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Apr 26 00:36
• This incision was deepened through the subcutaneous tissues and fascia ...
+ mp3
** • nevermind. - guy

• We initially attempted to perform a diagnostic laparoscopy in order to ...
+ wav
** • nevermind. - guy

• The cervical cone biopsy was then resected and sent for permanent path ...
+ wav
** • nevermind. - guy

• Medication that s/l Try-sept
+ h d f m i l
** • I will use Aricept. Perhaps that's it. Thanks - h d f m i l
**** • If I were guessing, I'd go withTrusopt (for glaucoma) instead of Aricept. - nm
****** • and if it was me, I'd never guess on a medication. I'd flag it and send it on but never - guess. ever.

• Efforts to pass right internal mammary artery to transverse sinus to r ...
+ wav
** • the _______ was not long enough. - poi
**** • mammary pedicle? - nm
****** • Thanks a lot everybody - guy

• Two segments of saphenous vein graft endoscopically harvested from the ...
+ mp3
** • conduits? - nm
**** • Thanks a lot. - guy
** • can't get this one - poi
**** • Thanks for the effort. - guy

• disease with critical obstructions and a large left anterior descendin ...
+ wav
** • culprit vessel - poi
**** • Thanks a lot. - guy

• multiple endometriotic spots behind the right ovary, _____.
- wav :)
** • micro pertubation? - poi
**** • macro - could be

• MUSCULOSKELETAL: Charcot deformity on the right lower extremity, _____ foot sm
+ wav :)
** • ? rocker-bottom foot - mt
** • rocker bottom - what I hear
**** • thanks guys. - :)

• to try to facilitate a small-as-possible radiation field - hyphenated?
- ??
** • looks fine IMHO - mt

• 2+ follicles in each eye consistent with a ______ s/l "bromonine allergy".
+ any ideas?
** • got it = brimonidine - never mind

• She has been on vancomycin since January 2015 or 2016?
- :) wav
** • S/L 15 to me.?? - k p e c i h
**** • thanks that is what I heard too but VR put 16 so wanted confirmation. - :)

• She has no issues around __ a washing her hands but she does like a routine.
+ WAV
** • germs or washing - taco
**** • thank you taco! - gg

• preoperative workup showed a **hansy** nodule on the contralateral
+ sm
** • hazy? - poi
** • enhancing? - nm

• appeared to be an **elsewhere** failure, located
+ sm
** • it's ok + SM
**** • ok - thanks

• Why can't I hear the wav files or the MP3 or 4 files?
+ SM
** • check internet options, advanced tab, and look for playing sounds...make sure that is + poi
**** • Thanks. I can hear sounds, no problem. I have windows 10 and it's new to me. + op

• fecal debris with **seeds **
+ ?
** • fecal debris with seeds. Must have eaten something that had seeds in it? I'd go with it - its not uncommon
** • I don't see anything wrong with "seeds" being in the fecal debris. - taco
** • not sure - flagging

• GU procedure on male patient
+ RMT
** • Sounds good to me.. male dilators as opposed to female dilators. - k p e c i h
**** • Thanks, kpecih!~nm - RMT

• uterus was congested _____ 6- to 8-week size.
+ mp3
** • flagged - -

• med s/l argobantin
+ ?
** • i found argatroban ?? - k p e c i h
**** • Oh duh... just noticed you posted that! I think today is Monday again. - k p e c i h
****** • heck, just nevermind. I think it is argatroban pronounced wrong. - k p e c i h
** • could the "bantin" part of the s/l = vitamin? (see google hits link) + Questyr
**** • will try that - ty

• A few questions...
+ mp4
** • ???removed from the??? - Questyr
**** • This is for #3 blank - Q
** • 2. Allis was entered into the cervix. (??) Maybe someone else can get this. I am so + k p e c i h

• yielding clear ______ urine
+ mp3
** • Sorry, got this. catheterized yielding clear yellow/amber urine. - nm

• anterior and posterior _____ surface.
+ wav
** • again, same word as above. Just can't get it! I hate it when that happens. - k p e c i h
**** • I think somewhere in there is "lateral ?something? surfaces" - Questyr

• The wound was then thoroughly irrigated using bacitracin and saline. ...
+ mp3
** • Thanks a lot. - guy
** • tunneled - k p e c i h

• The wound was thoroughly irrigated. Hemostasis was obtained using a c ...
+ mp3
** • on which we were working and just let it sit - k p e c i h
**** • Thanks a lot. - guy

• A CT angiogram was performed which showed a left-sided PComA and anter ...
+ wav
** • 1. mid and one segment 2. likely than the _____ to rupture. - k p e c i h
**** • Thanks a lot. - guy

• Attempts were made to restore implant #18 but secondary to pain and di ...
+ mp3
** • nevermind. - guy

• Gentle hydrodissection was performed using BSS to ensure free rotation ...
+ wav
** • agree with bowled out. - nm
** • bowled? - k p e c i h
**** • Thanks a lot everybody - guy

• The K-wire was subsequently bent and tamped in to make it flush with t ...
+ wav
** • recorded - poi
**** • Thanks a lot. - guy

• Preoperative Diagnosis: DENTAL CARIES. Procedure: RESTORA ...
+ wav
** • had interrupted SIDS at six months old, was resuscitated, - maybe?
**** • thanks a lot. - guy

• Preoperative Diagnosis: LEFT KNEE DEGENERATIVE JOINT DISEASE. ...
+ wav
** • deep dish. - billybob
**** • Thanks a lot. - guy

• Mastopexy: ...to make a full-thickness ____on the inferior aspect of ______
+ mp4 posted
** • I think I hear.....incision on the inferior aspect of this ring. - mp4 posted
**** • ... + j g o j h m
**** • Only old mp4 is there. - Questyr

• episiotomy for s/l control held delivery sm pl
+ mt
** • I would think "controlled head delivery" (see google hits link) + Questyr

• mastopexy procedure
+ mp3 posted
** • The dermis? - poi
**** • That's totally it! Thank you so much! - mp3 posted

• Axillary roll placed in the left axilla. Beanbag was used to ___ position.
- wav :)
** • I don't hear a wav? - k p e c i h

• non-medical word, s/l "shorten/shorn" but does not make sense
+ mt
** • Yes "shorten" ...see google book hit that describes the maneuver + Questyr
** • not sure, but keep verb tense the same. Pylorus WAS visualized. but we WERE unable to... + SM
** • flagged - mt

• Cholecystectomy in 2009, ___ debridement.
- wav :)
** • sent in - :)

• Pain lasting ____ seconds to 5 minutes.
- wav :)
** • Pain lasts anywhere from 30 seconds to 5 minutes. - taco
**** • Thanks taco - :)

• Are you familiar with cruises?
+ sm please
** • Think he is saying inland passage - thank you. + OP

• The pronator quadratus was covered over the plate and closed to the be ...
+ wav
** • PQ (pronator quadratus) - isgal

• S/L "Portal"
+ TYIA=)
** • could it be "border"? - nm
**** • by jove, I think you've got - it!
** • I can't find anything for portal either. But, 4-0 nylon isn't capitalized. - k p e c i h
** • I tried, but had no luck confirming your s/l of "portal" - Questyr

• EXCISION OF POSTERIOR NECK MASS, 9 CM, MULTILAYERED CLOSURE
+ mp3 posted
** • ...and sized the lipoma at approximately 9 cm. - nm
**** • Thanks for the answer. The incision and size of the lipoma were + mp3 posted

• need your opinion
+ may
** • Depends on what the doctor dictated. If he said operated, I'd give it to him. - k p e c i h

• Craniotomy - bone graft - s/l* Lyle plant*
- pls help
** • top right has a link saying "rules" - SM + help us to help you.

• A toast Will Sandberg our beloved friend and webmaster of thegreatdictator.com
+ to webmaster
** • looks like somebody's being sarcastic! - billybob
**** • belated April Fool's joke? Sure fooled me. I guess it's possibly + vlad
**** • Tell me the same person wrote all those posts, right? - I swear
** • what? did billybob die? what is this about? - nm
** • thank you so much Will Sandberg for this site.......... - lisa
** • thank you........ - alfred
** • ya ......thanks ...so much for this site........... - asheeth

• Also, in terms of the upper eyelids, possibility of corneal abrasion, ...
+ mp3
** • retroorbital - what I hear
**** • Thanks a lot. - guy

• now complains of excess skin in the neck and face areas as well as exc ...
+ wav
** • Muslim - k p e c i h
**** • Thanks a lot. - guy

• Preoperative Diagnosis: ______ CHRONIC RHINOSINUSITIS. Proce ...
+ wav
** • aspirin-exacerbated respiratory diseases (AERDs)? - billybob
**** • Thanks a lot. - guy
** • mp3. not wav. sorry. - guy

• The agger nasi was opened up with a Kerrison and the axilla of the mid ...
+ wav
** • nevermind. - guy

• **almond butter appearing** fungal elements? does it make sense?
+ guy
** • While it is not a common description (at least not for me) one + Questyr

• Preoperative Diagnosis: RIGHT DISTAL HUMERUS FRACTURE, ATROPHIC NON ...
+ wav
** • stumbled around splint? - poi
**** • Thanks a lot. - guy

• The reduction of the articular surface was then visualized under image ...
+ wav
** • image intensification - nm
** • humeral... - billybob
**** • Thanks a lot everybody - guy

• Patient receiving s/l ribreca for her malignancy (ovarian cancer)
- OldMT
** • Rubraca - nm

• Extensive scar about the fracture site was identified and _____ as nec ...
+ wav
** • removed? - guess
**** • Thanks a lot. - guy

• Breast augmentation. Nipple s/l bars were removed bilaterally.
- :)
** • She had piercings. - :)

• Anal fissure and _____ , and some mild internal hemorroidal disease.
- wav :)
** • Got it. Sentinel skin pile. - :)

• How would you type "a one six K-wire" (fracture fixation)?
- CO MT
** • Finding 1.6 mm K-wire, I'm guessing that's it - CO MT
**** • I have a dictator that says it that way and it is 1.6. - :)
****** • Thanks! Don't know why they have to be so squirrelly, I've heard six two before and it's + CO MT

• Medications include ___ nasal sprays. s/l omezay (elderly pt w/ asthma)
+ 2p1
** • update: sent it off and QA had to send it to the doc to review. - 2p1
** • sorry - haven't yet figured out how to load sound files. - 2p1

• Continue treatment with ______ 30 mg twice daily. I hear pantoprazole but it does sm
+ :) wav
** • lansoprazole - nm
**** • thank you. This was making me crazy. - :)

• This was ___ through endoscopic means and he
+ WAV
** • arrested? - poi
**** • i think i hear that now. Thank you both for your help! - ft
** • elicited? - mt

• looking for type of suture (location) in partial nephrectomy sm pls
+ mt
** • think it might be myorrhaphy - mt

• ASSISTANT: Carlos ___.
+ WAV
** • anyone Carlos Cabalag? - ??

• The patient, at times, can ______ slowly in her infrequent subtle resting and sm
+ wav :)
** • move a bit slowly and has infrequent faint cogweel... - taco
**** • "and has" (not "in his/her") - t
****** • Thanks for catching that!! - :)

• Pulse of 88, respirations 20, blood pressure 139/_____ O2 saturations 97% on room air
- wav :)
** • Old wav still there - poi
**** • Yep sent it in. Posting a new one now. LOL - :)

• having had a _____ appendectomy
+ wav
** • past appendectomy - :)



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