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May 17 09:29
• med s/l "theo rass awl" I went to drugs.com and it just suggested Thera-Sal which + isn't it.
Fri May 18 20:58:39 2012 isn't it.
Her past medical history is pretty complex and includes depression, insomnia, hypertension, hypercholesterolemia, seizures, diabetes, fibromyalgia, CHF, TIAs, GERD, arthritis. Past surgical history: Cholecystectomy, hysterectomy, appendectomy, facial surgery, questionable history of cardiac catheterization per ER notes.
MEDICATIONS
Home medications include Synthroid 200 mcg daily, Ecotrin 81 mg daily, Lotensin 40 mg daily, Cymbalta 30 mg daily, Cardizem 240 mg daily, folic acid 1 mg daily, Lasix 40 mg daily, K-Dur 20 mEq daily, Prilosec 20 mg daily, Seroquel 50 mg daily, Dilantin 100 mg t.i.d., Klonopin 1 mg t.i.d., _____s/l theo rass awl 10 mg t.i.d., Glucophage 1000 mg b.i.d., Lyrica 300 mg b.i.d., Lipitor 20 mg at bedtime, Benadryl 25 q.6h., and Lantus 45 units at bedtime.
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Fri May 18 21:57:28 2012 nm
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Fri May 18 21:19:37 2012 OP
putting the stress on rass' but I do hear an L now. Thanks for the help, though.
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Fri May 18 21:05:30 2012 Margaret
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Fri May 18 21:05:25 2012 darlene
I looked at 3 pages, no luck, let you do the others
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• penvk + m4under5
Fri May 18 20:55:40 2012 m4under5
what is current acceptable form for "pen-vk"?
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Fri May 18 21:49:50 2012 fwiw
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Fri May 18 21:32:28 2012 m4under5
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Fri May 18 21:02:31 2012 nm
for sure.
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Fri May 18 21:01:41 2012 Margaret
I imagine I am no longer current, so I'm interested in the answer.
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Fri May 18 22:12:29 2012 Margaret
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• Jack Layton and ....pls help + p i j k j d
Fri May 18 19:25:05 2012 p i j k j d
He was able to name Jack Layton and s/l Mit Romany
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Fri May 18 19:29:02 2012 p i j k j d
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Fri May 18 19:28:31 2012 nm
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• It appears to be s/l "peeriman" and subcortical + stroke
Fri May 18 19:14:54 2012 stroke
During the hospital course, the patient had a consult with Dr. Neurologist. According to him, the patient had a moderate-sized right hemispheric stroke with left-sided facial weakness greater than her arm and greater than the leg. It appears to be s/l "peeriman" and subcortical based on the CAT scan.
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Fri May 18 22:02:23 2012 sm
"greater than her arm and greater than the leg". That doesn't make sense to me.
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Fri May 18 23:12:30 2012 sm
extremities. The patient also had a severe left facial droop.
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Fri May 18 19:24:47 2012 guez
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Fri May 18 19:23:49 2012 nm
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Fri May 18 19:33:33 2012 stroke
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Fri May 18 19:17:10 2012 Margaret
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Fri May 18 19:30:57 2012 Thanks.
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Fri May 18 19:47:18 2012 Mgt
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• The patient is a "yera" class teacher as well as also does some dancing. + she's 70
Fri May 18 18:27:47 2012 she's 70
Denies any active tobacco, alcohol, or illicit drug abuse. The patient is a "yera" class teacher (VR had "the owner of a stricture") as well as also does some dancing. Lives with the family.
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Fri May 18 18:33:36 2012 nm
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• s/l verses + floeta
Fri May 18 17:03:42 2012 floeta
There is a bony fragment off the base of the 2nd **verses** of the cuneiform.
more context if needed below...
X-rays from 05/15/2012 show a Lisfranc fracture dislocation with dislocation of the 2nd and 3rd TMT joint and subluxation on the 4th and 5th TMT. There is mild abduction with minimal subluxation of the 1st TMT. There is a bony fragment off the base of the 2nd **verses** of the cuneiform.
Intraoperative fluoroscopy shows appropriate internal fixation with 3 screws, 2.7 mm in size crossing the 1st, 2nd and 3rd TMT, as well as a small K-wire that is slightly bent, crossing the 4th TMT.
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Fri May 18 17:26:42 2012 poi
me. He isn't sure where the fragment came from based on the x-rays.
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Fri May 18 17:32:19 2012 floeta
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Fri May 18 17:20:57 2012 the cuneiform.
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Fri May 18 17:32:33 2012 floeta
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Fri May 18 17:10:53 2012 f g j j g j
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Fri May 18 17:17:00 2012 floeta
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Fri May 18 17:11:55 2012 f g j j g j
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• Allergy/papular skin rash + rr
Fri May 18 16:17:32 2012 rr
we have repeated a s/l major battery?? today as well as asked her to discontinue the PPI.
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Fri May 18 16:27:58 2012 :D
4[SINGULAR] a group of similar things
battery of: He put her through a battery of tests.
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Fri May 18 16:19:52 2012 Margaret
A big battery, a combo of several individual batteries.
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Fri May 18 16:22:08 2012 rr
Okay, thanks for your help!
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• S/L hepatitis seawater + thank you
Fri May 18 16:10:32 2012 thank you
Patient has a history of liver transplant in 2005 secondary to hepatitis "seawater"/hepatocellular cancer.
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Fri May 18 16:18:02 2012 Margaret
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Fri May 18 16:12:11 2012 f g j j g j
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• if you find out please come back & share- "right IJ Cordis *SYS* catheter + darlene
Fri May 18 15:48:04 2012 darlene
I looked "every which way" cannot find, would like to save in my lists
A right IJ Cordis *SYS* catheter was placed as well as a right radial *art-line.* + sm
Fri May 18 06:56:04 2012 sm
I can't document SYS catheter but he seems to say those letters.
Is art line short for arterial line?
** • can try the link. what is the exact procedure, please? + nm
Fri May 18 07:00:07 2012 nm
link
**** • Yes, I've tried that link and just hard to really find anything solid. CABG. - OP/nm
Fri May 18 07:09:52 2012 OP/nm
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Fri May 18 17:16:35 2012 lb
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• A preperitoneal plane was created as recommended for a s/l "cougar" patch repair. + sm
Fri May 18 15:39:36 2012 sm
A preperitoneal plane was created as recommended for a s/l "cougar" patch repair and the above Bard Ventralex hernia patch placed with the Gore-Tex side oriented towards the peritoneum and the polypropylene side towards the fascia after it was soaked in bacitracin irrigation.
VR had colder. I could possibly get "cooler" out of it but not "colder." Any ideas?
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Fri May 18 15:46:45 2012 thanks!
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Fri May 18 15:45:50 2012 nm
they will replace the Kugel
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Fri May 18 15:43:22 2012 darlene
Legal Action Taken Against Manufacturer of Bard
Ventralex Hernia ...www.findtherightkugellawyer.com/.../legal-action-taken-against- ...
Jan 2, 2012 – The Ventralex patch is also known as the “Kugel Hernia Patch,” as it was invented by Dr. Kugel. Like hundreds of other lawsuits, this one ...
Hernia Mesh Patch Recall - lawyersforclients.comwww.lawyersforclients.com/kugel-mesh-patch-2.html
All other Davol hernia patches with PET rings, including the Bard® Kugel® Hernia Patch; Bard® VentraleX® Hernia Patch; Bard CK Parastomal Patch; and ...
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Fri May 18 15:43:11 2012 nm
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• I'm trying to document a lot number for Bard Ventralex hernia patch. Can anyone + help?
Fri May 18 15:26:23 2012 help?
Incisional hernia repair with mesh (Bard Ventralex hernia patch, diameter 6.4 cm, reference number 0010302, lot number s/l "HUVI0024," expiration date 09/2016).
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Fri May 18 17:32:56 2012 nm
of something. That seems impossible without looking at the packaging.
If it isn't clear, flag it.
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Fri May 18 17:59:11 2012 agree
I found HUTL1283, HUTL1369, and HUVD1253, which are four letters followed by four numbers, so at least it looks like the OP is on the right track with her lot number/serial number, i.e. in the ballpark.
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Fri May 18 17:48:58 2012 lb
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Fri May 18 15:45:10 2012 darlene
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Fri May 18 16:08:18 2012 WOW
do that?
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Fri May 18 17:22:56 2012 lol
spent many a time chasing down a doctor in the hallway of the hospital to ask him what the heck he said.
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Fri May 18 16:13:49 2012 darlene
Some can call medical records, they can check the chart.
And, even some management from "nationals" can call the client/hospital yes they can. You go "through" management.
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Fri May 18 16:08:17 2012 WOW
do that?
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Fri May 18 15:46:25 2012 d e o k c o
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Fri May 18 15:32:23 2012 just a thought
Main Phone: 800-556-6756
Customer Service: 800-556-6275
Medical Services & Support Hotline: 800-562-0027
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Fri May 18 15:37:07 2012 Op
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Fri May 18 16:13:47 2012 nm
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Fri May 18 15:43:27 2012 I have done it
were happy to help.
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Fri May 18 15:42:43 2012 a j e e a j
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Fri May 18 15:31:57 2012 me again
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Fri May 18 15:31:23 2012 me
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• s/l mobilize + verifying
Fri May 18 14:41:46 2012 verifying
He was given albumin 25% x2 doses to help mobilize fluid.
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Fri May 18 16:11:43 2012 lb
Provides colloidal oncotic pressure, which serves to mobilize fluid from extravascular tissues back into the intravascular space.
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Fri May 18 15:18:24 2012 sm
albumin (human)
Action
• Provides colloidal oncotic pressure, which serves to mobilize fluid from extravascular tissues back into the intravascular space
• Requires concurrent administration of appropriate crystalloid
Therapeutic Effect(s):
Increase in intravascular fluid volume
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Fri May 18 17:05:34 2012 vu
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Fri May 18 15:17:04 2012 nm
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• I'm sure I should know this...but my brain isn't working sm + dee
Fri May 18 14:14:10 2012 dee
Patient has hidradenitis.
Blank s/l a-night-us
I therefore recommended excision. I discussed that I do not recommend closing the areas as it does appear that the sutures just become (a-night-us) _________ for additional infection.
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Fri May 18 14:18:44 2012 s
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Fri May 18 14:20:13 2012 dee
d
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• Had 5-FU injection in shoulder. He tolerated these *incisions* well. Could that + sm
Fri May 18 13:59:54 2012 sm
make any sort of sense in context below? Doc is very clear. New account and new doc for me, and I don't know if he's misspeaking or means *incisions.* (He is a resident.) Sorry if silly question but no room for error on this account! (I'll flag if necessary, but don't want to leave in as dictated if grossly in error.)
Pt underwent 5-fluorouracil injection into the right and left shoulder keloids. He tolerated these *incisions* well. He now presents for surgery for excision of his right shoulder keloid.
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Fri May 18 14:09:35 2012 :0
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Fri May 18 14:02:19 2012 op
Pt underwent 5-fluorouracil injection into the right and left shoulder keloids. He tolerated these *incisions* well. He now presents for surgery for excision of his right shoulder keloid with plans for followup 5-fluorouracil injection.
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Fri May 18 14:09:07 2012 f g j j g j
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• Audio Posted + d n m a a l
Fri May 18 13:01:01 2012 d n m a a l
Can someone listen to about the 2:35 mark in the audio just posted? I still hear "96-pound" suture.
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Fri May 18 13:01:45 2012 :D
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Fri May 18 13:03:35 2012 think
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Fri May 18 13:09:44 2012 d n m a a l
MP3; it's toward the end of the audio
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Fri May 18 13:16:24 2012 f g j j g j
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Fri May 18 13:19:34 2012 nm
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Fri May 18 13:16:20 2012 try googling
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Fri May 18 13:26:48 2012 d n m a a l
:o)
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Fri May 18 13:19:37 2012 f g j j g j
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Fri May 18 13:20:51 2012 nm
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Fri May 18 13:25:09 2012 f g j j g j
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Fri May 18 13:19:36 2012 d n m a a l
that sounds better!
Thanks!
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Fri May 18 13:21:45 2012 nm
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Fri May 18 13:21:22 2012 f g j j g j
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Fri May 18 13:22:17 2012 lol
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Fri May 18 13:27:30 2012 f g j j g j
before it cuts off & starts over.
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Fri May 18 13:37:53 2012 ?
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Fri May 18 13:38:55 2012 f g j j g j
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Fri May 18 14:12:32 2012 we tried!
hopefully she takes a minute or something. That file there is not the one I heard.
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Fri May 18 14:34:05 2012 f g j j g j
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Fri May 18 13:32:43 2012 d e o k c o
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• sm + just sharing
Fri May 18 12:47:30 2012 just sharing
Wow just discovered my past NCH Express Scribe was hogging out a huge amount of memory 80 GB and 1 GB of virtual drive. No wonder my desktop has been crawling for the past months. Now everything is going faster like brand new.
For those who didn't know, there is a separate hidden folder that saves all done audios as backup from the beginning which can be deleted.
Friendly note for NCH users
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Fri May 18 15:27:31 2012 darlene
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Fri May 18 13:58:43 2012 audios? Margaret
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• surrounding inflammatory change s/l "in/and" mesenteric hypervascularity + ct
Fri May 18 12:26:00 2012 ct
There were additional smaller hypodensities in the medial inferior segment in the left lobe and posterior superior segment of the right lobe that were heterogeneously enhancing with central low attenuation, suspicious for metastases. There were some stable lobulated cysts noted. There was diffuse thickening of the sigmoid and surrounding inflammatory change ______in or and? mesenteric hypervascularity, numerous sigmoid diverticula consistent with diverticulitis. No free air. There was an exophytic hypodense lesion arising from the superior aspect of the midportion of the sigmoid, measuring 3.8 x 2.3 x 2.3 cm. It could be a primary neoplasm. There was a 1.9 x 1.6 cm low-density mass anterior to the left common iliac artery, concerning for a lymph node.
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Fri May 18 13:24:13 2012 thank you
Even if she were saying "in" putting "and" wouldn't necessarily make it wrong since it still showed inflammatory change and mesenteric hypervascularity. At least I rationalized it that way. lol
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Fri May 18 13:05:43 2012 imo-poi
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Fri May 18 13:01:18 2012 mw
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• surrounding inflammatory change s/l "in/and" mesenteric hypervascularity + ct
Fri May 18 12:25:05 2012 ct
There were additional smaller hypodensities in the medial inferior segment in the left lobe and posterior superior segment of the right lobe that were heterogeneously enhancing with central low attenuation, suspicious for metastases. There were some stable lobulated cysts noted. There was diffuse thickening of the sigmoid and surrounding inflammatory change ______in or and? mesenteric hypervascularity, numerous sigmoid diverticula consistent with diverticulitis. No free air. There was an exophytic hypodense lesion arising from the superior aspect of the midportion of the sigmoid, measuring 3.8 x 2.3 x 2.3 cm. It could be a primary neoplasm. There was a 1.9 x 1.6 cm low-density mass anterior to the left common iliac artery, concerning for a lymph node.
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Fri May 18 13:00:23 2012 nm\
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• (s/l genemit) tablets for type 2 diabetes - tg
Fri May 18 12:06:25 2012 tg
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Fri May 18 12:07:03 2012 maybe
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Fri May 18 12:11:13 2012 tg
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• S/L "monocle" + d n m a a l
Fri May 18 11:43:15 2012 d n m a a l
For the deeper layers a subcuticular "monocle" skin closure was used followed by skin glue and sterile pressure dressings.
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Fri May 18 11:44:27 2012 f g j j g j
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Fri May 18 11:46:23 2012 d n m a a l
May be that. I will relisten.
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• med s/l perfinadine + sm
Fri May 18 11:41:31 2012 sm
The patient states his condition has basically not changed. He is on various medications for pain including clonazepam, Exforge, Effexor, Topamax, and ____.
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Fri May 18 11:42:51 2012 nm
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Fri May 18 11:46:29 2012 n
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• no lymphadenopathy, pallor, or signs of (s/l lot) thyroid disease + ll
Fri May 18 11:40:33 2012 ll
She has a soft midsystolic murmur at the base. There is no lymphadenopathy, pallor, or signs of (s/l lot) thyroid disease, the abdomen is unremarkable, apart from scars from both cholecystectomy and Cesarean section.
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Fri May 18 12:02:58 2012 d e o k c o
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Fri May 18 12:02:26 2012 gyes
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Fri May 18 12:10:25 2012 ll
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Fri May 18 11:46:24 2012 nm
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• she had (s/l pre-untal) five years ago and undergone second-yearly colonoscopies for + vr
Fri May 18 11:36:01 2012 vr
There is no prior history of any gastrointestinal disease, however, she had (s/l pre-untal) five years ago and undergone second-yearly colonoscopies for polyps surveillance, on the basis of her brother having been found to have colon cancer. These examinations were apparently all negative.
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Fri May 18 11:48:49 2012 nm
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Fri May 18 12:00:35 2012 vr
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• S/L ..clamp greft + d n m a a l
Fri May 18 11:35:52 2012 d n m a a l
A clamp was now passed in one incision and out the other incision, and this clamp "greft" a "96-pound" suture, which was pulled through one incision and out the other incision.
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Fri May 18 12:04:59 2012 <?
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Fri May 18 11:56:39 2012 ll
www. ctsnet. org / sections / clinicalresources/thoracic/ expert_tech-15 .html
take out the spaces and this has a great article about the surgery
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Fri May 18 12:00:29 2012 d n m a a l
Thanks.
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Fri May 18 11:52:34 2012 f g j j g j
Bioabsorbable poly-L/D-lactide (PLDLA) 96/4 triple-stranded bound suture in the modified Kessler repair: an ex vivo static and cyclic tensile testing study in a porcine extensor tendon model.
Probably not wht you want, but its all I find with 96 suture...
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Fri May 18 11:54:04 2012 d n m a a l
I'm just not sure about this one.
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Fri May 18 11:49:42 2012 f g j j g j
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Fri May 18 11:49:29 2012 d n m a a l
grasped is correct for "greft"
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Fri May 18 11:44:14 2012 need more info
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Fri May 18 11:46:09 2012 d n m a a l
Nuss minimally invasive repair of pectus excavatum deformity
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Fri May 18 11:54:20 2012 another guess
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Fri May 18 12:04:18 2012 d n m a a l
I still hear 96
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• One more blank on the seminoma patient: future s/l "cycle" malignancy + risks
Fri May 18 11:20:58 2012 risks
Also, radiation therapy has been the mainstay of treatment for stage II seminoma patients, with a longer history of therapy than chemo treatments have. The patient provided re-consent for radiation planning today after goals and risks were again discussed with the patient. Risks for nausea, fatigue, fibrosis, diarrhea, potential future _s/l "cycle" malignancy, were all reviewed with the patient. He should continue on with his Dilaudid, and we will add on Motrin 400 mg every 6 hours with food to see if this helps him with his abdominal pain.
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Fri May 18 11:30:11 2012 OP
Sounds somewhat like sack ral
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Fri May 18 11:44:21 2012 OP
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• The *serious* and latissimus fascia were then closed... I can't seem + sm
Fri May 18 11:18:25 2012 sm
to find serous fascia, which was my first guess. Looking on Google and in my medical dictionary under fascia. Lobectomy.
The *serious* and latissimus fascia were then closed using 0 PDS suture
Why, oh why, is every other sentence in this note a major you-know-what in the you-know-where???!!! (Just me? LOL.)
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Fri May 18 11:23:57 2012 nm\
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Fri May 18 11:27:48 2012 nm
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• Chest tubes placed and secured using *vessel loop suture.* + sm
Fri May 18 11:12:56 2012 sm
Two 36-French chest tubes were then placed, one anterior and one posterior, and secured to the skin using vessel loop suture. The layers were then reapproximated using #2 Vicryl.
Lobectomy op note.
Doc slurs! Anyway, I think vessel loop is pretty clear, but last word -- suture ?? But when I google "vessel loop suture" I get only 2 hits.
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Fri May 18 16:10:35 2012 darlene
like actually suturing, it is approximation to keep it closed, in that instance.
Then used for snare technique, to retract out of a field or tie off such as chest tubes outside the body to prevent tangles.
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Fri May 18 14:19:38 2012 darlene
link
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Fri May 18 11:26:11 2012 nm\
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Fri May 18 15:37:41 2012 darlene
within the body tying off vessels to keep them out of the field view being worked on.
Vesseloops®
Remedco, Inc., Med General, Inc.. Med General, Inc. Corp)
Latest Owner: Maxxim Medical Corporation
purpose
used as an aid for identification, vascular occlusion and retraction of veins, arteries, nerves, ureters and tendons during surgical procedures and are radiopaque to show up on monitors.
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Fri May 18 11:29:44 2012 f g j j g j
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• S/L on operative note + d n m a a l
Fri May 18 11:10:35 2012 d n m a a l
Appropriate anesthesia was utilized along with utilization of appropriate "hemanac" and electrocardiographic monitoring devices.
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Fri May 18 11:22:31 2012 long shot
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Fri May 18 11:34:11 2012 d n m a a l
Thanks!
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• Same note as post below for lobectomy. I have a s/l as inside + sm
Fri May 18 10:57:50 2012 sm
The retractor was then placed, and a thorough investigation of the thoracic cavity revealed the known mass in the left upper lobe. There were no appreciable pleural-based masses or nodules within the left lower lobe.
This fissure was well developed, and a GIA *sinny-kos* stapler was used to complete the fissure.
I've googled GIA stapler and looking for a similar word in/around it but just not finding. Doc tends to slur his words or sound quality just not good.
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Fri May 18 11:00:00 2012 f g j j g j
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Fri May 18 11:00:38 2012 f g j j g j
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Fri May 18 11:01:59 2012 nm
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Fri May 18 11:04:44 2012 f g j j g j
and 75 popped up.
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• T2 N2 M0 right testicular s/l "peer" seminoma, nonsecretory, status post right + diagnosis
Fri May 18 10:54:08 2012 diagnosis
inguinal orchiectomy.
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Fri May 18 10:57:26 2012 Oasis
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Fri May 18 11:03:41 2012 thanks O
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Fri May 18 11:04:49 2012 Oasis
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• A posterolateral thoracotomy incision made with *intra in-sin-sih-tive* thoracic... + sm
Fri May 18 10:50:33 2012 sm
Beginning part of lobectomy op note.
The left hemithorax was prepped and draped in a sterile fashion. A left posterolateral thoracotomy incision was then made with *intra in-sin-sih-tive* thoracic cavity through the 5th intercostal space. The retractor was then placed.
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Fri May 18 11:02:20 2012 nm
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Fri May 18 11:04:17 2012 big guess
Pericardiocentesis – performed to remove blood from the pericardial cavity and ... Radiographs of her chest and subsequent biopsy revealed a bronchogenic ..... The parietal pleura is sensitive to pain while the visceral pleura is insensitive.
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• TEDs and "candles" for DVT prophylaxis + Kay
Fri May 18 10:41:25 2012 Kay
HOSPITAL COURSE:
The patient was admitted with intakes and outputs to a telemetry bed. A Foley catheter was in place. He had a Corpak with Nepro 40 mL/hr with free water, 200 mL every six hours, respiratory titration to keep pulse oximetry greater than 92%, thromboembolic deterrents and "candles" for deep venous thrombosis prophylaxis. He had wound care, physical therapy, occupational therapy, speech therapy evaluation and treatment as indicated.
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Fri May 18 10:49:50 2012 K
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Fri May 18 10:48:43 2012 Oasis
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Fri May 18 10:47:12 2012 ?
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• The palmar fascia was identified and *thawzed* with the 11 blade until we identified + sm
Fri May 18 10:07:16 2012 sm
the nerve.
I can't hear probed. I can't think what else might fit here. Carpal tunnel surgery. Any suggestions?
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Fri May 18 10:11:09 2012 nm\
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Fri May 18 10:23:07 2012 nm
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• Prineo skin closure system + For achives
Fri May 18 10:02:53 2012 For achives
link
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Fri May 18 10:03:26 2012 For archives
|
• slightly retracted epiglottis _____. With the laryngoscope + wav
Fri May 18 09:24:12 2012 wav
After full inspection, it appeared that the airway was anatomically normal except for bilateral foreshortened AE folds and slightly retracted epiglottis _____. With the laryngoscope blade still in place, it also should be noted there was no bronchomalacia, tracheomalacia, no subglottic stenosis or no other anatomic abnormalities must have contributed to the patient’s failed extubation attempts.
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Fri May 18 09:48:48 2012 nm\
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Fri May 18 09:58:00 2012 mark incomplete or
something.
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Fri May 18 09:47:53 2012 nm\
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Fri May 18 09:46:01 2012 nm\
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Fri May 18 09:51:01 2012 ?
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Fri May 18 10:03:13 2012 nm
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• the laryngoscope _____ the patient with good glottic view + wav
Fri May 18 09:11:38 2012 wav
With good communication between ENT team and anesthesia team, the endotracheal tube was then removed from the patient all while maintaining the position of the laryngoscope _____ the patient with good glottic view on the video laparoscopic screen. Once the endotracheal tube was removed, a full airway survey was then undertaken.
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Fri May 18 09:15:04 2012 MT50
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Fri May 18 09:22:57 2012 nm
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• s/l "trans-guy-na" + OP
Fri May 18 08:40:15 2012 OP
This is a female patient, 7 years old, with diagnosis of sickle cell disease, found previously with abnormal _____ Doppler.
Dictator is a pediatric HemOnc with heavy Hispanic accent.
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Fri May 18 08:45:34 2012 nm\
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Fri May 18 08:46:51 2012 OP
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• Last one for this CABG (I hope!). Pt taken to ICU in critical condition... + sm
Fri May 18 07:53:21 2012 sm
on epinephrine, Levophed, *nitro profol*, and *flin-driffs.* All surgical counts were correct at the end of the case.
I don't know if first s/l above is one or two meds. I need to expand everything when it comes to meds. I have no idea for the last s/l either!
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Fri May 18 08:13:36 2012 maybe
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Fri May 18 07:57:35 2012 MT50
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Fri May 18 08:01:53 2012 sm
the propofol, I just wasn't sure this was used outside/after surgery.
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Fri May 18 08:03:19 2012 MT50
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• The sternum was then reapproximated using *stay wires.* The fascia was then closed... + sm
Fri May 18 07:45:43 2012 sm
Sorry if obvious or simple, but new type of note for me. He sounds pretty clear. Why can't I document "stay wires" in context of sternum, approximate, CABG, etc? (Fence context keeps coming up!)
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Fri May 18 08:12:07 2012 good to flag
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Fri May 18 08:08:30 2012 OP
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Fri May 18 08:04:37 2012 nm\
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