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Dec 9 14:26
• saying power was 4 by 5. how to write it? power was 4 x 5?
- b d a c p n
Wed Dec 11 02:46:36 2019 b d a c p n


• Staff has noted issues with no interest in ongoing activities, often b ...
+ mp3
Wed Dec 11 02:07:57 2019 mp3
Staff has noted issues with no interest in ongoing activities, often being teary and emotional while talking about her issues and inability to focus on trying to discuss the solution of a certain issue. I am aware that she has had a CT head done through the Flinders Medical Centre ED which was unremarkable. The patient is currently a ______lifter and completely bedbound needing full help for performing PADLs.
** • stand lifter? - mn
Wed Dec 11 05:48:04 2019 mn


• The patient is not sure whether she slept completely at night or wheth ...
+ mp3
Wed Dec 11 00:03:43 2019 mp3
The patient is not sure whether she slept completely at night or whether the study is falsely negative because we __________ sleep is unclear. (sleep study results)
** • flagged - OP
Wed Dec 11 00:49:05 2019 OP


• Her medications on discharge were as following; 1. Aspirin 100 mg o ...
+ mp3
Tue Dec 10 23:49:58 2019 mp3
Her medications on discharge were as following;
1. Aspirin 100 mg od.
2. Cholecalciferol 1000 international units od.
3. Felodipine 5 mg od.
4. Frusemide 40 mg od.
5. Perindopril 10 mg od.
6. Metoprolol 12.5 mg bd.
7. ______ 90 mg bd.

** • ticagrelor - poi
Tue Dec 10 23:55:05 2019 poi

**** • Thanks a lot. :-) - guy
Tue Dec 10 23:58:32 2019 guy


• Fall multifactorial with acute exacerbation of osteoarthritic left kne ...
+ wav
Tue Dec 10 22:44:57 2019 wav
Fall multifactorial with acute exacerbation of osteoarthritic left knee pain. The patient explained that he has been working in the garden for most of the day prior to having this fall when he was standing besides the ______ and using the ______ to actually pull out a plant from his garden
** • gopher (but that is a critter, not sure it fits) - poi
Tue Dec 10 22:49:22 2019 poi

**** • Thanks a lot. :-) - guy
Tue Dec 10 22:53:33 2019 guy


• He was transferred from _____ Hospital ED. In Australia. ...
+ mp3
Tue Dec 10 22:35:33 2019 mp3
He was transferred from _____ Hospital ED.

In Australia.
** • Might be Noarlunga (South Australia) - Questyr
Tue Dec 10 22:56:55 2019 Questyr

**** • Thanks a lot. :-) - guy
Tue Dec 10 22:59:14 2019 guy


• Positive for type 2 diabetes, ____________, and frequent urination.
+ wav posted
Tue Dec 10 16:53:41 2019 wav posted
PSYCHIATRY: Negative for nervousness, depression.
ENDOCRINE: Positive for type 2 diabetes, ____________, and frequent urination.

** • thirst - mt
Tue Dec 10 16:55:48 2019 mt

**** • Thank you. - wav posted
Tue Dec 10 17:07:33 2019 wav posted


• Can someone be a chronic smoker since age 7? Or should I flag
- unsure
Tue Dec 10 16:49:17 2019 unsure

** • keep it. Probably not actually "chronic" since age 7 though. - billybob
Tue Dec 10 18:09:07 2019 billybob


• He now has a feeding nasoenteric tube, is completely demotivated and h ...
+ mp3
Tue Dec 10 02:09:17 2019 mp3
He now has a feeding nasoenteric tube, is completely demotivated and having a great deal of difficulty in keeping up with the demands that recovery puts on patients in terms of their self care. In view of this, we have been discussing the likelihood that he will need enteric feeding for quite some time and the potential benefits he could get from removing the nasoenteric tube, which I think is playing ______ with his sinuses and pharynx.
** • merry heck + colorful dictation
Tue Dec 10 02:11:44 2019 colorful dictation
lol
**** • Thanks a lot. :-) - guy
Tue Dec 10 03:37:40 2019 guy


• history of tobacco smoking but has discontinued tobacco and has had 2 negative _____
+ MP3
Tue Dec 10 01:17:33 2019 MP3
gender reassignment, history of tobacco smoking but has discontinued tobacco and has had 2 negative _____ tests.
** • I find a "clonidine test" but you'll have to look it up and see if it is + Questyr
Tue Dec 10 01:24:08 2019 Questyr
something that fits your patient's medical history.
**** • I'm definitely not hearing an "L" in it, and this is a clear dictator. + MP3 deleted
Tue Dec 10 01:31:25 2019 MP3 deleted
This is just an OP for her knee DJD, and the only other history is depression, using an SSRI, and gender reassignment, in addition to the smoking history.

Will delete MP3 now, but if anybody is familiar with something that s/l conidine/konidine test, please comment.
****** • Cologuard? - nm
Tue Dec 10 12:26:52 2019 nm

******** • Thanks, that would have made sense, but definitely sounded liked "conidine." - OP
Tue Dec 10 17:28:23 2019 OP


• I was very sorry to catch up with him and find that he, whilst being c ...
+ mp3
Tue Dec 10 00:36:39 2019 mp3
I was very sorry to catch up with him and find that he, whilst being completely asymptomatic, has a pulmonary nodule with associated mediastinal adenopathy which is biopsy proven for squamous cell malignancy. Whilst this is quite likely to be related to his head and neck cancer, he has been a smoker and therefore a second primary is possible; ______ may actually offer us a broader palette of options for obtaining funded immunotherapy.
** • in this light, this may - poi
Tue Dec 10 00:57:35 2019 poi

**** • Thanks a lot. :-) - guy
Tue Dec 10 01:10:38 2019 guy


• I think at the end of it, she feel happy with her current treatment wh ...
+ mp3
Mon Dec 9 22:35:10 2019 mp3
I think at the end of it, she feel happy with her current treatment which I think is standard of care ______ use of paclitaxel rather than the fluorouracil, which I think is absolutely of no great moment here.
** • NOTE: I think he said "rather than 5-fluorouracil" - Questyr
Tue Dec 10 00:29:31 2019 Questyr

**** • Thanks a lot. :-) - guy
Tue Dec 10 00:37:05 2019 guy

** • she feels happy....modular???? - poi
Mon Dec 9 23:20:39 2019 poi

**** • Thanks a lot. Thanks for the correction. - guy
Mon Dec 9 23:34:25 2019 guy


• She remains very well in herself, is fit, active and asymptomatic, but ...
+ mp3
Mon Dec 9 21:25:35 2019 mp3
She remains very well in herself, is fit, active and asymptomatic, but very troubled by the knowledge that her cancer will at some stage become active and cause her strife. This mental battle is one that continues. She is undertaking some self-help issues with this and has sought professional advice, which she has found ______.
** • is he really clipping "of various usefulness"? - nm
Mon Dec 9 22:18:12 2019 nm

**** • I hear "useful", but since it is in a prepositional phrase and + Questyr
Mon Dec 9 22:22:13 2019 Questyr
therefore needs a noun, "use" or "usefulness" (which Merriam Webster says are synonymous) both work as editing choices.
****** • Thanks a lot everybody. :-) - guy
Mon Dec 9 22:24:40 2019 guy

** • of various use - poi
Mon Dec 9 21:54:47 2019 poi

**** • Thanks a lot. :-) - guy
Mon Dec 9 22:17:38 2019 guy


• It sounds like she has had quite a year with endo colonoscopies bleedi ...
+ mp3
Mon Dec 9 20:31:39 2019 mp3
It sounds like she has had quite a year with endo colonoscopies bleeding and _____.

endo colonoscopies bleeding comma required between?
** • sundry extras - poi
Mon Dec 9 20:34:08 2019 poi

**** • Thanks a lot. :-) - guy
Mon Dec 9 20:47:17 2019 guy


• mobilization of the vas to____________ the surface
+ wav posted
Mon Dec 9 19:42:43 2019 wav posted
incision was made in the skin with a #11 blade. Further blunt dissection allowed mobilization of the vas to____________ the surface. Using the vasectomy clamps, the vas was clamped.
** • top part?? - poi
Mon Dec 9 19:53:46 2019 poi

**** • Sounds like it, poi. Thanks a lot! - wav jposted
Mon Dec 9 20:03:10 2019 wav jposted


• Just a very quick note to say that the patient is enrolled into a clin ...
+ mp3
Mon Dec 9 19:18:22 2019 mp3
Just a very quick note to say that the patient is enrolled into a clinical trial of an immunotherapeutic and will start this today. We have high hopes as these agents are very active ______ and hopefully this will be the case for him.
** • cutaneous SCC - poi
Mon Dec 9 19:32:34 2019 poi

**** • in cutaneous SCC - poi
Mon Dec 9 19:33:18 2019 poi

****** • Thanks a lot. :-) - guy
Mon Dec 9 19:34:49 2019 guy


• Assessment and Plan: We are still awaiting the _____ phase 1 trial ...
+ mp3
Mon Dec 9 18:47:08 2019 mp3
Assessment and Plan:
We are still awaiting the _____ phase 1 trial to be activated, which we are anticipating will open this week.

** • never mind. Thanks to anyone who tried. - guy
Mon Dec 9 18:53:06 2019 guy


• Thank you for referring the patient, a 64-year-old lady who lives with ...
+ mp3
Mon Dec 9 18:12:17 2019 mp3
Thank you for referring the patient, a 64-year-old lady who lives with her husband _____ been referred for discussion around phase 1 trial for recurrent ovarian carcinosarcoma.
** • never mind. Thanks to anyone who tried. - guy
Mon Dec 9 18:45:30 2019 guy


• mobilization of the vas to____________ the surface.
+ wav
Mon Dec 9 17:11:03 2019 wav
incision was made in the skin with a #11 blade. Further blunt dissection allowed mobilization of the vas to____________ the surface. Using the vasectomy clamps, the vas was clamped.
** • Reposted above. Thank you - wav
Mon Dec 9 19:49:47 2019 wav

** • incision was made in the skin with a #11 blade. Further blunt dissection allowed mobilizat + wav
Mon Dec 9 19:42:27 2019 wav
incision was made in the skin with a #11 blade. Further blunt dissection allowed mobilization of the vas to____________ the surface. Using the vasectomy clamps, the vas was clamped.
** • tried but could not get it. sorry. - guy
Mon Dec 9 18:13:34 2019 guy


• The specific context of her s/l*a-sau-cing* these delusions appear to be meeting for
+ Psych-sm
Sun Dec 8 12:09:44 2019 Psych-sm
The patient initiated conversation by discussing delusional ideation regarding the police and her name being broadcasted in the newspaper. She exhibits some expansivity of mood. The specific context of her s/l*a-sau-cing* these delusions appear to be meeting for the first time with me. She seemed anxious to tell me some of the more unusual ideas she was having.
** • NOTE: Your "context" sentence has a problem...the noun is singular, the verb is plural - Questyr
Sun Dec 8 23:34:23 2019 Questyr

** • first noticing? - wag
Sun Dec 8 19:38:01 2019 wag


• CHRONIC MAXILLARY SINUSITIS WITH ___________ DISEASE.
+ wav posted
Sat Dec 7 11:39:52 2019 wav posted


** • It was OMC disease. Thanks - wav deleted
Sat Dec 7 11:40:57 2019 wav deleted


• She is a 33-year-old nurse, who is currently in China receiving treatm ...
+ wav
Fri Dec 6 23:44:07 2019 wav
She is a 33-year-old nurse, who is currently in China receiving treatment for her metastatic lung adenocarcinoma. Her tumour has ______ amplified disease and she started treatment with chemotherapy.
** • never mind. Thanks to anyone who tried. - guy
Fri Dec 6 23:52:28 2019 guy


• The patient presented with one week history of _____ confusion, and le ...
+ mp3
Fri Dec 6 23:10:32 2019 mp3
The patient presented with one week history of _____ confusion, and left vision loss. He went to optometrist and there was suspicion of brain involvement.
** • ???unsteadiness, weak,??? - Questyr
Fri Dec 6 23:56:41 2019 Questyr

**** • Thanks a lot. :-) - guy
Sat Dec 7 00:24:41 2019 guy

** • never mind. Thanks to anyone who tried. - guy
Fri Dec 6 23:52:24 2019 guy


• This has all settled now. She again got admitted with dehydration. T ...
+ wav
Fri Dec 6 22:13:02 2019 wav
This has all settled now. She again got admitted with dehydration. This was on background of diuretics. She _____ with stopping Lasix. She is feeling much better, her blood test and range, and I will put her back on systemic treatment.
** • ???is settled??? ....also I think "her blood test is in range" - Questyr
Fri Dec 6 22:19:54 2019 Questyr

**** • Thanks a lot. Thanks for the correction. - guy
Fri Dec 6 22:24:38 2019 guy


• The patient is on gemcitabine chemotherapy. After the last treatment ...
+ mp3
Fri Dec 6 22:06:42 2019 mp3
The patient is on gemcitabine chemotherapy. After the last treatment to three weeks back, she became quite anemic. There was no history of blood loss. Post blood transfusion, she ______ left ventricular failure and she was hypertensive as well.
** • Also make sure he said hypertensive, because it could be hypotensive - Q
Fri Dec 6 22:17:43 2019 Q

** • went into - Questyr
Fri Dec 6 22:15:46 2019 Questyr

**** • Thanks a lot. Thanks for the correction. - guy
Fri Dec 6 22:24:31 2019 guy


• He is lined up for a renal tumour resection in January. He had a rece ...
+ wav
Fri Dec 6 20:34:08 2019 wav
He is lined up for a renal tumour resection in January. He had a recent scan which showed stable finding _____ and elsewhere. From a bowel cancer point of view, he _____ and I will see him in six months time.
** • Sorry...I can't get these - Questyr
Fri Dec 6 20:50:33 2019 Questyr

**** • Thanks for the effort. - guy
Fri Dec 6 21:09:02 2019 guy

****** • never mind. Thanks to anyone who tried. - guy
Fri Dec 6 21:12:46 2019 guy


• The patient had four doses of treatment. There have been some side ef ...
+ mp3
Fri Dec 6 20:22:31 2019 mp3
The patient had four doses of treatment. There have been some side effects of treatment, mainly neuropathy and deranged blood sugar, but this all seems to be settling down. He had a scan after two months, which showed good improvement in his pancreatic tumour. _____ two doses of treatment followed by Whipples resection.
** • ???tumour on 8/11 after two doses etc??? - Questyr
Fri Dec 6 20:48:49 2019 Questyr

**** • Thanks a lot. :-) - guy
Fri Dec 6 21:09:15 2019 guy


• set up one word here or two?
+ guy
Fri Dec 6 19:22:15 2019 guy
has had basic investigations including set up metabolic screen and blood works
** • ?? set OF metabolic screen and blood works - nm
Sat Dec 7 13:11:59 2019 nm

** • Merriam Websters shows it as 2 words for the verb - Questyr
Fri Dec 6 20:47:25 2019 Questyr

**** • Thanks a lot. :-) - guy
Fri Dec 6 21:09:23 2019 guy


• He has finished _____ training and currently he works casually once a ...
+ mp3
Fri Dec 6 19:02:46 2019 mp3
He has finished _____ training and currently he works casually once a week
** • TAFE (technical and further education)...see link + Questyr
Fri Dec 6 19:13:15 2019 Questyr
link
**** • Thanks a lot. :-) - guy
Fri Dec 6 19:15:27 2019 guy


• Of note, ____________ incision was _______the transection with an angled scissors...
+ wav posted
Fri Dec 6 18:10:51 2019 wav posted
Left mucoperichondrial and mucoperiosteal flaps elevated. Bony and cartilaginous deviations were resected after elevating the appropriate opposing flaps. Of note, ____________ incision was _______the transection with an angled scissors of the perpendicular plate to detach it from the cribriform plate to minimize any traction.
** • the initial incision was that of a transection? - billybob
Fri Dec 6 18:32:50 2019 billybob

** • Could it be him stumbling on "Of note, venous incision was sort of a transection etc" ??? - Q
Fri Dec 6 18:27:33 2019 Q

**** • I think billybob has it. - Q
Fri Dec 6 18:34:06 2019 Q

** • s/b apposing (see link) + Questyr
Fri Dec 6 18:25:35 2019 Questyr
link
**** • Thanks so much, guys! - wav posted
Fri Dec 6 19:02:05 2019 wav posted


• "Official fibers"? See message
+ CO MT
Fri Dec 6 17:37:23 2019 CO MT
MCL with thickening and increased signal of deep fibers in keeping with acute-on-chronic sprain, with periligamentous edema about the "official" fibers in keeping with acute spurring.

Tried to hear "superficial" (since she mentioned deep earlier) but not really hearing that
** • Sending blank - CO MT
Fri Dec 6 17:57:33 2019 CO MT


• By the use of *pick A, pick B* system, the artery was punctured.
+ sm
Fri Dec 6 07:22:23 2019 sm
Our attention was then turned to the right groin over the pulsation of the common femoral artery. A 3-cm incision was created and carried through subcutaneous tissue. Fascia was entered. Proximal control was obtained of the right common femoral artery, and heparin was administered by the anesthesiologist. A #5-0 Prolene pursestring was placed on the anterior surface of both distal artery as well as common femoral vein. By the use of _____ system, the artery was punctured. Guidewire was inserted. Dilators were passed. A #18 Fem-Flex arterial cannula was inserted.

** • There is a PICKING technique... + sm
Fri Dec 6 12:21:58 2019 sm
I wonder if they might be saying:

By use of the PICKING (big P) system...
** • Wonder if he might be saying PICC rather than pick ??? - Questyr
Fri Dec 6 08:53:29 2019 Questyr

** • flagged - -
Fri Dec 6 08:42:28 2019 -


• The patient has been doing quite well without any outstanding problem. ...
+ mp3
Fri Dec 6 04:30:26 2019 mp3
The patient has been doing quite well without any outstanding problem. However, on his routine blood his _____ remained 10, which _____.
** • which is fall within the diabetic range? - billybob
Fri Dec 6 06:01:15 2019 billybob

**** • Thanks a lot. :-) - guy
Fri Dec 6 19:02:35 2019 guy


• He did have a flecainide s/l truss level that was low.
- tia
Thu Dec 5 23:25:02 2019 tia

** • never mind, got it - tia
Thu Dec 5 23:25:49 2019 tia


• Given the results of the postradiation therapy trials in low-grade gli ...
+ mp3
Thu Dec 5 21:49:44 2019 mp3
Given the results of the postradiation therapy trials in low-grade glioma demonstrating a significant and substantive survival benefit with adjuvant chemotherapy, I think there is no great controversy about this. There is an issue of course about the use of PCV versus something that we would now use such as temozolomide and the fact that the ____ obtained with a _____ whereas we would certainly prefer to use the latter.
** • obtained with the former - what I hear
Thu Dec 5 22:12:37 2019 what I hear

** • I can't figure out #2 ~ sorry - poi
Thu Dec 5 22:08:47 2019 poi

** • 1. data - poi
Thu Dec 5 21:59:54 2019 poi

**** • data was - poi
Thu Dec 5 22:00:57 2019 poi

****** • Thanks a lot everybody. :-) - guy
Fri Dec 6 01:26:32 2019 guy


• As regards his underlying presumed neuroendocrine cancer, he has been ...
+ wav
Thu Dec 5 19:14:32 2019 wav
As regards his underlying presumed neuroendocrine cancer, he has been pushing hard with the _____ even in the absence of measurable disease in the hope that this would improve his symptomatology.
** • Sutent - mn
Thu Dec 5 19:45:13 2019 mn

**** • Thanks a lot. :-) - guy
Thu Dec 5 20:52:49 2019 guy


• I caught up with the patient, who has had another stay in the hospital ...
+ wav
Thu Dec 5 18:43:00 2019 wav
I caught up with the patient, who has had another stay in the hospital because of further aspiration. She also suffered a perforated ______ undoubtedly because of obstruction of the eustachian tube from her progressive tumour.
** • never mind. Thanks to anyone who tried. - guy
Thu Dec 5 19:14:38 2019 guy


• Clearly a great deal of her symptomatology is related to her late effe ...
+ mp3
Thu Dec 5 18:18:11 2019 mp3
Clearly a great deal of her symptomatology is related to her late effects of treatment. We have tried her on the standard medical therapy, which has been impossible to tolerate. I do wonder whether there is any mileage in further hyperbaric therapy as she did have this some two years ago prior to some dental extractions. I think it is worthwhile asking our colleagues for their opinion as management is otherwise quite difficult.

_____ informed me that she had a sleep study demonstrating approximately 30 apnoeic episodes per hour and is due to start a CPAP trial in the near future. This will undoubtedly help her sedation.

** • As a by the by, (meaning coincidentally) they informed me...... - mn
Thu Dec 5 19:42:55 2019 mn

**** • Thanks a lot. :-) - guy
Thu Dec 5 20:53:00 2019 guy

** • never mind. Thanks to anyone who tried. - guy
Thu Dec 5 18:43:14 2019 guy


• Cardiac
+ l b d f m b
Thu Dec 5 14:50:35 2019 l b d f m b
...used antegrade cardioplegia delivered via "Yalee" catheters into the coronary ostia in order to achieve diastolic arrest.
** • Foley? - nm
Thu Dec 5 22:04:23 2019 nm


• I have to choose lateralities in this template. Not sure if the patient's
+ Facet injection
Thu Dec 5 13:31:00 2019 Facet injection
left side is elevated for a left-sided procedure or not. Could not find anything after research. Left would make sense for left-sided procedure, right?

"His/Her right/ left side was elevated 45 degrees, and his/her back was prepped with ChloraPrep and sterile drapes were applied.

With the aid of fluoroscopy, the L5-S1 facet joint was visualized and after 1% Xylocaine was infiltrated at the skin, a 25-gauge 3-inch spinal needle was directed into the right/left L5 S1 facet joint.

Thank you!
** • For a fluoroscopically guided selective lumbar nerve root injection, t ... + poi
Thu Dec 5 21:12:09 2019 poi
For a fluoroscopically guided selective lumbar nerve root injection, the patient is placed in the prone oblique position with the side to be injected facing up.

• "oloco" ultrasound probe
+ sm
Thu Dec 5 12:13:44 2019 sm
performed an exploratory laparoscopy, I introduced a laparoscopic 13 MHz flexible side-fire ______ ultrasound probe through an upsized 12-mm trocar in the right paraumbilical region. With careful examination of the entire surface of the pancreas both through the stomach window as well as direct contact on the anterior surface of the pancreas in the lesser sac, I was not able to identify any specific lesion.
** • Google Aloka and see if that fits - k f f a b n
Thu Dec 5 13:12:18 2019 k f f a b n

**** • thanks so much - -
Thu Dec 5 13:19:30 2019 -


• The patient is noticing increasing unsteadiness on feet, shortness of ...
+ wav
Thu Dec 5 07:37:25 2019 wav
The patient is noticing increasing unsteadiness on feet, shortness of breath on exertion. There is no pain _____ which unfortunately showed progressive disease in lung. I have talked to the patient about further treatment. I have encouraged her to think about best supportive care considering she has _____ treatment in the past and we are slowly running out of options. _____ with any of the recent treatment. She _____ palliative care services and they are catching up with her next week. I will start her on mild dose of dexamethasone to see if that helps with some of her symptoms.
** • #2 extensive #3 The response to treatment has not been durable? - sea
Thu Dec 5 09:33:37 2019 sea

** • I did a CT scan...absence of..the response to treatment has been (?) she is known to (?) - b
Thu Dec 5 09:29:38 2019 b

**** • Thanks a lot everybody. :-) - guy
Thu Dec 5 17:08:05 2019 guy

** • signing off for the day. i can upload this file in the morning so will ... + guy
Thu Dec 5 07:38:53 2019 guy
signing off for the day. i can upload this file in the morning so will appreciate if anyone could answer this. Otherwise please feel free to post over. Thanks.

• Initial conservative measures failed and she underwent surgical resect ...
+ mp3
Thu Dec 5 07:11:33 2019 mp3
Initial conservative measures failed and she underwent surgical resection. She started to recover, but then she became unwell again with ileus. She has also developed ascites. With ______ stay in hospital, she has become ______. She subsequently made a mind to stop active treatment and consider palliation only. She was transferred to _____ Hospice for ongoing care.
** • #1 extended #2 quite deconditioned - sea
Thu Dec 5 09:36:43 2019 sea

**** • #3 is Mary Potter Hospice - sea
Thu Dec 5 11:54:05 2019 sea

****** • Thanks a lot. :-) - guy
Thu Dec 5 17:07:40 2019 guy

** • signing off for the day. i can upload this file in the morning so will ... + guy
Thu Dec 5 07:38:44 2019 guy
signing off for the day. i can upload this file in the morning so will appreciate if anyone could answer this. Otherwise please feel free to post over. Thanks.

• As per my history above, she is five years post breast cancer diagnosi ...
+ mp3
Wed Dec 4 01:33:40 2019 mp3
As per my history above, she is five years post breast cancer diagnosis, but has had the usual side effects on endocrine manipulation and the couple sex life has very much taken a toll. This is an important part of the marriage for the couple and the patient ______ to discuss with you any other strategies to improve their sex life.
** • I think she's saying the couple's names, Eve and Ian are keen to discuss with you - sea
Wed Dec 4 08:09:38 2019 sea

** • and _______ and _______ came to discuss (first name of patient and spouse?) - mn
Wed Dec 4 07:19:16 2019 mn

**** • Thanks a lot everybody. :-) - guy
Thu Dec 5 07:11:53 2019 guy

** • never mind. Thanks to anyone who tried. - guy
Wed Dec 4 02:55:50 2019 guy


• Treatment tolerance thus far has been slightly on the better side of u ...
+ mp3
Tue Dec 3 21:09:52 2019 mp3
Treatment tolerance thus far has been slightly on the better side of usual, but all of the general issues are _____.
** • well and truly here - poi
Tue Dec 3 21:18:36 2019 poi

** • well and truly ____ - Questyr
Tue Dec 3 21:16:12 2019 Questyr

**** • Thanks a lot everybody. :-) - guy
Tue Dec 3 21:24:19 2019 guy


• Please accept my condolences for your loss. It was always my pleasure ...
+ mp3
Tue Dec 3 19:21:35 2019 mp3
Please accept my condolences for your loss. It was always my pleasure to look after the patient, who was incredibly uncomplaining, given the tremendous ______ his disease gave him.
** • buffets? - CO MT
Tue Dec 3 19:22:41 2019 CO MT

**** • Like a buffeting wind? - CO MT
Tue Dec 3 19:23:27 2019 CO MT

****** • Thanks a lot. :-) - guy
Tue Dec 3 19:25:02 2019 guy


• Report nearly done but has anyone heard of "side-effect cautery"? Can't document but
+ CO MT
Tue Dec 3 18:50:09 2019 CO MT
appears in several old reports. (Note: not "side effect OF cautery." Clearly sounds like a type of cautery)
** • There is a shaver named 'angled Side Effect'. Perhaps they have cautery too. - h e j f j d
Tue Dec 3 19:08:02 2019 h e j f j d

**** • Hmm, thanks. I'll look into that - CO MT
Tue Dec 3 19:18:33 2019 CO MT

****** • reference + sm
Thu Dec 5 10:27:04 2019 sm


• We are a good number of years from diagnosis, but not yet ______. Thi ...
+ mp3
Tue Dec 3 17:47:17 2019 mp3
We are a good number of years from diagnosis, but not yet ______. Things are otherwise quite stable in terms of his collateral damage with nothing on history or examination to suggest new late complications or a late recurrence or second malignancy.
** • never mind. Thanks to anyone who tried. - guy
Tue Dec 3 19:20:18 2019 guy


• Besides medical history, MD dictates: His problems include further down. What headin
- g would that be
Tue Dec 3 16:29:28 2019 g would that be

** • Review of Systems maybe ? - n a p e c f
Tue Dec 3 17:26:51 2019 n a p e c f

** • I explained wrong. Further down from Medical Hx, MD dictates: His problems include...What - heading is that?
Tue Dec 3 16:34:49 2019 heading is that?


• B-12, _________, Omega XL, enalapril, metoprolol.
- mp3
Tue Dec 3 16:14:22 2019 mp3


• strapping the toe, wearing ___________ supportive sneakers,
+ wav
Tue Dec 3 16:01:23 2019 wav
including rest, padding off the toe, strapping the toe, wearing ___________ supportive sneakers, diclofenac 1% topical gel....
** • wider? - poi
Tue Dec 3 16:16:03 2019 poi

**** • Must be it. Thanks a lot, poi. - wav
Tue Dec 3 16:27:01 2019 wav


• Is this medication list typed correct? Thanks
+ i a n c a a
Tue Dec 3 15:45:21 2019 i a n c a a
Oxycodone acetaminophen 10 mg/325 mg tablet, take 1 tablet as needed by mouth at bedtime for 30 days; potassium 99 mg tablet, take 1 tablet every day by mouth as needed; simvastatin 10 mg tablet, take 1 tablet by mouth every day; sucralfate 1 g tablet, take 1 tablet 3 times a day by mouth for 15 days; and Zolpidem 5 mg tablet, take by mouth.



• med s/l alframev
+ sm
Mon Dec 2 15:10:04 2019 sm

CURRENT MEDICATIONS: ______, aspirin, morphine sulfate, vancomycin, Norvasc, lisinopril, Aricept, trazodone, Effexor, Colace, Pepcid, Lovenox, Sinemet, Neurontin, Robaxin, vitamins.

Urological history was remarkable for the above. She has had a long standing history of asymptomatic bacteriuria. She has also had episodes of symptomatic UTIs over the years. She had urinary retention during the hospitalization in October associated with a spinal compression fracture. She had surgery for this during that admission. Of note, her retention had resolved at the time of consultation.

PAST MEDICAL HISTORY: Again, remarkable for Parkinson's disease, osteoarthritis, depression, hypertension, multiple falls, melanoma, hysterectomy.
** • ? Ofirmev - k f f a b n
Mon Dec 2 15:58:28 2019 k f f a b n

**** • thanks - !
Mon Dec 2 18:23:08 2019 !


• During the hospital admission, she was noted to have postural ______ a ...
+ mp3
Mon Dec 2 02:23:33 2019 mp3
During the hospital admission, she was noted to have postural ______ and therefore her ______ was stopped.
** • Wonder if it's hypotension instead of hypertension. Med blank is Coversyl. - sea
Mon Dec 2 08:24:48 2019 sea

** • postural hypertension (can't get the drug name) - mn
Mon Dec 2 06:39:59 2019 mn

**** • Thanks a lot everybody. - guy
Mon Dec 2 23:10:18 2019 guy

** • never mind. Thanks to anyone who tried. - guy
Mon Dec 2 05:39:56 2019 guy


• Moher's pregnancy was complicated by first episode psychosis at approx ...
+ wav
Mon Dec 2 00:28:26 2019 wav
Moher's pregnancy was complicated by first episode psychosis at approximately 36 weeks gestation requiring inpatient admission. She was treated with risperidone and benzodiazepines with good effect. ______ night to maximise Moher's sleep and breastfeeding during the day.
** • The baby has been ??? _____ formula feed over??? night - Questyr
Mon Dec 2 01:24:05 2019 Questyr

**** • Thanks a lot - guy
Mon Dec 2 01:26:52 2019 guy

** • never mind. Thanks to anyone who tried. - guy
Mon Dec 2 00:46:35 2019 guy


• Issues: Induction of labour at 39 weeks gestation due to maternal ...
+ mp3
Mon Dec 2 00:22:49 2019 mp3
Issues:
Induction of labour at 39 weeks gestation due to maternal mental health, Ventouse delivery with Apgar scores 7, 9, and birth weight 3670 g.
GBS positive with adequate antibiotics.
Mild jaundice, not requiring phototherapy.
Family history DDH (mother), for six-week hip ultrasound.
Right-sided ______ haematoma.
Positional talipes.


** • never mind. Thanks to anyone who tried. - guy
Mon Dec 2 00:46:30 2019 guy


• atorvastatin, calcium, _________, Lantus.
- mp3 posted
Sat Nov 30 23:18:44 2019 mp3 posted

** • will check back in the morning ~ Thanks - OP
Sun Dec 1 00:57:28 2019 OP




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