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As soon as she fell, Deborah Buttgereit knew she couldn’t avoid going to the hospital. “I could hear the bones moving around in my elbow,” said Buttgereit, who was 60 when she slipped on a patch of ice in December outside her apartment in Bozeman, Montana. Emergency room scans showed she had fractured her left arm near the joint. Doctors told her she needed surgery to repair it. At the time…