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May 12 17:11
• Potassium chloride 10 mEq p.o. b.i.d., ___5 mg daily, lisinopril 20 mg daily,Toprol
- *5* mg - pie
** • mp3 posted - pie
**** • had to upload, thanks to any who tried. - mp3 deleted, pie

• scleral ______ s/l "ex crescent" ?
+ sm- tima
** • I do find a relationship between scleral crescent and hypopigmentation (see link to see + Questyr
** • excrescent? (it's a word, an adjective meaning "forming an outgrowth" -I'm not 100% sure - it fits (taco)

• poochiness- what to do with this word
+ sm
** • I'd use it - it communicates exactly what was intended - taco
**** • doesn't communicate anything to me. Dog legs? - billybob
****** • see another definition of pooch... + t

• Spelling suggestions please for last name s/l kuh-nar-bee. TIA!
- name?
** • I find Connarby at Ancestor.com (see link) + Questyr
** • Carnaby? - billybob
**** • Thank you. - OP

• She had previous brain s/l instrumentation due to brain metastasis.
+ pet
** • There's something called brain imaging instrumentation, see message. + Geo
**** • Thank you ! - pet

• A second time-out was performed. We now turned our attention towards ...
+ wav
** • nevermind. - guy

• Cardiopulmonary bypass was discontinued. Protamine was given _____ be ...
+ wav
** • nevermind. - guy
**** • Your wav was never there. I tried to listen several times. Sorry. - :)
****** • Thanks for listening. - guy

• The Dacron graft containing the prosthesis was then obtained and the D ...
+ mp3
** • I hear with plain, continous 3-0 Prolene which I have never heard of plain Prolene. I sm + :)
**** • Thanks a lot. - guy

• A 21-mm pericardial valve was selected and a 25-mm double velour Dacro ...
+ wav
** • Sorry, I can't get it. - Questyr
**** • Thanks for the effort. - guy
** • He is just saying graft again. The Dacron graft was everted. - :)
**** • Thanks a lot. - guy

• confused
+ guy
** • Also it is important that you try to use the number zero + Questyr
** • in your examples, suture sizes and serial numbers, "oh" means 0 (zero) + taco
**** • Thanks a lot everybody - guy

• years past or years' past or years-past?
+ kl
** • years past - Oasis

• concussion testing
+ sm
** • neuropsych testing (see link) + Questyr
**** • ty - n e o e b b

• med sounds like "aisle-eye-rin-nines" 5 mcg
+ julie
** • liothyronine? (for thyroid) - t

• first was closed around a #6-French *sound* so it was not too snug.
+ sm
** • yes - a "sound" is a type of instrument - taco
**** • thank you - couldn't find with French so wasn't sure I had it right - nm
****** • French is the term used to measure the size of the sound. See link for example. + Questyr

• s/l lestamil wrap
+ sm
** • Wonder if U R hearing "Elastomull" (see link) + Q
** • "Pressure was applied to the penile shaft which was removed." The + Questyr

• with Firlit flaps and *tiers two*. He had a good glans groove
+ sm
** • Tho late, we might be able to get this or archives with a + Q
**** • my typo...to get this for (not or) archives...etc - Q
** • NOTE: Hyphenate when used as a compound modifier; no hyphen otherwise...so + Questyr

• the child into the OR. _____ (wav) anesthesia was induced
+ sm
** • never mind, got it: Mask inhalation anesthesia - nm

• ANESTHESIA: *park*general caudal.
+ ?

• Mucosa was closed with 4-0 chromic. The deep layer was closed with 4- ...
+ wav

• This is a 33-year-old male brought in by EMS after multiple stab wound ...
+ wav

• The mentalis was approximated intraorally using 4-0 Vicryl sutures in ...
+ wav
** • nevermind. - guy

• FINDINGS: Viable female infant from LOT position, clear amniotic flui ...
+ wav
** • ???with one true knot.??? - Questyr
**** • Thanks a lot. - guy

• Case discussed with oncology attending with the decision made to proce ...
+ wav
** • It s/l - Questyr
**** • It s/l "This is the patient's 8th" - Q
****** • Thanks a lot. - guy

• Papillary subcentimeter patches of tumor seen on the dome and right po ...
+ wav
** • If my suggestion for the blank is correct, I would consider + Q
**** • I think dome resected as specimen + guy
** • I think the first part is "and left dome _____, both". Also I would + Questyr
**** • Thanks a lot. Thanks for the correction. - guy

• The hip was reduced and again taken through range of motion and found ...
+ wav
** • trunnion (see link) + Questyr
**** • Thanks a lot. - guy

• He was subsequently extubated without difficulty and was moving his lo ...
+ wav
** • to command. I would put a comma after extremities and after baseline. - :)
**** • Thanks a lot. Thanks for the correction. - guy

• s/l Evenmist 1.153 mg per day
- OldMT
** • What are patient's problems? - Questyr
**** • I find an Evamist and dosage might be one (spray) 1.53 mg (see link) + Q

• There was no bleeding at the level of the pressure and the mesh was no ...
+ mp3
** • overlapping all sides? - poi
**** • Thanks a lot. - guy

• The mesh was noted to be in good position at this time. Using an abso ...
+ wav
** • Since editing is necessary, you could make it "to ensure that it lay flat etc" In + Questyr
** • is layed flat against the ventral - poi
**** • it laid flat - poi
**** • "it lied flat against the ventral" (what she actually said) - poi
****** • Thanks a lot. - guy
**** • Thanks a lot. - guy

• Stab incisions were made using #11 blade at the point and the laparosc ...
+ mp3
** • pulled transfascially and secured - poi
**** • Thanks a lot. - guy

• is he making a correction?
+ guy
** • I do find that there is more than one kind of electrocautery. For + Questyr
**** • Thanks a lot. - guy
** • they appears to be a difference between the two (see link), but unable to + poi-link
**** • Thanks a lot. - guy

• The ventral hernia was clearly visualized with the Parietex mesh intac ...
+ wav
** • to be containing greater omentum. - poi
**** • Thanks a lot. - guy

• Patient tried s/l seclisamide. Patient has asthma, cough and dyspnea.
- tired
** • I find ciclesonide (see drugs.com link) + Questyr

• Of note, during our cystoscopy, it should be dictated that the uretera ...
+ wav
** • got it. thanks. + guy

• Past surgical history: _______ and tonsillectomy. Addendum to history
- mp3 posted

• her husband was apparently having an affair and she developed ________ ...
+ mp3 posted
** • venereal disease - nt
**** • thanks mt - OP

• How should "angio embo" be transcribed?
+ n l a b d c
** • maybe angiogram and embolization or angiographic embolization? - nt

• He has a necrotic tough crusted scab over the more s/l cellate lacerated volar tuft
+ Guest
** • stellate? (shaped like a star) - taco
**** • Yes, thank you! - Guest

• She has changed to ___ products and stopped everything else.
+ WAV
** • QV products is what I hear. + Guest
**** • thank you so much Guest! - :)

• little bit of crusting and as such I have covered her with ___ and I have given her s
+ WAV
** • flagging - rr

• s/l GWHB stitches - this is from a right fifth tenolysis and
+ Wi Girl
** • what is the full sentence, words before and after? - mo
**** • see message + Wi Girl

• 7-day s/l Kirsten Holter Monitor
+ Alicia
** • CardioSTAT - Alicia

• nail issues; thickening of ....or.... nail issues. Thickening of
+ ?
** • I think just the way you have it is fine. Either: semicolon ; or a dash - - margo

• EGD: The gastric mucosa showed normal s/l*a-rue-guy* and distensibility.
+ sm
** • rugae. See message for definition + Jeannine

• Neck is supple without lymph node enlargement or neck vein s/l extension.
+ f
** • "distention" would fit (a/k/a jugular venous distention or JVD) - taco

• Are season's capped? like summer, fall, winter
+ nm
** • no. - billybob
**** • Thanks, Billybob + nm

• I feel like I have good punctuation skills, but I am always challenged with
+ OP
** • Found this grammar article (see link) specifically discussing + Questyr
**** • Thanks, Q! - OP
** • To add, if you don't place the comma, it reads as the ER was complaining. - OP

• FINDINGS: 13 dilators and two sponges removed, dilated to 5 cm with 5 ...
+ wav
** • and Monsel's - poi
**** • Thanks a lot. - guy

• A small piece of DuraGen was placed over a dural tear. The craniotomy ...
+ wav
** • divot - poi
**** • Thanks a lot. - guy

• medication help
+ it
** • I found Imogam Rabies (see link) but do not use it unless it makes sense with your context - Questyr

• A small amount of Surgicel was also placed on the left side to keep th ...
+ wav
** • flagged. Thanks. - guy

• The inferior turbinate was again cauterized to control the distal oozi ...
+ mp3
** • to control bleeding? (that is a real WAG for all that mumbling) - poi
**** • Thanks a lot. - guy

• There was no significant arterial bleeding, only a small amount of ooz ...
+ wav
** • 2. between the septum? (really? turb?) 3. crusting? - poi
**** • posted over - poi
****** • Thanks a lot. - guy

• A #19 Blake drain was placed in the lower abdomen and into the pelvis. ...
+ mp3
** • in the left abdomen and was sewn in? - poi
**** • Thanks a lot. - guy

• A dense omental adhesion was taken down from the left lower quadrant w ...
+ wav
** • base, it was indiscriminate - poi
**** • Thanks a lot. - guy

• The base of the umbilical stalk was grasped with a Kocher clamp and th ...
+ wav
** • lifted - nm
**** • Thanks a lot. - guy

• Her pain did not improve with NG tube decompression and there was some ...
+ mp3
** • ... + e m g d n i
** • as well as free fluid on a - poi
**** • Thanks a lot. - guy

• The patient is a 39-year-old female with past surgical history signifi ...
+ wav
** • #1 which a few months later caused her to have - poi
** • #2 75 cm - poi
**** • Thanks a lot. - guy

• Preoperative Diagnosis: _____ RIGHT LOWER EXTREMITY CLAUDICATION. ...
+ wav
** • Life limiting? (sm google info) + wag-poi
**** • Thanks a lot. - guy

• table in a supine position. _______ , procedure was
+ wav
** • Timeout (with?) verification procedure - taco

• finger fracture - s/l Hice maneuver?
+ kitty
** • Jahss? - poi
**** • yes, thank you - kitty

• right hemicolectomy in 2007 with a (?stomatic) recurrence. Stomatic a word????
+ ??
** • with anastomotic recurrence? - nm



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