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Jun 22 18:31
• He had a recent scan which showed improvement in his disease in the lu ...
+ mp3
Thu Jul 2 12:27:52 2020 mp3
He had a recent scan which showed improvement in his disease in the lungs and elsewhere. He is also due for restaging of brains disease with MRI in fortnight. He has got side effects from ______ mainly skin toxicity and ______ reduced the dose from 40 to 30 mg per day.
** • afatinib - guy got it - poi
Thu Jul 2 12:45:03 2020 guy got it - poi

** • 2. taste alteration and going forward I will - poi
Thu Jul 2 12:29:21 2020 poi

**** • Thanks a lot. :-) - guy
Thu Jul 2 12:32:28 2020 guy


• She is largely asymptomatic. She is on daily adjuvant _____ treatment ...
+ mp3
Thu Jul 2 12:17:51 2020 mp3
She is largely asymptomatic. She is on daily adjuvant _____ treatment and there are no major side effects. Her serum iron is low _____ and she will discuss this with Dr Maxwell
** • post removal of Mirena? - poi
Thu Jul 2 12:26:17 2020 poi

**** • (make sure that fits) - fwiw-poi
Thu Jul 2 12:26:54 2020 fwiw-poi

** • 1. hormone - poi
Thu Jul 2 12:24:57 2020 poi

**** • Thanks a lot. :-) - guy
Thu Jul 2 12:27:24 2020 guy


• The patient had two doses of CAB chemotherapy. A recent scan showed m ...
+ wav
Thu Jul 2 11:43:15 2020 wav
The patient had two doses of CAB chemotherapy. A recent scan showed minor progression. She is symptomatic with increasing seizures. She is on ______ and I have suggested to add ______ 250 bd
** • 2. levetiracetam - poi
Thu Jul 2 12:13:43 2020 poi

** • 800 mg daily ________ - poi
Thu Jul 2 12:12:13 2020 poi

**** • valproate - guy got it - poi
Thu Jul 2 12:45:39 2020 guy got it - poi

**** • Thanks a lot. :-) - guy
Thu Jul 2 12:17:14 2020 guy


• In the treatment: 4. ______ on compassionate access, July 2020. ...
+ mp3
Thu Jul 2 11:37:38 2020 mp3
In the treatment: 4. ______ on compassionate access, July 2020.

** • got it. Thanks. + guy
Thu Jul 2 11:50:54 2020 guy
Lurbinectedin

• He had surgical resection four weeks back. Postop recovery has been g ...
+ mp3
Thu Jul 2 11:13:06 2020 mp3
He had surgical resection four weeks back. Postop recovery has been good. Histology showed ______ negative T3 tumour
** • node? - poi
Thu Jul 2 11:14:29 2020 poi

**** • Thanks a lot. :-) - guy
Thu Jul 2 11:16:27 2020 guy


• cc: _____ Upper GI Cancer Coordinator, Royal Adelaide Hospital ...
+ mp3
Thu Jul 2 10:56:16 2020 mp3
cc: _____ Upper GI Cancer Coordinator, Royal Adelaide Hospital
** • never mind. Thanks to anyone who tried. - guy
Thu Jul 2 11:11:44 2020 guy


• She is up-to-date with her colonoscopies with Andrew Hunter, having th ...
+ wav
Thu Jul 2 08:36:52 2020 wav
She is up-to-date with her colonoscopies with Andrew Hunter, having the last one quite recently and no polyps were detected. We have spoken briefly about extended therapy with endocrine manipulation, given her initial histology with seven lymph nodes positive, ______ would be a likely recommendation for extended therapy.
** • then it would - poi
Thu Jul 2 11:13:42 2020 poi

**** • Thanks a lot. :-) - guy
Thu Jul 2 11:17:07 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Thu Jul 2 09:16:43 2020 guy


• She still has grade 2 neurotoxicity affecting the fingers and feet. S ...
+ mp3
Thu Jul 2 08:36:11 2020 mp3
She still has grade 2 neurotoxicity affecting the fingers and feet. She is overdue for her mammogram and follow up with Andrew, and will get a _____ for this. Her latest blood tests are satisfactory. She remains on montelukast and sertraline as her regular medications.
** • and will get her booked in for this - i j p k n m
Thu Jul 2 09:33:15 2020 i j p k n m

**** • Thanks a lot. :-) - guy
Thu Jul 2 09:46:34 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Thu Jul 2 09:16:38 2020 guy


• I was concerned about the possibility of compressive lesion. We there ...
+ wav
Thu Jul 2 08:13:20 2020 wav
I was concerned about the possibility of compressive lesion. We therefore obtained an MRI. This is not yet formally reported, but to my eye and in comparison with ______ imaging shows quite significant fracturing of T12 with retropulsion, but the cord appears uncompromised, although pretty tight.
** • February's - what I hear
Thu Jul 2 08:25:22 2020 what I hear

**** • Thanks a lot. :-) - guy
Thu Jul 2 08:34:35 2020 guy


• I note his issues with atrial fibrillation and recent ablation, which ...
+ mp3
Thu Jul 2 08:12:46 2020 mp3
I note his issues with atrial fibrillation and recent ablation, which has made a very substantive improvement in his function and quality of life. There is a likely ______ here with enzalutamide and the other second-generation antiandrogen abiraterone, both being associated with increased risks of atrial fibrillation, and I therefore think that this is probably a contributing factor.
** • story - what I hear
Thu Jul 2 08:24:40 2020 what I hear

**** • Thanks a lot. :-) - guy
Thu Jul 2 08:34:30 2020 guy


• Our plan therefore is ______ a further cycle. I will touch base with ...
+ wav
Thu Jul 2 05:49:36 2020 wav
Our plan therefore is ______ a further cycle. I will touch base with him by phone in three weeks and look to re-stage him in six.
** • assay? - billybob
Thu Jul 2 08:11:52 2020 billybob

**** • Thanks a lot. :-) - guy
Thu Jul 2 08:12:21 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Thu Jul 2 06:52:24 2020 guy


• Just a quick note to say that symptomatically things seem quite stable ...
+ mp3
Thu Jul 2 05:44:13 2020 mp3
Just a quick note to say that symptomatically things seem quite stable here. He is tolerating treatment without any substantive toxicities, although he has, a few that say that we ______ right dose level and there is nothing much to suggest deterioration of the neoplastic state
** • he has a few that say that we are at about the right dose - billybob
Thu Jul 2 08:11:07 2020 billybob

**** • Thanks a lot. :-) - guy
Thu Jul 2 08:12:32 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Thu Jul 2 06:52:18 2020 guy


• ..FOR MICROSURGICAL DISSECTION ____________ LEFT L4-5.
+ wav posted
Wed Jul 1 15:50:49 2020 wav posted
1. LEFT L4-5 PARTIAL HEMILAMINECTOMY WITH MEDIAL FACETECTOMY, LATERAL RECESS DECOMPRESSION AND MICRODISCECTOMY.
2. USE OF OPERATIVE MICROSCOPE FOR MICROSURGICAL DISSECTION ____________ LEFT L4-5.

** • ... - wav deleted
Wed Jul 1 17:39:29 2020 wav deleted


• hemostasis was achieved with bipolar electrocautery and __________.
+ mp3
Wed Jul 1 15:39:32 2020 mp3
... using a down-pushing curette and then removed with a pituitary rongeur. After adequate decompression was achieved, hemostasis was achieved with bipolar electrocautery and __________. The wound was closed using Vicryls and Steri-Strips.
** • ... - mp3 deleted
Wed Jul 1 17:39:37 2020 mp3 deleted


• . There was some necrotic tissue ___________ purulence surrounding the ...
+ mp3 posted
Wed Jul 1 13:16:39 2020 mp3 posted
. There was some necrotic tissue ___________ purulence surrounding the mass, which was sent for routine aerobic and anaerobic cultures.
** • necrotic tissue and/or seropurulence? - mn
Wed Jul 1 13:23:48 2020 mn

**** • Thank you :) - mp3 deleted
Wed Jul 1 13:25:28 2020 mp3 deleted


• "cerebro rectal" artery
+ sm
Tue Jun 30 15:32:37 2020 sm
The mesentery and mesorectum was carefully thinned out and two purple load Endo GIA staples were fired using a Signia stapler. The _____ artery was divided with serial applications of the Maryland LigaSure. The mesentery was carefully divided serially proceeding caudad. The IMA pedicle was identified, skeletonized and carefully divided with a 45 mm gray load vascular stapler using Signia. Hemostasis was verified. Additional bands were divided cephalad.
** • superior rectal artery? - mn
Tue Jun 30 15:46:09 2020 mn


• Grammar brainfart - pain in his feet and ankles hurt/hurts at the end of the day
- nm
Tue Jun 30 10:17:43 2020 nm

** • (There is) pain in his feet and (his) ankles hurt. - hurt
Wed Jul 1 10:26:40 2020 hurt

** • pain hurts. - billybob
Tue Jun 30 18:03:50 2020 billybob

**** • Thanks! - OP
Wed Jul 1 09:29:30 2020 OP


• A *clotting* was made just distal thrThe *clotting* was then divided just proximally
+ sm
Tue Jun 30 09:03:41 2020 sm
Hemostasis was verified. Additional bands were divided cephalad. The specimen was extracted via the hand port; 3 mL of ICG was injected showing excellent vascularization of the entire pedicle up to the area of the sigmoid diverticulitis and chronic disease. A _____ was made just distal through which a 28 mm Anvil was placed brought out approximately 4 cm.

The _____ was then divided just proximally with an Endo GIA purple load Signia stapler. The rectosigmoid was passed off as specimen. The anvil was then reintroduced into the abdominal cavity. A rigid proctosigmoidoscopy was then performed and the stool was evacuated. The stapler was then advanced to this rectal stump.

• due to the *probable *collapse and probable disbursement* and
+ ?
Mon Jun 29 13:12:09 2020 ?
Options and alternatives and risks and complications have been discussed with patient and her family. Implications of this trauma has been discussed. At this time, I have recommended the incision and drainage and debridement of this tissue, although she understands that there is probability of pre-existing cyst or other lesions that may not be able to be entirely removed on today's procedure particularly due to the _____ and future recurrence of the lesion and need for its removal at a later time once the infection has subsided and has resolved. Thus, we will proceed with incision and drainage and debridement and advised treatment and local wound care until later time when this can be better removed entirely.
** • What kind of lesion? + sm
Mon Jun 29 13:25:30 2020 sm
I'm not sure what the phrase is, but it would be dispersement. (Disbursement refers to distribution of money.)

• He remains well. Going forward, I have booked an appointment for him ...
+ mp3
Mon Jun 29 12:20:11 2020 mp3
He remains well. Going forward, I have booked an appointment for him to have a restaging scan in two months time. He is slowly recovering from his surgery and will look at starting ______ down the track.
** • work??? is that the end of the report? - poi
Mon Jun 29 12:29:35 2020 poi

**** • not sure if he said thanks at the end or "at things" - fwiw-poi
Mon Jun 29 12:29:51 2020 fwiw-poi

****** • Thanks a lot. :-) ya he said thanks. end of report. - guy
Mon Jun 29 12:30:37 2020 guy


• by his relatively small pectoralis major muscles. Despite much effort ...
+ wav posted
Mon Jun 29 12:05:54 2020 wav posted
by his relatively small pectoralis major muscles. Despite much effort to build his musculature, he has been unable to succeed ___________ . In turn, he has ___________ to move forward with pectoralis major implants.
** • this musculature... to great?? extent. 2. elected? - poi
Mon Jun 29 12:08:27 2020 poi

**** • to any great extent - poi
Mon Jun 29 12:09:26 2020 poi

****** • You did it, poi! Thanks a lot - wav deleted
Mon Jun 29 12:11:34 2020 wav deleted


• Going forward, he is keen for weekly blood test and transfusion as and ...
+ mp3
Mon Jun 29 11:59:16 2020 mp3
Going forward, he is keen for weekly blood test and transfusion as and when indicated. He had a recent ______ which was normal, but I am wondering whether he needs a capsule endoscopy. I have given him a regular blood form for weekly blood test with a transfusion if indicated.
** • endo/colon? - poi
Mon Jun 29 12:05:54 2020 poi

**** • Thanks a lot. :-) - guy
Mon Jun 29 12:07:08 2020 guy


• For the time being, plan is to bring her back in three months with rep ...
+ mp3
Mon Jun 29 11:17:16 2020 mp3
For the time being, plan is to bring her back in three months with repeat scans. The patient is happy with the plan and will get in touch ______ in case there are any concerns.
** • (with) you?? - poi
Mon Jun 29 11:19:05 2020 poi

**** • Thanks a lot. :-) - guy
Mon Jun 29 11:19:58 2020 guy


• hereon one word?
+ guy
Mon Jun 29 10:54:00 2020 guy
She is at home independent and will be followed from hereon.
** • I think for Australia it's one word though - sea
Mon Jun 29 10:56:39 2020 sea

** • 2 words - sea
Mon Jun 29 10:55:50 2020 sea

**** • Thanks a lot. :-) - guy
Mon Jun 29 11:11:02 2020 guy


• There are no side effects from chemotherapy. A recent MRI scan showed ...
+ mp3
Mon Jun 29 10:20:32 2020 mp3
There are no side effects from chemotherapy. A recent MRI scan showed further improvement in his disease. There was some posterior ______, which will be closely monitored and reassessed in three months time with next MRI.
** • enhancement - sea
Mon Jun 29 10:36:42 2020 sea

**** • Thanks a lot. :-) - guy
Mon Jun 29 10:39:02 2020 guy


• The patient is resident at ______ in Semaphore. ...
+ mp3
Mon Jun 29 10:18:04 2020 mp3
The patient is resident at ______ in Semaphore.
** • got it. Thanks. + guy
Mon Jun 29 10:20:07 2020 guy
Wesley Home in Semaphore

• From oesophageal cancer point of view, she is doing well and I will se ...
+ mp3
Mon Jun 29 10:01:55 2020 mp3
From oesophageal cancer point of view, she is doing well and I will see her in six months time. Her _______ wound is slowly getting better as well.
** • sacral - sea
Mon Jun 29 10:17:17 2020 sea

**** • Thanks a lot. :-) - guy
Mon Jun 29 10:17:44 2020 guy


• cc: Dr ______ In Australia ...
+ wav
Mon Jun 29 09:11:23 2020 wav
cc: Dr ______

In Australia
** • Dr ______ Semaphore Park, 2019 ... + guy
Mon Jun 29 09:29:56 2020 guy
Dr ______ Semaphore Park, 2019

• In view of ongoing decline, a family meeting was conducted today and a ...
+ mp3
Mon Jun 29 08:41:41 2020 mp3
In view of ongoing decline, a family meeting was conducted today and a decision has been made for the patient to be treated ______ measures. In case she deteriorates further, she will be for palliation only.
** • on ward with ward-based - billybob
Mon Jun 29 09:57:46 2020 billybob

**** • Thanks a lot. :-) - guy
Mon Jun 29 10:01:28 2020 guy


• I will touch base with him after his surgery, but I suspect that the n ...
+ mp3
Mon Jun 29 07:30:59 2020 mp3
I will touch base with him after his surgery, but I suspect that the next port of call is going to be radiation therapy in the adjuvant setting, given the number of nodes. Normally, we would then consider enrolling him into the _____ study to evaluate the benefit of immunotherapy after high-risk cutaneous _____ treatment.
** • C-post study - sea
Mon Jun 29 08:14:50 2020 sea

**** • Thanks a lot. :-) - guy
Mon Jun 29 08:26:09 2020 guy

** • pre-post study - billybob
Mon Jun 29 07:46:53 2020 billybob

** • 2nd blank: SCC (squamous cell Ca). 1st blank: C post study (which may be for cemiplimab) - mn
Mon Jun 29 07:45:39 2020 mn

**** • Thanks a lot everybody. :-) - guy
Mon Jun 29 08:05:04 2020 guy


• need punctuation help pls.
+ wav
Mon Jun 29 06:58:09 2020 wav
Diagnosis: pT3 N0 M0 histology grade 2, stage 3B S/P local resection R1.
** • never mind. Thanks to anyone who tried. - guy
Mon Jun 29 08:42:04 2020 guy


• I have therefore discussed with the patient that we could go down this ...
+ mp3
Mon Jun 29 06:53:25 2020 mp3
I have therefore discussed with the patient that we could go down this option that there may be no benefit, but the data certainly allow us to be reasonably confident that any benefit is going to be modest. In the extremity situation, it is ______ absolute improvement in relapse-free survival of 5%. He is unenthusiastic about this and would very much prefer for us to monitor the situation.
** • it is about an (?) - mn
Mon Jun 29 07:12:26 2020 mn

**** • Thanks a lot. :-) - guy
Mon Jun 29 07:20:32 2020 guy


• It was very clear to the doctor that he wanted a resection that preser ...
+ wav
Mon Jun 29 06:47:59 2020 wav
It was very clear to the doctor that he wanted a resection that preserved nerve function and he is very happy with the result. It is no great surprise that we see a positive margin in this situation. We have therefore discussed the options for him. _____ and contentious recommendations for use of adjuvant chemotherapy in this situation.
** • There are weak and contentious (?) - mn
Mon Jun 29 06:52:41 2020 mn

**** • Thanks a lot. :-) - guy
Mon Jun 29 06:53:09 2020 guy


• From the point of view of his late effects, everything here is pretty ...
+ mp3
Mon Jun 29 06:02:05 2020 mp3
From the point of view of his late effects, everything here is pretty much stable.

He has seen colleagues at the Royal Adelaide Hospital High Risk Clinic, who have given him estimates of his various bad outcomes from this procedure. **______ patient's effect** that following such a procedure, he has about a 20% risk of substantive delirium, a 50% to 60% risk of both functional decline and discharge to a nursing or rehabilitation facility.
** • Of concern to _______ (patient's name?) is the fact that - mn
Mon Jun 29 06:50:21 2020 mn

**** • Thanks a lot. :-) - guy
Mon Jun 29 06:52:55 2020 guy


• Proper interarch space for implant at site #4. Slight s/l* salo/silo* deficiency on
+ SM
Sun Jun 28 19:45:20 2020 SM
EXAMINATION: Proper interarch space for implant at site #4. Slight s/l* salo/silo* deficiency on the buccal aspect of tooth #4, but proper width for implant placement.
** • Could it be ?shallow? - Questyr
Sun Jun 28 22:19:14 2020 Questyr


• Current Medications: Apixaban 5 mg bd, Micardis, Lipidil, sotalol, ...
+ wav
Sat Jun 27 03:31:48 2020 wav
Current Medications:
Apixaban 5 mg bd, Micardis, Lipidil, sotalol, ______, Crestor.

Background History:
Ex-smoker, quit smoking 30 years ago. Hypertension, hemicolectomy, aortic aneurysm repair 2006, dyslipidaemia, chronic artery disease, CABG, diverticulosis, left groin hernia, borderline diabetes, prostate cancer, Gleason score 9 2012, requiring brachytherapy, peripheral vascular disease, DVT 2018, and diagnosis of AF in 2018, OSA, on CPAP.

** • ezetimibe - mn
Sat Jun 27 07:39:43 2020 mn

**** • Thanks a lot. :-) - guy
Sat Jun 27 08:47:36 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Sat Jun 27 05:09:34 2020 guy


• I caught up with patient in my room, few weeks after his right CEA for ...
+ wav
Sat Jun 27 03:11:25 2020 wav
I caught up with patient in my room, few weeks after his right CEA for ______ to TIA, amaurosis fugax, and left lower limb weakness.
** • crescendo TIA ? - b j j c g j
Sat Jun 27 03:29:46 2020 b j j c g j

**** • Thanks a lot. :-) - guy
Sat Jun 27 03:31:23 2020 guy


• cc: ______ Consultant Physician and Respiratory Physician In Au ...
+ mp3
Sat Jun 27 03:03:29 2020 mp3
cc: ______ Consultant Physician and Respiratory Physician

In Australia. We find physicians via this site in find section.
** • Dr. June Lee - what I hear
Sat Jun 27 11:55:46 2020 what I hear

**** • Thanks a lot. :-) - guy
Sun Jun 28 20:26:43 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Sat Jun 27 05:09:38 2020 guy


• I understand that his surgery was quite a challenge because of the ext ...
+ mp3
Fri Jun 26 20:57:02 2020 mp3
I understand that his surgery was quite a challenge because of the extent of his tumour _____ was adherent to pelvic bone
** • and - Questyr
Fri Jun 26 21:02:15 2020 Questyr

**** • Thanks a lot. :-) - guy
Fri Jun 26 21:10:42 2020 guy


• They might use some electronic letter as well, if _______ ...
+ mp3
Fri Jun 26 19:55:28 2020 mp3
They might use some electronic letter as well, if _______
** • I remember right - poi
Fri Jun 26 19:55:53 2020 poi

**** • Thanks a lot. :-) - guy
Fri Jun 26 19:56:21 2020 guy


• I have explained that there is no need for him to see both of us, but ...
+ wav
Fri Jun 26 19:41:32 2020 wav
I have explained that there is no need for him to see both of us, but that I would be very happy to be contacted ______ by phone, and of course if there is a refractory disease to TKIs and he is willing to consider immunotherapy, then of course I would be happy to help then
** • probably means contacted by you or conversely to contact you - s
Fri Jun 26 20:22:25 2020 s

** • sounds like due?? you??...not sure it makes sense - fwiw-poi
Fri Jun 26 19:55:34 2020 fwiw-poi

**** • Thanks a lot. :-) - guy
Fri Jun 26 19:56:15 2020 guy


• Quite often with tyrosine kinase inhibitors, one has to see people qui ...
+ mp3
Fri Jun 26 19:33:04 2020 mp3
Quite often with tyrosine kinase inhibitors, one has to see people quite regularly and modify the doses accordingly, trying to get the highest tolerable dose, but being able to prepare to ______ very quickly in the presence of toxicity.
** • wind back - poi
Fri Jun 26 19:53:02 2020 poi

**** • Thanks a lot. :-) - guy
Fri Jun 26 19:55:15 2020 guy


• The important features, which to me suggest the interleukin-2 toxicity ...
+ mp3
Fri Jun 26 19:05:33 2020 mp3
The important features, which to me suggest the interleukin-2 toxicity was the presence of a fever and the absence of infection, and with it the altered mental state in someone who, although very alert, is indeed 82 years of _____ age.
** • I think he just stuttered....82 years of age - poi
Fri Jun 26 19:07:47 2020 poi

** • just stumbling - 82 years of age. - sea
Fri Jun 26 19:07:12 2020 sea

**** • Thanks a lot everybody. :-) - guy
Fri Jun 26 19:10:31 2020 guy


• She had been using more Temgesic, and ______ pretty much cut out most ...
+ wav
Fri Jun 26 11:17:29 2020 wav
She had been using more Temgesic, and ______ pretty much cut out most of her other opiates.
** • I have - poi
Fri Jun 26 11:21:56 2020 poi

**** • Thanks a lot. :-) - guy
Fri Jun 26 11:32:30 2020 guy


• However, the fourth suggestion from Matthew was _______, and I have th ...
+ mp3
Fri Jun 26 11:17:07 2020 mp3
However, the fourth suggestion from Matthew was _______, and I have therefore given her a prescription for this to see how this will pan out.
** • Dosulepin (if patient has anxiety?) - sea
Fri Jun 26 12:14:09 2020 sea

** • any clue about what the medication is for? - poi
Fri Jun 26 11:22:55 2020 poi

**** • She had been using more Temgesic, and I have pretty much cut out most ... + guy
Fri Jun 26 11:32:18 2020 guy
She had been using more Temgesic, and I have pretty much cut out most of her other opiates. Unfortunately, she felt that this precipitated significant mood swings with two episodes where she was starting to prepare suicidal plans. This quite reasonably scared the wits out of her and she has stopped this agent with complete resolution of these episodes. Unsurprisingly, her pain has escalated. She is now back on methadone 5 mg twice in a day, and I have suggested that she might increase to 15 mg. In terms of adjuvant pain medications, we have been through the list suggested by Matthew Green. We did try carbamazepine some years ago, which led to significant issues with diplopia and dizziness at about 200 mg a day, nortriptyline gave her nausea we recall at about 25 mg a day, and we are unsure why she did not tolerate gabapentin as it is somewhat lost in the midst of time in previous volumes of her notes. However, the fourth suggestion from Matthew was _____, and I have therefore gi
**** • I can't find anything - poi
Fri Jun 26 11:25:36 2020 poi

****** • Thanks for the effort. - guy
Fri Jun 26 11:41:16 2020 guy

******** • never mind. Thanks to anyone who tried. - guy
Fri Jun 26 11:41:31 2020 guy


• We did try carbamazepine some years ago, which led to significant issu ...
+ mp3
Fri Jun 26 11:14:20 2020 mp3
We did try carbamazepine some years ago, which led to significant issues with diplopia and dizziness at about 200 mg a day, nortriptyline gave her nausea we recall at about 25 mg a day, and we are unsure why she did not tolerate gabapentin as it is somewhat lost in the _____ of time in previous volumes of her ______.
** • 1. midst 2. notes? - poi
Fri Jun 26 11:16:25 2020 poi

**** • Thanks a lot. :-) - guy
Fri Jun 26 11:16:58 2020 guy


• The patient is feeling much more optimistic about life, having had a f ...
+ wav
Fri Jun 26 11:13:18 2020 wav
The patient is feeling much more optimistic about life, having had a further dental review with a ______ that there are options for him for dental rehabilitation. He was also seen by ENT colleagues, who feel that there would be a potential surgical option in some months time to improve his tongue mobility.
** • where the feeling is - poi
Fri Jun 26 11:15:18 2020 poi

**** • Thanks a lot. :-) - guy
Fri Jun 26 11:16:52 2020 guy


• We have therefore discussed the gamut of therapies, which clearly rang ...
+ wav
Fri Jun 26 09:53:37 2020 wav
We have therefore discussed the gamut of therapies, which clearly range from local therapies like _____ and Versatis patches through to systemic drugs like _____ and gabapentinoids.
** • 1. TENS, capsaicin 2. SNRIs .... TO - poi
Fri Jun 26 11:11:55 2020 poi

**** • Thanks a lot. :-) - guy
Fri Jun 26 11:12:11 2020 guy

** • got it. Thanks. is he saying "to or two" + guy
Fri Jun 26 10:01:43 2020 guy
TENS, capsaicin, and Versatis patches through _____ systemic drugs like SNRIs and gabapentinoids
**** • never mind. Thanks to anyone who tried. - guy
Fri Jun 26 11:11:50 2020 guy


• His scans are stable and given we have followed his pulmonary abnormal ...
+ mp3
Fri Jun 26 09:38:01 2020 mp3
His scans are stable and given we have followed his pulmonary abnormalities now substantively, the likelihood is that these are all benign. I have therefore discussed with him the reduction _____ imaging, given the time that has passed since diagnosis and have proposed that we do a scan in a years time, and that will probably bring up the series.
** • doubtful about these also in same sentence + guy
Fri Jun 26 09:42:45 2020 guy
I have therefore discussed with him the reduction ____ imaging, given the time that has passed since diagnosis and _____ proposed that we do a scan in a years time, and that _____ probably bring up the series.
**** • 1. in 2. have 3. will - poi
Fri Jun 26 11:14:01 2020 poi




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