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Apr 25 11:20
• Oral cavity exam reveals moderate _____[s/l tething or tepping?] of the tongue
+ tia
** • tethering? - my guess

• and no other small ____________, no mass seen. Could MD have forgotten to dictate
+ wav
** • and though they are small in size, no mass - poi
** • and though they are small inside? - billybob
**** • Thank you both so much! - wav

• distal to the pisiform ________ was noted
+ mp3
** • how about: "distal to the pisiform. Lipoma was noted, with reactive hyperemia..." - nm
** • I hear ligament?? - poi
**** • Thanks, poi. I can't really hear ligament. Can you hear 'within'? - mp3
****** • no I don't and don't think within makes much sense either. - fwiw-poi
******** • bone makes sense, just didn't think I could hear that. + poi
********** • Yeah. Thanks again, poi. Can't hear 'bone' either. Hate to flag it. - mp3
************ • I think the closest s/l is pisiform 'bones' or pisiform 'bone was' - mp3
************** • there is only one bone - fwiw
**************** • Okay. Thanks. I used OneLook Dictionary. It suggested bones. I should know better - mp3
****************** • to clarify, there is one in each wrist - poi
******************** • You're so smart, poi. Thanks again - mp3

• submuscular transposition would be appropriate ____________the nerve
+ wav
** • as this would again place the nerve...and I hear INappropriate - poi
**** • Thank you, poi. That's it. - wav

• Pt w/severe DKA. "We will monitor his sugar, initially half "ollie" and then "ollie".
+ help? sm
** • monitor his sugar, initially half-hourly and then hourly... - nm
**** • Oh geez! That seems so obvious now. My QA person didn't get it either and left it blank. - Oh well. Thanks.
****** • I searched 7 ways to Sunday before I thought of it. - Hope that works.
******** • I searched 7 ways to Sunday as well, thinking it was something way more complicated... + sm
********** • anytime! - nm

• Punctuation? MRI: Slight flow line cerebellar tonsils but no Chiari malformation
- nm
** • I went with commas after line and tonsils - OP
**** • Could you be hearing slightly low-lying cerebellar tonsils??? (see link) + Questyr
****** • I actually ended up blanking it. You're right & it's what QA came back with. Thanks! - OP

• was injected into the bilateral s/l faces of the middle turbinate.
+ Faces correct?
** • Facies, I would think - CO MT
**** • Hmm. Didn't think of that. Thank you - Faces correct?
****** • I don't think facies is correct here. - fyi

• brought in to localize *calcium* from the S1 vertebral body
+ sm
** • flagging - -

• levocetirizine, alprazolam, celecoxib, ________, atorvastatin, venlafaxine
- mp3 posted

• Rotator cuff repair.
+ sm please
** • Finally found it. SCOI. Ty! + nm

• MD says, strike that and goes on: ___________of the brows.
+ wav
** • "Her brows are in - strike that - I don't need to say anything about the brows" - taco
**** • Great. Thanks, taco - wav

• to offer adequate _____ flexor tendons
+ mp3
** • Sorry for mp3 posts. I will be waiting for a while. Thank you - mp3
**** • I will use 'gliding of flexor tendons. Thanks. - mp3 deleted
** • ... - mp3
** • ... - mp3

• We exposed the flexor tendon sheaths over the _________ to all the dig ...
+ WAV
** • .. got it: over the flexor tendons...Thanks - wav

• s/l Semska injection?
+ tj
** • Can you hear stem cell injection? - sea
** • Doc is a PCP, but he's talking about nephrology (see msg in orignal post). I think has... + op
**** • He's talking about a lot of things. Do you have a diagnosis? - nm
** • Why is the pt being seen? What kind of doctor? - nm

• (sounds like "sea-set") /ulnar nerve distribution
+ sm - tia
** • C7 - my guess
** • I think it's "where the pronator tear is" (not pronator teres) - nm
**** • thanks! - op
****** • Still thinking about your blank - nm

• #0 Prolene suture around the rubber *islets* provided and a pursestring
+ sm
** • eyelets - nm
**** • thanks - -

• laboratory and underwent a *stentplasty* of the proximal LAD.
+ sm

• . The testicles were both in their anatomically _______ , and there wa ...
+ wav
** • might be "appendant lie" - sea
**** • oh yes, I hear it also now - ltt
** • s/l in their anatomically dependent lie - ltt
**** • Thank you both! I heard 'lie' but was unsure if this is correct. - wav

• remove the horizontal redundancy of the mons pubis from ____________, ...
+ wav
** • I hear: to remove the horizontal redundancy of the mons pubis region - ltt
**** • Thank you!! - wav
** • Hi. Still waiting :) - wav

• MD dictates what s/l 'tunica vaginia' for a penis surgery. Should I edit to tunica
+ m n c c f j
** • No. Relisten and see if you can hear tunica albuginea (see link) + Questyr

• lood pressure regimen will be *tightened*.
+ ok?
** • Makes sense, yes. - taco
**** • ty - !

• CPK, LDH, __________, antiacetylcholine receptor antibody
- mp3 posted
** • aldolase - billybob
**** • thanks billybob - OP

• Epidural steroid injection:
+ wav
** • Crazy. I uploaded twice to be sure. Will do again. Thanks - wav
** • I'm still hearing the old wav - t
**** • I finally got it! It's barely audible, but he says....were placed along the nerve. - wav

• s/l Demars? a combination of Demars and malleable elevators
+ sm
** • I found an eye surgical instrument "Desmarres" - which I think is pronounced like that - taco
**** • I'm sure that's it, thank you! (had a feeling there was a double-R involved, but didn't + remember the S).
****** • the first S, that is. - nm
** • mp3 included - mp3

• s/l Demars? a combination of Demars and malleable elevators
+ sm
** • ignore, sorry for the repeat. wasn't showing up for me after posting. - nm

• Physician says "along with s/l attentive" risks and benefits were explained
+ Daphne
** • Might be "attendant" - Questyr
**** • Oops, I see that was already suggested. - Q
** • maybe alternative? - sea
**** • I meant, "alternatives, risks, and benefits" - sea
** • attendant - taco

• Doc says sub ACD compression for arthroscopy?
+ Julie
** • acd - acromioclavicular decompression - sea

• used an 18-gauge ________ needle aspiration biopsy
+ mp3
** • needle to perform - sea
** • Hi. I will be waiting over the weekend for an answer. Thank you - mp3
**** • THank you! - mp3

• Would a comma be inserted before the word "this"
+ Jamie
** • No. Correct the way you have it. - h m o a k i

• Epidural steroid injection.
+ wav
** • Hi. Still waiting :) - wav
**** • Sorry, I tried several times but just can't access your wave file. Maybe try reposting it? - jen
****** • Thanks, Jen. Will do - wav

• Medication s/l ketomycin sm
+ dd
** • Sent it in with a blank. I'll let you know if I hear. Thanks for trying. nm - dd
** • ? kanamycin - wag

• Choledocholithiasis in the *little* duct.
+ o k k i c g
** • Do you think he/she might be saying *biliary* ??? - Questyr
**** • I will try that. - Thanks!

• Preoperative Diagnoses: 1. Cosmetic/_________ ...
+ e h g l a j
** • Forgot to add that wav is posed. Thank you - wav
**** • I think it is self-pay. Thanks - wav

• Please help me punctuate this sentence.
+ tia
** • I personally would not use any commas. Fine as is. - e h g l a j
**** • Thanks a lot - op

• ppeared that the inferior wall *still did beat*. Saphenous vein was noted
+ ?

• through each pannus. A _____________ be passed
+ wav
** • ....A rope will then be passed.. - wav

• These are technically s/l panniculid dysmorbidis.
+ o a o b b f
** • Only thing I could find was panniculus morbidus - Questyr
** • Sendin - o a o b b f
**** • Flagged. Thank you - o a o b b f

• nd relief was reconnected. **Collet**, which had been removed,
+ ?

• The area was touched with s/l*sin-pha-nol* on a Calgiswab.
+ sm
** • Never mind, it was "some phenol" - OP

• The A1 pulley was then released longitudinally. Proximally, we release ...
+ mp4
** • ... - mp4 deleted

• with active clicking and locking to the area with pain over the proxim ...
+ mp3
** • tenderness to the area as well? - poi
**** • Thanks poi. But I hear perhaps 'stiffness' - mp3

• The dorsal volar leaflets of the 1st extensor compartment were removed with a combina
+ wav
** • scalpel _____ resection? - poi
**** • Thank you poi - wav

• Attention was directed back dorsally _________ vertical capsulotomy
+ WAV
** • a medial oriented? inverted L capsulotomy - poi
**** • Thanks, poi! - WAV

• S/L torpedo gauze dressing? Is that correct or am I missing something? sm
+ dd
** • ? tubular - nm

• vascular stapling device, white s/l *cartex* was used to staple across pedicle
- nt
** • oh! Got it - cartridge - nt

• Smoking: Never smoked. s/l pass-um leads to anaphylaxis. ...
+ g n b h n k
** • Got it: penicillin - g n b h n k

• s/l **parsonate**probe
+ sm
** • I googled "vascular probe" and immediately found Parsonnet - taco

• Jamar grip test
+ sm
** • ...with the right side significantly compromiseD, - good thinking
** • Since the right numbers are half that of the left, could the doc be saying 'significantly + Questyr

• The nasal and inferior areas of fibrosis were able to be elevated safe ...
+ wav
** • Thanks, pio - wav
** • removed - poi

• I explained to her that she has become a hot potato. Quotation marks correct?
- thanks
** • After the period so "hot potato." - sea
** • I would not unless dictated. That isn't something the patient said. - fwiw-poi
**** • OK - I did a little research, and apparently putting quotes around idioms is unnecessary + Go w/poi's advice
****** • I agree, it probably *looks right* to use them (see how I did that? haha) + poi
****** • I'm curious, though, what the hell the doctor means by "hot potato". - taco
******** • maybe no doctors want to touch her? - t



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