EXHIBIT 10.3

NEITHER THIS NOTE NOR THE SECURITIES INTO WHICH IT MIGHT CONVERT HAVE BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE ACT), OR ANY STATE SECURITIES LAWS AND MAY NOT BE OFFERED, SOLD OR OTHERWISE TRANSFERRED,
PLEDGED, ASSIGNED OR HYPOTHECATED UNLESS THERE IS AN EFFECTIVE REGISTRATION STATEMENT UNDER THE ACT OR THE COMPANY RECEIVES AN OPINION OF COUNSEL REASONABLY SATISFACTORY TO THE COMPANY, IN FORM AND SUBSTANCE REASONABLY SATISFACTORY TO THE COMPANY,
STATING THAT SUCH SALE, TRANSFER, PLEDGE, ASSIGNMENT OR HYPOTHECATION IS EXEMPT FROM THE REGISTRATION AND PROSPECTUS DELIVERY REQUIREMENTS OF THE ACT.



|$450,000 | Marlboro, Massachusetts
|-------- | -----------------------

February 20, 2007

MEDICAL SOLUTIONS MANAGEMENT INC.

PROMISSORY NOTE

Medical Solutions Management Inc., a Nevada corporation (the
Company), for value received, hereby promises to pay to Vicis Capital Master Fund (the Holder) on or before April 30, 2007 (the Maturity Date), the principal amount of Four Hundred Fifty Thousand Dollars
($450,000), and all interest accrued thereon, in accordance with the terms hereof, until paid in accordance with the terms hereof. This Note is issued in connection with that certain Note Purchase Agreement (the Note Purchase Agreement)
of even date herewith between the Company and the Holder.

1. Terms of Note.

1.1. Interest. Interest shall accrue on the unpaid principal balance of this Note from the date hereof and shall be payable at the
rate of five percent (5%) per annum, computed on the basis of a 365 day year for the actual number of days elapsed since the date hereof, until all unpaid principal under this Note shall have been repaid in full.

1.2. Failure to Repay by Maturity Date. If on or prior to the Maturity Date the Company has not repaid to the Holder the unpaid
principal balance of this Note and all interest accrued thereon, (a) the Maturity Date shall be extended to June 30, 2007 such that the unpaid principal balance of this Note and all interest accrued thereon shall be due and payable on such
date instead of April 30, 2007, and (b) no later than April 30, 2007, the Company shall issue to the Holder a warrant to purchase 3,000,000 shares of the Companys common stock, par value $0.001 per share, which warrant shall
have an exercise price of $2.00 per share, shall be exercisable for a period of five years following the date of issuance and shall contain such other terms and conditions as set forth in those certain warrants issued by the Company to the Holder in
connection with the transactions consummated pursuant to that certain Securities Purchase and Exchange Agreement, dated as of June 28, 2006 (except that such warrant shall not give the Company any right to call the warrant for redemption or to
purchase any shares issued upon exercise of the warrant).



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1.3. Prepayment. No portion of the principal amount of this Note may be paid by
the Company at any time prior to the Maturity Date (including any extension thereof).

1.4. Conversion. Pursuant to
Section 5.1 of the Note Purchase Agreement, this Note and the other Existing Notes (as that term is defined in the Note Purchase Agreement), shall automatically convert into a convertible senior secured debenture to be issued by the Company in
a future debt financing as further described in the Note Purchase Agreement and the Company shall thereafter have no obligations hereunder, including, without limitation, any obligation to issue any warrant to purchase shares of the Companys
common stock.

2. Usury. This Note is hereby expressly limited so that in no event whatsoever shall the amount paid or agreed to be
paid to the Holder hereunder exceed the amount permissible under applicable law. If at any time the performance of any provision of this Note involves a payment exceeding the limit of the price that may be validly charged for the loan, use,
forbearance or detention of money under applicable law, then automatically and retroactively, ipso facto, the obligation to be performed shall be reduced to such limit, it being the specific intent of the Company and the Holder that all
payments under this Note are to be credited first to interest, if any, as permitted by law, but not in excess of the lesser of (a) the agreed rate of interest set forth herein and (b) that permitted by law, and the balance toward the
reduction of principal. The provisions of this Section 2 shall never be superseded or waived and shall control every other provision of this Note.

3. Miscellaneous.

3.1. Transfer of Note. The Holder may not assign or
otherwise transfer this Note (or any portion hereof) or any of its rights hereunder without the prior written consent of the Company, and no interest herein shall be pledged or otherwise encumbered by the Holder without the prior written consent of
the Company, and any such attempted disposition of this Note or any portion hereof shall be of no force or effect.

3.2.
Titles and Subtitles. The titles and subtitles used in this Note are for convenience only and are not to be considered in construing or interpreting this Note.



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3.3. Notices. All notices required or permitted hereunder shall be in writing and
shall be deemed effectively given: (a) upon personal delivery to the party to be notified; (b) when sent by confirmed facsimile or electronic transmission if sent during normal business hours of the recipient on a business day, or if not,
then on the next business day; or (c) one (1) day after deposit with a nationally recognized overnight courier, specifying next day delivery, with written verification of receipt (or, in the case of non-U.S. residents, two
(2) business days after deposit with an internationally recognized overnight courier, specifying international priority delivery, with written verification of receipt). All communications shall be sent to the parties at the following addresses
or at such other address as shall be given in writing by a party to the other parties:



|         |  |                                   
|-------- |  | ----------------------------------
|Holder:  |  | Vicis Capital Master Fund         
|         |  | Tower 56, Suite 700               
|         |  | 126 E. 56th Street, 7th Floor     
|         |  | New York, NY 10022                
|         |  | Attn: Shad Stastney               
|         | 
|Company: |  | Medical Solutions Management Inc. 
|         |  | 237 Cedar Hill Street             
|         |  | Marlboro, MA 01752                
|         |  | Attention: Chief Executive Officer

3.4. Collection Costs. Should all or any part of the indebtedness
represented by this Note be collected by action at law, or in bankruptcy, insolvency, receivership or other court proceedings, or should this Note be placed in the hands of attorneys for collection after default, the Company hereby promises to pay
to the Holder, upon demand by the Holder at any time, in addition to the outstanding principal and all (if any) other amounts payable on or in respect of this Note, all court costs and reasonable attorneys fees and other collection charges and
expenses incurred or sustained by the Holder.

3.5. Amendments and Waivers. Any term of this Note may be amended
(either generally or in a particular instance and either retroactively or prospectively), with the written consent of the Company and the Holder. Any amendment effected in accordance with this Section 3.5 shall be binding upon the Holder and
the Company and their successors and assigns. Any forbearance, failure or delay by the Holder in exercising any right, power or remedy under this Note or otherwise available to the Holder shall not be deemed to be a waiver of such right, power or
remedy, nor shall any single or partial exercise of any right, power or remedy preclude the further exercise thereof.

3.6.
Severability. If one or more provisions of this Note are held to be unenforceable under applicable law, such provision shall be excluded from this Note and the balance of the Note shall be interpreted as if such provision were so excluded and
shall be enforceable in accordance with its terms.

3.7. Governing Law. This Note shall be governed by and construed
and enforced in accordance with the laws of the Commonwealth of Massachusetts, without giving effect to its conflicts of laws principles.

3.8. Certain Waivers. The Company hereby irrevocably waives notice of acceptance, presentment, notice of nonpayment, protest, notice of protest, suit and all other conditions precedent in connection with the
delivery, acceptance, collection and/or enforcement of this Note or any collateral or security therefor.

[Remainder of page left blank
intentionally]



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IN WITNESS WHEREOF, this Note has been executed and delivered as a sealed instrument on the date first
above written by the duly authorized representative of the Company.



MEDICAL SOLUTIONS MANAGEMENT INC.By:

/s/ Brian LesperanceName: Brian LesperanceTitle:   President




|                           
|---------------------------
|Acknowledged and Agreed to:
|                           
|VICIS CAPITAL MASTER FUND  
|By: Vicis Capital LLC      
|                           
|/s/ Keith Hughes           
|Keith Hughes               
|Chief Financial Officer