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CONSENT AGREEMENT BETWEEN - State Medical Board of Ohio ...

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Matter <strong>of</strong> Kyle Elliott Hoogendoorn, D.P.M. Page 49<br />

Pt Date Procedure Type/<br />

Medication<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 />

07/09/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

07/24/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

08/07/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

09/28/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

21 05/23/01 Trigger point injection/<br />

bupivacaine<br />

06/01/01 Trigger point injection/<br />

Depo-Medrol, bupivacaine<br />

06/08/01 Trigger point injection/<br />

Depo-Medrol, bupivacaine<br />

07/13/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

09/28/01 Trigger point injection/<br />

bupivacaine<br />

22 07/25/01 Trigger point injection/<br />

bupivacaine<br />

07/31/01 Trigger point injection/<br />

Depo-Medrol, bupivacaine<br />

09/07/01 Trigger point injection/<br />

bupivacaine<br />

09/19/01 Trigger point injection/<br />

bupivacaine<br />

Physician(s) Discharge Summary Signed By<br />

Dr. Leak or Dr. Griffin?/ Name<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 />

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 />

Leak<br />

Hoogendoorn/<br />

Leak<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Griffin<br />

Possibly/Leak 98a<br />

Possibly/Leak 96a<br />

Yes/Leak 94a<br />

Yes/Griffin 90a<br />

No 88a<br />

No 86a<br />

Yes/Griffin 84a<br />

No 82a<br />

Yes/Griffin 80a<br />

Yes/Griffin 77a<br />

Yes/Griffin 75a<br />

No 73a<br />

Possibly/Leak 69a<br />

Yes/Griffin 67a<br />

Yes/Griffin 54a<br />

No 170a<br />

No 166a<br />

No 163a<br />

No 154a<br />

Yes/Griffin 139a<br />

Possibly/Griffin 110a<br />

Yes/Leak 107a<br />

Yes/Griffin 98a<br />

Yes/Griffin 94a<br />

Dch.Sum<br />

at Page

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