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GSG11245_4d89c3d7-e0d3-4ea8-93a9-006d1129cde4_0
1,754,909,288
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 arth...
00:00:00.000
00:00:34.440
GSG11245_4d89c3d7-e0d3-4ea8-93a9-006d1129cde4_1
1,754,909,288
He is not taking any pain medications He was able to drive today PHYSICAL EXAMINATION: Mr. Chervenyak is a pleasant and cooperative male. Examination of his right shoulder revealed nicely healed incision. Staples were removed and wound was Steri-Striped. His temperature in the office is 97.7. Staples were removed and w...
00:00:34.640
00:01:04.760
GSG11245_4d89c3d7-e0d3-4ea8-93a9-006d1129cde4_2
1,754,909,288
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 period. Neurologically, he's normal. Pre-depregative x-rays, apilator x-rays, right shoulder, demonstrated he's down to both subocro and deep compression. ...
00:01:04.760
00:01:32.380
GSG11245_4d89c3d7-e0d3-4ea8-93a9-006d1129cde4_3
1,754,909,288
he also had a subacromial decompression, excision of distal clavicle, mini arthrotomy, and a rotator cuff repair. 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...
00:01:32.480
00:02:03.760
GSG11245_4d89c3d7-e0d3-4ea8-93a9-006d1129cde4_4
1,754,909,288
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.
00:02:04.220
00:02:11.200
GSG11241_641d500d-fd36-4fc9-8a40-9490719bfcc8_0
1,754,909,742
JEANETTE ESPOSITO – 07/01/2025 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....
00:00:00.000
00:00:30.980
GSG11241_641d500d-fd36-4fc9-8a40-9490719bfcc8_1
1,754,909,742
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:
00:00:31.060
00:00:44.640
GSG11241_641d500d-fd36-4fc9-8a40-9490719bfcc8_2
1,754,909,742
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_641d500d-fd36-4fc9-8a40-9490719bfcc8_3
1,754,909,742
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. 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...
00:01:14.200
00:01:43.400
GSG11241_641d500d-fd36-4fc9-8a40-9490719bfcc8_4
1,754,909,742
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. I probably would not recommend therapy because I am nervous she is going to re-dislocate her shoulder. She is also going to d...
00:01:43.440
00:02:12.000
GSG11241_641d500d-fd36-4fc9-8a40-9490719bfcc8_5
1,754,909,742
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
GSG11241_26b69396-672e-4e1c-843a-c4e031fba3d2_0
1,754,910,607
Jeanette Esposito July 1st, 2025. Ms. Esposito comes to the office today with her companion, Faith. I had seen her almost three weeks ago on June 10, 2025. She had a recurrent dislocation of her right shoulder. I had done her rotator cuff repair years ago and she is feeling much better, though she does not have much pa...
00:00:00.000
00:00:30.980
GSG11241_26b69396-672e-4e1c-843a-c4e031fba3d2_1
1,754,910,607
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:
00:00:31.060
00:00:44.640
GSG11241_26b69396-672e-4e1c-843a-c4e031fba3d2_2
1,754,910,607
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_26b69396-672e-4e1c-843a-c4e031fba3d2_3
1,754,910,607
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 g...
00:01:15.700
00:01:47.400
GSG11241_26b69396-672e-4e1c-843a-c4e031fba3d2_4
1,754,910,607
We will check on her. And at that point, we will put her through a little bit more range of motion exercises. 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 ne...
00:01:47.400
00:02:17.000
GSG11241_26b69396-672e-4e1c-843a-c4e031fba3d2_5
1,754,910,607
or so once she is back from South Carolina.
00:02:17.000
00:02:19.500
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