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On 6/12/17 I met Mr. Holtslander at the office of Dr. Lis. Mr. Holtslander continues to report left shoulder pain. His examination showed limited range of motion above the shoulder. He reports he feels he is about 25 % better since the injection and starting physical therapy. Dr. Lis had the current physical therapy report. They do not put him on a work level and that he has seemed to plateau. At this point Dr. Lis recommends going in and looking. He said there could be two options. He may need to just have the shoulder “cleaned up”, or he may need a full Rotator cuff repair. Dr. Lis said we do know he has a partial tear, but the MRI’s do not show 100% of what is going on. Mr. Holtslander said he would like to discuss this with his

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