FREE STATE OF SAXONY ADMINISTRATIVE DISTRICT ERZGEBIRGSKREIS. Your medical centre surrounded by nature. Your specialized family s hospital

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1 Your medical centre surrounded by nature Academic teaching hospital for the Medical Faculty of the Masaryk University Brno Your specialized family s hospital FREE STATE OF SAXONY ADMINISTRATIVE DISTRICT ERZGEBIRGSKREIS Your hospital with expertise and heart

2 Table of Contents 2 Erlabrunn Clinics ggmbh Non-profit limited liability company Erlabrunn Am Märzenberg 1A D-359 Breitenbrunn Tel (0) Fax + 49 (0) Greeting page 3 Clinics, scope of performance and departments pages 4/5 Past Present Future pages 6/7 Quality Management page 8 Overall concept of CLINICS ERLABRUNN ggmbh page 9 How to find us page 10 Admission pages 11/12 Your new environments page 13 Clinic for Internal Medicine/Functional areas pages 14/15 Clinic for Orthopedics and Accident surgery/ Functional area pages 16/17 Clinic for Gynaecology and Maternity Clinic pages 18/19 Clinic for General Surgery and Visceral Surgery / Functional area page 20 Clinic for Child and Youth Medicin page 21 Clinic for Anesthesiology and Intensive Care page 22 Department of Otorhinolaryngology / Attending physicians ward page 23 Clinic for Psychotherapy and Psychosomatic Medicine pages 24/25 Clinic for Orthopedic Post-hospital curative treatment/ Functional area pages 26/27 Surgery Outpatient department/outpatient Centre page 28 Radiology page 29 Dispensary page 30 Laboratory page 31 Physical Therapy pages 32/33 Diagnosis and Therapy page 34 Nursing service page 35 Miscellaneous page 36 Important! page 37 Service and Educational Organization pages 38/39 Opening hours of the service facilities in our house page 40 Your discharge page 41 Layout of the Erlabrunn Clinics ggmbh pages 42/43

3 GREETING Mr. J. Wieder General Manager Mr. Dr. med. habil. W. Zwingenberger Medical Manager Ms E. Tschab Manager of Nursing Services 3 Dear patients, lou have decided to choose a medical treatment in our well-established hospital or you still have to make this decision. You can be sure that the employees of our house and enterprise will do everything possible to ensure your speedy recovery and that they will make your stay in our house as pleasant as possible, despite your health problems. Please put your trust in us. We will be there for you day and night, you are in good hands with us. Besides using the most modern diagnostic and therapeutic methods we committed ourselves to holistic medicine which not only pays attention to one organ but to the whole organism and especially to every single person as an individual. This treatment and nursing is the best possible type of care for you as a patient. All people working in our house bear and support this concept, it is part of our business philosophy and is a piece of future and permanent perspective. The aims of our careful treatment are to restore your health, to preserve it, or to improve your condition in such a way that relative health results from it. Every day with all heart and mind we demonstrate expertise in knowledge, quality and humanity. First and foremost you will decide if the more than 500 employees of the Erlabrunn Clinics ggmbh (non-profit private limited company) will accomplish this. This brochure is intended to help you to orientate in our house and to give information about the ranges of service and the service offers. Best wishes for a pleasant stay and a good recovery. Yours Management and Partners

4 Clinics, range of services and departments 4 Management Manager Mr. J. Wieder Manager s office Ms J. Oppe / Ms Ch. Müller / 20 Executive assistant / Ms Dr. phil. M. Trillitzsch, PhD Spokesperson Administration Staff and Welfare Department Ms U. Steinke Business Administration Department Ms H. Ballmann Economy and Investments Department Ms K. Barthel Technology Department Mr. G. Günther Medical Services Somatic Discipline: Clinic for Internal Medicine / Head physician Dr. med. habil. W. Zwingenberger Functional areas Clinic for Orthopedics and Accident surgery / Head physician Dr. med. R. Pirtkien Functional are Clinic for Gynaecology and Maternity Clinic Head physician Ms Dipl.-Med. D. Hegenbarth Clinic for General Surgery and Visceral Head physician Dr. med. W. Ulbricht Surgery / Functional area Clinic for Child and Youth Medicin Head physician Dr.-medic H. Schoen Clinic for Anesthesiology and Intensive Care Head physician Dipl.-Med. S. Schulz Head physician Dr. med. F. Nestler Attending physicians ward Attending physician Frau Dr. med. H. Fischer

5 Psychosomatic Discipline: Clinic for Psychotherapy and Psychosomatic Medicine Head physician Dr. med. B. Eilitz Post-hospital curative treatment / Rehabilitation: Clinic for Orthopedic Post-hospital Head physician Dr. med. M. Thomä curative treatment/ Functional areas Hospital s Laboratory Senior laboratory physician Dr. med. B. Schottmann Radiology Head physician Dr. med. A. Kaufmann Dispensary Head Pharmacist Dipl.-Pharm. H. Muck Hospital care Director of Hospital Care Ms Tschab Deputy Director of Hospital Care / Functional areas Ms Tschischka Social Services Ms G. Köster Social Service Post-hospital curative treatment Ms K. Voigtländer Consultant for diabetes patients Ms B. Weise Consultant for transfer to care Ms H. Theilemann Services for Hospital Care Clinic for Internal Medicine Ms C. Karsunky Clinic for Orthopedics and Accident surgery and Ms K. Axmann Clinic for General Surgery and Visceral Surgery Clinic for Gynaecology and Maternity Clinic and Ms B Krüger Clinic for Child and Youth Medicin Clinic for Anesthesiology and Intensive Care Ms R. Kraus Clinic for Psychotherapy and Psychosomatic Medicine Ms E. Bajec curative treatment Ms B. Wanke

6 Past Present Future 6 Originally in 1950 our hospital was built in only 10 months as a miners hospital, and was meant to care for the health of the miners and staff of the SDAG Wismut (Soviet German Corporation Bismuth). Our house lies in a well-kept park area which directly borders big forests and this way dominates the area resp. the territory. The whole premises are around 13 hectares in size. The estate and the biggest part of the buildings are protected as historic monuments because of the remarkable architecture in the style of Neoclassicism with Soviet character, which was considered exemplary at this time. Typical for this architecture is the backside entrance vestibule with its impressive Doric pillars as well as the symmetrically divided, compact, block-like front of the main building. The architectural monument in its basic structure consists of a multiwing main building (Building I), to which three bigger extensions connect (Physiotherapy, Dispensary/Radiology, Kitchen building), a second smaller hospital or ward building (Building II) as well as other annexes have been added over the years. Furthermore, in 2007 a new building complex the Clinic for Orthopedic Post-hospital curative treatment could be opened to the public officially. In 1989 after the German unification the hospital was undergoing serious changes. On February 1, 1991 the former Administrative district Schwarzenberg became the new responsible body for the hospital Erlabrunn with its seven clinics and the associated special units which were designated as the District hospital. The present wide spectrum of performance in our house since 2007 it has eight clinics results from this development in the past. Because of the originally relativly high number of inhabitants in this area due to mining the hospital was strongly autarkic in economic and medical fields. With the decrease of mining and a declining population the house was opened to the public and began to take over tasks of primary health care for the former district

7 7 Schwarzenberg as well as for the nearer and farther neighbourhoods. From this point of view the supra-regional tasks in the context of the Erlabrunn Concept, in the sense of a holistic treatment of our patients, have to be understood, which are fulfilled by the Clinic for Orthopedics and Accident surgery or by the Clinic for Psychotherapy and Psychosomatic Medicine or by the Clinic for Orthopedic Post-hospital curative treatment opened in In November 1997 the district government Aue-Schwarzenberg decided that the supporting organization of the district hospital Erlabrunn starting from 1998 would be the CLINICS ERLABRUNN ggmbh non-profit private limited company. Today the CLINICS ERLABRUNN ggmbh present themselves as a hospital of upscale regular health care and covers a wide spectrum of performance. Again it has been awarded the KTQ certificate for quality since 2003 and 2006 and is available not only to the people of the district and its guests with health problems but to everybody who wishes to use our services. Besides high standards of medical care with the highest possible devotion to the patient, the CLI- NICS ERLABRUNNgGmbH dedicates itself to complex or holistic medical treatment. Health by accomplishment, quality and devotion are the principles of our house.

8 Quality management Quality management at Erlabrunn Clinic ggmbh more than a trend 8 We are a service-based enterprise with the core competence curing and nursing. Like all organizations in this field we are obliged to work economically in a sensible and effective way. At an enterprise providing services by man for man in accordance with our integrated business philosophy this means: guaranteeing optimal and financially viable quality in caring for our patients. Exactly because of this aim in the past and future we created best preconditions in the interest of our patients, which are: 1. We have highly motivated and well qualified staff members with much professional experience. 2. Regarding the treatment quality we not only trust the newest medical technical development and experience but from the beginning we support and direct the quality through our system of innovative quality management. This data processing supported by quality management has the following focal characteristics:. Orientation towards patients. Orientation towards staff. Safety in hospital. Environment protection in hospital. Information/documentation. Risk management. Financial controlling It is a modular concept which is constantly improved and also designed and adapted according to current standards. The fact that our clinic took part in the pilot project in connection with the KTO certificate(ktq Cooperation for Quality and Transparency in Healthcare) provides clear proof of our achievement potential. Our enterprise belonged to the 25 selected hospitals in Germany which were able to gain experience in this scientifically supervised study for the benefit of our patients. In February 2003 we presented ourselves for the exam and visitation to be awarded the certificate Cooperation for Quality and Transparency in Healthcare. In March 2003 we were the first hospital of the Administrative District Chemnitz, the second hospital of the Free State of Saxony and the seventh hospital of Germany to gain exclusive certification according to KTQ standards. And we managed to get this certificate as the hospital with the biggest number of planned beds so far. We are very proud of this, and deservedly so. In February 2006 again we defended the quality we lived until then in the process of recertification. The certificate Cooperation for Quality and Transparency in Healthcare is valid until March 30th, We are on the right path. Quality management is an important criterion for the future of the value-added chain of health care enterprises. An excellent and sustainable quality management is the basis of an active management in the presence and future. Quality for the ERLABRUNN CLI- NICSgGmbH means the customer patient will return to our house.

9 Overall concept of the Erlabrunn Clinics ggmbh 1. Our overall concept is our hallmark of quality and at the same time our commitment which mirrors our humanistic ideas. 2. We respect the dignity of man and hold him in high esteem. 3. Focusing on every person suffering and asking for help we treat them according to their individuality and their differences. 4. Our enterprise and its clinics are part of the health care system of the Federal Republic of Germany and strive for a beneficial relationship with patients and cooperation partners. We maintain good contacts with health care insurance providers, other service providers and medical practitioners in private practice, care facilities and all other institutions treating our patients. We strive for better and optimum ways of cooperation. This process goes along with transparency and openness. 5. Our enterprise shows high performance and progress. The staff performance is based on knowledge, science and orientates itself on general ethical moral values. We consider each justified complaint as free guidance. 6. The clinics of our hospital are important providers of health services and are individually formed by a high level of professionalism and commitment. 7. We support and request the interdisciplinary exchange of experience of our clinics and the close cooperation with other innovative institutions and authorities and the synergy effects resulting from this. 8. Quality and costs of our services are to a large extent controlled by our staff which requires continuing education as well as the eagerness to learn. 9. The executive managers promote all employees. Our enterprise supplies the means for this. The creation of appropriate and responsible working places in all sections supports the motivation of above-average qualified employees. 10. The enterprise bears an important social responsibility because of the public mandate for health care. This demands a high measure of integrity from management and staff in the implementation process. We provide the guarantee to reach the medical and care targets along with the implementation of sensible hospital work as determined by the hospital operator. 11. The system for quality management is the equipment used at work for controlling and supervising quality, costs and results of our performance. Because of permanent demands it is necessary to make the quality management more flexible and to integrate it into all processes of providing services. 12. The company recognizes its special responsibility to guarantee environmental protection (Certificate: Member of the Strategic Alliance for Environment Saxony) 13. Our company cultivates a cooperative management style, it initiates team work at all levels. Each staff member understands himself as the partner of another one. 14. We know our knowledge and our strengths but also our weaknesses. We show pride in our strengths and within the scope of the continuous improvement process we work permanently on improving them. 9

10 How to find us You can reach the CLINICS ERLABRUNN ggmbh by car coming from the autobahn A 4 (exit Mosel), going through Zwickau in the direction of Schneeberg Aue (B 93), following the route via Lauter Schwarzenberg (B 101) in the direction of Johanngeorgenstadt. Or you can take the A 72 (exit Stollberg-West) in the direction of Aue via Lauter Schwarzenberg (B 101) in the direction of Johanngeorgenstadt. You will find the CLINICS ERLABRUNN ggmbh on the Northwest outskirts of Erlabrunn, which is a community of the township Breitenbrunn. It can very easily be reached by car within 15 minutes from the town Schwarzenberg via a well constructed valley street in the direction of Johanngeorgenstadt. Another possibility would be to use public transport or train services from the railway station just approx. 800 m walk from the clinics. Park in a permitted place in front of or inside the hospital premises. Before passing our gates your relatives can use the visitors parking site. 10 ERLABRUNN

11 Admission Please contact the admission of our house first, irregardless of whether you will stay at the hospital as an outpatient or as an inpatient after your arrival. For your registration we have to ask you some questions and hope you will understand this. It is necessary to have a written referral to hospital from your treating doctor unless there are emergencies and attending ambulant surgeries for admission to a hospital. Most of the patients do not need to be concerned with the financial obligation of their stay in hospital, at least not directly. If they are a member of a statutory health insurance, our house settles things directly with your insurance. At the moment members of the statutory health insurance have to make an additional payment for no longer than 28 days within one calendar year with the beginning of the in-patient treatment. For attending ambulant surgery it is necessary to settle the respective surgery fee within one quarter either with the referring physician or at our house. The law and the health insurance companies determine the amount of additional payments if these need to be made. The Erlabrunn Clinics ggmbh shall receive the specific amount from you and will transfer it to your health insurance company. For later settlement please keep the receipt in a safe place. You can pay your additional payment at the admission: Monday - Friday 6:30 am 4:00 pm Saturday 8:00 am 11:00 am or in exceptional cases at the reception (main entrance) Monday Friday 4:00 pm 7:00 pm Saturday, Sunday, public holidays 11:00 am 5:00 pm If the need arises you can ask for a special service of our house: accommodation for an accompanying person, without meals per day. If you use a single room you have to pay a moderate price which only covers the running costs in an apportionment procedure. Standard furnishing: without shower module /day* with separated shower module /day* with single shower module /day* Upscale furnishing with separated shower module /day* with single shower module /day* family room / maternity clinic /day incl. breakfast* * For the day of admission and discharge only one day is charged. 11

12 Admission If you wish you can be also treated by the chief physician. Don t hesitate to contact the ward staff. As a special service we offer the overnight stay free of charge after an ambulant surgery, including the final ward round in the morning. We ask you to tell the nursing staff at the operating outpatient department which type of catering you wish. 12 Furthermore you can choose the following services of our house: bedside cabinet with fridge: 1.50 / day* - free of charge TV set, only the head phones telephone; basic fee: 1.00 / day, charge per unit: 0.10 per unit of the call * For the day of admission and discharge only one day is charged. You can use telephone and/or TV set only with the help of a chip card which you get after making a deposit of at the reception desk. When you leave hospital you please insert your chip card into the pay machine. You will get back the deposit and a possible credit balance. The chip card will be retained. If you should loose the credit card unfortunately indemnity requirements to the Erlabrunn Clinics ggmbh are excluded. Entrance area / Building 1 Furthermore we gladly sell you at cost picture postcards and stamps. We also order a taxi for you, change money and give you telephone numbers and time-tables. For your stay in hospital you should bring along toilet articles (towels, washcloths etc.), if applicable swimwear or casual wear as well as bathroom slippers and slippers, clothing and sleepwear, a robe or bath robe. Understandably, the space available to you in the patients room is only limited. Therefore please bring along only the things you absolutely need. We recommend to deposit money and valuables against receipt at the administration. We can only assume liability for articles in your patient s wardrobe if it has been locked by you. Don t hesitate to contact the staff at the reception of the Erlabrunn Clinics ggmbh with any question. Monday Friday 7:00 am 7:00 pm Saturday, Sunday, public holidays 11:00 am 5:00 pm

13 Your new environments 13 Of course, every stay in hospital is more or less a strain. Therefore we try to offer our patients as much comfort as possible. Surely you feel comfortable in the clean, friendly rooms, increasingly equipped at highlevel, and having a nice view into scenic nature. When you are well again to leave your bed you can take leisurely strolls in our park which will help you to regain your forces. After a devastating tornado in summer 2005 this park area could be restored by the spontaneous and overwhelming help of many. The patients and guests especially like the babies alley. Park of sculptures Also a good relationship with other patients can influence your mood and with this your stay at our house positively. Every time you will find a cosy corner for a chat with your visitors or with your new acquaintance from the room next door at the cafeteria. In summertime the patio café invites you to sit in the green. Our house offers you a large cultural program details of which you will find in the event programme of the month.

14 Clinics for Internal Medicine Medical service offerings 14 Dr. med. habil. W. Zwingenberger Head Physician of the Clinics for Internal Medicine The Clinics for Internal Medicine is the biggest clinics of our house and has more than 100 beds available. Range of services of Internal Medicine: Disease of the heart and the vessels Disease of the lung Gastro-intestinal diseases Oncology (tumour diseases) Diseases of metabolism, among others we offer intensive holistic therapy of diabetes Hypertension and renal disease Disease of the thyroid Diagnosis and therapy of osteoporosis Haematology Geriatrics (quality seal) Palliative Medicine Analgesic therapy (Pain therapy) Range of services of functional diagnostics: 12-channel-electrocardiographic (ECD) lead bicycle ergometry treadmill ergometry 24-hours-electrocardiographic examination telemetry 24-hours-blood pressure measurement - ergooxytensiometry Endoscopy of the gastrointestinal tract Geriatrics / Medicine for old age flow-directed balloon-tipped catheterization on exertion and at rest examination on tilt table VH-stimulation Stress echocardiography Implantation and aftercare of heart pacemakers and defibrillators cardiac resynchronization system implantation (trilocular pacemaker) Palliative medical team

15 sleep laboratory observation by internet of implanted ICD (defibrillators) and pacemakers electrophysiological examinations and catheter ablation therapy ultrasonic examinations / colour Doppler echocardiography transoesophagael echocardiography examinations of peripheral and brain feeding vessels by ultrasonic colour Doppler sonograph as well as transcranial Doppler investigation examinations of pulmonary function ergospirometry allergometry bronchoscopy diagnostics of sleep apnoe and therapy variosclerosation of the oesophagus ERCP investigation of the bile duct and of the pancreas ducts, extraction of stones, stent implantation gastroscopy coloscopy sonography (ultrasonic testing of the abdominal viscera) polypectomy (ablation of small tumours) injections respectively bonding against bleedings of the gastro-intestinal tract ultrasonic examinations of the thyroid and ultrasonic supported fine-needle puncture ultrasonic supported puncture of the liver EEG neurophysiological monitoring electromyographic examinations emergency hospitalization / emergency department Range of services of emergency hospitalization / emergency department: emergency hospitalization before in-patient treatment including first care at all hours ambulant emergency care of patients round the clock functional testing of heart and lungs 15

16 Clinic for Orthopedics and Accident surgery Medical service offerings 16 Dr. med. Pirtkien Head Physician of the Clinic for Orthopedics and Accident surgery As the orthopaedic competence centre of the Erzgebirge (Ore mountain region) the Clinic for Orthopedics and Accident surgery has more than 100 beds available. Range of services of Orthopedics: endoprosthesis of hip, knee, shoulder and ankle joint Arthroscopy / Arthrodesis operation of foot and toe plastic surgery of the anterior cruciate knee ligament operation of the knee, shoulder and elbow joint micro-invasive surgery of the spinal disc selected stabilizing operational treatment of the spine endoprothetic treatment of the spinal disc of the cervical spine and of the lumbar spine CT-controlled puncture at the spinal column conservative orthopedics screening of newborn babies hip joints re-adjustment operations Range of services of Accident surgery: primary treatment of all accident victims operative treatment of injuries of all extremities with most modern methods conservative traumatology diagnostic and therapeutic arthroskopy of big and small joints treatment of degenerative diseases of the skeleton, including endoprosthesis hand surgery authorized accident consultant Seen from the point of number and quality of endoprosthesic surgery this clinic ranks among the high-performance institutions of this discipline in Saxony.

17 A speciality which is carried out only by few clinics is the endoprothetic surgery of hip or knee joints on both sides under one anaesthesia. Another focus are exchange surgeries. Patients coming from far beyond the territorial catchment area are treated. For treatment of patients with diseases of the spine since 2002 beside the conservative therapy micro-invasive operations at the spine are offered. To compensate bigger intraoperative blood loss the possibility is given to donate one s own blood before the operation and to use Cellsavers. For this during and after the operation the blood is collected. Blood plasma and erythrocytes are separated, the patient afterwards gets the erythrocytes as transfusion. For uncertain neurological findings at our clinic a neurologist can be consulted and the necessary neurophysiological examinations (EMG, SEP, NLG and EEG) are available. At the consultation hours of the authorized accident consultant injured persons after occupational accidents or accidents at school or patients with vocational disease are attended to. Authorizing the accident consultant professional associations and accident funds make possible an ambulant expert treatment by experienced and specialized clinic physicians. In this way victims of an occupational accident can use the professional competence of the hospital. 17 Senior Physician Scholz and matron for sterilisation, Ms Bismarck Every day from Monday to Friday at the Erlabrunn Clinics ggmbh the consultation hours of the authorized accident consultant take place from 1:30 pm to 2:30 pm First Senior Consultant Physician Dr. Markert investigating a wrist at a consultation as authorized accident consultant

18 Clinic for Gynaecology and Maternity Clinic Medical service offerings 18 Dipl.-Med. D. Hegenbarth Head Physician of the Clinic for Gynaecology and Maternity Clinic Range of services of Gynaecology: You stay in 1 or 2 bed rooms with own shower module. Every year approx. 1,300 big or smaller gynaecological and oncological operations / interventions are carried out. The clinic is specialized in lowering states of the bladder, of the uterus and vagina. laparoscopically assisted vaginal hysterectomy diagnostics (e.g. urodynamic investigations) and therapy of incontinence and atonia of the bladder breast diseases, breast preserving therapy inclusive immediate reconstruction after breast cancer diagnostics and therapy of tumour diseases ambulant operations laparoscopies hysteroscopies, curettage sterilisations tissue extraction from the genital instrumental removing of premature infants and disrupted pregnancies urodynamic measurement UDM in-patient chemotherapy (breast diseases etc.) The Clinic for Gynaecology and the Maternity Clinic with approx. 30 beds is one of the most modern clinics in Saxony and especially in the field of midwifery it cares for expectant mothers coming from region-transcending catchment areas. Head Physician Hegenbarth during an operation (vaginal hysterectomy)

19 19 Midwife Verena Jaeckel supports a patient during water childbirth Range of services of the Obstetrical Clinic: childbirth at the clinic with home atmosphere medical attendance of problem pregnancy with analogous diagnostics and therapy family oriented midwifery, two modern family rooms are available alternative and new ways of giving birth (e.g. water birth) aromatherapy homoeopathy acupuncture birth preparation courses parents meetings Midwife Kathrin Rothe takes care of an expectant mother on the round birth bed babies afternoon baby massage Crawl baby crawl Brothers, Sisters and the New Baby swimming with your baby open visiting hours breakfast and supper buffet advice for breast-feeding mothers by the lactation nurse / breast-feeding time at the breastfeeding café stem cell recovery from the umbilical cord Breast-feeding room

20 Clinic for General Surgery and Visceral Surgery Medical service offerings 20 Dr. med. W. Ulbricht Chefarzt der Klinik für Allgemein- und Visceralchirurgie The Clinic for General Surgery and Visceral Surgery has more than 27 beds available.. LRange of services of the Visceral Surgery: thyroid surgery stomach surgery surgery of the gall bladder and gull ducts surgery of small and large intestine as well as of rectum with benign and malignant diseases surgery of hernia minimal invasive surgery (keyhole surgery) with hernia, cholecystopathy, colopathy, appendicitis proctology: endosonography, surgery for haemorrhoids according to staging, surgery of abscesses, fistula conservative and operative treatment of the diabetic foot syndrome hand surgery selected paediatric surgery bloodless alternative treatmen Range of services of vascular surgery: surgery of varicose veins inclusive endoscopic methods and treatment of Ulcus cruris varicosum or venous ulcer peripheral arterial occlusive disease (so called Charcot s syndrome) carotid artery aneurysm surgery Outpatient surgery hernia surgery umbilical hernia surgery varicosity surgery haemorrhoids surgery removal of regenerated tissue (e.g. skin, hypodermis, lymph node) hand surgery (e.g. flexion contracture of the fingers, so called Dupuytren s contracture, snapping finger, carpal tunnel syndrome, ganglion) Visit at the sick-bed

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