segment_uid string | processed_time string | audio audio | text string | start_time string | end_time string |
|---|---|---|---|---|---|
GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_0 | 2025-08-07T19:45:06.079968+05:30 | Now to the phone line, Jeanette Esposito, July 1st, 2025. Ms. Esposito comes to the office today with her companion, Faith. I had seen her almost three weeks ago on June 10, 2025. She had a recurrent dislocation of her right shoulder. I had done her rotator cuff repair years ago and she is feeling much better, though s... | 00:00:00.000 | 00:00:30.980 | |
GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_1 | 2025-08-07T19:45:06.079968+05:30 | but after two dislocations, significantly increases. Also with two dislocations, she has the potential of re-tearing the rotator cuff and damage the axillary nerve, though she does not have any numbness. PHYSICAL EXAMINATION. | 00:00:31.060 | 00:00:44.640 | |
GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_2 | 2025-08-07T19:45:06.079968+05:30 | Ms. Esposito is a pleasant, cooperative woman. Her temperature in the office is 97.4. Examination of her right shoulder reveals no numbness. She has a nicely healed scar from prior surgery. It is not hot or red. There is really no tenderness. She could forward flex about 65 degrees without any problems. I did not reall... | 00:00:44.760 | 00:01:14.200 | |
GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_3 | 2025-08-07T19:45:06.079968+05:30 | IMPRESSION: My impression is that Jeanette Esposito suffered two dislocations, first on April 18, 2025 as a result of fall and the second one while killing a bug on June 4, 2025. Now, it has just been about four weeks since the second dislocation. She looks okay at this point, but I told her to wear the sling when she ... | 00:01:14.200 | 00:01:43.400 | |
GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_4 | 2025-08-07T19:45:06.079968+05:30 | She is going to be back at the end of July. So, she will come see me in end of July. We will check on her, and at that point, we will put her through a little bit more range of motion exercises, but I probably would not recommend therapy because I am nervous she is going to re-dislocate her shoulder. She is also going ... | 00:01:43.440 | 00:02:12.000 | |
GSG11241_fdea7244-f38b-4764-9af1-e3e786c6ce95_5 | 2025-08-07T19:45:06.079968+05:30 | so it may decrease the risk of any type of recurrent dislocation, and I will see her back in my office in next four weeks or so once she is back from South Carolina. | 00:02:12.000 | 00:02:19.500 | |
GSG11242_78f7a749-d721-4d40-9441-1093f5a3e7af_0 | 2025-08-07T19:48:45.928940+05:30 | Now, continuing with the problem with Candida, C-N-D-I-D-A, Marques, M-A-R-Q-U-E-S, dated July 1st, 2025. Ms. Marques comes to the office today. She has primary degenerative joint disease of both knees. She is here because her right knee is bothering the most. She wants to know if we can do an aspiration and cortisone ... | 00:00:00.000 | 00:00:32.840 | |
GSG11242_78f7a749-d721-4d40-9441-1093f5a3e7af_1 | 2025-08-07T19:48:45.928940+05:30 | abnormal gait. CANDIDA MARQUES – 07/01/2025 CONTINUED IMPRESSION: My impression is that Candida Marques has primary degenerative joint disease of both knees, but the right knee is much more significantly uncomfortable. She wants me to do an aspiration and cortisone shot, which I aspirated 18 cc of clearish yellow fluid... | 00:00:32.840 | 00:01:02.000 | |
GSG11242_78f7a749-d721-4d40-9441-1093f5a3e7af_2 | 2025-08-07T19:48:45.928940+05:30 | Possibly, when she comes in to see me the next time, maybe repeating x-rays of both knees would be appropriate. Possibly when she comes in to see me next time, maybe repeating x-rays of both knees would be appropriate, period. | 00:01:02.000 | 00:01:10.320 | |
GSG11243_e11464f1-0bba-437e-8c41-bb3f03be71a5_0 | 2025-08-07T19:55:30.316264+05:30 | Now dictating a problem on Terrance T-E-R-R-A-N-C-E Henry, H-E-N-R-Y. Take this July 1st, 2025. Mr. Henry comes to the office today. He has long-term right knee problems. He has tears of his medial and lateral meniscus, some insufficiency abnormalities of the lateral condyle. He has chondrocalcinosis. He has had x-rays... | 00:00:00.000 | 00:00:32.360 | |
GSG11243_e11464f1-0bba-437e-8c41-bb3f03be71a5_1 | 2025-08-07T19:55:30.316264+05:30 | He has had sciatica in the past on his left leg, now his right leg. and that is starting to make him miserable. I asked him which is worse, the back or the leg at this point or the knee, and he is not sure. PHYSICAL EXAMINATION: Mr. Henry is a pleasant and cooperative male. He has no tenderness in his back. Straight le... | 00:00:32.360 | 00:01:07.040 | |
GSG11243_e11464f1-0bba-437e-8c41-bb3f03be71a5_2 | 2025-08-07T19:55:30.316264+05:30 | insufficiency abnormalities of the lateral condyle, tear of the medial and lateral meniscus and it also looks like he may have some sciatica in the right lower extremity, though neurologically intact, and he does not have much back pain. PLAN: So, I explained to Mr. Henry, he does not want to continue with therapy on h... | 00:01:07.040 | 00:01:52.280 | |
GSG11244_4e2070ff-de92-422d-a33b-2c268592e6e8_0 | 2025-08-07T20:06:54.153915+05:30 | JOAN DABON – 07/01/2025 Ms. Dabon comes to the office today. Five days ago, on June 26, 2025, I did release of the right first dorsal extensor compartment of her wrist and she states she is doing great. No pain, no discomfort, happy about the results, no troubles with anesthesia, and she took a couple of Tylenol and sh... | 00:00:00.000 | 00:00:32.740 | |
GSG11244_4e2070ff-de92-422d-a33b-2c268592e6e8_1 | 2025-08-07T20:06:54.153915+05:30 | She had good range of motion. No localized tenderness. No triggering of the A1 pulleys. No subluxation of the extensor tendons. Negative Finkelstein test and neurologically normal. IMPRESSION: My impression is that Joan Dabon had release of her right first dorsal extensor compartment on June 26, 2025, five days ago, fo... | 00:00:33.260 | 00:00:58.460 | |
GSG11244_4e2070ff-de92-422d-a33b-2c268592e6e8_2 | 2025-08-07T20:06:54.153915+05:30 | Work on some deep friction massage, otherwise her outcome has been excellent. I sometimes send people to therapy, but her motion is full. She does not really look like she has any problems at all. | 00:00:58.540 | 01:00:07.680 | |
GSG11244_4e2070ff-de92-422d-a33b-2c268592e6e8_3 | 2025-08-07T20:06:54.153915+05:30 | So, if it bothers or if she has any difficulties, then she is obviously welcome back for repeat evaluation. | 01:01:07.680 | 01:01:09.240 | |
GSG11245_fdf1ddc3-e80d-438f-9f0c-e98cdf8ba594_0 | 2025-08-07T20:23:15.358957+05:30 | Now dictating follow-up known as Christopher, last name C-H-E-R-V-E-N-Y-A-K, dated July 1st, 2025. Mr. Chervenyak comes to the office today. I performed surgery on his right shoulder five days ago, on June 26, 2025, when he had an evaluation under anesthesia, manipulation under anesthesia, operative arthroscopy of the ... | 00:00:00.000 | 00:00:34.440 | |
GSG11245_fdf1ddc3-e80d-438f-9f0c-e98cdf8ba594_1 | 2025-08-07T20:23:15.358957+05:30 | He is not taking any pain medications, period. He was able to drive today. period, Physical examination. Mr. Chervenyak, is a pleasant and cooperative male, Examination of his right shoulder, revealed nicely healed, he healed incisions, the state of the wound, the wound was Steri-Striped, Temperature in the mail, exami... | 00:00:34.640 | 00:01:04.760 | |
GSG11245_fdf1ddc3-e80d-438f-9f0c-e98cdf8ba594_2 | 2025-08-07T20:23:15.358957+05:30 | I took out all the original stitches that were present. It was a small tear, so I think we can push him a little bit more gently on regaining active range of motion. Neurologically, he is normal. X-RAYS: AP and lateral x-rays, of the right shoulder demonstrate he is status post subacromial decompression and excision of... | 00:01:04.760 | 00:01:36.060 | |
GSG11245_fdf1ddc3-e80d-438f-9f0c-e98cdf8ba594_3 | 2025-08-07T20:23:15.358957+05:30 | I think everything went well. The rotator cuff tear was small. I was able to repair the rotator cuff, so I think we can treat him more like a bad arthroscopy rather than six weeks of passive range of motion. He is completely fine with this. He is already working on active range of motion. He is just being careful. At t... | 00:01:36.400 | 00:02:08.760 | |
GSG11245_fdf1ddc3-e80d-438f-9f0c-e98cdf8ba594_4 | 2025-08-07T20:23:15.358957+05:30 | and I will see him back in my office in three weeks. | 00:02:08.760 | 00:02:11.200 | |
GSG11248_37eae8f5-eb0c-4f7b-b916-648e14fbdda2_0 | 2025-08-08T14:53:00.786077+05:30 | Now, Dictator and Founder Rodrigo, asking Mr. Ortega, Dacia Olivo, takes your life for three and a half months ago. He sustained a minor compression fracture of superior endplate T11 and L2 along with a little bit of a right frozen shoulder. He is doing much better. He does not really have back pain. | 00:00:00.000 | 00:00:29.540 | |
GSG11248_37eae8f5-eb0c-4f7b-b916-648e14fbdda2_1 | 2025-08-08T14:53:00.786077+05:30 | He does not really have shoulder pain. He still notices reaching behind his back, he is a little bit stiff but otherwise he has finished his therapy. He is not taking any pain medications. He is happy about the outcome. I have been giving him notes for light duty but as far as he is concerned he can go back to regular ... | 00:00:30.040 | 00:01:03.760 | |
GSG11248_37eae8f5-eb0c-4f7b-b916-648e14fbdda2_2 | 2025-08-08T14:53:00.786077+05:30 | Full external rotation. He lacks a little bit of internal rotation of his right shoulder. Negative Neer test, negative Speed test, negative O’Brien test, negative belly press test, negative lift-off test period. No deformity body structure. We're at a macro for an LS normal form. New paragraph X-RAYS. APLX lateral thor... | 00:01:04.140 | 00:01:34.000 | |
GSG11248_37eae8f5-eb0c-4f7b-b916-648e14fbdda2_3 | 2025-08-08T14:53:00.786077+05:30 | Periodic vagal compression, my freshman is Rodrigo Ortega-Olivo, was allowed to work with the accident three-and-a-half months ago on March 16, 2025, sustaining minor compression of fracture of the superior endplate of T11 and L2 and a minor right frozen shoulder. At this point, other than lacking a couple degrees of i... | 00:01:34.000 | 00:02:06.180 | |
GSG11248_37eae8f5-eb0c-4f7b-b916-648e14fbdda2_4 | 2025-08-08T14:53:00.786077+05:30 | At this point, Mr. Ortega-Olivo can return to regular duty as of July 2, 2025 without restrictions. I will consider him to be MMI. I answered all of his questions for him and he was discharged from the office. Complaint goes to Great American Strategic Compost. This is Fox 4080, Clinton, Iowa. 52733, Attention, H-U-G-H... | 00:02:06.360 | 00:02:38.400 |
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