Wednesday, March 22, 2017

Broken Nose Mask / Madrid Soccer Model to Rhett in Castle Rock, CO



Website Order Taken : 3/21/17 @ 10:02 PM Shipped: 3/22/17 @ 5:00 PM FedEx Express Saver
PA: Rhett P.'s  (son) /Castle Rock, CO
RX: Protective Mask for Broken Nose
DX: Fractures of Nasal Bones
ICD-10-CM Diagnosis Code: S02 2XXA
HX: Athlete has sustained nasal fracture during a baseball game.
Plan: Custom-fabricate Madrid model (color: clear) using shatter proof DuPont Surlyn that will not re-injure recent fractures, will shape to face naturally and avoid eye injuries. Customize design for maximum nasal protection and minimum obstruction of peripheral and downward vision. Add gentle moleskin contact bumper pads internally for comfort.
Sport: baseball
Comments: Clyde - Clyde - I want to try and shorten top of mask to accommodate baseball hat and want to try to size so that sunglasses can be worn underneath mask. Thanks Rhett / Castle Rock, CO
Website: www.indianabrace.com
Practitioner: Clyde Peach, CO - ABC Certified Orthotist #1321 - 1979
Contact: Call: 800.253.6217 Text: 317.445.1475 Email: clyde.peach@gmail.com
American Board for Certification in Orthotics & Prosthetics

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