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Dec 11 03:51
• Preoperative Diagnosis: LEFT HIP INTERTROCHANTERIC FRACTURE. ...
+ wav
** • trying to tip a musician - Questyr
**** • Thanks a lot. - guy

• "Cold" leakage
+ ms
** • I don't know what that would mean. "Stool" leakage makes better sense. What's the context? - taco
**** • Yes I think the doctor meant to say "stool" leakage and said c ... + h m o c b k
****** • I betcha Dr. probably said "stool" and you heard "cold." Maybe he said fecal. + sm

• ught to place possible addition of *ViaNase* to breakup loculated effusion
+ ?
** • ...catheter placement, alteplase, possible addition of Dnase to break up loculated... - nm
**** • ty - !
** • You have a typo--vancomycin tough should be trough - isgal
**** • ty - -

• We then docked the robot. We began the case by incising the peritoneu ...
+ wav
** • got it. thanks. + guy

• A proximally referencing smooth wire was then placed from lateral to m ...
+ wav
** • never mind. Thanks to anyone who tried. - guy

• is or are?
+ c d g k c k
** • "This" is the singular subject so use "is" rather than "are." A couple of commas helps + make it clear - sm
**** • Thanks. This is what I did, but I wanted someone else's opinion on it. - op
** • *degeneration - correction

• I do think it is very likely that the L5-S1 level is ____ the source of his pain
+ mp3
** • not only the source... - poi
**** • ... - thanks

• Preoperative Diagnosis: LEFT TIBIA FRACTURE INFECTED NONUNION. ...
+ wav
** • Could he be saying "quick connect struts"??? - Q
** • I am finding "quick adjust struts", just not sure that is what I hear + link
**** • Wonder if he's saying "quick and naked struts times 6" (see link) + Q
****** • Oops...meant this as a standalone post, not a response to yours..sorry - Q
******** • Nevermind...don't think it's naked - Q
** • NOTE: DePuy's website indicates it is 5/8 (not 5.8) (see link) + Questyr
** • I think #1 is 5/8 proximal ring - poi
**** • Thanks a lot everybody - guy

• The endocervical canal was closed with #0 Vicryl sutures. A tumor imp ...
+ wav
** • got it. thanks. + guy

• strips would fall off on their own after surgery and they should not b ...
+ mp3
** • bos 3 - hyphenated form (follow-up) is still acceptable when used as an adjective. - fwiw
** • also s/b followup (no hyphen as it is adjectival form..only verb has hyphen) - Q
** • ???explicit??? - Questyr
**** • Thanks a lot. Thanks for the correction. - guy

• Preoperative Diagnosis: DORSAL RIGHT WRIST GANGLION CYST. Pr ...
+ wav
** • ???___ Steri-strips??? - Questyr
**** • ???___ Steri-Strips??? - Q
****** • ???___ gauze Steri-Strips??? - Q
******** • Thanks a lot. can it be "fresh" - guy
********** • Possibly...my ears are just not good enough to say for sure. - Q
************ • Thanks.. - guy
**** • Thanks a lot. - guy

• Preoperative Diagnosis: A 40-YEAR-OLD GRAVIDA 5, PARA 1-2-1-2 AT 37 ...
+ wav
** • #3. and both excised (that's all I can get) - poi
**** • Thanks a lot. - guy
****** • never mind. Thanks to anyone who tried. - guy

• Pressure bandage was placed and fundal pressure was applied to express ...
+ wav
** • in her arms? - poi
**** • Thanks a lot. - guy-
** • got it. thanks. + guy

• Preoperative Diagnosis: A 32-YEAR-OLD GRAVIDA 6, PARA 4-0-1-4 AT 39 ...
+ wav
** • infant in arms - poi
**** • Thanks a lot. - guy
** • antibiotic, no anticoagulation and no ________. - Questyr
** • _____ arm??? - poi
**** • Thanks a lot everybody - guy

• The patient underwent an uneventful induction of general endotracheal ...
+ wav
** • from what was seen in the ICU? - poi
**** • Thanks a lot. - guy

• The patient was brought to the operating room and transferred to the o ...
+ mp3
** • can't get this one. - sorry
**** • Thanks for the effort. - guy
****** • never mind. Thanks to anyone who tried. - guy

• The patient is a 53-year-old male, status post getting hit by a car ap ...
+ wav
** • pinned over the abdomen?? - poi
**** • Thanks a lot. - guy

• Preoperative Diagnosis: ABDOMINAL WALL DEHISCENCE. Procedure ...
+ wav
** • sounds like evacuation of... - billybob
**** • Thanks a lot. - guy

• S/l "Fainting" colitis. Fainting could ocur with colitis, but is this
- correct?
** • it would help to have complete sentences, but check out this link + link
**** • It was just part of a list of illnesses. Thanks for the link. I think MD really dictated - fainting colitis.
****** • That last could have been helpful. - nm

• Stable to valgus and varus stress at 0 and 25 degrees. Negative _______ test
+ sm
** • Dial test? - nm
** • Whoops - thought i put a sound like. S/l bowel - -
**** • flagging - -

• Does this need commas?
+ tia
** • Actually it is 2 locations (see link)...the shoulder has an + Questyr
**** • The LABRUM has a superior (top), anterior (front), and inferior (bottom) - fwiw
****** • I did state that the (see message) + Questyr
******** • oops...typo s/b shoulder (not should) in the message - Q
********** • not sure how you interpret that the labrum has 2 superiors and 2 infer ... + fwiw
************ • (see message and link) + Q
************** • When you click on the link you have to wait a bit for it to pull up the specific + Q
**************** • link + link
****************** • This link shows label and image of "anterior superior labral tear", but I + Q
******************** • My link didn't work so I'm pasting the address to see + Q
********************** • Yes ...the pasted address onto a google tab does bring up + Q
**************** • link + link
****************** • ignore link. They are not working. - link
******************** • the first one worked. - fwiw
********************** • The first one worked for me. - Q
** • I would have. Three different locations. - fwiw
** • No. ... + nm
**** • ... - thanks

• n Zosyn and daptomycin for a *V wreck* with a nasogastric tube
+ ?
** • "vancomycin-resistant Enterococcus gallinarum (VREg) and E. casseliflavus (VREc)" - billybob
**** • ahhh - thanks
** • vancomycin-resistant enterococci (VRE) would fit. maybe adding a C for -coccus? - taco
**** • ty - -

• Procedure: OPEN REDUCTION AND INTERNAL FIXATION OF RIGHT MANDIBULAR ...
+ wav
** • not really sure but s/l : + k d i e m n
**** • Thanks a lot. - guy

• not sure which way to expand BNP. B-type or brain natriuretic peptide?
+ nm
** • either or - k d i e m n
**** • thanks + nm

• Preoperative Diagnosis: GLAUCOMA OF THE LEFT EYE. Procedure: ...
+ wav
** • target - Questyr
**** • Thanks a lot. - guy

• Preoperative Diagnosis: RIGHT FOURTH AND FIFTH METACARPAL FRACTURES ...
+ wav
** • to get out his IV? I would think it should be immobilzed then mobilized. - fwiw-poi
**** • Thanks a lot. Thanks for the correction. - guy

• Procedure: SEPTOPLASTY AND BILATERAL INFERIOR TURBINOPLASTY. ...
+ wav
** • formally consented. - billybob
**** • Thanks a lot. - guy

• Preoperative Diagnosis: STAGE 2A SQUAMOUS CELL CERVICAL CANCER, STA ...
+ wav
** • sounds more like a stutter and changed her mind? - k d i e m n
**** • Thanks a lot. - guy
** • never mind. Thanks to anyone who tried. - guy

• Preoperative Diagnosis: LEFT DEGENERATIVE PRIMARY HIP OSTEOARTHRITI ...
+ wav
** • condylar - poi
**** • condyloid joint - poi
****** • geez...condyloid fossa - poi
**** • Thanks a lot. - guy

• "Patient has had Shingrix and *vennar 13* vaccines"
+ CO MT
** • He's got to be mispronouncing Prevnar (grossly), but I'm blanking it - CO MT

• Hearing test: s/l "A sting" was done and these responses seem accurate and reliable.
+ sm - tia
** • I found a "lactic acid sting test (LAST)" - could that be it? - taco
**** • I don't feel that it fits with the hearing test that I can find - thanks though! - op
****** • Maybe Stenger - k d i e m n
******** • yes! that is it. Thank you! - op

• Millon Clinical Multiaxial Inventory-III testing (ESL)
+ sm
** • Can you hear: Also, with inattention...(?) + sm/link
** • motoric and emotive expressiveness + link
** • saline = salient? - poi
**** • thank you all for your help - much appreciated

• Preoperative Diagnosis: BENIGN PROSTATIC HYPERTROPHY. Proced ...
+ wav
** • got it. thanks. + guy

• Preoperative Diagnosis: RIGHT PARIETAL ENHANCING NODULE WITH CYST. ...
+ wav
** • diffusion - nm
** • Can't quite get it, but 3 lines above, should be "intra"cranial, (just got one brain) - mn
** • sounds like infusion (cannot verify usage) - fwiw-poi
**** • I kind of hear "infusion restricting" but that just doesn't sound right. - mn
****** • Thanks a lot everybody - guy

• to ensure that there are no red flags of anemia or ___ etc.
- mp3
** • hypoalbuminemia, etc. - my guess
**** • ... - thanks

• colonscopy, s/l "tradoxogenic" sm plse
+ nm
** • got it - Enterotoxigenic coli - OP

• There were no nail changes and no (s/l infasteal) tenderness.
+ ???
** • ? entheseal - nm

• s/l Fios needle. Procedure is tubal ligation.
+ can't find
** • there is a Kii Fios First Entry system by Applied Medical for laparoscopy - if that helps - ltt
**** • Thanks a lot ! I did find that after I posted. - can't find

• horizontal-type tear from the posterior ____ of the body to the posterior horn.
+ mp3
** • s/l posterior portion of the body to (body of the meniscus) - ltt
**** • ... - thanks

• As you know, he has been considered for "transcardiac valve replacement." Is this
+ tia
** • Check out TransCardiac Therapeutics + link
** • Check to see if you are really hearing "transaortic" - Questyr
**** • He's saying "transcardiac" very clearly, though later he says the patient needs a TAVR. - op



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