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May 12 17:11
• Dental fluid collection
+ b o h b c p
** • pterygomandibular - Got it

• Pantoprazole, __________, Cymbalta, vitamin D.
- mp3 posted
** • colace, ____ - isgal
**** • thanks for trying isgal. I *think* I am hearing cholesterol medicine?? - OP
****** • I hear "cholest... " could be "cholesterol medicine" or maybe CholestOff? or... + t
******** • thanks taco. Going to use CholestOff and slap a Post-it on it - OP

• each of these areas was *lesioned* for minute and a half at 80-degree centigrade
+ ok?
** • I'd let 'em have it - the meaning is clear (created a lesion=lesioned) - t
**** • ok thanks - -

• 10 mm active curve *rit* needle
+ ?
** • curved tip? - wag
**** • will try - thx

• Is she saying every 2-4 hours or every 3-4 hours?
- mp3
** • I hear 2 to 4 - fwiw-poi
**** • ... - thanks

• platelets 102 7 - doese he mean 102,700?
- ?
** • or 102.7 ? - b k l o l i
**** • thank you - -

• admitted to same day ______ surgery and underwent
+ wav
** • same-day basis (?) - taco
**** • thanks - -

• anvil ?? medication pls sm
+ abc
** • never mind - it's Santyl, re-listened..duh! - abc

• P-shaped? Is this correct? See sentence.
+ ?
** • Yes. You were correct:) ... + ?
** • pea-shaped? no idea. - b k l o l i
**** • ha ha - in other words, it was round. Probably meant to say "pea-sized". - but who knows?

• The concha ______ was identified with a
+ wav
** • The conceal mastoid and chonchal cartilage - Jeannine
**** • Sorry that should be conceal mastoid and chancel cartilage - Jeannine
****** • conchal mastoid and chonchal cartilage (sorry for the above posts - autocorrect sucks) - Jeannine
******** • thanks - -

• knee injection -from the lateral aspect of femoral lateral aspect?
+ sm
** • #1 comma afer effusion - imo-poi

• The patient was then transferred to the recovery room intubated, but i ...
+ mp3
** • also get 5 days of - isgal
**** • Thanks a lot. - guy
** • still hear old mp3 - isgal
**** • it's a wav - isgal
****** • sorry for the confusion. - guy
******** • no problem - isgal

• This was harvested from the upper left thigh. Epinephrine-soaked gauz ...
+ wav
** • a Tegaderm dressing - nm
** • last blank pls. - guy
** • wav posted. Thanks. - guy
**** • can't get it, sorry - isgal
****** • Thanks for the effort. will flag. - guy

• We next turned our attention to the neck. The oral surgeons have diss ...
+ mp3
** • several candidate vessels - isgal
**** • Thanks a lot. - guy

• Appropriate holes were then drilled and the bone segments were secured ...
+ mp3
** • raw edge of mucosa - isgal
**** • Thanks a lot. - guy

• The patients soleus was actually not particularly adherent to the sep ...
+ wav

• Two Doppler signals were located in the vicinity of this line. An ell ...
+ mp3
** • lower bit? of the leg - isgal
**** • Thanks a lot. - guy

• On the day of surgery, the patient was brought to the operating room a ...
+ wav
** • one - isgal
**** • Thanks a lot. - guy

• She was referred to our clinic by oral surgery following fracture of t ...
+ wav
** • They sought our help - isgal
**** • Thanks a lot. - guy

• *stalk/stock*?
+ guy
** • stalk - isgal
**** • Thanks a lot. - guy

• Ultrasound of the abdomen did not show any significant pathology. Gallbladder sm
+ wav :)
** • gravid uterus - poi
**** • thanks poi. - :)

• The bowel had thick sheets of __________ about it and it was hard to determine sm
+ :) wav
** • rind, see quote. + billybob
**** • thanks. I could not make out what he was spelling at all and I think once sm + :)
** • rind (and then he spelled it) - poin

• The patient tolerated the procedure well without any complications. T ...
+ mp3
** • and ambulated - MTmom
**** • Thanks a lot. - guy

• The patient was placed on the fluoroscopy table in the prone position ...
+ wav
** • 2) and injected (?) localization - MTmom
**** • m hearing needle and injectate localization - guy
** • 1) technique was adhered to - MTmom
**** • Thanks a lot. - guy

• s/l myoscamine. Main problem is cardiac but lots of other problems. Thanks.
- OldMT
** • hyoscyamine? - wag

• Prior to the upper extremity angiography, 10,000 units of intravenous ...
+ wav
** • to have returned to base a bit. - wag
** • I think I hear "to have returned to ______ a bit" - Questyr
**** • I don't completely hear "baseline" for the blank, but on googling + Q
****** • Thanks a lot everybody - guy

• The micropuncture needle was exchanged for a micropuncture sheath and ...
+ mp3
** • I think I hear "site of" - Questyr
**** • Thanks a lot. - guy

• Widely patent large fistula without evidence of focal _____. Patent r ...
+ mp3
** • pseudoaneurysm - MTmom
** • pseudoaneurysm - poi
**** • Thanks a lot everybody - guy
** • ??strangulation?? (see link) + Questyr
**** • Thanks a lot. - guy
****** • And now I hear "pseudoaneurysm" quite clearly as others suggested. - Q

• _____ FINDINGS: No evidence of stenosis of the fistula inflow vessels ...
+ wav
** • fistula ligation - poi
**** • U R not answering where his blank is. It is further into the clip. - Q
****** • He says "fistula ligation (period) FINDINGS _______ FINDINGS etc" See what + Q
** • investigative? - wag
** • Your clip is too short. Oftentimes we need to hear the + Questyr
**** • posted longer wav. thanks. wanted to avoid confusion. he dictates Findings and then again + guy
****** • I can't get it. - Q
******** • Thanks a lot everybody - guy

• The patient is a 47-year-old woman with a history including diabetes, ...
+ wav
** • coolness (also steel is steal) - MTmom
**** • Thanks a lot. Thanks for the correction. - guy

• FINDINGS: Dense adhesions into anterior abdominal wall as well as adh ...
+ wav
** • bladder? (maybe slow it down and see if you can hear that) - poi
**** • Thanks a lot. - guy

• fired across the base of the appendix, which s/l up-tate the appendix. TIA!
+ surg/appy?

• Preoperative Diagnosis: RIGHT _____ INTERTROCHANTERIC HIP FRACTURE. ...
+ wav
** • stable - poi
**** • Thanks a lot. - guy

• She takes s/l Veltax for headache.
- TiredMT
** • I can only think of Imitrex... - Oasis
**** • He said it again later without whispering this time and sounded like Relpax. Thanks. - OP

• Right total knee replacement.
+ Sounds like...
** • IM guide - Got it

• Utilization of ______ have been described and
+ mp3
** • various valves? - isgal
**** • ty - -

• is a _______ murmur with aortic stenosis.
+ wav

• Sleep Apnea
+ ESL
** • Did we do an event monitor? "Pauses" would make sense in that context... + taco
**** • Yes... + SM

• pain management neck injection s/l r phase
+ sm
** • got it -RFAs - op

• Discharge summary, s/l "lifted" encephalopathy
+ CO MT
** • could it be "listed" - maybe going with the PTSD (like it is on her problem list?) - taco
**** • I'm going to blank it to be safe, but thanks for trying taco - CO MT
**** • Possibly...(this is why I hate speech recognition, once the system puts a word in it's + CO MT
****** • latent, hepatic, limbic? - ter

• Having trouble documenting/verifying a
+ sm please
** • These google hits indicate X plate (see link...and if you click + Questyr
**** • oops..apparently it uses a hyphen....X-plate - Q
** • maybe "ex" for "external"? I often hear "ex-fix" for external fixation. - taco
**** • Thanks, taco. - nm

• sm please.Thanks!
+ tlh
** • I just did an eye surgery and it mentioned fibrogranular tissue? - CO MT

• failure of hardware, __________ reduction, anesthesia
+ mp3
** • still hear old mp3 - isgal
**** • added - -
****** • flagging - -

• was performed, __________ fascia
+ wav
** • we gained access (?) to the FHL fascia - taco
**** • thanks - !

• The flexor digitorum superficialis was identified and cleaned off prev ...
+ wav
** • nevermind. - guy

• As per the patients mother, the patient had dental extractions in her ...
+ wav pending
** • and has had - nm
**** • Thanks a lot. - guy
** • wav posted. Thanks. - guy

• Preoperative Diagnosis: Left canine _____ section and carious teeth ...
+ wav
** • space infection (not section) - isgal
**** • Thanks a lot. - guy

• I was thinking that most likely it is ___ cardiomyopathy from coronary artery disease
- mp3
** • Oh my goodness...I mean "stemming from myopathy from... - Oasis
**** • ... - thanks
** • myopathy stemming from - Oasis
**** • not cardiomyopathy - Oasis

• The camera was then introduced through the existing midline abdominal ...
+ mp3
** • sounds like iliac fossae? - billybob
**** • Thanks a lot. - guy

• Normal-size anteverted uterus adherent to anterior abdominal wall. Mo ...
+ wav
** • ovaries and tubes... - billybob
**** • Thanks a lot. - guy

• A guidewire was placed to the location of the medial trochanter. ____ ...
+ wav
** • A starting point was assessed? - poi
**** • Thanks a lot. - guy

• dictating "delete that regimen" after the sentence. what should i delete?
+ guy
** • fwiw I'm finding it can be either bone-patellar-bone or bone patellar bone, but not + Questyr
**** • The reason it is not bone-patellar bone is because the + Q
****** • Thanks, Questyr. (Wah, boo-hoo! Why must the rules be so often "micro-re-managed"? :-) - Mgt
**** • (grammatically I must concur w/Questyr, with hyphens here as it is a compound modifier. + Mgt



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