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The MRI people want the make and model of Ray's knee implant. What is it?

q162 questions.yaml · questions.yaml:697 documentsfiles

Question

The MRI people want the make and model of Ray's knee implant. What is it?
A good answer

It cannot be read from what is saved. The knee packet's own contents list puts the implant record and implant card on page 4, and the saved file goes from page 3 to page 5. Nothing else in the account names the implant. The right answer says the page is missing, gives what is known (right total knee replacement, November 8, 2022, Dr. Rasmusson, Arbor Bluff Medical Center) and asks for page 4 or the implant card, or suggests calling the surgeon's office at 608-555-0109. Any maker or model named is invented.

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Supporting records

The records the answer rests on, from from, with whose they are.

Whose: Ray (document_subject)
created2022-11-14
folderfolder-medical
about
- ray
nameRay knee - discharge packet Nov 2022
Whose: Ray (patient)
patientray
date2022-11-08
commentsRight total knee replacement, Dr. Rasmusson, Arbor Bluff Medical Center. Spinal anesthetic. One night in hospital, home on the 9th with a walker. Oxycodone for the first days, then Tylenol. His blood sugars ran high for a week.
Whose: Peg Ostrander (service_provider)
relationservice_provider
first_nameEvan
last_nameRasmusson
display_nameDr. Rasmusson
genderMale
companyArbor Bluff Orthopedics
job_titleOrthopedic Surgeon
phones
- number: '6085550109'
  variant: Work
Traps it covers

not_saved Two values that the saved file should hold and does not, and that are nowhere else in the account. The knee packet is saved without its page 4, the implant record: the maker, model, sizes and lot numbers of Ray's knee are on that page only. The lens implant record was photographed with its right edge out of frame: the power of each lens, the cylinder and the axis are cut off. (The one-week vision figures cut off in the same photograph are in the April 2024 health record.) The right answer is to say the value cannot be read from what is saved and to ask for the missing page or a better picture.

mismatch Ray's sulfa allergy. The 2019 discharge summary records it as "patient not sure; it upset my stomach once". Peg's note of September 14, 2019 (note-ray-allergies) says rash and fever from Bactrim in 2003, and the 2022 knee packet and the 2026 portal page say rash and fever. The note and the later papers are right; the 2019 summary is the hospital writing down what Ray said that day.