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