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Feb 19 22:20
• He has not been aggresive or combative. He _____ spent most of the evening in the sm
+ wav :)
** • was able to? - wag-poi
**** • was able to spend - poi
****** • Thanks poi. Appreciate you. - :)

• postoperative pain management. *Permanent* x-rays were obtained
+ sm
** • I think meaning regular x-rays as opposed to interoperative fluoroscopy? (poi would know - better'n me, taco)
**** • sounds like a good explanation to me :) - poi
****** • thank you - !

• secured in place with the *lock it*
+ ?
** • seems to be an abandoned trademark Lock-It + poi-link

• mesh was pulled slightly *on more* tension - pretty clear just seems like a weird way
+ to say
** • nm - -

• The distal mesh was _____. The proximal mesh AND place with the *lock it*.
+ wav
** • She corrected herself - isgal
**** • ty - -

• leaving through _____1.5 cm caudal strut
+ wav
** • Got it: through the septal cartilage leaving a - nm

• Preoperative Diagnosis: A 32-YEAR-OLD GRAVIDA 1, PARA 0 AT 41-1/7 W ...
+ wav
** • antepartum - nnm
** • nevermind + guy

• Preoperative Diagnosis: A 36-YEAR-OLD GRAVIDA 3, PARA 1-0-1-1 AT 41 ...
+ wav
** • 1. late term 2. repeat - poi
**** • Thanks a lot. - guy

• volar vomer was taken to use for graft _______ changes
+ mp3
** • ... - mp3 deleted

• Hydrochlorothiazide, atorvastatin, glipizide, __________, baclofen
- mp4 posted
** • levocetirizine?? - nm
**** • Thanks nm - OP

• Omeprazole, atorvastatin, fluoxetine, _______, metformin,
- mp3 posted

• For this reason, most recently he was admitted on 02/16/17 after comin ...
+ wav
** • got it. thanks. + guy

• COPD: Continue Breo, Ellipta, s/l Dalares..
- OldMT
** • DALIRESP (roflumilast) - taco

• Need help with word please...
+ p a a l g d
** • spot welds - nm
**** • Thank you! :) - p a a l g d

• Is "marked" what you hear? Thanks.
+ mp3
** • I think it is. Thanks - mp3 deleted

• The Afrin-soaked pledget was removed and again similar to the right si ...
+ mp3
** • nevermind. - k e j p a m

• Preoperative Diagnosis: CHRONIC RHINOSINUSITIS WITH NASAL POLYPOSIS ...
+ wav
** • nevermind. - k e j p a m

• We began the case by making a 3-cm incision at the center of the later ...
+ mp3
** • facial planes or fascial planes? - e h p h c i
**** • Thanks a lot. - guy
** • nevermind. - guy

• Preoperative Diagnosis: LEFT RENAL MASS X2. Procedure: LA ...
+ wav
** • nevermind. - guy

• The inferior margin of the pannus thus was incised and elevated up to ...
+ wav
** • I hear "and elevation laterally" but it doesn't work grammatically and + Questyr
**** • Thanks a lot. + guy

• GU: His tamsulosin was discontinued but his s/l vabrirserc was continued.
+ mt
** • Too late to help but maybe it was Viberzi? ~nm - RMT

• Preoperative Diagnosis: 25-YEAR-OLD GRAVIDA 2, PARA 1-0-1-1 AT 40-4 ...
+ wav
** • despite AROM and oxytocin for - poi
**** • max pitocin? (not oxytocin) - poi
****** • Thanks a lot. - guy

• ....in its entirety to the promontory. ___ space was noted...
+ mp3
** • I think I hear "____ pyramidal space was noted" (see link showing + Questyr
**** • One of the hits shows pictures of the pyramidal eminence and further + Q
****** • Thank you so much, Q. - mp3
** • no mp3 there - poi
**** • Thanks for letting me know. It should be there now. - mp3
****** • The space is 'middle ear' space. But I can't - mp3
******** • ....make out what's before it. - mp3
******** • ....make out what's before it. - mp3

• MEDICATIONS: None at present other than OCPs, which she is on _________
- mp3 posted
** • ..which she is on for acne. Thanks - mp3 posted

• full 6 weeks, but ______ more aggressively
+ wav
** • more her more - poi
**** • move her more - oops-poi
****** • thanks - -

• remaining debris and ______. All instrumentation
+ mp4
** • fluid were suctioned from the joint - nm
**** • thnx - -

• impaired bony bed. _______ cut and repaired _______ and noted
+ mp3
** • Sutures were cut and the repair inspected from the bursal side - nm
**** • ty - -

• to this creating a ______ configuration
+ wav
** • "rip-stop" - nm
**** • or maybe "rip-stop configuration" actually - nm
****** • thanks - -

• was performed _______ subacromial decompression AND acromion __________ anterolateral
+ mp3
** • taking care to "create a" type 1 acromonion (not "clear the") - taco
**** • thanks - -

• A _____ shaver was inserted and this appeared to be a healthy tissue __________ down
+ wav
** • and "this was debrided" to healthy tissue (not "this appeared to be") - taco
**** • ...and abrased to debride the the footprint down to healthy... - taco
****** • ty - -

• shaver was inserted _______ back to stable base
+ mp4
** • and this was (trimmed?) back to a stable base - taco
**** • ty - -

• A posterior ______ portal was established.
+ mp3

• including nonsurgical ______ left shoulder arthroscopy.
+ wav
** • and no treatment were discussed, she was ____ (can't get that last part) - taco
**** • thanks - -

• IMPLANTS: s/l koo day Arthrex 4.75 Bio-Corkscrew x1.
- nm

• dental OP report. Preop DX: Carious **peri-annul** of tooth times one.
- mt
** • something "enamel" maybe? peri-enamel? - twag
**** • that seems likely, but he is going so fast, thank you - probably will flag - mt
** • More: It is tooth #28 extraction. - mt

• The patient, _____, has been having this right shoulder pain.
- wav :)
** • Sent in. - :)

• Therefore, at this point, ______. The wound
+ mp3
** • (with all?) pathology (being/having been?) addressed - taco

• These were measured with ______ confirmed with depth cage
+ wav
** • measured with depth gauge, confirmed... - billybob
**** • thank - you

• guidance __________ 5 cm __________ needle into the area
+ mp4
** • I inserted a 5 cm ... can't find "Hohmann" or "Homan" needle though, but that is what I - hear.
**** • It is Homer needle. - :)
**** • thank you - !

• s/l *holeman* needle
+ sm
** • Surgical Word Book lists a Homer localization needle - Questyr
**** • Oh, I see someone answered on the thread above this one. - Q

• sutured to the _____ pubic tubercle
+ wav
** • changed last sentence: continued suturing _____laterally to the inguinal ligame - left isn't correct
**** • got this one: to the rest laterally, flagging the other - ty

• Preoperative Diagnosis: LEFT RENAL MASS. Procedure: ROBOT ...
+ mp3
** • affiliated - nm
**** • Thanks a lot. - guy

• Capillary refill time was confirmed to bilateral hallux and found to b ...
+ wav

• The proximal nail fold was resected proximally with a skin hook, and t ...
+ wav
** • Proximal? - isgal
**** • Thanks a lot. - guy

• Preoperative Diagnosis: INGROWN NAIL, BILATERAL HALLUX. Proc ...
+ wav
** • Attention was directed to the ... - e h p h c i
**** • Thanks a lot. - guy

• While carrying out decompression at and around the left nerve root of ...
+ mp3
** • nevermind. + guy

• PROCEDURE IN DETAIL: The patient was brought into the operating room ...
+ wav
** • by counting superiorly from *the* - nnm
**** • Thanks a lot. Thanks for the correction. - guy

• INDICATIONS: The patient is a 57-year-old male who presented with bac ...
+ mp3
** • defecate - nnm
**** • Thanks a lot. - guy

• Preoperative Diagnosis: THORACOLUMBAR EPIDURAL TUMOR. Proced ...
+ wav
** • as well as ? - nnm
**** • Thanks a lot. - guy

• Instrument count, needle count, and sponge counts were correct x2. ...
+ wav
** • nevermind. - guy

• Preoperative Diagnosis: LEFT DISTAL FEMUR NONUNION. Procedur ...
+ wav
** • I hear "any organism too deep" ? - isgal
**** • Thanks a lot. + guy
****** • could be. That would probably make more sense. - isgal
******** • Thanks a lot. - guy

• POSTOPERATIVE PLAN: They will come back to clinic in approximately 10 ...
+ wav
** • to reduce swelling and _____?? - poi -sorry
**** • due to swelling and condition allowing? - another wag - poi
**** • condition allowing? - wag-poi
****** • Thanks a lot. - guy

• Preoperative Diagnosis: RIGHT SCAPHOID PROXIMAL POLE NONUNION. ...
+ wav
** • nevermind. + guy

• On med list, doctor dictated "chlorhexidine 5 mL p.o. b.i.d." This is a
+ med question
** • There is an oral rinse chlorhexidine gluconate (see link) I would + Questyr
**** • Thanks. We used to use chlorhexidine gluconate in the hospital to sterilize the rectal + op

• Preoperative Diagnosis: HISTORY OF TOTAL LARYNGECTOMY REQUIRING TRA ...
+ wav
** • aphonia - nm
**** • Thanks a lot. - guy

• This ultimately returned as papillary thyroid cancer, _____ with no ev ...
+ mp3
** • tall cell variant - nm
**** • Thanks a lot. - guy

• s/l incutaneous, Patient had an incutaneous ureterostomy
+ Me
** • end cutaneous? + poi - link

• At that time, he was recommended for a total thyroidectomy in _____ co ...
+ wav
** • his home - nm
**** • Thanks a lot. - guy

• S/L dog frash screw size 2.0 X 16 mm
+ TYIA=)

• Next, once the temporal horn was entered, the tumor was further dissec ...
+ mp3
** • walls of the? - poi
**** • Thanks a lot. - guy

• Next, three epidural tack-up stitches were placed throughout the perip ...
+ wav
** • simple drain? vein? I don't know. I hear both. Sorry. - poi
**** • Thanks a lot. - guy

• Risks including infection, bleeding, stroke, coma, death, hemiparesis, ...
+ mp3
** • speech, ambulation, as well as medical comorbidities such as - poi
**** • Thanks a lot. - guy

• A discussion was had with the patient and his family that _____ serial ...
+ wav
** • the best way to manage this with the possibilities being watching - poi
**** • Thanks a lot. - guy

• This tumor was about 1.2 cm in size _____ a small nodule along the lat ...
+ mp3
** • size. There was? - poi
**** • Thanks a lot. - guy

• In the suprapubic site _________ ______ for later too.
+ mp3 posted
** • was also placed to put a blunt manipulator through. - billybob
** • tried but no luck. sorry. - guy
**** • Thank you both so much! - mp3 posted

• Preoperative Diagnosis: RIGHT TEMPORAL BRAIN TUMOR. Procedur ...
+ wav
** • tenative? - poi
**** • Thanks a lot. - guy

• In the suprapubic site _________ ______ for later too.
+ n a j f g k
** • I forgot to mention that the mp3 is posted. - n a j f g k
**** • ... + c d l b j p

• This is a 7 yo boy with behavioral dysregulation and _____ dysfunction.
- :) wav
** • executive - nnm
**** • thank you - :)

• apostrophe required? "They were clamped with curved Masterson(')s."
- mt



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