Jun 18 14:11
• Not happy with Express Scribe. What do you use for transcpription or what do you - recommend?
| Wed Jun 19 15:39:17 2019 recommend?|
• Work Comp. keep coming across this in apportionment section + sm
** • Not sure, but it s/l the doc is asking you to use a template to + Questyr
| Wed Jun 19 12:39:28 2019 sm|
...then a cumulative trauma claim would be less probable. s/l "Do" my apportionment s/l "bow"
| Wed Jun 19 13:13:21 2019 Questyr|
complete this section. I would call your client and ask
• a CT chest on XX/XX/XX, which demonstrated mass-like _________ thicken ... + mp3 posted
** • got it - pleural parenchymal - thanks - OP
| Tue Jun 18 23:22:13 2019 mp3 posted|
a CT chest on XX/XX/XX, which demonstrated mass-like _________ thickening in the right upper lung.
Left date out intentionally, I don't need that information.
| Tue Jun 18 23:35:42 2019 thanks - OP|
• Proceed with unsedated "ERM" to look for reflux anal inhibition response (child). nm - JC
** • Could it be ARM, anorectal manometry? - Maybe?
| Tue Jun 18 13:18:13 2019 JC|
**** • ^ this - nm
| Tue Jun 18 14:46:36 2019 Maybe?|
** • oops..should be reflex anal inhibition, but can find nothing close to ERM? tia nm - JC
| Wed Jun 19 11:28:26 2019 nm|
| Tue Jun 18 13:30:59 2019 JC|
• hypoxic at this point on supplemental oxygen and on an *H CAP* + ?
** • BiPAP or CPAP? - poi
| Tue Jun 18 12:24:18 2019 ?|
The patient has a CAT scan of the chest suggesting multinodular densities the largest being approximately 1 cm in the area of the right middle lobe. He is notably hypoxic at this point on supplemental oxygen and on an ______.
** • flagging - -
| Wed Jun 19 00:04:09 2019 poi|
| Tue Jun 18 14:05:44 2019 -|
• s/l inter sepsular changes in both lung fields + sm
** • See if you can hear "COPD who HAD INTERSTITIAL changes" - Questyr
| Tue Jun 18 12:05:22 2019 sm|
HISTORY OF PRESENT ILLNESS: The patient was admitted with COPD who and ______ changes in both lung fields and small right effusion with incidental finding of a 1 cm right middle lobe lung mass. We were asked to evaluate this. The patient appears significantly ill in the hospital at this time with gross hypoxia and overall failure to thrive.
PAST MEDICAL HISTORY: Significant for currently being treated for C. diff colitis. He presents actually on 06/06 after a witnessed fall where he sustained an injury to his head with a scalp laceration in the left eye, which was closed with Dermabond glue and sutures. His past medical history is significant for the COPD, hypertension, coronary artery disease, hypothyroidism, hypoxia.
**** • ok - ty
| Tue Jun 18 12:33:36 2019 Questyr|
| Tue Jun 18 13:05:39 2019 ty|
• s/l mat suture + sm
** • See message + Questyr
| Tue Jun 18 07:18:41 2019 sm|
is an 89-year-old woman, who I have seen in the office for dysphagia. She underwent an endoscopic dilation which helped her and when symptoms occurred a new dilatation was contemplated. She does have a history of breast cancer, cholelithiasis, and choledocholithiasis. Her last endoscopy was on 05/17/2019. An esophageal dilation was done. She was admitted because of dehydration. It is not clear how much of it was due to a lack of intake and how much diarrhea. She was noted to have elevated BUN and creatinine. She denies having trouble taking liquids and actually is eating now salmon which she is able to swallow with no problem.
IMPRESSION: Dehydration. It is not a severe problem. She is taking liquids. She _____ which should not be causing trouble taking liquids by itself. She is able to take liquids and solids now. I will postpone any procedures. If she continues to have diarrhea I will need to address it. I will order a set of stool tests.
**** • thanks - -
| Tue Jun 18 12:31:53 2019 Questyr|
The only thing that comes to mind is "mat sutured" where he would be abbreviating that the type of sutures used (in some type of procedure performed on the patient previously, but not mentioned here in this dictation) were mattress sutures. If you can find where the patient had had previous surgery and that that type of surgery might use mattress-type sutures, then "mat sutured" would make sense both in context and grammatically in the sentence. I don't know if "mat" or "matt" is an acceptable abbreviation for "mattress" or whether it would have to be expanded. Sorry I can't give you a more definitive answer.
| Tue Jun 18 13:05:59 2019 -|
• Aside from glomerulonephritis, he also has a history of high blood pre ... + wav
** • Crestor, tamsulosin, ... - billybob
| Mon Jun 17 18:02:51 2019 wav|
Aside from glomerulonephritis, he also has a history of high blood pressure, but no documented coronary disease or stroke. Currently he is on:
vitamin B12, VITAMIN d, IRON, tamsulosin, _____, spironolactone
| Mon Jun 17 22:17:54 2019 billybob|
• This is in the background of a several-month history of intermittent j ... + wav
** • never mind. Thanks to anyone who tried. - guy
| Mon Jun 17 16:15:09 2019 wav|
This is in the background of a several-month history of intermittent joint pain affecting both ankles, both knees, and less so to the shoulders _____ hand joints.
| Mon Jun 17 16:26:49 2019 guy|
• The patient does not have any infectious features at this time. I t th ... + wav
** • never mind. thanks to anyone who tried. - guy
| Mon Jun 17 15:21:42 2019 wav|
The patient does not have any infectious features at this time. I t think that he would benefit from _____. I have given him....
| Mon Jun 17 15:24:56 2019 guy|
• The patient is a 40-year-old gentleman who we saw for query cellulitis ... + wav
** • warranted him of sprain?? - poi
| Mon Jun 17 15:12:17 2019 wav|
The patient is a 40-year-old gentleman who we saw for query cellulitis of the right leg. His history _____ with sprain, but he had some response to antibiotics and some associated streaking and so his diagnosis was always quite questionable. At his last assessment, he had actually been on Ceftriaxone and Cefadroxil, even though we instructed him to take one after the other.
Pls help in sentence structure also from "associated streaking and so his diagnosis was always quite questionable..."
**** • and I think the rest is fine - poi
| Mon Jun 17 15:20:04 2019 poi|
**** • Thanks a lot. - guy
| Mon Jun 17 15:21:14 2019 poi|
| Mon Jun 17 15:20:31 2019 guy|
• Sedation was offered to him, but given the sigmoidoscopy _____, I told ... + wav
** • mitigation?? - poi
| Mon Jun 17 14:43:25 2019 wav|
Sedation was offered to him, but given the sigmoidoscopy _____, I told him that it could be deferred.
**** • Thanks a lot. - guy
| Mon Jun 17 14:53:35 2019 poi|
| Mon Jun 17 14:55:18 2019 guy|
• COPD, schizophrenia, anemia, _____ ... + wav
** • and BPH - poi
| Mon Jun 17 13:55:00 2019 wav|
COPD, schizophrenia, anemia, _____
**** • Thanks a lot. - guy
| Mon Jun 17 13:57:29 2019 poi|
| Mon Jun 17 14:02:54 2019 guy|
• Anyone from Nevada? + sm please
** • There is a Chewey in Sparks - poi
| Mon Jun 17 12:48:26 2019 sm please |
Pt works at s/l Too-ease Warehouse.
I'm not coming up with anything even close to that s/l.
** • do you have a city? - b m o p e d
| Mon Jun 17 14:04:14 2019 poi|
| Mon Jun 17 13:58:57 2019 b m o p e d|
• Multivitamins _____ tablet p.o. daily. ... + wav
** • Multivitamins with minerals ? - sea
| Mon Jun 17 12:33:17 2019 wav|
Multivitamins _____ tablet p.o. daily.
**** • Thanks a lot. - guy
| Mon Jun 17 13:02:21 2019 sea|
** • never mind. Thanks to anyone who tried. - guy
| Mon Jun 17 13:54:08 2019 guy|
| Mon Jun 17 12:43:09 2019 guy|
• She was working in the past in accounting _____ but presently having j ... + wav
** • retail ___? and designing - poi
| Mon Jun 17 12:24:23 2019 wav|
She was working in the past in accounting _____ but presently having job in
**** • maybe retail space designing? - poi
| Mon Jun 17 12:27:59 2019 poi|
****** • Thanks a lot. - guy
| Mon Jun 17 12:30:50 2019 poi|
| Mon Jun 17 12:31:24 2019 guy|
• RA drug spelled out entembra. Closest found Actemra. Anyone? - t
** • I could only find Actemra also. - sea
| Mon Jun 17 11:29:46 2019 t|
| Mon Jun 17 12:59:40 2019 sea|
• total hip replacement anterior approach, sm pls + mo
** • see message + Questyr
| Fri Jun 14 18:53:41 2019 mo|
The **fascia tensor fascia lata** was identified and divided, the muscle elevated off the deeper fascia.
I am so confused by this, should it be:
1) Fascia OF tensor fascia lata
2) Fascia tensor and fascia lata
3) as I have it fascia tensor fascia lata
Thanks for any help
**** • Thanks Questyr, difficult dictator at the best of times. Appreciate your input - OP
| Fri Jun 14 19:52:16 2019 Questyr|
When I checked as to what might be done for this procedure I find an article at PubMed that describes:
"After completion of the skin incision, the gluteal fascia, tensor fascia lata, and the gluteus maximus muscles are divided and dissected free of their posterior ... " ....
In addition, what concerns me also is the use of the verb "was" making it less likely he's talking about both the gluteal fascia AND tensor fascia lata. .....So I'm sorry I cannot offer a definitive answer.
| Sat Jun 15 12:47:01 2019 OP|
• early pregnancy assessment ultrasound sm pls (s/l ITN/GS) + mo
** • flagged - mt
| Fri Jun 14 17:01:49 2019 mo|
CRL of 60.8 mm, dating the pregnancy at 12 weeks and 4 days.
38 x 45 x 40 mm post ITN/GS.
A normal left ovary.
A right ovary showing a simple cyst.
Unsure of ITN/GS (gs = gestational sac, but unsure ITN)
| Fri Jun 14 18:53:48 2019 mt|
• Excess fat and tissue were removed sharply from the anterior surface o ... + wav
** • such that each leaf of the platysma - taco
| Fri Jun 14 15:03:27 2019 wav|
Excess fat and tissue were removed sharply from the anterior surface of the platysma, _______________ could be identified.
**** • Thank you, taco - wav
| Fri Jun 14 15:08:00 2019 taco|
| Fri Jun 14 15:16:56 2019 wav|
• what is "MCI" listed under past medical history? Totally stumped here. - nt
** • ah!!! Of course. Thank you. - nt
| Fri Jun 14 14:26:30 2019 nt|
** • mild cognitive impairment? - taco
| Fri Jun 14 15:54:15 2019 nt|
| Fri Jun 14 14:30:37 2019 taco|
• ProFractional erbium laser treatment with s/l Lah-Tease ... + k m b h o b
** • Latisse™ - taco
| Fri Jun 14 12:19:14 2019 k m b h o b|
ProFractional erbium laser treatment with s/l Lah-Tease
**** • Glad you found this for me. I did Google latisse but had no results. Thanks again! - k m b h o b
| Fri Jun 14 12:36:22 2019 taco|
| Fri Jun 14 12:50:11 2019 k m b h o b|
• Is "Bondo" correct for skull repair? + thanks
** • Well, Bondo is used as a filler, like for car body work, so it makes sense. - taco
| Fri Jun 14 12:00:04 2019 thanks|
the contour of her right skull, I explained that I would need to place methyl methacrylate. This is essentially like plaster or "Bondo"
**** • Thanks taco. - thanks
| Fri Jun 14 12:08:20 2019 taco|
| Fri Jun 14 12:14:08 2019 thanks|
• medication list: sounds like "So ho pella" testosterone implant every 3 months. + taco (ino rush)
** • GOT IT! (well, my QA person got it) -- it is SottoPelle (he was pronouncing it badly). - taco
| Thu Jun 13 14:48:06 2019 taco (ino rush)|
I need to send this in, so I will have to leave blank but I sure would like to know this for the future and I've searched up and down with no luck at all. Maybe he is reading some bad handwriting.
** • btw - this is for a postmenopausal woman with no PMH listed. - taco (in no rush)
| Thu Jun 13 15:12:11 2019 taco |
| Thu Jun 13 14:51:59 2019 taco (in no rush)|
• wrist exam s/l oz septic + sm
** • asymmetric? - taco
| Thu Jun 13 14:01:47 2019 sm|
There was an s/l oz septic density near the ulnar styloid. He did not feel there was an acute fracture. There was some puffiness on the ulnar side of the wrist and also dorsally.
**** • found it - ossific density + op
| Thu Jun 13 14:05:03 2019 taco|
| Thu Jun 13 14:09:07 2019 op|
thanks for the effort
• On the right side, again the ______ area noted that she has had proble ... + wav posted
** • Scaled area.. - wav deleted
| Thu Jun 13 13:29:32 2019 wav posted|
On the right side, again the ______ area noted that she has had problems, which is approximately at the 1 o'clock position inside the right nostril. The septum and lateral wall, nasopharynx again clear.
**** • Thanks for letting us know. - Questyr
| Thu Jun 13 14:03:23 2019 wav deleted|
| Thu Jun 13 20:08:47 2019 Questyr|
• Echo results, need some help. S/l in the " M O" section + sm/
** • M-mode - taco
| Thu Jun 13 09:08:28 2019 sm/|
Moderately dilated LV, mild global hypokinesis, calculated LVEF 41%. LVEDP increased from 6.0 to 6.3. In the s/l MO section, no clear left ventricular hypertrophy. Cannot assess RVSP
**** • TY - !
| Thu Jun 13 09:16:45 2019 taco|
| Thu Jun 13 09:21:34 2019 ! |
• His additional medications currently include lisinopril, Topamax, ______, budesonide, + mp3
** • Does the patient have HIV or at risk for HIV? Might be Truvada. - taco
| Thu Jun 13 08:02:14 2019 mp3|
His additional medications currently include lisinopril, Topamax, ______, budesonide, Singulair, Zanaflex, Flomax, and Pamelor
**** • No mention of it, but thanks for trying - op
| Thu Jun 13 08:13:57 2019 taco|
| Thu Jun 13 10:02:04 2019 op|
• SM + d h k h k o
** • NASH cirrhosis - taco
| Wed Jun 12 13:07:16 2019 d h k h k o|
...man who has a history of "nasterosis" complicated by hepatopulmonary syndrome.
**** • You'd think David Crosby would be the one to get a liver disease named after him. - billybob
| Wed Jun 12 13:18:12 2019 taco|
****** • haha - good one, bb - t
| Wed Jun 12 17:34:22 2019 billybob|
****** • ;D - Q
| Thu Jun 13 06:29:22 2019 t|
**** • YES! + d h k h k o
| Wed Jun 12 19:50:55 2019 Q|
| Wed Jun 12 13:21:21 2019 d h k h k o|
• Is "access" correct or does he mean "axis"? + wav posted
** • axis - nt
| Tue Jun 11 15:38:22 2019 wav posted|
I explained that she has a long vertical "access" to her breasts. She will require an aggressive mastopexy to appropriately elevate her nipples and tailor her soft tissues. Moreover, she also desires a large implant. I explained that I am happy to perform a 1-stage augmentation mastopexy but that she is at a higher risk for requiring a revision given her poor tissue quality and the long vertical "access"
**** • Thank you! - wav posted
| Tue Jun 11 16:00:52 2019 nt|
| Tue Jun 11 16:25:36 2019 wav posted|
• orificed-hernia? pls sm + abcdefg
** • It would be subcentimeter orifice hernia (no "d") - Questyr
| Tue Jun 11 12:33:45 2019 abcdefg|
patient has a subcentimeter s/l orificed hernia. i know it can be stated "hernia with a subcentimeter orifice." However, can it be properly stated as i am asking which is what I am hearing? thanks.
**** • questyr - thanks - abcdefg
| Tue Jun 11 13:58:31 2019 Questyr|
| Tue Jun 11 16:07:27 2019 abcdefg|
• Transcribed as dictated. Does this make sense or should I used "Valsalva'd"? + k h n m d b
** • If you did choose to use the back-formation "valsalva'd" just note that you should drop + Questyr
| Tue Jun 11 10:17:16 2019 k h n m d b|
The Mediport was then removed while Anesthesia Valsalva the patient.
** • are you allowed "while Valsalva performed by Anesthesia"? - nt
| Tue Jun 11 14:06:10 2019 Questyr|
the capital letter
**** • I think so. Not told this is verbatim. Sounds much better. Thank you - k h n m d b
| Tue Jun 11 11:01:55 2019 nt|
| Tue Jun 11 11:13:10 2019 k h n m d b|
• Are commas really needed in medical record before and after"in fact" and "of course"? + k h n m d b
** • Yes. (see link, scroll down to Comma Rule #5 and read ALL the way down to + Questyr
| Tue Jun 11 09:45:15 2019 k h n m d b|
She does, in fact, have asymmetrical breasts.
Now, of course, the right side is smaller than the left.
**** • Thank you, Questyr - p j l m i g
| Tue Jun 11 14:12:06 2019 Questyr|
the bottom of the page. )
| Tue Jun 11 15:36:56 2019 p j l m i g|
• Medication that sounds like: fos-fo-low - Thanks
** • ... - mp3 posted
| Mon Jun 10 16:28:45 2019 Thanks|
**** • ... - mp3 deleted
| Mon Jun 10 16:30:08 2019 mp3 posted|
| Mon Jun 10 19:33:56 2019 mp3 deleted|
• .. cyproheptadine, _________, gabapentin... + wav posted
** • Might be Diprolene - Questyr
| Mon Jun 10 16:26:58 2019 wav posted|
Isosorbide, Nexium, Norco, Plavix, Premarin, ProAir, Seroquel, Synthroid, Toprol, Xanax, Advair, rosuvastatin, aspirin, Albuterol, Breo, cyproheptadine, _________, gabapentin, ibuprofen, Nitrostat
Pt with anxiety, depression, plantar fasciitis, gastroparesis, headaches, hypertension, hypothyroidism, postmenopausal syndrome, chronic obstructive pulmonary disease, hypercholesterolemia, hypertriglyceridemia, tobacco abuse, coronary artery disease.
**** • Thank you Quetyr - wav posted
| Mon Jun 10 18:48:34 2019 Questyr|
** • Hi. Still waiting. I have some time to turn this in. Thank you. - wav posted
| Mon Jun 10 19:08:42 2019 wav posted|
**** • ... - wav deleted
| Mon Jun 10 17:13:06 2019 wav posted|
| Mon Jun 10 19:34:08 2019 wav deleted|
• Physician sloughed blister and hemorrhage off toe, thus the lesion bec ... + Kelsie
** • "apigmented" is a word and can be used to describe appearance of a lesion - Questyr
| Mon Jun 10 15:13:43 2019 Kelsie|
Physician sloughed blister and hemorrhage off toe, thus the lesion became sounds like "apigmented".
| Mon Jun 10 18:51:01 2019 Questyr|
• Abdominplasty plans: ....This creates a s/l Coner or Koner aperture. + l d p g l l
** • how about "this creates a cone or aperture" ? - taco
| Sat Jun 8 10:20:26 2019 l d p g l l|
Abdomen: She has a very high hypertrophic scar of her abdomen. She also has an umbilical stalk being pulled inferiorly. This creates a s/l Koner aperture that angles internally superiorly due to the external skin pulling the umbilicus inferiorly.
**** • That's it, taco. Thanks so much. - l d p g l l
| Sat Jun 8 11:01:45 2019 taco|
** • ... - wav posted
| Sat Jun 8 11:05:25 2019 l d p g l l|
| Sat Jun 8 10:41:56 2019 wav posted|
• Pain medication s/l side-a-vex. - :)
** • As usual after searching forever after I posted here I found it. Citabax. - :)
| Fri Jun 7 20:33:44 2019 :)|
| Fri Jun 7 20:35:36 2019 :)|
• Mitchell modification of a *yungees* urethroplasty + CO MT
** • Young-Dees - taco
| Fri Jun 7 15:39:18 2019 CO MT|
Patient having fistula closure after epispadias repair
**** • I looked and looked and looked for that, now it's suddenly showing up. Thanks!!!!! - CO MT
| Fri Jun 7 15:55:56 2019 taco|
| Fri Jun 7 15:58:53 2019 CO MT|
• Pt is status post surgery and is constipated. + sm please
** • can you hear "mag citrate"? (magnesium citrate) - taco
| Fri Jun 7 14:58:53 2019 sm please |
He was given Dulcolax suppository without results. He took s/l Excite-tric and did have satisfactory results.
**** • I think that is what he's saying. Ty very much. + nm
| Fri Jun 7 15:05:41 2019 taco|
| Fri Jun 7 15:08:04 2019 nm |
• There were *opta* like erosion in the proximal esophagus. + sm
** • aphthous? - taco
| Fri Jun 7 05:59:51 2019 sm|
NAME OF PROCEDURE: Esophagogastroduodenoscopy, brushing, and biopsy.
PROCEDURE: The endoscopy was done to look for varices and evaluate prior to TEE. The endoscope was introduced under direct vision. There were __________ like erosion in the proximal esophagus. They could be related to opportunistic fungal infection. The biopsies were taken. There were areas of exudate in the proximal esophagus as well as in the GE junction.
**** • thank you - !
| Fri Jun 7 06:07:54 2019 taco|
| Fri Jun 7 08:44:49 2019 !|
• grade I-II acromioclavicular joint dislocation - roman or arabic
** • 2 (sm) + k d i e m n
| Thu Jun 6 12:43:59 2019 roman or arabic|
**** • Thanks - op
| Thu Jun 6 15:49:57 2019 k d i e m n|
Shoulder joint separation is caused by the ligaments supporting the AC (acromioclavicular) joint becoming stretched or torn. This can be a simple injury through a sprain to the ligaments (Grade 1 shoulder joint separation). If the ligaments in the AC joint are torn, the condition is more severe (Grade 2).
| Thu Jun 6 16:13:06 2019 op|
• Is "declared" corredt? Once the mastectomy skin "declared" itself, + b b b j e b
** • yes + sm
| Thu Jun 6 09:46:58 2019 b b b j e b|
Once the mastectomy skin "declared" itself, the necrotic tissues were removed and the underlying DIEP flap skin was tailored to fill in the defects.
**** • Thank you! I am such a lously researc - wav posted now
| Thu Jun 6 10:35:53 2019 sm|
****** • researcher on Google. Thanks again. - wav posted now
| Thu Jun 6 10:38:26 2019 wav posted now|
** • ... - wav posted now
| Thu Jun 6 10:39:07 2019 wav posted now|
| Thu Jun 6 10:23:14 2019 wav posted now|
• EKG. s/l fasting EKG shows low s/l bank erds + t
** • Resting EKG shows.... Also: It's apical akinesis. + sm
| Wed Jun 5 15:54:13 2019 t|
There was severe apical kinesis during peak stress. This would be considered an abnormal and possibly ischemic response to treadmill.
s/l Fasting EKG shows low s/l bank/erds
**** • Resting EKG shows sloping QRS. - nm
| Wed Jun 5 16:24:41 2019 sm|
Still thinking about s/l bank erds.
**** • Apologies - more likely they said "apical HYPOkinesis." + sm
| Thu Jun 6 10:36:54 2019 nm|
| Wed Jun 5 16:28:36 2019 sm|
Or even just plain "hypokinesis." Relisten to it. Kinesis refers to movement. On stress tests they're looking for abnormalities in the heart's movement - hypokinesis, akinesis.
• Patient has significant stress stiffness of left knee? + Kim
** • listen for "progressive stiffness" - nm
| Tue Jun 4 14:46:18 2019 Kim|
Does stress stiffness make sense?
| Tue Jun 4 16:35:15 2019 nm|
• Avoid startling ____ and scary amusement park rides. - mp3
** • sstartling, all falls, and scary amusement.... (0R) startling, or falls, and scary - f f b e i p
| Mon Jun 3 10:05:54 2019 mp3|
** • alarm clocks? - f a i c l b
| Mon Jun 3 14:32:08 2019 f f b e i p|
**** • ... - Thanks!
| Mon Jun 3 14:26:48 2019 f a i c l b|
| Mon Jun 3 20:30:50 2019 Thanks!|
• this is associated with LQTS type 1. Thus, she is _______. + mp3
** • ? is she just struggling and repeating "phenotype positive" - ltt
| Mon Jun 3 09:41:07 2019 mp3|
Genetic testing has confirmed a disease-causing variant in the KCNQ1 gene, and this is associated with LQTS type 1. Thus, she is _______.
**** • Thanks. She repeated it at the end. Genotype positive and phenotype positive - op
| Mon Jun 3 09:50:45 2019 ltt|
| Mon Jun 3 09:56:40 2019 op|
• surgical remedial defect? pls sm + abdcdef
** • surgically remediable - maybe - ltt
| Mon Jun 3 09:22:47 2019 abdcdef|
patient has a rectus diastasis and doc dictates, "I let him know that this is not a s/l 'surgical remedial' defect." The dictator stumbles somewhat and I am not sure if this is correct, but that's what I'm hearing. Any ideas if this would be correct?
**** • oops! Thank you. - abdcdefg
| Mon Jun 3 09:29:16 2019 ltt|
**** • thanks - abcdefg
| Mon Jun 3 09:52:03 2019 abdcdefg|
| Mon Jun 3 09:49:45 2019 abcdefg|
• tests for autonomic insufficiency, s/l taupe test + see sentence
** • tilt test - nm
| Mon Jun 3 07:55:57 2019 see sentence|
... multiple tests for autonomic insufficiency. These include s/l taupe tests and sweat tests. She has severe diarrhea, stomach issues, dizziness, marked tachycardia, and easy fatigability.
| Mon Jun 3 10:00:23 2019 nm|
• *S/L Astergan solution - Cervical cold knife conization with endocervical curettage + TYIA=)
** • AstrinGyn (see link) + Questyr
| Sun Jun 2 18:56:43 2019 TYIA=)|
The remainder of the conization specimen was removed with curved Mayo scissors. Endocervical curettage was then performed. Hemostasis was assured with electrocautery. Two 2-0 Vicryl interrupted figure-of-8 sutures were placed for hemostasis. *S/L Astergan solution was also applied. Excellent hemostasis was noted.
| Sun Jun 2 23:35:42 2019 Questyr|
• 3. Hypertension. 4. Allergic ____________ 5. Overweight with bod ... + mp3 posted
** • allergic rhinitis? - mn
| Sun Jun 2 13:51:45 2019 mp3 posted|
4. Allergic ____________
5. Overweight with body mass index of 29.
| Sun Jun 2 20:16:05 2019 mn|
• She was able to make a full fist and her EDC did not sublux. She also had a sm + :)
** • look at tendons-ECU (?) - y
| Fri May 31 22:33:00 2019 :)|
normal s/l Elf-in's test.
**** • look at Elson's test - nm
| Mon Jun 3 07:57:33 2019 y|
** • Elson test (S can sound like F sometimes) - nm
| Mon Jun 3 10:02:21 2019 nm|
** • Allen's test - maybe
| Sat Jun 1 11:23:50 2019 nm|
** • Phalen's? - POI
| Fri May 31 22:48:03 2019 maybe|
**** • No. The only thing I can think she may be trying to say is Allen's test and messing it sm + OP
| Fri May 31 22:48:02 2019 POI|
****** • Thanks for trying but I really think this is going to have to be a blank. - OP
| Fri May 31 22:51:10 2019 OP|
up. It almost s/l Alison's now
| Fri May 31 22:52:38 2019 OP|
• We also discussed the use of _______________other materials + wav
** • BTW...I wonder if you are hearing "BUT felt like" (not THAT felt like) - Questyr
| Fri May 31 19:12:12 2019 wav|
Unfortunately, her left implant bottomed out. She presented to my office for discussion of correction of this. We discussed capsulorrhaphy with sutures. We also discussed the use of _______________other materials that felt like suture repair would be sufficient.
** • ... - wav deleted
| Fri May 31 20:39:00 2019 Questyr|
| Fri May 31 19:24:56 2019 wav deleted|
• s/l net pit injection + sm
| Fri May 31 12:00:50 2019 sm|
MEDICATIONS: The patient’s current medications include Bacid, aspirin, Lipitor, Azactam, fentanyl patch, lidocaine, Toprol-XL, Flagyl, nystatin suspension orally, potassium tablet, prednisone 40 mg daily, __________ injection, Flomax and vancomycin IV.
he is a 73-year-old man who was admitted 10 days ago to ICU. He had intracranial bleed and elevated troponin. I was asked to see him for abdominal pain. The patient is unable to give much of the history. Chart is being reviewed. History mentioned cirrhosis. He does have splenomegaly. On CAT scan, pocket of ascites of disease noted next to the liver. He does have pancreatic pseudocyst.
• A ____ filament was used, and the patient does not have any sign of neuropathy. - mp3
** • I'm hearing 5 grain but can't document that anywhere. Sorry, I'm not much help. - sea
| Thu May 30 14:45:51 2019 mp3|
**** • gram - ?
| Thu May 30 15:13:40 2019 sea|
****** • Thanks to you both - op
| Thu May 30 15:58:54 2019 ?|
| Thu May 30 16:32:50 2019 op|
• sensory test for diabetic neuropathy + qwerty
** • how about fine grade? - nt
| Thu May 30 14:12:05 2019 qwerty|
Has anyone heard of something that s/l 5-grain or fine-grain filament? I have 10g monofilament, but the doctor is clearly not saying that. Thanks in advance for your help!
**** • Maybe? I thought of that first, but that's not what I'm hearing. Than ... + qwerty
| Thu May 30 14:23:05 2019 nt|
| Thu May 30 14:31:35 2019 qwerty|
Maybe? I thought of that first, but that's not what I'm hearing. Thanks anyway.
• This will be _____________ at the time of the scar revision as well. + wav
** • I think it is 'corrected.' - wav
| Thu May 30 10:36:34 2019 wav|
. She also has an inversion of the left pubic region where the drain had fallen out prematurely. This will be _____________ at the time of the scar revision as well.
| Thu May 30 10:39:51 2019 wav|
• mix and s/l paramix + n g h a n i
** • payer mix (I do believe) + sm
| Wed May 29 17:00:27 2019 n g h a n i|
this method of overhead division works if the practice mix and s/l paramix is the same.
| Thu May 30 09:40:00 2019 sm|
Check out this article: What's the Right Payer Mix for Your Practice?
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