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Oct 15 04:33
• I saw this delightful gentleman today. He was very happy that _____ a ...
+ mp3
** • he had sold his holiday house and - poi
**** • Thanks a lot. :-) - guy

• Oncological Diagnosis: T2C, N1 prostate cancer on _____ trial. ...
+ mp3
** • never mind. Thanks to anyone who tried. - guy
**** • ENZARAD trial - k c i c i j

• I have arranged for his ADT to start as soon as possible and have reco ...
+ mp3
** • of it all and the - poi
**** • Thanks a lot. :-) - guy

• I will see him again in a couple of weeks time and we will make that ...
+ mp3
** • but we have had a very good - poi
**** • Thanks a lot. :-) - guy

• If there is evidence of further rises and especially if we can identif ...
+ mp3
** • inclusion - poi
**** • Thanks a lot. :-) - guy

• Oncological Diagnosis: Metastatic prostate cancer, stable PSA on withd ...
+ mp3
** • Casodex - my guess
**** • Thanks a lot. :-) - guy

• Whilst the patient's s prostate cancer appears to be stable clinically ...
+ mp3
** • biochemically - poi
**** • Thanks a lot. :-) - guy

• His two issues at present are firstly of significant reflux and second ...
+ mp3
** • variious changes in his diet __________ - mn
**** • Thanks a lot. :-) - guy
** • never mind. Thanks to anyone who tried. - guy

• He did have significant problems in tolerating pazopanib and by the so ...
+ mp3
** • never mind. Thanks to anyone who tried. - guy

• He has now been on the combination of pazopanib with introduction of n ...
+ mp3
** • 1. TKI 2. whilst - p0oi
**** • Thanks a lot. :-) - guy

• I note his history which is fairly complicated from the orthopaedic/bo ...
+ mp3
** • #2: Function still leaves somewhat to be desired - k f f a b n
** • "or so" - k f f a b n
**** • Thanks a lot. :-) - guy

• Clinic Note
+ l b d f m b
** • PCM = protein-calorie malnutrition. NPOST is maybe endpost? or endpoint? - taco
**** • Thanks for the help! - l b d f m b

• He does not wish an intervening appointment prior to getting the show ...
+ mp3
** • and the like. - billybob
**** • Thanks a lot. :-) - guy

• We walked through the fairly cruel and unusual nature of the treatment ...
+ mp3
** • I suspect it's "alternative" but he's so clear on everything else... + billybob
**** • Thanks a lot. :-) - guy
** • #1 alternate #2 regimen - taco
** • ... regimen - billybob
**** • Thanks a lot everybody - guy

• Currently, he has some minor symptoms related to his biopsy and the ne ...
+ mp3
** • a caution. - billybob
**** • Thanks a lot. :-) - guy

• I therefore walked him through the treatment situation. He is very ke ...
+ mp3
** • both in the acute and late setting. - taco
**** • Thanks a lot. :-) - guy

• Just a quick note to say that he is actually doing pretty well. His c ...
+ mp3
** • where the number needed to treat...for reasons known only to the Creator. - billybob
**** • Thanks a lot. :-) - guy

• The patient's scans have shown no significant FDG-avidity. Significan ...
+ mp3
** • discussions with (Gabby) about the possibility of further Lutate - taco
** • avidity, significant increase on her DOTATATE scan (note comma after "avidity") - taco
** • the question then will arise as to.... - d p c d b k
**** • Thanks a lot. Thanks for the correction everybody. - guy

• In some instances, a post-viral pericarditis can hang around for up to ...
+ mp3
** • not been able to achieve symptom - taco
**** • Thanks a lot. :-) - guy

• The patient also has been experiencing intermittent issues with her mi ...
+ mp3
** • #1 - form for #2 - and, if you are able to do this when she comes to see you, - taco
**** • Thanks a lot. :-) - guy

• As you are aware, she has had ongoing chest discomfort since her initi ...
+ mp3
** • never mind. Thanks to anyone who tried. - guy

• is adopted and is only aware of her biological fathers history. He h ...
+ mp3
** • her aunt from her father's side, one of whom has had a stroke - billybob
**** • Thanks a lot. :-) - guy

• She has noticed no specific decline in this activity, but on some occa ...
+ mp3
** • #2 ???bathroom??? - Questyr
**** • Thanks a lot. :-) - guy

• I performed an ECG today, which demonstrated sinus rhythm. There was ...
+ mp3
** • never mind. Thanks to anyone who tried. - guy

• The valve has deteriorated. It is both stenotic and regurgitant and s ...
+ mp3
** • TAVR - poi
**** • Thanks a lot. :-) - guy

• On examination today, she had no overt signs of fluid overload with ch ...
+ mp3
** • at the sternal edge? - poi
**** • Thanks a lot. :-) - guy

• She has had ongoing issues with chest discomfort and pain down her lef ...
+ mp3
** • gets by with just the one pillow - poi
**** • Thanks a lot. :-) - guy

• The patient's last review with me, his main issue has been to do with ...
+ mp3
** • tamsulosin - poi
**** • Thanks a lot. :-) - guy

• He tells me that in his most recent review with the neurologist, he ha ...
+ mp3
** • and is sitting now at?? - poi
**** • Thanks a lot. :-) - guy

• Since the patient's last review, he has increased his dose of _____. ...
+ mp3
** • Coveram - poi
**** • Thanks a lot. :-) - guy
**** • t - guy

• On examination today, his blood pressure was _____ normal 149/80mmHg w ...
+ mp3
** • upper limits of normal - poi
**** • Thanks a lot. :-) - guy

• She has had one fall which was mechanical in nature about 18 months ag ...
+ mp3
** • HOA _____. + guy
**** • never mind. Thanks to anyone who tried. - guy

• Aged care assessment has been done, but they are not accessing any sup ...
+ mp3
** • never mind. Thanks to anyone who tried. - guy

• Aged care assessment has been done, but they are not accessing any sup ...
+ mp3
** • posted above. thanks. - guy

• Their daughter lives in a granny flat on the same property. Husband h ...
+ mp3
** • leave, not leaves. who is an RA? RN? 2. Aged care assessment - poi
**** • Thanks a lot. Thanks for the correction. - guy

• On cognitive assessment today, he scored 18+1/30, losing most points o ...
+ mp3
** • I think she corrected license to licensure - poi
**** • Thanks a lot. :-) - guy

• _____ with usual domestic chores, visiting his wife almost every day i ...
+ mp3
** • never mind. Thanks to anyone who tried. - guy

• should i put comma before alone?
+ guy

• He takes his inhalers as required, but no regular medications. On dir ...
+ mp3
** • never mind. Thanks to anyone who tried. - guy

• He is driving currently and denied any recent _____. He is managing h ...
+ mp3
** • #1 mishaps. #2 bill paying, banking - sea
**** • Thanks a lot. :-) - guy

• pe. S/L CSM is intact.
+ sm
** • Could it be instability (instead of stability)? - Maybe?
** • CSM = Circulation, Sensation and Movement - taco
**** • thank you- CSM - op
** • ? CFL (calcaneofibular ligament) + sm

• We can plan to do these in a s/l*multi natzi**phase or one stage, if possible
+ sm
** • ? in the osseointegration phase? - nm

• The reason for the relatively urgent referral is that over the last co ...
+ mp3
** • never mind. Thanks to anyone who tried. - guy

• Oncological Diagnosis: Metastatic prostate cancer, early resistance to ...
+ mp3
** • never mind. Thanks to anyone who tried. - guy

• Oncological Diagnosis: Recurrent transitional cell cancer of the left ...
+ mp3
** • Could he be saying "sort of" ...I note it is an MSI mutation - Questyr
**** • Thanks a lot. :-) - guy

• I therefore think that the next best option is for her to touch base w ...
+ mp3
** • so - what I hear
**** • Thanks a lot. :-) - guy

• Oncological Diagnosis: T4B, N1A, M0 BRAF? melanoma (stage 3C); _____. ...
+ mp3
** • S/PWLESNB - what i hear - poi
**** • Thanks a lot. :-) - guy

• I have given him some reading material. He will mull things over whil ...
+ mp3
** • cooker - what i hear - poi
**** • Thanks a lot. :-) - guy

• He has no contraindications to proposing adjuvant therapy and a discus ...
+ mp3
** • clipped, can't get it - poi
**** • Thanks for the effort. - guy

• The patient has the tricky proposition of a nasty primary melanoma wit ...
+ mp3
** • note typo hm instead of him - fwiw-poi
**** • Thanks for the correction. - guy
** • and move over 15. - poi
**** • Thanks a lot. :-) - guy

• He is pretty keen to get his best chance of cure. Plan is therefore t ...
+ mp3
** • prophylactic - poi
**** • Thanks a lot. :-) - guy

• The patient has had a spell of inpatient rehabilitation and is now hav ...
+ mp3
** • 1. taper this 2. matters - poi
**** • Thanks a lot. :-) - guy
**** • t - guy

• I am still suspicious that he has been having some complex partial sei ...
+ mp3
** • 2. in the future??? - poi
** • 1. but see whether - poi
**** • Thanks a lot - guy

• I am very pleased to say that the patient has improved substantively w ...
+ mp3
** • never mind. Thanks to anyone who tried. - guy

• We therefore repeated his imaging which shows some reduction in the si ...
+ mp3
** • period after matter - poi
** • to attempt re-biopsy - poi
**** • Thanks a lot. Thanks for the correction. - guy

• A note to bring you up-to-date with the patient. His biopsy was ____ ...
+ mp3
** • showed only normal lung - poi
**** • Thanks for the correction. - guy



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