what procedure did patient 23550 receive the first time since 2103.
select d_icd_procedures.short_title from d_icd_procedures where d_icd_procedures.icd9_code in ( select procedures_icd.icd9_code from procedures_icd where procedures_icd.hadm_id in ( select admissions.hadm_id from admissions where admissions.subject_id = 23550 ) and strftime('%y',procedures_icd.charttime) >= '2103' order by procedures_icd.charttime asc limit 1 )