CONSENT AGREEMENT BETWEEN - State Medical Board of Ohio ...
CONSENT AGREEMENT BETWEEN - State Medical Board of Ohio ...
CONSENT AGREEMENT BETWEEN - State Medical Board of Ohio ...
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Matter <strong>of</strong> Kyle Elliott Hoogendoorn, D.P.M. Page 25<br />
Pt Date Procedure Type/<br />
Medication<br />
05/22/01 Chemoneurolytic injection/<br />
Sarapin, bupivacaine<br />
06/15/01 Chemoneurolytic injection/<br />
Sarapin, bupivacaine<br />
06/22/01 Trigger point injection/<br />
Depo-Medrol, bupivacaine<br />
17 01/19/01 Trigger point injection/<br />
bupivacaine<br />
01/26/01 Trigger point injection/<br />
Depo-Medrol, bupivacaine<br />
02/06/01 Chemoneurolytic injection 8 /<br />
Sarapin, Depo-Medrol,<br />
bupivacaine<br />
02/09/01 Chemoneurolytic injection/<br />
Sarapin, DepoMedrol,<br />
bupivacaine<br />
02/16/01 Chemoneurolytic injection/<br />
Sarapin, bupivacaine<br />
02/23/01 Chemoneurolytic injection/<br />
Sarapin, bupivacaine<br />
03/02/01 Chemoneurolytic injection/<br />
Sarapin, bupivacaine<br />
03/09/01 Chemoneurolytic injection/<br />
Sarapin, bupivacaine<br />
04/04/01 Chemoneurolytic injection/<br />
Sarapin, bupivacaine<br />
04/11/01 Chemoneurolytic injection/<br />
Sarapin, bupivacaine<br />
04/18/01 Chemoneurolytic injection/<br />
Sarapin, bupivacaine<br />
04/25/01 Chemoneurolytic injection/<br />
Sarapin, bupivacaine<br />
05/04/01 Chemoneurolytic injection/<br />
Sarapin, bupivacaine<br />
05/16/01 Chemoneurolytic injection/<br />
Sarapin, bupivacaine<br />
06/20/01 Chemoneurolytic injection/<br />
Sarapin, bupivacaine<br />
06/29/01 Chemoneurolytic injection/<br />
Sarapin, bupivacaine<br />
Physician(s) Location <strong>of</strong> Procedure <strong>Medical</strong><br />
Rcd. Pg.<br />
Hoogendoorn/<br />
Griffin<br />
Hoogendoorn/<br />
Griffin<br />
Hoogendoorn/<br />
Griffin<br />
Hoogendoorn/<br />
Griffin<br />
Hoogendoorn/<br />
Griffin<br />
Hoogendoorn/<br />
Griffin<br />
Hoogendoorn/<br />
Griffin<br />
Hoogendoorn/<br />
Leak<br />
Hoogendoorn/<br />
Griffin<br />
Hoogendoorn/<br />
Griffin<br />
Hoogendoorn/<br />
Griffin<br />
Hoogendoorn/<br />
Griffin<br />
Hoogendoorn/<br />
Griffin<br />
Hoogendoorn/<br />
Griffin<br />
Hoogendoorn/<br />
Griffin<br />
Hoogendoorn/<br />
Griffin<br />
Hoogendoorn/<br />
Griffin<br />
Hoogendoorn/<br />
Griffin<br />
Hoogendoorn/<br />
Griffin<br />
Right levator scapula, rhomboids, and<br />
trapezius<br />
Right levator scapula, latissimus dorsi,<br />
splenius capitis, and rhomboid<br />
Levator scapula, erector spinae,<br />
rhomboid, and trapezius, right<br />
101<br />
100<br />
Paraspinal muscles, thoracic region 113a, 175<br />
Erector spinae muscle groups bilaterally, 110a, 174<br />
thoracic lumbar region<br />
"Trigger point injections with Sarapin, 173<br />
thoracic and lumbar spine, most<br />
specifically the erector spinae muscles"<br />
Erector spinae muscle group bilaterally 171<br />
99<br />
Paraspinal muscle group 170<br />
Bilateral erector spinae musculature from<br />
midscapular to lumbosacral region<br />
169<br />
Erector spinae muscle groups bilaterally 167<br />
Erector spinae muscle group 166<br />
Erector spinae muscle group 162<br />
Erector spinae muscle complex, thoracic<br />
and lumbar region<br />
161<br />
Erector spinae muscle group 160<br />
Erector spinae muscle complex bilaterally 159<br />
Erector spinae muscle complex, lumbar<br />
and thoracic regions bilaterally<br />
Erector spinae muscle complex, lumbar<br />
and thoracic regions bilaterally<br />
Dorsal cutaneous nerves <strong>of</strong> the erector<br />
spinae muscle groups, lumbar and<br />
thoracic regions<br />
Dorsal cutaneous nerves <strong>of</strong> the erector<br />
spinae muscle groups, lumbar and<br />
thoracic region, bilaterally<br />
8 Many <strong>of</strong> the procedural notes for Patient 17 indicate that a trigger point injection was performed; however,<br />
Sarapin, a mild chemoneurolytic agent, was used. Accordingly, these procedures have been identified in this table<br />
as chemoneurolytic injections. (St. Ex. 17 at 173; see also pages 169-171)<br />
158<br />
157<br />
156<br />
155
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