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Aug 8 09:22
• Instrument s/l "top hat" used for ORIF of radius and ulnar shaft
- o m l a j p
** • you need to give context! Sentences around this in context!!!!!!!! - f p b i n p

• s/l "above-five? bona fide?" fragment to the ulna ..pls SM
+ o m l a j p
** • not to the ulna, but OF the ulna - x
** • butterfly - nm

• niferex 250 mg?
- m c i d d e
** • any diagnoses or past history to help here????? - ?

• Need help on a CBC inside, please.
+ stumped
** • Never mind. Found it, rouleaux formation! Yay! Thanks though. - OP

• s/l "multistring" repair...pls SM
+ o m l a j p
** • by the way, new to me, but Silfverskiold - billybob

• pl sm
+ demand?
** • It looks right. There are over 1,500 hits for it on google - Kathy
**** • for response. - thanks

• I'm stuck on a doctor's name. Is it okay to post a wav with doctor's name in it?
+ Kathy
** • Okay, great. It's posted. Even with the hospital and him trying to spell it I'm having a + Kathy
**** • man. I wish I could help. I tried every spelling I could think of. leave it blank! + Lo
****** • Thanks for trying! I still have a little time, so maybe I'll leave it up a little longer + Kathy
**** • Oh, and it's an oncology patient, although I'm not sure if this doc is an oncologist - Kathy
** • I doubt that it would be a HIPAA violation. - Lo
**** • (it for sure is not a HIPPA violation when no one on the planet can understand!!! LOL! - Mgt
** • I don't see why you couldn't. - a k j j b l

• Uploaded mp3... Not quite making out a word. Thanks for help!
+ a f n d m c
** • monotypical - Kathy
**** • Thank you very much! - a f n d m c

• please.. posted wav. thank you
+ n
** • Portal is an electronic system with chart notes... - a f n d m c
**** • oh, thank you. you have been very helpful. - n

• GU
+ g k c a c h
** • ?? some nidus of infection. (?????) - Margaret
**** • Actually, I think that might work. Thank you! ... + g k c a c h

• wav help please
+ n
** • thank you!!! :) - n
** • sleep? - barbv
**** • I second that!! - me

• please listen
+ wav
** • thanks - m c i d d e
** • from the 90s - natalie

• anyone heard of s/l *obachi* products for acne? (TIA)
- i j i h c m
** • Obagi - m c i d d e
**** • thanks a million!!!!!!!!!!!!! - i j i h c m

• wav help please
+ natalie
** • thank you - natalie
** • so careful technique was demonstrated in the exam room. He does or does not - that is the ?
** • that's what I heard...careful technique. weird. would think aappropriate technique, huh? - Lo
** • careful technique? - billybob

• Cardiac cath report. "Saphenous vein graft to the second marginal (M2) branch of
+ step
** • _____ TIMI-2 flow? (some may not use the hyphen there, but I like it) - l g o f j d
**** • thanks! I couldn't have found that on my own:) - steph
****** • yw. :) did you figure out the "na" that came before? - l g o f j d

• CBC, CMP and s/l TP (polycystic kidney disease patient)
- m c i d d e

• stupid question.....this dictator said 7-6 cm cyst. I am typing a verbatim account
+ Loluv
** • Per BOS, wouldn't it be a 7- to 6-cm cyst anyway? Just kidding. I hear the new + ;)
** • I vote to change it. Is your QA really snerty about this kind of stuff, actually? - l g o f j d
**** • ("snerty"!!! hahahaha!!! I LOVE it!! LOL! :-) - Mgt
**** • No, I don't think they really care. To be honest, in the past 10 months, I have only + thanks! Lo
****** • Yeah, time to relax some, buddy. You're finally away from the big, bad monster! ;) + l g o f j d
******** • (whew! THAT's a relief!!! :-) - Mgt
****** • Wow, if we added the first name, we would be accused of "padding" the account + LOL

• Gore-Tex s/l "neocords"..pls SM
+ o m l a j p
** • finding neo-chordae - hth

• s/l "Yurgensen test"
+ steen
** • Yergason? - hth
**** • yes, i think that's it. thanks! - steen

• short "burst" of Valsalva
+ xox
** • are you sure on the Valsalva? For some reason, I'm thinking of salvo or salvoes - but perhaps not
** • Is it "give" or "have"? - Diana a/k/a ~yo~
**** • gives... i think it is related to sinus of Valsalva - xox
****** • i mean to "give" - xox
** • Makes sense to me. Anyone else? - Diana a/k/a ~yo~

• s/l closed hoags. Please
+ SM
** • Looks like doc is naming catheters used. Is this Groshong(s), PICC and Hickman? - Diana a/k/a ~yo~
**** • You're a genius! Thanks a bunch. - OP

• CT chest
+ o o p d m i
** • Consider "subtle pneumonia." - Diana a/k/a ~yo~
**** • Thanks you. - o o p d m i

• CPAP machine help - thanks - new to pulm.
+ f p i h e d
** • Something whack about "leak." Listen again. ". . .leak of 49.2." Is it PEEP? - Diana a/k/a ~yo~
** • Heavier duty explanatory link inside. ;) - Diana a/k/a ~yo~
** • 90/50 percentile. . . . 90/50 percentile. . .yes, average daily usage. (Means 90th/50th) - j f f l c e

• We will consider AV "nodal" pacing. Is that correct? Thank you
- nm
** • Heard it many times, yes. - Diana a/k/a ~yo~
**** • Thank you. Appreciate your help. - nm

• s/l "firmative reflexes" ???
+ steen
** • Usually hear 2+ and symmertic. Still thinking about blank. - nm
**** • No, it's definitely "2 and symmetric" here... I get that one sometimes. - steen
** • It isn't "primitive," is it? - Diana a/k/a ~yo~
**** • Hmm, not sure. + steen
****** • So, I'm going to say thanks anyway, all... I signed off the report so can't... + steen

• His dementia is getting worse. "Continucy" will be increase the Exelon patch
- Brain fade
** • contingency (at some point in time, not quite yet)? - Diana a/k/a ~yo~
**** • Yes, thank you - nm OP

• s/l "tax-maze"...pls SM
+ o m l a j p
** • I suspect Cox-Maze procedure. See link. - Diana a/k/a ~yo~
**** • interesting bit of information -- see message + f h h m c l
****** • Very good! Supports not capitalizing "maze!" - Diana a/k/a ~yo~

• SIDH secreting tumors... see more info below
+ cindi
** • thank you, I just found it myself too - CINDI
** • Consider SIADH-secreting tumors - Diana a/k/a ~yo~

• As compared to CT of 7/31/08, there had been interval L1 bipedicular
+ i p d l k p
** • Just seems to be a mispronunciation of methacrylate used in the earlier procedure. - Diana a/k/a ~yo~
**** • So is that a possibility that they'd leave methacrylate? Thanks. - i p d l k p
****** • Thank you. I decided to google after I asked that question. Appreciaete - your help.
****** • Possible all excess was not removed or oozing, yes. - Diana a/k/a ~yo~
******** • But the good news is that none was found. - Diana a/k/a ~yo~

• Pt did not repeat his chest x-ray. His EF is 45%. He had some bilateral plerual
+ plaques. SM
** • Consider "prior asbestosis. - Diana a/k/a ~yo~
**** • YUP. see below - nm
** • something abestosis? - wag
**** • I kept listening for that and think maybe saying prior asbestosis - nm THANKS
****** • That is what is being said, prior asbestosis - nm OP

• help on medication
+ wav
** • thank you - m c i d d e
** • Reglan - nm
** • Reglan - Diana a/k/a ~yo~

• how to write..
+ cindi
** • 1.5 mm of horizontal ST depression. - billybob

• s/l "substance" (calcanectomy) ....pls SM
+ o m l a j p
** • Makes sense to me. Anyone else? (The remainder was appropriate and not resected.) - Diana a/k/a ~yo~

• I have given her requisition for a blood work including s/l B & T.
+ m e p d l k
** • BNP?? - k f e d p i
**** • yes, this is probably it ... to look for heart failure is likely what he want's here. TY - m e p d l k
** • a BMP or BNP? - nm

• EKG
+ help
** • you are right...thanks - help
** • Q waves? - a k j j b l

• crush vs. crash
+ joms
** • crush - nm

• Okay, got another one s/l Kells
+ p l p a i h
** • I think it is KELS evaluation. ... + p l p a i h

• what on earth is a pair source?
+ p l p a i h
** • payor source? - wild guess
**** • Okay. Thanks. ... + p l p a i h
**** • uggh, can't spell. try payer source - wild guess

• medication s/l rinula (rin-oo-luh)
+ Loluv
** • Wondering if doc means Renvela? - p p g o n k
**** • don't know. gonna flag. thanks! - Lo

• How do you type "10 to the fifth" ?
- f p e o j l
** • just as you have it, or you can superscript the 5 if you have that option - nm
** • Just like that - n

• CA pt. Former Eaton Lambert salesman?? nm
- n d f i p n
** • Heath Lambert? - nm

• Able to perform all ADLs and *IADLF* and still drives.
- i p d l k p
** • Instrumental activities of daily living (IADLs) - abbr
**** • Cool. Thanks! - d

• 2 questions: diverticulitis
+ p l p a i h
** • wonder if he is correcting himself. kinda sounds like flat fat strand ... + p l p a i h
** • agree wtih fat stranding and try foci - nm
** • I've heard of fat stranding. Thinking on other. - d
**** • Yeah, i was thinking fat stranding but there is a distinct wd after it ... + p l p a i h
****** • possibly fat pad stranding - It's a stretch

• cellulitis
+ help
** • I thought of that but was not sure if it was MRSA...thanks a lot. - help
** • MRSA -- they say it as a word mersa. - nm

• Wound help - sm
+ o o p d m i
** • Did you look this up? Medicine. A layer or mass of dead tissue separated from surrounding + Distressed MT
**** • ok, thank you I will listen some more. - o o p d m i
**** • Ignore the word medicine. Not sure how I got that in there, must have accidently copied + Distressed MT

• Ophthalmology s/l drantz hemorrhage, only 5 hits on google. tia
- Janet
** • Found Drance, but probably way too late...see link - TTH
** • drusen? The only hits I see have Drantz as some dude's name, not the hemorrhage - nm
**** • Thanks ,but she is saying drantz very clearly, unfortunately! - Janet
**** • No such thing as drusen hemorrhage. I check Stedman's Oph and don't find + not op
****** • Well, I was only trying, since we really have no context. Excuse the heck outta me - bracchhhh
******** • I do appreciate the help! - Janet
********** • YW. Maybe Ms. Stedman's Oph can give you some suggestions. - just trying

• s/l "interventive" procedures ...pls SM
+ o m l a j p
** • Generally hear interventional procedures. - Mandi
** • Suspect made-up word and should be interventional. - i p d l k p
**** • Uh, oh! Should have looked it up first. Interventive is a good word. - i p d l k p

• *Bampf* borderline kidney rejection
+ tw
** • Found it, Banff + op

• Elevated LFTs
+ help
** • primary sclerosing cholangitis - i k j f i i
** • could your "evaluating" be "evaluate him?" - Kathy
**** • Or maybe not + Kathy
** • that was quick...thanks. - help
** • reassess is 1 word. primary sclerosing cholangitis - bgf

• Does anyone know if there is a specific rule regarding transcribing month/year.
+ Mandi
** • I believe this goes back to what we learned in high school English. + IMHO
** • I do just like you do... + sm
** • There is a lot in the BOS under dates, when to use ordinals, if it is in military + nm
** • My AAMT Bos shows 3rd of June is acceptable...They show when + Questyr
**** • Thanks. That's what I felt made sense. I'm just not so sure our interface + Mandi
****** • BOS says regarding ordinals. "Use ordinals when the day of the month precedes the SM + what it says
** • SM + Lana

• CHEST: Clear to A&P. Remarkably good breath sounds. Negative s/l crismol sound.
- PE
** • Kussmaul? - g h b a k b

• pylori treatment
+ esl
** • "anti-Hp..... is correct) "pac" or "pak" is a common name for the constellation of meds - provided. Mgt
**** • Thank you. - o o p d m i

• s/l aplasia
+ jan
** • Are they planning on doing RF ablation for the pain? Maybe unsure of exact path + Mandi
** • situation (not "aplasia," anyway) - Margaret

• s/l disclassified
+ jan
** • disk osteophyte? Just a wild guess. - Mandi

• WAV file. HEENT: Slightly reddened pharynx. Otherwise unremarkable.
+ NECK: Supple sm
** • CHEST: Clear and equal breath sounds. ?? - Questyr
** • I hear for neck "supple without adenopathy" - Kathy



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