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Jan 15 19:48
• At delivery, difficulty in delivering head through hysterotomy. Hyste ...
+ mp3
** • Kiwi vacuum - e h p h c i
**** • Thanks a lot. - guy

• Procedure: LOW TRANSVERSE CESAREAN SECTION WITH DOUBLE-LAYER CLOSUR ...
+ wav
** • got it. thanks. - guy

• doctor spells this out
+ s/l tocheen
** • This is what I found when I typed tocheen in wt recurrent glioblastoma trial. + :)

• The patient had a first ____ approach done, _____ below the diaphragm and 9 French sm
+ :) wav
** • I got the 2nd blank but still need help with the first. - :)

• The patient is originally from ____ and speaks little English.
- wav :)
** • Got it. Tunisia. - :)

• He had a low _______ line and the peritoneum was difficult to mobilize.
- :) wav
** • median arcuate line - taco

• s/l o-blake counts
+ Alicia
** • blade counts (or "all" blade counts) - taco
**** • Yes that is what he is saying. Thanks - Alicia

• drilled my pilot hole and inserted my *Swartz* at 5 degrees valgus
+ sm
** • flagging - -

• size D tibia, size 10 *P F* polyethylene
+ ?
** • maybe PS posterior-stabilized - e h p h c i
** • flagged - -

• The patient has _____ enteric fat of the left lower quadrant of the abdomen sm
+ wav :)
** • anterior mesenteric fat - taco
**** • thanks taco. - :)
** • wav posted. - :)

• Patient does have a wound in his middle back and has been followed by the sm
+ :) wav
** • Got this. - :)

• who has been diagnosed with a rectal carcinoma ____ cm from the anal canal.
+ WAV
** • right-sided (then he mumbles more words). - e h p h c i
**** • I can't (won't) even an attempt on how many cm. - e h p h c i
** • anyone have a guess? - ??
**** • That is something I would never guess at. I know my job is very much a stickler when sm + :)
****** • Let me know when I can post a wav file please. - :)
******** • thanks all! will flag! - ft

• This doc likes to stick "for which" into every sentence she dictates. How would you
+ ????
** • I have one that does the exact same thing - I don't fix it. - fwiw -t
**** • ... - thanks
** • *extremely COMMON symptom - correction

• on the left side. ____________ amount of serous fluid on the left side.
+ mp3 posted
** • ... - mp3 deleted

• how would you pluralize nursemaid's elbow (as in recurrent & bilateral)? TIA
+ sm
** • NM. I changed nursemaid elbows to nursemaids. - OP

• the patient has _______ on that occasion AND bacteremia _______ indication or
+ wav
** • 2nd blank is "as to indication" - nm
**** • thanks - -

• During that time, she was maintained on her medications and aspirin and ____.
- wav
** • ... - got it

• As you know, he suffered a large left frontal stroke during his nephrectomy, and
+ mp3

• Leave or take out?
+ commas

• s/l poly root
+ tia

• Please help me punctuate this sentence. Thank you very much.
+ comma help
** • looks excellent to me as is. kudos on the suspended hyphens. - nnm
**** • ... - thanks :)

• Chest x-ray after line placement shows central line #1____ to superior vena cava. sm
+ wav :)
** • #1 central line has its tip in the superior etc - Q
** • #2 tip #3 carina (I think) - Questyr

• CT of the abdomen and pelvis was done, which showed findings representing gas sm
+ wav :)
** • gas-forming ____ necrosis. - e h p h c i
**** • Thanks. Now i got gas forming bacteria/___ necrosis. Just need one more word. LOL - :)
****** • gas forming bacteria/Fournier necrosis. Got it all! - :)

• Do I have enough info to fix this sentence?
+ tia
** • Add the word is. .....exercise is when... - JMO
**** • I thought she might mean that. But then I wondered if she meant it the other way. thanks - op
** • well, still sounds stupid. i'm not sure what to do in this case. - e h p h c i
** • the 2nd one doesn't need to be there. - e h p h c i

• *has known obstructive sleep apnea syndrome, _______ syndrome, chronic pancreatitis,
- mp3 posted
** • malabsorption syndrome - got it - OP - thanks
**** • wow, good job. I was going to say maybe Sjogren's, glad I didn't, lol. - nnm
** • tried, can't get it. - nnm
**** • thanks for listening. - OP

• INDICATIONS: This is a 78-year-old _____ woman with pancreatic adenoc ...
+ wav
** • Haitian. - billybob
**** • Thanks a lot. - guy

• Preoperative Diagnosis: RIGHT DISTAL RADIUS FRACTURE MALUNION AND C ...
+ wav
** • plate and the diaphseal (I think he corrected) - poi
**** • diaphyseal sp? - geo
** • and - poi
**** • Thanks a lot. Thanks for the correction. - guy

• New onset dyspnea. He has ____ shortness of breath on exertion.
- :) wav
** • He has worsening shortness of breath.... - eric
**** • Thanks. - :)

• I would defer the possibility of lowering Sinemet ____ her outpatient does indeed sm
+ :) wav
** • through outpatient neurologist if indeed he believes that this is causing her + e h p h c i
**** • Thanks. I still had to read that a couple of times listening to the voice file sm + :)

• The patient does not remember what happened to her. _____ today sm
+ :) wav
** • Got this. - :)

• CARDIAC: Exam _____ No S3, gallop, or murmur.
- wav :)
** • Normal? - poi
**** • Found it on another report. Apparently he says normal s1, soft s2... - :)

• She has chronic hypocomplementemia with ___ features, as well as lupus features.
- wav :)
** • sounds like hardy? maybe with his accent ruddy? - poi
**** • Thanks poi. I think his accent is what is throwing me off. VR put Harley and I heard - early. :)
****** • Poi wanted to let you know he was saying RA! - :)
******** • dang, wasn't even close. Thanks for letting me know. - poi

• She has some pericanal soreness. Stools ____ looser.
- wav :)
** • ?pericanal - itnot perianal?
**** • Just a typo on here. It will not allow me to copy and paste from report so I guess I sm + :)
**** • nice catch - whoops-poi
** • sound (haha, but that is what she said) - poi
**** • Thanks exactly what I thought she said. How do your stools sound looser? LOL - :)
****** • pour a glass of water into the toilet. haha - poi

• Include levothyroxine, losartan, _____, ibuprofen, Ventolin HFA 2 puff p.r.n.
- mp3 posted
** • HCTZ which is considered a dangerous abbreviation. - :)
**** • It is actually losartan/HCTZ or hydrochlorothiazide - :)
**** • thank you - OP

• Hospital Floor
+ b o h b c p
** • The way I have found the answer to this on my accounts it to type the hospital name and sm + :)

• Preoperative Diagnosis: GASTRIC ADENOCARCINOMA. Procedure: ...
+ wav
** • Pieces of this were biopsied..... - tk
**** • Thanks a lot. - guy

• Two ACL screws are noted, which are s/l parasaki screws.
- knee x-ray
** • I went with "pair of socket screws" and a flag. - OP

• The abdomen was desufflated and a Pfannenstiel incision was made using ...
+ mp3
** • the rectus muscle. - b
**** • Thanks a lot. - guy

• The greater omental leaf was separated from the transverse
+ see msg
** • white line of Toldt?? - billybob

• Preoperative Diagnosis: RECURRENT SIGMOID DIVERTICULITIS. Pr ...
+ wav

• A 0-degree scope was used to inspect the subglottis and there was no e ...
+ mp3
** • submit to pathology... caliper? forceps - billybob
**** • Thanks a lot. + guy

• Preoperative Diagnosis: LEFT VOCAL CORD POLYP. Procedure: ...
+ wav

• Saturation improved with **spagging**. ...
+ guy
** • bagging? like ambu-bagging? sound file? - nnm
**** • wav posted. thanks. - guy
**** • posting wav. thanks. - guy
****** • I think she's just stumbling, but up to you. - nnm
******** • Thanks a lot. - guy

• Preoperative Diagnosis: OPEN ABDOMEN. Procedure: SMALL BO ...
+ wav
** • had to ? the small bowel proximal and distal. Stapled anastomosis would have been - difficult
**** • Thanks a lot. - guy

• Exposure was made difficult as first as the patient was very resistant ...
+ wav
** • difficult AT first....paresthetic - poi
**** • Thanks a lot. Thanks for the correction. - guy

• Preoperative Diagnosis: SUBGLOTTIC GRANULATION TISSUE. Proce ...
+ wav
** • bronch (bronchoscopy) - poi
**** • bronch with debridement - poi
****** • Thanks a lot. - guy

• The patient tolerated the procedure well. Nasal soft tissue _____ was ...
+ wav
** • ... + h i b f a h
** • to clarify...he corrects...Nasal soft tissue (correction) The dorsum was then taped - poi
**** • Thanks a lot. Thanks for the correction. - guy
** • dorsum - poi
**** • Thanks a lot. - guy

• The patient decided to proceed intraoperatively lower lateral cartilag ...
+ mp3
** • I hear "radiated rib" but I believe he MEANS "irradiated rib" (see link) + Questyr
**** • Thanks a lot. - guy

• Preoperative Diagnosis: NASAL DEFORMITY. Procedure: OPEN ...
+ wav
** • with noted parenthesis deformity ... over-rotation and under-projection - nnm
**** • or no hyphens, up to you (see link) + nnm
****** • Thanks a lot. Thanks for the correction. - guy

• He has started on noninvasive positive pressure ventilation and has #1_____ in the sm
+ wav :)
** • have BiPAP in? The program nurses? - poi

• Renal bladder ultrasound
+ ESL
** • and I would type renal/bladder (2 different things) - fwiw-poi
** • isoechoic - poi
**** • This sounds like a match! - b o h b c p

• 1 fingerbreadth proximal to the lesser trochanter. _____ removed the head.
- :) wav
** • WAV is not there. - Questyr

• gastroenteritis, *super anshion* related to possible
+ sm
** • comma after Zosyn - e h p h c i
** • ? suppression + sm

• affected left big toe and I have advised her mother how to ___ the nail.
+ WAV
** • pare? - poi
**** • aha! Thank you! - :)

• ______ heart disease
+ MP3
** • alone? - poi
**** • ignore me. Agree with taco. - poi
** • known? (kinda sounds like "lone" though) - taco
**** • thank you!!!! - OP

• With marked edema, cellulitis, and pain with _____ rash eruption in the external sm
+ wav :)
** • vesicular? (she pronounces with a long /i/ sound) - taco
**** • Yes that it taco. thanks. - :)

• stitch was placed _______. The mesh
+ wav
** • A #0 Ethibond stitch was placed at its center? - poi
**** • thank you - -
** • Please be sure to watch for previous wav post that was still waiting for an answer when sm + k n d k o h
**** • i apologize - -

• incision continued *slightly* to the right *slightly* to left and I dissected down t
+ ok?

• O2 saturation 96% on room air. MENTAL STATUS EXAMINATION: An 84-year-old, ____ sm
+ wav :)
** • Got this one. - :)
**** • what was it? I listened and could not get it - poi
****** • It was Middle Eastern - :)
******** • thank you - poi

• causes disrupted sleep, __________. Discussed having
+ wav
** • big tonsils, huge adenoids - taco
**** • very clear - ty!

• T6?Left fourth/fifth MCP joint capsulotomy with extensor tenolysis. Sm for question.
+ k
** • "T-shaped" capsulotomy would fit - taco

• Findings ________ palpable adnexal masses
+ mp4
** • flagging - -

• but due to the patients __________ the endometrial cavity
+ mp3
** • think she's saying "intolerable for pain." I'd change to "intolerance" for pain. - art
**** • thanks - -

• sonogram was performed _______ sized uterus
+ wav
** • flagged - -



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