Dear Colleague,
I had the pleasure of evaluating Mr. RiversName in clinic today regarding worsening right-hand symptoms. The patient reports six months of progressive numbness in the median nerve distribution, worse at night and with repetitive activity. Physical exam demonstrated a positive Tinel sign over the carpal tunnel and a positive Phalen test within 15 seconds.
An EMG from 03/15/2026 confirmed severe median neuropathy at the wrist. Given the severity of symptoms and the electrodiagnostic findings, I recommended endoscopic carpal tunnel release. The patient was counseled on risks and benefits and would like to proceed with surgery at his earliest convenience.
Please contact my office at (925) 555‑0142Phone with any questions or scheduling concerns.
Sincerely,
A. Morrison, MD
Department of Surgery