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ADVANCE FOR USE MONDAY, MAY 22 - In this May 1, 2017 photo, Dr. Abhishek Julka, left, and Dr. Walker Flannery perform carpal tunnel surgery on Mikaela Rueter as she remains awake at UW Health's American Center Clinic in Madison, Wis. Julka prefers having patients stay alert during the procedure so they can tell him if his instruments hit a nerve. "Particularly for people with small wrists, I really want them awake," he said. (John Hart/Wisconsin State Journal via AP)

ADVANCE FOR USE MONDAY, MAY 22 - In this May 1, 2017 photo, Dr. Abhishek Julka, left, and Dr. Walker Flannery perform carpal tunnel surgery on Mikaela Rueter as she remains awake at UW Health's American Center Clinic in Madison, Wis. Julka prefers having patients stay alert during the procedure so they can tell him if his instruments hit a nerve. "Particularly for people with small wrists, I really want them awake," he said. (John Hart/Wisconsin State Journal via AP)

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