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Friday, June 15, 2018 · 2:52 p.m. · 08m 07s
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yeah
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i see
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i know this was very interesting thing humans from this
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i'm wondering about the the the trends peace it's uh if you
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if you see the mm the you know to be able the extension of the new version
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how long do treat them with this meeting and is it to all
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the time we do have a good i'm only this in
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this big would to have like a night's big thing that i was the p. b. in extension
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right we do have p. i. p. they'd expect extensions plants for them
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but i'm still not crazy about them sleeping at night with m. p. hyper extension because it
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changes that balance that we don't like an for number of patients we do both
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a relative motion flexion splitting and p. i. p. extensions let's
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we don't have a protocol set out yet for how long to split to patrons patients
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um because we haven't done it long enough we've only been doing it for a couple of
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years but we've had lots of really good success to the point where my therapist slot
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when my therapist law but that's a pretty good sign and so
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well i i let them run with that and if they were here they could tell you how long
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they've been doing it but you know in general that's when that hyper extension tendency goes away
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and they can actively extend the p. i. p. i don't know what would you say that time when i think
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it depends on what type of patient type of hand more stiff more supple
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and it depends on especially females how much hyper extension is possible
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and uh i think you have to do it long and and i always think about it in
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terms of six months to twelve months like you have to keep wearing it so long
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but at night but i do is i don't do the extensions like doctor long does
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i use a neoprene sleeves i have i have yep decent extension
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you can wear it as cheese i'm ukraine's much more comfortable
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and it's warm it's nice and they love it because they don't like it explain anymore for here
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and then if you have to go that one using your brains it's because it's very easy combine right here in this kind of works
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maybe one quick question ah do you have any if the v.'s paintings of the uh uh
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the the norm of the mobile prefabricated you have to custom made them make them testing
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yeah but if you if you can't get custom made splits you can make them with tape can i just show this one case
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like we have the sound please
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yeah
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this person have a snapping finger and the problem is right where where you can't see
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where the juncture intended because there are going to go and try to make it yeah
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right
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motion
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all along with pencil
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so it was about the status that yeah we scrap this now okay so we're gonna do
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but we're gonna live with one of those for well what happened okay ready yeah
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i'm sorry she slowly yeah
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and see that they should somehow
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this isn't like that that's absolutely tape free
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and get the the yes no models opinions i mean actually been painting for three weeks with a rubber remote
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why the hell would portage put little for yeah yeah and
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how was the work was okay well yeah there's there's
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three yeah and the pain is better no way to but it hasn't now since i saw you must know
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fantastic and you're going through reading so just go ahead and make refers
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and yesterday you were saying you hated and while sort of stuff on it really blows round
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tables right where it will be commercial socially well hi we are so i will
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right now we just built you a little one other came here because we have visitors from
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other countries who don't have access to the us but this is what you were were yeah to do it
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somehow that low level number three or if it's great it's amazing just the layout work everyday
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no discomfort oh yeah you know he is he did we find easily right so we're
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thinking okay i'm climbing ladders blah blah blah you get all out with this one and
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no no wish no okay now it all we've got the pain away yes okay
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that was about two months ago and your uh must work of most of the time although uh i asked you to
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try to take it off for the last couple of days just to see how it feels
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to haven't quite often tell me how bills now more or less better better or soul
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yeah it's it's like maybe you should say ninety nine percent right you're right now 'cause i'm really hurt
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like hell and always yeah it was quite sure she right but you never need an operation
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our most some what
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okay but you saw if you don't have it in the the surgeon who was visiting me that day we just built it with t.
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oh he's from a place where there's no therapist and so he went home and
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sent me a video of him taping patience with put mirrors hand pain
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do patrons you know anything to get that p. i. p. extension or
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one one more quick question
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to actually be put them to use the total different or
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do you have the experience who fully completed could
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because we can is yet to come to directly has
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the hipper extension it in p. when you greg
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you know who to do p. i. p. is to get
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to the more rue grit that would do that
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you can use it but first you have to make sure that the passive
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p. i. p. extension is okay okay and once you have that
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then you can use it but they have to wear it all the time it's not like after six months of progress and
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i said i have to work overtime to it was cool to move to him yeah and and one time i had
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a younger owes us about fourteen or fifteen and she felt a little stuff and it's self conscious about when
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this point is us in school so i told at school at home to get mine to just put her hand
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in between all the time so i she's that's closer than have sponges put her pen in between like fine
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right and you do have to get first correction uh the yeah the
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function contractual then you can use it for camp exactly you think
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yeah i just i just tell patients that i cannot fix come productively i don't have an answer for that
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right
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he's right you don't fix it but to keep the correction that
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one one point in the un or other time already it's three o'clock so we have to close this testing
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