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Apr 25 11:20
• Oral cavity exam reveals moderate _____[s/l tething or tepping?] of the tongue
+ tia
Thu Apr 25 12:15:39 2019 tia
The oral cavity exam reveals moderate _____ of the oral tongue in the region of the skin graft.
** • tethering? - my guess
Thu Apr 25 12:18:44 2019 my guess


• and no other small ____________, no mass seen. Could MD have forgotten to dictate
+ wav
Thu Apr 25 12:10:42 2019 wav
instrument, e.g., sphenoid guided ostium seeker?


Again, no polyp or fungal ball seen. She previously has had balloon dilation of her bilateral sphenoid ostia. These were reexamined, and no other small ____________, no mass seen. Both sides were reopened with combination use of a sphenoid guided ostium? as well as using a 2-mm backbiting Kerrison forceps.
** • and though they are small in size, no mass - poi
Thu Apr 25 12:26:34 2019 poi

** • and though they are small inside? - billybob
Thu Apr 25 12:26:32 2019 billybob

**** • Thank you both so much! - wav
Thu Apr 25 12:33:39 2019 wav


• distal to the pisiform ________ was noted
+ mp3
Thu Apr 25 11:25:57 2019 mp3
Significant hourglass compression of the ulnar nerve just distal to the pisiform ________ was noted with reactive hyperemia present.
** • how about: "distal to the pisiform. Lipoma was noted, with reactive hyperemia..." - nm
Thu Apr 25 12:50:14 2019 nm

** • I hear ligament?? - poi
Thu Apr 25 11:36:57 2019 poi

**** • Thanks, poi. I can't really hear ligament. Can you hear 'within'? - mp3
Thu Apr 25 11:46:28 2019 mp3

****** • no I don't and don't think within makes much sense either. - fwiw-poi
Thu Apr 25 11:48:02 2019 fwiw-poi

******** • bone makes sense, just didn't think I could hear that. + poi
Thu Apr 25 11:50:25 2019 poi
After the ulnar nerve passes through the arm, it runs from the medial epicondyle to the pisiform bone in the wrist in a direct trajectory.
********** • Yeah. Thanks again, poi. Can't hear 'bone' either. Hate to flag it. - mp3
Thu Apr 25 11:54:35 2019 mp3

************ • I think the closest s/l is pisiform 'bones' or pisiform 'bone was' - mp3
Thu Apr 25 11:56:59 2019 mp3

************** • there is only one bone - fwiw
Thu Apr 25 12:00:36 2019 fwiw

**************** • Okay. Thanks. I used OneLook Dictionary. It suggested bones. I should know better - mp3
Thu Apr 25 12:04:44 2019 mp3

****************** • to clarify, there is one in each wrist - poi
Thu Apr 25 12:28:36 2019 poi

******************** • You're so smart, poi. Thanks again - mp3
Thu Apr 25 12:38:19 2019 mp3


• submuscular transposition would be appropriate ____________the nerve
+ wav
Thu Apr 25 11:04:39 2019 wav
It was felt that submuscular transposition would be appropriate ______________the nerve in close proximity to the elbow joint, which was severely diseased from its rheumatoid arthritis.
** • as this would again place the nerve...and I hear INappropriate - poi
Thu Apr 25 11:36:02 2019 poi

**** • Thank you, poi. That's it. - wav
Thu Apr 25 11:45:43 2019 wav


• Pt w/severe DKA. "We will monitor his sugar, initially half "ollie" and then "ollie".
+ help? sm
Thu Apr 25 07:57:29 2019 help? sm
Severe DKA. He has got a very high anion gap with low bicarb. His sugars are high. He is severely acidotic. His lactic acid is high. He is on IV insulin. We will monitor his sugar. Initially half "ollie" and the "ollie" as he has brittle diabetes. He is on IV fluids.
** • monitor his sugar, initially half-hourly and then hourly... - nm
Thu Apr 25 12:33:59 2019 nm

**** • Oh geez! That seems so obvious now. My QA person didn't get it either and left it blank. - Oh well. Thanks.
Thu Apr 25 12:49:09 2019 Oh well. Thanks.

****** • I searched 7 ways to Sunday before I thought of it. - Hope that works.
Thu Apr 25 12:52:06 2019 Hope that works.

******** • I searched 7 ways to Sunday as well, thinking it was something way more complicated... + sm
Thu Apr 25 13:04:39 2019 sm
I have no way to pull the report back, but I just did a progress note on the same patient and pended that one for QA with a note asking them to fill in the blank on the H&P from this morning - hopefully they will still be able to go in and fix it. Thanks again for your help.

--OP (taco)
********** • anytime! - nm
Thu Apr 25 15:20:08 2019 nm


• Punctuation? MRI: Slight flow line cerebellar tonsils but no Chiari malformation
- nm
Wed Apr 24 18:10:54 2019 nm

** • I went with commas after line and tonsils - OP
Wed Apr 24 18:26:26 2019 OP

**** • Could you be hearing slightly low-lying cerebellar tonsils??? (see link) + Questyr
Wed Apr 24 20:22:29 2019 Questyr
link
****** • I actually ended up blanking it. You're right & it's what QA came back with. Thanks! - OP
Thu Apr 25 10:29:32 2019 OP


• was injected into the bilateral s/l faces of the middle turbinate.
+ Faces correct?
Wed Apr 24 16:50:07 2019 Faces correct?
Under endoscopic visualization, 8 mL of 1% lidocaine with 1:100,000 parts epinephrine was injected into the bilateral s/l faces of the middle turbinate.
** • Facies, I would think - CO MT
Wed Apr 24 17:03:23 2019 CO MT

**** • Hmm. Didn't think of that. Thank you - Faces correct?
Wed Apr 24 17:11:05 2019 Faces correct?

****** • I don't think facies is correct here. - fyi
Thu Apr 25 12:13:52 2019 fyi


• brought in to localize *calcium* from the S1 vertebral body
+ sm
Wed Apr 24 14:33:04 2019 sm
he patient was then draped in a sterile fashion and formal time-out was done. A #18-gauge spinal needle was then placed into the presumed disk space of the L5-S1 to mark out an incision over the L5-S1 disk space. Fluoroscopy was brought in to localize _______ from the S1 vertebral body. A midline incision was then marked out and #15-blade was used to cut the skin. Bovie cautery was used for paraspinal muscle dissection. Deep retractors were then placed.
** • flagging - -
Wed Apr 24 16:41:29 2019 -


• levocetirizine, alprazolam, celecoxib, ________, atorvastatin, venlafaxine
- mp3 posted
Wed Apr 24 13:40:44 2019 mp3 posted


• Rotator cuff repair.
+ sm please
Wed Apr 24 10:46:01 2019 sm please
Given the level of retraction and the significant stump laterally, I elected to perform the s/l skoh-ee technique with a single row as well as placing some healing holes for my crimson duvet.
** • Finally found it. SCOI. Ty! + nm
Wed Apr 24 10:52:25 2019 nm
x

• MD says, strike that and goes on: ___________of the brows.
+ wav
Wed Apr 24 09:56:43 2019 wav
Bilateral excess upper eyelid skin with no evidence of true ptosis. ___________of the brows.
** • "Her brows are in - strike that - I don't need to say anything about the brows" - taco
Wed Apr 24 10:08:13 2019 taco

**** • Great. Thanks, taco - wav
Wed Apr 24 10:09:21 2019 wav


• to offer adequate _____ flexor tendons
+ mp3
Tue Apr 23 19:51:01 2019 mp3

SPECIMENS: Tenosynovitis removed from the index and ring fingers to offer adequate _____ flexor tendons.

** • Sorry for mp3 posts. I will be waiting for a while. Thank you - mp3
Tue Apr 23 20:05:36 2019 mp3

**** • I will use 'gliding of flexor tendons. Thanks. - mp3 deleted
Tue Apr 23 20:12:05 2019 mp3 deleted

** • ... - mp3
Tue Apr 23 20:05:17 2019 mp3

** • ... - mp3
Tue Apr 23 20:05:09 2019 mp3


• We exposed the flexor tendon sheaths over the _________ to all the dig ...
+ WAV
Tue Apr 23 19:41:57 2019 WAV
We exposed the flexor tendon sheaths over the _________ to all the digits at the level of the A1 pulley.
** • .. got it: over the flexor tendons...Thanks - wav
Tue Apr 23 20:00:54 2019 wav


• s/l Semska injection?
+ tj
Tue Apr 23 12:13:18 2019 tj
He has a prior history of stroke, coronary artery disease, and multiple other medical problems. He was found to have hyponatremia and pancytopenia. His sodium was 131 on April 22, 2019; this is acceptable by the nephrologist. In the hospital he had ______ s/l Semska injection. His B12 level was 187. TSH was 4.46.
** • Can you hear stem cell injection? - sea
Tue Apr 23 16:49:35 2019 sea

** • Doc is a PCP, but he's talking about nephrology (see msg in orignal post). I think has... + op
Tue Apr 23 12:28:20 2019 op
to do with his history of hypoonatremia and pancytopenia.
**** • He's talking about a lot of things. Do you have a diagnosis? - nm
Tue Apr 23 12:41:54 2019 nm

** • Why is the pt being seen? What kind of doctor? - nm
Tue Apr 23 12:21:57 2019 nm


• (sounds like "sea-set") /ulnar nerve distribution
+ sm - tia
Tue Apr 23 12:04:52 2019 sm - tia
Ongoing persistent numbness and tingling in the right upper extremity of a _____ (sounds like "sea-set") /ulnar nerve distribution. There is also tenderness on the medial elbow where the pronator teres and also tenderness significantly in the right biceps.
** • C7 - my guess
Tue Apr 23 12:27:02 2019 my guess

** • I think it's "where the pronator tear is" (not pronator teres) - nm
Tue Apr 23 12:15:20 2019 nm

**** • thanks! - op
Tue Apr 23 12:17:23 2019 op

****** • Still thinking about your blank - nm
Tue Apr 23 12:21:07 2019 nm


• #0 Prolene suture around the rubber *islets* provided and a pursestring
+ sm
Tue Apr 23 10:05:50 2019 sm
Aspiration of blood from the port was performed and they were flushed with heparinized saline solution without difficulty and without resistance. The catheter was secured to the skin using #0 Prolene suture around the rubber _____ provided and a pursestring suture around the exit site of the catheter was applied as well. The neck incision was cleansed with moist lap sponge and dried appropriately. Deep tissue was approximated using #3-0 Dexon suture in interrupted figure-of-eight fashion and skin edges were approximated using #4-0 Monocryl sutures in subcuticular closure. The patient tolerated this well. Intraoperative fluoroscopy confirmed normal curvature of the catheter with no evidence of kinking of the lumens. The catheter was flushed with 4000 units of heparin, 2000 to each lumen. The neck incision was cleansed with moist lap sponge and dried appropriately. The skin was covered with Dermabond glue.
** • eyelets - nm
Tue Apr 23 10:16:56 2019 nm

**** • thanks - -
Tue Apr 23 10:26:21 2019 -


• laboratory and underwent a *stentplasty* of the proximal LAD.
+ sm
Tue Apr 23 08:04:58 2019 sm
This patient is a 53-year-old woman who was transferred as a direct admission after she had been diagnosed as a non-STEMI. She was transferred for probable cardiac catheterization. It is noteworthy that she decompensated once on admission and required intubation. The patient was ultimately taken to the catheterization laboratory and underwent a _____ of the proximal LAD. At this procedure, an Impella was placed because of cardiogenic shock. I was consulted to assist in the management of the Impella.

• . The testicles were both in their anatomically _______ , and there wa ...
+ wav
Mon Apr 22 16:18:48 2019 wav
. The testicles were both in their anatomically _______ , and there was no evidence of torsion.
** • might be "appendant lie" - sea
Mon Apr 22 16:46:34 2019 sea

**** • oh yes, I hear it also now - ltt
Mon Apr 22 16:47:29 2019 ltt

** • s/l in their anatomically dependent lie - ltt
Mon Apr 22 16:45:58 2019 ltt

**** • Thank you both! I heard 'lie' but was unsure if this is correct. - wav
Mon Apr 22 16:51:09 2019 wav


• remove the horizontal redundancy of the mons pubis from ____________, ...
+ wav
Mon Apr 22 14:53:12 2019 wav
Through the wedge excision to remove the horizontal redundancy of the mons pubis from ____________, I accessed the shaft of the penis.

MD is speaking subdued since out in public
** • I hear: to remove the horizontal redundancy of the mons pubis region - ltt
Mon Apr 22 15:59:18 2019 ltt

**** • Thank you!! - wav
Mon Apr 22 16:02:24 2019 wav

** • Hi. Still waiting :) - wav
Mon Apr 22 15:49:31 2019 wav


• MD dictates what s/l 'tunica vaginia' for a penis surgery. Should I edit to tunica
+ m n c c f j
Mon Apr 22 14:37:57 2019 m n c c f j
vaginalis?
** • No. Relisten and see if you can hear tunica albuginea (see link) + Questyr
Mon Apr 22 16:59:17 2019 Questyr
link

• lood pressure regimen will be *tightened*.
+ ok?
Mon Apr 22 11:30:23 2019 ok?
IMPRESSION: This is an 85-year-old female with past medical history as described above who presents with difficult to control hypertension, hypertensive urgency, acute pulmonary edema.

PLAN: The patient most likely has acute pulmonary edema secondary to difficult to control hypertension. The patient will receive diuretic. Blood pressure regimen will be tightened. The patient does not have a history of smoking on bronchospastic disease. We will observe the patient off corticosteroids, as she is improving on existing therapy already.
** • Makes sense, yes. - taco
Mon Apr 22 12:56:16 2019 taco

**** • ty - !
Mon Apr 22 13:30:18 2019 !


• CPK, LDH, __________, antiacetylcholine receptor antibody
- mp3 posted
Sun Apr 21 20:04:55 2019 mp3 posted

** • aldolase - billybob
Sun Apr 21 20:38:40 2019 billybob

**** • thanks billybob - OP
Sun Apr 21 20:54:45 2019 OP


• Epidural steroid injection:
+ wav
Sat Apr 20 13:01:27 2019 wav
Proper location was confirmed using contrast and fluoroscopy. Good reflux with contrast was noted in the canal. 0.5 mL of Marcaine and Decadron were placed ___________. The patient tolerated the procedure well.
** • Crazy. I uploaded twice to be sure. Will do again. Thanks - wav
Sat Apr 20 13:11:31 2019 wav

** • I'm still hearing the old wav - t
Sat Apr 20 13:05:03 2019 t

**** • I finally got it! It's barely audible, but he says....were placed along the nerve. - wav
Sat Apr 20 13:14:53 2019 wav


• s/l Demars? a combination of Demars and malleable elevators
+ sm
Sat Apr 20 09:27:29 2019 sm
At this time, a combination of Demars and malleable elevators were placed, and the dissection continued down to the inferior orbital rim.

(ZMC and orbital floor fracture repair)
** • I found an eye surgical instrument "Desmarres" - which I think is pronounced like that - taco
Sat Apr 20 09:40:07 2019 taco

**** • I'm sure that's it, thank you! (had a feeling there was a double-R involved, but didn't + remember the S).
Sat Apr 20 09:54:23 2019 remember the S).
mp3 deleted
****** • the first S, that is. - nm
Sat Apr 20 09:55:20 2019 nm

** • mp3 included - mp3
Sat Apr 20 09:37:07 2019 mp3


• s/l Demars? a combination of Demars and malleable elevators
+ sm
Sat Apr 20 09:26:15 2019 sm
ZMC and orbital floor fracture repair

At this time, a combination of Demars and malleable elevators were placed, and the dissection continued down to the inferior orbital rim.
** • ignore, sorry for the repeat. wasn't showing up for me after posting. - nm
Sat Apr 20 09:29:00 2019 nm


• Physician says "along with s/l attentive" risks and benefits were explained
+ Daphne
Fri Apr 19 17:20:16 2019 Daphne
Procedure along with "attentive" risks and benefits were explained to the patient.

THANKS!
** • Might be "attendant" - Questyr
Fri Apr 19 23:15:21 2019 Questyr

**** • Oops, I see that was already suggested. - Q
Fri Apr 19 23:15:47 2019 Q

** • maybe alternative? - sea
Fri Apr 19 18:39:58 2019 sea

**** • I meant, "alternatives, risks, and benefits" - sea
Sat Apr 20 07:54:22 2019 sea

** • attendant - taco
Fri Apr 19 18:19:02 2019 taco


• Doc says sub ACD compression for arthroscopy?
+ Julie
Fri Apr 19 17:07:35 2019 Julie
what is ACD?

TIA
** • acd - acromioclavicular decompression - sea
Fri Apr 19 18:42:53 2019 sea


• used an 18-gauge ________ needle aspiration biopsy
+ mp3
Fri Apr 19 17:02:46 2019 mp3
base of tongue and tried to obtain deeper biopsies and used an 18-gauge ________ needle aspiration biopsy of the left neck mass.
** • needle to perform - sea
Fri Apr 19 18:44:37 2019 sea

** • Hi. I will be waiting over the weekend for an answer. Thank you - mp3
Fri Apr 19 17:29:07 2019 mp3

**** • THank you! - mp3
Fri Apr 19 19:26:52 2019 mp3


• Would a comma be inserted before the word "this"
+ Jamie
Fri Apr 19 15:40:14 2019 Jamie
The patient is accompanied by her daughter who is very concerned regarding recent symptoms of pain in the medial portion of the left and right arm. This has been ongoing for 2-4 weeks.
** • No. Correct the way you have it. - h m o a k i
Fri Apr 19 16:15:21 2019 h m o a k i


• Epidural steroid injection.
+ wav
Fri Apr 19 15:28:35 2019 wav
Proper location was confirmed using contrast and fluoroscopy. Good reflux? with contrast was noted in the canal. 0.5 mL of Marcaine and Decadron were placed ______________.
** • Hi. Still waiting :) - wav
Fri Apr 19 16:35:24 2019 wav

**** • Sorry, I tried several times but just can't access your wave file. Maybe try reposting it? - jen
Fri Apr 19 19:30:23 2019 jen

****** • Thanks, Jen. Will do - wav
Sat Apr 20 12:59:56 2019 wav


• Medication s/l ketomycin sm
+ dd
Fri Apr 19 08:15:10 2019 dd
ALLERGIES: ASPIRIN AND KETOMYCIN, but azithromycin is okay.

He seems to say it pretty clearly but I can't document.
** • Sent it in with a blank. I'll let you know if I hear. Thanks for trying. nm - dd
Fri Apr 19 12:23:12 2019 dd

** • ? kanamycin - wag
Fri Apr 19 12:20:32 2019 wag


• Choledocholithiasis in the *little* duct.
+ o k k i c g
Fri Apr 19 07:20:12 2019 o k k i c g
PROCEDURE: The endoscope was brought to the second portion of the duodenum. The stomach was not empty and food was present in the fundus. The bile duct was cannulated and injected with contrast media. Significant dilation of the biliary tree was noted. A balloon was introduced over a guidewire and small stones and sludge were noted and removed. A large stone in the proximal bile duct was present. A #10 French 7 cm plastic stent was introduced into the bile duct and placed in good position. Bile was flowing. The procedure was tolerated well.

IMPRESSION: Choledocholithiasis in the _____ duct. Cholangitis. Small stones in the biliary removed. A large stone in the duct. Stent was placed.
** • Do you think he/she might be saying *biliary* ??? - Questyr
Fri Apr 19 14:18:43 2019 Questyr

**** • I will try that. - Thanks!
Fri Apr 19 14:43:45 2019 Thanks!


• Preoperative Diagnoses: 1. Cosmetic/_________ ...
+ e h g l a j
Thu Apr 18 16:04:37 2019 e h g l a j
Preoperative Diagnoses: 1. Cosmetic/_________

** • Forgot to add that wav is posed. Thank you - wav
Thu Apr 18 16:04:52 2019 wav

**** • I think it is self-pay. Thanks - wav
Thu Apr 18 16:06:16 2019 wav


• Please help me punctuate this sentence.
+ tia
Thu Apr 18 15:23:32 2019 tia
Imaging at that point showed an incidental asymptomatic CSF density nonenhancing cyst in the medulla.
** • I personally would not use any commas. Fine as is. - e h g l a j
Thu Apr 18 16:05:25 2019 e h g l a j

**** • Thanks a lot - op
Thu Apr 18 18:09:35 2019 op


• ppeared that the inferior wall *still did beat*. Saphenous vein was noted
+ ?
Thu Apr 18 13:17:50 2019 ?
he LAD had to be dissected free at a very distal location to find the spot that appeared soft enough to graft. The patient even here was only about 1.25 to 1.5 mm in size, but I felt a target. The main marginal vessel, the dominant vessel, was identified. Again, it was about 1.75 mm in size, very diffusely diseased, but I felt a target.

At this time, the totally occluded PDA was dissected free. I was somewhat surprised it was slightly bigger than I anticipated, quite small but I still felt possibly a target given that it appeared that the inferior wall ____. Saphenous vein was noted to be of fair quality. Saphenous vein was anastomosed in an end-to-side fashion to the marginal vessel using a #7-0 Prolene and temporary aortic cross clamp techniques.

• through each pannus. A _____________ be passed
+ wav
Thu Apr 18 12:43:00 2019 wav
This will be done using a drill and Steinman pin to pass large pins through each pannus. A _____________ be passed through these pins as well as through a Hoyer lift.
** • ....A rope will then be passed.. - wav
Thu Apr 18 12:50:39 2019 wav


• These are technically s/l panniculid dysmorbidis.
+ o a o b b f
Thu Apr 18 12:30:40 2019 o a o b b f
She has developed massive swollen lymphedematous panniculi of her thighs. These are technically "panniculid dysmorbidis".

I cannot find with different spellings online.

Thankyou!
** • Only thing I could find was panniculus morbidus - Questyr
Thu Apr 18 22:06:17 2019 Questyr

** • Sendin - o a o b b f
Thu Apr 18 12:50:56 2019 o a o b b f

**** • Flagged. Thank you - o a o b b f
Thu Apr 18 12:51:15 2019 o a o b b f


• nd relief was reconnected. **Collet**, which had been removed,
+ ?
Thu Apr 18 12:30:08 2019 ?
Care had been taken to try to minimize any chance of air. The bend relief was reconnected. Collet, which had been removed, was now reapplied and secured. The patient's previous driveline was then completely removed. HeartMate II driveline was then tunneled carefully to the new position.

• The area was touched with s/l*sin-pha-nol* on a Calgiswab.
+ sm
Wed Apr 17 11:46:29 2019 sm
I removed the myringotomy tube by gently elevating it out of the eardrum with a pick and removed it with alligator forceps. This left a much smaller posterior perforation. Myringotomy knife was used to freshen the edges of the perforation anteriorly. The cut edge squamous epithelium was removed with the cup forceps. The area was touched with s/l*sin-pha-nol* on a Calgiswab.
** • Never mind, it was "some phenol" - OP
Wed Apr 17 11:54:07 2019 OP


• The A1 pulley was then released longitudinally. Proximally, we release ...
+ mp4
Tue Apr 16 17:48:29 2019 mp4
The A1 pulley was then released longitudinally. Proximally, we released ________________ forming a palmar pulley and distally we released the leading edge of the A2 pulley.
** • ... - mp4 deleted
Tue Apr 16 19:17:26 2019 mp4 deleted


• with active clicking and locking to the area with pain over the proxim ...
+ mp3
Tue Apr 16 17:47:12 2019 mp3
with active clicking and locking to the area with pain over the proximal interphalangeal joint area ______________as well.
** • tenderness to the area as well? - poi
Tue Apr 16 18:39:15 2019 poi

**** • Thanks poi. But I hear perhaps 'stiffness' - mp3
Tue Apr 16 19:09:21 2019 mp3


• The dorsal volar leaflets of the 1st extensor compartment were removed with a combina
+ wav
Tue Apr 16 17:27:31 2019 wav
Some subluxation of the extensor tendons of the 1st compartment was noted. The dorsal volar leaflets of the 1st extensor compartment were removed with a combination of_________________ as well as with bipolar electrocautery.
** • scalpel _____ resection? - poi
Tue Apr 16 17:45:13 2019 poi

**** • Thank you poi - wav
Tue Apr 16 17:50:47 2019 wav


• Attention was directed back dorsally _________ vertical capsulotomy
+ WAV
Tue Apr 16 14:28:02 2019 WAV
A lateral capsulotomy was then performed. Attention was directed back dorsally _________ vertical capsulotomy was performed overlying the 1st metatarsophalangeal joint.
** • a medial oriented? inverted L capsulotomy - poi
Tue Apr 16 14:46:33 2019 poi

**** • Thanks, poi! - WAV
Tue Apr 16 14:54:38 2019 WAV


• S/L torpedo gauze dressing? Is that correct or am I missing something? sm
+ dd
Tue Apr 16 12:48:08 2019 dd
Patient having partial nail resection done.

It was packed with Adaptic, and sterile nonadherent dressing placed, a torpedo gauze dressing.
** • ? tubular - nm
Tue Apr 16 14:26:38 2019 nm


• vascular stapling device, white s/l *cartex* was used to staple across pedicle
- nt
Mon Apr 15 16:47:30 2019 nt

** • oh! Got it - cartridge - nt
Mon Apr 15 16:49:06 2019 nt


• Smoking: Never smoked. s/l pass-um leads to anaphylaxis. ...
+ g n b h n k
Mon Apr 15 10:53:00 2019 g n b h n k
Smoking: Never smoked. s/l pass-um leads to anaphylaxis.
** • Got it: penicillin - g n b h n k
Mon Apr 15 10:54:21 2019 g n b h n k


• s/l **parsonate**probe
+ sm
Mon Apr 15 05:33:16 2019 sm
This required some repair stitches in the mammary with extreme care being taken not to damage the mammary. It must be noted that preparing the mammary, there was noted to be extremely brisk pulsatile flow. A 1.5 _____ probe could also be easily passed up the mammary and passed to site of the repair, and there was absolutely no stenosis present.
** • I googled "vascular probe" and immediately found Parsonnet - taco
Mon Apr 15 10:12:11 2019 taco


• Jamar grip test
+ sm
Sat Apr 13 10:38:43 2019 sm
Jamar grip test on the right was at 10/10/12/12 kg while the left was at 20/20/20/22 kg, with the right side s/l "sit of crate" compromise yet also with no bell-shaped curve on the Jamar grip test
** • ...with the right side significantly compromiseD, - good thinking
Sat Apr 13 22:42:03 2019 good thinking

** • Since the right numbers are half that of the left, could the doc be saying 'significantly + Questyr
Sat Apr 13 22:18:31 2019 Questyr
compromised' ??????

• The nasal and inferior areas of fibrosis were able to be elevated safe ...
+ wav
Thu Apr 11 19:22:30 2019 wav
The nasal and inferior areas of fibrosis were able to be elevated safely away from the retina and _________ from the eye.
** • Thanks, pio - wav
Thu Apr 11 19:25:32 2019 wav

** • removed - poi
Thu Apr 11 19:23:59 2019 poi


• I explained to her that she has become a hot potato. Quotation marks correct?
- thanks
Thu Apr 11 12:48:09 2019 thanks

** • After the period so "hot potato." - sea
Thu Apr 11 22:24:25 2019 sea

** • I would not unless dictated. That isn't something the patient said. - fwiw-poi
Thu Apr 11 14:04:54 2019 fwiw-poi

**** • OK - I did a little research, and apparently putting quotes around idioms is unnecessary + Go w/poi's advice
Thu Apr 11 14:14:03 2019 Go w/poi's advice
I'm not really a quotation-mark slut, but my thought was that since the patient is not really a hot potato, it "looked" right to use them <--- see what I did there, haha.
****** • I agree, it probably *looks right* to use them (see how I did that? haha) + poi
Thu Apr 11 14:39:10 2019 poi
BUT in a medical report I would think quotes would go to something the patient said or another person other than the dictator....but that is just *my opinion*
****** • I'm curious, though, what the hell the doctor means by "hot potato". - taco
Thu Apr 11 14:14:54 2019 taco

******** • maybe no doctors want to touch her? - t
Thu Apr 11 14:30:55 2019 t




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