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Aug 14 08:24
• Preoperative Diagnosis: RIGHT HAND TRAUMA. Procedure: REP ...
+ wav
** • Tang - poi
**** • Thanks a lot. - guy

• s/l mini essen therapy - list of meds
+ l i e i m d

• Preoperative Diagnoses: 1. STATUS POST RIGHT TOTAL KNEE ARTHROPLAS ...
+ wav
** • 2-0 V-Loc? - poi
**** • Thanks a lot. - guy

• The abdomen was deflated, and extra few(?)___ of anesthesia ______to evacuate the
+ mp3
** • Not sure ??? and extra few of anesthesia breaths to evacuate the pelvis??? - Questyr
**** • I hear that. NOt sure though. Will use anyway. Thanks again, Questyr - mp3

• ____________ sample was biopsied and will be sent to Pathology.
+ wav
** • Not sure, but ???A relative??? - Questyr
**** • Can't think of anything else myself. Thanks, Questyr - wav

• 30 mL of 0.25% Marcaine with epinephrine were instilled in and around the knee.
+ j h i g p c
** • "was" is correct - taco
**** • Thanks, taco - j h i g p c

• Dictating prescriptions - s/l thenocobalamin. I can find cobalamin but not with the
+ Rx question
** • cyanocobalamin - taco
**** • I think this is it! Thanks. NM + OP
** • what are exact words before your s/l...understand it is a list of Rx, but is he numbering - them? changing? etc
**** • He is just dictating a list without numbers. SM + OP

• ortho term, preop dx, not sure what I am hearing. Sm plse
+ tl
** • open fractures are ....Gustilo and Anderson - poi
**** • classification for open fracture - poi
****** • thank you very much for your help! - tl

• TAH/BSO surgery, under operative finings, s/l "for 8" pls sm for context
+ tl
** • ? Normal left ovary for age (atrophic). - ltt
**** • Thank you thank you thank you!!!! - OP

• This was then opened. Anterior flap was allowed to egress. The inter ...
+ wav
** • 300?? with fat? - taco
**** • I did a search with your terms, and it looks like 300 would fit. - taco
****** • and "packed with fat" makes sense too - t :)
******** • Thanks a lot. - guy

• A labyrinthectomy was then performed using cutting and diamond burs. ...
+ mp3
** • around the ... cochlear aqueduct - p o l i j c
**** • Thanks a lot. - guy

• Preoperative Diagnosis: RECURRENT LEFT VESTIBULAR SCHWANNOMA. ...
+ wav
** • wide full? - p o l i j c
**** • Thanks a lot. - guy

• Preoperative Diagnosis: RIGHT BREAST FIBROADENOMA. Procedure ...
+ wav
** • will be surveilled with an .... - k d i e m n
**** • I agree with this - t
****** • Thanks a lot everybody - guy
** • would not be surveilled with? - d a c i m b
** • will be followed up? - billybob
**** • Thanks a lot. - guy

• CT scan of the abdomen and pelvis personally reviewed by myself shows distended sm
+ wav :)
** • wav doesn't match - k d i e m n

• Preoperative Diagnosis: RIGHT SMALL FINGER OBLIQUE P1 FRACTURE. ...
+ wav
** • never mind. Thanks to anyone who tried. - guy

• Through the sheath, a flexible Glidewire and catheter were then used t ...
+ wav
** • The stent was deployed - poi
**** • VBX stent - guy
**** • Thanks a lot. - guy

• The specimens were then sent for permanent pathology. Due to the pati ...
+ mp3
** • Found this surgical description that talks about packing the omentum (see link) + Questyr
**** • Thanks a lot. - guy
**** • yes, but what did you hear? - poi
****** • I hear unpacked. - Q
******** • thanks. I wasn't sure. - poi
** • unpacked? uptacted? - poi
**** • untacked - poi
**** • Thanks a lot. - guy-

• Preoperative Diagnosis: RIGHT ADNEXAL MASS. Procedure: EX ...
+ wav
** • detached? - poi
**** • Thanks a lot. - guy

• s/l postal steroids
+ sn
** • NOTE: S/B Nephrology and Rheumatology as they are being + Questyr
**** • depends on acct specs - where I work, we are not allowed to capitalize those. + (I'm not the OP)
****** • Sorry for the confusion..I thot the "s/b...per BoS 2"...would indicate those + Q
** • I think your first interpretation is kinda cute. - jer
** • bolus steroids + link
** • a burst of steroids? - taco
**** • This is it! - Thanks

• X-rays taken showed marked *debonation* of bone and marked narrowing of the joint
+ ?
** • can you hear "eburnation"? - taco
**** • yep - thanks so much - !

• Spironolactone, allicin, _____ dietary supplements, Zyrtec
- mp3 posted
** • Rosicon? - wag
**** • thanks for the suggestion. - OP

• acute intervention, he will require another *diload*).
+ ?
** • ... - dye load?
**** • duh - t
****** • thank you - -

• echo results. what term fits here? hearing d sound only
+ sm
** • These are not echo results. Can you refine what your sound-like sounds like? - nm
**** • Yeah - those are cath results. - t
**** • Also...it's "the left MAIN was normal" (not vein) - nm
****** • I think your blank is: "LAD with a moderate-sized PDA." Listen for that. + sm
******** • First sentence: Listen for "LAD system with a SEPTAL branch and diagonal branch" + sm

• s/l watchman predicted normals
+ help
** • nm - it's Wasserman - help
**** • ... + e e b k d c

• PTSD with s/l dis si mex disorder
+ sm
** • got it, dysthmic - nm
**** • Think you mean dysthymic - Questyr

• Preoperative Diagnosis: LEFT INDEX FINGER OSTEOMYELITIS. Pro ...
+ wav
** • swelling and erythema. not sure on the blank. I'm late as usual. - k d i e m n
**** • Thanks for the correction. - guy
** • never mind. Thanks to anyone who tried. - guy-

• At the end of the core suture, the looped suture was passed onto itsel ...
+ mp3
** • got it. thanks. + guy

• Preoperative Diagnosis: RIGHT THUMB FLEXOR POLLICIS LONGUS LACERATI ...
+ wav
** • never mind. Thanks to anyone who tried. - guy

• Preoperative Diagnosis: TONSILLAR HYPERTROPHY, SLEEP-DISORDERED BRE ...
+ wav
** • I hear "____ percent" - Questyr
**** • Thanks a lot. - guy

• All counts were correct at the conclusion of the procedure. There wer ...
+ wav
** • team and further neurologic exam. ... + f o h h b h
** • never mind. Thanks to anyone who tried. - guy

• Several surrounding petrosal veins were coagulated. We followed this ...
+ mp3
** • The second one might be ultrasonic. I see ultrasonic aspirators in Stedman's Neuro. - nm
** • I think the first one may be brainstem. - nm
**** • Thanks a lot. - guy
** • sorry, can't get these - poi
**** • Thanks for the effort. - guy
****** • never mind. Thanks to anyone who tried. - guy

• ...
- mp

• We worked systematically around the tumor with bipolar electrocautery ...
+ mp4
** • planes - poi
**** • Thanks a lot. - guy-
** • I don't hear anything for mp4 - poi
**** • posted wav. thanks - guy

• The neurosurgery team performed the incision. An initial dissection _ ...
+ mp3
** • finding...cerebellum - poi
**** • Thanks a lot. - guy-

• On the day of the procedure, the patient was laid supine into the oper ...
+ wav
** • regions? - poi
**** • Thanks a lot. - guy

• Preoperative Diagnosis: LEFT KNEE ANTERIOR CRUCIATE LIGAMENT TEAR, ...
+ wav
** • bulbous - poi
**** • Thanks a lot. - guy

• A KLS s/l*ladder* plate was then placed over the body of the sternum and fixed to the
+ SM
** • I find there is a KLS sternal talon plate (see link) + Questyr
**** • so I'm thinking ladder might be talon - Q

• soft on his blood pressure in the "110 to one-teens". sm
+ val c.
** • if that's what was dictated, "one-tens to one-teens." - billybob
** • If you can, I would just put "in the 110s" because that covers "110 to one-teens" - taco
**** • thanks taco. Verbatim, though. 110 to one-teens? nm - p b j f o o
****** • I guess so, or 1-teens (our style guide here says to use 1-teens, but I hate that) - taco

• 62yo male with chronic osteo with Staph aureus. sm plse
+ nt
** • osteomyelitis - taco
**** • thank you! - nt

• Help please s/l * burbages * sm. TIA
+ TC
** • blurred edges? - poi

• The left ovary was adhesed to the sidewall and the s/l**valvis** was meticulously fre
+ SM Please
** • ?volvulus - nm

• Preoperative Diagnoses: 1. BILATERAL DISTAL ONE-THIRD SPIRAL TIBIA ...
+ wav
** • TAVR (transcatheter aortic valve replacement) - taco
**** • Thanks a lot. - guy

• Also, in the midline the Scarpas fascia was incised above the umbilic ...
+ mp3
** • mons area - k d i e m n
**** • Thanks a lot. - guy
** • never mind. Thanks to anyone who tried. - guy

• Preoperative Diagnosis: MASSIVE WEIGHT LOSS WITH ABDOMINAL PANNUS A ...
+ wav
** • had her ___ reassessed at he superior??? probably wrong. - k d i e m n
**** • *the* not he. - k d i e m n
****** • Thanks a lot. - guy
** • never mind. Thanks to anyone who tried. - guy

• Images were stored in the **Eyesight System**.
+ Can't verify/SM
** • I believe it is "iSite" check it out in the context of intraop imaging -looks like it fits - taco

• On latanoprost nightly and on _____ s/l "gareen-top" every morning.
+ tia
** • Gilenya topical (top for short)? - k d i e m n
**** • or Gilenya drop? - k d i e m n

• Dictated, after anesthesia, Ancef 1 g. ANESTHESIA: General end ...
+ e a e c d c
** • ANTIBIOTICS: Intravenous Ancef 1 g? - cb
** • was intravenous dictated? Maybe just medications? - poi
**** • Hi poi. No, I got the intravenous from body of report. I think Ancef 1 g is only available + e a e c d c
****** • I agree, just would not have added, that is why I asked if dictated. - poi
** • I decided on Intravenous Antibiotic but open to other suggestions. Thanks - e a e c d c
**** • Don't do that. If you must have a heading, Type: Other - nm

• It is not unusual with a temporary malabsorption of the purees that it can cause a __
+ mp3
** • can cause explosive diarrhea - ltt
**** • ... - thanks a lot

• The patient has bilateral vocal cord polyps on clinical exam in the of ...
+ wav
** • I think I hear "procedure(s)" ???? but really not sure - Q
** • Clip is defective. Repost the clip. - Questyr
**** • ... - wav reposted
****** • Could you make the clip a little longer and a little louder...if not, I can't get it from + Questyr
******** • Thanks, Questyr. It is a little longer now and louder. - wav
********** • more text now: + wav
************ • I only hear him say "procedures, procedures, procedures" and that + Q
************** • after the sequentially he says: Paragraphs, procedures. Which is the next heading. - wav
**************** • Bummer! He says paragraph, procedures. - wav
****************** • Sorry...can't get it. - Q
******************** • Thanks so much for trying, Q! Will have to flag - wav

• ENT
+ abc
** • ThryoSeq - nm
**** • Typo - sorry: ThyroSeq - nm

• Preoperative Diagnosis: TYPE 1 CHOLEDOCHAL CYST. Procedure: ...
+ wav
** • gold ski-tip - poi
**** • Thanks a lot. - guy

• Preoperative Diagnosis: TYMPANIC MEMBRANE PERFORATION. Proce ...
+ wav
** • but unfortunately cannot quantify how often? eventually said that... - k d i e m n
**** • Thanks a lot. - guy

• A soft tip was then brought into the operative field and three rounds ...
+ wav
** • 1. leaving 2. change? - poi



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