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Mar 3 04:31
• Question PE portion sounds like "mortal symmetry test
+ Julian

• Assistant: Present throughout the case, assisted with opening, closin ...
+ mp3 posted
** • ... - mp3 deleted

• .. subscapularis were present ___________ and partial-thickness tears. ...
+ wav posted
** • I think I hear "but represented full" not sure that makes sense. - sea
** • ?? full and partial (can't get the word before full - sea
**** • Thank you, sea!! - wav deleted

• There is popliteal " formis" and lateral joint line tenderness. Cannot confirm this
- on knee exam.
** • Repeated and clear now: Popliteus fullness. - on knee exam

• Is it LeCompte or Lecompte maneuver? I'm seeing both
- tia
** • FWIW, Stedman's Surgery says it's Lecompte + nm
**** • ... - thanks a lot

• MRI reading: s/l *Keane-Hall* full-thickness rotator cuff tear
+ sm
** • pinhole :-) - OP

• ...but not in the sinuses _________ I can't confirm what I hear and need another
+ ear. wav posted
** • proper - what I hear
**** • Thanks. I heard that too but could not confirm. Thanks again - wav deleted

• Breast reduction surgery
+ a p m f i g

• Stryker four-hole periarticular proximal ulna plate with _____ stop pins.
+ wav posted
** • I got it. Thanks - wav deleted

• Implants - OB/GYN
+ l b d f m b

• s/l "cow-ell's" assessment by the occupational therapist
+ SM

• PAST MEDICAL HISTORY: Lung nodules, s/l "nicotineous"... My spell checker does
- not recognize.
** • nicotine use? ... + e c g n c p
**** • Gee! Too late. Already turned in. Can't believe this. Thank you. - not recognize

• lumbar ortho test s/l advancement?
+ sm - tia
** • I actually think I found what I'm looking for - advancement test for sciatica - tia

• Hi. This seems easy. Just cannot confirm by Googling with a variety of words
+ wav posted
** • joint - what I hear
**** • Hear it clearly now. Thanks a lot - wav deleted

• with 4-wheeled walkder able to s/l *contour* and ambulate short distances.
- mt

• A 22-gauge spinal needle was used to cannulate the left-sided foramen. ___________
+ wav posted
** • thought I could hear "lateral foramen" in there. - mt
**** • Thanks, mt. Yes, I think he corrected to 'lateral foramen'. - wav deleted

• The patient was strongly positive for TTF-1 and (sounds like) absent A expression?
+ tia
** • Napsin A expression? - e c g n c p
**** • that's it! Thanks so much. - OP

• Cannot understand the type of lesion. Thank you. Can wait over weekend.
+ wav
** • Flagged. Thanks - wav deleted

• In med list (no other context), "s/l esoplatone 3 mg nightly"
- CO MT
** • Think I might have found. Eszopiclone - CO MT

• appear at this the patient is at *P 5* and has acceptable blood pressure.
+ sm
** • ... and at this point the patient is at P5... + sm

• She presents to the office with a several-month history of increasing ...
+ wav
** • I hear "It is atypical in nature." Not 100% sure thought. - sea
**** • I will use that, sea. Thanks a lot - wav

• Speed talker and need help with 2 blanks - nerve root decompression
+ Dee
** • And what does this blank sound like to you, Dee? - mary
**** • He's so fast i can't tell if he is saying with palpation in it, not sure. - dee

• dictated "complement fixation was one is to 8 to 16" How should that be written?
- tia
** • thank you! - tia
** • complement fixation was 1:8 to 1:16 - nm

• hemiarthroplasty - Am I hearing vag pack ?
+ j o a d p b
** • I would use it. Looks like it has many uses + link
**** • Thank you! - j o a d p b

• C5-6 discectomy using a combination of s/l kirotoj and high-speed drill
- tia
** • Got it, never mind - op

• s/l "eye spy" was utilized
+ sm
** • Found a lot of info on SPY fluorescence imaging, not sure about the "eye" part - sea
**** • Me too. - thanks!

• The patient is a gentleman with previous C5-6 _______, presents for r ...
+ wav posted
** • ACDF who presents ... + e c g n c p
**** • Thank you! - WAV deleted

• Echocardiogram showed significantly diminished **leeze-ability**. sm
+ mt
** • plse disregard - mt

• A CBC reticulocyte was also overall unremarkable. ___________ hemoglo ...
+ mp3 posted
** • flagged - OP

• A CBC reticulocyte was also overall unremarkable ________ hemoglobin ...
+ mp3 posted
** • please ignore this post. Posted above - OP

• INTEGUMENT: Positive for rash,___________ , upper extremity.
- wav posted
** • It was 'actinic keratosis'. Thanks to anyone who tried. - wav deleted

• use 1.5 quadrants or 1-1/2
+ sm
** • 1.5 - nm

• _____ request from Dr. Daniel Tomlinson, M.D. requesting right shoulde ...
+ mp3
** • 2. therapy - poi
** • The MG-2 NYS form is also known as the Attending Doctors Request for Approval of Variance - wag
**** • Thanks a lot ... + Guy
** • Never mind. Thanks to anyone who tried. - guy

• The x-ray report of the right shoulder. Impression: Comprehensive _ ...
+ wav
** • Comparison made with the - poi
**** • Thanks a lot. :-) - guy

• CAT scan report of upper extremity without contrast on the right shoul ...
+ mp3
** • postoperative changes in the - poi
**** • Thanks a lot. :-) - guy

• He does not take any medication for pain. He last took some pain medi ...
+ mp3
** • environmental - poi
**** • Thanks a lot. :-) - guy

• Facelift procedure. Thanks (I can wait over the weekend)
+ wav posted
** • Thanks to anyone who tried. - wav deleted

• To help child calm down, his mother will often take him in her lap and ...
+ mp3
** • in place - poi
**** • Thanks a lot. :-) - guy

• Ortho tests: s/l [Vectaroos, Welligrades,] and Bragard tests are negative.
+ sm - tia

• There was no tenderness along the cervical spine. Range of motion of ...
+ mp3
** • side - what I hear
**** • Thanks a lot. :-) - guy

• The patient was not accompanied by the interpreter. However, patient ...
+ mp3
** • this part appears incomplete "able to respond the conversation'", not on sound file - poi
**** • it actually is on mp3, another weird clip. I would add "able to respond TO - poi
****** • Thanks a lot. Thanks for the correction. - guy
** • that was clipped, but would guess he said "understand"...I only hear clip.." stand" - poi
**** • Thanks a lot. :-) - guy

• Medication spelled: f-o-l-t-o-n-y See medical history
+ Thank you
** • ... - flagged, thanks

• S/L either native or diminutive
+ Jill
** • diminutive - als

• "Abbott" segmental instrumentation from L3 to L5.
- any ideas?
** • Could it be the name of the device? ... + e c g n c p

• Happy Birthday to you, Billybob. Hope your 12-31 day was great.
+ nm
** • Thank you! - billybob
**** • You're welcome! :) + :)

• Neuro Exam sounds like "stases"
+ Jennifer
** • stasis. - billybob

• What does this mean? She is the 45-year-old gravida 9, *para 0, 1, 7, 0* patient
- tia
** • Never mind, found it - op

• ...revisional surgery, ______________ amongst others. ...
+ wav posted
** • Got it now: DVT, PE, death... Thanks - wav deleted

• Includes ________ in 2005
- mp3 posted
** • had a colostomy ? - e c g n c p
**** • thanks for the suggestion - OP

• PREOP DX: Query pelvic endometriosis/pelvic adhesions. s/l **Tubal factor. ** nm
- mt
** • never mind, I see tubal factor is correct. - mt

• I have recommended an L4-5 facetectomy ______ base of the lumbar fusion
+ mp3
** • facetectomy and minimally invasive lumbar fusion using - sea
**** • ... - thanks a lot

• Should there be commas around "noncontrast" in these sentences?
+ tia
** • yes - e d i j n p
**** • ... - Thanks

• chronic small vessels _____ with small lacunar infarct with no acute processes
+ mp3
** • small vessel disease, with small - ltt
**** • Thanks so much! - op

• Thus, **** inappropriate conclusions that lumbar epidural steroid inje ...
+ wav
** • were to ... + e c g n c p
**** • Thanks a lot. - guy
** • never mind. Thanks to anyone who tried. - guy

• Next are a variety of legal documents _____ to be primarily logistical ...
+ mp3
** • 1st blank - which look ... + e c g n c p
**** • Thanks a lot. :-) - guy

• It is unclear why after repairing phones they are bending over for ext ...
+ wav
** • 2nd blank - there are inappropriate ... + e c g n c p
**** • Thanks a lot. :-) - guy

• There is a 1 to 1.5 mm disc protrusion at L4-5 with accompanied facet ...
+ wav
** • boilerplate - what I hear
**** • Thanks a lot. :-) - guy
** • never mind. Thanks to anyone who tried. - guy

• There is also a description of periligamentous edema of the anterior l ...
+ mp3
** • never mind. Thanks to anyone who tried. - guy

• does "plethoric" fits here?
+ f p d j f o

• We found the radial common digital nerve between the second webspace a ...
+ wav posted
** • Thanks for anyone who tried :) - wav deleted

• Silicone oil was removed from the eye in its entirety. Four air/fluid ...
+ WAV
** • ...patient's natural lens as possible. - nm
**** • Thank you! - WAV deleted

• Copious lavage was carried out. The nerve was carefully _____________ ...
+ wav posted
** • Got it. Avoided. Thanks - wav deleted

• With fine motor skills, she is not yet able to unwrap small objects. ...
+ mp3
** • lids - sea
**** • Thanks a lot. :-) - guy
** • never mind. Thanks to anyone who tried. - guy

• Father described that she often is in her own world. She becomes frus ...
+ mp3
** • never mind. Thanks to anyone who tried. - guy

• His pediatrician is Dr. Howard Dhonau, who practices out of the _____ ...
+ mp3



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