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May 28 18:03
• the trapezius (50 units, 10 sites), the scalene _____ complex (10 units, 2 sites)
+ mp3
** • Sounds to me like he started to misprounce complex and then just said it again JMO nm - dd
**** • You're right, of course. Thanks! - op

• So, the decision was made to place a new right-sided chest tube and to ...
+ guy
** • Got it. may be referring to trauma "slot" tube. Thanks. - guy
** • wav posted. Thanks. - guy

• Preoperative Diagnosis: ACUTE APPENDICITIS. Procedure: EX ...
+ wav
** • both - k p e c i h
**** • Thanks a lot. - guy

• This is a 73-year-old female who had a mechanical trip and fall on a _ ...
+ wav
** • step while - nm
**** • Thanks a lot. - guy

• The patient is a 25-year-old otherwise healthy right-hand dominant mal ...
+ wav
** • ..was smacked on the rear view mirror of the truck.....from the blunt trauma (?) - nm
**** • Thanks a lot. - guy

• FINDINGS: Small, partially-necrotic remnant of common bile duct near ...
+ wav
** • nevermind. - guy

• This is a 45-year-old male who was admitted to the medical ICU for the ...
+ wav
** • That could make sense since he mentions multifocal source of + Q
**** • Apparently also positive blood culture - Q
** • I hear "lung" - Questyr
**** • Thanks a lot. Thanks for the correction. - guy

• A Woodson was used to confirm the neural foramen were wide and the ner ...
+ mp3
** • ???in the middle??? - Questyr
**** • Thanks a lot. - guy

• Preoperative Diagnosis: (H-TYPE) SACRAL FRACTURE WITH SPINO-PELVIC ...
+ wav
** • elements. Wide laminectomy was performed - Questyr
**** • Thanks a lot. - guy

• is this term (lucent) used with patient?
+ guy
** • more lucid - Questyr
**** • ... + c n g o m g
**** • Thanks a lot. - guy
** • wav posted. Thanks. - guy

• positive stool s/l leuko test..s/l peri-informal colitis was encountered. TIA!
+ gi colonoscopy?
** • Thanks, Q. Flagging and moving on. - OP
** • I don't know the other two. Sorry. - Q
** • #1 probably yes leuko (see link) + Questyr

• s/l postprepared or postrepair
+ Alicia
** • Nevermind.....he just hesitated and started again. Post-reperfusion kidney biopsy. - Alicia

• s/l Kill sign sm
+ sb
** • keel? - nm
**** • Aha, a subacromial keel. Good job. Not op though. - frugivore
** • So am I. Sorry. - Questyr

• and locally _____ with the stent coming out of them at rest _____.
+ wav
** • advanced cancer, with the stents coming out of them.... left side (?) - taco (can't get ...)

• unable to obtain a CTA due to the ____ based on her renal function.
+ mp3
** • got it - op

• There was a clean base of good granulation tissue and clean bleeding e ...
+ wav
** • The plan - what I hear
** • The plan - taco
**** • Thanks a lot everybody - guy

• The right foot was prepped and draped in the usual sterile manner. ** ...
+ wav
** • 1 - bolt 2 - construct with the? 3 - talar - taco
**** • Thanks a lot. - guy

• Retroflexion of gastroscope of the *endostomach*
+ sm
** • flagging - -
** • flagging - -

• INDICATION: This is a 52-year-old gentleman who had been admitted and ...
+ wav
** • ...which in retrospect is likely - nm
**** • Thanks a lot. - guy

• Normal appearing right fallopian tube. Some endometriotic implants on ...
+ mp3
** • nevermind. Thanks to anyone who tried. - guy

• FINDINGS: Exam under anesthesia demonstrated enlarged 24-week mobile ...
+ wav
** • nevermind. - guy

• Past medical history is significant for diabetes, hypertension, hyperl ...
+ mp3
** • #1 ???there appeared to be a??? median nerve entrapment in (not and) - Q
**** • ... + p a b j a p
**** • can it be "confirmed evidence"? - guy
**** • also I think she says "wrists bilaterally" (not wrist) - Q
** • #2 book - Questyr
**** • Thanks a lot. Thanks for the correction. - guy

• The middle digit was first revascularized using a combination of 9-0 a ...
+ guy
** • The first one is correct. He connects the vein graft AFTER checking to make + Questyr
**** • Thanks a lot. - guy
** • wav posted. Thanks. - guy

• The patient was at work when a large metal radiator fell onto his palm ...
+ wav
** • In case not a typo, s/b in an avulsion-type component... - Questyr
**** • Thanks for the correction. - guy
** • extricate - poi
**** • Thanks a lot. - guy

• Thus, a 9-mm trial was loaded with allograft and deployed into the dis ...
+ wav
** • I think he stumbles then ends up with "7-mm trials" - Questyr
**** • Thanks a lot. - guy

• spinal fluid was noted to come forth and there was an anatomic element ...
+ mp3
** • ???and the rest of the??? - Questyr
**** • Thanks a lot. - guy

• Preoperative Diagnosis: CERVICAL SPONDYLOTIC MYELOPATHY. Pro ...
+ wav
** • ???during one Kerrison bite the spinal fluid??? - Questyr
**** • Thanks a lot. - guy

• Asthma, controlled, CPM. Any idea what CPM could be? sm
+ dd
** • Sorry. I have no idea. - Questyr

• The surrounding blood was then suctioned out of the abdomen and there ...
+ wav
** • pus left in the - poi
**** • Thanks a lot. - guy

• We...Dr. XXX did; or We...Dr. XXX, Comma or semicolon?
+ ar
** • I think I would do it "did (AP, lateral, and oblique views) that" BTJMO - Questyr

• The proper orientation of the mesh was maintained throughout the entir ...
+ wav
** • looks like GraNee needle. - billybob
**** • Thanks a lot. - guy

• The NovaSure was then inserted, set for _____ 4 cm with ____, and it would not emplo
+ mp3 posted
** • set for 4 cm of cavity - nm
**** • Thank you! - mp3 posted

• Anterior cut was completed first to confirm notching and appropriate s ...
+ wav
** • and a grand piano sign (see link) + Questyr
**** • Thanks a lot. - guy
** • I hear "non-notching", but cannot get your blank - poi
**** • Thanks a lot. - guy

• boxed appearance of outside nose. No _________ deformity
+ mp3 posted
** • No saddle deformity. (I think your boxed should just be "box.") - nm
**** • Thank you! - mp3 posted

• tachycardia **mediated** myopathy
+ ?
** • google that... it is such a thing. - k p e c i h
**** • I did and found some information just not a lot so wasn't sure. - Thanks!
****** • note that it s/b hyphenated...tachycardia-mediated as it is serving as + Questyr

• peptic stress ulcer as a result of his recent operations and __ stressors
+ WAV
** • overall? - k p e c i h
** • any guess? - ??

• right foot cyst removal, left ________ who has low vitamin D
- mp3 posted
** • flagged. - OP

• he does not want to take it and he feels ___ to the point that he would rather have d
+ WAV
** • absolutely chockablock (or chock-a-block) -- that's a new one to me! - taco
**** • never would have gotten that! Thank you taco! - :)
****** • FYI Merriam Webster's shows it without hyphens...I linked it here because + Questyr
** • anyone have any guess? - ???

• harvested from the right thigh and *pie meshed* 1.5:1.
+ sm
** • yes - "a mesher is a hand-cranked instrument that creates pie-cuts in the skin" - taco
**** • ty - -

• Excessive _______ from bronchitis.
- mp3 posted
** • general asthma??? - taco
**** • thanks taco - OP

• s/l volemic or bulimic alcoholism
+ Alicia
** • It is bulimic alcoholism. Stated later in letter that he vomits so he can drink more - Alicia

• UTI with Entercoccal endocarditis. This actually had _____ patient _____.
- :) wav
** • is your wav correct? I am hearing "He had started the patient full course. She had AICD" - poi
**** • Yes that is the correct wav. It just did not make sense. - :)

• inserted down to the pylorus and the *seal* was deployed
+ ?
** • Am wondering if hyour "gastrocele" should be GastriSail gastric positioning system i + poi
** • flagging - -

• The lateral *sue fad*at the brow
+ sm
** • Don't know, but in the last sentence I would think "and finding" might be "defining" - Questyr
**** • ty - -

• Punctuation okay on this? Verbatim account. TIA.
+ sm
** • I would probably use a hyphen rather than comma after herniation as + Questyr
**** • Thank you. :) - OP

• VITAL SIGNS: s/l Hypothyroid neck at 34.7, pulse 74, respiratory rate 16
+ sm
** • Maybe. A neck circumference 34.7 cm is high, indicative of enlarged thyroid/hypothyroid - taco

• closed in full thickness *oh mass* fashion
+ sm
** • Just hought it is probably 0 mattress - ?
**** • Sorry, that's probably not right. Any ideas - ?
****** • I would think 0 mass (0 being the suture size, mass being the technique)...see google link + Questyr

• A single #5 Gore-Tex *cord* was placed
+ sm
** • Gore-Tex nonabsorbable suture. i use cord all the time. - guy
**** • Thank you - !

• The necrotic tissue was debrided from the lateral aspect of the foot. ...
+ wav
** • nevermind. - guy

• FINDINGS: _____. SPECIMENS: For gross pathology bone cultures ...
+ mp3
** • nevermind. Thanks to anyone who tried. - guy

• Preoperative Diagnosis: RIGHT FOOT NECROTIC WOUND. Procedure ...
+ wav
** • debridement - nm
**** • Thanks a lot. - guy

• INDICATIONS: The patient is a 36-year-old incarcerated male who prese ...
+ wav
** • domino - maybe?
**** • Thanks a lot. - guy

• Preoperative Diagnosis: RUPTURED GLOBE, RIGHT EYE. Procedure ...
+ wav
** • formed. - poi
**** • Thanks a lot. - guy



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