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May 12 17:11
• On the right side, we exposed the implant. We incised the capsule. I ...
+ mp3
Fri Jul 1 23:35:28 2016 mp3
On the right side, we exposed the implant. We incised the capsule. It was in the subglandular plane. We removed the implant. It was <____> 325 cc saline implant which appeared <____> 350 cc. We then closed the rent in the capsule on the right side.
** • ____ displace over?? (could not verify and no more time to research, + poi
Fri Jul 1 23:44:21 2016 poi
but what I hear)
** • 1. an intact - poi
Fri Jul 1 23:39:03 2016 poi

**** • Thanks a lot - guy
Fri Jul 1 23:46:34 2016 guy


• Due to this finding, intraoperatively we felt it was completely unacce ...
+ wav
Fri Jul 1 23:27:15 2016 wav
Due to this finding, intraoperatively we felt it was completely unacceptable to leave the patient with this redundant skin and her husband was contacted. We discussed periareolar mastopexy to the patient given the strong and clinical indications on table. The patients husband consented to have a <____> mastopexy performed for the patient as required and also expressed a desire to have implant size that would best accommodate the skin envelope.
** • _____around the nipple mastopexy - poi
Fri Jul 1 23:34:44 2016 poi

**** • Thanks a lot - guy
Fri Jul 1 23:37:49 2016 guy

**** • sounds like *PA* but I can't verify that - poi
Fri Jul 1 23:37:43 2016 poi

****** • yeah. will flag it. Thanks for the effort. - guy
Fri Jul 1 23:41:17 2016 guy

******** • I just read the complete...he is saying PA for periareolar - poi
Fri Jul 1 23:45:41 2016 poi

********** • I would type that PA/around the nipple (since periareolar and around the + p n l k g f
Fri Jul 1 23:49:43 2016 p n l k g f
nipple would be the same thing)
********** • Thanks a lot - guy
Fri Jul 1 23:46:24 2016 guy


• He has what appeared to be abrasions, but no frank cellulitis. It appears to be sm
+ wav :)
Fri Jul 1 22:25:38 2016 wav :)
just __________ at the joints of the toes
** • burnishment? - poi
Fri Jul 1 22:32:48 2016 poi

**** • I think that is what he is saying poi. Thanks. - :)
Fri Jul 1 22:36:09 2016 :)


• We noted injury to both the articular cartilage of the tibial plafond ...
+ wav
Fri Jul 1 22:09:58 2016 wav
We noted injury to both the articular cartilage of the tibial plafond as well as the talus. Controlling the proximal and distal fragments with <____> clamps, we brought the ends in apposition and reduced the fracture, holding it with pointed reduction clamps.
** • serrated? - poi
Fri Jul 1 22:10:37 2016 poi

**** • Thanks a lot - guy
Fri Jul 1 22:14:42 2016 guy


• Doc is stating meds and allergies reviewed in s/L PLATO
+ Newbie
Fri Jul 1 21:47:16 2016 Newbie
I am assuming this is a type of electronic medical record. Anyone heard of this? Thanks in advance
** • found this: (link) + poi
Fri Jul 1 21:53:52 2016 poi
PLATO's software solutions are focused on the integration of existing systems (document management, records management, action management, audit management, etc.) in a solution-based platform in a strategic market for PLATO.
**** • Thank you very much! ... + p e e e l f
Fri Jul 1 22:02:52 2016 p e e e l f
Thank you very much!

• Omental adhesions were taken down sharply from the gallbladder. At th ...
+ wav
Fri Jul 1 21:05:27 2016 wav
Omental adhesions were taken down sharply from the gallbladder. At this point, the peritoneum and the infundibulum was incised and <____> medially and laterally. Suction and blunt dissection was used to
** • unzipped? - poi
Fri Jul 1 21:24:39 2016 poi

**** • that's what I hear too - unzipped *up* - actually. - taco
Fri Jul 1 21:26:36 2016 taco

****** • Thanks a lot everybody - guy
Fri Jul 1 21:29:48 2016 guy

** • mp3, not wav. sorry - guy
Fri Jul 1 21:06:08 2016 guy


• sm for more diagnoses
+ :) wav
Fri Jul 1 20:19:44 2016 :) wav
5. CHF.
6. Type 2 diabetes.
7. __________ pacemaker placement
8. Duodenal ulcer.

** • comes for pacemaker placement today? - wag-poi
Fri Jul 1 21:22:22 2016 wag-poi

** • sorry..I tried - poi
Fri Jul 1 20:25:17 2016 poi

**** • Thanks for trying. - :)
Fri Jul 1 20:27:06 2016 :)


• Migraine headaches
+ ESL
Fri Jul 1 20:15:46 2016 ESL
Identify and avoid headache "regrints" such as chocolate. Avoid dehydration.


** • triggers - poi
Fri Jul 1 20:21:52 2016 poi

**** • Sounds like... + b o h b c p
Fri Jul 1 21:36:29 2016 b o h b c p
...ingredients as well, but I do commonly hear "triggers."

• sm for list of diagnoses.
+ :) wav
Fri Jul 1 20:14:34 2016 :) wav
PAST MEDICAL HISTORY AND PAST SURGICAL HISTORY:
1. CKD, stage 3.
2. __________ fibrillation.
3. COPD.
4. Hypertension.

** • rapid atrial fibrillation - poi
Fri Jul 1 20:16:57 2016 poi

**** • Thanks poi. - :)
Fri Jul 1 20:18:30 2016 :)


• A subperiosteal dissection was made with periosteal elevator and Seldi ...
+ mp3
Fri Jul 1 20:03:35 2016 mp3
A subperiosteal dissection was made with periosteal elevator and Seldin retractors. The <____> visualized and the gingiva overlying tooth #32 was dissected. Using a straight fissure bur and a Stryker core, a small trough was made on the buccal and distal
** • the crown of tooth #32 was - poi
Fri Jul 1 20:04:41 2016 poi

**** • Thanks a lot - guy
Fri Jul 1 20:09:09 2016 guy


• The patient was then placed into maxillomandibular fixation using the ...
+ wav
Fri Jul 1 19:55:32 2016 wav
The patient was then placed into maxillomandibular fixation using the MMF screws previously placed and 24-gauge wire. The patient noted to be fully dentate and maxillomandibular midline was <____> with each other with the facial midline.
** • coincident - nm
Fri Jul 1 19:58:57 2016 nm

**** • Thanks a lot - guy
Fri Jul 1 20:02:31 2016 guy


• As the patient was 16 years old, his mother was used for consent. Ris ...
+ mp3
Fri Jul 1 19:36:14 2016 mp3
As the patient was 16 years old, his mother was used for consent. Risks and benefits were explained to the mother and the patient <____> to the procedure.
** • and they consented willingly - poi
Fri Jul 1 19:41:08 2016 poi

**** • Thanks a lot - guy
Fri Jul 1 19:42:00 2016 guy


• CT scan was performed of his face which showed a minimally displaced l ...
+ wav
Fri Jul 1 19:32:53 2016 wav
CT scan was performed of his face which showed a minimally displaced left mandibular parasymphysis fracture <____> right mandibular angle fracture involving tooth #32. As the patient was 16 years old, his mother was used for consent. Risks
** • and a minimally displaced - poi
Fri Jul 1 19:34:38 2016 poi

**** • Thanks a lot - guy
Fri Jul 1 19:36:23 2016 guy


• This is a 16-year-old male in the department of corrections custody, ...
+ mp3
Fri Jul 1 19:25:00 2016 mp3
This is a 16-year-old male in the department of corrections custody, who presented to Bellevue <____> via punching and kicking. CT scan was performed of his face which showed a minimally displaced left mandibular parasymphysis fracture.
** • status post assault - poi
Fri Jul 1 19:26:26 2016 poi

**** • Thanks a lot - guy
Fri Jul 1 19:27:15 2016 guy


• The short gastric arteries were ligated and the stomach was retracted ...
+ wav
Fri Jul 1 19:02:36 2016 wav
The short gastric arteries were ligated and the stomach was retracted superiorly and medially. The spleen was then mobilized from its <____> peritoneal attachment and dissected free.
** • nevermind. - guy
Fri Jul 1 19:19:57 2016 guy


• The patient tolerated insufflation well. A laparoscope was introduced ...
+ wav
Fri Jul 1 18:50:56 2016 wav
The patient tolerated insufflation well. A laparoscope was introduced and a general peritoneal exploration was done for <____> resection field and none was noted. We then proceeded to place our 5-mm ports
** • disease outside of the - poi
Fri Jul 1 18:56:28 2016 poi

**** • Thanks a lot. - guy
Fri Jul 1 18:57:57 2016 guy


• PSH: Patient had s/l sir-cox-im removed. No other procedures. TIA!
- ??
Fri Jul 1 18:15:31 2016 ??

** • NM. Need to flag and move on. Thanks. - OP
Fri Jul 1 18:33:14 2016 OP


• After looking in archives -is there a preferred way for q. 6h, q.6h, q6h, etc
- preferred way?
Fri Jul 1 15:50:41 2016 preferred way?

** • BOS says... + b o h b c p
Fri Jul 1 16:31:08 2016 b o h b c p
...q.4 h.
**** • would you use a period after the h, if it is not the end of sentence? - preferred way?
Fri Jul 1 16:44:48 2016 preferred way?

****** • yes, according to BOS. - b k l o l i
Fri Jul 1 17:03:47 2016 b k l o l i

**** • no space between the q.4 but space before the h, according to BOS. - b k l o l i
Fri Jul 1 16:43:42 2016 b k l o l i

**** • Thank you !!!! - preferred way?
Fri Jul 1 16:43:27 2016 preferred way?


• s/l lateral
+ sm
Fri Jul 1 15:24:05 2016 sm
The L5 to S1 lumbar disc space was exposed with a Thompson retractor and confirmed _____1:21 fluoroscopy. Fusion of this level was then performed by Dr. D and will be dictated separately.
** • with lateral fluoroscopy makes sense to me. Done to confirm the level of fusion + link-poi
Fri Jul 1 15:37:22 2016 link-poi
link

• T spine CTscan
+ sm
Fri Jul 1 12:52:50 2016 sm
revealed new compression fracture at T12; however sclerotic lesion within the vertebral body at L2 likely representing s/l bowing line.
** • bone island? - poi
Fri Jul 1 13:45:49 2016 poi


• left wrist pain
+ sm please
Fri Jul 1 12:38:18 2016 sm please
Diagnosis:
Mild de Quervain's tenosynovitis or s/l new mows disease.

PLAN:
I talked to the patient regarding her options...

** • Got it. He said "new mother's disease." Thank you! + OP
Fri Jul 1 12:53:00 2016 OP
x
**** • sorry, but that doesn't make a lot of sense to me. - b k l o l i
Fri Jul 1 13:40:30 2016 b k l o l i

****** • de Quervain's stenosing tenosynovitis, mother's wrist, or mommy thumb), is a tenosynovitis + link - poi
Fri Jul 1 13:51:34 2016 link - poi
De Quervain syndrome (French pronunciation: ​[də kɛʁvɛ]; also known as BlackBerry thumb, texting thumb, gamer's thumb, washerwoman's sprain, radial styloid tenosynovitis, de Quervain disease, de Quervain's tenosynovitis, de Quervain's stenosing tenosynovitis, mother's wrist, or mommy thumb), is a tenosynovitis of the sheath or tunnel that surrounds two tendons that control movement of the thumb.[1]

....often associated with pregnancy

I didn't believe it either!

• She gets dizzy when she stands up or walks up the stairs. _____ It also happens
+ mp3
Fri Jul 1 10:21:30 2016 mp3
when in concert.
** • or in a tunnel? - b k l o l i
Fri Jul 1 10:58:28 2016 b k l o l i

**** • Thanks. I thought maybe in the tub? - op
Fri Jul 1 11:37:36 2016 op


• s/l D I J stapler
+ sm
Fri Jul 1 08:30:50 2016 sm
The patient had hilar and mediastinal lymph nodes taken in the course of segmental dissection. Inevitably, most of the important nodes have been addressed surgically and the patient ultimately had the segmental vessels isolated and apical posterior segmentectomy was completed with serial applications of the extra-thick _________ stapler.
** • GIA? - b k l o l i
Fri Jul 1 08:48:13 2016 b k l o l i

**** • flagging - that is probably what he MEANT but did not say - :)
Fri Jul 1 10:12:09 2016 :)


• plastic surgery to __________ revision surgery, __________ infection
+ mp3
Fri Jul 1 07:29:30 2016 mp3
AP and lateral images confirmed the placement of the dowels which were in excellent in alignment, the screws which were in excellent alignment on both the AP and lateral plane and the rod. Once the procedure was completed, we consulted plastic surgery to __________ revision surgery, __________ infection. For the closure portion of surgery please referred to Dr. A's dictated note.
** • flagged - nm
Fri Jul 1 10:12:26 2016 nm


• tightened and the __________ was tightened
+ wav
Fri Jul 1 07:26:45 2016 wav
The appropriate size rods were then placed between the right and left hand side and finally a tightening was performed. A cross rod connector was then placed and finally tightened for added stability to the locking construct. Once all the screws and rods were finally tightened and the __________ was tightened, final x-ray obtained, AP and lateral images confirmed the placement of the dowels which were in excellent in alignment, the screws which were in excellent alignment on both the AP and lateral plane and the rod.
** • flagging - -
Fri Jul 1 10:12:18 2016 -


• The patient then developed infection on the left side and the implant ...
+ wav
Fri Jul 1 06:16:04 2016 wav
The patient then developed infection on the left side and the implant was removed by another surgeon. We had waited 6 months to try to replace the implant with the same size as the right side, but the patient due to financial difficulty, was unable to <____> until recently. I had a detailed discussion with the patient. The right implant had developed a Baker III capsular contracture.
** • arrange finances - nm
Fri Jul 1 06:30:34 2016 nm

**** • Thanks a lot - guy
Fri Jul 1 06:36:00 2016 guy


• Bilateral D5s, standing, show a skeletally immature individual. Trouble verifying D5.
- nm
Thu Jun 30 23:07:44 2016 nm

** • sure it isn't knees? - poi
Thu Jun 30 23:46:38 2016 poi

**** • I'm sure. Have a list going of unverifiable terms/x-ray views for this client. + OP
Fri Jul 1 06:02:47 2016 OP
One report was for an ankle injury and another on flat feet. Hoping to hear something this morning and will come back and update. Thanks poi.

• The preperitoneal space was developed without any issues. A polypropy ...
+ wav
Thu Jun 30 22:54:41 2016 wav
The preperitoneal space was developed without any issues. A polypropylene mesh was <____> in a similar fashion using a ProTacker
** • I think the first part is "tacked to the _______" - Questyr
Thu Jun 30 22:56:51 2016 Questyr

**** • Thanks a lot - guy
Thu Jun 30 22:57:29 2016 guy

****** • found it..."tacked to the Cooper's ligament" (see link) + Q
Thu Jun 30 23:00:44 2016 Q
link
******** • Just click on the Find Box at the top of the page - Q
Thu Jun 30 23:01:13 2016 Q

********** • Thanks a lot. Thanks for the link. - guy
Thu Jun 30 23:01:40 2016 guy


• The mesh sat nicely covering both direct and indirect spaces. The per ...
+ wav
Thu Jun 30 22:48:53 2016 wav
The mesh sat nicely covering both direct and indirect spaces. The peritoneal flap was then sutured overlying the mesh repair using a 2-0 PDS barbed suture. The peritoneal flap <____> nicely without any defects or undue tension. We <____> to the left side and the left side was <____> in a similar fashion.

Procedure:
LAPAROSCOPIC BILATERAL INGUINAL HERNIA REPAIR WITH MESH.

Postoperative Diagnosis:
BILATERAL DIRECT INGUINAL HERNIAS.

** • 2. next turned to the left...3. repaired - poi
Thu Jun 30 22:51:48 2016 poi

**** • can't get #1 - poi
Thu Jun 30 22:52:52 2016 poi

****** • Thanks a lot - guy
Thu Jun 30 22:54:06 2016 guy


• The peritoneal flap was opened and the preperitoneal plane was develop ...
+ mp3
Thu Jun 30 22:22:54 2016 mp3
The peritoneal flap was opened and the preperitoneal plane was developed all the way down <____> laterally. The hernia sac was then reduced and dissected away from the spermatic cord. The structures of the spermatic cords were identified and preserved.
** • to the ______ medially and to the psoas laterally. - poi
Thu Jun 30 22:49:37 2016 poi

**** • Thanks a lot - guy
Thu Jun 30 22:52:25 2016 guy

** • nevermind. - guy
Thu Jun 30 22:42:06 2016 guy


• Two more 5 mm laparoscopic ports were placed, one in the left upper qu ...
+ wav
Thu Jun 30 22:17:50 2016 wav
Two more 5 mm laparoscopic ports were placed, one in the left upper quadrant and one in the right upper quadrant. The patient was then placed in steep Trendelenburg position. Attention was turned towards the pelvis. <____> two direct inguinal hernias. We started on the right side initially. The peritoneal flap was opened and the preperitoneal plane was developed
** • There were two - poi
Thu Jun 30 22:47:27 2016 poi

**** • Thanks a lot - guy
Thu Jun 30 22:48:04 2016 guy

** • nevermind. - guy
Thu Jun 30 22:41:58 2016 guy


• The patient was taken to the CT scanner which demonstrated disruption ...
+ wav
Thu Jun 30 20:55:47 2016 wav
The patient was taken to the CT scanner which demonstrated disruption of the right perineal soft tissues with fat stranding and a band of hyperdense blush along the right perineum and the right corpus cavernosum <____> involve larger portion of the corpus cavernosum on the delayed images which may represent active extravasation of contrast or normal enhancement of the vascular tissue.
** • with spread to? - nm
Thu Jun 30 21:00:32 2016 nm

**** • Thanks a lot - guy
Thu Jun 30 21:01:39 2016 guy


• This is from 2nd post below. I think I hear 'zolpidem'. Any feedback?
- mp3 posted
Thu Jun 30 20:47:57 2016 mp3 posted

** • Actually as if patient had written it with an 'o' rather than 'e' - mp3 posted
Thu Jun 30 20:48:41 2016 mp3 posted

**** • ... - mp3 deleted. Thanks
Thu Jun 30 21:04:47 2016 mp3 deleted. Thanks


• The wire was then internalized and a coil of tissue around the wire wa ...
+ wav
Thu Jun 30 20:19:38 2016 wav
The wire was then internalized and a coil of tissue around the wire was created using electrocautery <____> base of the specimen was noted to be quite dense.

Preoperative Diagnosis:
RIGHT BREAST DUCTAL CARCINOMA IN SITU.

Procedure:
RIGHT BREAST LUMPECTOMY WITH NEEDLE LOCALIZATION.

** • core of tissue...visually the - poi
Thu Jun 30 20:40:02 2016 poi

**** • ... + m c p o a b
Thu Jun 30 22:48:16 2016 m c p o a b

**** • Thanks a lot. Thanks for the correction - guy
Thu Jun 30 20:56:19 2016 guy

** • nevermind. - guy
Thu Jun 30 20:35:42 2016 guy


• Pt. with irritable bowel syndrome and cataracts for knee surgery....
+ mp3 posted
Thu Jun 30 19:46:30 2016 mp3 posted
CURRENT MEDICATIONS: Wellbutrin, ____, amlodipine, Lipitor.
** • trazodone? - guy
Thu Jun 30 20:20:57 2016 guy

**** • It sounds to me like 'zulfa-dome', definitely not trazodone. Anything that comes to mind? - mp3 posted
Thu Jun 30 20:32:41 2016 mp3 posted

****** • it sounded like bol-ta-don to me. Could not find anything either - poi
Thu Jun 30 20:40:54 2016 poi

****** • sorry. - guy
Thu Jun 30 20:35:33 2016 guy


• Deep dermal sutures were placed using interrupted 4-0 Vicryl sutures. ...
+ mp3
Thu Jun 30 19:12:52 2016 mp3
Deep dermal sutures were placed using interrupted 4-0 Vicryl sutures. The <____> pathology came back as negative at this point and the skin was closed with a running Monocryl layer. The incision was cleaned and dried
** • sentinel node - poi
Thu Jun 30 19:20:36 2016 poi

**** • Thanks a lot - guy
Thu Jun 30 19:23:21 2016 guy


• The gamma count was highest in the region of the axilla where <___ ...
+ wav
Thu Jun 30 19:08:42 2016 wav
The gamma count was highest in the region of the axilla where <____> was located. The node was removed <____> was removed. No blue nodes were noted. The axillary nodal tissue was sent for frozen section.
** • 2. The node was removed en mass. The count in the axilla dropped to nearly zero after + poi
Thu Jun 30 19:23:59 2016 poi
this clump was removed.
** • 1. a clump of nodes was located. - poi
Thu Jun 30 19:21:50 2016 poi

**** • Thanks a lot - guy
Thu Jun 30 19:24:08 2016 guy


• A flap was raised in the avascular plane to the inframammary fold. Th ...
+ wav
Thu Jun 30 19:01:31 2016 wav
A flap was raised in the avascular plane to the inframammary fold. The flap was continued to the medial border <____> lateral to the latissimus dorsi. The tissue including the pectoralis fascia was then excised from the pectoralis major muscle.
** • already defined and - poi
Thu Jun 30 19:02:55 2016 poi

**** • Thanks a lot - guy
Thu Jun 30 19:04:20 2016 guy


• The left breast was cleaned with alcohol and 5 mL of methylene blue wa ...
+ mp3
Thu Jun 30 18:50:39 2016 mp3
The left breast was cleaned with alcohol and 5 mL of methylene blue was injected into the <____> area. A marking pen was used to delineate an elliptical incision which would be used for the mastectomy encompassing the nipple.
** • periareolar - poi
Thu Jun 30 18:52:39 2016 poi

**** • Thanks a lot - guy
Thu Jun 30 18:56:10 2016 guy


• She had eight cycles of neoadjuvant chemotherapy including <____&# ...
+ wav
Thu Jun 30 18:37:40 2016 wav
She had eight cycles of neoadjuvant chemotherapy including <____> Adriamycin, and cyclophosphamide followed by repeat imaging which showed almost complete resolution of the tumor.
** • 3. trastuzumab 2. pertuzumab - poi
Thu Jun 30 18:59:03 2016 poi

** • 3. doxetaxel - poi
Thu Jun 30 18:52:09 2016 poi

**** • Thanks a lot - guy
Thu Jun 30 18:56:02 2016 guy


• CPAP - She has a maximal ________leak of 30 liters per minute.
+ mp3 posted
Thu Jun 30 16:57:14 2016 mp3 posted

** • 75th percentile - nm
Thu Jun 30 17:35:20 2016 nm

**** • thanks nm - OP
Thu Jun 30 17:41:46 2016 OP


• There is a family history of asthma ___ just was given an inhaler.
- mp3
Thu Jun 30 15:30:38 2016 mp3

** • Period. Mother just was given an inhaler (period). - b k l o l i
Thu Jun 30 15:32:06 2016 b k l o l i

**** • ... - thanks
Thu Jun 30 15:40:15 2016 thanks


• MRI
+ sm
Thu Jun 30 15:15:15 2016 sm
MRI was also reviewed in the office today. This shows the ACL tear. There is also evidence of a medial meniscus tear in the form of s/l rev views.
** • s/l "might" be revised view. Often heard also is "recon" reconstructed view + nm
Thu Jun 30 15:53:12 2016 nm
A Current Review of the Meniscus Imaging: Proposition of a Useful ...
www.hindawi.com/journals/rrp/2016/8329296/
by N Lefevre - 2016 - Related articles
Jan 12, 2016 - 3D MRI should further improve the diagnosis of meniscal tears. .... meniscal tears [42], is mainly identifying signs of chronic bleeding in the form .... displaced bucket-handle tear of the medial meniscus; (f) arthroscopic view of a ... Fat Sat

****MRI reconstruction showing the oblique tear of the posterior part of the ...

• In medication list, doctor spells Maylon. Any suggestions on what this would be?
+ pmh see message
Thu Jun 30 14:09:56 2016 pmh see message
history of anemia, vitamin D deficiency, history of leg swelling, borderline hypertension, anxiety
** • My guess is Mylan, but I would flag something like that. - isgal
Thu Jun 30 14:48:36 2016 isgal

**** • my flags are to the doctor, and since he spelled it... will use it with a post-it - thanks - OP
Thu Jun 30 15:05:56 2016 thanks - OP


• treated with full length total contact insert s/L**for nerve relieve channels**.
+ SM
Thu Jun 30 13:59:41 2016 SM
He has cramping and burning sensation in his foot. He has an examination consistent with a tarsal tunnel plantar fascial syndrome. He has been treated with anti-inflammatories and full length total contact insert s/L**for nerve relieve channels**. He is just not getting any relief, so we have elected to go in and decompress his posterior tibial nerve and release his tarsal tunnel, and at the same time do a plantar fascial release.
** • your s/l for nerve relieve channels shows quite a lot on google sm*** & link + nm
Thu Jun 30 15:58:49 2016 nm
Rethinking Tarsal Tunnel Syndrome | Podiatry Today
www.podiatrytoday.com/article/3337

Dec 3, 2004 - Podiatrists have been treating tarsal tunnel syndrome (TTS) ... The third channel, counting from medial to lateral, contains the nerve with the vascular .... a pathology specific orthotic for tarsal tunnel syndrome relief would be ...
___________

Baxter's the Foot and Ankle in Sport - Page 590 - Google Books Result
https://books.google.com/books?isbn=0323023584
David A. Porter, Lew Schon - 2008 - Medical
Figure 27-13 (A)

***** Total-contact insert (TCI) with posteromedial nerve-relief channel filled with viscoelastic polymer for tarsal tunnel syndrome. (B) Plantar aspect ...
Managing Complications of Foot and Ankle Surgery, An Issue of Foot ...
https://books.google.com/books?isbn=0323323243
J. Chris Coetzee - 2014 - Medical
over the soft spot noted previously, where the nerve enters the foot. ... history and physical findings compatib

• Nitrostat, Amitiza, Combigan eye drops, ______ Lumigan eye drops, vita ...
+ mp3 posted
Thu Jun 30 13:39:35 2016 mp3 posted
Nitrostat, Amitiza, Combigan eye drops, ______ Lumigan eye drops, vitamin D.
** • pilocarpine (eyedrops?) - taco
Thu Jun 30 13:44:18 2016 taco

**** • I put the ? because I don't quite hear it but there is something there and eye drops would - fit --t
Thu Jun 30 13:45:37 2016 fit --t

****** • I hear it! Thanks taco! you're the bomb! - OP-poi
Thu Jun 30 13:46:48 2016 OP-poi

******** • woot! - t
Thu Jun 30 13:58:23 2016 t


• MRI thigh
+ sm
Thu Jun 30 13:17:26 2016 sm
This appears to show complete hamstring rupture with approximately 5.5 cm of retraction distally. There appears to be some s/l strun ed adjacent to the medial margin of the sciatic nerve.

Plan: surgical intervention for proximal hamstring repair with possible allograft reconstruction. We would likely at the same time performed a sciatic nerve neurolysis
** • thanks for returning to share with wb - nm
Thu Jun 30 16:00:12 2016 nm

** • should be hip MRI - OP
Thu Jun 30 13:23:24 2016 OP

**** • nevermind-it's scarring - op
Thu Jun 30 13:28:40 2016 op


• one s/l avarent eyelash
+ sm - tia
Thu Jun 30 13:01:34 2016 sm - tia
I congratulate you on picking up a really small basal cell. This is a classic example of how the meibomian gland orifices disappear in the midst of basal cell. The lashes are relatively normal with one s/l avarent eyelash.
** • thank you!! That's it - op
Thu Jun 30 13:22:02 2016 op




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