2d693e38-2d06-4f4b-8fa9-317a9018dd37_3.mp3
1755507492,GSG11160_2d693e38-2d06-4f4b-8fa9-317a9018dd37_4,00:01:59.540,00:02:29.520,"and it is also age related. She has improved with the therapy. She is taking occasional Advil and Tylenol and the exercises they gave her to do in therapy, she has been doing on her own at home. She is doing okay with regular duty. So, at this point, I told Ms. Adamczyk, I will continue with her physical therapy. another week to go. Continue with the home exercises, think posture. I will let her continue with regular duty without restrictions and I think once she finishes the therapy, she would be MMI, just make sure she maintains those exercises on her own at home.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11160_2d693e38-2d06-4f4b-8fa9-317a9018dd37_4.mp3
1755507492,GSG11160_2d693e38-2d06-4f4b-8fa9-317a9018dd37_5,00:02:29.940,00:02:55.720,"I answered all the questions for her, and she was discharged from the office period. Conflict goes to strategic comp, c o n p, at Postal Bikes 4080, Clinton, Iowa 52733. Attention, Gina, g I n a, Borton, b o r t o n. The agent is 00721824. The place is the Pomptonian, P O M P T O N I A N. Fax, Gabon, America Levine, comma, RN at Triune at 630-586-9441. Thanks.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11160_2d693e38-2d06-4f4b-8fa9-317a9018dd37_5.mp3
1755507763,GSG11161_52716766-9b86-4d8f-9e1b-70b2ea60565e_0,00:00:00.000,00:00:29.540,"Now dictating a follow-up note on ROSE MCAULIFF date is 06/10/2025 Ms. McAuliff comes to the office today with her granddaughter. Her husband and her grandson are outside. I gave her a cortisone shot on June 4, 2025 in her left shoulder and she is way better, feeling better, functioning better, moving better. Both shoulders are better. She is still concerned that these are going to be long-term problems for her and I told her it is a possibility. She had an MR arthrogram of her right",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11161_52716766-9b86-4d8f-9e1b-70b2ea60565e_0.mp3
1755507763,GSG11161_52716766-9b86-4d8f-9e1b-70b2ea60565e_1,00:00:29.540,00:01:00.260,"shoulder done on May 27, 2025. She has a full thickness tear of the rotator cuff. She has a MRI of the left shoulder done on January 6, 2025, which showed a rotator cuff tendinosis. She is not really interested in operation, and I told her because of her cardiac problems, she would have to have an operation in the hospital. hospital i do not work in a hospital any longer. So, at some point, that is what she needs, then we will talk about sending her to a different orthopedist. She does not like going to therapy. She has been",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11161_52716766-9b86-4d8f-9e1b-70b2ea60565e_1.mp3
1755507763,GSG11161_52716766-9b86-4d8f-9e1b-70b2ea60565e_2,00:01:00.260,00:01:34.340,"doing that in the past. She feels much better. Both shoulders are just a little sore. She babysits her grandkids in the summertime. So, if she has to do something in the fall, she will consider that. She's going to Wildwood for a week. And I told her, enjoy your vacation. PHYSICAL EXAMINATION: Examination of the shoulders. reveals pretty good range of motion. She has a little bit of pain with the extreme. She has a negative drop test. Some mild diffuse tenderness in both shoulders, Weakly positive impingement test and weakly positive Neer test. She lacks the extremes of internal and external rotation. She has no deformity of the biceps or it is difficult to tell",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11161_52716766-9b86-4d8f-9e1b-70b2ea60565e_2.mp3
1755507763,GSG11161_52716766-9b86-4d8f-9e1b-70b2ea60565e_3,00:01:34.340,00:02:03.780,"she is a little bit overweight. Negative Neer test, negative Speed test, negative belly press test. Neurologically, she is intact. Rose McAuliff has problems with both shoulders. I gave her a cortisone shot in the left shoulder a week ago on June 4, 2025 and she is significantly better. significantly better, period. Went on vacation to Wildwoods, taking care of her grandkids in the summertime. She's got an MRI orthogram of her right shoulder, which shows a complete tear of the rotator cuff. She has an MRI of her left shoulder, which shows rotator",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11161_52716766-9b86-4d8f-9e1b-70b2ea60565e_3.mp3
1755507763,GSG11161_52716766-9b86-4d8f-9e1b-70b2ea60565e_4,00:02:03.780,00:02:34.040,"cuff tendinitis. some point, she may require surgery for this, but I told her the surgery would have to be inpatient surgery because of her medical condition, and I do not do any inpatient work any longer, so we will have to send her to another orthopedist. If she wants additional cortisone shots separated by at least two to three months That would be acceptable, but she also has to realize that with these cortisone shots, they are going affect her diabetes. The last cortisone shot really did not affect her. I discussed all this in depth with her, and if I could be of any assistance, she is welcome back.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11161_52716766-9b86-4d8f-9e1b-70b2ea60565e_4.mp3
1755507763,GSG11161_52716766-9b86-4d8f-9e1b-70b2ea60565e_5,00:02:34.040,00:02:37.140,She is not interested in going for any additional therapy.,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11161_52716766-9b86-4d8f-9e1b-70b2ea60565e_5.mp3
1755508171,GSG11162_95c3c80c-56cb-4a37-a83d-daa61af20a7d_0,00:00:00.000,00:00:30.540,"Now dictating a follow-up note on FERNANDO CARDOSO-MENDOZA date is 06/10/2025 Mr. Cardoso Mendoza comes to the office today accompanied by Meredith Levine, RN, his nurse case manager at Triune Health Care. His date of injury goes back to March 3, 2025, where he had some complaints of back pain and some right lower extremity radiculopathy. I have never seen any neurologic damage. He has been going to therapy which helps. He takes some occasional Naprosyn.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11162_95c3c80c-56cb-4a37-a83d-daa61af20a7d_0.mp3
1755508171,GSG11162_95c3c80c-56cb-4a37-a83d-daa61af20a7d_1,00:00:30.640,00:00:59.520,"He has been doing regular duty. As a result of his continued complaints of pain down the right lower extremity, I had recommended an EMG. That EMG was done by Dr. Robinton, a neurologist, on June 3, 2025 and interpreted as completely normal. Even the physical examination was normal. Dr. Robinton found no abnormalities whatsoever. I explained to Mr. Cardoso-Mendoza, his EMG is normal, which means there is no evidence of neurologic damage. It is a muscular strain. He is definitely better.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11162_95c3c80c-56cb-4a37-a83d-daa61af20a7d_1.mp3
1755508171,GSG11162_95c3c80c-56cb-4a37-a83d-daa61af20a7d_2,00:01:00.020,00:01:34.140,"He is doing regular duty. He states he gets occasional achiness in his back, but otherwise, he can stand, bend, walk, squat push, pull, sleep, sit in a car and do normal activities. new paragraph PHYSICAL EXAMINATION: Mr. Cardoso-Mendoza is a pleasant, cooperative male. He has no tenderness in his back. Good range of motion. No tenderness in the groin. No tenderness in the buttock. Full range of motion of both hips. Straight leg raise is negative. Sensory, motor, and reflexes are normal. Babinski’s are downward going. There is no clonus noted. He is able to toe and heel walk without discomfort. He got up and down off the exam table without any discomfort.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11162_95c3c80c-56cb-4a37-a83d-daa61af20a7d_2.mp3
1755508171,GSG11162_95c3c80c-56cb-4a37-a83d-daa61af20a7d_3,00:01:34.300,00:02:04.940,"IMPRESSION: My impression is that Fernando Cardoso-Mendoza had been involved in a work-related accident more than three months ago on March 3, 2025, where he sustained a lumbar strain some questionable right lower extremity radiculopathy. Obviously, the EMG performed by Dr. Robinton, a neurologist on June 3, 2025, comes back as normal and Dr. Robinton’s evaluation showed no neurologic problems. At this point, Mr. Cardoso-Mendoza is much better. He has minimal discomfort. His examination is normal. His EMG is normal. He is back to",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11162_95c3c80c-56cb-4a37-a83d-daa61af20a7d_3.mp3
1755508171,GSG11162_95c3c80c-56cb-4a37-a83d-daa61af20a7d_4,00:02:04.940,00:02:31.600,"regular duty. He has a few sessions of therapy left. I asked him if he wanted to finish up the therapy or just do the rest of the exercises on his own at home, He states he is probably going to finish up the last few exercises in therapy and then continue with home exercises. He takes an occasional Naprosyn. Mr. Cardoso-Mendoza’s diagnosis at this point is resolved lumbar strain with no evidence of neurologic damage based on the accident of March 3, 2025.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11162_95c3c80c-56cb-4a37-a83d-daa61af20a7d_4.mp3
1755508171,GSG11162_95c3c80c-56cb-4a37-a83d-daa61af20a7d_5,00:02:32.160,00:03:17.640,"Based on as a result of Mr. Cardozo Mendoza's work lead acts on 03/03/2025, he's a max medical benefit from treatment. There's no indication for any additional diagnostic or therapy modalities. He can continue to regular duty without any restrictions . If he gets occasional back pain, he could take an occasional nap or sin. He's got three sessions of therapy left. he can finish those up. And then the exfoliating his insulin therapy just continued doing his own at home, and he was fine with that, period. I answered all of his questions for him, and he was discharged from the office. He was given a note for regular duty, period. Complator goes to Great American Strategic Comp
C o n p. Post is 54080, Clinton, Iowa 52733. Detention Michael, s m t o r t o r e l l I. Name is Azanorth at 0070135.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11162_95c3c80c-56cb-4a37-a83d-daa61af20a7d_5.mp3
1755508171,GSG11162_95c3c80c-56cb-4a37-a83d-daa61af20a7d_6,00:03:20.720,00:03:24.860,"Coming to Meredith Levine, Palmorin is 630-586-32",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11162_95c3c80c-56cb-4a37-a83d-daa61af20a7d_6.mp3
1755508531,GSG11164_a40168b5-fe0b-47b6-b8a6-5f9da20515f0_0,00:00:00.000,00:00:24.000,"Now dictating a follow-up note on ANA DEFFER date is 06/10/2025 Ms. Deffer comes to the office today. Maria in my office helped translate between Spanish and English. Her date of injury goes back to January 22, 2025, where she injured her right shoulder at work. Period. I did surgery on her right shoulder on May 8, 2025, four-and-a-half weeks ago. arthroscopy of the right shoulder. Debridement of the superior labrum anterior-posterior tear.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11164_a40168b5-fe0b-47b6-b8a6-5f9da20515f0_0.mp3
1755508531,GSG11164_a40168b5-fe0b-47b6-b8a6-5f9da20515f0_1,00:00:24.000,00:00:58.140,"subacromial decompression, excision of the distal clavicle, mini arthrotomy, biceps tenodesis, and rotator cuff repair. She is doing better. She has less pain. She is moving better. She is only doing passive range of motion exercises. She is taking the ibuprofen. She is using the ice machine occasionally and all the exercises they taught her to do in therapy, she has been doing on her own at home. She has been out of work. PHYSICAL EXAMINATION: I did not put her through any active range of motion exercises, but passive range of motion, she can abduct and forward flex more than 100 degrees. She had about 35-40 degrees of passive internal and external",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11164_a40168b5-fe0b-47b6-b8a6-5f9da20515f0_1.mp3
1755508531,GSG11164_a40168b5-fe0b-47b6-b8a6-5f9da20515f0_2,00:00:58.140,00:01:30.160,"rotation. I did not do an impingement test, drop test, sulcus sign. I did not do any testing on her because I did not want to stress her rotator cuff. Her biceps has no deformity. range of motion of the elbow was good. actively and passively. Neurologically, she is normal. IMPRESSION: My impression is that Ana Deffer was involved in a work-related accident on January 22, 2025 where she injured her right shoulder. Was an injured right shoulder. I operated on her right shoulder. May, 2025, four and a half weeks ago. When she had an evaluation and seizure, I operated on the right shoulder, debridement of superior labral anterior posterior, subacromial compression of the clavicle,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11164_a40168b5-fe0b-47b6-b8a6-5f9da20515f0_2.mp3
1755508531,GSG11164_a40168b5-fe0b-47b6-b8a6-5f9da20515f0_3,00:01:30.700,00:02:03.440,"mixed-nest debridement of mini-arthronomy of biceps, hemodesis, and a rotator cuff repair. She definitely feels better. She has less pain. She has been doing passive range of motion exercises and no active range of motion exercises. At this point, she will continue to remain out of work. She will start active range of motion exercises in a week-and-a-half, which will be six weeks after the surgery. She can continue the ice unit. She can take the ibuprofen p.r.n. The exercises they gave her to do in therapy, she can do on her own at home. I gave her a note for out of work and an appointment. See me in two weeks for repeat evaluation. Paragraph. Usually, most people are back to light duty 8-12 weeks postoperatively",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11164_a40168b5-fe0b-47b6-b8a6-5f9da20515f0_3.mp3
1755508531,GSG11164_a40168b5-fe0b-47b6-b8a6-5f9da20515f0_4,00:02:03.440,00:02:18.240,"and most people are back to regular duty somewhere between 5-6 months postoperatively. Complete goes to next level administrators, Postal Sparks 3055, Milwaukee, Wisconsin 53201, Attention Joe Maldonado, MALDONADO, Clemence, University of New York, service and water",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11164_a40168b5-fe0b-47b6-b8a6-5f9da20515f0_4.mp3
1755508531,GSG11164_a40168b5-fe0b-47b6-b8a6-5f9da20515f0_5,00:02:18.240,00:02:38.500,"250-008-4063. Blue's Lanier, l y n e v r staffing solutions. Fax Gabby, Joe Maronado at 941-444-6200. Fax, papa to Ashton, a s h t o n, Edney e d n e y, at 941-269-4328 Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11164_a40168b5-fe0b-47b6-b8a6-5f9da20515f0_5.mp3
1755508843,GSG11166_031c3d04-7ad9-48e7-80b9-40d5fcab0032_0,00:00:00.000,00:00:29.000,"Now dictating a follow-up note on SUSAN MORALES date is 06/10/2025 Ms. Morales comes to the office today. Her date of injury goes back to May 15, 2025, three-and-a-half weeks ago, where she sustained an undisplaced fracture of the base of the left fifth metatarsal. She feels better. She drove to the office today. She has been out of work. She is taking some calcium and vitamin D, and I told her today we are going take her cast off and she is okay with that. new paragraph PHYSICAL EXAMINATION:",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11166_031c3d04-7ad9-48e7-80b9-40d5fcab0032_0.mp3
1755508843,GSG11166_031c3d04-7ad9-48e7-80b9-40d5fcab0032_1,00:00:29.000,00:00:58.500,"Comes, non weight bearing in a cast with a walker. She sometimes also uses crutches, period. The castors move. She probably had no minimal tenders over the fifth medatarsal, neurologically, and back. She's a little bit of stiffness in her foot. Toe motion was good. Home intestine. Topical x rays, AP, a little bit of x rays. The the left foot demonstrated undistplaced fracture at the base of left fifth metatarsal, with no significant fracture callus.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11166_031c3d04-7ad9-48e7-80b9-40d5fcab0032_1.mp3
1755508843,GSG11166_031c3d04-7ad9-48e7-80b9-40d5fcab0032_2,00:00:58.500,00:01:29.780,"IMPRESSION: My impression is that Susan Morales sustained a fracture of the base of the base of the left fifth metatarsal of her foot based on a work-related accident on May 15, 2025, three-and-a-half weeks ago. At this point, she feels better. She has less pain. The cast was removed. She was put in a short leg walking orthosis and she could be weightbearing as tolerated. and she could be weightbearing as tolerated She is a little sore and achy. She is driving and she has taken some calcium and vitamin D. She does not take any pain medications. paragraph PLAN: So, at this point. Ms. Morales will be weightbearing as tolerated. just be gentle. She can come out of short leg walker orthosis",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11166_031c3d04-7ad9-48e7-80b9-40d5fcab0032_2.mp3
1755508843,GSG11166_031c3d04-7ad9-48e7-80b9-40d5fcab0032_3,00:01:29.780,00:01:58.900,"and go through range of motion exercises Her ankle is not stiff. If her ankle ends up being stiff over the next couple of weeks, I can always start her on some therapy. Paragraph, I again explained to Ms. Morales that as far as work goes, I will keep her out of work. We will see her back in my office in one week for repeat evaluation and repeat x-rays and this fracture usually does extremely well. extremely well. 50% of the people with this fracture heal with a fibrous union and 50% heal with a bony union union, but usually either way it heals. Most people are asymptomatic without any long term pain",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11166_031c3d04-7ad9-48e7-80b9-40d5fcab0032_3.mp3
1755508843,GSG11166_031c3d04-7ad9-48e7-80b9-40d5fcab0032_4,00:01:58.900,00:02:28.680,"problems, or difficulties and she was completely fine with that. So, I will see her back in my office in two weeks for repeat evaluation. My best estimate is she will probably be going to be going back to work some sort of light duty in a few weeks when she is more comfortable, but she states her last day at school is June 26, 2025, about two weeks away. So my guess is she probably would not be going back to regular duty until after school ends. So probably she will be going back sometime in September because she does not work in the summer time. Compensation letter goes to Qualink.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11166_031c3d04-7ad9-48e7-80b9-40d5fcab0032_4.mp3
1755508843,GSG11166_031c3d04-7ad9-48e7-80b9-40d5fcab0032_5,00:02:28.780,00:02:52.680,"Supposed to be box 240819, Apple Valley, Minnesota, 55125. Attention, Sandra, S-A-N-D-R, Barbara, B-A-R-B-R, 01887, W is in water, the report is orange. City of Orange Board of Education. Facts of Governor Brandon, B-R-A, and D-1. Griffins, U-R-A-F-F-I-N at N-J-S-I-G at 609 or 386-2011. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11166_031c3d04-7ad9-48e7-80b9-40d5fcab0032_5.mp3
1755509113,GSG11168_b1a24f44-8239-4e30-9bb0-0cce0e2965ec_0,00:00:00.000,00:00:30.560,"Now dictating a follow-up note on MAIKO HARADA date is 06/10/2025 Ms. Harada comes to the office today. Her date of injury goes back to March 14, 2025, where she injured her left shoulder while dancing for the Carolyn Dorfman Dance Company. I had seen her previously in my office on April 1, 2025. I put her on some Naprosyn, gave her home exercises. She did not get much improvement. I then saw her again on April 27, 2025.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11168_b1a24f44-8239-4e30-9bb0-0cce0e2965ec_0.mp3
1755509113,GSG11168_b1a24f44-8239-4e30-9bb0-0cce0e2965ec_1,00:00:31.260,00:01:01.880,"I recommended some outpatient physical therapy. My diagnosis was strain of the left shoulder and a deltoid and pectoralis strain. She states she did get better. She went for a few sessions of therapy. She has been doing home exercises, but she still has some pain, some discomfort sleeping at nighttime and some pain with rotation. She is able to do most of the dancing, but she is not able to do all the dancing. Overhead activities bother her. She continues to take the Naprosyn and she has been trying to duplicate the exercises they taught her to do in therapy, but she has not been able to do all of it. You've got a physical examination.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11168_b1a24f44-8239-4e30-9bb0-0cce0e2965ec_1.mp3
1755509113,GSG11168_b1a24f44-8239-4e30-9bb0-0cce0e2965ec_2,00:01:01.880,00:01:30.940,"Ms. Harada is a foot club woman. Her temperature in the office is 97.9. Examination of the left shoulder, feels some tendency to have anterolateral aspects, you've got a positive impingement test, positive knee test, positive O'Brien test, questionably positive Speed test, negative belly press test, negative lift-off test, but she definitely lacks the extremes of internal and external rotation. She has a negative drop test. No deformity of the biceps. Neurologically, she is intact.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11168_b1a24f44-8239-4e30-9bb0-0cce0e2965ec_2.mp3
1755509113,GSG11168_b1a24f44-8239-4e30-9bb0-0cce0e2965ec_3,00:01:31.460,00:02:01.220,"IMPRESSION: My impression is that Maiko Harada was involved in a work-related accident on March 14, 2025, three months ago, She had a strain of her left shoulder and deltoid region. At this point, she continues to have some pain over the left shoulder, some mild discomfort over the deltoid. She is neurologically intact, but she has some mildly restricted range of motion. She has a positive impingement test, positive Neer test, positive Speed test, and positive O’Brien test. This clinically represents rotator cuff or labral pathology. She has only done a few sessions of therapy,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11168_b1a24f44-8239-4e30-9bb0-0cce0e2965ec_3.mp3
1755509113,GSG11168_b1a24f44-8239-4e30-9bb0-0cce0e2965ec_4,00:02:01.340,00:02:28.480,"which I do not think are adequate in order to rehabilitate her shoulder to the point where she is going to be able to participate in all activities. So, I explained to Ms. Harada, I will continue with the Naprosyn as needed. My recommendation is let us reinitiate the physical therapy for another few weeks and the last therapy location she only went once every other week for a few times, so she needs to go two to three times a week for another three weeks to work on strengthening.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11168_b1a24f44-8239-4e30-9bb0-0cce0e2965ec_4.mp3
1755509113,GSG11168_b1a24f44-8239-4e30-9bb0-0cce0e2965ec_5,00:02:28.540,00:02:56.360,"If she builds up the strength, improves the range of motion, she'll have less pain and discomfort. That's great. If the range of motion does not improve and she continues to have pain and discomfort, then potentially an MRI or MR arthrogram of the left shoulder for further evaluation of the rotator cuff and labrum would be appropriate. Completed with NYSIF. It posts with like 66699 Albany, New York 12206 number 75091728. Carolyn Dorfman Dance",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11168_b1a24f44-8239-4e30-9bb0-0cce0e2965ec_5.mp3
1755509522,GSG11172_ae8489d3-dfeb-4e2a-8f19-8e963634a84f_0,00:00:00.000,00:00:27.300,"Now, I'll take the following change. J.Y. Perez, P.R.A.Z. Date is June 10, 2025. This is an officer, 78-year-old, right-hand dominant businessman, complains of pain in both knees, right worse than the left. It has gotten progressively worse. He has trouble walking, squatting, kneeling, standing, or going up and down stairs. He had some visco-supplementation injections in the past, cortisone shots in the past.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11172_ae8489d3-dfeb-4e2a-8f19-8e963634a84f_0.mp3
1755509522,GSG11172_ae8489d3-dfeb-4e2a-8f19-8e963634a84f_1,00:00:27.920,00:00:56.760,"He would like to consider doing cortisone shots to try to improve his summer to make him more comfortable. I told him that is acceptable. PHYSICAL EXAMINATION: Mr. Berez is a pleasant, cooperative male. His temperature in the office is 97.7. Examination of his knees. reveals large joint effusion in his right knee, small joint effusion in his left knee. He cannot fully extend or flex either knee. He has a mild genu varus deformity of both knees, right a bit worse than left.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11172_ae8489d3-dfeb-4e2a-8f19-8e963634a84f_1.mp3
1755509522,GSG11172_ae8489d3-dfeb-4e2a-8f19-8e963634a84f_2,00:00:56.760,00:01:26.460,"Range of motion of his right knee is 70 to probably about 115 degrees. Range of motion of the left knee was 5 to about 125 degrees. He had some mild tenderness in the medial compartment bilaterally. Negative McMurray's, negative Apley grind, Lachman, negative pivot shift, negative anterior drawer, negative posterior sag. No medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. My impression is that Jay Berez has primary degenerative joint disease of both knees, the right knee is worse than the left.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11172_ae8489d3-dfeb-4e2a-8f19-8e963634a84f_2.mp3
1755509522,GSG11172_ae8489d3-dfeb-4e2a-8f19-8e963634a84f_3,00:01:26.460,00:01:53.000,"He would like me to do an aspiration and cortisone shot in both knees. We will evaluate him, see if it helps. I know in the past sometimes I have had to give him a couple of cortisone shots to make him more comfortable and he was fine with that. So, under sterile technique, I numbed both knees, I aspirated 26 cc of clearish yellow fluid from his right knee, 8 cc of clearish yellow fluid from his left knee. I gave him an injection of 1 cc of 0.125% Marcaine without epinephrine.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11172_ae8489d3-dfeb-4e2a-8f19-8e963634a84f_3.mp3
1755509522,GSG11172_ae8489d3-dfeb-4e2a-8f19-8e963634a84f_4,00:01:53.000,00:02:14.080,"6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate into both knees. put down a macro four cortisone shot. I told him to ice it, take it easy, do the home exercises, a little bit of weight reduction would help. I gave him an appointment to see me in a week to see what happens. I know in the past I have had to give him a couple of injections in his knees to make him feel more comfortable and he was fine with that",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11172_ae8489d3-dfeb-4e2a-8f19-8e963634a84f_4.mp3
1755509750,GSG21168_a8ab5041-45c1-4d2f-a0b1-6d4f7793fc39_0,00:00:00.000,00:00:29.960,"Now dictating a follow-up note on FRANCES M INGE date is 06/10/2025 Ms. Inge comes to the office today. She still complains about back pain. I had seen her previously in my office on May 19, 2025. She had high blood pressure, so I told her to avoid anti-inflammatories. She had degenerative arthritis, degenerative disc disease, lumbar strain. I recommended therapy. She did not go. She wants a shot. I told her there is no shot that I can give her that is going to resolve this problem and she states she had it years ago and it",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21168_a8ab5041-45c1-4d2f-a0b1-6d4f7793fc39_0.mp3
1755509750,GSG21168_a8ab5041-45c1-4d2f-a0b1-6d4f7793fc39_1,00:00:29.960,00:01:02.500,"helped her, but I told her if that is the case she needs to see another doctor, I do not have a shot for her. She has no bowel or bladder abnormalities, no lower extremity radiculopathy. She has been busy going to Florida and running around. She is not a great candidate for anti-inflammatories because of hypertension. PHYSICAL EXAMINATION: Ms. Inge is a pleasant and cooperative woman. Examination of her back reveals minimal tenderness. Range of motion may be slightly decreased. Sensory, motor and reflexes were normal. Babinski’s were downward going. No clonus was present. She was able to toe and heel walk. and get up and down off the table without discomfort.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21168_a8ab5041-45c1-4d2f-a0b1-6d4f7793fc39_1.mp3
1755509750,GSG21168_a8ab5041-45c1-4d2f-a0b1-6d4f7793fc39_2,00:01:03.680,00:01:39.260,"She walks with an entirely normal gait. She has back pain but she has no evidence of any type of neurologic abnormalities. IMPRESSION: My impression is that Frances Inge has low back pain. She has lumbar strain chronic degenerative disc disease degenerative arthritis There is no lower extremity radiculopathy no bowel or bladder abnormalities No evidence of neurologic damage. So I explained to her like last time, she is not a great candidate for anti-inflammatory medications because of hypertension, so she can take Tylenol. I would also recommend she do the physical therapy. She keeps asking me for a shot but I told her",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21168_a8ab5041-45c1-4d2f-a0b1-6d4f7793fc39_2.mp3
1755509750,GSG21168_a8ab5041-45c1-4d2f-a0b1-6d4f7793fc39_3,00:01:39.260,00:02:10.320,"I do not have a shot that is going to make this problem better. I kept telling her that and I explained to her there is no shot that is going to resolve this. So, I told her to try the physical therapy, see what happens. Hopefully that will improve her. I can also give her a Medrol Dosepak but she also has diabetes. and that is going to affect her diabetes. So, I told her it is a typical problem in a 70-year old to have. I think if she does rehab she is going to get better. If she does not, then she is obviously welcome back for repeat evaluation.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21168_a8ab5041-45c1-4d2f-a0b1-6d4f7793fc39_3.mp3
1755510047,GSG21170_4a3684f2-2d52-465f-a93d-25bf6575b6b9_0,00:00:00.000,00:00:30.000,"Now dictating a follow-up note on jose JOSE soza SOZA date is 06/10/2025 Mr. Soza comes to the office today. His date of injury goes back to April 18, 2025, approximately seven weeks ago where he sustained a lumbar strain. I had seen him multiple times in the office. I never saw any objective abnormalities, but I put him on some Celebrex and sent him for some therapy. He has finished most of the therapy. He feels better. He has been doing light duty, but at this point, he feels he can go back to regular duty. He can stand, bend",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21170_4a3684f2-2d52-465f-a93d-25bf6575b6b9_0.mp3
1755510047,GSG21170_4a3684f2-2d52-465f-a93d-25bf6575b6b9_1,00:00:30.000,00:01:01.100,"walk, squat, push, pull, sleep, and drive. He has no lower extremity radiculopathy. No bowel or bladder abnormalities. He takes the Celebrex occasionally. New paragraph label is PHYSICAL EXAMINATION: So he is pleasent cooperative male, examination back, revealed no muscle spasms, no trigger points, no ecchymosis, erythema, abrasions, discoloration, tenderness or edema. He has full range of motion, but his fingertips to the floor. He had full extension and full left and right lateral bend and rotation. Sensory, motor and reflexes of both lower extremities were intact. Babinski's were downward going. No clonus was present.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21170_4a3684f2-2d52-465f-a93d-25bf6575b6b9_1.mp3
1755510047,GSG21170_4a3684f2-2d52-465f-a93d-25bf6575b6b9_2,00:01:01.700,00:01:32.380,"He was able to toe and heel walk and get up and down off the examining table without discomfort. His gait was normal. New Persian, Russian, Jose Sosa was involved in a work-related accident on April 18, 2005, about seven weeks ago. He received a mild lumbar strain, which at this point has resolved. His physical examination is normal. He really has no potential findings. He's done quite a bit of therapy, and the exercises he told him to do in therapy he's been doing on his own at home. He has been doing light duty, but at this point, he would like to go back to regular duty.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21170_4a3684f2-2d52-465f-a93d-25bf6575b6b9_2.mp3
1755510047,GSG21170_4a3684f2-2d52-465f-a93d-25bf6575b6b9_3,00:01:32.460,00:02:02.680,"At this point, Mr. Soza can resume regular duty on June 11, 2025, without restrictions. At this point, I will consider him to be at maximum medical benefits from treatment. There is no indication to continue with the therapy, but the exercises they taught him to do in therapy, he can do it at home. No reason to take the Celebrex any longer considering his examination is normal. I answered all of his questions for him and he was discharged from the office. Thank you. Any dictation? Accomplator goes, Cedric. Hipposco's Box 14537. Lexington, Kentucky 4.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21170_4a3684f2-2d52-465f-a93d-25bf6575b6b9_3.mp3
1755510391,GSG21171_770d540b-ad29-4221-afaa-549ab1a5c0af_0,00:00:00.000,00:00:29.840,"Now dictating a follow-up note on WALBERTO TORRES date is 06/10/2025 Mr. Torres comes to the office today complaining about increasing pain in both knees. He gets an occasional cortisone shot as a result of internal derangement and primary degenerative joint disease. The last time he had a shot dates back to December 18, 2024, and he did much better after that. He states that he has also noticed there was a lot of swelling in his left knee.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21171_770d540b-ad29-4221-afaa-549ab1a5c0af_0.mp3
1755510391,GSG21171_770d540b-ad29-4221-afaa-549ab1a5c0af_1,00:00:29.920,00:01:00.460,"The swelling got better, but now he started getting swelling in his left leg. I told him that could be a function of a deep vein thrombosis or probably more likely ruptured popliteal cyst, which the fluid then went down his leg. He had a little achiness in the left leg, but really no problems and he is doing regular duty. He has three grandkids. He takes some occasional Tylenol. He does have high blood pressure and I told him to avoid anti-inflammatories. PHYSICAL EXAMINATION: Mr. Torres is a pleasant and cooperative male. He has small joint effusion present in both knees.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21171_770d540b-ad29-4221-afaa-549ab1a5c0af_1.mp3
1755510391,GSG21171_770d540b-ad29-4221-afaa-549ab1a5c0af_2,00:01:00.960,00:01:31.840,"He's got two centimeters increase from the left calf to the right calf. His home intensity of tops the test was normal. He's got some mild tenderness in both knees. His range of motion is three to about 130 degrees bilateral. He's got a negative block, negative fifth, negative antiorrheal, negative posterior sag. No medial or lateral stability in 10 to 30 degrees of flight from the values of his stress. Paragraph, pressure might pressure in well-portrait of Taurus has internal drainage my both knees got some mild primary genital joints these are both knees i do that created his knees back",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21171_770d540b-ad29-4221-afaa-549ab1a5c0af_2.mp3
1755510391,GSG21171_770d540b-ad29-4221-afaa-549ab1a5c0af_3,00:01:31.840,00:01:58.860,"from december 18 2024 which shows your fights off the medial tibial plateau both knees lateral tibial plateau or the right knee it's a minimal narrow in the middle compartment of the right knee paragraph. So, at this point, Mr. Torres has aggravation of the internal derangement of his both knees, it could be a meniscal lesion. He also has an aggravation of this arthritic condition of both knees, but the arthritis is mild. He also has swelling in his left calf. I think it is most likely as a result of the ruptured popliteal cyst, but it could",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21171_770d540b-ad29-4221-afaa-549ab1a5c0af_3.mp3
1755510391,GSG21171_770d540b-ad29-4221-afaa-549ab1a5c0af_4,00:01:58.860,00:02:29.900,"also be a potential deep vein thrombosis. Paragraph PLAN: So, at this point, I explained to Mr. Torres what he had previously, where I did an aspirational cortisone shot. We can do that on both knees, and he's completely fine with that. So I numbed both knees, took out six CCs of cholesterol fluid from the right knee, eight CCs of cholesterol fluid from the left knee, gave him injection of one CC of 0.125% of Marcaine without epinephrine along with 6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate. put down a macrophore cortisone shots. ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21171_770d540b-ad29-4221-afaa-549ab1a5c0af_4.mp3
1755510391,GSG21171_770d540b-ad29-4221-afaa-549ab1a5c0af_5,00:02:30.060,00:03:00.000,"and ice it. The cortisone shot will work in a couple of days. I recommended him to get a Doppler study of his left calf to make sure we are dealing with ruptured popliteal cyst rather than a blood clot and as long as it is a ruptured popliteal cyst, we will not worry about that and if it is a blood clot, then we will have to treat him appropriately. I told him that the technician will probably tell him but we will get the results in a couple of days and we will let him know as soon as we have the results And if he wants to repeat these injections in the future that is appropriate. If the knee pain gets worse then potentially an MRI of one or both knees",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21171_770d540b-ad29-4221-afaa-549ab1a5c0af_5.mp3
1755510391,GSG21171_770d540b-ad29-4221-afaa-549ab1a5c0af_6,00:03:00.000,00:03:02.860,may also be indicated to rule out meniscal lesions.,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21171_770d540b-ad29-4221-afaa-549ab1a5c0af_6.mp3
1755510812,GSG21172_fc6633e1-ca52-43ca-be0c-0f48831ba49a_0,00:00:00.000,00:00:30.780,"Now dictating a follow-up note on RAYMOND BONET date is 06/10/2025 Mr. Bonet comes to the office today. His date of injury goes back to December 20, 2023, where he injured his left shoulder at work. I operated on his left shoulder on April 3, 2025, now approximately two months and a week ago when he had an arthroscopy of the left shoulder, subacromial decompression, excision of the distal clavicle, extensive debridement, mini-arthrotomy, biceps tenodesis and a rotator cuff repair. He is definitely doing better.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21172_fc6633e1-ca52-43ca-be0c-0f48831ba49a_0.mp3
1755510812,GSG21172_fc6633e1-ca52-43ca-be0c-0f48831ba49a_1,00:00:31.220,00:01:06.220,"His motion is improving actively and passively. He has less pain. He takes the ibuprofen as needed. He has been using the ice machine, the T-bar and pulley system and the exercises they have given him to do in physical therapy, he is also doing on his own at home. He has been out of work. He does not think they will give him light duty on the job. New paragraph PHYSICAL EXAMINATION: Mr. Bonet is a pleasant and cooperative male. His temperature in the office is 98.3. Examination of the left shoulder revealed nicely-healed incision. It is not hot or red. There is no swelling. He has some mild diffuse tenderness",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21172_fc6633e1-ca52-43ca-be0c-0f48831ba49a_1.mp3
1755510812,GSG21172_fc6633e1-ca52-43ca-be0c-0f48831ba49a_2,00:01:06.220,00:01:37.540,"He can now abduct and forward flex about 100 to 105 degrees actively about 40 degrees of active internal and external rotation. Passively he can probably abduct and forward flex about 130 degrees and passively he had about 50 degrees of internal and external rotation. I did not do an impingement test. I did not do a Neer test because he just had surgery. I did not do a push-off test or belly press test. because I did not want to stress his rotator cuff. He had no deformity of the biceps. Neurologically, he was normal. My impression is that",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21172_fc6633e1-ca52-43ca-be0c-0f48831ba49a_2.mp3
1755510812,GSG21172_fc6633e1-ca52-43ca-be0c-0f48831ba49a_3,00:01:37.540,00:02:09.620,"Raymond Bonet was involved in a work-related accident on December 20, 2023, where he injured his left shoulder. He had an operation in his left shoulder two months and a week ago on April 3, 2025, when he had the arthroscopy of the left shoulder, subclinic compression, assisted with clavicle, a sense of debris in mind. I did a mini-arthrotomy, a bicep tenodesis, and a rotator cuff repair. I think he is doing very well. His passive and active range of motion is improving. He has less pain. He takes the ibuprofen. He has been doing the therapy. He has been doing home exercises. and he has been out of work. Use the ice machine as necessary.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21172_fc6633e1-ca52-43ca-be0c-0f48831ba49a_3.mp3
1755510812,GSG21172_fc6633e1-ca52-43ca-be0c-0f48831ba49a_4,00:02:11.020,00:02:40.220,"PLAN: So, at this point, Mr. Bonet will continue with the therapy. He will continue with passive and active range of motion exercises, but just be gentle. He can do active range of motion exercises also for his biceps, but again light weight, nothing forceful. As far as work goes, I gave him a note for light duty on June 11, 2025. No overhead work and no forceful activities with the left shoulder, but he does not think they will give him light duty. I told him if there is no light duty, then he may remain out of work. I gave him an appointment to see me in two weeks for repeat evaluation and the most",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21172_fc6633e1-ca52-43ca-be0c-0f48831ba49a_4.mp3
1755510812,GSG21172_fc6633e1-ca52-43ca-be0c-0f48831ba49a_5,00:02:40.220,00:03:07.320,"important thing is all the exercises they gave him to do in therapy, make sure he does on his own at home and it's typically a five- to six-month rehab program before going back to regular duty. The company goes to Amtras, North America. Posts with Fax 89404. Cleveland, Ohio 44101. Attention Mike Campos, c n p o. Claim is 3779925. And for c o l t e r Peterson, p e t r s o n. Fax. Get him to Mike Campos. (678) 258-8395. Thanks.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21172_fc6633e1-ca52-43ca-be0c-0f48831ba49a_5.mp3
1755511314,GSG21176_31553926-8ea5-4d4c-bc74-9cbfbbadad67_0,00:00:00.000,00:00:30.720,"Now dictating a follow-up note on NINA MIDURA date is 06/10/2025 Ms. Midura comes to the office today. She has increasing pain her right knee. She had a cortisone shot in her right knee a couple of years ago which helped her significantly. Her husband recently had open heart surgery, valve surgery. so she has seen a lot, very stiff. She has been taking some over-the-counter ibuprofen. She has high blood pressure and diabetes, but she does not take any medications any longer for She wants to know if she can have another cortisone shot because her",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21176_31553926-8ea5-4d4c-bc74-9cbfbbadad67_0.mp3
1755511314,GSG21176_31553926-8ea5-4d4c-bc74-9cbfbbadad67_1,00:00:30.720,00:01:09.760,"husband is still having problems, so she needs to be able to be more active. She is just sore, stiff, achy and uncomfortable with the left knee. X-rays in the past did show degenerative changes. Paragraph PHYSICAL EXAMINATION: Ms. Midura is a pleasant and cooperative woman. Her temperature in the office is 97 1. Examination of the left knee. joint effusion present. She lacks a couple of degrees of flexion and extension. She has some mild diffuse tenderness medially and laterally. Negative 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 in valgus and varus stress. IMPRESSION: My impression is that Nina Midura has primary degenerative joint disease of both knees,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21176_31553926-8ea5-4d4c-bc74-9cbfbbadad67_1.mp3
1755511314,GSG21176_31553926-8ea5-4d4c-bc74-9cbfbbadad67_2,00:01:09.860,00:01:38.800,"which her left knee is just miserable. She wants to know if she can do a cortisone shot and I told her absolutely fine, not a problem. So, I numbed the area, aspirated 8 cc of clearish yellow fluid with some debris from the left knee. I 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. Put that in macrophore cortisone shot. Ice it, take a little bit easy. it will take a couple of days to work Hopefully that will help.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21176_31553926-8ea5-4d4c-bc74-9cbfbbadad67_2.mp3
1755511314,GSG21176_31553926-8ea5-4d4c-bc74-9cbfbbadad67_3,00:01:38.800,00:01:59.600,"A little bit of weight reduction would help. This can affect her diabetes, but she states her diabetes is otherwise in good control. Probably avoid a lot of the anti-inflammatory medications because of hypertension.  She states she has been taking Motrin anyway, it does not help, so she would probably just take some Tylenol. If this gets worse in the future, will see her back for repeat evaluation of her left knee.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21176_31553926-8ea5-4d4c-bc74-9cbfbbadad67_3.mp3
1755511449,GSG21178_39c165e5-2bdc-4bc4-943e-9529610bd774_0,00:00:00.000,00:00:30.180,"Now dictating a note on CARMELINO JUAREZ-HERNANDEZ date is 06/10/2025 I have been taking care of Mr. Carmelino Juarez-Hernandez in the office based on a work-related accident he was involved in on August 19, 2024, involving his right shoulder. He had an MRI of his right shoulder showing evidence of a superior labrum anterior-posterior tear",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21178_39c165e5-2bdc-4bc4-943e-9529610bd774_0.mp3
1755511449,GSG21178_39c165e5-2bdc-4bc4-943e-9529610bd774_1,00:00:30.180,00:01:01.660,"and some damage to his rotator cuff. I had recommended surgery on Mr. Juarez-Hernandez's right shoulder based on the work-related accident on August 19, 2024. Within a reasonable degree of medical probability, the accident of August 19, 2024, is the cause of Mr. Juarez-Hernandez's injury to the right shoulder and considering his failed conservative treatment, surgery on his right shoulder is medically indicated as a result of that work-related accident",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21178_39c165e5-2bdc-4bc4-943e-9529610bd774_1.mp3
1755511449,GSG21178_39c165e5-2bdc-4bc4-943e-9529610bd774_2,00:01:01.660,00:01:30.120,"of August 19, 2024. It is medically necessary for Mr. Juarez-Hernandez to undergo the surgery on his right shoulder in order to be able to perform the activities he could do prior to the accident of August 19, 2024. This should go to Travelers Insurance, Postal Spikes 4614, Buffalo, NY 14240, attention EDNA, last name P-E-L-A-E-Z, claim is Efficent Frank, 5-T-S-N-H-O-M-4658,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21178_39c165e5-2bdc-4bc4-943e-9529610bd774_2.mp3
1755511449,GSG21178_39c165e5-2bdc-4bc4-943e-9529610bd774_3,00:01:30.120,00:01:38.720,"there's F-A-W-U-W-O-D cabinetry, C-A-B-N-E-T-R-Y. Give a copy of this to Jose, thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21178_39c165e5-2bdc-4bc4-943e-9529610bd774_3.mp3
1755513169,GSG11179_c874c382-8ed6-4d1e-903d-f39d0dae9690_1,00:00:31.360,00:00:59.980,"for the right ankle she has been wearing the lace-up ankle brace for the left ankle. She states that she has been doing home exercises anytime she is up and around. She wears the boot for the right leg and and otherwise she is walking better, functioning better, and her brother drove her to the office today. She has been out of work. She is a little sore and achy, but significantly better as compared to previously. She is taking calcium with vitamin D, but she does not take any pain medications. medications. PHYSICAL EXAMINATION: Examination of the left ankle revealed no swelling,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11179_c874c382-8ed6-4d1e-903d-f39d0dae9690_1.mp3
1755513169,GSG11179_c874c382-8ed6-4d1e-903d-f39d0dae9690_2,00:00:59.980,00:01:34.580,"maybe a little tenderness over the anterior talofibular ligament. Homan test was negative. Thompson test was normal. Achilles tendon was intact. There was no tenderness in the hindfoot, midfoot or forefoot region. Examination of the right ankle. there is no tenderness. maybe a 0.5 cm swelling of the right ankle compared to the left. She has pretty good plantarflexion, dorsiflexion, slightly decreased inversion and eversion. There was no tenderness over the medial or lateral malleolus, so the medial deltoid ligament over the anterior or posterior talofibular ligament. or the anterior or posterior talofibular ligament. No evidence of instability with anterior drawer or inversion stress. New paragraph, X-RAYS: AP, lateral and oblique x-rays of the right ankle",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11179_c874c382-8ed6-4d1e-903d-f39d0dae9690_2.mp3
1755513169,GSG11179_c874c382-8ed6-4d1e-903d-f39d0dae9690_3,00:01:34.700,00:02:05.080,"demonstrate excellent alignment in healing of the fracture of the lateral and posterior malleolus. There was no evidence of separation of the medial clear space. the posterior malleolus, medial clear space. Michele Spears was involved in a work-related accident on April 22, 2025, seven weeks ago, where she sustained a minimally to undisplaced fracture of the posterior and malleolus of the right ankle and a mild sprain of the anterior talofibular ligament of her left ankle. She is doing much better. She has been in the boot for the right ankle.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11179_c874c382-8ed6-4d1e-903d-f39d0dae9690_3.mp3
1755513169,GSG11179_c874c382-8ed6-4d1e-903d-f39d0dae9690_4,00:02:05.080,00:02:30.080,"She has been in a lace-up ankle brace for the left ankle. She takes the boot off when she is home and has been going through range of motion exercises for the last couple of weeks. She has a little achiness. She is still not driving because she is in a boot for the right ankle, but she is definitely more comfortable. She is walking pretty well with minimal discomfort. PLAN: So, I told Ms. Spears, I would recommend to continue with the calcium and vitamin D",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11179_c874c382-8ed6-4d1e-903d-f39d0dae9690_4.mp3
1755513169,GSG11179_c874c382-8ed6-4d1e-903d-f39d0dae9690_5,00:02:30.280,00:02:54.680,"and to continue with the home exercises. At this point, I would also recommend some outpatient physical therapy for both ankles. As far as work goes, I gave her a note for out of work. I will continue with the short-leg walking arthrosis with the right ankle. As far as the left ankle goes, she can probably discontinue use of the lace-up ankle brace and I gave her an appointment to see me in two weeks for repeat evaluation and repeat x-rays. School",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11179_c874c382-8ed6-4d1e-903d-f39d0dae9690_5.mp3
1755513169,GSG11179_c874c382-8ed6-4d1e-903d-f39d0dae9690_6,00:02:54.680,00:03:40.420,"apparently ends in two weeks, so probably I would send her back to regular duty in two weeks because she does not really start school until September of 2025. I can easily imagine a four to six-week rehab program for the ankles before being MMI and discharged. Obviously, this will also be based on how her x-rays look over the next couple of weeks with regard to the healing. I will continue with the calcium and vitamin D. I wrote a prescription for therapy, and if there's any increasing pain, problems, or difficulties, let me know. Completed goes to Insurfco, Postal Fax 1457, Harrisburg, Pennsylvania 1705. Detention Dawn. Last name is c u e m a n. Claim is 44 0000017.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11179_c874c382-8ed6-4d1e-903d-f39d0dae9690_6.mp3
1755513169,GSG11179_c874c382-8ed6-4d1e-903d-f39d0dae9690_7,00:03:40.600,00:03:45.780,West Orange Board of Education. Tax coverage on Cuman.,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11179_c874c382-8ed6-4d1e-903d-f39d0dae9690_7.mp3
1755513608,GSG11180_0f9b4889-2e85-4710-b795-f85d2db0d071_0,00:00:00.000,00:00:34.000,"Now dictating a follow-up note on CARLOS ZAPATA date is 06/11/2025 Mr. Zapata comes to the office today, accompanied by his wife. His date of injury goes back to September 4, 2024, where he injured his right shoulder. I did surgery on his right shoulder on February 6, 2025, four months and a week ago. where he had an arthroscopy of the right shoulder, debridement of the superior lateral posterior labral tear, extensive debridement, subacromial decompression, excision of the distal clavicle, mini-arthrotomy, biceps tenodesis, and a rotator cuff repair. He is doing better. He has less pain. He has ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11180_0f9b4889-2e85-4710-b795-f85d2db0d071_0.mp3
1755513608,GSG11180_0f9b4889-2e85-4710-b795-f85d2db0d071_1,00:00:34.000,00:01:03.400,"Better function, but he's still a little stiff. He gets a little clicking and crackling. I told him I can give him a cortisone shot, which will help break up some of the scar tissue, help him.

He thinks he'd like to continue the therapy another couple weeks, see what happens. And if he doesn't get better, then he'll consider the cortisone shot. He's been doing like duty. He's taking the ibuprofen.

He states the insurance company is sometimes giving him a hard time. They don't authorize all his physical therapy, and I told him it's very important not to miss therapy. I asked him if he's missed therapy. He states he is not pure.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11180_0f9b4889-2e85-4710-b795-f85d2db0d071_1.mp3
1755513608,GSG11180_0f9b4889-2e85-4710-b795-f85d2db0d071_2,00:01:04.040,00:01:32.220,"So, I told him if he has problems with the insurance company to let me know, but otherwise keep doing the physical therapy. The exercise he didn't do at home, he's also doing on his own at the exercise he didn't do in therapy, he does on his own at home. PHYSICAL EXAMINATION: Mr. Zapata is a pleasant and cooperative male. Examination of his right shoulder reveals maybe a little tiny tenderness over the AC joint, no tenderness over the anterior, lateral or posterior cuff. His range of motion is almost 140 degrees of abduction and forward flexion actively and passively about the same.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11180_0f9b4889-2e85-4710-b795-f85d2db0d071_2.mp3
1755513608,GSG11180_0f9b4889-2e85-4710-b795-f85d2db0d071_3,00:01:32.220,00:02:18.240,"He has about 55 degrees external rotation, 50 degrees of internal rotation actively, passively, maybe just a touch better, but his range of motion has sort of stayed the same. I told him if I give him a cortisone shot, I think it would help him, but he liked to hold off on the cortisone shot and try the therapy a little bit longer. He has negative impingement test, negative drop test, negative Neer test, negative Speed test, negative O'Brien test, negative belly press test, negative lift-off test. Neurologically, he is normal. There is no deformity of the biceps. Strength is great for the biceps, probably a little bit weak for the rotator cuff. Debris growth and pressure by a patient called Carlos Sabato was involved in the work of the Act of February 4, 2024, and did not improve with conservative treatment. And as a result of this failed to improve, I did surgery with right shoulder on February.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11180_0f9b4889-2e85-4710-b795-f85d2db0d071_3.mp3
1755513608,GSG11180_0f9b4889-2e85-4710-b795-f85d2db0d071_4,00:02:18.240,00:02:47.300,"February 6, 2025, four months and a week ago. arthroscopy of the right shoulder, debridement of the superior-posterior labral tear, extensive debridement, subacromial decompression, excision of the distal clavicle, I also did a mini-arthrotomy, a biceps tenodesis, and a rotator cuff repair. He is doing better. Range of motion is improving a little bit, but he is a little stiff. I thought a cortisone shot would help him. he would like to hold off for a couple of weeks and see if what happens",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11180_0f9b4889-2e85-4710-b795-f85d2db0d071_4.mp3
1755513608,GSG11180_0f9b4889-2e85-4710-b795-f85d2db0d071_5,00:02:47.340,00:03:19.580,"and if he does not get better, then we will consider a cortisone shot. He has gotten better with therapy. He has been doing light duty, so he will continue with the physical therapy. I wrote him three weeks of therapy. I gave him an appointment to see me in two weeks. He can take the ibuprofen as needed. The exercises they gave him to do in therapy, he can do on his own at home and I will see him back in my office in two weeks for repeat evaluation. Most people are somewhere between five and six months postoperatively before going back to regular duty. Public goes to PMA, Postal's Box 5231, Jamesville, Wisconsin, 53547. Attention, Denise, DNIC, Coachelle, KU,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11180_0f9b4889-2e85-4710-b795-f85d2db0d071_5.mp3
1755513608,GSG11180_0f9b4889-2e85-4710-b795-f85d2db0d071_6,00:03:19.740,00:03:36.320,"SCGL, W1 to 004413778. Fortis County of Essex Corrections. Fax copy to Denise, Coachell at (800) 432-9762 and fax copy to Dana, d a n a, Ortiz, Ortiz, at (877) 883-4947. Thanks.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11180_0f9b4889-2e85-4710-b795-f85d2db0d071_6.mp3
1755513946,GSG11181_9332ff62-fca7-43ec-9c89-fd0087c1defb_0,00:00:00.000,00:00:29.000,"Now dictating a follow-up note on ROXANA MEDINA-LOPEZ date is 06/11/2025 Ms. Medina-Lopez comes to the office today, accompanied by her friend. Her date of injury goes back to December 11, 2024, where she injured her left shoulder at work. It did not improve with conservative treatment. I operated on her left shoulder on March 27, 2025, two and a half months ago, where she had an evaluation under",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11181_9332ff62-fca7-43ec-9c89-fd0087c1defb_0.mp3
1755513946,GSG11181_9332ff62-fca7-43ec-9c89-fd0087c1defb_1,00:00:29.000,00:00:58.420,"the left shoulder, extensive debridement, debridement of an SLAP tear, subacromial decompression, excision of the distal clavicle, mini-arthrotomy, biceps tenodesis, and a rotator cuff repair. She is definitely better. She has less pain and discomfort. She has been going to therapy. She takes the ibuprofen. She has been utilizing the T-bar and the pulley system. She uses the ice unit. and I did review her physical therapy notes from Kessler Rehab in South Plainfield and they thought she was doing pretty well. new paragraph PHYSICAL EXAMINATION:",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11181_9332ff62-fca7-43ec-9c89-fd0087c1defb_1.mp3
1755513946,GSG11181_9332ff62-fca7-43ec-9c89-fd0087c1defb_2,00:00:59.220,00:01:26.000,"Ms. Medina-Lopez is a pleasant and cooperative woman. Her temperature in the office is 98.5. Examination of the left shoulder, There is a little bit of diffuse tenderness present, nothing specifically localized. All the incisions look good. She could actively abduct and forward flex about 70 degrees, Passively about 125 degrees. She had about 30 to 35 degrees of active internal rotation and passively a little bit better.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11181_9332ff62-fca7-43ec-9c89-fd0087c1defb_2.mp3
1755513946,GSG11181_9332ff62-fca7-43ec-9c89-fd0087c1defb_3,00:01:26.000,00:01:50.800,"I did not really do an impingement test or a drop test or Neer test on her because she just had a rotator cuff repair and a biceps tenodesis. Her biceps shows no deformity. Neurologically, she is intact. She has good range of motion of the elbow. IMPRESSION: My impression is that Roxana Medina-Lopez was involved in a work-related accident on December 11, 2024, where she injured her left shoulder.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11181_9332ff62-fca7-43ec-9c89-fd0087c1defb_3.mp3
1755513946,GSG11181_9332ff62-fca7-43ec-9c89-fd0087c1defb_4,00:01:50.800,00:02:20.000,"two and a half months ago. On March 27th, 2025. That surgery was an arthroscopy of the left shoulder, extensive remont, remont of SLAP tear, subsequent acromiocompression, consistent with clavicle, remaining arthute acromion decompression, consistent with clavicle, mini arthrodomy, bicep, tendinitis, or rotator cuff repair. She's doing okay. Her range of motion is improving actively and passively. She's been doing home exercises. She takes occasional ibuprofen. She uses the ice unit, T-bar, and pulley system as needed.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11181_9332ff62-fca7-43ec-9c89-fd0087c1defb_4.mp3
1755513946,GSG11181_9332ff62-fca7-43ec-9c89-fd0087c1defb_5,00:02:20.000,00:02:50.000,"So, at this point, she will continue with the physical therapy, she will continue with the home exercises and just be careful. She needs to work on both passive and active range of motion exercises for both the rotator cuffs and mostly active range of motion for the biceps tendon, but be gentle. As far as work goes, I gave her a note for out of work this week, I gave her duty next week June 16, 2025, but she does not think that is available. I gave her an appointment to see me in two weeks and after a biceps tenodesis",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11181_9332ff62-fca7-43ec-9c89-fd0087c1defb_5.mp3
1755513946,GSG11181_9332ff62-fca7-43ec-9c89-fd0087c1defb_6,00:02:50.000,00:03:19.760,"rotator cuff repair it's usually a five to six months rehab program before being MMI and back to regular duty. Completed goes to Qual Links, the post is 240819, Apple Valley, Minnesota 55125, Attention Cynthia, C-Y-N-T-H-I-A RICCI Cummins 2-4-W-S-Y-C-H 0-4-4-0-8 M is in Mary. The important is Morris M-O-R-S-U-N-I-O Joint Share J-U-N-T-U-R-I Commission. A-D-E-L-E",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11181_9332ff62-fca7-43ec-9c89-fd0087c1defb_6.mp3
1755513946,GSG11181_9332ff62-fca7-43ec-9c89-fd0087c1defb_7,00:03:19.760,00:03:25.820,D-U-M-A-S-N-J-S-A-G 6-9-3-6-5-2-0-1-1 Thank you.,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11181_9332ff62-fca7-43ec-9c89-fd0087c1defb_7.mp3
1755514144,GSG21182_fd0d2ca9-50f6-47cc-b83c-686810f71a0d_0,00:00:00.000,00:00:30.300,"Now dictating a follow-up note on Jose Munoz, MUNOZ-arce ARCE, date is June 11, 2020. Jose Munoz comes off today. His date of injury goes back to April 29, 2025. Approximately six weeks ago, he was in a lumbar strain. At this point, he's doing much better. He's done four out of the six sessions of therapy. He's used physical therapy notes from Crown CRW Rehab.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21182_fd0d2ca9-50f6-47cc-b83c-686810f71a0d_0.mp3
1755514144,GSG21182_fd0d2ca9-50f6-47cc-b83c-686810f71a0d_1,00:00:30.760,00:01:05.500,"He has no long-term recovery. Occasional achiness in his back. He has been taking the Naprosyn, which helps. The exercises they gave him to do in therapy, he has been doing on his own at home. He can stand, he can bend, he can walk, he can squat. Bending over sometimes gives him a little achiness, but he is much, much better as compared to previously. He thinks he would just like to finish up the last two sessions of therapy and then go back to regular duty. PHYSICAL EXAMINATION: Mr. Munoz-Arce is a pleasant and cooperative male, in no acute discomfort. New paragraph IMPRESSION: my impression, Jose Munoz-Arce.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21182_fd0d2ca9-50f6-47cc-b83c-686810f71a0d_1.mp3
1755514144,GSG21182_fd0d2ca9-50f6-47cc-b83c-686810f71a0d_2,00:01:05.980,00:01:41.040,"St. Louis strain is a little more complete. Accident was a lot on April 29, 2025. Six weeks ago period. At this point, he's probably 98% better period. He's got two subsets of therapy left. I gave him notes for light duty. There's no light duty. He would like to finish up his therapy this week and then go back to regular duty next week. And he'll just maintain the exercises that he did in physical therapy. New paragraph PLAN. So, at this point, Mr. Munoz-Arce can finish up his light duty this week, finish up his therapy, continue with home exercise. He can resume regular duties from June 16, 2025, without restrictions.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21182_fd0d2ca9-50f6-47cc-b83c-686810f71a0d_2.mp3
1755514144,GSG21182_fd0d2ca9-50f6-47cc-b83c-686810f71a0d_3,00:01:41.040,00:02:20.000,"At this point, I would basically consider him to be MMI. I answered all of his questions for him and he was discharged from the office. Pump later goes to next-level administrators. Their post was like 3055. Milwaukee, Wisconsin, 53201. Attention. Christina, CRS, CNA, Ramirez, RAMIREZ, and is using it for Subway's Water 250085002. The employers, pro staff, Piro, STA, FF Solutions, fax copy to Christina Ramirez, 941-444-62",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21182_fd0d2ca9-50f6-47cc-b83c-686810f71a0d_3.mp3
1755514144,GSG21182_fd0d2ca9-50f6-47cc-b83c-686810f71a0d_4,00:02:20.000,00:02:21.840,00 Thank you.,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21182_fd0d2ca9-50f6-47cc-b83c-686810f71a0d_4.mp3
1755514290,GSG21184_8cd311dc-ea30-4665-b256-3c2c54306095_0,00:00:00.000,00:00:30.420,"Now dictating a follow up note on Leah Isreel, I S R E E L, dated June 11, 2025. Ms. Isreel comes office today. She had been involved in a significant motor vehicle accident back in December 13, 2023. I had recommended surgery on her left shoulder as a result of continued discomfort. When I had last seen her in Austin, November 15, 2024, she wanted to try to delay the surgery. It just got to the point where she's been miserable. At this point, she has pain all the time, pain sleeping, pain in rotation,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21184_8cd311dc-ea30-4665-b256-3c2c54306095_0.mp3
1755514290,GSG21184_8cd311dc-ea30-4665-b256-3c2c54306095_1,00:00:30.960,00:01:04.060,"and she would like to go through the surgery. New paragraph, physical examination. She's had no different injuries. Could be like a physical examination. Seizure was plus 12 moments. Her temperature was 98.2. Her respirations were 19. O2 saturation was 96%. Her blood pressure was 165 over 105. Heart rate was 95. Examiner's left shoulder revealed tendons over the AC joint, tendons over the intro to cuff, positive pinch for test. She had paved extremes emotion.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21184_8cd311dc-ea30-4665-b256-3c2c54306095_1.mp3
1755514290,GSG21184_8cd311dc-ea30-4665-b256-3c2c54306095_2,00:01:04.640,00:01:36.820,"She had a positive speed test, positive O’Brien’s test, negative drop test, positive neer test, weakly positive belly press test, weakly positive speed test, weakly positive liftoff test. It is noted for the biceps, neurologically intact, bringing the very impression of a professional in Isreel. It was a while to works late at night. Mother of the equalized, December 13, 2023, seeing multiple injuries to both shoulders, her knee, right knee. And I discussed with her during the last visit, November 15, 2024, surgery on her left shoulder.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21184_8cd311dc-ea30-4665-b256-3c2c54306095_2.mp3
1755514290,GSG21184_8cd311dc-ea30-4665-b256-3c2c54306095_3,00:01:37.260,00:02:09.040,"I discussed all the treatment options, pros and cons, risks and benefits. She wanted to go through the surgery. She had some family issues, but at this point, those family issues are resolved, so she wants to go through the surgery. Her surgery is an evaluation of her seizure, operable arthroscopy of the left shoulder, a subacute decompression, exudate the clavicle, debridement or repair of the superior labral angioposture tear  (SLAP), rotator cuff repair, and possible biceps tenodesis. I've already discussed all these treatment options with her when I seen her last time I asked on November 15, 2024 period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21184_8cd311dc-ea30-4665-b256-3c2c54306095_3.mp3
1755514290,GSG21184_8cd311dc-ea30-4665-b256-3c2c54306095_4,00:02:09.660,00:02:41.320,"Her blood pressure today is elevated. The last time I saw her was 126 over 86. Gets infusions because of rheumatologic problems every two weeks and her blood pressure is always fine. So I think this is probably just nervous. So informed consent was obtained. And an assistant is needed for the surgery, and I'll set up for the surgery once I get off the authorization from the insurance company. Again, complications are just like we discussed with the last sentence. General anesthesia, interest handling block, complications of nerve damage, artery damage,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21184_8cd311dc-ea30-4665-b256-3c2c54306095_4.mp3
1755514290,GSG21184_8cd311dc-ea30-4665-b256-3c2c54306095_5,00:02:41.320,00:02:46.860,"infection, stiffness, loss of motion, worse complications with anesthesia potentially being death.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21184_8cd311dc-ea30-4665-b256-3c2c54306095_5.mp3
1755514471,GSG21186_cb91c881-9940-48dd-823d-22fcf0030a3d_0,00:00:00.000,00:00:31.280,"Now, dictating a follow-up note on Francisco, F-R-A-N-C-I-C-O, Trujillo, T-R-U-J-I-L-L-O, date is June 11, 2025. Trujillo comes off today as his date of injury goes back to November 23, 2024. We had a subluxation dislocation of his left shoulder. Eye operator on his left shoulder on January 23, 2025, four months and three weeks ago. When he had an evaluation of the seizure, he had a left shoulder extension debris, an arthroscopic blank cut, repair, and a bridge mark passing in the head. He's doing very well. He has less pain, better range of motion, improved strength.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21186_cb91c881-9940-48dd-823d-22fcf0030a3d_0.mp3
1755514471,GSG21186_cb91c881-9940-48dd-823d-22fcf0030a3d_1,00:00:31.880,00:01:02.720,"He still cannot do his regular job. I'd be giving him notes for light duty. There's no light duty. Also, some of the rainy weather we've had have also bothered him a little bit. He's working out on his own at home. He is happy about the results, and definitely he's getting better and stronger. They're pushing him harder on strengthening exercise, which is good. Periodic barrier physical examination. Mr. Trujillo's pulse is quite male. Temperature in the office is 98.2. Periodic examination of the left shoulder, veils again, no swelling, no abrasions, scoliation, edema, muscle spasm, trigger points. There's no tenderness present.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21186_cb91c881-9940-48dd-823d-22fcf0030a3d_1.mp3
1755514471,GSG21186_cb91c881-9940-48dd-823d-22fcf0030a3d_2,00:01:02.720,00:01:30.340,"His range of motion is excellent. He has full abduction, full forward flexion, just about full external rotation, still lacks a little bit of internal rotation. That hasn't changed much, and I told him probably a little bit lack of internal rotation or permanent base would be the norm. He's got a negative focus on, no subluxation, negative liftoff test, negative belly press test, negative speed test, negative O'Brien test, negative near test, negative impingement test. No deformity of the biceps, neurologically he's normal, strength is good,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21186_cb91c881-9940-48dd-823d-22fcf0030a3d_2.mp3
1755514471,GSG21186_cb91c881-9940-48dd-823d-22fcf0030a3d_3,00:01:30.800,00:02:00.220,"though I can't say it's perfect. Newberry was impressed by President Francisco Covilla, had been involved in the work we're acting on November 23, 2024, where he's seen a subluxation or dislocation of his left shoulder. Although his shoulder proved to be a concern for treatment, I operated his left shoulder on June 23, 2025, four months and about three weeks ago, when he had an evaluation of the seasonal monothelial arthroscopy of the left shoulder of Senator Freeman, an abrasion of the placenta in his head, and an arthroscopic bank card KRT repair. He's doing very well. His motion is good.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21186_cb91c881-9940-48dd-823d-22fcf0030a3d_3.mp3
1755514471,GSG21186_cb91c881-9940-48dd-823d-22fcf0030a3d_4,00:02:00.560,00:02:28.840,"He lacks a little bit of internal rotation, but I think after a bank card repair, a little loss of internal rotation on a permanent basis would be the norm. His strength is improving. I've been giving him notes for light duty. There is no light duty, but he feels like with another three to four weeks of therapy, he's going to try to do his regular job. New breaker plans at this point. Mr. Hill will continue with the therapy. He'll continue with the home exercises. he'll continue with the light duty. I gave him an",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21186_cb91c881-9940-48dd-823d-22fcf0030a3d_4.mp3
1755514471,GSG21186_cb91c881-9940-48dd-823d-22fcf0030a3d_5,00:02:28.840,00:02:57.040,"appointment in two weeks, and at this point, my best estimate is he's probably about four weeks away from being MMI-ed back to regular duty period. Obviously, his life stage is him in the past. Doing some sort of light duty would be good, work up, building his strength back up to normal, because he's going to be going from doing nothing to everything overnight, and hopefully he can do that pure. Completed because of AmTrust North America, Postal Spikes 89404, Cleveland, Ohio 44101,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21186_cb91c881-9940-48dd-823d-22fcf0030a3d_5.mp3
1755514471,GSG21186_cb91c881-9940-48dd-823d-22fcf0030a3d_6,00:02:57.600,00:03:10.820,"Central Michael Reid, REID, 1-394-0326, for his W's in Water, S's in Nathan, C's in Christian, Wontree, L-A-U-N-D-R-Y, I have a copy of Michael Reed at AmTrust at (678) 258-8395. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21186_cb91c881-9940-48dd-823d-22fcf0030a3d_6.mp3
1755514615,GSG21188_dedbfd26-2dd2-4547-97e4-d77bd5f14542_0,00:00:00.000,00:00:28.760,"Now taking the call from Jay Drews, but DRUZSBA. His date is June 11, 2025. Mr. Drews up and comes off today. His date of injury is September 3, 2024. Injured his right shoulder at work. Parent children are not improving in cervical treatment. I operated on his right shoulder on February 6, 2025. Now approximately four weeks and a little bit less than a week ago. That surgery is on arthroscopy of the right shoulder, debridement of anterior and posterior superior labral tears, Extensor of the brachium, subluxation of the compression",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21188_dedbfd26-2dd2-4547-97e4-d77bd5f14542_0.mp3
1755514615,GSG21188_dedbfd26-2dd2-4547-97e4-d77bd5f14542_1,00:00:28.760,00:00:55.460,"the clavicle, abrasion of the occipital glenoid, and then through a separate subpactorialis approach of biceps and adhesus. He still has a little achiness, but his motion is improving, his strength is improving. He's been doing light duty. He's not taking any pain medication. The exercises that give him doing therapy, he's been doing on his own at home. He'd like to do two more weeks of therapy before going back to regular duty, and that sounds acceptable, period, and regular physical examination. He drew his physical off the mail, examined his right shoulder, healed no muscle spasm",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21188_dedbfd26-2dd2-4547-97e4-d77bd5f14542_1.mp3
1755514615,GSG21188_dedbfd26-2dd2-4547-97e4-d77bd5f14542_2,00:00:55.460,00:01:25.640,"or trigger points, no ecchymosis, or a theme of abrasion of discoloration, edema, or tenderness. He's got a negative pinch test, negative drop test, negative focal sign, no subluxation, negative belly press test, negative lift-off test, negative speed test, negative levine test. His range of motion is excellent. He's got full abduction, full forward flexion. He has full external rotation. He still probably lacks a little bit of internal rotation. He had a very good impression of my partner, Jay Drewsma. Was involved in the REC VAC September 30, 2024 when he injured his right shoulder. Did not improve for conservative treatment.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21188_dedbfd26-2dd2-4547-97e4-d77bd5f14542_2.mp3
1755514615,GSG21188_dedbfd26-2dd2-4547-97e4-d77bd5f14542_3,00:01:25.740,00:01:58.320,"Operating his right shoulder four months and, less than a week ago where he had an evaluation of seizure, operative arthroscopy of the right shoulder, the breamatory anterior inferior labral anterior inferior posterior labral tear, Subsequent compression consists of clavicle center of Bremont, brief multiplexisic glenoid, and then through a separate subfactor osteoporosis, beta biceps, c and d. He's doing very well. His motion is good. His strength is improving. I think it's probably going to take two more weeks of therapy before MMI and back to regular duty. He hasn't been doing light duty without a problem.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21188_dedbfd26-2dd2-4547-97e4-d77bd5f14542_3.mp3
1755514615,GSG21188_dedbfd26-2dd2-4547-97e4-d77bd5f14542_4,00:01:59.700,00:02:33.240,"To this point, Mr. Drews will continue with the therapy, will continue with home exercises. I'll maintain him on light duty. I gave him an appointment, see him in two weeks. And I think at that point, considering how well he's doing, it would probably be MMI and back to regular duty. Completer goes to Qual Links. Attention, Karen, Kit, Yaron, Hinckley, Itch, Ann, Kelly, Y. Climate is 2025346831. Woodbridge Township Road Maintenance, Fax Gobbity-Jevon, J-E-V-O-N-Christmas, CHR-STMAS at 732-562-2815.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21188_dedbfd26-2dd2-4547-97e4-d77bd5f14542_4.mp3
1755514615,GSG21188_dedbfd26-2dd2-4547-97e4-d77bd5f14542_5,00:02:33.560,00:02:33.940,Thank you.,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21188_dedbfd26-2dd2-4547-97e4-d77bd5f14542_5.mp3
1755514779,GSG21191_315d75c9-d84b-4493-a9dc-c7a83df9188c_0,00:00:00.000,00:00:29.320,"Now dictating a follow-up note on ESTELLE RUSH date is 06/11/2025 Ms. Rush comes to the office today. She has primary degenerative joint disease of both knees. I had not seen her for quite some time. The last time I saw her, was on October 4, 2023, with regards to degenerative arthritis. I gave her cortisone shots on both knees on July 12, 2023. She had visible subluxation ejections in the past, though they're getting harder to authorize her.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21191_315d75c9-d84b-4493-a9dc-c7a83df9188c_0.mp3
1755514779,GSG21191_315d75c9-d84b-4493-a9dc-c7a83df9188c_1,00:00:29.320,00:00:58.620,"She'd like to try a cortisone shot, and if that makes her feel better, great. If not, then she would consider the visceral sublutation injections. She wants to know if she is going to require surgery at some point. I told her, sometime in the future, maybe, yes. She complains of pain and stiffness. She had a friend of hers who has had an operation for a total knee replacement three years ago. It did not do well, so she is not in a big hurry to have a knee replacement. She complains of pain, stiffness, crackling, grinding, pain on the inner aspect, difficulty bending. And when she had the visceral subluxation injection in the past, she did very well,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21191_315d75c9-d84b-4493-a9dc-c7a83df9188c_1.mp3
1755514779,GSG21191_315d75c9-d84b-4493-a9dc-c7a83df9188c_2,00:00:58.620,00:01:30.700,"appeared to be a physical examination. Ms. Rush plus a woman. She's got a Genu varus to 20 on both knees. Range of motion is 7 to about 120 degrees. He's got negative marine nerve out of the grind, negative lacrimal, negative fifth shift, negative fanatory, negative posterior sag, no medial or lumbar buildup, no tendinitis, no flexural, no vagus, no stress. The gait was slow and steady. You break your F x-rays, AP, wake, marry both knees. Live both knees. Demonstrate near complete wall. Subject to compartmental both knees. She's got sclerosis and cystic changes.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21191_315d75c9-d84b-4493-a9dc-c7a83df9188c_2.mp3
1755514779,GSG21191_315d75c9-d84b-4493-a9dc-c7a83df9188c_3,00:01:30.860,00:02:02.940,"The medial femoral condom bilaterally. She's got spike in the tibial spines bilaterally. She's got degenerative arthritis of a mild nature. The patella femoral joint bilaterally. You can see the impression. My impression is still rushed. She's got primary degener the four entities of both knees with a modest severe G9 for three day condition in the medial compartment. She's not a candidate for anti-inflammatory medication because she takes Clavix because of having a stroke, period. So she could take Tylenol. I told her I can do an aspiration cortisone shot both knees, make her feel more comfortable.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21191_315d75c9-d84b-4493-a9dc-c7a83df9188c_3.mp3
1755514779,GSG21191_315d75c9-d84b-4493-a9dc-c7a83df9188c_4,00:02:02.940,00:02:35.000,"I could then look into whether we leak might be able to get authorization for the visceral subcutaneous injections, and she was fine with that. So in her struggle technique, I aspirated six cc's core shoulder from the left knee, nine cc's core shoulder from the right knee, gave her an injection of one cc of 0.125% marking of aponephrine, six months of medicine acetate, 6-9 grams of betasone acetate, both knees put down in a macro for a cortisone shot. Iced it, I gave her a point of semen a week, a little bit of weight reduction would help,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21191_315d75c9-d84b-4493-a9dc-c7a83df9188c_4.mp3
1755514779,GSG21191_315d75c9-d84b-4493-a9dc-c7a83df9188c_5,00:02:35.000,00:02:44.000,"and I'll look into the viscose supplementation injections for her. Sometimes we have to do this through a specialized pharmacy, and she understood that.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21191_315d75c9-d84b-4493-a9dc-c7a83df9188c_5.mp3
1755514896,GSG21192_56e3fa76-96a2-487a-8b0a-aa2be614ae6f_0,00:00:00.000,00:00:30.960,"Now dictating a follow-up note on Tanya, T-O-N-Y-A. Last name is Scott, S-C-O-T-T-C-O-L-E. Date this, June 11, 2025. Ms. Scott Cole comes off today. Honorary date of injury goes back to February 14, 2024. Was injured in a right shoulder work . Did not improve with a certain treatment. I operated on a right shoulder in January 9, 2025. Now approximately five months ago. That surgery was an evaluation of the seizure,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21192_56e3fa76-96a2-487a-8b0a-aa2be614ae6f_0.mp3
1755514896,GSG21192_56e3fa76-96a2-487a-8b0a-aa2be614ae6f_1,00:00:30.960,00:01:04.220,"operated arthroscopy of the right shoulder, extensor of the brima, to bring one of the SLAP tests, subacute acromion decompression, consistent clavicle, biny arthrotomy, biceps adhesives, orthopedic graft repair period. Definitely doing better. Her motion is good. She's happy about the results. She doesn't really have any pain. She's been doing light duty, but her light duty is basically regular duty. She's finished her therapy and all the exercises she gave to do in therapy she's been doing on her own at home. To bring up physical examination. Ms. Scott calls for a woman. Her temperature in the office is 97.7. Period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21192_56e3fa76-96a2-487a-8b0a-aa2be614ae6f_1.mp3
1755514896,GSG21192_56e3fa76-96a2-487a-8b0a-aa2be614ae6f_2,00:01:04.860,00:01:32.660,"Examination of the right shoulder, will nicely heal incisions from muscle spasms, trigger points, tendinitis, or ecchymosis, or edema, and she had a negative patient test, negative drop test, negative sulcus sign, no subluxation, negative belly press test, negative liftoff test, negative speed test, negative O'Brien test. She has full abduction, full forward flexion, full external rotation, and maybe at most lacks a couple degrees of internal rotation. of very impressive by pressure times.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21192_56e3fa76-96a2-487a-8b0a-aa2be614ae6f_2.mp3
1755514896,GSG21192_56e3fa76-96a2-487a-8b0a-aa2be614ae6f_3,00:01:32.780,00:02:06.000,"Scott Cole was involved in a work-life accident dating back to February 14, 2020, where she injured her right shoulder. Did not improve from the reserve of care, and I operated on her right shoulder approximately five months ago in January 9, 2025. That surgery was an evaluation of seizure, operated on her right shoulder, extended debridement along with debridement of a superior blabular antipyretic tear, subacromial compression, excessive clavicle, mini-aphrotomy, a biceps in a decent, and a birth to the cuff repair. I think she's great. Her motion is paragraph. She's finished her therapy. She's doing light duty. As far as work goes, she'd like to go back to regular duty.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21192_56e3fa76-96a2-487a-8b0a-aa2be614ae6f_3.mp3
1755514896,GSG21192_56e3fa76-96a2-487a-8b0a-aa2be614ae6f_4,00:02:06.100,00:02:38.220,"So I told her to finish up light duty this week. She can return to regular duty as of June 16, 2025 without restrictions. At that point, I will consider her to be MMI. I answered all of her questions for her. She should continue the home exercise. And she was discharged from the office. A couple of those are qual links. The post is wax 309, Piscataway, New Jersey, 08855. Claiming that it was 24W's wife's description 00604 used in the universe. Where is Rose Hill Board of Education? Faxed it over to Brandon, B-R-A-N-D-O-N, Griffin, G-R-A-F-F-I-N,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21192_56e3fa76-96a2-487a-8b0a-aa2be614ae6f_4.mp3
1755514896,GSG21192_56e3fa76-96a2-487a-8b0a-aa2be614ae6f_5,00:02:38.300,00:02:41.740,and N-J-S-A-G at 69-386-2011.,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21192_56e3fa76-96a2-487a-8b0a-aa2be614ae6f_5.mp3
1755515744,GSG11185_765d7819-5f96-48f8-925d-43db3e4308c2_0,00:00:00.000,00:00:31.120,"Now beginning follow-up on Charles Pallas, PALLAS, the June 17, 2025. Mr. Pallas comes off today. He's got primary joint joint disease above his knees. He's here for the third reflex injection. This is by far the best he's felt. Minimal pain, minimal discomfort, walking better, functioning better. He's working, and he's happy about the results. He's got a physical examination. Mr. Pallas, post-cooperative male. His temperature in the office is 98.3 period examination of his knees filled a tiny joint effusion present he has pretty good range of",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11185_765d7819-5f96-48f8-925d-43db3e4308c2_0.mp3
1755515744,GSG11185_765d7819-5f96-48f8-925d-43db3e4308c2_1,00:00:31.120,00:01:02.280,"motion at this point pretty much pain free one to about 130 degrees negative running about the grind they could walk when they could pitch gift thank you for entering and composed through sag no medial or lateral and stability tensorsile is the election of our stress. I'm going to praise my producer, Charles Bowles. Scott, I'm going to give you an influence. He's on both knees, which is, he's here for the third deflection injection. This is by far the best he's felt. He has minimal fluid in both knees, minimal tenderness, good range of motion, and he's happy about the results. New Bergen plans for interstellar technique. Numb both knees.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11185_765d7819-5f96-48f8-925d-43db3e4308c2_1.mp3
1755515744,GSG11185_765d7819-5f96-48f8-925d-43db3e4308c2_2,00:01:02.400,00:01:19.960,"Took about two cc's from the right knee, one cc from the left knee, barely any fluid at all. Clear yellow, gave him the third Euflexxa (EFLEX) intra-articular injection in both knees, still continues his normal activities, and if he has increasing pain, he can always repeat these injections again in the future period.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11185_765d7819-5f96-48f8-925d-43db3e4308c2_2.mp3
1755515874,GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_0,00:00:00.000,00:00:33.660,"Now, pick performance, Stephanie. S-T-E-P-H-A-N-I-E, lesson, G-R-A-J-A-L-E-S, date is June 17, 2025. This good job comes off. State or date of injury goes back to December 20, 2024. We restore her ACL of her right knee while at work. I operated on her right knee on February 6, 2025, four months and about two weeks ago. We're showing her arthroscopy of the right knee, partial amygdala and partial adamantus, meniscectomy. She had an abrasion arthroplasty, medial hormonal conduct, and an ACL reconstruction with a cadaver ligament. She's doing very well. Doesn't really have any pain.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_0.mp3
1755515874,GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_1,00:00:34.060,00:01:04.000,"Doesn't have any swelling. She's been doing the therapy. She'd like to go for another couple weeks. She does want to go back to recreational activities, which means she's going to need an ACL brace before being discharged. She has been doing regular duty without a problem. The only achiness she has is sometimes with stairs and a little bit with bad weather, but she doesn't take any pain medications prior to physical examination. Ms. Gorgialis posed to go up with a woman, examination of her right knee, no tennis, no swelling, no ecchymosis, abrasions",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_1.mp3
1755515874,GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_2,00:01:04.000,00:01:34.440,"and even muscle spasm and trigger points. The incisions look fine, though it's a little bit of a keloid formation. I told her to keep it out of the sun. Motion is excellent, 0 to 140 degrees, negative lock, negative fifth shift, negative android, negative poster, sag, no medial instability, and her gait was normal. New brain pressure, my pressure, Stephanie Grichel's, tore the ASO in her right knee based on the work we did after December 20, 2024. I operated her right knee four months and about two weeks ago on February 6, 2025.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_2.mp3
1755515874,GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_3,00:01:35.000,00:02:08.040,"When I performed an arthroscopy, it's an evaluation of the seizure, operated an arthroscopy in the right knee, a partial medial, one with a partial adenomyosectomy, common abrasion, orthoplastia, and a formal condom, and an ASO reconstruction with a cadaver ligament. I think she's doing great. No pain, no swelling, no tenderness, excellent range of motion, no evidence of instability, and I think she's going to require about two more weeks of therapy before being MMI, and also fitting her for an ACL brace at this point would be appropriate in regular plans. At this point, Dr. Giles will continue with regular duty. She'll continue with therapy two weeks.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_3.mp3
1755515874,GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_3,00:01:35.000,00:02:08.040,"When I performed an arthroscopy, it's an evaluation of the seizure, operated an arthroscopy in the right knee, a partial medial, one with a partial adenomyosectomy, common abrasion, orthoplastia, and a formal condom, and an ASO reconstruction with a cadaver ligament. I think she's doing great. No pain, no swelling, no tenderness, excellent range of motion, no evidence of instability, and I think she's going to require about two more weeks of therapy before being MMI, and also fitting her for an ACL brace at this point would be appropriate in regular plans. At this point, Dr. Giles will continue with regular duty. She'll continue with therapy two weeks.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_3.mp3
1755515874,GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_3,00:01:35.000,00:02:08.040,"When I performed an arthroscopy, it's an evaluation of the seizure, operated an arthroscopy in the right knee, a partial medial, one with a partial adenomyosectomy, common abrasion, orthoplastia, and a formal condom, and an ASO reconstruction with a cadaver ligament. I think she's doing great. No pain, no swelling, no tenderness, excellent range of motion, no evidence of instability, and I think she's going to require about two more weeks of therapy before being MMI, and also fitting her for an ACL brace at this point would be appropriate in regular plans. At this point, Dr. Giles will continue with regular duty. She'll continue with therapy two weeks.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_3.mp3
1755515874,GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_3,00:01:35.000,00:02:08.040,"When I performed an arthroscopy, it's an evaluation of the seizure, operated an arthroscopy in the right knee, a partial medial, one with a partial adenomyosectomy, common abrasion, orthoplastia, and a formal condom, and an ASO reconstruction with a cadaver ligament. I think she's doing great. No pain, no swelling, no tenderness, excellent range of motion, no evidence of instability, and I think she's going to require about two more weeks of therapy before being MMI, and also fitting her for an ACL brace at this point would be appropriate in regular plans. At this point, Dr. Giles will continue with regular duty. She'll continue with therapy two weeks.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_3.mp3
1755515874,GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_3,00:01:35.000,00:02:08.040,"When I performed an arthroscopy, it's an evaluation of the seizure, operated an arthroscopy in the right knee, a partial medial, one with a partial adenomyosectomy, common abrasion, orthoplastia, and a formal condom, and an ASO reconstruction with a cadaver ligament. I think she's doing great. No pain, no swelling, no tenderness, excellent range of motion, no evidence of instability, and I think she's going to require about two more weeks of therapy before being MMI, and also fitting her for an ACL brace at this point would be appropriate in regular plans. At this point, Dr. Giles will continue with regular duty. She'll continue with therapy two weeks.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_3.mp3
1755515874,GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_3,00:01:35.000,00:02:08.040,"When I performed an arthroscopy, it's an evaluation of the seizure, operated an arthroscopy in the right knee, a partial medial, one with a partial adenomyosectomy, common abrasion, orthoplastia, and a formal condom, and an ASO reconstruction with a cadaver ligament. I think she's doing great. No pain, no swelling, no tenderness, excellent range of motion, no evidence of instability, and I think she's going to require about two more weeks of therapy before being MMI, and also fitting her for an ACL brace at this point would be appropriate in regular plans. At this point, Dr. Giles will continue with regular duty. She'll continue with therapy two weeks.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_3.mp3
1755515874,GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_4,00:02:08.040,00:02:31.340,"At this point, I'll request authorization to send her to a brace specialist for an ACL brace. And she'll wear that brace during any forceful activities at work or during recreational activities. I gave her an appointment to see me in two weeks. And hopefully she can be fitted over the next few weeks so we can see how the brace fits. All the exercises given to her are also important to do on her own at home.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_4.mp3
1755515874,GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_4,00:02:08.040,00:02:31.340,"At this point, I'll request authorization to send her to a brace specialist for an ACL brace. And she'll wear that brace during any forceful activities at work or during recreational activities. I gave her an appointment to see me in two weeks. And hopefully she can be fitted over the next few weeks so we can see how the brace fits. All the exercises given to her are also important to do on her own at home.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_4.mp3
1755515874,GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_5,00:02:31.340,00:03:01.960,"Complicates the QUAL links, go to links, OANX, Postal's I-240819, Apple Valley, Minnesota, 55125, Tensha Betty, BETT, IE 11, LEA, VITT,-A-V-I-T-T, Clemens, 2-4-W-Y-C, Description 0-4-5-5-6, Kaysen, Kangaroo, Westfield Board of Education, Fax, Cobbett, Dennis, D-N-N-I-S, Lassen, P-E-T-R-O-N-E-L-L-A, 609-0386-2011, Fax, Cobbett, Betty, B-E-T-T-I, Levitt, L-E-A-V-I-T-T,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_5.mp3
1755515874,GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_6,00:03:02.100,00:03:05.620,"732-562-2815, Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11186_22b66bd9-d813-4a58-84fc-9853331331d3_6.mp3
1755517249,GSG11188_39c707de-a494-4d5f-916b-fc62900fae5e_0,00:00:00.000,00:00:31.460,"Now dictating a Fault in Rodrigo, R-O-D-R-I-G-O, that's Mr. Ortega, O-R-T-E-G-A-L-I-V-O, dated June 17, 2025. Mr. Ortega-Livo comes off, says date of injury was back to March 16, 2025, three months ago, where he sustained fractures minimally, minimal compression fractures superior to the plate of T11 and L2, period. He also developed the right frozen shoulder. I had given him a cortisone shot for the right shoulder, which has helped him.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11188_39c707de-a494-4d5f-916b-fc62900fae5e_0.mp3
1755517249,GSG11188_39c707de-a494-4d5f-916b-fc62900fae5e_1,00:00:31.520,00:01:02.020,"He has less pain in the right shoulder. When I had seen him last time in the office two weeks ago, I recommended therapy on the right shoulder and low back. And for whatever reason, they're only doing the right shoulder. Rosa Stagnita, S-E-A-G-N-I-T-T-A, comma, R-M from Genix, helped translate experience crash into English along with marine wildlife. Rosa already tried to contact a physical therapist and told the therapist they need to do therapy on both his low back and his right shoulder. He's been doing home exercises. He's taking calcium and vitamin D. He doesn't really take",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11188_39c707de-a494-4d5f-916b-fc62900fae5e_1.mp3
1755517249,GSG11188_39c707de-a494-4d5f-916b-fc62900fae5e_2,00:01:02.020,00:01:34.960,"any pain medication. I've been giving him those for light duty, though there's no light duty available. He asked him if he thought he could do regular duty at this point. He thinks maybe not yet, but he thinks after two weeks of therapy he probably would. He denied loads from regular operatives. He just complains a little achiness in his back. No bowel or bladder abnormalities. In the break of physical examination. Mr. Ortega leaves, plus a lot of the mail, came with a red shoulder. The redness is falling. The a clap of the mail, came into the right shoulder. No redness, no swelling, no tightness, no eczema, abrasions, discoloration, and deem less plasma trigger points. Range of motion is just a little bit decreased on the right shoulders compared",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11188_39c707de-a494-4d5f-916b-fc62900fae5e_2.mp3
1755517249,GSG11188_39c707de-a494-4d5f-916b-fc62900fae5e_3,00:01:34.960,00:01:59.560,"to the left shoulder. New prior examiner's home was fine, no redness, no tenderness, full range of motion, straight leg raise negative, sensory motor reflex normal, but didn't squeeze her down, no glomerulonus present. So you have a toe and knee walk and get up and down with people that's comfort pretty different x-rays a P large through thrust by a lumbar spine the mouth is demonstrate healed minimally compressed superior in plays the body of t11",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11188_39c707de-a494-4d5f-916b-fc62900fae5e_3.mp3
1755517249,GSG11188_39c707de-a494-4d5f-916b-fc62900fae5e_4,00:01:59.560,00:02:30.080,"and healed a mild superior and plate compression of the body of L2. New paragraph from my personal, Rodrigo Ortega-Livo was involved in a work-related accident three months ago, March 16, 1925, where he's staying in minimal compression for a superior end plate of T11 and L2. Also developed a right frozen shoulder. He's doing better with both. He has minimal pain, minimal discomfort. He's been going to therapy, but they have only treated his right shoulder, not his low back.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11188_39c707de-a494-4d5f-916b-fc62900fae5e_4.mp3
1755517249,GSG11188_39c707de-a494-4d5f-916b-fc62900fae5e_5,00:02:30.080,00:03:00.640,"So Rose Stagnita, the nurse case manager, had already spoken to the therapist and told him they need to treat the right shoulder and the low back. He does not feel comfortable going back to regular duties, and I've been giving him those for light duty, but there is no light duty available to break a plant. So at this point, Mr. Ortega Livo will continue with light duty. He'll continue with therapy and make sure they work on his right shoulder and his back. I gave him a appointment to see me two weeks, so we'll do final x-rays of his thoracic and lumbar spine.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11188_39c707de-a494-4d5f-916b-fc62900fae5e_5.mp3
1755517249,GSG11188_39c707de-a494-4d5f-916b-fc62900fae5e_6,00:03:01.080,00:03:11.940,"If it looks pretty good at that point, which I imagine he will, I would allow him to go back to regular duty period. Great American Strategic Compost was box 4080.9 with 52733.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11188_39c707de-a494-4d5f-916b-fc62900fae5e_6.mp3
1755517249,GSG11188_39c707de-a494-4d5f-916b-fc62900fae5e_7,00:03:11.940,00:03:31.380,"Attention, HUE, HUGA Spiegelman, SPIEGELMAN, as north of 00703618, SUP REMO Foods, LLC. Fax RSA Stegna, s d a g n I t t a, comma, RN genix at 877834947. Thank.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11188_39c707de-a494-4d5f-916b-fc62900fae5e_7.mp3
1755517686,GSG11189_11f0fbbe-a977-4f0c-86e4-bbfda2b5e625_0,00:00:00.000,00:00:33.160,"Now, I'll take the name of the file. Irene, I-R-E-N-E, Donohue, D-O-N-O-H-U-E. Date is June 17, 1025. Ms. Donohue comes off today. She's here for the third Jelston III injection. She is feeling better. She's got a little achiness, but she has less heaviness. She's walking better, functioning better, and she's happy about the results, purely because of physical examination. Ms. Donohue is a post-crop woman. She's got a tiny joint effusion present in both knees. Her range of motion is three to about 120 degrees.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11189_11f0fbbe-a977-4f0c-86e4-bbfda2b5e625_0.mp3
1755517686,GSG11189_11f0fbbe-a977-4f0c-86e4-bbfda2b5e625_1,00:00:34.480,00:00:59.680,"She's got a negative, right knee three to about 120 degrees, the left knee five to about 100 degrees. She's got a mild genu varusiform on the right knee, moderate genu varusiform in the left knee, negative memory, negative vascular, negative lacrimal, negative pifogenesis, negative anhydrous rodent, negative posterosagnomy, or allowance to build in the kind of the flexural vagus, the stress, the paragraph pressure, my impression is that Irene Donnews",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11189_11f0fbbe-a977-4f0c-86e4-bbfda2b5e625_1.mp3
1755517686,GSG11189_11f0fbbe-a977-4f0c-86e4-bbfda2b5e625_2,00:00:59.680,00:01:21.340,"got primary genu varu of both knees, which is here with a third and final U-flex injection. there's a plan. So in this fellow technique, I numb both knees, aspirated four cc's glacial fluid from the right knee, two cc's glacial fluid from the left knee, gave her the third U-flex injection, and if she wants to repeat this in the future, she's welcome to do that. She's not interested in any type of surgery.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11189_11f0fbbe-a977-4f0c-86e4-bbfda2b5e625_2.mp3
1755518381,GSG11191_b49b9abf-3c4d-4e71-9462-404091bd90c6_0,00:00:00.000,00:00:33.760,"Now, take 10 to follow C-R-I-S-T-I-A-N-E. Last name is Colombo, C-O-L-M-B-O. Date is June 17, 2025. Ms. Colombo comes off state company by her husband, Michael. Colombo had injured her right shoulder at work on February 18, 2025 and is ruled for a failed approval of conservative treatment. Eye operator, right shoulder. May 29, 2025, a little more than two and a half weeks ago, where she had an evaluation of seizure. Operative thruster to the right shoulder, debridement of partial lichens tear of the rotator cuff, extensor debridement, and then through a subpatriosis approach of",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11191_b49b9abf-3c4d-4e71-9462-404091bd90c6_0.mp3
1755518381,GSG11191_b49b9abf-3c4d-4e71-9462-404091bd90c6_1,00:00:33.760,00:01:04.400,"biceps senodesus. She is feeling better. She takes the occasional anti-inflammage using the ice machine, the T-bar, and the pulley system, but she's still sore and stiff. The cold weather and rainy weather has also affected her. I did review her physical therapy notes from total care physical therapy. Her physical examination is Columbus plus 12 for that woman. Her temperature in the office is 98.4. Her examination of the right shoulder. All the incisions look good. It's not hot or red. There's no ecchymosis or erythema.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11191_b49b9abf-3c4d-4e71-9462-404091bd90c6_1.mp3
1755518381,GSG11191_b49b9abf-3c4d-4e71-9462-404091bd90c6_2,00:01:05.940,00:01:31.820,"She has limited range of motion. She could abduct and forward flex about 85 degrees. Internal somatization is about 40 degrees. Passively, I could get her to about 115 degrees abduction and forward flexion, but I told her she needs to work on this so she minimizes her stiffness. Couldn't really do an impingement test. Couldn't really do a belly press test, speed test. She had no deformity biceps, no logic examination was normal. Appeared to bring pressure, my pressure",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11191_b49b9abf-3c4d-4e71-9462-404091bd90c6_2.mp3
1755518381,GSG11191_b49b9abf-3c4d-4e71-9462-404091bd90c6_3,00:01:31.820,00:02:01.180,"Colombo was involved in work last February 18, 2025, re-engineered a right shoulder after a right shoulder. Two and a half weeks ago, May 29, 2025, when she had an evaluation seizure, arthroscopy of the right shoulder, debridement of a portion of the chair, over-rotating of the gut, she all of this and extents debridement, and then through a separate sub-pectoral approach, her biceps seen it. She's stiff. She needs to improve the range of motion of the right shoulder, otherwise she's going to get stiff and develop scar tissue.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11191_b49b9abf-3c4d-4e71-9462-404091bd90c6_3.mp3
1755518381,GSG11191_b49b9abf-3c4d-4e71-9462-404091bd90c6_4,00:02:01.700,00:02:30.640,"She can't do anything hard for the biceps, but she can do active and passive range of motion, exercise for the elbow, but they need to push her into physical therapy. She needs to push herself so she doesn't get stiff. New paragraph PLAN, Ms. Colombo will continue with the physical therapy. She'll continue to be out of work. She can take the naproxen PRN, the exercise she turned therapy, doing her own at home. She's got a T-bar and pulley at home, use that. I gave her a note for out of work, and appointments seem to be in two weeks, and I usually send people back to light duty,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11191_b49b9abf-3c4d-4e71-9462-404091bd90c6_4.mp3
1755518381,GSG11191_b49b9abf-3c4d-4e71-9462-404091bd90c6_5,00:02:30.640,00:02:59.000,"somewhere between eight and 12 weeks post-operatively, and regular duty somewhere between four and four and a half months post-operatively period. A couple of goes, Walmart Claim Services, a post-host box 14731, Lexington, Kentucky 405 And 2 It's Benjamin, b e l e m, Torres, g o r e s.
Claim is 25049046. And Torres Walmart. Type for company Donna, d o n a, Viviani, v I v I a n I, at FMCO at (973) 257-2284. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11191_b49b9abf-3c4d-4e71-9462-404091bd90c6_5.mp3
1755518549,GSG11192_524c8988-9aae-42af-9a00-7a0cc98d8ef3_0,00:00:00.000,00:00:32.200,"Now taking the involvement of Compton, C-O-M-P-T-O-N, Henry, H-E-N-R-Y, date this June 17, 2025. Mr. Henry comes off today. His date of injury was back in May 27, 2025. Now approximately three weeks ago, we've seen a contusion of his right hand. At this point, he feels fine. He finished the Motrin. He's been doing light duty, but as far as he's concerned, he'd like to go back to regular duty today. He can push, he can pull, he can lift, he can carry. And he's fine with the results.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11192_524c8988-9aae-42af-9a00-7a0cc98d8ef3_0.mp3
1755518549,GSG11192_524c8988-9aae-42af-9a00-7a0cc98d8ef3_1,00:00:32.320,00:01:06.000,"No pain, no swelling, no clicking, no popping. Regular physical examination. Mr. Henry's plus-cold male. Examination of right hand and wrist. Filled. No muscle spasm or trigger points. No tenderness. No ecchymosis or hemorrhage, discoloration or edema. Full range of motion, both wrists, 60 degrees of flexion and extension, 85 degrees of pronation and supination, 25 degrees of ulnar, 20 degrees of radial deviation. Full range of motion in the MCP and IP joints of the fingers. No endosacral, butanus, one-act, mouth, finger form, risk-proof strength is excellent. No failing tests were negative. No atrophy of the senile, hypothenar, and transcutaneous contracture",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11192_524c8988-9aae-42af-9a00-7a0cc98d8ef3_1.mp3
1755518549,GSG11192_524c8988-9aae-42af-9a00-7a0cc98d8ef3_2,00:01:06.000,00:01:35.940,"No evidence to do with transcutaneous contracture. The negative Finkelstein test appeared in a regular impression by a person. Compton Henry was involved in a work-related accident on May 27, 2025. Three weeks ago, he was in a continuum of his right hand, which at this point has resolved. I told him I could put him back to regular duty tomorrow. He states he is no trouble going back to regular duty today. He feels fine. He's happy about the results. The bigger plan is at this point he can resume regular duty as of May 17th, June 17th, 2025 without restrictions.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11192_524c8988-9aae-42af-9a00-7a0cc98d8ef3_2.mp3
1755518549,GSG11192_524c8988-9aae-42af-9a00-7a0cc98d8ef3_3,00:01:36.600,00:02:03.380,"I would consider him to be MMI. I answered all of his questions for him and he was discharged from the office. Complicated as a PMA, POSIS Box 5231, Janesville, Wisconsin, 53547. Attention to the needs of Coachelle, KOU, SHEL. Claimant W water 004601327. With Essex County Corrections. In fact, the company's needs of Coachelle, KOU, SHEL, 800-432-9762. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11192_524c8988-9aae-42af-9a00-7a0cc98d8ef3_3.mp3
1755519663,GSG11195_b2b5d88c-57a7-46a5-8198-b9a83acf4821_0,00:00:00.000,00:00:30.000,"I'm now dictating a follow-up known as VERA, S-E-M-A-N-Y-S-H-Y-N, date this June 17, 2025. Ms. Jemanchin comes off today. She brought me a lot of more travel books, which I always appreciate. She happens to be a very nice woman. She's got degenerative arthritis in her right knee. She's here for the second ortho injection. It does feel a little bit better, though the cold weather has bothered her a little bit.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11195_b2b5d88c-57a7-46a5-8198-b9a83acf4821_0.mp3
1755519663,GSG11195_b2b5d88c-57a7-46a5-8198-b9a83acf4821_1,00:00:30.000,00:00:59.120,"Periodic body physical examination. Man is a post-cooperative woman. Examination of the right knee reveals a small joint effusion present. It's got a mild genuvarous deformity. Range of motion is 5 to maybe about 105 degrees. She has no evidence of instability, negative ventricular disorder, negative posterior sag, no mellon stability, tendons of flexion, of the trochlea, of the stress, negative Walkman, negative Biff shift. Her gait was mildly abnormal. Pressure in the fibrous management, got permanent joint and joint disease of the right knee,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11195_b2b5d88c-57a7-46a5-8198-b9a83acf4821_1.mp3
1755519663,GSG11195_b2b5d88c-57a7-46a5-8198-b9a83acf4821_2,00:00:59.120,00:01:17.160,"which is here for the second ortho injection. It's feeling a little better, which is great. Infertilized plant-centered cell technique. I numb the knee, aspirated three cc's of clear shallow fluid, which is less than last time. It's a good sign. Gave her the second ortho injection. Then I'll see her back next week for the third and final injection.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11195_b2b5d88c-57a7-46a5-8198-b9a83acf4821_2.mp3
1755520598,GSG11196_5744dd01-7608-43d9-8759-657f6f8ee948_0,00:00:00.000,00:00:29.660,"Now dictating a follow-up note on PRINCESS NELSON-THOMPSON date is 06/17/2025 Ms. Nelson-Thompson date of injury goes back to December 20, 2024. approximately six months ago, where she sustained a strain of her right thumb. She had an MRI of her right thumb, which showed a partial tear of the abductor, the abductor pollicis longus tendon, small ganglion cyst, and tendinitis of the extensor digitorum tendons. When I had seen her in the",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11196_5744dd01-7608-43d9-8759-657f6f8ee948_0.mp3
1755520598,GSG11196_5744dd01-7608-43d9-8759-657f6f8ee948_1,00:00:29.660,00:00:56.120,"office, x-rays showed a little bit of degenerative changes in the basal joint of the thumb. I had recommended a cortisone shot, but she does not want to do it. She took the Motrin, which she is not sure helped. She has done five out of six sessions of therapy, which she thinks helped. She has one session of therapy left. I asked her if she has been instructed on home exercises. She states she has. She is able to push, pull, squeeze, and do forceful activities without restrictions. She has no complaints of numbness or weakness.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11196_5744dd01-7608-43d9-8759-657f6f8ee948_1.mp3
1755520598,GSG11196_5744dd01-7608-43d9-8759-657f6f8ee948_2,00:00:56.120,00:01:25.200,"paragraph labels PHYSICAL EXAMINATION: Ms. Nelson-Thompson is argumentative and uncooperative woman, in no acute discomfort. Examination of her right thumb revealed no tenderness, swelling, abrasions, discoloration, edema, muscle spasm, or trigger points. No triggering of the A1 pulleys. No subluxation of the extensor tendons. No evidence of active Boutonnière, swan neck or mallet finger deformities. The abductor pollicis longus tendon is completely normal in appearance and strength. Her tendons on the extensor digitorum tendon is also completely normal.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11196_5744dd01-7608-43d9-8759-657f6f8ee948_2.mp3
1755520598,GSG11196_5744dd01-7608-43d9-8759-657f6f8ee948_3,00:01:25.200,00:01:56.000,"completely normal. She has a negative compression test. No evidence of Dupuytren’s contracture. Negative Finkelstein test. Grip strength is excellent. Neurologically entirely intact. Tinel and Phalen's tests were negative. My impression is that Princess Nelson-Thompson was involved in a work-related accident on December 20, 2024. where she sustained a mild strain of her right thumb region. Her examination today is completely normal. She is argumentative and uncooperative.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11196_5744dd01-7608-43d9-8759-657f6f8ee948_3.mp3
1755520598,GSG11196_5744dd01-7608-43d9-8759-657f6f8ee948_4,00:01:56.260,00:02:29.160,"She is doing regular duty. She has one session of therapy left. I asked her if she wanted to finish the therapy. She states she would. So, I told her it is okay to finish her therapy, and rest of the exercises she can do on her own at home. Paragraph I, I have offered Ms. Nelson-Thompson a cortisone shot to help resolve her complaints, but she does not want to do it. Objectively, her examination is normal, so I am offering this cortisone shot based on her subjective complaints, not based on objective abnormalities. PLAN: So, at this point, Ms. Nelson-Thompson will finish up her therapy.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11196_5744dd01-7608-43d9-8759-657f6f8ee948_4.mp3
1755520598,GSG11196_5744dd01-7608-43d9-8759-657f6f8ee948_5,00:02:29.820,00:02:54.560,"She can continue her regular duty. At this point, I will consider her to be at maximum medical benefits from treatment. I answered all of the questions for her and she was discharged from the office. The public is a PMA, Post Office Box 5231, Janesville, Wisconsin 53547, Tension Marion, MARION Anderson, ANDERSON, claimant W's and Watters 004499723, Portage County of Essex Corrections, Fax Governor Marion Anderson,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG11196_5744dd01-7608-43d9-8759-657f6f8ee948_5.mp3
1755521547,GSG21193_48b565fa-d2c7-4a25-8e95-8a2647cbb6c2_0,00:00:00.000,00:00:31.200,"Now dictating a follow-up note on JAMES GERTMAN date is 06/17/2025 Mr. Gertman comes to the office today. His date of injury goes back to May 27, 2025, approximately three weeks ago, where he sustained a contusion and internal derangement of his right knee. I had seen him in my office on June 10, 2025, where I aspirated fluid, gave him a cortisone shot, and I took out a lot of fluid. I aspirated fluid, gave him a cortisone shot, and I took out a lot of fluid. I kept him out of work. He states he is a little bit better today. He is still not driving. He is wearing the brace, which helps him.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21193_48b565fa-d2c7-4a25-8e95-8a2647cbb6c2_0.mp3
1755521547,GSG21193_48b565fa-d2c7-4a25-8e95-8a2647cbb6c2_1,00:00:31.720,00:01:01.500,"He still has some difficulty with stairs, but the aspiration really helped him significantly. He has less pain. He is walking a little bit better. He takes an occasional meloxicam. I told him to be careful with meloxicam because of his hypertension, but he states he has been checking his blood pressure and it has been okay. New paragraph, PHYSICAL EXAMINATION: Mr. Gertman is a pleasant, cooperative male. Examination of his right knee reveals a small joint effusion present. He also has a small joint effusion in his left knee, which was not injured.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21193_48b565fa-d2c7-4a25-8e95-8a2647cbb6c2_1.mp3
1755521547,GSG21193_48b565fa-d2c7-4a25-8e95-8a2647cbb6c2_2,00:01:01.500,00:01:28.000,"So, I am a little concerned that he may have some sort of rheumatologic condition going on, which is why he has fluid in both knees and fluid in his left knee is not causally related to putting more weight on his left knee. He is full weightbearing on both legs today. With regard to the right knee, he has some mild diffuse tenderness, both medially and laterally, weakly positive McMurray, negative Apley grind, negative Lachman, negative pivot shift,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21193_48b565fa-d2c7-4a25-8e95-8a2647cbb6c2_2.mp3
1755521547,GSG21193_48b565fa-d2c7-4a25-8e95-8a2647cbb6c2_3,00:01:28.040,00:02:08.140,"negative anterior drawer, negative posterior sag, no medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. His range of motion was 1 to about 130 degrees. His quadriceps mechanism is intact. There was no tenderness over the quadriceps, patella or patellar tendon.Paragraph My impression is that James Gertman was involved in a work-related accident on May 27, 2025, three weeks ago, where he sustained a contusion/internal derangement of his right knee. What I am a little concerned about is he also has fluid in his left knee, so I am a little concerned he may have some sort of rheumatologic problem. In turn, he did sustain an injury to the right knee. New paragraph PLAN:",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21193_48b565fa-d2c7-4a25-8e95-8a2647cbb6c2_3.mp3
1755521547,GSG21193_48b565fa-d2c7-4a25-8e95-8a2647cbb6c2_4,00:02:08.140,00:02:32.120,"So, at this point, I explained to Mr. Gertman, I would recommend take the meloxicam occasionally, but just monitor his blood pressure. If it goes up, obviously stop taking it. I recommended an outpatient course of physical therapy, gave him some home exercises to do. As far as work goes, if they will give him light duty, he can resume light duty tomorrow on June ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21193_48b565fa-d2c7-4a25-8e95-8a2647cbb6c2_4.mp3
1755521547,GSG21193_48b565fa-d2c7-4a25-8e95-8a2647cbb6c2_5,00:02:32.120,00:03:01.440,"18th 2025. He can do some walking, but mostly sedentary work. I gave him an appointment to see me in two weeks for a repeat evaluation to see how he is doing, and if his right knee continues to bother him, then I think an MRI of his right knee would be appropriate. With regard to the left knee, I recommend he go through his private health insurance for a further evaluation of his left knee, and he is aware of this. So, I will see him back in my office in two weeks for a repeat evaluation. If there is any trouble setting up the therapy, to let me know.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21193_48b565fa-d2c7-4a25-8e95-8a2647cbb6c2_5.mp3
1755521547,GSG21193_48b565fa-d2c7-4a25-8e95-8a2647cbb6c2_6,00:03:01.980,00:03:22.120,"Compensation note goes to Broadsbyer Postal Sp, 14645 Lexington, Kentucky, 40512. Attention, Joe Luzzo, LUZA, Clemens, 190617202. Players P, period, C, period, Richards and Son. Tax coverage, Joe Luzzo, 859, that's 550-2179. Thank you.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21193_48b565fa-d2c7-4a25-8e95-8a2647cbb6c2_6.mp3
1755521864,GSG21194_68ed69df-5f31-4884-b3be-ab0b665c125e_0,00:00:00.000,00:00:44.480,"Now dictating a follow-up note on rosa ROSA velez VELEZ date is 06/17/2025 Ms. Velez comes to the office today. Her date of injury goes back to November 18, 2024, where she sustained a bimalleolar ankle fracture of the right ankle, now seven months ago. of the right ankle. Now seven months ago. She is doing okay. She is walking. she is doing some light activities. She has not gone back to pickleball yet, but she is a little nervous, but she feels like she can do it. She can walk, she can stand, she can bend, she can go up and down stairs. She gets a little achiness with cold, damp weather, which we have had recently, but otherwise not really any pain.New paragraph PHYSICAL EXAMINATION: Ms. velez is pleasent cooperative woman. Her temperature in the office is 98.0. Examination of the right ankle revealed",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21194_68ed69df-5f31-4884-b3be-ab0b665c125e_0.mp3
1755521864,GSG21194_68ed69df-5f31-4884-b3be-ab0b665c125e_1,00:00:45.000,00:01:10.400,"maybe a little bit of swelling. There is no tenderness over the medial or lateral malleolus. Motion is good. Home intestine negative. Tops of the test are normal. Kills the tendon is intact. Neurologically, she's normal. She was able to tell on heel walk. Get up and down the table. That's comfort. She'll walk in a normal. Pick up x-rays. AP, little big x-rays so the right ankle demonstrated healed fracture of the lateral malleolus and a small chip fracture ",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21194_68ed69df-5f31-4884-b3be-ab0b665c125e_1.mp3
1755521864,GSG21194_68ed69df-5f31-4884-b3be-ab0b665c125e_2,00:01:10.400,00:01:41.180,"of the medial malleolus. Alignment is excellent. There is no separation of the medial clear space. New paragraph IMPRESSION: My impression is that Rosa Velez was involved in an accident on November 18, 2024, seven months ago, where she sustained mostly undisplaced bimalleolar right ankle fracture. She is doing very well. She had a bone stimulator. The fracture of lateral malleolus has healed. The fracture of the medial malleolus shows a small chip, which I think is the way it is going to heal.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21194_68ed69df-5f31-4884-b3be-ab0b665c125e_2.mp3
1755521864,GSG21194_68ed69df-5f31-4884-b3be-ab0b665c125e_3,00:01:41.440,00:02:09.500,"There is a tiny bit of malalignment of the lateral malleolus, but nothing that would affect her long-term. There is no opening of the medial clear space. She is neurologically intact. She can walk. She can squat. She can push. She can pull. She can go up and down stairs. She is doing most activities, and the only thing she has not gone back to is pickleball. she wants to know if she can do that, I told her, yes, but start out slowly. PLAN:",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21194_68ed69df-5f31-4884-b3be-ab0b665c125e_3.mp3
1755521864,GSG21194_68ed69df-5f31-4884-b3be-ab0b665c125e_4,00:02:09.500,00:02:38.560,"So, at this point, I would tell Ms. Velez, use the bone stimulator for maybe a month or two to just guarantee as much healing as possible. If she wants to go back to pickleball, why does not she go practice for 5 or 10 minutes, see how she does, give it a couple of days off, go back again, and just be gentle and careful. She was fine with that. I would continue with the calcium and vitamin D, do the home exercises, a little bit of achiness, maybe a little bit of residual swelling, especially with damp, cold weather would probably",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21194_68ed69df-5f31-4884-b3be-ab0b665c125e_4.mp3
1755521864,GSG21194_68ed69df-5f31-4884-b3be-ab0b665c125e_5,00:02:38.560,00:02:44.780,"the norm for this, but functionally I think she is doing very well. I do not need to see her unless there are further problems or difficulties.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21194_68ed69df-5f31-4884-b3be-ab0b665c125e_5.mp3
1755522446,GSG21195_84e96f86-017f-4722-9496-6d4ea0211496_0,00:00:00.000,00:00:33.560,"Now dictating a follow-up visit on RICHARD OLIVA date is 06/17/2025 Mr. Oliva comes to the office today. His date of injury is June 6, 2025, 11 days ago. Where he sustained a strain of his right shoulder. I had seen him initially on June 10, 2025. He had been taking ibuprofen, did not think it helped a lot. some pain with overhead activities pain with sleeping pain with rotation and he has been out of work. I think he is much better since the last visit in my office. Period of physical examination. Mr. Lee was supposed to go out in the mail.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21195_84e96f86-017f-4722-9496-6d4ea0211496_0.mp3
1755522446,GSG21195_84e96f86-017f-4722-9496-6d4ea0211496_1,00:00:33.560,00:01:01.960,"His temperature in the office is 98.5. Examination of the right shoulder revealed some mild tenderness over the anterolateral aspect. He could abduct and forward flex maybe about 100 degrees. actively; passively a little bit better. He also had limited internal and external rotation. It is hard to do most testing on him because he is uncomfortable, but it looked like he had a positive impingement test, negative drop test, positive Neer test. Questionably, I could not do a belly press test or lift-off test because of his limited range of motion, weakly positive",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21195_84e96f86-017f-4722-9496-6d4ea0211496_1.mp3
1755522446,GSG21195_84e96f86-017f-4722-9496-6d4ea0211496_2,00:01:01.960,00:01:29.900,"Speed test, weakly positive O'Brien test. There is no deformity of the biceps. Neurologic examination was normal. Richard Oliva had been involved in a work-related accident on June 6, 2025, 11 days ago, where he sustained a strain of his right shoulder. With the mechanism of injury, this could be some rotator cuff or labral pathology or possible contusion. He is still quite uncomfortable. He's got a limited range of motion and localized tenderness. So, I explained to Mr. Oliva",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21195_84e96f86-017f-4722-9496-6d4ea0211496_2.mp3
1755522446,GSG21195_84e96f86-017f-4722-9496-6d4ea0211496_4,00:02:01.100,00:02:31.900,"He can resume light duty, mostly no forceful activities with the right shoulder until June 18, 2025, and I gave him an appointment to see me in two weeks for repeat evaluation. We will see how he does at that point. If he continues to improve with that treatment program, I think it is great. If he fails to improve, then potentially additional diagnostic tests including an MRI or MR arthrogram of the right shoulder may be indicated. The exercises they gave him to do in therapy, he can do on his own at home If there is any trouble setting up therapy, let me know. Complaint is the PMA. Post was blocked 5231 Janesville, Wisconsin 53547.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21195_84e96f86-017f-4722-9496-6d4ea0211496_4.mp3
1755522446,GSG21195_84e96f86-017f-4722-9496-6d4ea0211496_5,00:02:32.440,00:02:43.620,"Attention Marion, M-A-R-I-O-N Anderson, A-N-D-E-R-S-O-N Claimant W's and Waters 004606445 for his county of Essex corrections. Tax Governor Marion Anderson at",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21195_84e96f86-017f-4722-9496-6d4ea0211496_5.mp3
1755522751,GSG21196_4aa82182-9c39-41ff-b51e-9e1b6f01d914_0,00:00:00.000,00:00:29.900,"Now dictating a follow-up note on RHIANNA BIGGHAM It is June 17th, 2025. Ms. Biggham comes to the office today. She is now approximately six weeks status post sprain of her left ankle. I had seen her in the office on May 30, 2025. I had given her light duty, gave her an ankle brace, but today she feels much better. She is not perfect, but she is much better. She gets occasional achiness. She can stand,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21196_4aa82182-9c39-41ff-b51e-9e1b6f01d914_0.mp3
1755522751,GSG21196_4aa82182-9c39-41ff-b51e-9e1b6f01d914_1,00:00:30.000,00:00:57.960,"she can walk, she can run, she can go up and down stairs. She has been doing light duty, but as far as she is concerned, she would like to do regular duty. I had spoken to her about physical therapy, but at this point, she feels okay. She does not really feel like therapy is necessary. If it gets worse in the future, then she will let me know. PHYSICAL EXAMINATION: Ms. Biggham is a pleasant and cooperative woman. Her temperature in the office is 97.6. Examination of the left ankle There's maybe a little tiny bit of tenderness over the anterior talofibular ligament.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21196_4aa82182-9c39-41ff-b51e-9e1b6f01d914_1.mp3
1755522751,GSG21196_4aa82182-9c39-41ff-b51e-9e1b6f01d914_2,00:00:58.060,00:01:27.820,"There is no swelling, no muscle spasms or trigger points, good range of motion. Homan test was negative. Thompson test was normal. Achilles tendon was intact. She walked with a grossly normal gait. There was no instability with the anterior drawer or inversion stress. Rhianna Biggham was involved in a work-related accident approximately six weeks ago on May 7, 2025, where she sustained a sprain of the anterior talofibular ligament of her left ankle. At this point, she has a little bit of tenderness. She has some minimal discomfort.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21196_4aa82182-9c39-41ff-b51e-9e1b6f01d914_2.mp3
1755522751,GSG21196_4aa82182-9c39-41ff-b51e-9e1b6f01d914_3,00:01:28.640,00:02:20.480,"I had talked to her about going to therapy, but she states at this point she would just like to go back to regular duty. She is happy about the results. She states at this point she feels okay and if it changes in the future and it bothers her more, then she would consider the physical therapy, which I find acceptable. PLAN. So, at this point, Ms. Biggham can return to regular duty as of June 18, 2025, without restrictions. I would wear the ankle brace maybe for about another couple of weeks. I gave her home exercises to do. She is not taking any pain medications, which is fine. At this point, I would consider her to be MMI. I answered all of her questions and she was discharged from the office. Complications of PMA, postcodes Box 5231, Janesville, Wisconsin 53547-5331. Tenjin Marion, m a r I o n, Anderson, a n d e r s o n. Claim, WAsWater004591598. Boys County of Essex Sheriff's Department five.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21196_4aa82182-9c39-41ff-b51e-9e1b6f01d914_3.mp3
1755522751,GSG21196_4aa82182-9c39-41ff-b51e-9e1b6f01d914_4,00:02:20.480,00:02:25.240,Probably to Marion Anderson at PMA. (880) 432-9762. Thanks,C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21196_4aa82182-9c39-41ff-b51e-9e1b6f01d914_4.mp3
1755523220,GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_0,00:00:00.000,00:00:29.600,"Now dictating a follow-up note on KARTRENA MONTIQUE date is 06/17/2025 Ms. Montique consults her date of injury goes back to May 19, 2025, approximately four weeks ago, where she sustained a lumbar strain and a contusion of right hemipelvis and right knee. She has been going to therapy, but she states they are mostly working on her knee and then once done with the knee, they are going work on her back. I explained to Ms. Montigue",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_0.mp3
1755523220,GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_1,00:00:29.680,00:00:58.220,"Montigue this is not her fault, but the therapist needs to work on both at the same time. When I saw her in my office, saw her in my office, I did not tell her to see me for the back one day and the knee a different day. The therapist can work on both these body parts at the same time. She has been taking the Naprosyn that helps. I gave her a note for light duty. There is no light duty available, so she has been out of work. She does feel better, but she still has some discomfort in the right knee. I told her I can give her a cortisone shot if she is very uncomfortable. She spoke to her doctor, who takes care of her diabetes,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_1.mp3
1755523220,GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_2,00:00:58.360,00:01:31.240,"and she knows how to do coverage, so she would appreciate that. New paragraph, PHYSICAL EXAMINATION: New paragraph, Ms. Montigue denied lower extremity radiculopathy or bowel or bladder abnormalities, just some achiness in the low back and some stiffness in the right knee. New paragraph, PHYSICAL EXAMINATION: Ms. Montigue is a pleasant and cooperative woman. Her temperature in the office is 97.5. Period. Examination of the low back. Feels maybe a little bit of tenderness. Got good range of motion. No swelling, ecchymosis, abrasion, discoloration, or edema. Straight leg raise is negative. Sensory, motor, and reflexes are normal. Babinski’s are downward going.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_2.mp3
1755523220,GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_3,00:01:31.240,00:01:42.760,"No clonus is present. Examination of the right knee reveals some mild tenderness. There is no joint effusion present. Range of motion is pretty good 1 to about 130 degrees. She has a negative Lachman, negative pivot shift, negative anterior drawer",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_3.mp3
1755523220,GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_4,00:01:42.760,00:02:11.340,"negative posterior sag, no medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. Between a month May 19, 2025, four weeks ago she remember contusion of her right knee, right hemipelvic region. She had an MRI of her right knees on May '25 in NJN Belleville, which came back as degenerative arthritic changes, period. No acute abnormality.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_4.mp3
1755523220,GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_5,00:02:11.340,00:02:37.840,"I had seen her previously in my office on June 3, 2025, when I recommended some therapy. Therapist is concentrating on her knee and then he is going to start doing her back next week. I asked her when is the next time she is seeing the therapist, she states tomorrow. So, I told her the therapist needs to do both the knee and the back at the same time. I asked Ms. Montigue considering she still has some pain in her right knee, would she like me to give her a cortisone shot and she states she would. I told her about potential side effects",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_5.mp3
1755523220,GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_6,00:02:37.840,00:03:10.180,"associated with her diabetes and she understood that she knows how to do coverage. So, I explained to Ms. Montigue, she can continue with the Naprosyn PRN. Under sterile technique, I gave her an injection of 1 cc of 0.125% Marcaine without epinephrine along with 6 mg of betamethasone acetate and 6 mg of betamethasone sodium phosphate into the right knee. I put that in macro filled cortisol shot. I gave her another week of physical therapy and the therapist needs to do the back and the knee at the same time.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_6.mp3
1755523220,GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_7,00:03:10.560,00:03:38.920,"As far as work goes, I will maintain her on light duty, which is not available, but apparently tomorrow is the last day where students are in school, and then June 30, 2025 is the last day that she is working, and then she has the entire summer off. So I gave her an appointment to see me in a week. We will check on her and see how she is doing and I think at that point she would probably be MMI back to regular duty. The exercises that they give her to do in therapy, she can do on her own or at home, and she can take them in an office in PRN.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_7.mp3
1755523220,GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_8,00:03:38.920,00:04:04.060,"Completed goes to Qual Links and Postal, 240819, Apple Valley, Minnesota 55125. Claim number is 25WCA Christian 01949 .the invoice Engelwood, e n g l e w d, City Board of Education. Thanks for calling to Michelle. My name is c h e l e one up. Walenta, w a l o e n t a, at NJSIG at 60903862011.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21200_188a5e02-17d6-42d9-9491-d973c8364531_8.mp3
1755523657,GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_0,00:00:00.000,00:00:29.840,"Now dictating a note on ELLIS CHERRY date is 06/17/2023 Mr. Cherry comes to the office today. His date of injury goes back to May 14, 2025, where he allegedly injured his low back and his right ankle. I had seen him in my office on June 9, 2025, and his blood pressure was 167/99. He had 3+ pitting edema of both lower extremities",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_0.mp3
1755523657,GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_1,00:00:30.060,00:00:59.880,"and he told me when he goes to see his family doctor, his family doctor tells him, his blood pressure is completely fine. I actually find that hard to believe. Also, considering he had pitting edema of both lower extremities, I explained to him that he needs to get knee high compression stockings, but I do not consider that pitting edema to be causally related to the accident of May 14, 2025, though he will need to go through his private health insurance for his blood pressure evaluation and get the knee high compression stockings.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_1.mp3
1755523657,GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_2,00:01:00.240,00:01:25.060,"So I told Mr. Cherry, if he came back to see me for his, I also sent him for a Doppler study that was done on June 13, 2025 at ImageCare Radiology in Morristown. That came back as normal and he was notified of that. So, I told Mr. Cherry when I saw him previously in my office on June 9, 2025 that if he got me a note from his family doctor that said his blood pressure",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_2.mp3
1755523657,GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_3,00:01:25.060,00:01:51.620,"was fine, that if he was wearing knee high compression stockings, then under those circumstances I would send him to physical therapy. But he has not been to his family doctor to get me a note that his blood pressure is okay. He has not been wearing knee high compression stockings. and I am unwilling to send him for physical therapy if he has uncontrolled hypertension. He was aware of this.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_3.mp3
1755523657,GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_4,00:01:51.840,00:02:21.820,"Also, Mr. Cherry spent the entire time in my office listening to his cell phone, texting on his cell phone and talking to people on his cell phone. I told him it was inappropriate to do that and he states that is what relaxes him. he is going to do it anyway. New paragraph of physical examination, Mr. Cherry's uncooperative male, whose temperature in the office is 97.5, period. Examination of the lumbar spine, feel minimal tenosynovus swelling,",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_4.mp3
1755523657,GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_5,00:02:21.820,00:02:50.300,"no ecchymosis, abrasion, discoloration, or edema. Straight leg raise is negative. Sensory, motor and reflexes were completely normal. Babinski’s were downward going. There was no clonus noted. Examination of both lower extremities revealed he still has 3+ pitting edema. He has swelling in both ankles. There is no specific tenderness. Homan test was negative. His Thompson test was normal, but he did have some decreased range of motion of his ankles as a result of the swelling. It is identical in both ankles, not more in the right ankle that",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_5.mp3
1755523657,GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_6,00:02:50.300,00:03:17.180,"he allegedly injured on May 14, 2025. So, I explained to him the most likely reason you are going to get swelling and pitting edema in both lower extremities is cardiac problems, high blood pressure, these are medical issues completely unrelated to the accident of May 14, 2025, which he needs to address through his private health insurance. New paragraph in the pressure. My patient, Ellis Cherry, was involved in a work-related accident in May 14, 2025, about",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_6.mp3
1755523657,GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_7,00:03:17.180,00:03:42.860,"five weeks ago, where he allegedly sustained a lumbar strain, a strain of his right ankle period. I told him I would be willing to send him to physical therapy if he got me a note from his family physician that said his blood pressure is under control and if he is wearing knee high compression stockings. He has done neither. I am unwilling to send Mr. Cherry to physical therapy under the circumstances where he has uncontrolled hypertension. So I told Mr. Cherry if he gets me a",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_7.mp3
1755523657,GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_8,00:03:42.860,00:04:13.780,"note from his family doctor that says his blood pressure is under control and he has knee high compression stockings, I will send him to therapy. If he does not give me that note, then I will not and at that point, when I give him an appointment to see me in two weeks, he would be MMI and discharged. As far as work goes, he can do regular duty and I did express to him my concern about this pitting edema in both lower extremities that is completely unrelated to his accident of May 14, 2025, that is a result of blood pressure issues, cardiac problems and he needs to address that through his private health insurance",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21201_abf285d9-55d4-4f94-9989-9e79e09341e5_8.mp3
1755524064,GSG21202_e0d1f1a7-3068-4bfb-be63-e70cf4d5e578_0,00:00:00.000,00:00:31.880,"Now dictating a note on ESTELLE RUSH date is 06/17/2025 Ms. Rush comes to the office today. I had seen her last week. She had degenerative arthritis in both knees, pain, swelling, and limited range of motion. so I recommended aspiration and cortisone shot. I did that and she states she is doing so much better today. Less pain. She can walk, she can function, she can go up and down stairs, and she is very happy about the outcome. She is not perfect but way better as compared to previously.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21202_e0d1f1a7-3068-4bfb-be63-e70cf4d5e578_0.mp3
1755524064,GSG21202_e0d1f1a7-3068-4bfb-be63-e70cf4d5e578_1,00:00:31.880,00:01:00.860,"Examination Ms. Rush is a pleasant, cooperative woman. Her range of motion in both knees is 5 to 125 degrees. She has no specific joint line tenderness. She has a negative McMurray, negative Apley grind, negative Lachman, negative pivot shift, negative pivot shift, negative anterior drawer, negative posterior sag, no medial or lateral instability in 10 and 30 degrees of flexion with valgus and varus stress. She has a genu varus deformity in both knees. IMPRESSION: My impression is that Estelle Rush has primary degenerative joint disease of both knees with moderate-to-severe degenerative arthritis in the medial compartment of both knees. The aspiration",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21202_e0d1f1a7-3068-4bfb-be63-e70cf4d5e578_1.mp3
1755524064,GSG21202_e0d1f1a7-3068-4bfb-be63-e70cf4d5e578_2,00:01:00.860,00:01:34.520,"cortisone shot that I gave her last week week improved her significantly. It did not make everything perfect, but it made her much better. PLAN: So I told her at this point, work on home exercises, be a little bit gentle. If she wants to, if she can't really take anti-inflammatory medication, she can take Plavix, takes a baby aspirin. She can always repeat these cortisone shots in the future, potentially consider visco-supplementation injections. So, if this bothers her in the future, then she is welcome back and we can always discuss those additional treatment options. She is not interested in any type of surgery.",C:\Users\sushant.kulkarni\Desktop\Doctor_template\downloaded_dataset\audios\GSG21202_e0d1f1a7-3068-4bfb-be63-e70cf4d5e578_2.mp3