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The median income for a household in the Indian reservation was $25,208, and the median income for a family was $36,563

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The authors will also present their thoughts on a proposed multimodal perioperative protocol focused on identifying limb edema/lymphedema preoperatively, intraoperative technique changes that may decrease swelling, and lastly mitigating acute post-operative swelling response with the intent of decreasing pain, improving patient outcomes, and reducing the morbidity of chronic post-operative edema