Oct 5 12:55
• Preoperative Diagnosis: ACUTE APPENDICITIS. Procedure: LA ... + wav
** • periappendiceal - billybob
| Wed Oct 26 20:02:52 2016 wav|
She then underwent a CT scan of the abdomen and pelvis and was noted to have a dilated appendix up to 1.6 cm along with extensive _____ stranding, free fluid, and a 1.1 cm appendicolith at the base.
**** • Thanks a lot. - guy
| Wed Oct 26 20:17:13 2016 billybob|
| Wed Oct 26 20:21:17 2016 guy|
• MRI: Subscapularis tendinosis. s/l*frays* of (and??) subacromial bursitis. + sm
| Wed Oct 26 18:19:30 2016 sm|
MRI report of the right shoulder showed partial-thickness supraspinatus tendon tear. Subscapularis tendinosis. s/l*frays* of (and??) subacromial bursitis.
• He can s/l "press" out of his Aircast as pain allows. - mt
** • progress? - my guess
| Wed Oct 26 16:43:34 2016 mt|
| Wed Oct 26 17:35:19 2016 my guess|
• He was able to jump well and balance on one leg well ___ 20 seconds. + WAV
** • achieving more than 20 seconds gets my vote. - billybob
| Wed Oct 26 15:01:11 2016 WAV|
Tone, power and reflexes were within normal limits. Finger-to-nose test was fluid. His fundi were crisp. He was able to jump well and balance on one leg well ___ 20 seconds.
** • achieving over 20 seconds (what I hear) - b k l o l i
| Wed Oct 26 15:30:19 2016 billybob|
| Wed Oct 26 15:07:43 2016 b k l o l i|
• Hmm? Aortic valve stomach and stent placement in 2012? - nm
** • can you hear "stenosis" instead of "stomach"? - taco
| Wed Oct 26 13:15:39 2016 nm|
**** • Clear as a bell...QA kept it as stomach after I flagged it. Never heard of such a thing. - nm
| Wed Oct 26 13:40:14 2016 taco|
** • Listed in past surgical history. - nm
| Wed Oct 26 13:42:40 2016 nm|
| Wed Oct 26 13:23:59 2016 nm|
• s/l canthos nagrofens? + thanks!
** • acanthosis nigricans ? - b k l o l i
| Wed Oct 26 11:38:20 2016 thanks!|
that she has excessive facial hair and on the back of the neck, s/l canthos nagrofens.
| Wed Oct 26 12:02:34 2016 b k l o l i|
• . This was also more * plantar* to the epicondylar axis. + sm
** • sounds okay to me - plantar meaning towards the bottom (like caudal is towards the head) - taco
| Wed Oct 26 09:39:34 2016 sm|
On this side, we referenced epicondylar access, Whiteside's line, posterior condylar axis using 3 degrees of external rotation due to the more normal appearing posterolateral femoral condyle. This was also more ______to the epicondylar axis. The size 9 component was once again selected. Anterior posterior and chamfer cuts were performed.
| Wed Oct 26 10:32:48 2016 taco|
• Pericardium and mammary fascia were *glued* to the epicardium of the heart + sm
** • google glue in cardiac surgery - they use it. - b k l o l i
| Wed Oct 26 08:46:54 2016 sm|
Finally, the left internal mammary artery was grafted to left anterior descending artery using running #8-0 Prolene suture. Pericardium was cut down being careful to spare the phrenic nerve. All anastomoses were checked and found to be hemostatic. Pericardium and mammary fascia were __________ to the epicardium of the heart. The wound was irrigated copiously with saline. Hemostasis was achieved. Chest tube was placed. The sternum was closed with interrupted wires.
**** • thank you - -
| Wed Oct 26 09:02:45 2016 b k l o l i|
| Wed Oct 26 09:17:30 2016 -|
• Preoperative Diagnosis: RIGHT BREAST MASS. Procedure: RIG ... + wav
** • Pseudoangiomatous stromal hyperplasia (PASH) = PASH-like stroma? + poi
| Tue Oct 25 22:38:38 2016 wav|
RIGHT BREAST MASS.
RIGHT BREAST MASS EXCISIONAL BIOPSY.
This is a 39-year-old female with a palpable right breast mass in the 3 o’clock position. She underwent workup with a core biopsy which demonstrated a fibroepithelial lesion suggestive of fibroadenoma with _____ stroma with excision recommended. Based on the size and the biopsy result, the patient was
**** • Thanks a lot. - guy
| Tue Oct 25 22:45:43 2016 poi|
though it does sound like he is say PRASH
google: Pseudoangiomatous stromal hyperplasia (PASH) is a rare and benign breast lesion
| Tue Oct 25 22:46:44 2016 guy|
• Preoperative Diagnosis: RIGHT MIDDLE FINGER ZONE 5 EXTENSOR TENDON ... + wav
** • got it. thanks. - guy
| Tue Oct 25 21:15:56 2016 wav|
RIGHT MIDDLE FINGER ZONE 5 EXTENSOR TENDON INJURY.
EXPLORATION OF RIGHT MIDDLE FINGER WOUND AND REPAIR OF EXTENSOR TENDON IN ZONE 5, RIGHT MIDDLE FINGER.
The patient was awoken from sedation and transferred to the postanesthesia care unit in stable condition. All sponge and needle counts were correct at the end of the operation. After tourniquet was released, _____ demonstrated adequate perfusion.
| Tue Oct 25 21:33:04 2016 guy|
• The liver was inspected and hemostasis was obtained using electrocaute ... + wav
** • Could she be saying "hole to the gallbladder"? I am finding + Questyr
| Tue Oct 25 20:14:27 2016 wav|
The liver was inspected and hemostasis was obtained using electrocautery. The _____ gallbladder was closed temporarily and the gallbladder fundus was then carefully retracted over the edge of the liver once again.
**** • Or ?holes to the gallbladder? (tho in that case verb s/b were not was) - Q
| Tue Oct 25 20:33:54 2016 Questyr|
google reference to keyhole surgery laparoscopic cholecystectomy. (see google hits)
****** • Thanks a lot. - guy
| Tue Oct 25 20:35:27 2016 Q|
** • what was procedure? Was gallbladder mentioned earlier in report? + poi
| Tue Oct 25 20:40:47 2016 guy|
**** • INDICATIONS: The patient is a 40-year-old male with known history of ... + guy
| Tue Oct 25 20:22:32 2016 poi|
It sounds like holes? -- just not sure it fits.
****** • yup, looks like they punched 2 holes in the gallbladder with the torcar. Holes is blank - poi
| Tue Oct 25 20:33:36 2016 guy|
INDICATIONS: The patient is a 40-year-old male with known history of gallstones who presented with epigastric pain. The patient reports it has pain intermittently for one year. Pain worsened over the last week and became more severe since the morning. The patient entered the ER, had a right upper quadrant ultrasound which showed a mildly distended gallbladder with a 1 x 1 cm calcified gallstone impacted in the gallbladder neck. The patient had a mild leukocytosis of 11.4, bilis were normal. T. bili was 0.3. Decision was made to bring the patient to the operating room for a laparoscopic cholecystectomy with intraoperative cholangiogram. All risks and benefits of the procedure and alternatives were explained including infection, bleeding, and damage to the common bile duct and the patient decided to proceed with the laparoscopic cholecystectomy with intraoperative cholangiogram. Surgical consent was signed and witnessed.
PROCEDURE IN DETAIL: The patient was brought to th
******** • Thanks a lot. - guy
| Tue Oct 25 20:38:12 2016 poi|
**** • Preoperative Diagnosis: ACUTE CHOLECYSTITIS. Procedure: L ... + guy
| Tue Oct 25 20:40:40 2016 guy|
| Tue Oct 25 20:29:15 2016 guy|
LAPAROSCOPIC CHOLECYSTECTOMY WITH INTRAOPERATIVE CHOLANGIOGRAM.
• Two additional fibroids were then removed from the same incision and t ... + mp3
** • lower down? - poi
| Tue Oct 25 19:43:20 2016 mp3|
Two additional fibroids were then removed from the same incision and the incision was closed in three layers using a combination of #0 and 2-0 Vicryl. A _____ posterior fibroid was then approached.
**** • Thanks a lot. - guy
| Tue Oct 25 19:46:50 2016 poi|
| Tue Oct 25 19:49:09 2016 guy|
• Surgicel placed over all uterine incision. Endometrial cavity entered ... + mp3
** • should not labor - Nm
| Tue Oct 25 19:30:00 2016 mp3|
Surgicel placed over all uterine incision. Endometrial cavity entered during the case. The patient _____ for any future pregnancies.
** • should not labor - poi
| Tue Oct 25 19:34:56 2016 Nm|
**** • Thanks a lot everybody - guy
| Tue Oct 25 19:34:48 2016 poi|
| Tue Oct 25 19:36:23 2016 guy|
• One 3 to 4 cm fibroid found to occupy the right lateral portion of the ... + wav
** • in view of the? - wag-poi
| Tue Oct 25 19:27:32 2016 wav|
One 3 to 4 cm fibroid found to occupy the right lateral portion of the uterine body extending to the broad ligament down the right side of the uterus to the level of the cervix, left in situ due to concerns for bleeding and need for hysterectomy _____ the patient’s strong desire to preserve fertility. Surgicel placed over all uterine incision
**** • Thanks a lot. - guy
| Tue Oct 25 19:45:47 2016 wag-poi|
** • I can't get it. sorry. - poi
| Tue Oct 25 19:49:02 2016 guy|
**** • Thanks for the effort. - guy
| Tue Oct 25 19:36:47 2016 poi|
| Tue Oct 25 19:39:38 2016 guy|
• Patient has hyperkalemia. We will hold s/l kee-low agent. We will follow TIA! + drug?
** • listen for chelating agent and hypOkalemia - nm
| Tue Oct 25 19:07:42 2016 drug?|
Patient has hyperkalemia. We will hold s/l kee-low agent. We will follow patient on telemetry.
**** • Thank you. - OP
| Tue Oct 25 21:24:01 2016 nm|
| Wed Oct 26 00:36:53 2016 OP|
• It was next determined that an extra small **datum** would be most + Never heard?-SM
| Tue Oct 25 17:41:28 2016 Never heard?-SM|
Next, the talar cut was made with the corresponding jig and sagittal saw. It was next determined that an extra small **datum** would be most appropriate under fluoroscopic guidance with the measuring device at the top part of the talus.
• when talking about spinal stenosis it is the vertebrae not disks correct? - mt
** • more: I am questioning L3-4 or L3-L4 spinal stenosis. - mt
| Tue Oct 25 17:35:47 2016 mt|
**** • sounds fine to me, is indicating the level of the stenosis, not the cause. + poi
| Tue Oct 25 17:37:18 2016 mt|
| Tue Oct 25 18:19:30 2016 poi|
Sorry if I am misunderstanding your question.
• drug list - s/l daisy 1 tablet daily?? + mt2
** • Daysee - poi
| Tue Oct 25 17:27:24 2016 mt2|
| Tue Oct 25 18:21:23 2016 poi|
• this cracked me up + haha
** • awww... nice. - :)
| Tue Oct 25 16:01:54 2016 haha|
followup clinic visit.
"She also brings us lovely French bread, which is delicious."
**** • :) - OP
| Tue Oct 25 16:03:20 2016 :)|
| Tue Oct 25 16:05:08 2016 OP|
• note to "mt": yesterday you posted "Sprycel"... + sm
| Tue Oct 25 15:34:15 2016 sm|
as an answer to somebody's question - that OP never came back to acknowledge your answer, but I want you to know that this medication came up today in a dictation for me for the first time and, because you posted it yesterday, I figured it out right away - so THANK YOU!
• Foot surgery. S/L Fiber lock + RMT
** • Found it! FiberLock allograft.~nm - RMT
| Tue Oct 25 14:42:27 2016 RMT|
Once we had removed articular cartilage and had gotten down to bleeding cancellous bone, micropuncture holes were created into the cancellous surface. This was then packed with 5 mL of s/l fiber lock.
There are so many products on Google with similar names, and I just don't feel I am finding the correct one used in orthopedic surgery.
| Tue Oct 25 14:46:43 2016 RMT|
• help with A&P repair. Plse sm + mt
** • oh - promontory!! - mt
| Tue Oct 25 14:03:58 2016 mt|
The presacral **prommer stay** was then identified. The peritoneum over this area was incised in the midline.
| Tue Oct 25 14:06:41 2016 mt|
• The s/l**muco-perium** tissue was suctioned from the middle ear cavity. + SM
** • wondering if mucopurulent? - mt
| Tue Oct 25 13:52:38 2016 SM|
A Freer elevator was used to lift the external auditory canal skin off of the posterior canal wall. The annulus was now entered using an annulus and the middle ear was entered. The s/l**muco-perium** tissue was suctioned from the middle ear cavity. Some granulation tissue was also removed from the posterosuperior mesotympanum.
| Tue Oct 25 14:04:34 2016 mt|
• who presents with worsening mobility and __ over the past two years in the Falls and + WAV
** • near falls - taco
| Tue Oct 25 13:26:05 2016 WAV|
who presents with worsening mobility and __ over the past two years in the Falls and Balance Clinic
**** • aha! Thank you so much taco! - :)
| Tue Oct 25 13:31:38 2016 taco|
| Tue Oct 25 13:32:58 2016 :)|
• 1.75 mm *ligaments* + ?
** • could it be lumen(s)? those measures sound like luminal diameters. - taco
| Tue Oct 25 13:21:29 2016 ?|
FINDINGS: The patient had a somewhat inflamed pericardium and some isolated adhesions. The mammary artery was of reasonable quality. The saphenous vein was of a marginal quality and we harvested it from both ways to get three pieces of adequate usability. The left anterior descending artery was a heavily diseased vessel and 1.5 mm was grafted distally. The marginal arteries were less diseased, more in the mild-to-moderate range to 1.75 mm *ligaments*. The posterior descending artery was heavily diseased and was a 1.5 mm *ligament*.
**** • agree - b k l o l i
| Tue Oct 25 13:25:46 2016 taco|
****** • ty - -
| Tue Oct 25 13:32:31 2016 b k l o l i|
| Tue Oct 25 13:35:11 2016 -|
• retrieved from the back table, where it was set on 12 pounds of tension to remove *cr + sm
** • Creep is a term used....see google hits link + Questyr
| Tue Oct 25 12:42:46 2016 sm|
At this point, guidewire was inserted and reaming was performed over the guidewire. Debridement of the proximal and distal aspects of the tibial tunnel were performed. FiberLink suture had been passed through the femoral tunnel and was retrieved from the femoral tunnel to sit in the tibial tunnel for graft passage.
At this point, the allograft was retrieved from the back table, where it was set on 12 pounds of tension to remove *creep*. At this point, the graft was passed through the tibial tunnel to sit in the femoral tunnel. With tension applied to both sides and the knee placed back in 120 degrees, a guidewire was inserted into the femoral tunnel and an 8- x 20-mm metal interference screw from Arthrex was tied into position of the femoral side.
**** • Particularly, see 4th hit. - Q
| Tue Oct 25 12:57:24 2016 Questyr|
****** • Thakn you very much! - -
| Tue Oct 25 12:58:13 2016 Q|
| Tue Oct 25 13:03:07 2016 -|
• progressive disease in the left pleura *in* pleural effusion + sm
** • maybe and?? - b k l o l i
| Tue Oct 25 12:27:01 2016 sm|
is a lovely 60-year-old female with EGFR-positive stage IV lung adenocarcinoma status post Tarceva followed by Cyramza and Taxotere who presented with three symptomatic bone lesions status post involved site radiotherapy. There is a reason for clinical concern that the left-sided pleuritic chest pain may be due to progressive disease in the left pleura *in* pleural effusion. Also, her sacral pain is possibly worrisome for a new area of metastatic bone disease.
**** • thanks - -
| Tue Oct 25 12:59:02 2016 b k l o l i|
| Tue Oct 25 13:10:52 2016 -|
• Urodynamic study report + RMT
** • I would use the word "by" (as you have done". I think + Questyr
| Tue Oct 25 11:51:32 2016 RMT|
This gives her an equivocal by Blaivas curve but fairly obstructed by s/l 12 by 20 rule, her flow less than 12 and her pressures greater than 20.
I'm not sure how to transcribe 12 by 20 rule, 12 x 20 rule, or 12/20 rule? Anyone know this term by chance?
**** • oops...Here's the link + Q
| Tue Oct 25 12:48:11 2016 Questyr|
he referring to the "bladder outlet obstruction" definition which this article (see link) talks about on page 2, paragraph entitled "Patients and data analysis", 2nd paragraph. And based on this "an equivocal" would make sense to me.
** • Still checking, but wondering also if he is saying "unequivocal" (not an equivocal)..since + Questyr
| Tue Oct 25 12:55:47 2016 Q|
**** • Based on my post on the line above this one, "an equivocal" makes sense to me. - Q
| Tue Oct 25 12:29:44 2016 Questyr|
I don't yet know the answer to your question, I can only "wonder" about "unequivocal"....Sorry I cannot be more helpful.
****** • Thank you, Questyr! ~nm - RMT
| Tue Oct 25 12:48:47 2016 Q|
** • flagged~nm - RMT
| Tue Oct 25 14:45:20 2016 RMT|
| Tue Oct 25 11:59:32 2016 RMT|
• City sounds like Granola in Oklahoma. Tia! - Geo?
** • Grainola? + see link
| Tue Oct 25 10:42:50 2016 Geo?|
**** • here are the URLs for U.S. cities and World cities... + see links
| Tue Oct 25 10:46:33 2016 see link|
great, great site that billybob posted here some time ago.
****** • Thanks! - Op
| Tue Oct 25 10:49:00 2016 see links|
| Tue Oct 25 11:09:25 2016 Op|
• Patient is status post right total hip arthroplasty. Now complains of pain + sm please
** • is also on turmeric and some other supplements (?) - taco
| Tue Oct 25 10:38:51 2016 sm please |
in the left hip. She takes Motrin for the pain and is also on s/l 2 marcan's mother supplements for inflammation. She has been doing her own exercises and tries to be as active as she can.
**** • Unbelievable. That's it!!! Thank you so much. I was just reading + sm
| Tue Oct 25 10:42:39 2016 taco|
****** • Woot! Glad to help. - :) ---t
| Tue Oct 25 10:43:54 2016 sm |
this morning about "golden milk" (turmeric and coconut milk) for inflammation.
Again, thank you. Amazing how clear it was once you said that. I could not hear anything but marcan's mother before!
| Tue Oct 25 10:59:24 2016 :) ---t|
• otherwise normal *poly* noted to be without any significant damage + ?
** • did patient have a total knee replacement? "poly" short for polyethylene insert/component + taco
| Tue Oct 25 10:27:45 2016 ?|
Hemostasis was obtained with MultiVac 50 prob. Once this was done, I then evaluated the remainder of the joint. The medial compartment was otherwise normal *poly* noted to be without any significant damage. No signs of any debris noted. I did perform a further debridement within the notch area. There was some scarring within the portion of the notch itself where the poly was noted. This was then followed by evaluation of lateral aspect, which was otherwise benign.
| Tue Oct 25 10:41:19 2016 taco|
(you'd need a period after "normal" and the next sentence would begin with "Poly noted...")
• APC with coagulation ??? + wav
** • since APC=argon plasma coagulation, I think "with coagulation" is redundant... + taco (sm)
| Tue Oct 25 10:00:34 2016 wav|
The endoscope was then advanced into the duodenum. In the second and what appears to be the third portion of the duodenum, two small AVMs seen. No bleeding noted. They were treated with APC with coagulation.
**** • thank you - !
| Tue Oct 25 10:13:56 2016 taco (sm)|
listening to it, I think he is saying with *good* coagulation, which would make better sense. You may want to wait for another ear to confirm.
** • kinda redundant since APC is argon plasma coagulation - imho
| Tue Oct 25 10:28:16 2016 !|
| Tue Oct 25 10:12:46 2016 imho |
• Dermatology diagnosis: s/l Coo-ta-sob. - nm
| Tue Oct 25 09:23:20 2016 nm|
• At this point, using the Intellijoint system and the camera, the hip w ... + wav
** • #1 to ___ (contact? detect?) the native hip - taco
| Tue Oct 25 02:55:07 2016 wav|
At this point, using the Intellijoint system and the camera, the hip was taken through range of motion _____ center of the acetabular cup trial was determined to be in appropriate inclination and anteversion. The decision was made to go forward _____. The final acetabular implant was impacted into the desired position. Two 6.5 mm screws were placed within the cup to provide additional stability.
** • 2. forward with a 52-mm cup - b k l o l i
| Tue Oct 25 08:04:55 2016 taco|
**** • Thanks a lot everybody - guy
| Tue Oct 25 07:38:51 2016 b k l o l i|
| Tue Oct 25 19:32:54 2016 guy|
• Then, while lifting the lamina as one piece using a Kerrison _____, th ... + wav
** • Kerrison 1 (bit size, 1 mm) + poi-link
| Tue Oct 25 00:24:42 2016 wav|
Then, while lifting the lamina as one piece using a Kerrison _____, the ligamentum was detached. This allowed for en bloc removal of the lamina and this was then cleaned on the back table of soft tissue and morselized for autograft.
**** • Thanks a lot. - guy
| Tue Oct 25 00:29:51 2016 poi-link|
| Tue Oct 25 00:31:58 2016 guy|
• This allowed for en bloc removal of the lamina and this was then clean ... + wav
| Tue Oct 25 00:11:07 2016 wav|
This allowed for en bloc removal of the lamina and this was then cleaned on the back table of soft tissue and morselized for autograft. The laminectomy was inspected and was wide enough and further ligamentum from the bottom of C6 was removed with Kerrison _____. At this point, irrigation was used
• Preoperative Diagnosis: TEARING, POSSIBLE PROBABLE BILATERAL NASOLA ... + wav
** • naris and metal on metal contact was felt - poi
| Mon Oct 24 23:10:18 2016 wav|
TEARING, POSSIBLE PROBABLE BILATERAL NASOLACRIMAL DUCT OBSTRUCTION.
BILATERAL NASOLACRIMAL PROBING WITH INSERTION OF STENT.
The probe was rotated in a superior-medial fashion along the brow to allow for navigation to the nasolacrimal sac and duct. Mild resistance was felt at the distal aspect of the nasolacrimal duct consistent with the location of the valve. The probe was used to navigate through a small resistance. A second probe was placed through the right _____ to confirm patency. Both probes were removed.
**** • Thanks a lot. - guy
| Mon Oct 24 23:11:37 2016 poi|
| Mon Oct 24 23:16:39 2016 guy|
• This is a 37-year-old female with a history of rheumatoid arthritis on ... + wav
** • 47-year old? who was admitted to Medicine with a? - poi
| Mon Oct 24 22:35:22 2016 wav|
This is a 37-year-old female with a history of rheumatoid arthritis on prednisone _____ left lower extremity abscess, was I&D’d two days prior to this surgery; however, there was continued purulence and it was difficult to change her dressings given her intolerance to pain.
**** • not sure about the cap on medicine - fwiw-poi
| Mon Oct 24 22:42:40 2016 poi|
****** • Thanks a lot. - guy
| Mon Oct 24 22:43:26 2016 fwiw-poi|
| Mon Oct 24 22:48:13 2016 guy|
• There was no urovaginal injury noted with atraumatic Foley placement a ... + wav
** • AIS (anterior iliac spine) 2. AIS - poi
| Mon Oct 24 19:49:32 2016 wav|
There was no urovaginal injury noted with atraumatic Foley placement and clear urine. There were no open wounds in the perineum. Continued irrigation and debridement of the right pelvis wound revealed the appropriate starting point for supraacetabular half pin placement in the pelvis for ventral external fixator. The _____ was palpated with digital palpation. A 1.4 mm threaded guidewire was placed in the _____ angled 20 degrees medial and 30 degrees cranial to obtain adequate trajectory for supraacetabular half pin. The trajectory of the pin placement, once the guidewire was inserted,
**** • AIIS would better - poi
| Mon Oct 24 19:55:34 2016 poi|
****** • Thanks a lot. - guy
| Mon Oct 24 19:57:31 2016 poi|
| Mon Oct 24 19:57:52 2016 guy|
• This is same as post below but another blank added. Thank you. + mp3 posted
** • I think the last one is.....and then finally an abdominal hysterectomy. - mp3 posted
| Mon Oct 24 19:44:08 2016 mp3 posted|
SURGERIES: Four ____laparotomies in the 1980’s, multiple laparoscopies, adhesiolysis of endometriosis, and ____ abdominal hysterectomy in 1987.
**** • ... - mp3 deleted
| Mon Oct 24 19:46:22 2016 mp3 posted|
| Mon Oct 24 19:56:34 2016 mp3 deleted|
• SURGERIES: _____ laparotomies in the 1980’s, + mp3 posted
** • Four?? not sure as there sounds like something after 4 - wag-poi
| Mon Oct 24 19:34:52 2016 mp3 posted|
**** • Yes, can't get that word either. Thanks - mp3 posted
| Mon Oct 24 19:39:39 2016 wag-poi|
****** • actually listening again, he says exploratory - poi
| Mon Oct 24 19:43:09 2016 mp3 posted|
| Mon Oct 24 19:56:21 2016 poi|
• The patient is a 51-year-old female with level 1 trauma activation, fo ... + wav
** • in excruciating ...not *an* - poi
| Mon Oct 24 19:26:09 2016 wav|
The patient is a 51-year-old female with level 1 trauma activation, found to be struck by a truck and dragged 40 feet. The patient was GCS of 15 in the trauma bay; however, an excruciating bilateral groin pain, hypotensive in the trauma slot, and found to have a significant pelvic ring injury on AP pelvis radiograph in the trauma bay. The patient’s pelvis was noted to be grossly contaminated with open wounds over the right groin contaminated with glass bottles, road debris, and _____. The patient received Ancef, gentamicin, and tetanus in the trauma bay
** • glass bottle debrs, road debris, and pants. - b k l o l i
| Mon Oct 24 19:31:38 2016 poi|
**** • debris... - b k l o l i
| Mon Oct 24 19:31:02 2016 b k l o l i|
** • glass bottle debris - poi
| Mon Oct 24 19:31:21 2016 b k l o l i|
** • pants - poi
| Mon Oct 24 19:30:53 2016 poi|
**** • Thanks a lot. Thanks for the correction everybody. - guy
| Mon Oct 24 19:30:26 2016 poi|
| Mon Oct 24 19:34:34 2016 guy|
• s/l IEP at about 13 weeks pregnant. Cervical cerclage scheduled. - o l f g h f
** • IUP (intrauterine pregnancy)? - poi
| Mon Oct 24 19:12:50 2016 o l f g h f|
**** • Yes, how simple that was and I didn't get it. Fast speaker. Thank you. - o l f g h f
| Mon Oct 24 19:17:51 2016 poi|
| Mon Oct 24 19:37:40 2016 o l f g h f|
• Medication, woman 13 weeks pregnant s/l clenn-deese (patient used that recently) - o l f g h f
** • Clindesse - poi
| Mon Oct 24 19:06:26 2016 o l f g h f|
**** • Thanks, poi. - o l f g h f
| Mon Oct 24 19:20:30 2016 poi|
| Mon Oct 24 19:35:21 2016 o l f g h f|
• ____ tremors of unclear etiology. - wav :)
** • Got this. Whole body tremors. - :)
| Mon Oct 24 16:26:08 2016 wav :)|
| Mon Oct 24 16:31:20 2016 :)|
• He has a history of lower extremity cellulitis. This ____ for a sm + wav :)
** • he has had? - poi
| Mon Oct 24 16:10:58 2016 wav :)|
number of months now.
**** • Thanks poi. I belive that is it. - :)
| Mon Oct 24 16:15:15 2016 poi|
| Mon Oct 24 16:17:19 2016 :)|
• no lymphovascular invasion but ___ invasion present. + WAV
** • what location in the body? - poi
| Mon Oct 24 14:30:47 2016 WAV|
Close superficial and deep margin, no lymphovascular invasion but ___ invasion present.
**** • on the pts parotid gland - .
| Mon Oct 24 14:34:24 2016 poi|
****** • paralingual?? - poi
| Mon Oct 24 14:35:45 2016 .|
| Mon Oct 24 14:41:56 2016 poi|
• ortho help, plse sm + mt
** • got it - underside fin cutter - mt
| Mon Oct 24 13:39:56 2016 mt|
Total knee arthroplasty:
Bone plug was placed in the distal femur. We then put the tray back on the tibia; pinned it. We used the **underside pin cutter** and then the block to drill holes.
I am not sure if doc is saying:
"Underside or undersized" "thin or pin" cutter. (I am only sure of "cutter")
| Mon Oct 24 13:57:05 2016 mt|
• Stage IB s/l F2 N0 endometriod endometrial adenocarcinoma + sm
| Mon Oct 24 12:21:21 2016 sm|
could be saying Stage IB s/l S2 N0 ...just not sure....looked at past reports and one says S2 and the other says X2 so not really sure
• He is alcohol dependent. He drinks _____ close to 3 to 4 beers daily. - wav :)
** • he drinks what he reports to be 3 to 4 - poi
| Mon Oct 24 11:44:55 2016 wav :)|
**** • thanks - :)
| Mon Oct 24 13:25:59 2016 poi|
** • I actually figured out on the 2nd sentence he is saying he drinks _____ sm + :)
| Mon Oct 24 16:09:26 2016 :)|
| Mon Oct 24 12:09:13 2016 :)|
approximately 3 to 4 beers daily.
• ESL keeps saying what s/l dermatome ascites - cannot verify? - e
** • nevermind - he's saying dermatomyositis lol. - e
| Mon Oct 24 11:09:19 2016 e|
| Mon Oct 24 11:13:12 2016 e|
• urology + mm
** • Sprycel - mt
| Mon Oct 24 10:14:34 2016 mm|
This drug was mentioned in his list of medications. The patient has GIST cancer and chronic lymphocytic leukemia. The patient has also had back surgery. The drug was spelled by the doctor as "Crycel" that I cannot find anything even resembling that.
| Mon Oct 24 11:15:53 2016 mt|
• stedman pectan + llvcll
** • stedman pectan + llvcll
| Mon Oct 24 09:54:46 2016 llvcll|
heard as stedman pectan. any help ?
**** • context, please + nm
| Mon Oct 24 09:57:59 2016 llvcll|
sorry the whole sentence is " He has had stedman pectan." couldnt get it anywhere. pls help
****** • I already sent it with blank. thank you nm. ... + llvcll
| Mon Oct 24 11:52:56 2016 nm|
| Tue Oct 25 00:28:56 2016 llvcll|
I already sent it with blank. thank you nm.
• inguinal mesh plug ________ on images + wav
** • viewed? - eric
| Mon Oct 24 07:46:21 2016 wav|
This patient is a 47-year-old female who had developed severe right inguinal discomfort and a recurrent right inguinal hernia. A CT scan of the abdomen and pelvis performed on 07/20/2016, demonstrated right inguinal and left inguinal mesh plug ________ on images; however, not reported on the final report.
**** • thanks - -
| Mon Oct 24 07:51:13 2016 eric|
| Mon Oct 24 07:55:23 2016 -|
• pain in the right _______ region that failed + mp3
** • right groin region - eric
| Mon Oct 24 07:44:41 2016 mp3|
She was taking Neurontin, which made her feel lightheaded and foggy and therefore it was discontinued. She is status post open bilateral inguinal hernia repairs in 2012. She experienced pain in the right _______ region that failed injection therapy. They noted recurrent lump in the right _______ region as well.
**** • thank you - !
| Mon Oct 24 07:48:20 2016 eric|
| Mon Oct 24 07:55:03 2016 !|
• s/*tyloro kit* placed for bleeding - epistaxis - pls help
** • Rhino Rocket for s/l tylo rokit? - nm
| Sun Oct 23 23:26:59 2016 pls help|
| Mon Oct 24 00:46:32 2016 nm|
• She underwent a CT scan of the abdomen and pelvis + mt2
** • nevermind - it's dependant - mt2
| Sun Oct 23 09:16:05 2016 mt2|
that showed evidence for intestinal malrotation, distended gallbladder with s/l putenant sludge in her stones and ductal dilatation.
| Sun Oct 23 09:17:52 2016 mt2|
• There are 2 tiny bumps bilaterally on the M1 segments that may either be aneurysms or + mp3
** • lenticulostriate - isgal
| Sun Oct 23 08:04:28 2016 mp3|
takeoff of _____ perforators
| Sun Oct 23 08:16:12 2016 isgal|
• He also sustained a small region approximately 3 x 4 cm of skin loss o ... + wav
** • I hear right mobile _______. - :)
| Sun Oct 23 02:24:49 2016 wav|
He also sustained a small region approximately 3 x 4 cm of skin loss overlying the right _____. This had been treated at bedside with Integra placement and has been granulating and epithelializing nicely since that time.
**** • wad - isgal
| Sun Oct 23 02:39:02 2016 :)|
**** • Thanks a lot. - guy
| Sun Oct 23 08:17:07 2016 isgal|
| Sun Oct 23 02:39:52 2016 guy|
• any other Softscript employees not able to access work email website?? + curious
** • It is down for me too. - b k l o l i
| Sun Oct 23 01:34:55 2016 curious|
I have tried multiple browsers on computer as well as even my phone, cannot access work email website. All other sites work.
**** • okay, glad to rule out my end :) still can't access it today. Hope it's fixed soon - OP
| Sun Oct 23 09:30:08 2016 b k l o l i|
****** • I called my PM - go to the SS resources page - new link for new email, same name & p/w you - use to sign on
| Sun Oct 23 18:26:39 2016 OP|
******** • thanks! I like the new one much better, just hate we lost our old saved ones though :( - OP
| Tue Oct 25 08:23:54 2016 use to sign on|
| Tue Oct 25 16:03:29 2016 OP|
• Prior to draping, the left lower extremity was assessed for length of ... + wav
** • for rotation - poi
| Sat Oct 22 22:29:46 2016 wav|
Prior to draping, the left lower extremity was assessed for length of the femur, found to be 430 mm long and _____ of the femoral neck relative to the knee. The right lower extremity was subsequently draped
**** • Thanks a lot. - guy
| Sat Oct 22 22:31:17 2016 poi|
| Sat Oct 22 22:32:27 2016 guy|
• Neurology + b o h b c p
** • SM + Got it
| Sat Oct 22 21:45:51 2016 b o h b c p|
Underarm "Vienna" for seizures. Not a lot of information, but that's all I'm given.
| Sat Oct 22 21:51:47 2016 Got it|
• elevated D-dimer, positive troponin, renal insufficiency, and elevated s/l BTND. TIA! + lab?
** • BTNP (B-type Natriuretic Peptide) + nm
| Sat Oct 22 20:24:02 2016 lab?|
Patient has elevated D-dimer, positive troponin, renal insufficiency, and elevated ___. Patient does have aortic stenosis and is presenting with acute heart failure.
| Mon Oct 24 11:57:46 2016 nm|
• FDA FDA - Probuphine implant for treatment of opioid dependence sm + nm
| Sat Oct 22 16:10:00 2016 nm|
purpose opioid dependence was only approved as a pill or a film placed under the tongue or on the inside of a person’s cheek until it dissolved. While effective, a pill or film may be lost, forgotten or stolen. However, as an implant, Probuphine provides a new treatment option for people in recovery
May 26, 2016 -- The U.S. Food and Drug Administration today approved Probuphine, the first buprenorphine implant for the maintenance treatment of opioid dependence. Probuphine is designed to provide a constant, low-level dose of buprenorphine for six months in patients who are already stable on low-to-moderate doses of other forms of buprenorphine, as part of a complete treatment program.
Until today, buprenorphine for the treatment of opioid dependence was only approved as a pill or a film placed under the tongue or on the inside of a person’s cheek until it dissolved. While effective, a pill or film may be lost,
• She also has a positive Speed and s/l *upper pev* test. sm + tc
| Sat Oct 22 12:34:13 2016 tc|
Testing: Positive Neer and Hawkins sign as well as positive Bear-Hug and belly press. Positive O'Brien's and Whipple. She has a negative Kibler test. Negative anterior and posterior apprehension. Normal load shift. No sulcus sign. She also has a positive Speed and s/l *upper pev* test.
• Previous history of hysterectomy, x2 C-sections, and abdominoplasty. sm + wav :)
** • and operative laparoscopy - nm
| Sat Oct 22 11:32:54 2016 wav :)|
She was admitted for pelvic pain, diagnostic _____ and salpingo-oophorectomy.
**** • Thought I heard operative, but couldn't make out the next word. - b k l o l i
| Sat Oct 22 15:51:53 2016 nm|
** • I hear laparoscopy in there - fwiw-poi
| Sat Oct 22 16:00:53 2016 b k l o l i|
| Sat Oct 22 13:28:14 2016 fwiw-poi|
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