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123 Main Street
Portland
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John J. Patient
Time:
Heart Rate
Day 0
Min Max Avg
16:00
17:00
18:00
19:00
20:00
21:00
22:00
23:00
0:00
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
60
64
64
71
65
56
55
54
57
70
67
62
55
57
64
59
63
60
59
62
58
56
57
59
105
93
86
94
93
80
84
78
90
92
87
98
95
97
104
103
96
78
82
87
87
92
98
88
83
79
76
79
79
68
68
69
79
77
77
77
75
74
73
80
76
66
70
70
68
69
71
67
Total
Tachy
Procedure Date: November 19, 2010
Brady
Pause
SVE SVT PVC R on T
Couplet Vtach
Bigeminy
QRS
Channel 1
Channel 2
Channel 3
Min Max Min Max Min Max
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
0
1
0
0
0
1
2
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
29
109
70
59
113
162
201
219
281
141
72
112
49
30
46
198
104
17
55
38
42
45
135
99
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
4
0
4
3
2
5
3
6
4
2
4
1
1
1
3
2
1
1
1
0
0
1
1
0
1
1
0
0
2
4
2
8
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
3
5
0
1
2
0
0
0
4
5
3
0
1
3
16
2
0
3
2
3
0
4
2
2298
4522
4509
4702
4628
4121
4072
4079
4356
4538
4614
4607
4442
4443
4386
4689
4551
3981
4134
4149
4114
4150
4285
4048
0
0
0
8
0
2743
0
56
22
79
110168
250 bpm
-0.6
-0.2
-0.2
-0.4
-0.2
-0.2
-0.2
-0.2
-0.6
-0.6
-0.4
-0.2
0.0
0.0
0.0
-0.2
-0.2
0.0
-0.2
0.0
0.0
0.0
-0.6
0.0
103 ( 6:10:42)
0.0
0.0
0.1
0.0
0.1
0.0
0.0
0.3
0.1
0.0
0.0
0.1
0.3
0.3
0.3
0.3
0.0
0.0
0.0
0.1
0.3
0.1
0.0
0.0
-0.6
-0.6
-0.4
-0.4
-0.6
-0.2
-0.2
-0.4
-0.6
-0.6
-0.6
-0.4
-0.4
0.0
-0.2
-0.4
-0.4
-0.2
-0.2
0.0
0.0
0.0
-0.4
-0.2
0.0
0.0
0.0
0.0
0.1
0.0
0.0
0.1
0.0
0.0
0.0
0.0
0.1
0.1
0.0
0.3
0.0
0.0
0.1
0.3
0.1
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
125 bpm
0 bpm
50 / min
Abnormal Graph
25 / min
0 / min
+5 mm
0 mm
ST Channel 2 Graph
-5 mm
+5 mm
0 mm
ST Channel 3 Graph
-5 mm
+5 mm
0 mm
-5 mm
16 17 18 19 20 21 22 23 0
224 3506712 November 22, 2010 22:24:07 19:1032:0
1
2
3
4
5
6
7
8
9
10 11 12 13 14 15 16
Page 2 of 63
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
54 (23:54:08)
Heart Rate Graph
ST Channel 1 Graph
ST Episodes
Copyright 2001 - All rights reserved
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
John J. Patient
Time:
Heart Rate
Day 1
Min Max Avg
16:00
17:00
18:00
19:00
20:00
21:00
22:00
23:00
24:00
25:00
26:00
27:00
28:00
29:00
30:00
31:00
32:00
33:00
34:00
35:00
36:00
37:00
38:00
39:00
58
64
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
0
0
87
89
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
0
0
75
78
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
87
0
0
Total
Tachy
Procedure Date: November 19, 2010
Brady
Pause
SVE SVT PVC R on T
Couplet Vtach
Bigeminy
QRS
Channel 1
Channel 2
Channel 3
Min Max Min Max Min Max
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
222
95
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4431
3319
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
2743
0
56
22
79
110168
250 bpm
-0.2
-0.2
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
103 ( 6:10:42)
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
-0.2
-0.2
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
125 bpm
0 bpm
50 / min
Abnormal Graph
25 / min
0 / min
+5 mm
0 mm
ST Channel 2 Graph
-5 mm
+5 mm
0 mm
ST Channel 3 Graph
-5 mm
+5 mm
0 mm
-5 mm
16 17 18 19 20 21 22 23 0
224 3506712 November 22, 2010 22:24:07 19:1032:0
1
2
3
4
5
6
7
8
9
10 11 12 13 14 15 16
Page 3 of 63
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
54 (23:54:08)
Heart Rate Graph
ST Channel 1 Graph
ST Episodes
Copyright 2001 - All rights reserved
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
John J. Patient
Procedure Date: November 19, 2010
Arrhythmia Profile Graphs
Tachycardia
Bradycardia
Pause
SVE
SVT
PVC
R on T
Couplet
Vtach
Bigeminy
ST
Long QT
Atrial Fibrilation
Artifact
100
50
0
16
17
18
19
20
21
22
23
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
00
01
02
03
04
Patient
224 3506712 November 22, 2010 22:24:07 19:1032:0
Page 4 of 63
Copyright 2001 - All rights reserved
05
06
07
08
09
10
11
12
John J. Patient
Procedure Date: November 19, 2010
25 mm/sec
25 mm/sec
The Maximum ST Elevation on channel 1 for the period was 0.4 mm
The Maximum ST Depression on channel 1 for the period was -0.6 mm
The Maximum ST Elevation on channel 2 for the period was 0.4 mm
The Maximum ST Depression on channel 2 for the period was -0.6 mm
The Longest ST Episode for the period was at 16:30:00 with a Heart Rate of
Channel 1
Maximum QT Distance was 424 mSec
at: 23:52:27 with a Heart Rate of 64
0
Day 1
250 bpm
HR
0 bpm
ST
+5 mm
0 mm
-5 mm
1000 mSec
QT
0 mSec
Channel 2
Day 1
250 bpm
HR
0 bpm
ST
+5 mm
0 mm
-5 mm
1000 mSec
QT
0 mSec
Channel 3
Day 1
250 bpm
HR
0 bpm
ST
+5 mm
0 mm
-5 mm
1000 mSec
QT
0 mSec
16
17
18
19
20
21
224 3506712 November 22, 2010 22:24:07 19:1032:0
22
23
24
25
26
27
Page 5 of 63
28
29
30
31
32
33
34
35
36
Copyright 2001 - All rights reserved
37
38
39
John J. Patient
Procedure Date: November 19, 2010
25 mm/sec
25 mm/sec
The Maximum ST Elevation on channel 1 for the period was 0.4 mm
The Maximum ST Depression on channel 1 for the period was -0.6 mm
The Maximum ST Elevation on channel 2 for the period was 0.4 mm
The Maximum ST Depression on channel 2 for the period was -0.6 mm
The Longest ST Episode for the period was at 16:30:00 with a Heart Rate of
Channel 1
Maximum QT Distance was 424 mSec
at: 23:52:27 with a Heart Rate of 64
0
Day 2
250 bpm
HR
0 bpm
ST
+5 mm
0 mm
-5 mm
1000 mSec
QT
0 mSec
Channel 2
Day 2
250 bpm
HR
0 bpm
ST
+5 mm
0 mm
-5 mm
1000 mSec
QT
0 mSec
Channel 3
Day 2
250 bpm
HR
0 bpm
ST
+5 mm
0 mm
-5 mm
1000 mSec
QT
0 mSec
16
17
18
19
20
21
224 3506712 November 22, 2010 22:24:07 19:1032:0
22
23
24
25
26
27
Page 6 of 63
28
29
30
31
32
33
34
35
36
Copyright 2001 - All rights reserved
37
38
39
John J. Patient
Procedure Date: November 19, 2010
Sleep Apnea
Sleep Apnea
13
Longest 40 sec at: Day 1 01:54:24 # Beats: 32
Day 1 - Heart Rate Graph
250 bpm
125 bpm
0
16
17
18
19
20
21
22
23
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
21
22
23
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
Day 1 - Heart Rate Graph SD
50
25
0
16
17
18
19
20
Sleep Apnea
Day 1
224 3506712 November 22, 2010 22:24:07 19:1032:0
Time:
Total
22:00
0
23:00
0
0:00
2
1:00
6
2:00
2
3:00
2
4:00
1
5:00
0
Page 7 of 63
Copyright 2001 - All rights reserved
John J. Patient
Procedure Date: November 19, 2010
Day 1
22:00
224 3506712 November 22, 2010 22:24:08 19:1032:0
Page 8 of 63
Copyright 2001 - All rights reserved
John J. Patient
Procedure Date: November 19, 2010
RR Interval Holter Profile
RR Interval Time Domain Graph
RR Interval Frequency (Power Spectrum) Graph
QRS
4,500
4,000
3,500
3,000
2,500
2,000
1,500
1,000
500
0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
1.6
1.8
0
Time in Seconds
11
22
33
44
55
66
77
88
99
Frequency
There were a total of 107195 Normal Beats
The Mean Normal RR Interval was 819.508 sec
The Normal RR Interval Standard Deviation was 76.312 sec
RR Interval Poincare Graph
sec
1.8
1.6
1.4
1.2
1.0
0.8
0.6
0.4
0.2
0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
1.6
1.8
Time in Seconds
RR Interval Difference Graph
mSec
+200
+150
+100
+ 50
0
- 50
-100
-150
-200
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
Time:
224 3506712 November 22, 2010 22:24:08 19:1032:0
Page 10 of 63
Copyright 2001 - All rights reserved
John J. Patient
Procedure Date: November 19, 2010
Highest Heart Rate
105 bpm
571 mSec
Day 1 06:10:42
104 bpm
575 mSec
104 bpm
575 mSec
103 bpm
580 mSec
Heart Rate = 104
103 bpm
580 mSec
101 bpm
593 mSec
99 bpm
602 mSec
99 bpm
602 mSec
98 bpm
607 mSec
96 bpm
625 mSec
25 mm/sec
Lowest Heart Rate
Day 1 23:54:08
60 bpm
991 mSec
61 bpm
982 mSec
Heart Rate = 60
60 bpm
1000 mSec
59 bpm
1004 mSec
61 bpm
973 mSec
62 bpm
959 mSec
25 mm/sec
224 3506712 November 22, 2010 22:24:08 19:1032:0
Page 11 of 63
Copyright 2001 - All rights reserved
John J. Patient
Patient
Procedure Date: November 19, 2010
Day 2 17:44:09
Heart Rate = 61
12 bpm
4968 mSec
25 mm/sec
Patient
Day 1 00:17:06
77 bpm
772 mSec
Heart Rate = 78
76 bpm
781 mSec
76 bpm
785 mSec
75 bpm
794 mSec
75 bpm
799 mSec
74 bpm
808 mSec
74 bpm
808 mSec
75 bpm
799 mSec
25 mm/sec
224 3506712 November 22, 2010 22:24:08 19:1032:0
Page 12 of 63
Copyright 2001 - All rights reserved
John J. Patient
Supraventricular Ectopic
73 bpm
821 mSec
Procedure Date: November 19, 2010
Day 1 16:47:16
74 bpm
803 mSec
73 bpm
821 mSec
Heart Rate = 75
71 bpm
834 mSec
73 bpm
816 mSec
73 bpm
812 mSec
115 bpm
517 mSec
61 bpm
977 mSec
25 mm/sec
Supraventricular Ectopic
70 bpm
852 mSec
Day 1 18:39:30
72 bpm
830 mSec
72 bpm
825 mSec
Heart Rate = 72
72 bpm
830 mSec
73 bpm
816 mSec
71 bpm
843 mSec
104 bpm
575 mSec
68 bpm
870 mSec
25 mm/sec
Supraventricular Ectopic
74 bpm
803 mSec
Day 1 01:20:23
73 bpm
821 mSec
73 bpm
821 mSec
Heart Rate = 77
73 bpm
812 mSec
72 bpm
825 mSec
72 bpm
830 mSec
110 bpm
544 mSec
59 bpm
1013 mSec
25 mm/sec
224 3506712 November 22, 2010 22:24:09 19:1032:0
Page 13 of 63
Copyright 2001 - All rights reserved
John J. Patient
Procedure Date: November 19, 2010
Supraventricular Ectopic
68 bpm
875 mSec
Day 1 00:05:30
68 bpm
870 mSec
Heart Rate = 70
69 bpm
861 mSec
69 bpm
866 mSec
68 bpm
879 mSec
66 bpm
897 mSec
99 bpm
602 mSec
25 mm/sec
Supraventricular Ectopic
75 bpm
790 mSec
Day 1 20:58:44
73 bpm
812 mSec
Heart Rate = 73
72 bpm
825 mSec
71 bpm
834 mSec
70 bpm
852 mSec
69 bpm
861 mSec
111 bpm
540 mSec
57 bpm
1040 mSec
25 mm/sec
Couplet
Day 1 19:08:26
77 bpm
776 mSec
Heart Rate = 77
78 bpm
767 mSec
76 bpm
781 mSec
122 bpm
491 mSec
117 bpm
508 mSec
92 bpm
651 mSec
92 bpm
647 mSec
82 bpm
723 mSec
25 mm/sec
224 3506712 November 22, 2010 22:24:09 19:1032:0
Page 14 of 63
Copyright 2001 - All rights reserved
John J. Patient
Couplet
Procedure Date: November 19, 2010
Day 1 19:54:03
116 bpm
513 mSec
72 bpm
830 mSec
Heart Rate = 88
88 bpm
678 mSec
89 bpm
669 mSec
122 bpm
491 mSec
135 bpm
441 mSec
112 bpm
531 mSec
103 bpm
580 mSec
90 bpm
660 mSec
89 bpm
674 mSec
25 mm/sec
Couplet
121 bpm
495 mSec
Day 1 19:54:37
62 bpm
959 mSec
Heart Rate = 86
82 bpm
727 mSec
84 bpm
709 mSec
117 bpm
508 mSec
123 bpm
486 mSec
52 bpm
1142 mSec
87 bpm
687 mSec
88 bpm
678 mSec
25 mm/sec
Couplet
Day 1 20:40:16
74 bpm
803 mSec
Heart Rate = 75
75 bpm
794 mSec
75 bpm
794 mSec
124 bpm
482 mSec
121 bpm
495 mSec
87 bpm
687 mSec
80 bpm
745 mSec
77 bpm
776 mSec
25 mm/sec
224 3506712 November 22, 2010 22:24:09 19:1032:0
Page 15 of 63
Copyright 2001 - All rights reserved
John J. Patient
Couplet
Day 1 20:48:26
58 bpm
1022 mSec
Procedure Date: November 19, 2010
Heart Rate = 73
78 bpm
767 mSec
77 bpm
772 mSec
118 bpm
504 mSec
120 bpm
500 mSec
93 bpm
638 mSec
85 bpm
705 mSec
77 bpm
772 mSec
25 mm/sec
Ventricular Tachycardia
83 bpm
718 mSec
81 bpm
736 mSec
Day 1 17:45:44
106 bpm
562 mSec
Heart Rate = 170
67 bpm
883 mSec
115 bpm
517 mSec
126 bpm
473 mSec
87 bpm
687 mSec
107 bpm
558 mSec
110 bpm
544 mSec
80 bpm
745 mSec
25 mm/sec
Ventricular Tachycardia
70 bpm
848 mSec
Day 1 22:38:42
92 bpm
647 mSec
Heart Rate = 192
57 bpm
1044 mSec
115 bpm
517 mSec
137 bpm
437 mSec
179 bpm
334 mSec
146 bpm
410 mSec
77 bpm
772 mSec
75 bpm
794 mSec
25 mm/sec
224 3506712 November 22, 2010 22:24:10 19:1032:0
Page 16 of 63
Copyright 2001 - All rights reserved
John J. Patient
Ventricular Tachycardia
98 bpm
611 mSec
Procedure Date: November 19, 2010
Day 1 22:39:02
58 bpm
1022 mSec
Heart Rate = 192
71 bpm
839 mSec
103 bpm
580 mSec
133 bpm
450 mSec
89 bpm
674 mSec
80 bpm
741 mSec
73 bpm
816 mSec
25 mm/sec
Ventricular Tachycardia
82 bpm
727 mSec
Day 1 22:39:26
66 bpm
897 mSec
Heart Rate = 192
72 bpm
830 mSec
88 bpm
678 mSec
137 bpm
437 mSec
174 bpm 170 bpm
343 mSec 352 mSec
89 bpm
669 mSec
77 bpm
776 mSec
25 mm/sec
Ventricular Tachycardia
104 bpm
575 mSec
Day 1 22:57:42
56 bpm
1066 mSec
Heart Rate = 189
72 bpm
830 mSec
108 bpm
553 mSec
129 bpm
464 mSec
94 bpm
633 mSec
77 bpm
776 mSec
75 bpm
799 mSec
25 mm/sec
224 3506712 November 22, 2010 22:24:10 19:1032:0
Page 17 of 63
Copyright 2001 - All rights reserved
John J. Patient
Bigeminy
Day 1 17:46:51
89 bpm
669 mSec
87 bpm
687 mSec
Procedure Date: November 19, 2010
Heart Rate = 90
113 bpm
526 mSec
73 bpm
816 mSec
96 bpm
620 mSec
82 bpm
727 mSec
113 bpm
526 mSec
73 bpm
821 mSec
87 bpm
683 mSec
25 mm/sec
Bigeminy
86 bpm
696 mSec
Day 1 17:49:07
84 bpm
709 mSec
Heart Rate = 84
85 bpm
700 mSec
82 bpm
723 mSec
100 bpm
598 mSec
70 bpm
848 mSec
110 bpm
544 mSec
67 bpm
883 mSec
112 bpm
535 mSec
25 mm/sec
Bigeminy
86 bpm
691 mSec
Day 1 17:49:21
87 bpm
683 mSec
Heart Rate = 84
101 bpm
589 mSec
75 bpm
790 mSec
87 bpm
683 mSec
85 bpm
700 mSec
89 bpm
669 mSec
78 bpm
763 mSec
97 bpm
616 mSec
25 mm/sec
224 3506712 November 22, 2010 22:24:11 19:1032:0
Page 18 of 63
Copyright 2001 - All rights reserved
John J. Patient
Bigeminy
Day 1 18:13:23
82 bpm
727 mSec
Procedure Date: November 19, 2010
Heart Rate = 81
84 bpm
714 mSec
84 bpm
714 mSec
87 bpm
687 mSec
78 bpm
763 mSec
97 bpm
616 mSec
66 bpm
897 mSec
79 bpm
754 mSec
25 mm/sec
Bigeminy
Day 1 18:13:33
79 bpm
754 mSec
Heart Rate = 81
105 bpm
566 mSec
63 bpm
950 mSec
107 bpm
558 mSec
66 bpm
901 mSec
108 bpm
553 mSec
68 bpm
870 mSec
114 bpm
522 mSec
25 mm/sec
224 3506712 November 22, 2010 22:24:11 19:1032:0
Page 19 of 63
Copyright 2001 - All rights reserved
John J. Patient
Procedure Date: November 19, 2010
1:16:30
16:31
16:32
16:33
16:34
16:35
16:36
16:37
16:38
16:39
16:40
16:41
16:42
16:43
16:44
16:45
16:46
16:47
16:48
16:49
16:50
16:51
16:52
16:53
16:54
16:55
16:56
16:57
16:58
16:59
17:00
17:01
17:02
17:03
17:04
17:05
17:06
17:07
17:08
17:09
17:10
17:11
17:12
17:13
17:14
17:15
17:16
17:17
17:18
17:19
17:20
17:21
17:22
17:23
17:24
17:25
17:26
17:27
17:28
17:29
224 3506712 November 22, 2010 22:24:15 19:1032:0
Page 20 of 63
Copyright 2001 - All rights reserved
John J. Patient
Procedure Date: November 19, 2010
1:17:30
17:31
17:32
17:33
17:34
17:35
17:36
17:37
17:38
17:39
17:40
17:41
17:42
17:43
17:44
17:45
17:46
17:47
17:48
17:49
17:50
17:51
17:52
17:53
17:54
17:55
17:56
17:57
17:58
17:59
18:00
18:01
18:02
18:03
18:04
18:05
18:06
18:07
18:08
18:09
18:10
18:11
18:12
18:13
18:14
18:15
18:16
18:17
18:18
18:19
18:20
18:21
18:22
18:23
18:24
18:25
18:26
18:27
18:28
18:29
224 3506712 November 22, 2010 22:24:19 19:1032:0
Page 21 of 63
Copyright 2001 - All rights reserved
John J. Patient
Procedure Date: November 19, 2010
1:18:30
18:31
18:32
18:33
18:34
18:35
18:36
18:37
18:38
18:39
18:40
18:41
18:42
18:43
18:44
18:45
18:46
18:47
18:48
18:49
18:50
18:51
18:52
18:53
18:54
18:55
18:56
18:57
18:58
18:59
19:00
19:01
19:02
19:03
19:04
19:05
19:06
19:07
19:08
19:09
19:10
19:11
19:12
19:13
19:14
19:15
19:16
19:17
19:18
19:19
19:20
19:21
19:22
19:23
19:24
19:25
19:26
19:27
19:28
19:29
224 3506712 November 22, 2010 22:24:23 19:1032:0
Page 22 of 63
Copyright 2001 - All rights reserved
John J. Patient
Procedure Date: November 19, 2010
1:19:30
19:31
19:32
19:33
19:34
19:35
19:36
19:37
19:38
19:39
19:40
19:41
19:42
19:43
19:44
19:45
19:46
19:47
19:48
19:49
19:50
19:51
19:52
19:53
19:54
19:55
19:56
19:57
19:58
19:59
20:00
20:01
20:02
20:03
20:04
20:05
20:06
20:07
20:08
20:09
20:10
20:11
20:12
20:13
20:14
20:15
20:16
20:17
20:18
20:19
20:20
20:21
20:22
20:23
20:24
20:25
20:26
20:27
20:28
20:29
224 3506712 November 22, 2010 22:24:27 19:1032:0
Page 23 of 63
Copyright 2001 - All rights reserved
John J. Patient
Procedure Date: November 19, 2010
1:20:30
20:31
20:32
20:33
20:34
20:35
20:36
20:37
20:38
20:39
20:40
20:41
20:42
20:43
20:44
20:45
20:46
20:47
20:48
20:49
20:50
20:51
20:52
20:53
20:54
20:55
20:56
20:57
20:58
20:59
21:00
21:01
21:02
21:03
21:04
21:05
21:06
21:07
21:08
21:09
21:10
21:11
21:12
21:13
21:14
21:15
21:16
21:17
21:18
21:19
21:20
21:21
21:22
21:23
21:24
21:25
21:26
21:27
21:28
21:29
224 3506712 November 22, 2010 22:24:31 19:1032:0
Page 24 of 63
Copyright 2001 - All rights reserved
John J. Patient
Procedure Date: November 19, 2010
1:21:30
21:31
21:32
21:33
21:34
21:35
21:36
21:37
21:38
21:39
21:40
21:41
21:42
21:43
21:44
21:45
21:46
21:47
21:48
21:49
21:50
21:51
21:52
21:53
21:54
21:55
21:56
21:57
21:58
21:59
22:00
22:01
22:02
22:03
22:04
22:05
22:06
22:07
22:08
22:09
22:10
22:11
22:12
22:13
22:14
22:15
22:16
22:17
22:18
22:19
22:20
22:21
22:22
22:23
22:24
22:25
22:26
22:27
22:28
22:29
224 3506712 November 22, 2010 22:24:35 19:1032:0
Page 25 of 63
Copyright 2001 - All rights reserved
John J. Patient
Procedure Date: November 19, 2010
1:22:30
22:31
22:32
22:33
22:34
22:35
22:36
22:37
22:38
22:39
22:40
22:41
22:42
22:43
22:44
22:45
22:46
22:47
22:48
22:49
22:50
22:51
22:52
22:53
22:54
22:55
22:56
22:57
22:58
22:59
23:00
23:01
23:02
23:03
23:04
23:05
23:06
23:07
23:08
23:09
23:10
23:11
23:12
23:13
23:14
23:15
23:16
23:17
23:18
23:19
23:20
23:21
23:22
23:23
23:24
23:25
23:26
23:27
23:28
23:29
224 3506712 November 22, 2010 22:24:39 19:1032:0
Page 26 of 63
Copyright 2001 - All rights reserved
Pages 27 through 63 have been removed to conserve paper for sample purposes.
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