Saturday, June 17, 2017

Broken Nose: Hoosier Mask #6411 To Betty (son) Portland, OR


Betty's (son) Hoosier Basketball Mask
ORDER: Online 6/15/17 @ 10:48 PM PM Shipped: 6/16/17 @ 5:00 PM 
CARRIER: UPS ground
CUSTOMER: Betty R.'s (son)/Portland, OR
RX: Protective Mask for Broken Nose / Hoosier model
DIAGNOSIS: Fractures of Nasal Bones
ICD-10-CM DIAGNOSIS CODE: S02 2XXB
HISTORY: Athlete has sustained nasal fracture during a basketball game.
LAB PLAN: Custom-fabricate Hoosier model basketball mask #6411 (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. Low profile design to allow for headers both side and front. Add gentle moleskin felt contact bumper pads internally for comfort.
SKU: HOOSIERMASK
COUNTRY OF ORIGIN: Made in USA / Indianapolis, IN 
by Clyde Peach, CO
SPORT: basketball
USER COMMENTS: male 6'4" 188 lbs 
ABC Badge
WEBSITE: www.indianabrace.com
PRACTITIONER: Clyde Peach, CO - ABC Certified Orthotist #1321 - 1979 / braceblogger.com
CONTACT INFO: 800.253.6217 Text: 317.445.1475 Email: clyde.peach@gmail.com
American Board for Certification in Orthotics and Prosthetics

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