X1 Blade Gout Model to Erin G./Woodstock, GA

Rx: 6/7/16 PA: Erin G. -  X1 Blade #7193

X1 Blade #7193 Gout Model

gout model - all composite material please,  intrinsic lateral force hallux wedge,  cover great toe relief with ShearBan.

Diagnosis: Gout Left Foot /  ICD-10-CM diagnosis code M10.072

History: Erin plays tennis and is recovering from gout. The pain still occurs "ouch"if she pushes off real hard to sprint in tennis.

Plan: Fabricate left X1 Blade Gout model for Erin G. with: plantar Blade covered in ShearBan, flexible midfoot zone so as not to restrict normal ankle motion, intrinsic unloading lateral force wedge, StiFlex +2 at great toe. X1 Blade to be used under Erin's shoe liner during tennis. Approximate Weight  1 oz. Density 0.04

Sx: Order received 6/7/16 via website http://indianabrace.com/turftoe.aspx  Expect shipping 6/15/16 to Woodstock, GA by USPS Priority
Mail Expect delivery in 3-4 days.

FU: Email Erin G. customer satisfaction questionnaire on or about 6/29/16

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