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Jan 14 09:14
• Using this tissue plane, the breast tissue was lifted off of the PEC m ...
+ mp3
** • ???and come through??? - Questyr
**** • Thanks a lot. - guy
** • never mind. Thanks to anyone who tried. - guy

• Preoperative Diagnosis: RIGHT BREAST INVASIVE LOBULAR CARCINOMA. ...
+ wav
** • never mind. Thanks to anyone who tried. - guy

• A second tie of the same suture was placed. The Metzenbaum scissors w ...
+ wav
** • section - poi
**** • Thanks a lot. - guy

• At this point, a radial midaxial incision was performed along the domi ...
+ wav
** • reefed. - billybob
**** • Thanks a lot. - guy

• This is a 4-year-old girl who was brought to clinic by her father to b ...
+ wav
** • the thumb before - poi
**** • Thanks a lot. - guy

• We then applied a sterile dressing. At this point, Anesthesia informe ...
+ wav
** • never mind. Thanks to anyone who tried. - guy-

• At this point, we decided it would be best to leave lytic catheters in ...
+ mp4
** • _____ at the level where - poi
**** • Thanks a lot. - guy

• We then attempted to deploy the filter; however, the prongs failed to ...
+ wav
** • and assisted us with - poi
**** • Thanks a lot. - guy

• Include Symbicort, _________, albuterol inhaler.
- mp3 posted
** • pt is a 22-yo with GERD, depression, obesity, mild intermittent asthma - OP
**** • Thanks for the info now, losartan obviously doesn't fit. Good luck. - mn
****** • thanks for listening. - OP
** • losartan - mn

• never mind. Thanks to anyone who tried.
- guy

• At this point, it was deemed that the wound could be closed primarily. ...
+ mp3
** • intermediary? - poi
**** • Thanks a lot. - guy

• Preoperative Diagnosis: CORONARY ARTERY DISEASE WITH BREAKDOWN OF A ...
+ wav
** • pec flaps? - poi
**** • Thanks a lot. - guy
** • never mind. Thanks to anyone who tried. - guy-

• Procedure: CYSTOSCOPY, RIGHT RETROGRADE PYELOGRAM, URETERAL DILATIO ...
+ wav
** • calculi? - mn
**** • Thanks a lot. - guy-

• Preoperative Diagnosis: RIGHT RENAL STONE. Procedure: CYS ...
+ mp3
** • (?) seen to have __________ - mn
**** • Thanks a lot. - guy

• The patient is a 51-year-old man, found to have right ureteral stone a ...
+ wav
** • (guess) The patient was unable to have the stone retrieved at that time.... - mn
**** • Thanks a lot. - guy

• Over our working wire, which was placed using the analogous axis patte ...
+ wav
** • Can't get first blank, but second is "to tamponade any bleeding." - mn
**** • I think 1st blank it may be: and suturing that in place ___________ - mn
****** • Thanks a lot. - guy

• Using contrast, we found that the Malecot was in good position and it ...
+ wav
** • tamponade the renal pelvic bleeding (?) - mn
**** • Not sure about that renal pelvic - - mn
**** • Thanks a lot. - guy

• An 8/10 fascial dilator was used followed by 24-French balloon dilator ...
+ mp3
** • and position it appropriately (?) - mn
**** • Thanks a lot. - guy

• Once access was confirmed on fluoroscopy, Sensor wire was passed into ...
+ mp3
** • coiled in the - mn
**** • Thanks a lot. - guy

• The patient was then prepped and draped in the usual sterile fashion a ...
+ wav
** • Bull's eye technique - mn
**** • Thanks a lot. - guy

• Preoperative Diagnosis: NEPHROLITHIASIS. Procedure: BILAT ...
+ wav
** • hydronephrosis - taco
**** • Thanks a lot. - guy

• It was then __________ .
+ wav posted
** • That must be it. Thanks so much, taco! - wav posted
** • any way you can up the volume? I can just barely hear it. - t
**** • ... - wav re-posted
****** • of less than 5? (then she says "milligrams HC or HG" but I think she means mmHg. - taco
******** • Thanks, taco! - wav posted

• She was placed in a volar splint to immobilize the wrist prior to ______.
+ wav posted
** • going to PACU ? - taco
**** • That's it, taco. Thank you - wav posted

• 0.4 cm square...how to type cm sq
+ x
** • Per BOS, if superscripting not possible, use sq cm - b n p p c e

• ur hole coverage as well as *dog* bones and 4-mm self tapping screws
+ ?
** • NOTE: s/b self-tapping (need the hyphen) - Q
** • You don't indicate surgical site, but could he be saying "long bones" for your s/l???? - Q
** • NOTE: I would think it s/b "in place with just lap etc" (not "place just") - Questyr
** • dissection *plane* - please note
** • flagged - -

• Procedure: REMOVAL OF EXCESS ABDOMINAL SKIN, REPAIR OF DIASTASIS RE ...
+ wav
** • up to the __too muffled____ - poi
**** • Thanks a lot. - guy

• BREASTS: Status post augmentation. There is a small amount of _______ formation
- mp3 posted
** • ... - mp3 removed

• Lensectomy procedure
+ wav
** • Got it. Some kind of test SCODI. Thanks - WAV
**** • ... + i e o j n k

• The patient had N-O-P vision. I cannot document. Anyone? Thank you
- j e o k a m
** • NLP (no-light-perception) vision? - guy
**** • That's it! Thanks for answering. I would have turned it in as N0P - j e o k a m

• With our laparoscopic instruments and LigaSure, we were able to grasp ...
+ wav
** • never mind. Thanks to anyone who tried. - guy
**** • Hi. + arthur
****** • I write that when I have to upload the file with the blank flagged. Anybody can answer + guy
******** • OK, thanks! - arthur

• The patient is a 34-year-old man with a history of right undescended t ...
+ mp3
** • never mind. Thanks to anyone who tried. - guy

• Preoperative Diagnosis: RIGHT UNDESCENDED TESTICLE. Procedur ...
+ wav
** • never mind. Thanks to anyone who tried. - guy

• Preoperative Diagnosis: LEFT RENAL STONE. Procedure: CYST ...
+ wav
** • never mind. Thanks to anyone who tried. - guy

• We are following for aortic valve bioprosthetic stenosis, endocarditis,
+ sm
** • questionable thromboembolic event related to renal infarct (?) - nm
**** • or...questionable thromboembolic event leading to renal infarct. - nm
** • lead to (cause renal infarct) - b o l b o m
**** • to lead to doesn't make sense - nm

• The MRI does in fact show a sizable disc herniation on the left at L5-S1 and/in what
+ in vs. and
** • and - imo-poi
**** • agree - b o l b o m
****** • ... - thanks

• Patient has never had "bronx set" of nerve palsy. sm
+ k
** • prior onset (said really fast) - nm
** • onset - nm
** • WAG: Bell seventh nerve palsy - NM

• Other than his pain and migraine headaches, he really has no other medical problems
+ mp3
** • Citrix engineer? - mn
**** • ... - thanks

• Bacteremia with *strep toe collus* with unknown source
+ sm
** • ???streptococcus??? - Questyr

• The patient was persistently bradycardic with heart rates in the 40s, which is not sm
+ wav :)
** • softer? - isgal
**** • agree with softer - b o l b o m

• It would also be with s/l**in-ia-tory* to potentially surgical repair in either the a
+ IME-SM
** • listen for: *with an eye toward* potentially surgical repair + sm
** • sound file? - b o l b o m

• Chest x-ray ________
- mp3 posted
** • I think he's saying "chest x-ray, number one. Number two, continue" - sea
**** • ... + a e c m k o
**** • thanks for suggestion. - OP
**** • I think you nailed it. - Q
** • Almost sounds like ???Chest x-ray in a month. (Number) 2. Continue ??? - Questyr
**** • Sure sounds like that now. - mn
****** • thanks - OP
**** • the pt has valley fever, but is also exhibiting URI symptoms so I wasn't sure + OP
** • Could you give us a clue as to what is wrong with the patient? - mn

• His current medications include meclizine, ginkgo biloba, vitamin D, ________,
+ mp3
** • Stemetil? - mn
**** • ... - thanks

• Measurement
+ b o h b c p
** • millimolar is the adjectival form of millimole and googling does + Questyr

• Lab Review
+ ESL, yes
** • can't find it, but it is some lab program on a computer. just can't pinpoint it. - b o l b o m

• lower s/l limp lymphoma TIA
+ ? TIA
** • limb makes sense to me, but i'd need a sound file. - b o l b o m
**** • Thank you. - OP

• Preoperative Diagnosis: LEFT-SIDED CHRONIC SINUSITIS, ODONTOGENIC I ...
+ wav
** • Sorry, I can't get it. - Questyr
**** • me either. - b o l b o m
****** • Thanks for the effort everybody. - guy

• Procedure: MAXILLARY ENDOSSEOUS IMPLANT PLACEMENT WITH POSSIBLE ALL ...
+ wav
** • got it. thanks. though "no bell" previously + guy

• Procedure: RIGHT LOWER EXTREMITY DELAYED REVERSE SURAL FLAP, REPLAC ...
+ wav
** • Also s/b previously (from a grammar standpoint) - Q
** • reverse (or reversed) sural flap - Questyr
**** • Apparently it is ....reverse sural flap - Q
****** • Thanks a lot. - guy
** • I hear something before sural flap but can't make it out. - nm
**** • Thanks a lot. - guy

• Preoperative Diagnosis: BLADDER TUMOR. Procedure: CYSTOSC ...
+ wav
** • is there anyway to slow your wav down before you post it? - mt
**** • i can slow it down but can't edit that wav - guy

• We then made two longitudinal incisions, one on the medial and one on ...
+ mp3
** • never mind. Thanks to anyone who tried. - guy



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