Orbit Fracture - Hoosier Raptor Mask 6418 to Amy's Son in Yukon, OK

WEBSITE ORDER : 6/21/17 @ 3:38 PM STAT Shipped: 6/22/17 @ 5:00 PM
CARRIER: UPS Next Day Air
PA: Amy O.'s (son)/Yukon, OK
RX: Raptor Protective Face Mask for Right Orbit Fracture
DX: Fractures of Right Orbit
ICD-10-CM Diagnosis Code: S02.102D
HX: Athlete has sustained right orbit fracture during a soccer match.
PLAN: Custom-fabricate Raptor model #6418
(color:clear) using patented DuPont Surlyn that will not fracture on impact and will shape to face naturally that avoids any unusual protrusions that might injure other players. Customize design for

Amy's (son) Raptor Mask #6418

maximum right orbit protection and minimum obstruction of peripheral anddownward vision. Low profile design to allow for headers both side andfront. Add gentle moleskin felt contact bumper pads internally for
comfort.
SKU: hoosierraptorsurlyn
COUNTRY OF ORIGIN: Made in USA / Indianapolis, IN
SPORT: all sports
USER COMMENTS: male 5' 11 -" 128 lbs / This is for my son who has a right orbit fracture.
WEBSITE: www.indianabrace.com - Clyde's Hoosier Face Masks

ABC Badge

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 and Prosthetics Category

Broken Nose: Hoosier Face Mask #6414 to Harald in Redmond, WA

WEBSITE ORDER : 6/19/17 @ 1:12 AM Shipped: 6/20/17 @ 5:00 PM
CARRIER: FedEx Standard Overnight
PA: Harald W. (son)/Redmond, WA
RX: Hoosier Protective Face Mask for Broken Nose / Madrid Model/STAT
DX: Fractures of Nasal Bones
ICD-10-CM Diagnosis Code: S02 2XXB
HX: Athlete has sustained nasal fracture during a soccer match.
PLAN: Custom-fabricate Madrid model #6414 (color: black) using shatter proof  black LDP 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: hoosiermadridLDP
COUNTRY OF ORIGIN: Made in USA / Indianapolis, IN
SPORT: soccer
USER COMMENTS: male 5' 1" 87 lbs / This is for my son. Please see separate email with photos -please get mask out on Monday 6/19/17 for Tuesday delivery 6/20/17.
WEBSITE: www.indianabrace.com - Clyde's Hoosier Face Masks
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

Hallux Rigidus: X1 GoBlade #7488 to Bill in Thomasville, GA

Order Taken: WebSite Order 6/16/17 / Shipped 6/19/17
Carrier: USPS Priority Mail
PA: Bill M./ Thomasville, GA
RX: Clyde's X1 GoBlade for Great Toe Pain Right
DX: Hallux Rigidus
ICD-10-CM Billing Code : M20.21
Plan: Fabricate TriZone X1 GoBlade #7488 men's size 12 right with StifFlex midfoot (zone 2) for unrestricted ankle motion during hiking. Create 1mm great toe (zone 3) and heel relief (zone 1) pockets. Maintain extra kick rocker shape forefoot (zone 3) for assisted natural toe off. Pad heel (zone 1) with1/8" perf plastizote for heel strike relief to prevent plantar fasciitis. Cover great toe relief zone 3 with ShearBan to prevent blistering during hiking activity. Specs: thickness and weight of X1 GoBlade #7488 - (0.0375") thin! - 1.322 oz light!

Bill's X1 GoBlade #7488 1.322oz 0.0375"

SKU: RTL+F130R
Country of Origin: Made in USA / Indianapolis, IN by Clyde Peach, CO
Sport: work/tennis
Comments: none
Website: www.indianabrace.com

ABC Badge Certified Orthotist

Contact: Call: 800-253-6217 Text: 317-445-1475 Email: clyde.peach@gmail.com
Practitioner: Clyde Peach, CO - ABC Certified Orthotist #1321
American Board for Certification in Orthotics & Prosthetics
Category

O&P Historical Soap and Progress Note 3/13/2001 - AFO WA's, Parapodium, Knee Immobilizers

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

Hallux Rigidus: X1 Blade++ Fusion #7487 To Mitchell In East Setauket, NY

Order Taken: WebSite Order 6/15/17 / Shipped 6/15 /17

Mitchell's X1 GoBlade++ Fusion #7487

Carrier: USPS Priority Mail

PA: Mitchell C./ East Setauket, NY - REPEAT BUYER

RX: Clyde's X1 GoBlade++ Fusion for Great Toe Pain Right

DX: Hallux Rigidus, Post-Op Chilectomy 3 years 

ICD-10-CM Billing Code : M20.21

Plan: Fabricate TriZone X1 GoBlade++ Fusion #7487 men's size 10 right with StifFlex midfoot (zone 2) for unrestricted ankle motion during golf motion and walking. Create 1mm great toe (zone 3) and heel relief (zone 1) pockets. Add stiffening unidirectional composite in zone 3 to stiffen to rigid (will not bend) that will simulate a great toe fusion. Maintain rocker shape forefoot (zone 3) for assisted natural toe off. Pad heel (zone 1) with1/8" puff plastizote for heel strike relief to prevent plantar fasciitis. Cover stiffened great toe relief zone 3 with ShearBan to prevent blistering during walking activity. Specs: thickness and weight of X1 GoBlade #7487 - (0.0895 ") thin! - 1.399oz light!

SKU: RTLFUSION28R

Country of Origin: Made in USA / Indianapolis, IN by Clyde Peach, CO

Sport: ADL

ABC Badge

Customer Comments: I purchased an X1 GoBlade++ Fusion last month (May 2017) and it really helped ease the pain in my big toe. I am ordering another. Thanks Clyde. Mitchell

Website: www.indianabrace.com

Contact: Call: 800-253-6217 Text: 317-445-1475 Email: clyde.peach@gmail.com

Practitioner: Clyde Peach, CO - ABC Certified Orthotist #1321

American Board for Certification in Orthotics and Prosthetics

Turf Toe: X1 Blade #7486 To Andrew In Schenectady, NY

Order Taken: WebSite Order 6/15/17 / Shipped 6/15 /17

Andrew's X1 Blade #7486

Carrier: FedEx Standard Overnight

PA: Andrew B./ Schnectady, NY - REPEAT BUYER

RX: Clyde's X1 GoBlade for Great Toe Pain Left

DX: Turf Toe 

ICD-10-CM Billing Code : S93.521A

Plan: Fabricate TriZone X1 GoBlade #7486 men's size 8 left with StifFlex midfoot (zone 2) for unrestricted ankle motion during golf motion and walking. Create 2mm great toe (zone 3) and heel relief (zone 1) pockets. Maintain extra kick rocker shape forefoot (zone 3) for assisted natural toe off. Pad heel (zone 1) with1/8" puff plastizote for heel strike relief to prevent plantar fasciitis. Cover great toe relief zone 3 with ShearBan to prevent blistering during hiking activity. Specs: thickness and weight of X1 GoBlade #7486 - (0.0390 ") thin! - 0.868oz light!

SKU: RTLDEEPF127L

Country of Origin: Made in USA / Indianapolis, IN by Clyde Peach, CO

Sport: golf

ABC Badge

Customer Comments: I purchased the X1 GoBlade a few years back for my right foot. This is an amazing product. My left toe is starting to act up so I want to play it safe. I have a golf tournament this weekend. Thanks Clyde - Andrew

Website: www.indianabrace.com

Contact: Call: 800-253-6217 Text: 317-445-1475 Email: clyde.peach@gmail.com

Practitioner: Clyde Peach, CO - ABC Certified Orthotist #1321

American Board for Certification in Orthotics and Prosthetics