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Mar 8 05:50
• Colposcopic biopsies at 12 and 6 o’clock show s/l 'salient' 2 to 3 TIA
- hh
** • rest of the sentence and context before and after per rules of the board pls - d f l l n n
** • Please tell us the remainder of the sentence. - nmt

• allergies to Ceftin, clindamycin and /sl "gad"
+ Kathy
** • a wild guess, but gadolinium? - nm
**** • That's probably what she meant, thanks - Kathy

• This does not make sense to me. What do you think?
+ ME
** • No, that doesn't make sense to me either. Sorry. - nm

• Blood pressure med that s/l endopa
- rnk

• listen to wav
+ pls
** • ty - pls
** • consistent with previous (assuming he means previous echo) - what i hear

• S:This patient has history of lower lip "lis is" for the past 3 days. Also has a sore
+ throat. SM
** • Nope not saying ulcers in this part, says it later. Let me listen for blisters. Thanks - nm
** • ulcers or blisters? - h c l o k c
**** • YES blisters. Thank you, thank you. That is it. Since I get those, I should have thought - of blisters. TY OP

• Left a message with the crisis unit to call mother in the morning to "sessimatate"
+ services and sm
** • to assess and initiate services? - h c l o k c
**** • I keep listening for that and can't get that, but would make sense. She isn't clear and - ESL. Thanks OP
** • sorry should be "and for psych evaluation. Not foresight. - OP

• s/l puffy test
+ k n a o f j
** • The punctuation is really, really out of whack throughout that whole + paragraph
**** • Not to mention the grammar is off - too
** • my thought too... puffiness? - h c l o k c
** • Puffiness?? - WAG

• s/l "eminition"
+ n n e p n m
** • inanition? - billybob
**** • that is it thank you again so much BB - n n e p n m
** • might be related to vomiting since px takes Marinol antiemetic - n n e p n m

• pls help with wav
+ gene
** • thanks - gene
** • Suggest telemetry monitoring following surgery, if necessary. - d f l l n n

• s/l "redisent"
+ n n e p n m
** • says reticent, means reluctant. - billybob
**** • thank you so much - n n e p n m

• The Amplatz wire was passed through the existing *Clinton* catheter
- nm
** • any chance hemodialysis pt, if so, Quinton catheter fits - .

• pls help with wav
+ gene
** • thanks - gene
** • This could have been some of the problem - ?

• she has been on s/l cyclic, Premarin, and ProVera.
+ Can't document.
** • Provera not ProVera - nm
** • probably cyclic Premarin (i.e. cyclically vs. daily) - t
**** • Thanks a bunch. - Can't document.

• Her uterus appears normal in size. s/l Neconegesity is retroverted. The endometrial s
+ ESL
** • Would echogenicity make sense? - ESL
** • Echogenicity? - wag
**** • Thanks. - ESL

• wrinkles on the face....
+ sm
** • ..glabella - sm

• med help, wav sent. pls sm
+ sn
** • She is off the Mobic (meloxicam). Pain levels... - generic version
**** • Thanx! You r good, don't know how you heard that! - sn
****** • Clear as a bell but I have been doing this a while! - :)

• Obtain records of HIV testing, viral hepatitis testing, s/l "H of C" and CMV testing
+ Kathy
** • HSV? - wag
**** • Thanks, I was so sure that last letter was C, but now I can hear that. - Kathy

• A s/l spinder was used to gently dilate the os and uterus was sounded to 10 cm.
- j l f g i m
** • Os finder. - j l f g i m
** • a bougie? a finger? - wild guesses
**** • I would say finger - t
** • Anyone had any idea? - j l f g i m

• keloid formation
+ sm
** • pedunculated? but saying -oid ending in error. and hanging as off the stalk - kl
**** • That's it. This is an ESL and after relistening, that's exactly what he said...Thank you! - sm

• Mirena IUD placement. indications, sl affalased potential side effects as well as ris
+ GYN
** • its efficacy - GYN

• pls listen to wav
+ thanks
** • hypoxemic versus other etiology - t
**** • thank you - op

• most likely consistent with *fixed defect* asthma
+ ?
** • see msg and check out + nbe
**** • I found that too. - Thanks :o)

• Deformity of eyelid...
+ gr
** • ....I got it: lagophthalmos phew! - gr
** • exophthalmos - e h g k b h

• s/l bozel obstructive sleep apnea
+ sm
** • Possible? - t
**** • yep, thanks1 - nm

• s/l "heenan:" Routine bilirubins were checked, no phototherapy needed.
+ l o j a o e
** • listen for hem/onc. - billybob
** • HEME (Hematology heading). - mlk
**** • Thank you. - nm

• Her-2 and *C E P*19. FISH was 1.1, negative
+ ?
** • place to start: I see centromere chromosome 17 (CEP17) sm + sm
**** • wonder if the FISH is included in the same sentence + sm

• She was found to have findings. Geeze, ya think?? lol
- lol

• Pediatric supplement s/l "nutragen 22"
- nm
** • Type your entire s/l into Google and see what comes up or is suggested. Include your 1st - two words. nm
** • Enfamil Nutramigen™ (22 = calories) - nm
**** • Thank you. - OP

• Followup endoscopy ________ to the lesser curvature.
+ wav
** • Followup endoscopy with possibility (another word here?) to the lesser curvature. Seems + sm
**** • thank you - -

• X-rays demonstrated a distal fibula--a fractured s/l messaneu fracture. Thanks
- meg
** • did you find it? Maisonneuve fracture + darlene
**** • Considering it was 2 hours ago, I would hope so. Any excuse to post a link - right?
** • Thanks much, google sure was't cutting it. :) - meg
**** • Really? google distal fibular fracture and read the first hit - yep
** • type m*fracture into onelook above. First one. - help yourself

• The patient has indicated he would prefer to go ahead and have any teeth that SM
+ seth
** • Yes, I would just because it helps the reader grasp that you just didn't + sm

• breast surgery, 11 o'clock s/l "rayon"
+ sm
** • He is saying rayon clearly, not ray, but ray makes sense, thx - op
** • 11 o'cl ray (as in ray of sunshine, and using a 15 blade (NO hyphen) - nm

• Just wondering if I have this right on bacteria. I have lots of bacteria named in
+ Kathy
** • I don't know why you would ever italicize it, but you italicize both, but you normally + ll
**** • I'm not sure why, but I was told when starting the account to italicize bacteria names - Kathy
****** • That is odd. In over 20+ years of MTing, I've never seen a facility or office intalicize + nm
******** • my office is also weird like this. Also wants me to bold certain things like weight and - height. nm
** • Yes, genus and species (even when shortened i.e., Staph aureus), although I would + nm
**** • Okay, thanks, and cap even when it's just the genus named? - Kathy
****** • NO, genus and species. If genus, no cap. - nn
******** • Ok, thanks - Kathy

• knee arthroscopy --- s/l high band ?
+ ann
** • Ioban? - nm
**** • oh wow, thanks + ann

• s/l hiss?
+ sls
** • bundle of His - nm

• pls listen to wav (repost from below)
+ thanks
** • need to move on - op

• closed the s/l "end with an LS 60" oversewed with 3-0 silk Lemberts.
+ sm
** • sounds good. "Proximate® LS60 disposable linear stapler. (Manufactured by.Ethicon " - nm
**** • Thanks very much. - nm

• s/l abruptive
+ n b n f g h

• anybody heard of an asthma nebulizer called var aw squel, can't find
- .

• seen in the s/l "poff"
+ Shari
** • pod(s)? What the ED is sectioned off in, pods maybe?? - abigguess
**** • I thought of that too, but he's extremely clear and says "poff" ... + g f l c b j

• Followup endoscopy ________ to the lesser curvature.
+ wav
** • Hmmmm. looks like you posted over the below wav - ?

• pls listen to wav
+ thanks

• areola tattoing s/l "4 bar"
+ pls sm
** • uploaded MP3. - op
** • I've heard of number of prongs on the tattoo instrument, wonder if bar is the same + nm

• swallowing certain food substances but really unable to qualify this *ingestion*
+ ?
** • Ingestion - Definition and More from the Free Merriam-Webster ...Etymology: Latin ingestus + sigh
**** • THanks for the lesson but I know what it means. To me it didn't make sense in the sentenc - e.
****** • sure it does. she can't swallow with certain ingestions of food - yw
******** • Ok - Thanks

• s/l steel? riding
+ thanks
** • I would think trail riding. - a horse lover
** • thanks - op
** • here let me google that for you.......see link - lmgtfy
**** • LOLOL. only steel is referring to the steel used to make something. - got a real answer?

• HRT bioidentical, *zyphomed*, fish oil, flaxseed, multivitamin, Q10, omega, turmeri
+ ?

• med s/l "Don-nex-a-pril" 10 mg q.d. sm for dx
+ thanks

• Lap chole. s/l "hava da havy ta obtain the critical view of safety"
+ sm

• s/l "D&G" forceps
+ sm

• Doctor dictates "nitrates" but my research tells me "nitrites"...see below
+ Oasis
** • just so I won't let a dictator fool me with that one, late at night when I am tired, I + Lo
** • Thanks, everyone! - Oasis
** • he says WBC esterase and not leukocyte esterase? WBC = white blood cell(s), that's silly - ?
**** • Yes, WBC esterase...see below + Oasis
**** • just another way of sayin same thing thats all - NM
** • ?messy urine? I've never heard an MD say that. Strange. - nm
**** • LOL! Yes, she is really a relaxed doctor! - Oasis
** • It is nitrites. nitrates reserved for the medications for the heart. I do however + nItrIte in urIne

• phalanx fracture
+ wordless x1
** • Jurgan - nm
**** • Thank you very much! ... + wordless x0



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