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Jun 27 12:36
• Good to see board back! :) - chell
Sat Jul 4 04:42:08 2009 chell
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• s/l DV or deevee + tealight
Thu Jul 2 23:47:50 2009 tealight
She underwent a new PET scan on June 19, 2009, which revealed calcifications in the right occipital and upper cerebellar region with no differentially increased uptake on PET scan. Consideration was for a CT/MRI of the brain. However, the patient states that she is unable to have MRIs because of a s/l *deevee* in her facial bone but states that she does not want to undergo a lot of testing at this time.
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Thu Jul 2 23:55:18 2009 nm
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Thu Jul 2 23:54:36 2009 wild guess though
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• ESL. PMH: History of "CINC" status post sleep for pregancy termination in 94. - Thanks
Thu Jul 2 23:14:03 2009 Thanks
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Thu Jul 2 23:56:54 2009 wild guess
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Thu Jul 2 23:37:59 2009 still thinking
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Thu Jul 2 23:36:23 2009 hmmm
thinking, thinking, thinking
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Thu Jul 2 23:50:01 2009 OP
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Thu Jul 2 23:52:39 2009 thinking.
I don't "think" they do terminate a pregnancy with a LEEP though. Maybe a D&C or something like that.
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Thu Jul 2 23:56:39 2009 sm
1. xxx
2. xxx
3. CIN 3 status post LEEP.
4. Pregnancy termination in 94
when he was saying 4 I was getting for pregnancy termination and he was just numbering. So sorry.
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Thu Jul 2 23:59:05 2009 OP
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Thu Jul 2 23:47:50 2009 nm
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Thu Jul 2 23:14:19 2009 nm OP
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• Pls anyone help me with this ortho note. see message and thank you so very much! The + Dx are attached
Thu Jul 2 22:06:53 2009 Dx are attached
Dx are:
1. Urinary frequency.
2. Osteitis pubis.
3. Sacralization of the left L5 lumbar vertebrae.
The patient was seen by Dr. X. At that time, she had a urinalysis done which did show trace s/l lewgastories. She reports having a urine culture sent which grew mixed bacteria but that she was treated with approximately a 10 day course of antibiotics which did not help her urinary symptoms
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Thu Jul 2 22:08:37 2009 nm
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Thu Jul 2 22:12:17 2009 so VERY much!!!!!!!!
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Thu Jul 2 22:16:00 2009 nm
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• pls help + anj
Thu Jul 2 22:01:09 2009 anj
I have also told her when she _s/l "quiets"_ or flares, she should use EpiCeram to maintain her results.
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Thu Jul 2 22:03:32 2009 quiets down.
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• see msg + pls
Thu Jul 2 21:52:06 2009 pls
blood sugar is still uncontrolled. She did not receive her S/L PREPHARYNGEAL Apidra yesterday. We will make sure that she gets it today. She had to be given a sliding scale last night because of persistent hyperglycemia.
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Thu Jul 2 22:04:04 2009 rit
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Thu Jul 2 21:55:46 2009 nm
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Thu Jul 2 21:55:23 2009 nm
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Thu Jul 2 21:55:18 2009 nm
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• Psychological efforts to ameliorate pain + n l d o g n
Thu Jul 2 21:48:23 2009 n l d o g n
may benefit from efforts to assist her in accepting the chronicity of her condition and focus on psychological approaches to her pain including biofeedback, focused relaxation, and S/L*agatted imagery.
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Thu Jul 2 21:53:05 2009 WAG nm
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Thu Jul 2 21:53:29 2009 nm
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• ESL: s/l mess-uh-lin + thanks
Thu Jul 2 21:43:56 2009 thanks
2. Inderal. I would taper off Inderal because it helped him a little bit, but he reported it makes him severely fatigued and depressed, and also I would try to use ___ for the treatment. Start it low at 12.5 mg and then increase to 25 mg at night.
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Thu Jul 2 22:03:17 2009 nm
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Thu Jul 2 22:08:08 2009 op
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• pls help + mon
Thu Jul 2 21:42:56 2009 mon
I have also told her if she flares it will be okay for her to come in for nurse-only suture Kenalog injection.
need any comma here?
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Thu Jul 2 22:10:29 2009 wag
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Thu Jul 2 22:00:41 2009 mon-tnx
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Thu Jul 2 21:58:09 2009 Just me nm
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Thu Jul 2 21:57:31 2009 nm
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Thu Jul 2 21:56:34 2009 nm
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Thu Jul 2 22:02:32 2009 sorry.
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Thu Jul 2 22:01:36 2009 nm
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Thu Jul 2 22:04:00 2009 WAG nm
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Thu Jul 2 22:11:21 2009 Kenalog injection?
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Thu Jul 2 22:05:34 2009 another WAG
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Thu Jul 2 21:54:02 2009 (comma after flares)
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• pls listen to wav + thanks
Thu Jul 2 21:41:51 2009 thanks
He has poor dentition as well, and his facial muscle strength seems symmetric and strong, and he reported the right side of his face has decreased sensation. He does not have ___. Muscle tone: He has normal muscle tone.
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Thu Jul 2 22:08:23 2009 op
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• ESL: hospital s/l out-mode-sprin Florida Hospital - thanks
Thu Jul 2 21:39:45 2009 thanks
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Thu Jul 2 22:08:33 2009 op
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• plz help + ab
Thu Jul 2 21:34:40 2009 ab
The oropharynx noted that there are many microfractures on his teeth, however, they are fairly <____>(s/l desenetic or anatic) with the dentition
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• Patient with diverticulitis of sigmoid colon and bladder. Medication help...sm + Jax
Thu Jul 2 21:02:20 2009 Jax
PAST MEDICAL HISTORY: Cataracts, osteoarthritis, Barrett esophagitis, gastritis and duodenitis, hiatal hernia, obstructive sleep apnea, morbid obesity, carpal tunnel syndrome, throat cancer in 1996, systemic lupus erythematosus, diagnosed 2000, diabetes mellitus, diagnosed March 2009, extensive diverticulosis.
PAST SURGICAL HISTORY: Colonoscopy and esophagogastroduodenoscopy (EGD) approximately 2 months ago, bladder suspension twice, breast biopsy, carpal tunnel surgery bilaterally, cholecystectomy in 1961, hysterectomy in 1962, bilateral total knee arthoplasties, oral surgery, cancer surgery on the throat with no subsequent radiation or chemotherapy, cataract surgery, rotator cuff shoulder surgery in 2004, right ankle surgery in March 1996 and 1994, lower back surgery with fusion in 1975.
CURRENT MEDICATIONS: Singulair 10 mg p.o. daily, methotrexate 2.5 mg 6 tablets once a week, Xopenex HFA inhaler approximately 3 times per day, more recently, Carafate 2 teaspoons p.o.
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Thu Jul 2 21:02:59 2009 Jax
CURRENT MEDICATIONS: Singulair 10 mg p.o. daily, methotrexate 2.5 mg 6 tablets once a week, Xopenex HFA inhaler approximately 3 times per day, more recently, Carafate 2 teaspoons p.o. t.i.d., Hyzaar 25 mg hydrochlorothiazide component, uncertain losartan component 1 daily, s/l "desoprotate" 75 mg 2 tablets p.o. daily, Nexium 40 mg p.o. b.i.d., Synthroid 150 mcg p.o. daily, metformin hydrochloride 500 mg p.o. daily, allopurinol 300 mg p.o. daily, furosemide 40 mg p.o. daily, Macrobid 100 mg p.o. daily, vitamin B12 shot every 3 weeks, Plavix 75 mg p.o. daily, Pulmicort 100 mcg inhaler once daily, outpatient supplements.
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Thu Jul 2 21:55:43 2009 darlene
Desipramine Each orange, round, biconvex, sugar-coated tablet, imprinted NORPRAMIN 75 in black, contains: Desipramine HCl 75 mg. Energy: <2.5 kJ (0.6 kcal). ...
www.mentalhealth.com/drug/p30-n03.html
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Thu Jul 2 21:46:37 2009 Jax
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• see msg + amy
Thu Jul 2 20:47:49 2009 amy
He is currently in a cycle of itching and scratching on his arms and especially on legs. _s/l "It has made secondary"_ infected areas on his legs and appears to be consistent with folliculitis.
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Thu Jul 2 21:52:40 2009 amy-thanks
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Thu Jul 2 21:10:03 2009 which is correct
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• surgery + ben
Thu Jul 2 20:24:55 2009 ben
The cleft was then sharply excised through and through.
makes sense?
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Thu Jul 2 20:31:37 2009 sm
not sure what the cleft is, but then, you didn't really give enough info. What is the procedure?
But without knowing exactly what cleft is, it makes sense, but again, not sure what you are questioning either.
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• We will do a MRI of the brain with "cuts" through the posterior fossa. - says it clearly
Thu Jul 2 19:59:13 2009 says it clearly
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Thu Jul 2 20:02:35 2009 Questyr
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Thu Jul 2 20:02:31 2009 cuts is correct.
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Thu Jul 2 20:13:22 2009 MRI cuts. TY again
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• s/l til-i-gin + o o b d k g
Thu Jul 2 19:52:20 2009 o o b d k g
Rare to mild numbers of miniaturized hair. Positive pull test throughout revealing _____ hairs.
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Thu Jul 2 19:52:51 2009 o o b d k g
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• WAV file posted sm please + sm please
Thu Jul 2 19:44:02 2009 sm please
her small bilateral pleural effusions, as well as small upper hepatic ascites, we recommended the patient complete a CT scan of the chest ________________ contrast. She had this done at XXX Radiology.
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Thu Jul 2 20:12:39 2009 nm
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Thu Jul 2 20:19:54 2009 thanks. nm
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• WAV file posted sm please + sm please
Thu Jul 2 19:26:12 2009 sm please
these will continued to be followed and liver biopsy was not deemed necessary. Her _____________ is likely related to tamoxifen.
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Thu Jul 2 19:33:46 2009 nm MiM
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Thu Jul 2 19:39:15 2009 nm
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• MP3 help. + pls sm.
Thu Jul 2 19:14:20 2009 pls sm.
CT of the abdomen for evaluation of the right upper quadrant pain after cholecystectomy showed tiny _____ in the left kidney anteriorly at the mid to upper pole which suggests an early cyst formation.
Thanks.
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Thu Jul 2 19:32:17 2009 sm
I think both are possible in kidney cyst, depending on type of cyst, so you might have to just flag it.
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Thu Jul 2 19:36:18 2009 op
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• please check message, thanks.. + clay
Thu Jul 2 19:13:04 2009 clay
After induction of spinal anesthesia, a 21-French scope was passed per urethra and into the bladder. Initially, we had some malfunction with the s/l pleuro-head, so we were unable to take retrograde.
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Thu Jul 2 19:40:21 2009 Questyr
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• catheter for mobilization of the *verticle neck* through the procedure + sm
Thu Jul 2 18:43:17 2009 sm
Two 1-cm areas were marked in the suprapubic area at the level of the symphysis pubis approximately 1 cm from the midline bilaterally. A Foley catheter was placed to drain the bladder and then a rigid guide was placed within the catheter for mobilization of the _____ through the procedure. This was followed by creation of the 1.5 cm midline vaginal incision over the level of the midurethra.
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Thu Jul 2 18:48:57 2009 Questyr
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Thu Jul 2 19:54:32 2009 nm
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• referred here for further assessment of the* fibe bean* common bile + sm
Thu Jul 2 18:33:23 2009 sm
She is known to have gallstones and because of the severity of the pain, a sonogram was accomplished to try to identify cholelithiasis already known and possible common bile duct dilatation. The patient is referred here for further assessment of the _____ common bile duct dilatation. In addition, the patient does have a chronic microcytic anemia which has been evident since 2007 and back in 2008 the patient had hemoglobin 11.2 with hyperchromic microcytic indices.
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Thu Jul 2 18:49:26 2009 Questyr
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• Numerous gallstones along the "s/l dee-pen-dent" margin of the ... + j p c o a m
Thu Jul 2 18:19:03 2009 j p c o a m
Numerous gallstones along the "s/l dee-pen-dent" margin of the gallbladder. Please help. Thank you.
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Thu Jul 2 18:26:51 2009 jerseygal
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• dx carotid artery stenosis... a s/l Jovitz shunt clamp was placed across the common + help pls
Thu Jul 2 17:58:11 2009 help pls
carotid artery
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Thu Jul 2 18:14:13 2009 Questyr
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• flareup? flare up? + bel
Thu Jul 2 17:56:38 2009 bel
May have nurse-only urgent appointment p.r.n. flareup that needs TAC.
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Thu Jul 2 19:09:47 2009 just saying
have flareup as 1 word, and at least 3 of those dictionaries are iffy as far as reliability. I would imagine flare-up would also be the adjective form also.
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Thu Jul 2 19:51:43 2009 Questyr
who follow AAMT guidelines who promote less use of hyphens for words such as followup, followthrough, checkup, workup, etc...(under their reference heading "compound words." And despite that, even, as you say, some of the dictionaries are now trending that way...for instance I note American Heritage Dictionary spells the noun and adjective both with and without the hyphen. And yes, you are correct, if you (or your client) chooses to use the hyphen, you are constructing either the noun OR the adjective. The verb, follow up, has no hyphen.
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Thu Jul 2 22:47:33 2009 by the way
And if you check English dictionaries, flare-up is the overriding winner as the noun. Again, flareup as 1 word is not in many dictionaries like followup and checkup are.
But like AAMT BOS says, trends change, so it will probably actually be the favored term one day soon. But not as of today.
I don't reckon any patient is going to die no matter which term you use, lol.
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Thu Jul 2 20:01:20 2009 Questyr
as well as the hyphenated.
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Thu Jul 2 20:03:34 2009 that should do it.
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Thu Jul 2 18:16:23 2009 Questy
your sentence it is a noun, so flareup. For those who still use the hyphen, flare-up is the noun and adjective and the verb is still flare up.
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Thu Jul 2 18:05:03 2009 nm
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Thu Jul 2 18:06:17 2009 sm
use the hyphen (but not saying you never do). Otherwise, two words as in: Her arthritis will flare up when the weather changes.
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Thu Jul 2 18:02:51 2009 anon
s
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Thu Jul 2 18:55:49 2009 nm
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• Death summary - "pupils were 6 and 6 with s/l Dix." nm + cs
Thu Jul 2 17:56:30 2009 cs
.
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Thu Jul 2 18:09:22 2009 cs
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• s/l nab + jessica
Thu Jul 2 17:38:40 2009 jessica
Her composite on the "nab" in the area of the executive functioning, evidence of impairment with word generation, organization, planning, visual scanning, and abstract thinking.
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Thu Jul 2 17:43:59 2009 jessica
Got it! NAB is neuropsychological assessment battery.
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• s/l manual + jlh
Thu Jul 2 17:19:00 2009 jlh
She attended a _______ college and received her bachelor's degree in arts and psychology and did her graduate work in Sweden.
Any ideas?
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Thu Jul 2 17:22:19 2009 Questyr
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Thu Jul 2 17:38:49 2009 f c c n i b
thanks
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• keloid + dan
Thu Jul 2 17:11:16 2009 dan
I want to recheck these in 2 months because she does keloid _____ from right axilla from excisions a few years ago.
s/l healer?
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Thu Jul 2 17:47:12 2009 dan
could it be possible?
..." she does keloid when she healed from ..."
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Thu Jul 2 17:14:34 2009 sm
whose scars heal in a keloid fashion - but it doesn't fit into the structure of the sentence. Even if you said "she is a keloid healer (does is kinda weird there), from the right axilla from excisions a few years ago throws it out of whack.
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• s/l priatex mesh + rose
Thu Jul 2 17:03:00 2009 rose
We then placed a ??? mesh measuring 20 x 15 cm intra-abdominally. A 2-0 PDS suture was tied through each corner of the ??? mesh. We left the ends of the suture material long so that it can be pulled through the fascia.
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Thu Jul 2 17:05:37 2009 sm
also, not that intra-abdominally is wrong, but you can do away with the hyphen (intraabdominally) - I haven't seen it hyphenated in years, but some still prefer it.
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• I am seeing both BRCA and BRACA test. Which is preferred? - Gh
Thu Jul 2 16:49:57 2009 Gh
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Thu Jul 2 16:51:21 2009 just helpin'
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Thu Jul 2 16:52:44 2009 Gh
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• s/l atalite (add-a-light) + Please sm
Thu Jul 2 16:44:45 2009 Please sm
Burn unit has been recommended. "Atalite" for dry areas of burns and grafts being applied and donor site is open to air.
I found on a previous report it spelled "etalite" but I'm not finding that either.
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• comma + abij
Thu Jul 2 16:41:29 2009 abij
2. F/U hidradenitis with recurrent fibrosis. TAC-10 IL to 1. Overall, doing well.
need a comma after "Overall"?
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Thu Jul 2 19:11:50 2009 f p b i n p
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Thu Jul 2 16:57:35 2009 abij
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Thu Jul 2 16:47:33 2009 nm
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• med s/l "Collision" 10 mg 1 p.o. daily...(she's talking fast) + hootie
Thu Jul 2 16:38:21 2009 hootie
PAST MEDICAL HISTORY:
1. Coronary artery disease, status post PTCA with 2 stents in the LAD in 1995.
2. History of CVA in 1999.
3. Chronic daily headaches as a result of #2.
4. Hypertension.
5. Hypercholesterolemia.
6. Hypothyroidism.
7. GERD and hiatal hernia.
8. B12 deficiency.
9. Osteoarthritis.
10. Remote history of syncope.
11. Adenocarcinoma of the lung.
12. Adenocarcinoma of the uterus.
13. Dementia.
14. Diverticulosis.
15. Allergic rhinitis.
16. Anxiety.
PAST SURGICAL HISTORY:
1. Right upper lobe resection for adenocarcinoma of the lung in 1988.
2. Total abdominal hysterectomy with BSO, approximately age 50.
3. Lap chole.
4. PTCA with stent placement in 1995 - 2 stents in the LAD, 1 proximal to the first diagonal branch, 1 distal to the first diagonal branch.
5. Colonoscopy in 2004, which showed diverticulosis.
MEDICATIONS:
1. Lotensin
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Thu Jul 2 16:46:26 2009 hootie
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• A 16yo morbidly obese male with a hx of s/l blounce on the left side. - mt
Thu Jul 2 16:16:26 2009 mt
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Thu Jul 2 16:19:44 2009 f p b i n p
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Thu Jul 2 16:22:16 2009 mt
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• cystoscopy + sm
Thu Jul 2 15:45:29 2009 sm
the patient with local anesthetic 2% lidocaine, 20 cc. He was then put in the supine position, and then the catheter was inserted through the urethra. s/l The warming was started. The procedure took about 45 minutes, s/l then the pooling 5 minutes.
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Thu Jul 2 16:05:40 2009 Questyr
they doing some hydrothermal type treatment?
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Thu Jul 2 16:11:01 2009 ty
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Thu Jul 2 17:07:17 2009 Questyr
for the further input.
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• close s/l "fil-ted" tube system..pls SM + a p l k k g
Thu Jul 2 15:44:14 2009 a p l k k g
Once that pocket was irrigated with antibiotic irrigation, an 180-mL implant was inserted, reference #68-180, serial #14200179, and instilled with 180 mL of sterile saline in a close s/l "fil-ted" tube system (breast augmentation).
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Thu Jul 2 15:57:07 2009 ??
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• Please help me w/ this operative note (ortho) is it tendoAchilles or tendo Achilles? + recession?
Thu Jul 2 15:29:51 2009 recession?
ALSO = IS RECESSION CORRECT HERE? I AM SURE THAT IT IS NOT RESECTION.
The patient has Charcot-Marie-Tooth disease and bilateral cavovarus foot deformities.
</PROCEDURE PERFORMED/>
1. Right s/l (tendoAchilles/tendo Achilles) recession.
2. Left opening wedge plantar base osteotomy medial cuneiform.
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Thu Jul 2 15:34:40 2009 i k g i c k
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Thu Jul 2 15:33:37 2009 billybob
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Thu Jul 2 15:35:00 2009 i k g i c k
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• need help with this plan, please. + sm
Thu Jul 2 15:21:32 2009 sm
Update blood testing for s/l P tier T pier today. Schedule s/l P at K's, consider spiral C. T pier scan.
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Thu Jul 2 16:38:40 2009 wag
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Thu Jul 2 16:01:21 2009 '
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Thu Jul 2 17:12:32 2009 can't find it.
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Thu Jul 2 16:05:27 2009 ty
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Thu Jul 2 15:51:58 2009 Questyr
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Thu Jul 2 15:55:34 2009 tt
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Thu Jul 2 15:26:44 2009 billybob
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Thu Jul 2 15:45:54 2009 ty
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• s/l conslept or conswept + tealight
Thu Jul 2 15:13:11 2009 tealight
IMPRESSION:
1. Asthma, well controlled, with no recent symptoms.
2. Neurocardiogenic syncope that at least so far on the short time she has been on the beta blocker is doing well. This is a cardiac selective beta blocker, and although pharmacologically it is somewhat a s/l *conslept* with the long acting beta-agonist and the Serevent, she has done well with both of her problems at least in the short-term.
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Thu Jul 2 16:19:03 2009 a c d a c a
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• "line" dressing up..pls SM + a p l k k g
Thu Jul 2 15:02:13 2009 a p l k k g
She is status post repair of umbilical hernia. Unfortunately, she had a great deal of redundant skin requiring some resection and has opened her wound postoperatively. The family has been asked to bathe her twice a day in soap and water and keep her "line" dressing up.
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Thu Jul 2 15:48:03 2009 Questyr
drain in place after surgery...and they want them to bathe the patient but continue maintenance of the dressing over the exit site of the drain line....??
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• When writing a letter if doctor says, Miss xxxx is on the following medication + regimen SM
Thu Jul 2 15:01:01 2009 regimen SM
Would you number them, such as
Miss XXX is on the following medication regimen:
1.
2.
Just wondering about format on this paragraph.
Thanks so much
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Thu Jul 2 15:50:18 2009 Questry
letters (particularly when dosages are given) to make it easier to read. If he is just listing the medicines without giving dosage details, I would think either method okay....This is all assuming client has no preference.
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Thu Jul 2 15:57:34 2009 nm OP
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• blood tests + sm
Thu Jul 2 14:53:52 2009 sm
Blood tests were done including thyroid test and s/l tecko ECHO including x-ray.
assessment is chronic A-fib, Hypothyroidism and anemia
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Thu Jul 2 15:03:11 2009 ugghh
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• can't tell if saying Dyazide or thiazide 37.5/25 mg 1 daily. - nm
Thu Jul 2 14:50:16 2009 nm
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Thu Jul 2 15:17:51 2009 for next time
I know it is a group/family of drugs, but I can't find it as a drug by itself. Lots of drugs end in "thiazide" though. That might be a clue too.
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Thu Jul 2 14:55:12 2009 dose...
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Thu Jul 2 15:02:46 2009 nm
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Thu Jul 2 15:03:12 2009 nm
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Thu Jul 2 14:54:24 2009 billybob
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Thu Jul 2 15:02:15 2009 think it was correct
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Thu Jul 2 14:53:57 2009 f e i m p m
dosing like I did.
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• s/l *mirrored*.... Does this seem right? Thanks + i n d h e c
Thu Jul 2 14:30:51 2009 i n d h e c
He had a cardiac catheterization done, which showed hyperdynamic left ventricular function with s/l *mirrored* cavity obliteration of the apex
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Thu Jul 2 14:43:36 2009 i n d h e c
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• Slow down there, big shooter. (Please see msg.) + Sam
Thu Jul 2 14:29:08 2009 Sam
Treatment is consisting of progressive range of motion, both active, active-assistive and passive, within the patient’s pain tolerance, "glenohumerus cap oh thoracic" mobilization, low intensity strengthening of the rotator cuff ....
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• derm + sm
Thu Jul 2 14:26:01 2009 sm
I recommend Clenia wash once a day for the s/l fortulitus post inflammatory changes.
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Thu Jul 2 14:31:25 2009 i e g l e n
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Thu Jul 2 14:36:58 2009 much appreciated
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• Under surgeries, placement of s/l Maxi-Port for dialysis and removal of Maxi-Port + b f o e b h
Thu Jul 2 14:18:01 2009 b f o e b h
I've searched Max-e-Port, Maxi-Port, Maxi Port, Maxiport, nothing related to dialysis. He's very clear. Can't imagine misreading maxi for medi, but anything is possible.
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Thu Jul 2 14:57:36 2009 f e i m p m
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• do I need a comma after metatarsal here? thanks! + i k g i c k
Thu Jul 2 14:11:54 2009 i k g i c k
There are some exostoses over the first ray particularly at the metatarsal tarsal articulation
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Thu Jul 2 14:26:15 2009 Questyr
desired would either do metatarsotarsal or metatarsal-tarsal....but, in any event, no comma after metatarsal.
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• what do you say to this? + tealight
Thu Jul 2 14:11:34 2009 tealight
Doc says: She does develop shortness of breath with exercise and says she is totally exhausted carrying her 26-year-old baby upstairs.
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Thu Jul 2 19:12:24 2009 .
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Thu Jul 2 14:45:25 2009 billybob
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