N~1107-195 0025 0000 06 00 @1107-1725
Nov 09, 2026 03:47
· 42:29
· English
· Whisper Turbo
· 6 Speaker
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Hey, this is Dr.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Elkin.
0:02
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
This is an express exam case.
0:06
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
I'm going to
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
give you the details now.
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Hold
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Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
on. The file number
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
is 1 -9 -0 -5 -2 -4 -0 -4 -7 -7 -8.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
The express number is 5 -5 -4 -8 -7.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
The date of the accident is 10 -16 -24.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
The exam to press on 10 -28 -26.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
And the report goes to Wilson,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Elsa,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Moskowitz,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Edelman,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and Decker, LLP,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
at 150 East 42nd Street,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
23rd floor,
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Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
New York, New York,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
1017.
0:50
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
She was very concerned.
0:53
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
I examined the building clearance for an independent neurological examination on
0:57
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
October 28,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2026.
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Speaker 4 (N~1107-195 0025 0000 06 00 @1107-1725)
Ms.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Wanda.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
W -A -N -D -A,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Evelisse,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
I -V -E -L -L -I -S -S -E,
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Speaker 4 (N~1107-195 0025 0000 06 00 @1107-1725)
Balines,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
B -A -L -I -N -E -S,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
so this interpreter,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Mr.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Jonathan Chacon,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
C -H -A -C -O -N from Irony,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Watchdog was present.
1:18
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He presented an Ecuador driver's license for photo identification.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He's 38 years old.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He's married.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He has three children.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He does not smoke,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
drink, or use it as recreational substances.
1:30
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He denied any general health problems.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He denied prior or subsequent accidents or injuries.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
At the time of the subject accident,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
he worked as a plasterer on a construction site.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He has never returned to work since the
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
subject accident start.
1:44
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Following records were provided for my review,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and I'm going to list all these records.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
And actually,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
I'm going to
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
ask...
2:02
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
express exams to insert their table of contents,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
a whole list of records that they can actually transcribe
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
into the report,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
because I know you send it to them for review first.
2:16
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
So the
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
subject actually occurred on October 16,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2024,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
when he stated that he fell off a ladder in the
2:32
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
workplace.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He said that he felt...
2:34
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He fell backwards.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He lost consciousness for an indeterminate duration.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He said that he did not sustain any visible injuries.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Stop.
2:43
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
He
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
was
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
initially examined in the
3:27
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
emergency room at Jacobi Medical Center.
3:30
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
The
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
pre -hospital care report summary states
3:56
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
that it was found at the
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
accident scene lying on the floor,
4:02
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
a motion -oriented.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
According to the record,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
he stated that he fell off the ladder while painting before
4:13
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
the pain in his left arm and back.
4:17
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
In the
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
emergency department at Jacobi Hospital,
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
North
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Central Bronx,
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
his
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
vital signs were stable.
4:45
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
His
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
chief complaints are noted to be headache,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
back pain,
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and neck pain.
5:12
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He was noted on examination in the emotions department to be alert
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
and
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
oriented to abnormal
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
findings of the neurological physical examination.
5:36
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Examination of the neck was
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
notable for bony tenderness.
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Bony
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
tenderness on palpation of the thoracic
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and lumbar spines was noted.
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
It is also noteworthy that there was a chronic deformity of
6:06
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
the fifth metacarpal bone of the left hand
6:10
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
with decreased sensation of the fourth and fifth fingers.
6:14
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
There was full range of motion
6:18
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
of the left elbow.
6:19
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Chanel's test was positive at the ulnar nerve.
6:23
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Radiological
6:38
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
studies include
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
a test
6:57
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
x -ray that is
7:04
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
noted to be normal.
7:07
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
A CT scan of the brain that reveals no evidence of
7:11
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
acute intracranial injury.
7:13
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
A
7:17
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
CT of the abdomen and pelvis with contrast that reports
7:21
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
no evidence of visceral injury.
7:24
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
A
7:29
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
CT of the chest reports
7:33
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
no evidence of visceral injury.
7:35
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
A
7:39
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
CT of the cervical spine is noted
7:46
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
to be
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
normal.
7:56
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
A CT of the lumbar spine.
8:01
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
It's noted to be normal.
8:03
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
And a CT of the thoracic spine is
8:07
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
noted to be normal.
8:08
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
An X -ray of the left elbow is
8:13
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Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
noted to be normal.
8:17
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
X
8:22
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
-ray of the left hand reported
8:27
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
areas of nodular skin thickening along various digits.
8:32
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
An
8:37
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
X -ray of the pelvis revealed no evidence of fracture.
8:39
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Stop.
8:40
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
In
8:48
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
the emergency department,
8:50
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
the patient is noted to be feeling better.
8:55
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
mild sensory symptoms of the fourth and fifth fingers of the left hand and
8:59
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
the positive channels of the ulnar and over the elbow is noted.
9:03
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
He was
9:08
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
released from the emergency department.
9:10
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Stop.
9:10
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
The
9:15
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
claimant stated that in addition to pain in his neck and
9:20
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Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
lower back and left elbow,
9:25
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Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
he reported headaches,
9:30
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
tinnitus,
9:32
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Speaker 4 (N~1107-195 0025 0000 06 00 @1107-1725)
dizziness,
9:34
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
and right
9:38
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Speaker 5 (N~1107-195 0025 0000 06 00 @1107-1725)
knee pain.
9:39
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Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
Stop.
9:46
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
He was seen
9:59
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
at All -City Family Health Care Center.
10:00
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
All -City Family Health Care Center on February
10:12
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
26, 2025.
10:13
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He underwent a left elbow ulnar nerve
10:17
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
decompression,
10:20
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
neurolysis of the ulnar nerve,
10:25
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
and
10:30
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
exploration of severe ulnar nerve neuroma performed
10:34
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
by Dr.
10:35
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Gupta, an
11:01
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
electrodiagnostic study of the upper extremities at University Place
11:05
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Orthopedics.
11:08
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Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
by Dr.
11:10
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Gupta on December 19,
11:12
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2024.
11:14
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
It's notable
11:38
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
for a left cubital,
11:40
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
a severe left cubital tunnel syndrome and
11:45
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
mild left mid to lower cervical radiculopathy.
11:49
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Opportunity,
12:06
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Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
Dr.
12:07
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Gupta recommended anti -inflammatories,
12:11
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
physical therapy,
12:13
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
and he
12:23
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
was released from his care.
12:26
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
On June 10,
12:28
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2025,
12:29
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Dr.
12:39
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Gupta in his plan states that he
12:43
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
informed the patient that
12:47
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
his left hand would never be normal.
12:49
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Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
He noted,
12:52
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
he expressed hope that
12:57
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
strength in his hand would improve.
13:00
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He notes.
13:03
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Open inverted commas.
13:04
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
It will never be normal due to the fact that he had previous surgery
13:09
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
to the nerve.
13:09
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Close inverted commas.
13:12
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
He saw
13:17
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
treatment with Dr.
13:18
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Isaac on September 17,
13:21
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
2025 with white
13:32
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Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
knee pain and Dr.
13:50
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Jonathan Lewin at Brooklyn Premier Orthopedic
13:54
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Center for Musculoskeletal Disorders.
13:59
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Speaker 5 (N~1107-195 0025 0000 06 00 @1107-1725)
On June 16,
14:00
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2025,
14:02
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
a
14:12
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
complaint of lumbar pain.
14:15
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Stop.
14:16
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Lewin
14:41
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
refers to an MRI of the lumbar spine dated November
14:45
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
27,
14:46
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2024,
14:47
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
that in his opinion revealed L34
14:52
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
disbulging.
14:54
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
And L5 -S1,
14:56
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
a dismalge with an annular fissure with impingement on
15:00
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
the epidural fat.
15:00
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
on the epidural fat.
15:02
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
The
15:16
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
therapy was evaluated by Dr.
15:18
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Winiarski at the same facility on
15:23
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
November 6,
15:24
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2024 for left elbow pain.
15:28
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Dr.
15:41
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Winiarski diagnosed a traumatic left
15:45
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
elbow contusion,
15:46
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
referred him for physical therapy,
15:49
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
prescribed anti -inflammatory pain
15:55
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
medication,
15:56
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and referred him for an MRI of the left elbow.
16:00
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Stop.
16:00
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
He
16:15
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
also complained to Dr.
16:16
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Winiowski of left shoulder pain.
16:18
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Stop.
16:19
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
An
16:23
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
MRI of the left shoulder reported abnormality
16:29
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
that I defer to,
16:31
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
that is non -neurological,
16:33
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Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and that I defer to the appropriate specialist.
16:36
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Stop.
16:36
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He also consulted
16:41
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
with Dr.
16:41
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Roberts at New York Spine Institute on
16:48
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
November 15,
16:50
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2024,
16:51
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
with complaints of neck pain radiating to the left upper
16:55
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
extremity with associated paresthesias and weakness
17:00
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and lower back pain radiating into the bilateral lower extremities,
17:04
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
right more than left.
17:05
S…
Speaker 5 (N~1107-195 0025 0000 06 00 @1107-1725)
Stop.
17:06
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Dr.
17:12
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Roberts recommended MRIs of the cervical and lumbar
17:17
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
spines.
17:18
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Up
17:32
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
with Dr.
17:33
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Roberts.
17:57
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
She received a new paragraph,
17:59
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
a neurological consultation by Dr.
18:03
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Friedman.
18:04
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
On December 8,
18:06
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2024,
18:07
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Dr.
18:08
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Friedman
18:13
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
notes that he complained of opening verticals,
18:16
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
violent closing verticals,
18:18
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
neck and lower back pain.
18:19
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Serving
18:55
S…
Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
documents multiple
18:59
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
traumatic injuries,
19:01
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
specifically with reference to the cervical and lumbar spines.
19:09
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
acute post -traumatic stress disorder with anxiety,
19:12
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
agitation,
19:13
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
insomnia,
19:14
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and poor concentration,
19:15
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
acute post -traumatic syphalgia,
19:18
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
acute post -traumatic sinusus and vertigo,
19:22
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
in addition to pain in the left
19:26
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
shoulder, left elbow,
19:27
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and right knee stuff.
19:30
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
The electroencephalogram
19:35
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
on November 8,
19:37
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2024 reports
19:41
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Slowing of background activity,
19:43
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
indicative of moderate diffuse cerebral dysfunction.
19:47
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Brainstem
19:57
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
auditory evoked responses are known to be normal.
20:00
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
normal.
20:00
S…
Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
Collateral trans
20:04
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
-carotidoppler flows are noted to be normal.
20:08
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Video
20:42
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
knife thermography of the
22:02
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
upper extremities on May 2nd,
22:06
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2025,
22:07
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
gyropathy,
22:26
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and chronic left C5,
22:29
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
C6,
22:30
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and C7 denervation.
22:32
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
He
22:59
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
saw treatment with Dr.
23:01
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Samhai E.
23:07
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and Premier Orthopedic Center for Muscular and Skeletal Disorders for
23:11
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Pain Management.
23:12
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
His initial visit was on November 1,
23:16
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2024.
23:17
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
He complained
23:22
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
of back pain.
23:23
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
On
23:40
S…
Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
January 29,
23:44
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2025,
23:45
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Dr.
23:46
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Simhae performed an L5 -S1
23:50
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
lumbar epidural steroid injection.
23:53
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
He followed
24:12
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
up with Dr.
24:13
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Simhae.
24:55
S…
Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
And subsequently,
24:56
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Dr.
24:57
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Horowitz,
24:58
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
a second lumbar epidural steroid injection.
25:00
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
lumbar epidural steroid injection was performed
25:18
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
on November 25,
25:20
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2025.
25:22
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Of
25:49
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
note, the record reveals that in October 25,
25:52
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
he underwent a medial branch block injection to the lumbar
25:56
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
spine, a second
26:00
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
medial branch block injection in May of 2025,
26:04
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
bilateral sacral islet injections in
26:08
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
July of 2025,
26:17
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and lumbar epidural steroid injections on January 29,
26:21
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2024,
26:22
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and March 21,
26:24
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2025.
26:26
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
On
27:11
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
December 19,
27:12
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2025,
27:13
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
the underwent a third lumbar epidural steroid injection performed by Dr.
27:17
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Horowitz.
27:18
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
He
27:25
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
was seen by Dr.
27:27
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Jeffrey Austero,
27:28
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
a podiatrist,
27:31
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
for right ankle pain.
27:33
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
On December 3,
27:37
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
2025 through November
27:48
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
7, 2025.
27:50
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
This diagnosis is a sprain,
27:54
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
a ligament sprain of the right ankle.
27:57
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Follow
28:27
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
-up records,
28:28
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Dr.
28:38
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Roman's
28:43
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
office are noted,
28:46
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
referencing
28:56
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
the right knee,
28:58
S…
Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
lumbar spine,
29:02
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
cervical
29:08
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
spine.
29:18
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Physical therapy treatment records from Tender Loving Care Physical Therapy
29:22
S…
Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
are noted.
29:23
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
The
29:36
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
chemists
29:45
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
say that he's had surgery to the left elbow and right knee.
29:47
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He has been pushed by pain medications he's unable to name.
29:51
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Receives physical therapy three times a week for his spine,
29:55
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
his left elbow,
29:57
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
his right knee,
29:59
S…
Speaker 5 (N~1107-195 0025 0000 06 00 @1107-1725)
and cognitive therapy.
30:00
S…
Speaker 5 (N~1107-195 0025 0000 06 00 @1107-1725)
And cognitive therapy.
30:01
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
The child
30:06
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
of this examination,
30:07
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
his primary accent created a complaint of his neck pain.
30:09
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He said the pain is intense,
30:11
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
present the
30:16
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
majority of the time,
30:17
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
aggravated by movement,
30:19
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
but not improved with rest.
30:21
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Sometimes his right arm is weak and numb.
30:24
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He is right -handed.
30:25
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Secondly,
30:26
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
he's unable to lift his arms.
30:33
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He said that both shoulders are painful.
30:35
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Thirdly,
30:37
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
he said that his left elbow pains him and he has lost sensation over
30:42
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
the fifth finger
30:46
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and half of the fourth finger.
30:48
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He said that the nerve from his
30:54
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
left elbow is damaged and he has left
30:58
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
strength in his left hand.
30:59
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
I directly questioned him as to prior
31:08
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
left elbow symptoms,
31:10
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and he stated that there was no past
31:14
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
history of problems with his left
31:18
S…
Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
elbow.
31:19
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Then
31:24
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
he stated that he had a childhood injury to his left elbow.
31:27
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
He described
31:31
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
slight numbness prior,
31:32
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
but no difficulty using his left arm or hand.
31:36
S…
Speaker 5 (N~1107-195 0025 0000 06 00 @1107-1725)
Finally,
31:38
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
he reports that pain that comes and goes aggravated by movement without relief
31:43
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
with rest.
31:44
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
The pain is aggravated by bending.
31:46
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
It radiates into both legs,
31:47
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
right more than left.
31:48
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
When sitting or laying,
31:51
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
he has numbness of his legs.
31:52
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
It's not only bowel,
31:55
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
bladder, or erectile dysfunction.
31:56
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Secondly,
31:58
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
in the paragraph,
31:59
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
he describes pain in his right knee.
32:01
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Pre -surgery,
32:02
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
the pain was 10 out of 10.
32:03
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
It remains at 10 out of 10.
32:05
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
So when walking,
32:07
S…
Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
he has pain.
32:08
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He has pain at rest.
32:09
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He has numbness down the back of his right leg.
32:13
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Well, sixthly,
32:14
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
he reported left shoulder pain.
32:15
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He said that it comes and goes.
32:17
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He described an electrical sensation in his left lower arm with
32:21
S…
Speaker 5 (N~1107-195 0025 0000 06 00 @1107-1725)
movement.
32:22
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He denied any injections or surgery.
32:25
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Well,
32:27
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
finally, he said that his head was open in vertical,
32:30
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
not feeling good,
32:32
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
close in vertical.
32:32
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He described black dots in front of
32:36
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
his eyes.
32:37
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He described headaches,
32:39
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
tinnitus,
32:39
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and vertigo associated nausea.
32:47
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He denied prior headaches.
32:58
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He receives cognitive therapy via
33:03
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Zoom.
33:05
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He said that he forgets conversations,
33:08
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
he forgets objects.
33:10
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He said that he was told the therapy is for open
33:14
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
inverted commas,
33:14
S…
Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
short memory,
33:18
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
closed inverted commas.
33:19
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He said that the teacher has been unhelpful,
33:23
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
said that physical
33:27
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
therapy is not much help.
33:28
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Nupal is limited in that he's unable to play or run.
33:33
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He's unable to lift,
33:34
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
jump,
33:34
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
or cook.
33:35
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He lives with his family.
33:36
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He is independent of self -care.
33:38
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Our neurological physical examination
33:42
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
reveals that he's one,
33:43
S…
Speaker 3 (N~1107-195 0025 0000 06 00 @1107-1725)
I think,
33:45
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
three inches tall.
33:45
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He weighs 140 pounds.
33:47
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He's awake and alert.
33:49
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
He was able to give a good account of himself in no distress.
33:53
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Cranial nerves,
33:55
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
2 -3 -12 are normal.
33:56
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Bristle muscle power,
33:58
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
so he's 5 over 5 in all muscle groups without muscle weakness.
34:01
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Manual muscle
34:05
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
testing.
34:06
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
The superficial and deep tendon recesses were symmetrical and abnormal until the
34:10
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
plant responses were flexor.
34:12
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Sensation was intact to all modalities,
34:15
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
except in the left upper extremity that will be addressed below.
34:20
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Coordination was normal.
34:22
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
His gait was and he walked with a limp due to pain in his right knee.
34:26
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
The operation was performed using visual instructions,
34:29
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
self -demonstration,
34:30
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
and use of a goniometer or badge recorded according to AMA guidelines for permitting
34:34
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
payment for physician,
34:35
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
March 2002.
34:38
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Examination of the neck would be a restriction of forward flexion to 40 degrees,
34:41
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
normally 50 degrees.
34:42
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Retro flexion to 40 degrees,
34:43
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
normally 60 degrees.
34:44
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
That rotation to your side was full to any degrees,
34:48
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
normally any degrees.
34:49
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
It's quite pain in the neck with movement.
34:52
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
There was subjective tenderness to population of the cervical spine and cervical musculature.
34:56
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
There was no problem with cervical muscle spasm.
34:58
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
The cervical compression test was negative.
35:00
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
Examination of the shoulder.
35:00
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
was negative.
35:00
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
The examination of the shoulders revealed inability to elevate
35:05
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
or abduct the weakness
35:12
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
of
35:21
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
the left hand.
35:22
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
There's a wasting of the first dorsal interosseous.
35:27
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
Range
35:39
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
of motion of the elbow was full.
35:40
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
It was tenuous over the medial epicondyle.
35:44
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
It was
35:51
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
found electrical pain from his left lower elbow to
35:55
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
his left hand.
36:13
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
No clinical ulnar neuropathy.
36:16
S…
Speaker 6 (N~1107-195 0025 0000 06 00 @1107-1725)
Oh,
36:18
S…
Speaker 2 (N~1107-195 0025 0000 06 00 @1107-1725)
wait a minute.
36:18
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
The left hand was weak on abduction and
36:23
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
adduction.
36:23
S…
Speaker 1 (N~1107-195 0025 0000 06 00 @1107-1725)
There was atrophy of the first dorsal interosseous
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