Preview
FILED: KINGS COUNTY CLERK 11/07/2023 09:44 AM INDEX NO. 521039/2017
NYSCEF DOC. NO. 103 RECEIVED NYSCEF: 11/07/2023
Ex.B
FILED: KINGS COUNTY CLERK 11/07/2023 09:44 AM INDEX NO. 521039/2017
NYSCEF DOC. NO. 103 RECEIVED NYSCEF: 11/07/2023
0 4/25/2013 4: 17 FM FAA v v vs v vs 1
FIT RENAB PHYSICAL THRIL PY, P.C.
1763 Rockaway Parkway
Brooklyn, NY n236
P: 718-444-5993
f : 718-789-3749
Re 4NDah Stevens ,
Dear: Dr. ,
Najah was men in the office for the ·first tirne on September sa
, am7 . Upon initial evaluation, this 44
year old female reports
unhing pain , stiffaess imd decreased a ution of Lt ankle/foot after waScing and
standing for a long time. Pain started,a while ago exacerbated fey weeks ago.
Evaluation of the LL ankle reveals the following:
PF: 30/50 DF : 10/20 Eversion : 10/25 Inversic n : 15/30
Pain level on Lt. anklc/foot is S /10 .
MMT of Lt foot muscles is +3 / 5
Modwate swelling and muscle spasm at the Lt foot arer
Functl0nal evaluation:
She reports discomfort when walking & standing , which iffectsher AD1
Treatment will be directed towards pain at Lt foot/an de ,
eliminating restoring full stren%th of the
affected areas and returning her to her full
fvrmtional status for ambulation , ADL ,self care activitics ,
Treatment will consist on
Heat/cryotherapy, cleeMeal stimulation, ultrasound , t1u rapeutic ex, manual therapy and home
exc. progrann.
Frmuency of tretumnt will be two to three times
weekly for 4-6 Uceks. . .
Thank you for your referral .
Very truly yout s,
Sam El as , PT
09 /28 /17
FILED: KINGS COUNTY CLERK 11/07/2023 09:44 AM INDEX NO. 521039/2017
NYSCEF DOC. NO. 103 RECEIVED NYSCEF: 11/07/2023
U4/ 40 / 4 UJLp m; u rn rAA.
"fGaslethmmy
ReÊòrve ffd Acce Label PeU 0rmih ãcliity: ( eg
OTHER
Collection Date
cohection Time JnagrSP a
Phlebatomist Int:. MEDICARE . T: (877)869-6604
.
No, of Samples Submitted;
.. NATIONAL GnVERNMENT
Attending Prov: GREISBERG SERVICES
· NPR JUSTIN Pof#: 0600est 17A
1320083371 Otoup #:
UPIN:A41002 T: (WC/NF: No
.
Ordering Prov: GREISBERG, JCJSTIN
STEVENS NA IAH M
columbiaDoctors Orthopodies - HIP 2 STEVENS, BARBARA
NATIONAL G( 4ERNMENT
161 Ft, Washington 738 VISTATION PLACE
Ave, Herbert Pavillion, 2nd SERVICES PC BOX 6178
Flogr, New
York, NY 10032
NDIANAPOU IN 48206-8178
T: (212) 305-S604 BROOKLYN, NY 112$1
F: (212) 305-4024 7: (877)869-6 04 DOB: 24-Mar4948
. Diagnosis: (SB2.892A) n T: (718) 624.5994
JEbpected Test Jete: 14
¼lpy..2,0F,.,,. __., ........ ._._. _.. _ ........
[PTSO) (PHYSICALh AN)
TW1144653800 (S8289
Reasort, eferral
Ref Provl
Emected TM:t Date 'f4 NÆV20W
Oder fMIructiorrr Plese followthe faltawinginmructlense meptas
- 2/weekfor0 wks noted above.
We t bearas toforat90
- Actlve ROM
- ankle,foot
Shengin, balance,galt, bRe,propNone don. BAPS
- Edema contralas (Iceded
Anrtotations
,,....v-. ....”. , ,,.,...., ”.., .”.....,,. -.,-., -.. .-..-.. . ...... , ,,., ....... .--., ..,,,_,.... ........... ..---....
Physician Signature;
Cs Date Ordered: 11/14/2017
Ask us obout
mycolumbiaDoctors, our onllne portal t
your test results on I more,
Pren0ntenbe sobre
mvÇolumbiGOoctors. nuestro nortal ¢tel
order Requistelonweattag Internet porq s is resultados de oruehas
10;$064AM
Page 1of 1
FILED: KINGS COUNTY CLERK 11/07/2023 09:44 AM INDEX NO. 521039/2017
NYSCEF DOC. NO. 103 RECEIVED NYSCEF: 11/07/2023
Colun 4Amwn -
Pe7forYDisgTa fsiý
OTHER
Cohection Date:
.. . Insurance
Collection Time: ...
NIEDICARE T:
Phlebotomist Int
No. of 8amples Submitted . . . NATIONAL GOVERNMENT SERVICES
Attending Prov: EVANGELISTA MARIA o 55 7A Gm
NPk 1W417635 UPIN:17771D T:
Ordering Prov: EVANGEUSTA, MARIA
E H N E NAJAH
Columbianoctors Orthopedics - HIP 2
NATIONAL GoVERNMil!NT 227 THOMAS
161 Ft Washington 80YLAND S
Av4 ' Hubert Pavillion ' 2nd Floor, New SERVICES P( EOX 6178
York, NY 10032 TNDIANAPOU 3, IN 46200-6178
T: (212) 305-1566 BROOKLYN, NY 11233
F: (212) 305-1467 T:
DOB: 04-Feb4973
Diagnosis: TI (347) 548-5362
(S82.892A)
iExpected Test Date: 08
sep 20F
PY60] PHYSICAL h At4KLB) TW111·1859960 (S82.692A)-P
Reasom Referral
4 weeks from left ankle ORIF i
partial weight bearing to progressiveM $ht
tS6fsted bearirg as
ween off crutchesand Imot
exercise bike, range ofinctiort edomol s
ontrol, scar tinue
moMIMich soar mmege
Ref Pros
ExpectedTest Date: 06 Sep 2017
0tdhr (csttMatlans; PinapÆfollow the
fogowingIristrWtrofts t @pt on liÿted abava
-2/week for 6 wks
-1%lght bear as tolerated
- Active ROM
ankle, foot
" strairgth, alg(ce, $41t,blka
- Edoma cotittal as needed prÆfl0% tlon QAP$
.. .. - , . ,-.----.-.,,
Physician Signature:
Date Ordered: 09/05/20'l7
Ask us obout our online portol to your test
mycolumblaDoctors, results m d more.
Pmaontenossobre mycolumE§Qgctors, anestro cartel del
intemetr goro tis resultedos de oruehas
FILED: KINGS COUNTY CLERK 11/07/2023 09:44 AM INDEX NO. 521039/2017
NYSCEF DOC. NO. 103 RECEIVED NYSCEF: 11/07/2023
Physi
21Therapy Daily Notes
^ Patient.
FIT D,04
REHAB P,T PC
Nuegis
Diagno
Si lhitlem C/0:
Area of h A---r
a Neck UShoulder ogrbow
PAIN 5 AUi · a 0 dWrist 0Hand tmek --
01 O2 a 3 Wip QKnoc ani%In a
0 4 a 5 D6 n 7 c 0 a to
TX RECR)f# a Galt tmning . Q Manage
O Ultrasounff uscular Reedundan
O Continuous D Therapeunc Act(vitis -
Q h0 MMe 0 t2 w/cnia
O P),nd O 3.0 MHz o LIftmg ex O Coordnstm &
O 34 w/cmz Araman
O Bemling g O Reathmg Ex
f' O Stair
vapcow isxercises dimhmg ex 0 Pullmg h
g }
O Inotome Gs 0 MrHehing O PasMng o Sir to.t,tand h
O lsometrk Ex U Manual
O Resistive & O Edurann Ex Q dardlovascuk h Ther;ny
Q Electrical Stinwlarlan O OtIwri
0 TENS O[FC
ASSI!SSMEN Responseto Yx. O - ir VAll TotM n Time
PATNQ N 'honge ARdM .. No Change Muntle ¤ fl+$ti•dge
acreased C1.d12.R/74i. Datm ,,....._,.,
D Incensed Etrength O mereased D Comttille as per Wah arton _._ .._. .,
D becreased Q Detreased Theragst Nieme
O Dacreed ¤ Modify as follow:
signature
a
Ama of Tw D Neck ashoulder clelbow GWdst OHand DRack C Mip
PAIN SCAL£: 00 01 a 2 UKnac nkle DPont
a 3 0 4 O5 a 6
O: . 0 7 a ti 9 a 10
..,,,”,, .. ---''
TN.AECEIV.£Dr DGalt training
O Massage
O Ultrasound uromuscular Acedheat n
O Lontinuous O Thanspeutic Antivium
O LtdMHa 9 w w/cm'
O Pwsed O O L1Ringex O Coordhmion & Rection
MHz O 3.0 w(an2
O Bom)lngex O ReachingEx
arapnotic Exercises O Stair
ellinbing ex O Pullmg &
O |$MONC|h O Puxhing l! O $1 stanrj Ex
O fitrNE4hlBg hDMeMC EX
O Ikstsly Ex M$n&41Therapy , 4
0 Enduraheeh O Cardmvacular Ex
Q Electn fl 5thMularied O 0then
. O TENS ÆIFC
ASSE$$MENT: spoda toTr O Fr|r Total Tx Time
PAIN O ge AROM Otofs nge Muscle dW ng ELMLOM Dato;
Dincreased Oincreased strength D Increed D ar ewlya ion Thura t Name
O Decrnded ..,,,_
D Decreed O Dectuaud O Modify a ToIw
5pno ..
Ares a m d Neck OShoulder dElbow O dit CHand DBack
PAIN ECALIL O 0 pl Db in OKnee DA
a a rp 3 O4 D$ 0Foot
O D 6 0 7 a 0, a 10
TX R{tcEWED: 6 GMt0rninMg 7 Q
%ssage
C Ulthsound Q Neummuuule ReeÆation -
O Contingen O Therapeutic Activities
O L0 MHP, Q 12 w/cm'
O Pulsed C 3,DMHz O |»ttiragex
O AD w/cm2 OChardination & Refletion
O Bending on O
ReachtngEg
herapeutm kercises O 5t±Ir dimbing u 0 Pulling Ex
O Isotonic Ex O tretchthg " Pushin O(I tostarid h
O ImmetrIt Ex
O Resistive n O Godurnoc9Es anud therapy
O QtdIaymFlxr
O 81wtrwal himulat.ion Q Oth¢r
O TENS OlFC
ASSESSI NT; Respom to h: Q Falr O Well for.11TX Tirne; .
PAIN C No ChangeA$0M Q No Change Mungle O No Change
P.LAliSFR Date: ___ ..-
Q Insemd . Q increased Strength O Increased .. -
O Decreased 0 Contmuc na per evaluatt··n
O Decreed I"1 DNe6ased therapist Name ,, .
C Medity as tollow:
signatûreq,,,,
O Discharge
FILED: KINGS COUNTY CLERK 11/07/2023 09:44 AM INDEX NO. 521039/2017
NYSCEF DOC. NO. 103 RECEIVED NYSCEF: 11/07/2023
Physic d Therapy Notes
Daily
. Patient:
DABt
MT RERAB PT PC f
, Ua7th htyls
Areaof Txt a Neck Osboulder O8lbow OWrlst DHand OBack 1910 . UKnee O
PAIN SCALE1 a 0 01 O2 O3 D4 OFoot
O5 O5 0 7 0 O9
O: . . A 10
IX2grJiVED: â asit training C Massage .
O Ultrasound euromuscular AcadWtion
0 Continuour Q TherapeudeAcnvicles
C LOMHz O 1,aw /cm2
Q-Pulsed 6 I,lfting ex O Coordin9tlanA Resetlen
O 3A MHz Q SA W{cm' O kmling ex O Reachingh
O SWr climbingen O
Therapeutl ises Fulhg Pg
O Pushing O SItto nd Ex
nic Eu tretching O isometric h
amtalTherapy g/
sistive Es O Emiurance& O Cardiovast:olarE2 O deter . .
Q mactiiM f4tmulanca TENS OF. .
A$$ES5MEN esponsetoTraO Fa TotalTx Time
well
PAIN EPNoChangeAROM OJro Clumge MuscleO a Qpnge
91.AfÓ TY: Date
D incremed O trawasca streege,h increased
Q Decreared Q 0ecreased
13 Condnueas perevatu Elon Thempht Namet
O Degreased Q Modify asf6hwa Signature: .
4 n v e
D Discharp
Aregof Ts D Nectt p$Moulder QRibow QWe fit QHund c9ack 0 ilp .0 Wheÿ 0ÂDkle
PAIN SCALE: a 0 01 D2 p 3 D4 O$ $
h- D6 O7 . Q9 O 10
TX RE('RtVRh: O(alt traintrig O Massage U MquromusetdarReeducadon
O Ukrnound
O Thempeutic Activides
o Coonmmus O Lo MHz O 1.2 w/tm2
O Pulsed O Lifueg ex o Coordination&
Q 10 Mtin 0 SA w/0md attfon
t) knding en O Reeshingh
O Stair dimbing ex O
rapeutt rdsve PullingEs
O Pushingh O Sittostand h
otonic Ex O Stretching O bometric h ManualTherapy
O Resistiveh .0 anduranceE . O Cardiovascularh O Othee .
actrfr.alSdmWAdd O TEV$ O
total Tx Tha
A5SE$SM , sparseto Ta O 1412 Wel
6 ChAap AROM D ChangeMuscle O .
PA) 0120$6 Pt.AN0F TR- Dam .. e
O Increased O IncrcMed savagh d Isren
Condnueasper 6valumlort Therapht Name
Q Dectested O Decreased O Decreased O M6dik u follow: Sisouture .
O Discharge:,,
9 p.3rÿntr fn- fW H 0J-
Areaof Te D Neck GShotnder DElbow dWfist ¤Mand C8ack D p DKnee O
PAIN SCALE: O 0 01 O2 g $ O4 D$ ' til
O6 18 b 9 OM
.TXRECEIYJR: OGaittraining * C Massa$
d Ultmsound EFNeutMnuscular Reeddcation
O Therap uticActMamp
O Contiatious O 1,0 MHz O La w/cm2
O Pulsed O 3 MHz O Ulting ex O Coordination& Reaction
o 3.0 woma O Bendingex Q ReneWngEN
O Stnir
O rapeuti Ides elimbim as O Putling h
O PushingSW O Sit to stand Bx
Lag 0 Isernet% BH O ManualTherapy
''O istive Ex Adoract Ex Q Cardiovaseght h
ectrical Samulution Q Otheri ..,. .
O TENS OIPC
Total Tx Thee: , .
A$$E$$M2NTdlesponsto Te D Fair O Wnli
PAIN O NoChangeAROM O No Muscle O No e Pf Pty-
O Incr used Datee 7 -V
Q d $trength O smaged, Continueas per evaluadon
d O Decreand Throp(st Name
Q Decreased O ModiÆas mitow: Signatme: . ..
Q Discharge:
FILED: KINGS COUNTY CLERK 11/07/2023 09:44 AM INDEX NO. 521039/2017
NYSCEF DOC. NO. 103 RECEIVED NYSCEF: 11/07/2023
U4/ Zb/ EU1U 4 ; 15 M M -
, . Patienu D.0
FIT REHAB P,T PC . e e,s
biagnos|s:
Areaof Tr: O Neck UShAuldN QElb6w DWrf5t
PAIN $¢ALE: O 0 OHand O p QKnee GA
Of O2 OI 04 O
0 5 O6 -1 8 O9 O 10
TX.RECE c GMttratnag O Massage
O Ukrasound f Neuromusculariteedugrion
· Q TherapeutteActMtims
e continuous o Lo MHz O u w/ce
O Pulged O uftleg ex O Coordlud6n a Reaction
& 3, MWu O 3.0 w/cm2 O Bendin ex O Reachtagh
O Stafrd ngex O PullingEx
Q rapeluk 28 |
O Pushing O $1t a d Ex
O
4 c Ex
sistive Ex
tching
O anduranceIts
O immerxts ex
O cardiovascularEx
ManualTherapy
O 0then
riel $dmulation O TENS of FC ..
ASSESSM ENT:Responseto Tz O Fair O yeH Total Tx Tin m
PAIN O No ChangeAk0M O NoChange Musde O NoChange Pl,AN0F TX: Date
Q 16crowd Q kmeared Strdreh O incYesed O Contlnueas perevalu tfon Therapist Nante
O Deeroased O Deceased O Deerand O Mo ityasfollow: Signature
O Discharge:
5: Pedento ..
Area cMs O Neck dShoulder OElbow ClW‘lst 0Hand 0Back O f lp 0Knee 0Ankle 0F oot
PAIN SCAL0 D O 01 O2 O3 0 4 a S a a O7 T8 a 9 a 10
TV RFTFIVRh; 0 0ait tral41ng O Mankge O NeuromuscularV`education'
O Ultmound
O TherapeuticAerivities
O Cants on O 1.0Mitz O 1.2w/enz
O Pulsed O 34 MHz O Lifting ex O Coordination&]action
O 3” w(cd O Benenger O ItgachingEx
O Stair dimbing ex O
O TherapeuticExerciss PullingEx
O Pushingh C $k te standtx
O Isotonic Ex O stremning O frametric BN O Manual Therapy
O Resistive'hN O Endurfact Ex O CardiovascularEx O 0then . . .
d meccrtaalachmdation O T6NS OEFC Total tx ttme
A3$EssMDITiR4mpnnse
to Te O Fair O Well
PAIN O NoChangeAROM O No ChangeMuscle O No Chwo
P4$4EIL Date
- O
Increased O lacreased StrengthQ Itigrossed O Contleneasper ov$ua lon Therapist Narne: . .
O Deer`ÿd O Decreased . Q Decreated C Madify at (onow: signatwe:__
Area ofTy: 0 Neck Oshoulder OE ow ÙWrist O and Q$43 0Úip DKnee
PAIN $CAl.iE: Cl0 01 a 2 OB OAAlde OFoot
0 4 0 5 0 G 0 7 0 8 b 9 ,
On a 10
TX,Ü*CRiVED: D G4thtraintr g ' O
Massage O Neufmansculer Reeddation
O Ultrasound
O Continkous Q TherapeutieAe6vities
O La MHe O L2 wpw
Q Pubed 6 3.0MHz O Lifung ex O Coor0Natl0n& Reaguan
O 3.0 w/cm' O Bendingex O ReachingEx
D TherspouticMartises O Stair citmbhig ex O
PuR|g £g
O Pq$htfigEx O Sit to stand &
C IsotenteEx O stretchdag O Isometric Ex O ManualTherapy
O aestative£2 O EndurangeBy O CardiovascularEx ¤ 0then
O ElectricalSMmulatfoa 6 TEN£ OIsc
ASSES$MRNT:Roapons to Ts: O Pair C3Wen Tqw| Ts Tham
PAlte O NoChangeAROM O No Change Musde
0 NoChange M.ate as Tg; . .
D inceened p acreased Strength O fa¢mmd, natv
O continue as perevaluarea Therapist Numm
0 Decrea:ted O Decreased Q Decrossed ..
O Modily as Ilow; Signature: . --
O Discharge:
Preview
FILED: KINGS COUNTY CLERK 11/07/2023 09:44 AM INDEX NO. 521039/2017 NYSCEF DOC. NO. 103 RECEIVED NYSCEF: 11/07/2023 Ex.B FILED: KINGS COUNTY CLERK 11/07/2023 09:44 AM INDEX NO. 521039/2017 NYSCEF DOC. NO. 103 RECEIVED NYSCEF: 11/07/2023 0 4/25/2013 4: 17 FM FAA v v vs v vs 1 FIT RENAB PHYSICAL THRIL PY, P.C. 1763 Rockaway Parkway Brooklyn, NY n236 P: 718-444-5993 f : 718-789-3749 Re 4NDah Stevens , Dear: Dr. , Najah was men in the office for the ·first tirne on September sa , am7 . Upon initial evaluation, this 44 year old female reports unhing pain , stiffaess imd decreased a ution of Lt ankle/foot after waScing and standing for a long time. Pain started,a while ago exacerbated fey weeks ago. Evaluation of the LL ankle reveals the following: PF: 30/50 DF : 10/20 Eversion : 10/25 Inversic n : 15/30 Pain level on Lt. anklc/foot is S /10 . MMT of Lt foot muscles is +3 / 5 Modwate swelling and muscle spasm at the Lt foot arer Functl0nal evaluation: She reports discomfort when walking & standing , which iffectsher AD1 Treatment will be directed towards pain at Lt foot/an de , eliminating restoring full stren%th of the affected areas and returning her to her full fvrmtional status for ambulation , ADL ,self care activitics , Treatment will consist on Heat/cryotherapy, cleeMeal stimulation, ultrasound , t1u rapeutic ex, manual therapy and home exc. progrann. Frmuency of tretumnt will be two to three times weekly for 4-6 Uceks. . . Thank you for your referral . Very truly yout s, Sam El as , PT 09 /28 /17 FILED: KINGS COUNTY CLERK 11/07/2023 09:44 AM INDEX NO. 521039/2017 NYSCEF DOC. NO. 103 RECEIVED NYSCEF: 11/07/2023 U4/ 40 / 4 UJLp m; u rn rAA. "fGaslethmmy ReÊòrve ffd Acce Label PeU 0rmih ãcliity: ( eg OTHER Collection Date cohection Time JnagrSP a Phlebatomist Int:. MEDICARE . T: (877)869-6604 . No, of Samples Submitted; .. NATIONAL GnVERNMENT Attending Prov: GREISBERG SERVICES · NPR JUSTIN Pof#: 0600est 17A 1320083371 Otoup #: UPIN:A41002 T: (WC/NF: No . Ordering Prov: GREISBERG, JCJSTIN STEVENS NA IAH M columbiaDoctors Orthopodies - HIP 2 STEVENS, BARBARA NATIONAL G( 4ERNMENT 161 Ft, Washington 738 VISTATION PLACE Ave, Herbert Pavillion, 2nd SERVICES PC BOX 6178 Flogr, New York, NY 10032 NDIANAPOU IN 48206-8178 T: (212) 305-S604 BROOKLYN, NY 112$1 F: (212) 305-4024 7: (877)869-6 04 DOB: 24-Mar4948 . Diagnosis: (SB2.892A) n T: (718) 624.5994 JEbpected Test Jete: 14 ¼lpy..2,0F,.,,. __., ........ ._._. _.. _ ........ [PTSO) (PHYSICALh AN) TW1144653800 (S8289 Reasort, eferral Ref Provl Emected TM:t Date 'f4 NÆV20W Oder fMIructiorrr Plese followthe faltawinginmructlense meptas - 2/weekfor0 wks noted above. We t bearas toforat90 - Actlve ROM - ankle,foot Shengin, balance,galt, bRe,propNone don. BAPS - Edema contralas (Iceded Anrtotations ,,....v-. ....”. , ,,.,...., ”.., .”.....,,. -.,-., -.. .-..-.. . ...... , ,,., ....... .--., ..,,,_,.... ........... ..---.... Physician Signature; Cs Date Ordered: 11/14/2017 Ask us obout mycolumbiaDoctors, our onllne portal t your test results on I more, Pren0ntenbe sobre mvÇolumbiGOoctors. nuestro nortal ¢tel order Requistelonweattag Internet porq s is resultados de oruehas 10;$064AM Page 1of 1 FILED: KINGS COUNTY CLERK 11/07/2023 09:44 AM INDEX NO. 521039/2017 NYSCEF DOC. NO. 103 RECEIVED NYSCEF: 11/07/2023 Colun 4Amwn - Pe7forYDisgTa fsiý OTHER Cohection Date: .. . Insurance Collection Time: ... NIEDICARE T: Phlebotomist Int No. of 8amples Submitted . . . NATIONAL GOVERNMENT SERVICES Attending Prov: EVANGELISTA MARIA o 55 7A Gm NPk 1W417635 UPIN:17771D T: Ordering Prov: EVANGEUSTA, MARIA E H N E NAJAH Columbianoctors Orthopedics - HIP 2 NATIONAL GoVERNMil!NT 227 THOMAS 161 Ft Washington 80YLAND S Av4 ' Hubert Pavillion ' 2nd Floor, New SERVICES P( EOX 6178 York, NY 10032 TNDIANAPOU 3, IN 46200-6178 T: (212) 305-1566 BROOKLYN, NY 11233 F: (212) 305-1467 T: DOB: 04-Feb4973 Diagnosis: TI (347) 548-5362 (S82.892A) iExpected Test Date: 08 sep 20F PY60] PHYSICAL h At4KLB) TW111·1859960 (S82.692A)-P Reasom Referral 4 weeks from left ankle ORIF i partial weight bearing to progressiveM $ht tS6fsted bearirg as ween off crutchesand Imot exercise bike, range ofinctiort edomol s ontrol, scar tinue moMIMich soar mmege Ref Pros ExpectedTest Date: 06 Sep 2017 0tdhr (csttMatlans; PinapÆfollow the fogowingIristrWtrofts t @pt on liÿted abava -2/week for 6 wks -1%lght bear as tolerated - Active ROM ankle, foot " strairgth, alg(ce, $41t,blka - Edoma cotittal as needed prÆfl0% tlon QAP$ .. .. - , . ,-.----.-.,, Physician Signature: Date Ordered: 09/05/20'l7 Ask us obout our online portol to your test mycolumblaDoctors, results m d more. Pmaontenossobre mycolumE§Qgctors, anestro cartel del intemetr goro tis resultedos de oruehas FILED: KINGS COUNTY CLERK 11/07/2023 09:44 AM INDEX NO. 521039/2017 NYSCEF DOC. NO. 103 RECEIVED NYSCEF: 11/07/2023 Physi 21Therapy Daily Notes ^ Patient. FIT D,04 REHAB P,T PC Nuegis Diagno Si lhitlem C/0: Area of h A---r a Neck UShoulder ogrbow PAIN 5 AUi · a 0 dWrist 0Hand tmek -- 01 O2 a 3 Wip QKnoc ani%In a 0 4 a 5 D6 n 7 c 0 a to TX RECR)f# a Galt tmning . Q Manage O Ultrasounff uscular Reedundan O Continuous D Therapeunc Act(vitis - Q h0 MMe 0 t2 w/cnia O P),nd O 3.0 MHz o LIftmg ex O Coordnstm & O 34 w/cmz Araman O Bemling g O Reathmg Ex f' O Stair vapcow isxercises dimhmg ex 0 Pullmg h g } O Inotome Gs 0 MrHehing O PasMng o Sir to.t,tand h O lsometrk Ex U Manual O Resistive & O Edurann Ex Q dardlovascuk h Ther;ny Q Electrical Stinwlarlan O OtIwri 0 TENS O[FC ASSI!SSMEN Responseto Yx. O - ir VAll TotM n Time PATNQ N 'honge ARdM .. No Change Muntle ¤ fl+$ti•dge acreased C1.d12.R/74i. Datm ,,....._,., D Incensed Etrength O mereased D Comttille as per Wah arton _._ .._. ., D becreased Q Detreased Theragst Nieme O Dacreed ¤ Modify as follow: signature a Ama of Tw D Neck ashoulder clelbow GWdst OHand DRack C Mip PAIN SCAL£: 00 01 a 2 UKnac nkle DPont a 3 0 4 O5 a 6 O: . 0 7 a ti 9 a 10 ..,,,”,, .. ---'' TN.AECEIV.£Dr DGalt training O Massage O Ultrasound uromuscular Acedheat n O Lontinuous O Thanspeutic Antivium O LtdMHa 9 w w/cm' O Pwsed O O L1Ringex O Coordhmion & Rection MHz O 3.0 w(an2 O Bom)lngex O ReachingEx arapnotic Exercises O Stair ellinbing ex O Pullmg & O |$MONC|h O Puxhing l! O $1 stanrj Ex O fitrNE4hlBg hDMeMC EX O Ikstsly Ex M$n&41Therapy , 4 0 Enduraheeh O Cardmvacular Ex Q Electn fl 5thMularied O 0then . O TENS ÆIFC ASSE$$MENT: spoda toTr O Fr|r Total Tx Time PAIN O ge AROM Otofs nge Muscle dW ng ELMLOM Dato; Dincreased Oincreased strength D Increed D ar ewlya ion Thura t Name O Decrnded ..,,,_ D Decreed O Dectuaud O Modify a ToIw 5pno .. Ares a m d Neck OShoulder dElbow O dit CHand DBack PAIN ECALIL O 0 pl Db in OKnee DA a a rp 3 O4 D$ 0Foot O D 6 0 7 a 0, a 10 TX R{tcEWED: 6 GMt0rninMg 7 Q %ssage C Ulthsound Q Neummuuule ReeÆation - O Contingen O Therapeutic Activities O L0 MHP, Q 12 w/cm' O Pulsed C 3,DMHz O |»ttiragex O AD w/cm2 OChardination & Refletion O Bending on O ReachtngEg herapeutm kercises O 5t±Ir dimbing u 0 Pulling Ex O Isotonic Ex O tretchthg " Pushin O(I tostarid h O ImmetrIt Ex O Resistive n O Godurnoc9Es anud therapy O QtdIaymFlxr O 81wtrwal himulat.ion Q Oth¢r O TENS OlFC ASSESSI NT; Respom to h: Q Falr O Well for.11TX Tirne; . PAIN C No ChangeA$0M Q No Change Mungle O No Change P.LAliSFR Date: ___ ..- Q Insemd . Q increased Strength O Increased .. - O Decreased 0 Contmuc na per evaluatt··n O Decreed I"1 DNe6ased therapist Name ,, . C Medity as tollow: signatûreq,,,, O Discharge FILED: KINGS COUNTY CLERK 11/07/2023 09:44 AM INDEX NO. 521039/2017 NYSCEF DOC. NO. 103 RECEIVED NYSCEF: 11/07/2023 Physic d Therapy Notes Daily . Patient: DABt MT RERAB PT PC f , Ua7th htyls Areaof Txt a Neck Osboulder O8lbow OWrlst DHand OBack 1910 . UKnee O PAIN SCALE1 a 0 01 O2 O3 D4 OFoot O5 O5 0 7 0 O9 O: . . A 10 IX2grJiVED: â asit training C Massage . O Ultrasound euromuscular AcadWtion 0 Continuour Q TherapeudeAcnvicles C LOMHz O 1,aw /cm2 Q-Pulsed 6 I,lfting ex O Coordin9tlanA Resetlen O 3A MHz Q SA W{cm' O kmling ex O Reachingh O SWr climbingen O Therapeutl ises Fulhg Pg O Pushing O SItto nd Ex nic Eu tretching O isometric h amtalTherapy g/ sistive Es O Emiurance& O Cardiovast:olarE2 O deter . . Q mactiiM f4tmulanca TENS OF. . A$$ES5MEN esponsetoTraO Fa TotalTx Time well PAIN EPNoChangeAROM OJro Clumge MuscleO a Qpnge 91.AfÓ TY: Date D incremed O trawasca streege,h increased Q Decreared Q 0ecreased 13 Condnueas perevatu Elon Thempht Namet O Degreased Q Modify asf6hwa Signature: . 4 n v e D Discharp Aregof Ts D Nectt p$Moulder QRibow QWe fit QHund c9ack 0 ilp .0 Wheÿ 0ÂDkle PAIN SCALE: a 0 01 D2 p 3 D4 O$ $ h- D6 O7 . Q9 O 10 TX RE('RtVRh: O(alt traintrig O Massage U MquromusetdarReeducadon O Ukrnound O Thempeutic Activides o Coonmmus O Lo MHz O 1.2 w/tm2 O Pulsed O Lifueg ex o Coordination& Q 10 Mtin 0 SA w/0md attfon t) knding en O Reeshingh O Stair dimbing ex O rapeutt rdsve PullingEs O Pushingh O Sittostand h otonic Ex O Stretching O bometric h ManualTherapy O Resistiveh .0 anduranceE . O Cardiovascularh O Othee . actrfr.alSdmWAdd O TEV$ O total Tx Tha A5SE$SM , sparseto Ta O 1412 Wel 6 ChAap AROM D ChangeMuscle O . PA) 0120$6 Pt.AN0F TR- Dam .. e O Increased O IncrcMed savagh d Isren Condnueasper 6valumlort Therapht Name Q Dectested O Decreased O Decreased O M6dik u follow: Sisouture . O Discharge:,, 9 p.3rÿntr fn- fW H 0J- Areaof Te D Neck GShotnder DElbow dWfist ¤Mand C8ack D p DKnee O PAIN SCALE: O 0 01 O2 g $ O4 D$ ' til O6 18 b 9 OM .TXRECEIYJR: OGaittraining * C Massa$ d Ultmsound EFNeutMnuscular Reeddcation O Therap uticActMamp O Contiatious O 1,0 MHz O La w/cm2 O Pulsed O 3 MHz O Ulting ex O Coordination& Reaction o 3.0 woma O Bendingex Q ReneWngEN O Stnir O rapeuti Ides elimbim as O Putling h O PushingSW O Sit to stand Bx Lag 0 Isernet% BH O ManualTherapy ''O istive Ex Adoract Ex Q Cardiovaseght h ectrical Samulution Q Otheri ..,. . O TENS OIPC Total Tx Thee: , . A$$E$$M2NTdlesponsto Te D Fair O Wnli PAIN O NoChangeAROM O No Muscle O No e Pf Pty- O Incr used Datee 7 -V Q d $trength O smaged, Continueas per evaluadon d O Decreand Throp(st Name Q Decreased O ModiÆas mitow: Signatme: . .. Q Discharge: FILED: KINGS COUNTY CLERK 11/07/2023 09:44 AM INDEX NO. 521039/2017 NYSCEF DOC. NO. 103 RECEIVED NYSCEF: 11/07/2023 U4/ Zb/ EU1U 4 ; 15 M M - , . Patienu D.0 FIT REHAB P,T PC . e e,s biagnos|s: Areaof Tr: O Neck UShAuldN QElb6w DWrf5t PAIN $¢ALE: O 0 OHand O p QKnee GA Of O2 OI 04 O 0 5 O6 -1 8 O9 O 10 TX.RECE c GMttratnag O Massage O Ukrasound f Neuromusculariteedugrion · Q TherapeutteActMtims e continuous o Lo MHz O u w/ce O Pulged O uftleg ex O Coordlud6n a Reaction & 3, MWu O 3.0 w/cm2 O Bendin ex O Reachtagh O Stafrd ngex O PullingEx Q rapeluk 28 | O Pushing O $1t a d Ex O 4 c Ex sistive Ex tching O anduranceIts O immerxts ex O cardiovascularEx ManualTherapy O 0then riel $dmulation O TENS of FC .. ASSESSM ENT:Responseto Tz O Fair O yeH Total Tx Tin m PAIN O No ChangeAk0M O NoChange Musde O NoChange Pl,AN0F TX: Date Q 16crowd Q kmeared Strdreh O incYesed O Contlnueas perevalu tfon Therapist Nante O Deeroased O Deceased O Deerand O Mo ityasfollow: Signature O Discharge: 5: Pedento .. Area cMs O Neck dShoulder OElbow ClW‘lst 0Hand 0Back O f lp 0Knee 0Ankle 0F oot PAIN SCAL0 D O 01 O2 O3 0 4 a S a a O7 T8 a 9 a 10 TV RFTFIVRh; 0 0ait tral41ng O Mankge O NeuromuscularV`education' O Ultmound O TherapeuticAerivities O Cants on O 1.0Mitz O 1.2w/enz O Pulsed O 34 MHz O Lifting ex O Coordination&]action O 3” w(cd O Benenger O ItgachingEx O Stair dimbing ex O O TherapeuticExerciss PullingEx O Pushingh C $k te standtx O Isotonic Ex O stremning O frametric BN O Manual Therapy O Resistive'hN O Endurfact Ex O CardiovascularEx O 0then . . . d meccrtaalachmdation O T6NS OEFC Total tx ttme A3$EssMDITiR4mpnnse to Te O Fair O Well PAIN O NoChangeAROM O No ChangeMuscle O No Chwo P4$4EIL Date - O Increased O lacreased StrengthQ Itigrossed O Contleneasper ov$ua lon Therapist Narne: . . O Deer`ÿd O Decreased . Q Decreated C Madify at (onow: signatwe:__ Area ofTy: 0 Neck Oshoulder OE ow ÙWrist O and Q$43 0Úip DKnee PAIN $CAl.iE: Cl0 01 a 2 OB OAAlde OFoot 0 4 0 5 0 G 0 7 0 8 b 9 , On a 10 TX,Ü*CRiVED: D G4thtraintr g ' O Massage O Neufmansculer Reeddation O Ultrasound O Continkous Q TherapeutieAe6vities O La MHe O L2 wpw Q Pubed 6 3.0MHz O Lifung ex O Coor0Natl0n& Reaguan O 3.0 w/cm' O Bendingex O ReachingEx D TherspouticMartises O Stair citmbhig ex O PuR|g £g O Pq$htfigEx O Sit to stand & C IsotenteEx O stretchdag O Isometric Ex O ManualTherapy O aestative£2 O EndurangeBy O CardiovascularEx ¤ 0then O ElectricalSMmulatfoa 6 TEN£ OIsc ASSES$MRNT:Roapons to Ts: O Pair C3Wen Tqw| Ts Tham PAlte O NoChangeAROM O No Change Musde 0 NoChange M.ate as Tg; . . D inceened p acreased Strength O fa¢mmd, natv O continue as perevaluarea Therapist Numm 0 Decrea:ted O Decreased Q Decrossed .. O Modily as Ilow; Signature: . -- O Discharge: