{"id":2812,"date":"2021-01-27T16:17:26","date_gmt":"2021-01-27T16:17:26","guid":{"rendered":"https:\/\/support.orthopedics.moveup.care\/protocole-de-soins-medicaux-postoperatoires\/"},"modified":"2021-01-27T16:17:30","modified_gmt":"2021-01-27T16:17:30","slug":"protocole-de-soins-medicaux-postoperatoires","status":"publish","type":"page","link":"https:\/\/support.orthopedics.moveup.care\/fr\/protocole-de-soins-medicaux-postoperatoires\/","title":{"rendered":"Protocole de soins m\u00e9dicaux postop\u00e9ratoires"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_16' style='display:none'><div id='gf_16' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_16' id='gform_16'  action='\/fr\/wp-json\/wp\/v2\/pages\/2812#gf_16' ><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LeslIceAAAAAPBU16SFCLen5RDeLfftiJdUobau' data-tabindex='0'><input id=\"input_97a657d27711d1dc78640c219abbb574\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_97a657d27711d1dc78640c219abbb574\" value=\"\"\/><\/div>\n                        <div class='gform_body gform-body'><ul id='gform_fields_16' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_16_36\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_36\"><label class='gfield_label' for='input_16_36' >Name of the hospital where the patient is operated<\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_16_36' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_16_35\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_35\"><label class='gfield_label gfield_label_before_complex'  >Your name<\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_16_35'>\n                            \n                            <span id='input_16_35_3_container' class='name_first' >\n                                                    <input type='text' name='input_35.3' id='input_16_35_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_16_35_3' >Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_16_35_6_container' class='name_last' >\n                                                    <input type='text' name='input_35.6' id='input_16_35_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_16_35_6' >Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_16_51\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_51\"><label class='gfield_label' for='input_16_51' >Your email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_51' id='input_16_51' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_16_53\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_53\"><label class='gfield_label' for='input_16_53' >Your mobile phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_53' id='input_16_53' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_16_37\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_37\"><label class='gfield_label' for='input_16_37' >Your function in the hospital<\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_16_37' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_16_54\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_54\"><label class='gfield_label gfield_label_before_complex'  >Which type of anesthesia is used?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_16_54'><li class='gchoice gchoice_16_54_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.1' type='checkbox'  value='General anesthesia'  id='choice_16_54_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_54_1' id='label_16_54_1'>General anesthesia<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_54_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.2' type='checkbox'  value='Spinal puncture'  id='choice_16_54_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_54_2' id='label_16_54_2'>Spinal puncture<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_54_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.3' type='checkbox'  value='Neural blocks'  id='choice_16_54_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_54_3' id='label_16_54_3'>Neural blocks<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_54_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.4' type='checkbox'  value='Local infiltration'  id='choice_16_54_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_54_4' id='label_16_54_4'>Local infiltration<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_38\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_38\"><label class='gfield_label gfield_label_before_complex'  >Which type of implants do you use?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><style type=\"text\/css\">\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons {\n\t\t\t\t\t\t\tvertical-align: middle !important;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons img {\n\t\t\t\t\t\t\tbackground-color: transparent !important;\n\t\t\t\t\t\t\tbackground-position: 0 0;\n\t\t\t\t\t\t\tbackground-size: 16px 16px !important;\n\t\t\t\t\t\t\tbackground-repeat: no-repeat;\n\t\t\t\t\t\t\tborder: none !important;\n\t\t\t\t\t\t\twidth: 16px !important;\n\t\t\t\t\t\t\theight: 16px !important;\n\t\t\t\t\t\t\topacity: 0.5;\n\t\t\t\t\t\t\ttransition: opacity .5s ease-out;\n\t\t\t\t\t\t    -moz-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -webkit-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -o-transition: opacity .5s ease-out;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons a:hover img {\n\t\t\t\t\t\t\topacity: 1.0;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\t<\/style><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_38_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_38_col_2' class='gfield_list_col_even' \/><col id='gfield_list_38_col_3' class='gfield_list_col_odd' \/><\/colgroup><thead><tr><th scope=\"col\">Type<\/th><th scope=\"col\">When is this type used (always?)<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_38_cell1' data-label='Type'><input aria-invalid='false' aria-required=\"true\"  aria-label='Type, Row ' data-aria-label-template='Type, Row {0}' type='text' name='input_38[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_38_cell2' data-label='When is this type used (always?)'><input aria-invalid='false' aria-required=\"true\"  aria-label='When is this type used (always?), Row ' data-aria-label-template='When is this type used (always?), Row {0}' type='text' name='input_38[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Ajouter une nouvelle ligne' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Supprimer cette ligne' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Supprimer cette ligne' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_16_34\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_34\"><label class='gfield_label gfield_label_before_complex'  >When do you plan your postoperative consultations?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_34_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_34_col_2' class='gfield_list_col_even' \/><col id='gfield_list_34_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_34_col_4' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Average weeks after operation<\/th><th scope=\"col\">With whom?<\/th><th scope=\"col\">What is the purpose?<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_34_cell1' data-label='Average weeks after operation'><input aria-invalid='false' aria-required=\"true\"  aria-label='Average weeks after operation, Row ' data-aria-label-template='Average weeks after operation, Row {0}' type='text' name='input_34[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_34_cell2' data-label='With whom?'><input aria-invalid='false' aria-required=\"true\"  aria-label='With whom?, Row ' data-aria-label-template='With whom?, Row {0}' type='text' name='input_34[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_34_cell3' data-label='What is the purpose?'><input aria-invalid='false' aria-required=\"true\"  aria-label='What is the purpose?, Row ' data-aria-label-template='What is the purpose?, Row {0}' type='text' name='input_34[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Ajouter une nouvelle ligne' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Supprimer cette ligne' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Supprimer cette ligne' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_16_41\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_41\"><label class='gfield_label gfield_label_before_complex'  >Who will do the second line medical follow-up for your hospital (so answer the medical questions trough the platform if the PT flags the patient to the 2nd line)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_41_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_41_col_2' class='gfield_list_col_even' \/><col id='gfield_list_41_col_3' class='gfield_list_col_odd' \/><\/colgroup><thead><tr><th scope=\"col\">Name<\/th><th scope=\"col\">Function<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_41_cell1' data-label='Name'><input aria-invalid='false' aria-required=\"true\"  aria-label='Name, Row ' data-aria-label-template='Name, Row {0}' type='text' name='input_41[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_41_cell2' data-label='Function'><input aria-invalid='false' aria-required=\"true\"  aria-label='Function, Row ' data-aria-label-template='Function, Row {0}' type='text' name='input_41[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Ajouter une nouvelle ligne' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Supprimer cette ligne' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Supprimer cette ligne' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_16_40\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_40\"><label class='gfield_label' for='input_16_40' >Who will do the second line medical follow-up for your hospital?<\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_16_40' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_16_12\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_12\"><h2 class=\"gsection_title\">Pain medication protocol<\/h2><\/li><li id=\"field_16_6\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_6\">At moveUP we developed, with expert surgeons, a <a style=\"color:#2DB194; !important\"  href=\"https:\/\/support.orthopedics.moveup.care\/?p=2206\"  target=\"_blank\">pain treatment protocol<\/a>. <\/li><li id=\"field_16_2\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_2\"><label class='gfield_label'  >Will you follow the moveUP expert pain protocol?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_2'>\n\t\t\t<li class='gchoice gchoice_16_2_0'>\n\t\t\t\t<input name='input_2' type='radio' value='Yes, I will prescribe according to this protocol'  id='choice_16_2_0'    \/>\n\t\t\t\t<label for='choice_16_2_0' id='label_16_2_0'>Yes, I will prescribe according to this protocol<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_2_1'>\n\t\t\t\t<input name='input_2' type='radio' value='No, I will use my own pain medication protocol'  id='choice_16_2_1'    \/>\n\t\t\t\t<label for='choice_16_2_1' id='label_16_2_1'>No, I will use my own pain medication protocol<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_5\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_5\"><label class='gfield_label gfield_label_before_complex'  >What pain medication do you prescribe?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_5_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_5_col_2' class='gfield_list_col_even' \/><col id='gfield_list_5_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_5_col_4' class='gfield_list_col_even' \/><col id='gfield_list_5_col_5' class='gfield_list_col_odd' \/><col id='gfield_list_5_col_6' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Substance name<\/th><th scope=\"col\">Brand name (if you don&#039;t prescribe by substance name)<\/th><th scope=\"col\">How many gram?<\/th><th scope=\"col\">How many a day?<\/th><th scope=\"col\">How many days?<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_5_cell1' data-label='Substance name'><input aria-invalid='false' aria-required=\"true\"  aria-label='Substance name, Row ' data-aria-label-template='Substance name, Row {0}' type='text' name='input_5[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_5_cell2' data-label='Brand name (if you don&#039;t prescribe by substance name)'><input aria-invalid='false' aria-required=\"true\"  aria-label='Brand name (if you don&#039;t prescribe by substance name), Row ' data-aria-label-template='Brand name (if you don&#039;t prescribe by substance name), Row {0}' type='text' name='input_5[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_5_cell3' data-label='How many gram?'><input aria-invalid='false' aria-required=\"true\"  aria-label='How many gram?, Row ' data-aria-label-template='How many gram?, Row {0}' type='text' name='input_5[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_5_cell4' data-label='How many a day?'><input aria-invalid='false' aria-required=\"true\"  aria-label='How many a day?, Row ' data-aria-label-template='How many a day?, Row {0}' type='text' name='input_5[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_5_cell5' data-label='How many days?'><input aria-invalid='false' aria-required=\"true\"  aria-label='How many days?, Row ' data-aria-label-template='How many days?, Row {0}' type='text' name='input_5[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Ajouter une nouvelle ligne' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Supprimer cette ligne' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Supprimer cette ligne' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_16_11\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_11\"><h2 class=\"gsection_title\">Antithrombotic profylaxis<\/h2><\/li><li id=\"field_16_7\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_7\">At moveUP we developed, with expert surgeons, a <a style=\"color:#2DB194; !important\"  href=\"https:\/\/support.orthopedics.moveup.care\/?p=2297\" \n target=\"_blank\">antithrombotic prophylaxis protocol<\/a>. <\/li><li id=\"field_16_8\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_8\"><label class='gfield_label'  >Will you follow the moveUP expert antihrombotic prevention protocol?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_8'>\n\t\t\t<li class='gchoice gchoice_16_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='Yes, I will prescribe according to this protocol'  id='choice_16_8_0'    \/>\n\t\t\t\t<label for='choice_16_8_0' id='label_16_8_0'>Yes, I will prescribe according to this protocol<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_8_1'>\n\t\t\t\t<input name='input_8' type='radio' value='No, I will use my own protocol'  id='choice_16_8_1'    \/>\n\t\t\t\t<label for='choice_16_8_1' id='label_16_8_1'>No, I will use my own protocol<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_9\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_9\"><label class='gfield_label gfield_label_before_complex'  >What antithrombotic medication do you prescribe?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_9_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_9_col_2' class='gfield_list_col_even' \/><col id='gfield_list_9_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_9_col_4' class='gfield_list_col_even' \/><col id='gfield_list_9_col_5' class='gfield_list_col_odd' \/><col id='gfield_list_9_col_6' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Substance name<\/th><th scope=\"col\">Brand name (if you don&#039;t prescribe by substance name)<\/th><th scope=\"col\">How many gram?<\/th><th scope=\"col\">How many a day?<\/th><th scope=\"col\">How many days?<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_9_cell1' data-label='Substance name'><input aria-invalid='false' aria-required=\"true\"  aria-label='Substance name, Row ' data-aria-label-template='Substance name, Row {0}' type='text' name='input_9[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_9_cell2' data-label='Brand name (if you don&#039;t prescribe by substance name)'><input aria-invalid='false' aria-required=\"true\"  aria-label='Brand name (if you don&#039;t prescribe by substance name), Row ' data-aria-label-template='Brand name (if you don&#039;t prescribe by substance name), Row {0}' type='text' name='input_9[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_9_cell3' data-label='How many gram?'><input aria-invalid='false' aria-required=\"true\"  aria-label='How many gram?, Row ' data-aria-label-template='How many gram?, Row {0}' type='text' name='input_9[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_9_cell4' data-label='How many a day?'><input aria-invalid='false' aria-required=\"true\"  aria-label='How many a day?, Row ' data-aria-label-template='How many a day?, Row {0}' type='text' name='input_9[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_9_cell5' data-label='How many days?'><input aria-invalid='false' aria-required=\"true\"  aria-label='How many days?, Row ' data-aria-label-template='How many days?, Row {0}' type='text' name='input_9[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Ajouter une nouvelle ligne' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Supprimer cette ligne' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Supprimer cette ligne' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_16_10\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_10\"><label class='gfield_label' for='input_16_10' >What other prevention measures you want to take?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_16_10' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_16_13\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_13\"><h2 class=\"gsection_title\">Wound care<\/h2><\/li><li id=\"field_16_42\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_42\">At moveUP we developed, with expert surgeons, a <a style=\"color:#2DB194; !important\"  href=\"https:\/\/support.orthopedics.moveup.care\/?p=2391\"  target=\"_blank\">wound care protocol<\/a>. <\/li><li id=\"field_16_43\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_43\"><label class='gfield_label'  >Will you follow the moveUP expert pain protocol?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_43'>\n\t\t\t<li class='gchoice gchoice_16_43_0'>\n\t\t\t\t<input name='input_43' type='radio' value='Yes, I will prescribe according to this protocol'  id='choice_16_43_0'    \/>\n\t\t\t\t<label for='choice_16_43_0' id='label_16_43_0'>Yes, I will prescribe according to this protocol<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_43_1'>\n\t\t\t\t<input name='input_43' type='radio' value='No, I will use my own pain medication protocol'  id='choice_16_43_1'    \/>\n\t\t\t\t<label for='choice_16_43_1' id='label_16_43_1'>No, I will use my own pain medication protocol<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_14\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_14\"><label class='gfield_label gfield_label_before_complex'  >What method do you use to close the wound?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_16_14'><li class='gchoice gchoice_16_14_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.1' type='checkbox'  value='Sutures'  id='choice_16_14_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_14_1' id='label_16_14_1'>Sutures<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_14_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.2' type='checkbox'  value='Staples'  id='choice_16_14_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_14_2' id='label_16_14_2'>Staples<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_14_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.3' type='checkbox'  value='Wound glue'  id='choice_16_14_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_14_3' id='label_16_14_3'>Wound glue<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_15\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_15\"><label class='gfield_label gfield_label_before_complex'  >When and by whom are the sutures and staples removed?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_15_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_15_col_2' class='gfield_list_col_even' \/><col id='gfield_list_15_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_15_col_4' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">When (weeks after surgery)<\/th><th scope=\"col\">Who will remove them?<\/th><th scope=\"col\">Remarks<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_15_cell1' data-label='When (weeks after surgery)'><input aria-invalid='false' aria-required=\"true\"  aria-label='When (weeks after surgery), Row ' data-aria-label-template='When (weeks after surgery), Row {0}' type='text' name='input_15[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_15_cell2' data-label='Who will remove them?'><input aria-invalid='false' aria-required=\"true\"  aria-label='Who will remove them?, Row ' data-aria-label-template='Who will remove them?, Row {0}' type='text' name='input_15[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_15_cell3' data-label='Remarks'><input aria-invalid='false' aria-required=\"true\"  aria-label='Remarks, Row ' data-aria-label-template='Remarks, Row {0}' type='text' name='input_15[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Ajouter une nouvelle ligne' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Supprimer cette ligne' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Supprimer cette ligne' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_16_20\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_20\"><label class='gfield_label gfield_label_before_complex'  >Wound dressing:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_20_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_20_col_2' class='gfield_list_col_even' \/><col id='gfield_list_20_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_20_col_4' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Which wound dressing<\/th><th scope=\"col\">When changed?<\/th><th scope=\"col\">When definitive stop?<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_20_cell1' data-label='Which wound dressing'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_16_20\" aria-label='Which wound dressing, Row ' data-aria-label-template='Which wound dressing, Row {0}' type='text' name='input_20[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_20_cell2' data-label='When changed?'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_16_20\" aria-label='When changed?, Row ' data-aria-label-template='When changed?, Row {0}' type='text' name='input_20[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_20_cell3' data-label='When definitive stop?'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_16_20\" aria-label='When definitive stop?, Row ' data-aria-label-template='When definitive stop?, Row {0}' type='text' name='input_20[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Ajouter une nouvelle ligne' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Supprimer cette ligne' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Supprimer cette ligne' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><div class='gfield_description' id='gfield_description_16_20'>For example, a small bleeding spot is fine, mepilex border should be changed when it touches 3 edges.<\/div><\/li><li id=\"field_16_16\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_16\"><label class='gfield_label gfield_label_before_complex'  >When do you want an action to be taken?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_16_16'><li class='gchoice gchoice_16_16_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.1' type='checkbox'  value='Redness of the wound'  id='choice_16_16_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_16_1' id='label_16_16_1'>Redness of the wound<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_16_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.2' type='checkbox'  value='Leaky wound'  id='choice_16_16_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_16_2' id='label_16_16_2'>Leaky wound<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_16_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.3' type='checkbox'  value='Swelling'  id='choice_16_16_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_16_3' id='label_16_16_3'>Swelling<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_16_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.4' type='checkbox'  value='Signs of inflammation'  id='choice_16_16_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_16_4' id='label_16_16_4'>Signs of inflammation<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_17\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_17\"><label class='gfield_label gfield_label_before_complex'  >Redness of the wound: action to be taken<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_17_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_17_col_2' class='gfield_list_col_even' \/><col id='gfield_list_17_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_17_col_4' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Which action<\/th><th scope=\"col\">By whom<\/th><th scope=\"col\">Do you want to be notified of this as a surgeon? Yes\/No<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_17_cell1' data-label='Which action'><input aria-invalid='false' aria-required=\"true\"  aria-label='Which action, Row ' data-aria-label-template='Which action, Row {0}' type='text' name='input_17[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_17_cell2' data-label='By whom'><input aria-invalid='false' aria-required=\"true\"  aria-label='By whom, Row ' data-aria-label-template='By whom, Row {0}' type='text' name='input_17[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_17_cell3' data-label='Do you want to be notified of this as a surgeon? Yes\/No'><input aria-invalid='false' aria-required=\"true\"  aria-label='Do you want to be notified of this as a surgeon? Yes\/No, Row ' data-aria-label-template='Do you want to be notified of this as a surgeon? Yes\/No, Row {0}' type='text' name='input_17[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Ajouter une nouvelle ligne' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Supprimer cette ligne' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Supprimer cette ligne' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_16_18\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_18\"><label class='gfield_label gfield_label_before_complex'  >Leaky wound: action to be taken<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_18_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_18_col_2' class='gfield_list_col_even' \/><col id='gfield_list_18_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_18_col_4' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Which action<\/th><th scope=\"col\">By whom<\/th><th scope=\"col\">Do you want to be notified of this as a surgeon? Yes\/No<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_18_cell1' data-label='Which action'><input aria-invalid='false' aria-required=\"true\"  aria-label='Which action, Row ' data-aria-label-template='Which action, Row {0}' type='text' name='input_18[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_18_cell2' data-label='By whom'><input aria-invalid='false' aria-required=\"true\"  aria-label='By whom, Row ' data-aria-label-template='By whom, Row {0}' type='text' name='input_18[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_18_cell3' data-label='Do you want to be notified of this as a surgeon? Yes\/No'><input aria-invalid='false' aria-required=\"true\"  aria-label='Do you want to be notified of this as a surgeon? Yes\/No, Row ' data-aria-label-template='Do you want to be notified of this as a surgeon? Yes\/No, Row {0}' type='text' name='input_18[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Ajouter une nouvelle ligne' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Supprimer cette ligne' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Supprimer cette ligne' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_16_21\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_21\"><label class='gfield_label gfield_label_before_complex'  >Swelling of the wound: action to be taken<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_21_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_21_col_2' class='gfield_list_col_even' \/><col id='gfield_list_21_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_21_col_4' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Which action<\/th><th scope=\"col\">By whom<\/th><th scope=\"col\">Do you want to be notified of this as a surgeon? Yes\/No<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_21_cell1' data-label='Which action'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_16_21\" aria-label='Which action, Row ' data-aria-label-template='Which action, Row {0}' type='text' name='input_21[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_21_cell2' data-label='By whom'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_16_21\" aria-label='By whom, Row ' data-aria-label-template='By whom, Row {0}' type='text' name='input_21[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_21_cell3' data-label='Do you want to be notified of this as a surgeon? Yes\/No'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_16_21\" aria-label='Do you want to be notified of this as a surgeon? Yes\/No, Row ' data-aria-label-template='Do you want to be notified of this as a surgeon? Yes\/No, Row {0}' type='text' name='input_21[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Ajouter une nouvelle ligne' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Supprimer cette ligne' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Supprimer cette ligne' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><div class='gfield_description' id='gfield_description_16_21'>For example: Use of bandages?<\/div><\/li><li id=\"field_16_19\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_19\"><label class='gfield_label gfield_label_before_complex'  >Inflammation wound: action to be taken<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_19_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_19_col_2' class='gfield_list_col_even' \/><col id='gfield_list_19_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_19_col_4' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Which action<\/th><th scope=\"col\">By whom<\/th><th scope=\"col\">Do you want to be notified of this as a surgeon? Yes\/No<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_19_cell1' data-label='Which action'><input aria-invalid='false' aria-required=\"true\"  aria-label='Which action, Row ' data-aria-label-template='Which action, Row {0}' type='text' name='input_19[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_19_cell2' data-label='By whom'><input aria-invalid='false' aria-required=\"true\"  aria-label='By whom, Row ' data-aria-label-template='By whom, Row {0}' type='text' name='input_19[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_19_cell3' data-label='Do you want to be notified of this as a surgeon? Yes\/No'><input aria-invalid='false' aria-required=\"true\"  aria-label='Do you want to be notified of this as a surgeon? Yes\/No, Row ' data-aria-label-template='Do you want to be notified of this as a surgeon? Yes\/No, Row {0}' type='text' name='input_19[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Ajouter une nouvelle ligne' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Supprimer cette ligne' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Supprimer cette ligne' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_16_22\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_22\"><h2 class=\"gsection_title\">Crutches<\/h2><\/li><li id=\"field_16_45\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_45\">At moveUP we developed, with expert surgeons, a <a style=\"color:#2DB194; !important\"  href=\"https:\/\/support.orthopedics.moveup.care\/?p=2418\"  target=\"_blank\">crutches protocol<\/a>. <\/li><li id=\"field_16_44\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_44\"><label class='gfield_label'  >Do you agree with moveUP protocol for crutches?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_44'>\n\t\t\t<li class='gchoice gchoice_16_44_0'>\n\t\t\t\t<input name='input_44' type='radio' value='Yes'  id='choice_16_44_0'    \/>\n\t\t\t\t<label for='choice_16_44_0' id='label_16_44_0'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_44_1'>\n\t\t\t\t<input name='input_44' type='radio' value='No'  id='choice_16_44_1'    \/>\n\t\t\t\t<label for='choice_16_44_1' id='label_16_44_1'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_24\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_24\"><label class='gfield_label gfield_label_before_complex'  >Depending on the operation type: what protocol do you have in place concerning crutches?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_24_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_24_col_2' class='gfield_list_col_even' \/><col id='gfield_list_24_col_3' class='gfield_list_col_odd' \/><\/colgroup><thead><tr><th scope=\"col\">Hip surgery<\/th><th scope=\"col\">Knee surgery<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_24_cell1' data-label='Hip surgery'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_16_24\" aria-label='Hip surgery, Row ' data-aria-label-template='Hip surgery, Row {0}' type='text' name='input_24[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_24_cell2' data-label='Knee surgery'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_16_24\" aria-label='Knee surgery, Row ' data-aria-label-template='Knee surgery, Row {0}' type='text' name='input_24[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Ajouter une nouvelle ligne' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Supprimer cette ligne' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/support.orthopedics.moveup.care\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Supprimer cette ligne' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><div class='gfield_description' id='gfield_description_16_24'>ex: 2 crutches until xxx, then switch to 1 crutch until xxx, then nu crutches anymore.<\/div><\/li><li id=\"field_16_25\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_25\"><h2 class=\"gsection_title\">Start of certain activities<\/h2><\/li><li id=\"field_16_46\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_46\"><label class='gfield_label'  >Hip surgery: patient can sleep on the operated side<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_46'>\n\t\t\t<li class='gchoice gchoice_16_46_0'>\n\t\t\t\t<input name='input_46' type='radio' value='Yes'  id='choice_16_46_0'    \/>\n\t\t\t\t<label for='choice_16_46_0' id='label_16_46_0'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_46_1'>\n\t\t\t\t<input name='input_46' type='radio' value='No'  id='choice_16_46_1'    \/>\n\t\t\t\t<label for='choice_16_46_1' id='label_16_46_1'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_26\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_26\"><label class='gfield_label' for='input_16_26' >When can the patient start using his hometrainer if he has one?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_16_26' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_16_47\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_47\"><br>\n<b>\nBicycling: moveUP protocol:<\/b>\n\nAfter the first control appointment with the surgeon<\/li><li id=\"field_16_48\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_48\"><label class='gfield_label'  >Do you agree with the moveUP protocol for bicycling?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_48'>\n\t\t\t<li class='gchoice gchoice_16_48_0'>\n\t\t\t\t<input name='input_48' type='radio' value='Yes'  id='choice_16_48_0'    \/>\n\t\t\t\t<label for='choice_16_48_0' id='label_16_48_0'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_48_1'>\n\t\t\t\t<input name='input_48' type='radio' value='Yes, but...'  id='choice_16_48_1'    \/>\n\t\t\t\t<label for='choice_16_48_1' id='label_16_48_1'>Yes, but...<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_48_2'>\n\t\t\t\t<input name='input_48' type='radio' value='No'  id='choice_16_48_2'    \/>\n\t\t\t\t<label for='choice_16_48_2' id='label_16_48_2'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_27\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_27\"><label class='gfield_label' for='input_16_27' >When can the patient start bicycling?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_16_27' type='text' value='' class='medium'  aria-describedby=\"gfield_description_16_27\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_16_27'>moveUP protocol: after control appointment with the surgeon<\/div><\/li><li id=\"field_16_49\"  class=\"gfield gfield_html gfield_html_formatted field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_49\"><br>\n<b>\nDriving: moveUP protocol:<\/b><br>\n\n\u2022 Patient checks with insurance company<br>\n\n\u2022 When patient feels safe and can perform emergency stop at all times<\/li><li id=\"field_16_50\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_50\"><label class='gfield_label'  >Do you agree with the moveUP protocol for driving?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_50'>\n\t\t\t<li class='gchoice gchoice_16_50_0'>\n\t\t\t\t<input name='input_50' type='radio' value='Yes'  id='choice_16_50_0'    \/>\n\t\t\t\t<label for='choice_16_50_0' id='label_16_50_0'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_50_1'>\n\t\t\t\t<input name='input_50' type='radio' value='Yes, but...'  id='choice_16_50_1'    \/>\n\t\t\t\t<label for='choice_16_50_1' id='label_16_50_1'>Yes, but...<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_50_2'>\n\t\t\t\t<input name='input_50' type='radio' value='No'  id='choice_16_50_2'    \/>\n\t\t\t\t<label for='choice_16_50_2' id='label_16_50_2'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_28\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_28\"><label class='gfield_label' for='input_16_28' >When can the patient start driving his car?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_16_28' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_16_29\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_29\"><label class='gfield_label' for='input_16_29' >When can the patient start travelling?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_16_29' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_16_32\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_32\"><h2 class=\"gsection_title\">Postoperative events<\/h2><\/li><li id=\"field_16_31\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_31\"><label class='gfield_label gfield_label_before_complex'  >When do you want to be notified as a surgeon (3rd line) by the 2nd line medical professional?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_16_31'><li class='gchoice gchoice_16_31_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.1' type='checkbox'  value='Signs of DVT'  id='choice_16_31_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_31_1' id='label_16_31_1'>Signs of DVT<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_31_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.2' type='checkbox'  value='Strong nausea'  id='choice_16_31_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_31_2' id='label_16_31_2'>Strong nausea<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_31_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.3' type='checkbox'  value='Cramps in the calf or upper leg muscles'  id='choice_16_31_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_31_3' id='label_16_31_3'>Cramps in the calf or upper leg muscles<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_31_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.4' type='checkbox'  value='Sudden pain or complaint after wrong movement'  id='choice_16_31_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_31_4' id='label_16_31_4'>Sudden pain or complaint after wrong movement<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_31_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.5' type='checkbox'  value='Fall incident'  id='choice_16_31_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_31_5' id='label_16_31_5'>Fall incident<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_31_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.6' type='checkbox'  value='Problem less than average mobility range'  id='choice_16_31_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_31_6' id='label_16_31_6'>Problem less than average mobility range<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_31_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.7' type='checkbox'  value='Never'  id='choice_16_31_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_31_7' id='label_16_31_7'>Never<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_55\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_55\"><label class='gfield_label gfield_label_before_complex'  >How do you want to be notified?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_16_55'><li class='gchoice gchoice_16_55_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.1' type='checkbox'  value='Email'  id='choice_16_55_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_55_1' id='label_16_55_1'>Email<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_55_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.2' type='checkbox'  value='Whatsapp'  id='choice_16_55_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_55_2' id='label_16_55_2'>Whatsapp<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_55_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.3' type='checkbox'  value='SMS'  id='choice_16_55_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_55_3' id='label_16_55_3'>SMS<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_55_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.4' type='checkbox'  value='Phone call'  id='choice_16_55_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_55_4' id='label_16_55_4'>Phone call<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_56\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_56\"><label class='gfield_label'  >Is the protocol as you outlined above applicable to all surgeons in your hospital?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_56'>\n\t\t\t<li class='gchoice gchoice_16_56_0'>\n\t\t\t\t<input name='input_56' type='radio' value='Yes'  id='choice_16_56_0'    \/>\n\t\t\t\t<label for='choice_16_56_0' id='label_16_56_0'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_56_1'>\n\t\t\t\t<input name='input_56' type='radio' value='No'  id='choice_16_56_1'    \/>\n\t\t\t\t<label for='choice_16_56_1' id='label_16_56_1'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_59\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_59\"><label class='gfield_label gfield_label_before_complex'  >Who has a different protocol?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_59_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_59_col_2' class='gfield_list_col_even' \/><col id='gfield_list_59_col_3' class='gfield_list_col_odd' \/><\/colgroup><thead><tr><th scope=\"col\">Name surgeon<\/th><th scope=\"col\">Email surgeon to ask to fill out his protocol form as well<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_59_cell1' data-label='Name surgeon'><input aria-invalid='false' aria-required=\"true\"  aria-label='Name surgeon, Row ' data-aria-label-template='Name surgeon, Row {0}' type='text' name='input_59[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_59_cell2' data-label='Email surgeon to ask to fill out his protocol form as 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