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Jun 27 12:36
• Good to see board back! :)
- chell
Sat Jul 4 04:42:08 2009 chell


• s/l DV or deevee
+ tealight
Thu Jul 2 23:47:50 2009 tealight
She underwent a new PET scan on June 19, 2009, which revealed calcifications in the right occipital and upper cerebellar region with no differentially increased uptake on PET scan. Consideration was for a CT/MRI of the brain. However, the patient states that she is unable to have MRIs because of a s/l *deevee* in her facial bone but states that she does not want to undergo a lot of testing at this time.
** • WAG: could it be BB? - nm
Thu Jul 2 23:55:18 2009 nm

** • some type of metal debris maybe? - wild guess though
Thu Jul 2 23:54:36 2009 wild guess though


• ESL. PMH: History of "CINC" status post sleep for pregancy termination in 94.
- Thanks
Thu Jul 2 23:14:03 2009 Thanks

** • maybe "status post LEEP in '04, pregnancy termination in '94? - wild guess
Thu Jul 2 23:56:54 2009 wild guess

** • CIN III (or is it 3) maybe? - still thinking
Thu Jul 2 23:37:59 2009 still thinking

** • wow, you can terminate a pregnancy with sleep? something is not right there either + hmmm
Thu Jul 2 23:36:23 2009 hmmm
thinking, thinking, thinking
**** • I think I hear status post LEEP would that make sense? - OP
Thu Jul 2 23:50:01 2009 OP

****** • I was checking on that but still not sure if it fits the context. + thinking.
Thu Jul 2 23:52:39 2009 thinking.
I don't "think" they do terminate a pregnancy with a LEEP though. Maybe a D&C or something like that.
******** • I am so sorry.. see inside + sm
Thu Jul 2 23:56:39 2009 sm
1. xxx
2. xxx
3. CIN 3 status post LEEP.
4. Pregnancy termination in 94

when he was saying 4 I was getting for pregnancy termination and he was just numbering. So sorry.
********** • He ran it altogether, so I was hearing it as for instead of 4 for the next number. - OP
Thu Jul 2 23:59:05 2009 OP

**** • post sleep, yes you can be put to sleep for pregnancy termination - nm
Thu Jul 2 23:47:50 2009 nm

** • oops pregnancy - nm OP
Thu Jul 2 23:14:19 2009 nm OP


• Pls anyone help me with this ortho note. see message and thank you so very much! The
+ Dx are attached
Thu Jul 2 22:06:53 2009 Dx are attached
Dx are:

1. Urinary frequency.
2. Osteitis pubis.
3. Sacralization of the left L5 lumbar vertebrae.

The patient was seen by Dr. X. At that time, she had a urinalysis done which did show trace s/l lewgastories. She reports having a urine culture sent which grew mixed bacteria but that she was treated with approximately a 10 day course of antibiotics which did not help her urinary symptoms
** • leukocyte esterase - nm
Thu Jul 2 22:08:37 2009 nm

**** • OMG!!! You are right!! Acutally the doc shortened it to leuk esterase but WOW! THANK U - so VERY much!!!!!!!!
Thu Jul 2 22:12:17 2009 so VERY much!!!!!!!!

****** • My pleasure! - nm
Thu Jul 2 22:16:00 2009 nm


• pls help
+ anj
Thu Jul 2 22:01:09 2009 anj
I have also told her when she _s/l "quiets"_ or flares, she should use EpiCeram to maintain her results.
** • quiets after flares? - like when the rash or skin whatever quites down - when the flare - quiets down.
Thu Jul 2 22:03:32 2009 quiets down.


• see msg
+ pls
Thu Jul 2 21:52:06 2009 pls
blood sugar is still uncontrolled. She did not receive her S/L PREPHARYNGEAL Apidra yesterday. We will make sure that she gets it today. She had to be given a sliding scale last night because of persistent hyperglycemia.
** • thank you - rit
Thu Jul 2 22:04:04 2009 rit

** • preprandial(before meals) - nm
Thu Jul 2 21:55:46 2009 nm

** • Pre-Filled (Pen) Apridra - nm
Thu Jul 2 21:55:23 2009 nm

** • preprandial? - nm
Thu Jul 2 21:55:18 2009 nm


• Psychological efforts to ameliorate pain
+ n l d o g n
Thu Jul 2 21:48:23 2009 n l d o g n
may benefit from efforts to assist her in accepting the chronicity of her condition and focus on psychological approaches to her pain including biofeedback, focused relaxation, and S/L*agatted imagery.
** • can you maybe hear "guided" imagery - WAG nm
Thu Jul 2 21:53:05 2009 WAG nm

**** • or coud it be "a guided" imagery - nm
Thu Jul 2 21:53:29 2009 nm


• ESL: s/l mess-uh-lin
+ thanks
Thu Jul 2 21:43:56 2009 thanks
2. Inderal. I would taper off Inderal because it helped him a little bit, but he reported it makes him severely fatigued and depressed, and also I would try to use ___ for the treatment. Start it low at 12.5 mg and then increase to 25 mg at night.
** • What was the patient taking Inderal for? hypertensive med?? - nm
Thu Jul 2 22:03:17 2009 nm

**** • thanks for trying to help; went ahead and flagged - op
Thu Jul 2 22:08:08 2009 op


• pls help
+ mon
Thu Jul 2 21:42:56 2009 mon
I have also told her if she flares it will be okay for her to come in for nurse-only suture Kenalog injection.

need any comma here?
** • future Kenalog injection (IOW schedule a nurse-only visit in the future if she flares) - wag
Thu Jul 2 22:10:29 2009 wag

** • ... - mon-tnx
Thu Jul 2 22:00:41 2009 mon-tnx

** • I would put a comma after flares, it will.... - Just me nm
Thu Jul 2 21:58:09 2009 Just me nm

** • nurse only scheduled Kenalog injection maybe? - nm
Thu Jul 2 21:57:31 2009 nm

** • meaning she only has to see the nurse for the injection not a scheduled dr visit - nm
Thu Jul 2 21:56:34 2009 nm

**** • Oh - never mind. I see. You are explaining the post above yours. - sorry.
Thu Jul 2 22:02:32 2009 sorry.

**** • I understand that, but how does that explain "suture?" - nm
Thu Jul 2 22:01:36 2009 nm

****** • could suture be scheduled - WAG nm
Thu Jul 2 22:04:00 2009 WAG nm

******** • could suture = future? Like if it flares in the future, schedule a nurse-only visit for - Kenalog injection?
Thu Jul 2 22:11:21 2009 Kenalog injection?

******** • or steriod Kenalog injection - another WAG
Thu Jul 2 22:05:34 2009 another WAG

** • comma? What is a nurse-only suture Kenalog injection? - (comma after flares)
Thu Jul 2 21:54:02 2009 (comma after flares)


• pls listen to wav
+ thanks
Thu Jul 2 21:41:51 2009 thanks
He has poor dentition as well, and his facial muscle strength seems symmetric and strong, and he reported the right side of his face has decreased sensation. He does not have ___. Muscle tone: He has normal muscle tone.
** • flagged - op
Thu Jul 2 22:08:23 2009 op


• ESL: hospital s/l out-mode-sprin Florida Hospital
- thanks
Thu Jul 2 21:39:45 2009 thanks

** • flagged - op
Thu Jul 2 22:08:33 2009 op


• plz help
+ ab
Thu Jul 2 21:34:40 2009 ab
The oropharynx noted that there are many microfractures on his teeth, however, they are fairly <____>(s/l desenetic or anatic) with the dentition

• Patient with diverticulitis of sigmoid colon and bladder. Medication help...sm
+ Jax
Thu Jul 2 21:02:20 2009 Jax
PAST MEDICAL HISTORY: Cataracts, osteoarthritis, Barrett esophagitis, gastritis and duodenitis, hiatal hernia, obstructive sleep apnea, morbid obesity, carpal tunnel syndrome, throat cancer in 1996, systemic lupus erythematosus, diagnosed 2000, diabetes mellitus, diagnosed March 2009, extensive diverticulosis.

PAST SURGICAL HISTORY: Colonoscopy and esophagogastroduodenoscopy (EGD) approximately 2 months ago, bladder suspension twice, breast biopsy, carpal tunnel surgery bilaterally, cholecystectomy in 1961, hysterectomy in 1962, bilateral total knee arthoplasties, oral surgery, cancer surgery on the throat with no subsequent radiation or chemotherapy, cataract surgery, rotator cuff shoulder surgery in 2004, right ankle surgery in March 1996 and 1994, lower back surgery with fusion in 1975.

CURRENT MEDICATIONS: Singulair 10 mg p.o. daily, methotrexate 2.5 mg 6 tablets once a week, Xopenex HFA inhaler approximately 3 times per day, more recently, Carafate 2 teaspoons p.o.
** • Of course, the med list didn't show up all the way!!! SM + Jax
Thu Jul 2 21:02:59 2009 Jax
CURRENT MEDICATIONS: Singulair 10 mg p.o. daily, methotrexate 2.5 mg 6 tablets once a week, Xopenex HFA inhaler approximately 3 times per day, more recently, Carafate 2 teaspoons p.o. t.i.d., Hyzaar 25 mg hydrochlorothiazide component, uncertain losartan component 1 daily, s/l "desoprotate" 75 mg 2 tablets p.o. daily, Nexium 40 mg p.o. b.i.d., Synthroid 150 mcg p.o. daily, metformin hydrochloride 500 mg p.o. daily, allopurinol 300 mg p.o. daily, furosemide 40 mg p.o. daily, Macrobid 100 mg p.o. daily, vitamin B12 shot every 3 weeks, Plavix 75 mg p.o. daily, Pulmicort 100 mcg inhaler once daily, outpatient supplements.

**** • as close as I can get it Desipramine (antidepressant) + darlene
Thu Jul 2 21:55:43 2009 darlene
Desipramine Each orange, round, biconvex, sugar-coated tablet, imprinted NORPRAMIN 75 in black, contains: Desipramine HCl 75 mg. Energy: <2.5 kJ (0.6 kcal). ...
www.mentalhealth.com/drug/p30-n03.html
**** • Left blank by QA too. Oh well. - Jax
Thu Jul 2 21:46:37 2009 Jax


• see msg
+ amy
Thu Jul 2 20:47:49 2009 amy
He is currently in a cycle of itching and scratching on his arms and especially on legs. _s/l "It has made secondary"_ infected areas on his legs and appears to be consistent with folliculitis.
** • ... - amy-thanks
Thu Jul 2 21:52:40 2009 amy-thanks

** • see inside for secondary infection. - which is correct
Thu Jul 2 21:10:03 2009 which is correct


• surgery
+ ben
Thu Jul 2 20:24:55 2009 ben
The cleft was then sharply excised through and through.

makes sense?
** • What is your question specifically - looks like they used a through-and-through excision + sm
Thu Jul 2 20:31:37 2009 sm
not sure what the cleft is, but then, you didn't really give enough info. What is the procedure?

But without knowing exactly what cleft is, it makes sense, but again, not sure what you are questioning either.

• We will do a MRI of the brain with "cuts" through the posterior fossa.
- says it clearly
Thu Jul 2 19:59:13 2009 says it clearly

** • Yes. (as in different depths) - Questyr
Thu Jul 2 20:02:35 2009 Questyr

** • yes. look up MRI cuts - also MIR fine cuts. The views are done in "cuts." - cuts is correct.
Thu Jul 2 20:02:31 2009 cuts is correct.

**** • Thanks. I put in my sentence in google but didnt get anything. Maybe too wordy. I will put - MRI cuts. TY again
Thu Jul 2 20:13:22 2009 MRI cuts. TY again


• s/l til-i-gin
+ o o b d k g
Thu Jul 2 19:52:20 2009 o o b d k g
Rare to mild numbers of miniaturized hair. Positive pull test throughout revealing _____ hairs.

** • got it - o o b d k g
Thu Jul 2 19:52:51 2009 o o b d k g


• WAV file posted sm please
+ sm please
Thu Jul 2 19:44:02 2009 sm please
her small bilateral pleural effusions, as well as small upper hepatic ascites, we recommended the patient complete a CT scan of the chest ________________ contrast. She had this done at XXX Radiology.
** • can you hear "with and without" contrast? - nm
Thu Jul 2 20:12:39 2009 nm

**** • not really, but it has been a long day with his junk and I'm tired. - thanks. nm
Thu Jul 2 20:19:54 2009 thanks. nm


• WAV file posted sm please
+ sm please
Thu Jul 2 19:26:12 2009 sm please
these will continued to be followed and liver biopsy was not deemed necessary. Her _____________ is likely related to tamoxifen.
** • transaminitis - nm MiM
Thu Jul 2 19:33:46 2009 nm MiM

**** • Thanks you! - nm
Thu Jul 2 19:39:15 2009 nm


• MP3 help.
+ pls sm.
Thu Jul 2 19:14:20 2009 pls sm.
CT of the abdomen for evaluation of the right upper quadrant pain after cholecystectomy showed tiny _____ in the left kidney anteriorly at the mid to upper pole which suggests an early cyst formation.

Thanks.
** • Can't tell for sure if hypodensity or hyperdensity, but it's one of them I think. + sm
Thu Jul 2 19:32:17 2009 sm
I think both are possible in kidney cyst, depending on type of cyst, so you might have to just flag it.
**** • TY very much. - op
Thu Jul 2 19:36:18 2009 op


• please check message, thanks..
+ clay
Thu Jul 2 19:13:04 2009 clay
After induction of spinal anesthesia, a 21-French scope was passed per urethra and into the bladder. Initially, we had some malfunction with the s/l pleuro-head, so we were unable to take retrograde.
** • wonder if it is fluoro (as in head of the fluoroscope) ?? - Questyr
Thu Jul 2 19:40:21 2009 Questyr


• catheter for mobilization of the *verticle neck* through the procedure
+ sm
Thu Jul 2 18:43:17 2009 sm
Two 1-cm areas were marked in the suprapubic area at the level of the symphysis pubis approximately 1 cm from the midline bilaterally. A Foley catheter was placed to drain the bladder and then a rigid guide was placed within the catheter for mobilization of the _____ through the procedure. This was followed by creation of the 1.5 cm midline vaginal incision over the level of the midurethra.
** • ?vesical neck? see link - Questyr
Thu Jul 2 18:48:57 2009 Questyr

**** • thanks - nm
Thu Jul 2 19:54:32 2009 nm


• referred here for further assessment of the* fibe bean* common bile
+ sm
Thu Jul 2 18:33:23 2009 sm
She is known to have gallstones and because of the severity of the pain, a sonogram was accomplished to try to identify cholelithiasis already known and possible common bile duct dilatation. The patient is referred here for further assessment of the _____ common bile duct dilatation. In addition, the patient does have a chronic microcytic anemia which has been evident since 2007 and back in 2008 the patient had hemoglobin 11.2 with hyperchromic microcytic indices.
** • 5 millimeter ?? - Questyr
Thu Jul 2 18:49:26 2009 Questyr


• Numerous gallstones along the "s/l dee-pen-dent" margin of the ...
+ j p c o a m
Thu Jul 2 18:19:03 2009 j p c o a m
Numerous gallstones along the "s/l dee-pen-dent" margin of the gallbladder. Please help. Thank you.
** • dependent margin??? - jerseygal
Thu Jul 2 18:26:51 2009 jerseygal


• dx carotid artery stenosis... a s/l Jovitz shunt clamp was placed across the common
+ help pls
Thu Jul 2 17:58:11 2009 help pls
carotid artery
** • There is a Javid carotid clamp in Stedman's Equip - Questyr
Thu Jul 2 18:14:13 2009 Questyr


• flareup? flare up?
+ bel
Thu Jul 2 17:56:38 2009 bel
May have nurse-only urgent appointment p.r.n. flareup that needs TAC.
** • flare-up is the noun at 21 dictionaries at onelook. Only 5 dictionaries + just saying
Thu Jul 2 19:09:47 2009 just saying
have flareup as 1 word, and at least 3 of those dictionaries are iffy as far as reliability. I would imagine flare-up would also be the adjective form also.
**** • This has been discussed many times in archives. There are some + Questyr
Thu Jul 2 19:51:43 2009 Questyr
who follow AAMT guidelines who promote less use of hyphens for words such as followup, followthrough, checkup, workup, etc...(under their reference heading "compound words." And despite that, even, as you say, some of the dictionaries are now trending that way...for instance I note American Heritage Dictionary spells the noun and adjective both with and without the hyphen. And yes, you are correct, if you (or your client) chooses to use the hyphen, you are constructing either the noun OR the adjective. The verb, follow up, has no hyphen.
****** • Actually, AAMT BOS says to check English dictionaries and/or medical dictionaries + by the way
Thu Jul 2 22:47:33 2009 by the way
And if you check English dictionaries, flare-up is the overriding winner as the noun. Again, flareup as 1 word is not in many dictionaries like followup and checkup are.

But like AAMT BOS says, trends change, so it will probably actually be the favored term one day soon. But not as of today.

I don't reckon any patient is going to die no matter which term you use, lol.
****** • I do note that as far back as 1991 followup is in The Surgical Word Book by Tessier as + Questyr
Thu Jul 2 20:01:20 2009 Questyr
as well as the hyphenated.
******** • Hopefully you just said the magic word. Tessier. - that should do it.
Thu Jul 2 20:03:34 2009 that should do it.

** • flareup is used for the noun and the adjective..flare up when a verb..In + Questy
Thu Jul 2 18:16:23 2009 Questy
your sentence it is a noun, so flareup. For those who still use the hyphen, flare-up is the noun and adjective and the verb is still flare up.
** • I'd type as flareup because of where it falls in the sentence. - nm
Thu Jul 2 18:05:03 2009 nm

**** • Or rather the way it is used in this sentence. Can't think of when I'd + sm
Thu Jul 2 18:06:17 2009 sm
use the hyphen (but not saying you never do). Otherwise, two words as in: Her arthritis will flare up when the weather changes.
** • flare-up seems to be the most common form. nm + anon
Thu Jul 2 18:02:51 2009 anon
s
**** • Not where I come from. Not that it is wrong though. - nm
Thu Jul 2 18:55:49 2009 nm


• Death summary - "pupils were 6 and 6 with s/l Dix." nm
+ cs
Thu Jul 2 17:56:30 2009 cs
.
** • Never mind. Duh. 6 and 6 and FIXED. nms - cs
Thu Jul 2 18:09:22 2009 cs


• s/l nab
+ jessica
Thu Jul 2 17:38:40 2009 jessica
Her composite on the "nab" in the area of the executive functioning, evidence of impairment with word generation, organization, planning, visual scanning, and abstract thinking.
** • Got it! NAB is neuropsychological assessment battery. ... + jessica
Thu Jul 2 17:43:59 2009 jessica
Got it! NAB is neuropsychological assessment battery.

• s/l manual
+ jlh
Thu Jul 2 17:19:00 2009 jlh
She attended a _______ college and received her bachelor's degree in arts and psychology and did her graduate work in Sweden.

Any ideas?
** • There is a college called Emmanuel College ...check google - Questyr
Thu Jul 2 17:22:19 2009 Questyr

**** • thanks ... + f c c n i b
Thu Jul 2 17:38:49 2009 f c c n i b
thanks

• keloid
+ dan
Thu Jul 2 17:11:16 2009 dan
I want to recheck these in 2 months because she does keloid _____ from right axilla from excisions a few years ago.

s/l healer?
** • could it be possible? ..." she does keloid when she healed ... + dan
Thu Jul 2 17:47:12 2009 dan
could it be possible?

..." she does keloid when she healed from ..."
** • I'm not sure how this fits the structure of your sentence, but a keloid healer is + sm
Thu Jul 2 17:14:34 2009 sm
whose scars heal in a keloid fashion - but it doesn't fit into the structure of the sentence. Even if you said "she is a keloid healer (does is kinda weird there), from the right axilla from excisions a few years ago throws it out of whack.

• s/l priatex mesh
+ rose
Thu Jul 2 17:03:00 2009 rose
We then placed a ??? mesh measuring 20 x 15 cm intra-abdominally. A 2-0 PDS suture was tied through each corner of the ??? mesh. We left the ends of the suture material long so that it can be pulled through the fascia.
** • Interesting - when I put in your s/l in google, it redirected to a post from here + sm
Thu Jul 2 17:05:37 2009 sm
also, not that intra-abdominally is wrong, but you can do away with the hyphen (intraabdominally) - I haven't seen it hyphenated in years, but some still prefer it.

• I am seeing both BRCA and BRACA test. Which is preferred?
- Gh
Thu Jul 2 16:49:57 2009 Gh

** • BRCA - see link inside - just helpin'
Thu Jul 2 16:51:21 2009 just helpin'

**** • Thanks. Labtestsonline listed it both ways. Like your site better though!! :0) - Gh
Thu Jul 2 16:52:44 2009 Gh


• s/l atalite (add-a-light)
+ Please sm
Thu Jul 2 16:44:45 2009 Please sm
Burn unit has been recommended. "Atalite" for dry areas of burns and grafts being applied and donor site is open to air.

I found on a previous report it spelled "etalite" but I'm not finding that either.

• comma
+ abij
Thu Jul 2 16:41:29 2009 abij
2. F/U hidradenitis with recurrent fibrosis. TAC-10 IL to 1. Overall, doing well.

need a comma after "Overall"?
** • Yes. that's grammatically correct. - f p b i n p
Thu Jul 2 19:11:50 2009 f p b i n p

** • tnx - abij
Thu Jul 2 16:57:35 2009 abij

** • I personally prefer with. Not sure it really matters. - nm
Thu Jul 2 16:47:33 2009 nm


• med s/l "Collision" 10 mg 1 p.o. daily...(she's talking fast)
+ hootie
Thu Jul 2 16:38:21 2009 hootie
PAST MEDICAL HISTORY:
1. Coronary artery disease, status post PTCA with 2 stents in the LAD in 1995.
2. History of CVA in 1999.
3. Chronic daily headaches as a result of #2.
4. Hypertension.
5. Hypercholesterolemia.
6. Hypothyroidism.
7. GERD and hiatal hernia.
8. B12 deficiency.
9. Osteoarthritis.
10. Remote history of syncope.
11. Adenocarcinoma of the lung.
12. Adenocarcinoma of the uterus.
13. Dementia.
14. Diverticulosis.
15. Allergic rhinitis.
16. Anxiety.

PAST SURGICAL HISTORY:
1. Right upper lobe resection for adenocarcinoma of the lung in 1988.
2. Total abdominal hysterectomy with BSO, approximately age 50.
3. Lap chole.
4. PTCA with stent placement in 1995 - 2 stents in the LAD, 1 proximal to the first diagonal branch, 1 distal to the first diagonal branch.
5. Colonoscopy in 2004, which showed diverticulosis.

MEDICATIONS:
1. Lotensin
** • it was Claritin...never mind - hootie
Thu Jul 2 16:46:26 2009 hootie


• A 16yo morbidly obese male with a hx of s/l blounce on the left side.
- mt
Thu Jul 2 16:16:26 2009 mt

** • Listen further and see if there is more context to give U or us a clue, OK - f p b i n p
Thu Jul 2 16:19:44 2009 f p b i n p

**** • yes thanks, just finally said it again. He has Blount's disease - sorry should've waited - mt
Thu Jul 2 16:22:16 2009 mt


• cystoscopy
+ sm
Thu Jul 2 15:45:29 2009 sm
the patient with local anesthetic 2% lidocaine, 20 cc. He was then put in the supine position, and then the catheter was inserted through the urethra. s/l The warming was started. The procedure took about 45 minutes, s/l then the pooling 5 minutes.
** • I think "pooling" is really "cooling"....especially considering the "warming" ..Are + Questyr
Thu Jul 2 16:05:40 2009 Questyr
they doing some hydrothermal type treatment?
**** • a TUMP - ty
Thu Jul 2 16:11:01 2009 ty

****** • so not hydro, but microwave that is being warmed ..so it still makes sense. Thanks + Questyr
Thu Jul 2 17:07:17 2009 Questyr
for the further input.

• close s/l "fil-ted" tube system..pls SM
+ a p l k k g
Thu Jul 2 15:44:14 2009 a p l k k g
Once that pocket was irrigated with antibiotic irrigation, an 180-mL implant was inserted, reference #68-180, serial #14200179, and instilled with 180 mL of sterile saline in a close s/l "fil-ted" tube system (breast augmentation).
** • Should read: "a 180 mL implant was"--perhaps closed filter tube system? - ??
Thu Jul 2 15:57:07 2009 ??


• Please help me w/ this operative note (ortho) is it tendoAchilles or tendo Achilles?
+ recession?
Thu Jul 2 15:29:51 2009 recession?
ALSO = IS RECESSION CORRECT HERE? I AM SURE THAT IT IS NOT RESECTION.


The patient has Charcot-Marie-Tooth disease and bilateral cavovarus foot deformities.


</PROCEDURE PERFORMED/>

1. Right s/l (tendoAchilles/tendo Achilles) recession.
2. Left opening wedge plantar base osteotomy medial cuneiform.

** • N/M = tendo Achillis in onelook so i am gonna go with that. - i k g i c k
Thu Jul 2 15:34:40 2009 i k g i c k

** • tendo Achillis. - billybob
Thu Jul 2 15:33:37 2009 billybob

**** • thanks for the confirmation BB!!!!! You are a lifesaver! - i k g i c k
Thu Jul 2 15:35:00 2009 i k g i c k


• need help with this plan, please.
+ sm
Thu Jul 2 15:21:32 2009 sm
Update blood testing for s/l P tier T pier today. Schedule s/l P at K's, consider spiral C. T pier scan.
** • Is the patient on medications that would warrant a peak and trough? - wag
Thu Jul 2 16:38:40 2009 wag

** • blood testing for PT today. Schedule PK's, consider spiral CT scan. - '
Thu Jul 2 16:01:21 2009 '

**** • What are PKs (no appostrophe with double letters)? - can't find it.
Thu Jul 2 17:12:32 2009 can't find it.

**** • I have a lot to learn. You're correct - ty
Thu Jul 2 16:05:27 2009 ty

** • what is patient's problem(s)..perhaps more context might help - Questyr
Thu Jul 2 15:51:58 2009 Questyr

**** • hypothyrodism, anemia. - tt
Thu Jul 2 15:55:34 2009 tt

** • guessing pier = period??? - billybob
Thu Jul 2 15:26:44 2009 billybob

**** • thanks for trying. - ty
Thu Jul 2 15:45:54 2009 ty


• s/l conslept or conswept
+ tealight
Thu Jul 2 15:13:11 2009 tealight
IMPRESSION:
1. Asthma, well controlled, with no recent symptoms.
2. Neurocardiogenic syncope that at least so far on the short time she has been on the beta blocker is doing well. This is a cardiac selective beta blocker, and although pharmacologically it is somewhat a s/l *conslept* with the long acting beta-agonist and the Serevent, she has done well with both of her problems at least in the short-term.

** • conflict? - a c d a c a
Thu Jul 2 16:19:03 2009 a c d a c a


• "line" dressing up..pls SM
+ a p l k k g
Thu Jul 2 15:02:13 2009 a p l k k g
She is status post repair of umbilical hernia. Unfortunately, she had a great deal of redundant skin requiring some resection and has opened her wound postoperatively. The family has been asked to bathe her twice a day in soap and water and keep her "line" dressing up.
** • perhaps meaning the "drain" line to the wound...if they left a + Questyr
Thu Jul 2 15:48:03 2009 Questyr
drain in place after surgery...and they want them to bathe the patient but continue maintenance of the dressing over the exit site of the drain line....??

• When writing a letter if doctor says, Miss xxxx is on the following medication
+ regimen SM
Thu Jul 2 15:01:01 2009 regimen SM
Would you number them, such as
Miss XXX is on the following medication regimen:
1.
2.

Just wondering about format on this paragraph.
Thanks so much
** • Personally use numbered list format for medications in + Questry
Thu Jul 2 15:50:18 2009 Questry
letters (particularly when dosages are given) to make it easier to read. If he is just listing the medicines without giving dosage details, I would think either method okay....This is all assuming client has no preference.
**** • Thanks. He does list doses so I am going with numbering .Thanks again. - nm OP
Thu Jul 2 15:57:34 2009 nm OP


• blood tests
+ sm
Thu Jul 2 14:53:52 2009 sm
Blood tests were done including thyroid test and s/l tecko ECHO including x-ray.

assessment is chronic A-fib, Hypothyroidism and anemia
** • new doc. just spelling echo. - ugghh
Thu Jul 2 15:03:11 2009 ugghh


• can't tell if saying Dyazide or thiazide 37.5/25 mg 1 daily.
- nm
Thu Jul 2 14:50:16 2009 nm

** • Of note, I can't find where the FDA lists thiazide as a drug + for next time
Thu Jul 2 15:17:51 2009 for next time
I know it is a group/family of drugs, but I can't find it as a drug by itself. Lots of drugs end in "thiazide" though. That might be a clue too.
** • I can't either with no context, but since I can't find thiazide but find Dyazide in that - dose...
Thu Jul 2 14:55:12 2009 dose...

**** • Just listing in medications, is why I didn't give context. - nm
Thu Jul 2 15:02:46 2009 nm

****** • I was just wondering if the dose was a factor. Was having trouble on google with it. - nm
Thu Jul 2 15:03:12 2009 nm

** • see link (37.5/25 in archives) - billybob
Thu Jul 2 14:54:24 2009 billybob

**** • Thanks so much. I am glad I asked because the sound was more Th than Dy but I didn't - think it was correct
Thu Jul 2 15:02:15 2009 think it was correct

** • Based on dose it is Dyazide, but you can to FDA brands above and check + f e i m p m
Thu Jul 2 14:53:57 2009 f e i m p m
dosing like I did.

• s/l *mirrored*.... Does this seem right? Thanks
+ i n d h e c
Thu Jul 2 14:30:51 2009 i n d h e c
He had a cardiac catheterization done, which showed hyperdynamic left ventricular function with s/l *mirrored* cavity obliteration of the apex
** • figured it out.. Near.. Thanks anyway - i n d h e c
Thu Jul 2 14:43:36 2009 i n d h e c


• Slow down there, big shooter. (Please see msg.)
+ Sam
Thu Jul 2 14:29:08 2009 Sam
Treatment is consisting of progressive range of motion, both active, active-assistive and passive, within the patient’s pain tolerance, "glenohumerus cap oh thoracic" mobilization, low intensity strengthening of the rotator cuff ....

• derm
+ sm
Thu Jul 2 14:26:01 2009 sm
I recommend Clenia wash once a day for the s/l fortulitus post inflammatory changes.
** • folliculitis for second s/l?? - i e g l e n
Thu Jul 2 14:31:25 2009 i e g l e n

**** • thank you, I'm sure that is it - much appreciated
Thu Jul 2 14:36:58 2009 much appreciated


• Under surgeries, placement of s/l Maxi-Port for dialysis and removal of Maxi-Port
+ b f o e b h
Thu Jul 2 14:18:01 2009 b f o e b h
I've searched Max-e-Port, Maxi-Port, Maxi Port, Maxiport, nothing related to dialysis. He's very clear. Can't imagine misreading maxi for medi, but anything is possible.
** • I know you said he is clear, but ? if could be MediPort + f e i m p m
Thu Jul 2 14:57:36 2009 f e i m p m


• do I need a comma after metatarsal here? thanks!
+ i k g i c k
Thu Jul 2 14:11:54 2009 i k g i c k
There are some exostoses over the first ray particularly at the metatarsal tarsal articulation
** • Dorland's lists it as tarsometatarsal ...see link...if edit is not + Questyr
Thu Jul 2 14:26:15 2009 Questyr
desired would either do metatarsotarsal or metatarsal-tarsal....but, in any event, no comma after metatarsal.

• what do you say to this?
+ tealight
Thu Jul 2 14:11:34 2009 tealight
Doc says: She does develop shortness of breath with exercise and says she is totally exhausted carrying her 26-year-old baby upstairs.
** • 26 month old baby ? - .
Thu Jul 2 19:12:24 2009 .

** • suspect it's 26-pound baby. - billybob
Thu Jul 2 14:45:25 2009 billybob




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