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May 12 17:11
• MRI
+ sm

• In medication list, doctor spells Maylon. Any suggestions on what this would be?
+ pmh see message
** • My guess is Mylan, but I would flag something like that. - isgal
**** • my flags are to the doctor, and since he spelled it... will use it with a post-it - thanks - OP

• treated with full length total contact insert s/L**for nerve relieve channels**.
+ SM

• Nitrostat, Amitiza, Combigan eye drops, ______ Lumigan eye drops, vita ...
+ mp3 posted
** • pilocarpine (eyedrops?) - taco
**** • I put the ? because I don't quite hear it but there is something there and eye drops would - fit --t
****** • I hear it! Thanks taco! you're the bomb! - OP-poi
******** • woot! - t

• MRI thigh
+ sm
** • should be hip MRI - OP
**** • nevermind-it's scarring - op

• one s/l avarent eyelash
+ sm - tia
** • thank you!! That's it - op
** • aberrant? - poi

• s/l warm bacitracin solution-prob should be wound but checking because really sounds
+ like warm
** • Yes. It did google. (see link) + Questyr
**** • Oops. Here's the sample MT report + Q
** • I see nothing wrong with warm and would use if it that was what I heard in 2 places.. - fwiw-poi
**** • thank you - !

• Includes colon resection, carpal tunnel release, bilateral _______, se ...
+ mp3 posted
** • skin incision. - billybob
**** • thanks billybob. - OP

• Pinprick and _____ both feet and - Absent at both ankles _____. Vestibular function
+ mp4
** • 2nd is plantar responses are ...... SM + proofread... -lb
** • #1 temperature in - isgal
** • I think you forgot to stop recording. - ???
** • i still hear old MP4? - b k l o l i
**** • added again - -

• Doctor says tablet 1-1/2-1-1/2-1-1 qid, how would we write, requires any punctuation
+ Pinky
** • S/L 4 times a day, so 1-1/2, 1-1/2, 1, and 1 (which is 4 times) ?? No clue how to write - it though. -lb
**** • but I'd use commas and not hyphens - too confusing with all that ... - b k l o l i

• a few questions inside
+ mp3
** • #3 tongue deviation - taco
**** • thanks - -

• delusion is found. _____ is found
+ wav
** • old wav still there - t
**** • it is there - now
****** • Never mind - just heard it. No formal thought disorder is found. - nm

• Is it grade 2 subarachnoid hemorrhage or grade II?
- tia
** • I find it both ways, depending on which grading scale is used. ? - b k l o l i
**** • thanks, I'm seeing the same - op

• She was discharged from the ICU, went to _____, and then went to Glen Cove Rehab for
+ wav
** • went to floor (comma), and then... - taco
**** • ... - thanks

• for pain, Inderal, ____, Antivert, Protonix,
+ mp4
** • Deltasone - isgal
**** • thank you - -

• The patient was recently diagnosed as having ________ being treated
+ mp3
** • I think I hear for the last part of it "______ insufficiency and is" - Questyr
**** • ty - -
**** • He does stumbles at the end, but I think that's what he's trying to say. - Q

• having dysfunction of ________. The patient had an
+ wav
** • crystal in the right ear - taco
**** • ty - !

• The patient is s/l primarily or permanently pacemaker-dependent. TIA!
+ card?
** • NM. Permanently - OP

• She was discharged from the ICU, went to *s/l forcone*, and then went to Glen Cove
+ j d j n j g
** • Only thing that comes to mind is stepdown? - b k l o l i
**** • ... - wav posted
****** • started new thread up the page - op

• three questions - same doc
+ mp4
** • 2nd is and then packed it with ... all i can get. this guy is ridiculous. - b k l o l i

• At that point, _______ was removed in
+ mp3

• a few questions
+ wav

• At that point, ________ was used to do a diskectomy
+ mp4

• fibers and then _______ developed carotid
+ mp3
** • we then used peanuts to dissect and developed a plane between the - taco
**** • thanks - -

• operative site as the ______ and confirmed with the patients
+ wav

• The patient is a 13-year-old female who is active gymnast <____ ...
+ wav
** • an active gymnast, tumbler, and cheerleader. - isgal
**** • Thanks a lot - guy

• They spend half the year in ____ and half the year on the West Coast or Florida.
- mp3
** • guess it's Moriches, NY. - billybob
**** • me too - op
** • never mind, got it - op

• Troponin of 0.05. No _____ were noted.
- :) wav
** • chains?? - real WAG-poi

• A keratome was used to enter the anterior chamber through clear cornea ...
+ wav
** • in favor of perhaps general anesthesia in the - poi
**** • in a hospital setting (as per Q) - poi
** • the last part of it I think is "____ general anesthesia in a" - Questyr
**** • Thanks a lot everybody - guy
** • mp3, not wav. sorry - guy

• White blood cell count __________ 2.9, platelets 42. Glucose 122, sodium 139.
- wav :)
** • I did get the platelets of 402. - :)

• The bladder blade was reinserted. The uterine incision was made in a ...
+ wav
** • bandage scissors - poi
**** • found this explanation on MTStars - + poi
****** • Thanks for the info. - guy
**** • Thanks a lot - guy

• Male infant from LOT position at 1259, Apgars 9 and 9, birth weight 31 ...
+ wav
** • rupture of membranes - poi
**** • Thanks a lot - guy

• The spinous processes were removed with Leksell using an M8 drill < ...
+ wav
** • troughs? - poi
**** • Thanks a lot - guy

• However, strong venous signals were <____> with the doppler at ...
+ wav
** • auscultated - Dopper cap D - poi
**** • Thanks a lot. Thanks for the correction - guy

• Each digit had both radial and ulnar nerves, digital nerve, primary re ...
+ wav
** • timely - poi
**** • a very timely - poi
**** • Thanks a lot - guy

• He drinks 6-8 ounces of juice, 12-16 ounces of ___ milk, and 12-16 ounces of water
- mp3
** • almond? - nm
**** • That's what I wrote, but I can't be sure. Glad you hear the same. Thanks - op
** • mamma? - poi
**** • I am assuming this is a nursing baby - fwiw-poi
****** • This is an almost 4 year old who is not nursing. Thanks for trying though. - op
******** • Perfect example of need for context. - just saying
********** • This isn't a case where there's an obvious need for context when an audio file is posted. + op
************ • disagree. Even with an audio file, a listener might need other clues. + poi
************** • I hear your perspective and apologize for your waste of time and thank you for your + op
**************** • I ended up putting almond milk underlined. It was what I heard immediately but wasn't sure - op

• EP Study
+ b o h b c p
** • para-Hisian (but verify capitalization and hyphen) (has to do with bundle of His) - taco
**** • Thanks! - b o h b c p

• She is here for intrathecal baclofen pump refill. During the ___ reading, it was
+ mp3
** • telemetry - poi
**** • ... - tyvm

• San*** on the area, pls sm
+ abdefg
** • never mind,,,found it. Santyl thanks anyway - abcdeft

• She *has a cyst by* verapamil.
+ sm
** • agree with "assist" with her arrhythmias (sinus tach, bigeminy etc sm + nm
** • ???assist??? - Questyr
**** • yeah, i think that might be it - thanks

• doesn't "40" specimens seem excessive on colonoscopy??
- mt
** • This article indicates it can be over 40. + Questyr
**** • oh-ooo hope you pop back in to see article by Q (often over 40). sm + nm
** • flagged - mt

• history of *T G A* raises concern regarding partial complex status epilepticus
+ sm
** • you have the answer I think in your text "transient global amnesia" - mt
**** • thank - you

• s/l "I R P E" therapy
+ sm
** • Yes, IRPE....see link + Questyr
**** • IRPE (Isoniazid, Rifampin, Pyrazinamide, Ethambutol) - for archives
**** • thank you - 1

• EHL as well as *tib ant* indicating intact of sciatic
+ sm
** • tibialis anterior - isgal
**** • duh - thanks

• I had the opportunity to review his brain MRIs which show only slight interval
+ wav
** • I hear show only slight interval increase in the cystic portion in sm + nm
** • cystic portion? with another syllable after cystic? - b k l o l i
**** • Thanks - it's exactly that extra syllable that I'm unsure about - op

• s/l Riata *advisory* lead
+ sm
** • got it, it is assurity - thx
**** • never mind - flagging - -

• total hip arthroplasty
+ sm please
** • listen for "standard neck length" rather than "neck line" - taco
**** • Yes, that was it! :) Thanks again. - nm
**** • Thank you! - nm

• Would you flag this?
+ tia
** • quinidine is antimalarial and antiarrhythmia drug. There are toxic heart side-effect + nm
** • how was 1550 dictated? Could he have been repeating 50 (or 15) to be clear? - wag
**** • one five five zero milligrams - op
****** • ... - flagged

• allograft, bone marrow aspirated _______ into the disk space
+ mp3
** • can't quite get it but it is bone marrow aspirate - b k l o l i

• Following this, _____ and pituitary rongeurs
+ wav
** • the use of paddle rasp (what I hear, not verified) - poi
**** • thanks - -
** • old wav still there - poi
**** • added again - -

• flutter which could then *conduct 1:1* in a young otherwise healthy person
+ ?
** • sure - google 1:1 flutter (sometimes you hear 2:1) - b k l o l i
**** • thank you very much - -

• list of meds/ESL
+ p
** • There is no PMH? There must be other clues. - Shirley

• chronic polyps, _____, BPH, peripheral vascular disease
+ wav
** • colonic polyps, ____, obesity, BPH - b k l o l i
**** • nocturia/nycturia? (and I agree with "colonic") - taco
****** • or hematuria? - b k l o l i
****** • thanks - -



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