Veterans Affairs



5. PROJECT NUMBER (if applicable)CODE7. ADMINISTERED BY2. AMENDMENT/MODIFICATION NUMBERCODE6. ISSUED BY8. NAME AND ADDRESS OF CONTRACTOR4. REQUISITION/PURCHASE REQ. NUMBER3. EFFECTIVE DATE9A. AMENDMENT OF SOLICITATION NUMBER9B. DATEDPAGEOF PAGES10A. MODIFICATION OF CONTRACT/ORDER NUMBER10B. DATEDBPA NO.1. CONTRACT ID CODEFACILITY CODECODE Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of OffersE. IMPORTANT:is extended, (a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAYis not extended.12. ACCOUNTING AND APPROPRIATION DATA(REV. 11/2016)is required to sign this document and return ___________ copies to the issuing office.is not,A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.15C. DATE SIGNEDB. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b). RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified. C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:D. OTHERBYContractor16C. DATE SIGNED14. DESCRIPTION OF AMENDMENT/MODIFICATION16B. UNITED STATES OF AMERICAExcept as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.15A. NAME AND TITLE OF SIGNER16A. NAME AND TITLE OF CONTRACTING OFFICER15B. CONTRACTOR/OFFERORSTANDARD FORM 30 PREVIOUS EDITION NOT USABLEPrescribed by GSA - FAR (48 CFR) 53.243(Type or print)(Type or print)(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)(Number, street, county, State and ZIP Code)(If other than Item 6)(Specify type of modification and authority)(such as changes in paying office, appropriation date, etc.)(If required)(SEE ITEM 11)(SEE ITEM 13)(X)CHECKONE13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONSAMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT(Signature of person authorized to sign)(Signature of Contracting Officer)110A0000107-14-2017None663ADepartment of Veterans AffairsNetwork Contracting Office 201495 Wilmington Drive, Suite 360DuPont WA 98327663ADepartment of Veterans AffairsNetwork Contracting Office 201495 Wilmington Drive, Suite 360DuPont WA 98327To all Offerors/Bidders VA260-17-Q-046707-14-2017 XXXXA. The purpose of this amendment is to answer all questions that have been asked and to extend the due date. B. The answers to all questions are posted below, there will be no other questions accepted. C. The due date for this solicitation has been extended from 14 July 2017 to 21 July 2017. D. Please submit all offers via email to michael.kuchyak@ Michael KuchyakContracting OfficerQuestions Regarding Plastic Surgery SolicitationHas a contractor performed similar work to this for the government in the past? If available, please provide the incumbent contract number. If you are unable to provide a contract number, is it safe to assume this is a new requirement for the government?Answer - Currently there is no contract for these services at the facility, however, there are plastic surgery contracts, but the contract numbers and information for those are unavailable.Would a ENT (ear, nose, throat) Physician be able to cover these services? Or do you require a plastic surgeon only?Answer - This is really about hand coverage. The Portland VA has combined Plastic Surgery and Hand Surgery into one section; other hospitals organize hand and plastics into a number of different structures. An ENT Physician would not be able to cover these services. An ENT provider would perhaps be appropriate for some of the plastics call issues, but not for the hand call issues. And the vast majority of the cases covered will be hand cases (perhaps 95% hand, and 5% Plastics).Para 1.2 of the PWS states "Services Required:? Contract is for estimated 364 on-call and estimated 540 hours of Plastic Surgery physician services."? The CLINs on the pricing sheet show: Please clarify:Weeknight On-call 245 shifts @ 15 hrs per shift = 3,675 hrsWeekend on-call 104 shifts @ 24 hrs per shift = 2,496 hrsDirect Patient Care 208 shifts @ 8 hrs/shift = 1,664 hrsAnswer – The Government will need the contractor to provide call coverage outside of daytime clinic and OR hours. Week nights, weekends, holidays. It is likely that our current providers may cover some of these shifts, but we want to ensure we have a contractor who can provide up to this maximum if needed.Please confirm hours per shift are correct.Weeknight On-call 245 shifts @ 15 hrs per shift = 3,675 hrsWeekend on-call 104 shifts @ 24 hrs per shift = 2,496 hrsDirect Patient Care 208 shifts @ 8 hrs/shift = 1,664 hrsAnswer – The Government will need the contractor to provide call coverage outside of daytime clinic and OR hours. Week nights, weekends, holidays. It is likely that our current providers may cover some of these shifts, but want to ensure we have a contractor who can provide up to this maximum if needed.Are holidays paid at the Weekend on-call rate regardless of when the fall in the week?Answer - There is weekday pay and weekend pay. Holidays are paid based if they fall on a weekday or on a weekend.What sort of procedures are included under the heading of Plastic Surgery at this VA hospital in Portland, Oregon. A list of procedures done in the last one or two years would be very helpful....is it possible to get a census?Answer - The following pages have a list of every case done in Plastics and Hand since 10/1/15. Note that the exact quantity of each case is unavailable, but this shows the types of cases for which call coverage will be needed.1ST COMPARTM.RELEASE AND GANGLION EXCISION,LEFTABDOMINAL PANNICULECTOMYABDOMINAL PANNICULECTOMY,BILATERALACELLULAR DERM MATRIX IMPLTACNE SCARS OF FACE, BILATERAL- SEE CPRSAMP.MID.FINGER AT PROXIMAL INTERP.JOINT LEV,RIGHTAMPUTATE METACARPAL BONEAMPUTATION OF FINGER/THUMBAMPUTATION RING FINGER, RIGHTARM LIFT, BILATERALARTHREX SLAM SLIL.ECRL,TRANS TO DIST.SCAPH, LEFTARTHRODES.THUMB.CMCJ.W/ AUTOLOG BONEGFT, LEFTARTHRODESIS PIP JOINT, LITTLE,LEFTARTHROPLASTY OF 1ST CMC JOINT, RIGHTARTHROPLASTY OF 1ST CMC JOINT,RIGHTBIOPSY SKIN LESIONBONE BIOPSY RING FINGER,LEFTBONE GRAFT W/ INTERNAL FIXATION,LEFT WRISTBREAST EXAPNDERS, BILATERALBREAST FAT INJECTION, BILATERALBREAST IMPLANT REMOVAL,BILATERALBREAST MASTECTOMY REVISION, LEFTBREAST RECON.EXPND.SILIC.IMP,RIGHTBREAST RECONSTRUCTION, BLBREAST RECONSTRUCTION, LEFTBREAST REDUCTION IN MALE,BILATERALBREAST REDUCTION, BILATERALBREAST REDUCTION, RIGHTBREAST REDUCTION,BILATERALBRIDGE PLATING COMMIN DIST RADIAL FX,RIGHTCAPSULOTOMY, RIGHT BREASTCARPAL TUNNEL RELEASE, OPENCARPAL TUNNEL RELEASE,BILATERAL CARPAL TUNNEL RELEASE,RIGHTCARPAL TUNNEL SURGERYCLOSED ORIF SMALL FINGER FX, RIGHT CMC ARTHROPLASTY, RIGHTCMC HEMATOMA ARTHROPLASTY, LEFTCORRECT.DIS.RAD.MALUN.ILIAC CR.BNE GFT,RTCORRECTIVE OSTEOTOMY WITH DISTAL RADIUS, RIGHTCORRECTIVE OSTEOTOMY WITH ICBG, LEFT DISTAL RADIALCTR, LEFTCTR, RIGHTCUBITAL TUNNEL RELEASECUBITAL TUNNEL RELEASE, RIGHTCUBITAL TUNNEL RELEASE,LEFTDEBRIDE INDEX FINGER AND SKIN GRAFT,RIGHTDEBRIDEMENT WOUND AT DORSAL HAND, LEFTDECOMPRESSION ULNAR NERVE, RIGHTDECOMPRESSION WRIST, RIGHT SIDEDIATAL RADIAL CORRECTIVE OSTEOTOMY W/MATERIALIZE JIGS/ILIAC CREST BONE GRAFTDISTAL RADIAL CORRECTIVE OSTEOTOMY,RIGHTDIVISION OF CROSS FLAP INDEX FINGER,RIGHTDOG EARS,BILATERALDORSAL WRIST GANGLION EXC, LEFTDRAINAGE OF SKIN ABSCESSDUPUYTRENS RELEASE, THUMB, RIGHTECTR, BILATERALECTR, LEFTECTR, LONG FINGER TRIGGER RELEASE, RIGHTECTR, RIGHTECTR,LEFTECU TENDON SYNOVIAL BIOPSY, LEFTEDNDOSCOPIC CTR, RIGHTENDO CTRENDOSCOPIC CARPAL TUNNAL RELEASE, RIGHTENDOSCOPIC CARPAL TUNNEL RELEASEENDOSCOPIC CARPAL TUNNEL RELEASE, LEFTENDOSCOPIC CARPAL TUNNEL RELEASE, RIGHTENDOSCOPIC CARPAL TUNNEL RELEASE,RIGHTENDOSCOPIC CARPARL TUNNEL RELEASE, LEFTENDOSCOPIC CTR, BILATERALENDOSCOPIC CTR, BLENDOSCOPIC CTR, LEFTENDOSCOPIC CTR, LEFT (2ND SIDE)ENDOSCOPIC CTR, RIGHTENDOSCOPIC CTR,BILATERALENDOSCOPIC CTR,LEFTENDOSCOPIC CTR,RIGHTENDSCOPIC CTR,BILATERALEXC FACE-MM B9+MARG 0.6-1 CMEXC FOREARM LES SC < 3 CMEXC FOREARM TUM DEEP < 3 CMEXC HAND LES SC < 1.5 CMEXC HAND TUM DEEP < 1.5 CMEXC HAND TUM DEEP 1.5 CM/>EXC H-F-NK-SP B9+MARG >4 CMEXC H-F-NK-SP B9+MARG 2.1-3EXC OF MASS OF CHIN,RIGHTEXC SKIN ABDEXC.TRAPZ.WRIST&TENDON TRANSFER,LEFTEXC.WRIST MASS,BX/CULTURE,LEFTEXCHANGE EXPANDER FOR IMPLANT, RIGHTEXCISE EXCESSIVE SKIN ARMEXCISE WRIST TENDON SHEATHEXCISION CARPAL BOSS, RIGHTEXCISION EXCESS SKIN, BL BREASTSEXCISION MASS INDEX FINGER, RIGHTEXCISION OF FACE AND NECK MASS, LEFTEXCISION OF FACIAL CYST REMOVALEXCISION OF MASS WRIST,LEFTEXCISIONAL BIOPSY OF MASS AT LONG FINGER,LEFTEXCISIONAL BX MASS AT THUMB,RIGHTEXPLORATION OF MP OF RIGHT MIDDLE FINGER LIGAMENT REPAIREXPLORE SMALL FINGER, LEFT AND REPAIR INJURED STRUCTURES INCLUDING POSSIBLE DIGITAL NERVE REPAIREXPLORE/TREAT WRIST JOINTEXTENSOR TENDON REPAIR, RIGHT HANDFINGER TIP AMPUTATION, LEFT INDEXFIRST METACARPAL OSTEOTOMY, RIGHTFUSE HAND BONES WITH GRAFTFUSION OF DIP JOINTS,INDEX/MID/SMALL,RIGHTFUSION OF KNUCKLEFUSION OF KNUCKLE WITH GRAFTFUSION/GRAFT OF FINGER JOINTFUSION/GRAFT OF HAND JOINTFUSION/GRAFT OF WRIST JOINTGANGLION CYST EXC WRIST, LEFTGUYONS CANAL RELEASE,RIGHTHAND EXTENSOR TENDON REPAIR,INDEX FINGER,LEFTHAND/WRIST I&D, RIGHTHARDWARE REMOVAL AND EXTENSOR TENOLYSIS RIGHT HANDHARDWARE REMOVAL DISTAL RADIUS,RIGHTHARDWARE REMOVAL OF BRIDGE PLATE, RIGHTHARDWARE REMOVAL, ICBG AND RE-ORIF, LEFTI&D FINGER, LEFT INDEXI&D HAND ABSCESS, RIGHTI&D LEFT THUMBI&D LONG FINGER, RIGHTI&D OF INDEX FINGER,RIGHTI&D OF RIGHT FOREARM AND HANDI&D OF WOUND, RIGHT HANDI&D RIGHT ELBOWIMMEDIATE CONSTRUCTION AFTER MASTECTOMYIN SITU DECOMP OF ULNAR NERVE AT ELBOW, LEFTIN SITU NEUROPLASTY ULNAR NERVE, RIGHTIN SITU ULNAR NERVE RELEASE AT ELBOW, LEFTINCISE FINGER TENDON SHEATHINCISION AND DRAINAGE RIGHT FOURTH FINGERINCISION OF SPINAL NERVEINCISION OF TENDON SHEATHINDEX FINGER PIPJ JOINT FUSIONINSITU NEUROPLASTY OF ULNAR NERVE AT ELBOW,LEFTINSITU NEUROPLASTY OF ULNAR NERVE, LEFTINSITU NEUROPLASTY ULNAR NERVE AT ELBOW,LEFTINSITU ULNAR NERVE DECOMPRESSION,RIGHTINTERPOSITIONAL ARTHROPLASTYLAT.EPICOND.DEBRID/ECRB ORG/NIRSCHL,LEFTLATERAL BREAST SCAR REVISION, RIGHTLIMITED FASCIECTOMY,PALM,RIGHTLIMITIED WRIST FUSION,LEFTLITTLE FINGER RAY AMPUTATION,RIGHTLONG FINGER MCP JOIN SILICONE REPLACE, LEFTLONG FINGER RAY RESECTION, RIGHTLONG PHALANX FX,5TH, RIGHTLONG TRIGGER FINGER RELEASE,LEFTLOWER EYELID CANTHOPEXY,LEFTLRTIMASTOPEXY,LEFT AND IMPLANT EXCHANGE, RIGHT BREASTSMETACARPAL EXTENSION OSTEOTOMY,LEFTMULTIPLE LIPOMAS,RIGHT ELBOW AND LEFT KNEEMUSCLE-SKIN GRAFT TRUNKNEEDLE APONEUROTOMY THUMB AND INDEX FINGER, LEFTNIPPLE RECONSTRUCTION RIGHT BREAST/NIPPLE REVISION, LEFT BREAST NODULE EXCISION AT PALM, LEFT OCTR W/TRIGGER FINGER,RIGHTOCTR, LEFTOPEN CARPAL TUNNEL RELEASE, RIGHTOPEN CTR, LEFTOPEN CTR, RIGHTOPEN CTR, RIGHT-UNDER STRAIGHT LOCALOPEN CTR,LEFTOPEN OR ENDOSCOPIC CTR,RIGHTOPEN PARTIAL PALMAR FASCIECT.SM.FINGER,LEFTOPEN PARTIAL PALMAR FASCIECTOMY,RIGHTOPEN REDUCT.INDEX FING MCP DISLOCAT, LEFTOPEN REDUCTION OF PIP DISLOCATION RING FINGER, RIOPEN VS ENDOSCOPIC CTR, RIGHTOPENCARPAL TUNNEL RELEASE, LEFTORIF 4TH METACARPAL SHAFT FX, LEFTORIF DISTAL FX REPAIR, R ULNAORIF DISTAL RADIUS FRACTURE, LEFTORIF DISTAL RADIUS FRACTURE, RIGHTORIF DISTAL RADIUS FRACTURE,RIGHTORIF DISTAL RADIUS FX, LEFTORIF INTRAARTICULAR FX DIST RAD, LEFTORIF OF DISLOC.PIP,SM FING, LEFTORIF SMALL FINGER, RIGHTORIF THUMB LEFT, ENDOSCOPID CARPAL TUNNEL RELEASE LEFT HANDORIF, 4TH METACARPAL FRACTURE, LEFTORIF,DISTAL RADIUS FRACTURE,LEFTOSTEOTOMY RING FING,MC W/PLATING, RIGHTPALMAR FASCIECTOMY, LEFTPARTIAL PALMAR FASCIECTOMY, LEFTPECTORALIS FLAP, BLPLACEMENT OF EXPANDER, RIGHT BREASTPLANNED HARDWARE REMOVAL,LEFTPLATE REMOVAL RIGHT WRIST, SYTHES 3.5 LCDCP PLAATEPOSSIBLE RETAINED SUTURE FRAGMENT,WRIST,RIGHTPOSTERIOR AURICULAR ROTATIONAL FLAP,RIGHTPROXIMAL ROW CARPECTOMY, LEFTRADIAL STYLOIDECTOMY, RIGHTREALIGNMENT OF TENDONSREDUCTION OF LARGE BREASTREFUSION OF THUMB IP JOINT,RIGHTRELEASE FINGER CONTRACTURERELEASE PALM CONTRACTURERELEASE RING TRIGGER DIGIT,RIGHTRELEASE TRIGGER THUMB, LEFTREMOVAL APTIS TOTAL DRUJ, RIGHTREMOVAL OF ACNE SCARS ON FACE, RIGHT SIDE AND LEFT SIDEREMOVAL OF BONE ANCHOR, LEFT WRISTREMOVAL OF BREAST IMPLANTREMOVAL OF BRIDGE PLACE, RIGHTREMOVAL OF FINGER TENDONREMOVAL OF HARDWARE, LEFT RADIUSREMOVAL OF RASL SCREW, RIGHT WRISTREMOVAL OF SUPPORT IMPLANTREMOVAL OF WRIST BONEREMOVE LIMB NERVE LESIONREMOVE WRIST JOINT LININGREMOVE WRIST TENDON LESIONREMOVE WRIST/FOREARM LESIONREMOVE/GRAFT FINGER LESIONREPAIR ELBOW DEB/ATTCH OPENREPAIR FINGER/HAND TENDONREPAIR FLEXOR TENDONS, RING AND SMALL FINGER, RIGHTREPAIR FOREARM TENDON SHEATHREPAIR HAND TENDONREPAIR INDEX FINGER DIGITAL NERVE,LEFTREPAIR WRIST JOINTSREPAIR/GRAFT HAND TENDONREPAIR/REVISE WRIST JOINTREPLACE LEAKING IMPLANT W/SALINE IMPLANT,RIGHTRESECT DISTAL FINGER TUMORRESECT PROX FINGER TUMORREVISE BREAST RECONSTRUCTIONREVISE KNUCKLE JOINTREVISE ULNAR NERVE AT ELBOWREVISE WRIST JOINTREVISION ABDOMINAL LIPECTOMY/EXCESS SKIN EXCISIONREVISION OF NIPPLES, BILATERALREVISION OPEN CARPAL TUNNEL RELEASE,RIGHTREVISION WRIST ARTHRODESIS, RIGHTRIGHT CARPAL TUNNEL RELEASE OPENRIGHT LONG RING AND SMALL FINGER TRIGGER FINGER RELEASERING FINGER DIGITAL NERVE EXPLORATION, RIGHT RING FINGER RADIAL DIGITAL NEUROMA EXCIS.,RIGHTRING FINGER REFACTORY TRIGGERING, RIGHTSCAPHOCAPITATE ARTHRODESIS,RIGHTSCAPHOID EXCISION AND 4 CORNER FUSION, LEFTSCAPHOIDECTOMY, RIGHTSCAPHOIDECTOMY,4 CORNER FUSION,LEFTSCAR REVISION, BREAST, LEFTSHORTEN RADIUS & ULNASKIN FULL GRAFT SCLP/ARM/LEGSKIN GRAFT TO DORSAL HAND WOUND, LEFTSKIN GRAFT, TROCHANTER, RIGHTSKIN GRAFT,FOOT-BASE OF 2ND TOE,RIGHTSMALL FINGER AND FIRST WEB SPACE DUPUYTRENS CONTRACTURESMALL FINGER DEPUYTRENS RELEASE, LEFTSMALL FINGER OPEN PARTIAL PALMAR FASCIECTOMY, LEFTSPLIT THICKNESS SKIN GRAF TO LEFT THIGHSTT FUSION,LEFTSUBMUSCULAR TRANSPOSITION OF ULNAR NERVE AT ELBOW,RIGHT THER INJECTION CARP TUNNELTHUMB AND PALM EXPLORATION, LEFTTHUMB BASAL JOINT ARTHROPLASTY,LRTI... LEFTTHUMB CMC ARTHROPLASTY,LEFTTHUMB CMC ARTHROPLASTY,RIGHTTHUMB CMC JOINT FUSION,LEFTTHUMB CMC JOINT FUSION,RIGHTTHUMB CMCJ ARTHROPLASTY, LEFTTHUMB CMCJ ARTHROPLASTY, RIGHTTHUMB CMCJ ARTHROPLASTY,LEFTTHUMB CMCJ FUSION,RIGHTTHUMB FUSION MCPJ, LEFTTHUMB FUSION WITH GRAFTTHUMB GANGLION CYST REMOVAL, LEFTTHUMB TRAPEZIECTOMY, RIGHTTRANSPLANT FOREARM TENDONTRANSPLANT HAND TENDONTRANSPLANT/GRAFT HAND TENDONTRANSPOSITION ULNAR NERVE AT ELBOW,RIGHTTRANSPOSITION ULNAR NERVE OF ELBOW, RIGHTTRAPEZIECTOMY AND LIGAMENT RECONSTRUCTION, RIGHTTRAPEZIECTOMY AND LIGAMENT RECONSTRUCTION,RIGHTTRAPEZIECTOMY AND LRTI, LEFTTRAPEZIECTOMY/LIGAMENT RECONSTRUCT,LEFTTREAT FINGER FRACTURE EACHTREAT FOREARM BONE LESIONTREAT FRACTURE OF ULNATREAT FX RAD EXTRA-ARTICULTREAT FX RAD INTRA-ARTICULTREAT FX RADIAL 3+ FRAGTREAT METACARPAL FRACTURETREAT WRIST BONE FRACTUREULNAR COLLATERAL LIGAMENT REPAIR, RIGHT THUMBULNAR ENTRAPMENT AT ELBOW,LEFTULNAR NERVE ANTERIOR TRANSPOSITION AT ELBOW, RULNAR NERVE DECOMPRESS.AT ELBOW,LEFTULNAR NERVE DECOMPRESS.GUYON'S.WRIST,LEFTULNAR NERVE DECOMPRESSION , RIGHTULNAR NERVE DECOMPRESSION AT ELBOW, RIGHTULNAR NERVE DECOMPRESSION AT ELBOW,LEFTULNAR NERVE DECOMPRESSION, RIGHTULNAR NERVE DECOMPRESSION,ELBOW, RIGHTULNAR NERVE DECOMPRESSION,LEFTULNAR NERVE DECOMPRS.POSS ANTER TRANSP, LEFTULNAR NERVE IN SITU DECOMP, RIGHTULNAR NERVE IN SITU DECOMP., LEFTULNAR NERVE IN SITU DECOMPRESSION,LEFTULNAR NERVE IN-SITU DECOMPRESINO AT ELBOW, RIGHTULNAR NERVE IN-SITU DECOMPRESSION,RIGHTULNAR NERVE INSITU,POSS.ANT.TRANSP, RIGHTULNAR NERVE RELEASE REPEAT, LEFTULNAR NERVE RELEASE, LEFTULNAR NERVE RELEASE, RIGHTULNAR NERVE RELEASE,ANT SUBQ TRANSP,LEFTULNAR NERVE RELEASE,ANT.SUBQ TRANSP.ELBW,LEFTULNAR NERVE RELEASE,BILATERALULNAR NERVE RELEASE,LEFTULNAR NERVE RELEASE,POSS.TRANSP, LEFTULNAR NERVE RELEASE,RIGHTULNAR NERVE RELEAST AT ELBOW, LEFTULNAR NERVE TRANSPOSITION AT ELBOW,RIGHTULNAR NERVE TRANSPOSITION, RIGHTULNAR SHORTENING OSTEOTOMYULNAR SHORTENING OSTEOTOMY,RIGHTUPPER ARM/ELBOW SURGERYWRIST ARTHROSCOPY AND ULNAR SHORTENING, RIGHTWRIST ARTHROSCOPY, LEFTWRIST ARTHROSCOPY,LEFTWRIST DENERVATION, RIGHTWRIST DENERVATION,LEFTWRIST DENERVATION,RIGHTWRIST ENDOSCOPY/SURGERYWRIST HARDWARE REMOVAL, LEFTWRIST RELEASE TENDONS,LEFTWRIST WASHOUT, RIGHT ................
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