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Jan 20 11:47
• The CT does show an ovarian cyst, which is likely benign but the radio ...
+ mp3
Wed Jan 22 08:08:31 2020 mp3
The CT does show an ovarian cyst, which is likely benign but the radiologist have recommended a pelvic ultrasound and I ______ Julie to arrange some time over the next four to six weeks.
** • have given a form to Also, note I think radiologist(s) should be plural - sea
Wed Jan 22 08:27:44 2020 sea


• GENERAL: The patient's general health is fair, with the exception of ...
+ wav
Tue Jan 21 17:24:49 2020 wav
GENERAL: The patient's general health is fair, with the exception of ______ severe daily chronic headaches.
** • all these?? only?? - poi
Tue Jan 21 18:18:31 2020 poi

**** • I lean towards "all these" - poi
Tue Jan 21 18:18:53 2020 poi

****** • Thanks so much, poi. - wav deleted
Tue Jan 21 19:01:09 2020 wav deleted


• s/l Timmons ? see msg, Thank you
+ meme
Tue Jan 21 16:43:56 2020 meme
The sternum was retractor with a Deaver. We were able to get good exposure of the _____ portion of the pericardium, with a pair of scissors we cut through the diaphragm into the pericardium.
** • Never heard that before, can't find good documentation. Could it be tendinous? - mn
Tue Jan 21 17:04:04 2020 mn

** • could it be tin man's pericardium? - meme
Tue Jan 21 16:49:09 2020 meme


• His tumour markers have started to come down and a recent scan showed ...
+ mp3
Tue Jan 21 04:30:51 2020 mp3
His tumour markers have started to come down and a recent scan showed stabilising disease. His main symptom remains pain. He is currently on fentanyl 50 mcg and prn ______. I have added methadone to see if that makes a difference to the pain.
** • I'm hearing OxyNorm (if this is Australia account) - sea
Tue Jan 21 09:04:10 2020 sea

**** • I sure do hear that "L" at the end. I wouldn't guess on this one Guy, I'd leave it blank. - mn
Tue Jan 21 11:30:26 2020 mn

** • Roxanol - mn
Tue Jan 21 07:22:35 2020 mn

**** • Thanks a lot everybody. :-) - guy
Wed Jan 22 08:09:18 2020 guy


• The lesion in the paraspinal region measured 3 cm and on imaging, has ...
+ wav
Tue Jan 21 04:12:43 2020 wav
The lesion in the paraspinal region measured 3 cm and on imaging, has fatty core. A biopsy from the lesion has shown low-grade lipogenic tumour. I discussed her case at sarcoma meeting. There are no radiological or pathological features to suggest high-grade features. ______ recommended for repeat scan in three months and I have organised an MRI.
** • The MD ??? - sea
Tue Jan 21 09:02:10 2020 sea

**** • Thanks a lot. :-) - guy
Wed Jan 22 08:09:07 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Tue Jan 21 04:26:52 2020 guy


• DOB: 5th of ____ 1956. usually says month in January, Feb format
- guy
Tue Jan 21 03:50:50 2020 guy

** • mp3 posted. Thanks. - guy
Tue Jan 21 03:51:12 2020 guy

**** • never mind. Thanks to anyone who tried. - guy
Tue Jan 21 04:26:48 2020 guy


• The patient is on everolimus. Her chest ______ is stable. A recent s ...
+ wav
Tue Jan 21 02:40:53 2020 wav
The patient is on everolimus. Her chest ______ is stable. A recent scan showed stable finding. Her main symptom is hip pain, which she is managing with paracetamol. She is doing well and I will continue her on oral capecitabine.
** • erythema. - billybob
Tue Jan 21 03:00:29 2020 billybob

**** • Thanks a lot. :-) - guy
Tue Jan 21 03:07:35 2020 guy


• The patient had six cycles of chemotherapy. He has completed treatmen ...
+ mp3
Tue Jan 21 02:29:45 2020 mp3
The patient had six cycles of chemotherapy. He has completed treatment without any major issues. A recent scan showed further improvement in his disease. There was no further effusion. He is doing well and I will put him on follow up. Also, just ______ his PSA has gone up and he is seeing urologist at Queen Elizabeth next month and I will also keep a close eye on that reading.
** • just as an aside... - billybob
Tue Jan 21 03:01:25 2020 billybob

**** • Thanks a lot. :-) - guy
Tue Jan 21 03:07:30 2020 guy


• I am hesitant to use everolimus and exemestane combination with her gi ...
+ mp3
Tue Jan 21 01:27:21 2020 mp3
I am hesitant to use everolimus and exemestane combination with her given the toxicities and Barbaras ______ focus also on optimal quality of life.
** • wish to - Questyr
Tue Jan 21 01:32:25 2020 Questyr

**** • Thanks a lot. :-) - guy
Tue Jan 21 02:27:28 2020 guy


• Last year we thought that this was related to his lymphoma, ______ no ...
+ mp3
Mon Jan 20 23:25:37 2020 mp3
Last year we thought that this was related to his lymphoma, ______ no other good candidate
** • there being no - poi
Mon Jan 20 23:33:44 2020 poi

**** • Thanks a lot. :-) - guy
Mon Jan 20 23:43:18 2020 guy


• We did a PICC line dressing and flush today whilst he was well and afe ...
+ guy
Mon Jan 20 22:54:13 2020 guy
We did a PICC line dressing and flush today whilst he was well and afebrile. Thank you for getting us ____. I hope Kevin enjoys the tour down ____.
** • to help. 2. down under cycling - poi
Mon Jan 20 22:55:28 2020 poi

**** • Thanks a lot. :-) - guy
Mon Jan 20 22:56:05 2020 guy


• His metastatic prostate cancer is controlled with Zoladex and Cosudex ...
+ mp3
Mon Jan 20 22:20:08 2020 mp3
His metastatic prostate cancer is controlled with Zoladex and Cosudex with ______ PSA
** • a nonrecordable - poi
Mon Jan 20 22:27:52 2020 poi

**** • Thanks a lot. :-) - guy
Mon Jan 20 22:53:59 2020 guy


• I reviewed this lovely gentleman today ______ his major complaint was ...
+ mp3
Mon Jan 20 21:38:12 2020 mp3
I reviewed this lovely gentleman today ______ his major complaint was a bit of reflux type pain associated with one or two episodes of vomiting in the last six months.
** • today. At age 91, (how I would)...he said "and age 91" - poi
Mon Jan 20 21:49:00 2020 poi

**** • Thanks a lot. :-) - guy
Mon Jan 20 22:06:54 2020 guy


• If it really is an ongoing problem, it might be worth doing a sleep te ...
+ mp3
Mon Jan 20 21:09:26 2020 mp3
If it really is an ongoing problem, it might be worth doing a sleep test. The other thing that may need a bit of attention is some lower tract symptoms. These are not particularly severe, but once again Bob might benefit from some Duodart, which ______ prescribing myself today because of his renal function and the risk of hypotension, but once things settle, it would probably be quite safe.
** • I've held off - Questyr
Mon Jan 20 21:32:52 2020 Questyr

**** • Thanks a lot. :-) - guy
Mon Jan 20 21:33:46 2020 guy


• Oncological Diagnosis: ______ recurrent oral squamous cell carcinoma ...
+ mp3
Mon Jan 20 18:29:16 2020 mp3
Oncological Diagnosis: ______ recurrent oral squamous cell carcinoma
** • Multiply (he pronounces it 'mul-ti-plee' because it is the adverb form of multiple - Questyr
Mon Jan 20 19:32:43 2020 Questyr

**** • I did verify the spelling and pronunciation with Merriam-Webster dictionary - Q
Mon Jan 20 19:46:24 2020 Q

****** • Thanks a lot. :-) - guy
Mon Jan 20 19:53:23 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Mon Jan 20 18:52:39 2020 guy


• Oncological Diagnosis: Localised recurrence diffuse large B non-Hodgki ...
+ mp3
Mon Jan 20 17:50:30 2020 mp3
Oncological Diagnosis: Localised recurrence diffuse large B non-Hodgkins lymphoma _____.
** • 1/20 (one slash twenty) giving the date I assume. - sea
Mon Jan 20 17:59:20 2020 sea

**** • Thanks a lot. :-) - guy
Mon Jan 20 18:01:50 2020 guy


• ........ She developed ____________ infection of the left side.
+ wav posted
Mon Jan 20 13:38:00 2020 wav posted
This was done with the problematic Allergan implants. She did have problems associated with these devices. We then exchanged her implants over a month ago. She developed ____________ infection of the left side.
** • late infection of the left thigh. - what I hear
Mon Jan 20 13:42:08 2020 what I hear

**** • Thank you. - wav deleted
Mon Jan 20 14:01:52 2020 wav deleted


• Gross motor exam on primi, plse sm
+ NT
Mon Jan 20 12:45:25 2020 NT
(Baby is 5 months old born premature at 33 weeks)

Gross Motor: Presents with slightly lower muscle tone peripherally. Mildly **slips through and vertical suspension.** Holds head in midline in supine position.

I think I am hearing correctly and if so, no sure what doc means.


** • First NOTE: it s/b "slips through in vertical suspension" (not and). Secondly, + Questyr
Mon Jan 20 19:39:10 2020 Questyr
see link which shows a picture of how the infant is held for the vertical suspension and also the slips through outcome.
**** • See the picture in the upper right corner of the link picture - Q
Mon Jan 20 19:40:07 2020 Q

** • flagged - NT
Mon Jan 20 13:09:08 2020 NT


• labs: s/l UIEPEP showed IgG lambda
+ nm
Mon Jan 20 10:34:56 2020 nm
x
** • Immunofixation Electrophoresis, Urine (also known as UIE) + sm
Mon Jan 20 12:04:51 2020 sm
So, I wonder if they're saying: UIE, PEP

• Thank you for seeing the patient, a 67-year-old gentleman, with compli ...
+ mp3
Mon Jan 20 04:11:02 2020 mp3
Thank you for seeing the patient, a 67-year-old gentleman, with complicated left C4, C5, C6, C7 ______ radiculopathy with normal left brachial plexus MRI for opinion and regular follow up at Hospital General Neurology Clinic.
** • C7 radiculopathy (sounds like he tried to rewind and record over a mistake). - billybob
Mon Jan 20 04:35:19 2020 billybob

**** • Thanks a lot. :-) - guy
Mon Jan 20 17:51:23 2020 guy


• Codman's triangles??
+ e c d p g a
Sun Jan 19 22:48:49 2020 e c d p g a
I have placed her in a sling and swath for four weeks, restricted all activities. Allowed her to do pendulum swings, s/l *Codman's triangles*, and elbow range of motion over the course of a month.
** • seen link for confirmation + link-poi
Sun Jan 19 22:55:22 2020 link-poi
link
**** • Appears in sentence to be a type of exercise, not as stated here. - e c d p g a
Sun Jan 19 22:58:57 2020 e c d p g a

****** • I found this link (see link) stating there are pendulum + Questyr
Mon Jan 20 01:13:00 2020 Questyr
exercises which are also called Codman's
******** • Perhaps the 'triangles' part means to put Codman's in brackets <Codman's> or as + Q
Mon Jan 20 01:15:08 2020 Q
in (Codman's)

• Type of splint for thumb...
+ e c d p g a
Sun Jan 19 22:44:31 2020 e c d p g a
CC: Right thumb fracture.

She was seen and evaluated at an urgent care, diagnosed with a fracture of the distal phalanx. Placed in a s/l *spider* splint, has been doing Advil and ice, and presents today for further evaluation.
** • spider splint is a thing + link
Mon Jan 20 11:51:40 2020 link
link
** • spica? - poi
Sun Jan 19 22:52:01 2020 poi

**** • Really sounds like spider/spyder but cannot find anywhere. - e c d p g a
Sun Jan 19 22:53:55 2020 e c d p g a

** • Stader splint? - guy
Sun Jan 19 22:46:35 2020 guy

**** • No, definitely not saying Stader. - e c d p g a
Sun Jan 19 22:51:01 2020 e c d p g a


• Both general and systemic examinations were within normal limits today ...
+ mp3
Sun Jan 19 22:40:10 2020 mp3
Both general and systemic examinations were within normal limits today with no focal neurological signs in evidence. ______ extended cognitive testing, in which his language ability was limited today with some deficit and delayed recall too.
** • ACE-R - poi
Sun Jan 19 22:48:28 2020 poi

**** • Addenbrooke's Cognitive Examination Revised (ACE-R) - poi
Sun Jan 19 22:53:32 2020 poi

**** • Thanks a lot. :-) - guy
Sun Jan 19 22:50:44 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Sun Jan 19 22:47:35 2020 guy


• I am not sure what support he has been offered in the field in the pas ...
+ wav
Sun Jan 19 21:40:52 2020 wav
I am not sure what support he has been offered in the field in the past, although he was not very receptive to this idea, as he has failed multiple times in the past. He was receptive to the idea of rehabilitation/working with ______ I am leaving this for your consideration.
** • physio though - a p p l b b
Sun Jan 19 21:42:26 2020 a p p l b b

**** • Thanks a lot. :-) - guy
Sun Jan 19 21:51:41 2020 guy


• My suggestions are as following. I have arranged for some more releva ...
+ mp3
Sun Jan 19 21:35:44 2020 mp3
My suggestions are as following. I have arranged for some more relevant blood tests, including vitamin B12. I have discussed ______ rehabilitation therapy/assessment with the physiotherapist to work on improving his quadriceps strength.
** • ongoing - a p p l b b
Sun Jan 19 21:40:28 2020 a p p l b b

**** • Thanks a lot. :-) - guy
Sun Jan 19 21:42:02 2020 guy


• She may need to get the _____ done if the fevers continue. ...
+ mp3
Sun Jan 19 20:18:09 2020 mp3
She may need to get the _____ done if the fevers continue.
** • TOE (transesophageal echocardiogram - would that make sense here?) - mn
Sun Jan 19 20:46:18 2020 mn

**** • Thanks a lot. :-) - guy
Sun Jan 19 21:30:44 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Sun Jan 19 20:20:51 2020 guy


• Her medications on discharge were as following; 1. Folic acid once ...
+ mp3
Sun Jan 19 19:33:14 2020 mp3
Her medications on discharge were as following;
1. Folic acid once a day.
2. Paracetamol 1 g tds.
3. Esomeprazole 40 mg od.
4. Digoxin 62.5 mcg od.
5. Pradaxa 110 mg bd.
6. Betmiga 25 mg mane, 50 mg nocte.
7. ______ 5 mg od.

** • Nebilet? (cardiac drug) - mn
Sun Jan 19 19:43:31 2020 mn

**** • Thanks a lot. :-). - guy
Sun Jan 19 20:08:44 2020 guy


• She was also evaluated by ID consultant Dr Santhosh Daniel, who sugges ...
+ wav
Sun Jan 19 19:24:35 2020 wav
She was also evaluated by ID consultant Dr Santhosh Daniel, who suggested ______ in the view of her valve repair done two years ago.
** • could be "auto" for "autoimmune" but I wouldn't bet on it. - billybob
Sun Jan 19 19:33:09 2020 billybob

**** • Thanks. Further in the report dictating + guy
Sun Jan 19 19:34:29 2020 guy
She may need to get the TOE done if the fevers continue.

TOE makes any sense?

• The only positive findings were of ______. ...
+ mp3
Sun Jan 19 19:21:06 2020 mp3
The only positive findings were of ______.
** • known pyrexia. - billybob
Sun Jan 19 19:26:23 2020 billybob

**** • Thanks a lot. :-) - guy
Sun Jan 19 19:27:00 2020 guy


• dictated: five point seven thousand
+ MLS 4 life
Sat Jan 18 21:55:52 2020 MLS 4 life
is that 5.7thousand? 5,700? 5.7000? Help! Thanks!!
** • 5700 or 5,700. - billybob
Sun Jan 19 00:06:22 2020 billybob


• PROCEDURE PERFORMED: BILATERAL L4-5 AND L5-S1 RADIOFREQUENCY ABLAT ...
+ mp3 posted
Sat Jan 18 10:15:43 2020 mp3 posted
PROCEDURE PERFORMED: BILATERAL L4-5 AND L5-S1 RADIOFREQUENCY ABLATION OF MEDIAL BRANCHES.

HISTORY: The patient is a gentleman with previous RFA with ______________ pain, now brought to the operating room for _____ RFA.

** • refractory pain, repeat RFA - what I hear
Sat Jan 18 10:30:35 2020 what I hear

**** • Thank you very much :-) - mp3 deleted
Sat Jan 18 10:41:34 2020 mp3 deleted


• epidural steroid injection.
+ wav posted
Sat Jan 18 09:33:07 2020 wav posted
HISTORY: The patient is a woman with neck pain and right arm pain. _______________ at C6-7 , brought to the operating room for C6-7 transforaminal epidural steroid injection.
** • questionable stenosis (or stenoses?) - taco
Sat Jan 18 10:00:45 2020 taco

**** • It is stenosis. Thanks so much, taco - wav posted
Sat Jan 18 10:16:35 2020 wav posted


• dialysis catheter placement
+ sm please
Fri Jan 17 08:59:43 2020 sm please
The patient has a history of hypertension during dialysis, and that was a concern, as HeRO conduits have the tendency for recurrent thrombosis in cases of hypertension, so I considered more the alternative of using a ***s/l gray*** conduit for the venous outflow, such as a covered Viabahn stent graft, and then placing it in the extra-anatomic position from the neck incision towards the infraclavicular area and then attaching a new access graft to the brachial artery.
** • ? drain conduit - nm
Fri Jan 17 11:44:03 2020 nm


• His MRI scan that I ordered for him in December also showed scarring o ...
+ mp3
Thu Jan 16 19:33:12 2020 mp3
His MRI scan that I ordered for him in December also showed scarring of his last right caudate and anterior horn ______.
** • stroke - mn
Thu Jan 16 19:44:34 2020 mn

**** • Thanks a lot. :-) - guy
Thu Jan 16 19:46:44 2020 guy


• She is a 74-year-old pleasant woman with past history of peripheral va ...
+ mp3
Thu Jan 16 18:37:05 2020 mp3
She is a 74-year-old pleasant woman with past history of peripheral vascular disease and claudication, who presented with pain in abdomen, weight loss, nausea, and when being worked up for claudication, was found to have a lesion in head of pancreas. She does not report any jaundice. ______ biopsy has confirmed diagnosis of adenocarcinoma.
** • EBUS - poi
Thu Jan 16 18:38:04 2020 poi

**** • definitely not EBUS as can't get to pancreas endobronchial - fwiw-poi
Thu Jan 16 18:41:17 2020 fwiw-poi

****** • Thanks a lot. :-) - guy
Thu Jan 16 19:33:37 2020 guy

**** • EUS - poi
Thu Jan 16 18:40:11 2020 poi

****** • Thanks a lot. :-) - guy
Thu Jan 16 18:41:10 2020 guy


• Treatment: From last letter. 2. ______ adjuvant chemo and hormone ...
+ mp3
Thu Jan 16 18:16:36 2020 mp3
Treatment: From last letter.
2. ______ adjuvant chemo and hormone treatment.
3. Adjuvant letrozole January 2020.

** • Declined - poi
Thu Jan 16 18:17:58 2020 poi

**** • Thanks a lot. :-) - guy
Thu Jan 16 18:20:09 2020 guy


• There were no chemo related side effects, but of late he has been noti ...
+ mp3
Thu Jan 16 18:07:34 2020 mp3
There were no chemo related side effects, but of late he has been noticing increasing neck pain, cough, and also low-grade temperature. He had a CT scan, which showed stable finding from ______, but there was consolidation on right lung
** • I think it is a date 2/____ - poi
Thu Jan 16 18:09:10 2020 poi

**** • Thanks a lot. :-) - guy
Thu Jan 16 18:16:15 2020 guy


• There has been some weight loss as well. She underwent surgery on 20t ...
+ mp3
Thu Jan 16 17:46:25 2020 mp3
There has been some weight loss as well. She underwent surgery on 20th of December. Postop recovery has been good. The main tumour was 25 mm, but there was a separate lung nodule, either a second primary or a separate tumour nodule. If it is ______ nodule, it will upstage her to T3. I have discussed this with Pamela being T3 tumour she had been indicated for adjuvant chemotherapy.
** • a seperate - poi
Thu Jan 16 17:47:08 2020 poi

**** • separate - poi
Thu Jan 16 17:47:50 2020 poi

****** • Thanks a lot. :-) - guy
Thu Jan 16 17:50:08 2020 guy


• She is a pleasant 52-year-old woman who was found to have lung cancer ...
+ wav
Thu Jan 16 17:36:07 2020 wav
She is a pleasant 52-year-old woman who was found to have lung cancer when she had ______ replacement. There has been some weight loss as well. She underwent surgery on 20th of December. Postop recovery has been good.
** • _____T4?? - poi
Thu Jan 16 17:44:57 2020 poi

**** • Thanks a lot. :-) - guy
Thu Jan 16 17:46:02 2020 guy


• Oncological Diagnosis: T3 N0 lung adenocarcinoma. Comorbidities ...
+ mp3
Thu Jan 16 17:30:27 2020 mp3
Oncological Diagnosis: T3 N0 lung adenocarcinoma.

Comorbidities: Hypertension, AVR.

Treatment: 1. Left upper lobectomy 20th of December 2019.
2. Adjuvant chemotherapy with carboplatin, pemetrexed, 29 December 2020.
3. Lung adenocarcinoma with ______ mutation, PD-L1 40%.

** • KRAS G2C replacement? - poi
Thu Jan 16 17:41:17 2020 poi

**** • sorry, not replacement - poi
Thu Jan 16 17:45:59 2020 poi

****** • mutation - poi
Thu Jan 16 17:46:12 2020 poi

**** • Thanks a lot. :-) - guy
Thu Jan 16 17:45:55 2020 guy


• drawing a blank here, s/l billy so 8 disease. Sm plse
+ TM
Thu Jan 16 17:11:27 2020 TM
Urine cytology negative in October. PSA was 16 in 2018 when he had **biliy so 8** disease. He has finished Eligard injection.

(ESL doc)
** • prostate +
Fri Jan 17 00:10:43 2020


• Nacogdoches, Texas - s/l E-six clinic
+ meme
Thu Jan 16 16:19:25 2020 meme
nm
** • East Texas Clinic - meme
Thu Jan 16 16:20:22 2020 meme


• I would be grateful if you could see this lovely lady, who I have been ...
+ mp3
Thu Jan 16 07:44:37 2020 mp3
I would be grateful if you could see this lovely lady, who I have been treating for a number of years for her metastatic renal cancer. At one stage there was a diagnosis of polymyalgia rheumatica based on her hip pains and a high _____, and at times her hip pains improved with steroids.
** • and a highish ESR? - billybob
Thu Jan 16 09:19:19 2020 billybob

**** • Thanks a lot. :-). - guy
Thu Jan 16 10:25:08 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Thu Jan 16 08:50:38 2020 guy


• I think the last mentioned offer is the most likely benefit to him, an ...
+ mp3
Thu Jan 16 07:10:30 2020 mp3
I think the last mentioned offer is the most likely benefit to him, and I have discussed his case with Kevin Palumbo who has been kind enough to organise to see him ______. He has also had his dexamethasone escalated to 60 mg per day.
** • Merriam Webster now shows this as posthaste - Questyr
Thu Jan 16 14:48:25 2020 Questyr

**** • Thanks a lot. :-) - guy
Thu Jan 16 17:28:38 2020 guy

** • post-haste - what I hear
Thu Jan 16 07:40:43 2020 what I hear

**** • Thanks a lot. :-) - guy
Thu Jan 16 07:43:00 2020 guy


• I caught up with the patient, who clearly has had an absolute ______ t ...
+ wav
Thu Jan 16 06:20:39 2020 wav
I caught up with the patient, who clearly has had an absolute ______ time with bevacizumab.
** • never mind. Thanks to anyone who tried. - guy
Thu Jan 16 07:15:55 2020 guy


• I have therefore strongly reinforced the need for her to use the CPAP. ...
+ mp3
Thu Jan 16 06:19:36 2020 mp3
I have therefore strongly reinforced the need for her to use the CPAP. As regards the rest of things, her pain still remains an issue, and I have therefore suggested that we try adding some amitriptyline to her ______. Finally, she is getting much more in the way of dysphagia, and I wonder whether she has significant stricturing. I have arranged a barium swallow for her to look into this.
** • brew (concoction of meds) - mn
Thu Jan 16 06:57:34 2020 mn

**** • Thanks a lot. :-) - guy
Thu Jan 16 07:07:54 2020 guy


• Just a very quick note to say that the patient has signed consent for ...
+ wav
Thu Jan 16 03:22:44 2020 wav
Just a very quick note to say that the patient has signed consent for entry into a phase 1 trial of a combination of a tyrosine kinase inhibitor regorafenib with vascular targeting agents, and potential for escalation of immune responses, together with a new immunotherapeutic agent. He will be screened for this trial, and we would envisage starting medication within the next few weeks ______ well.
** • , all being - taco
Thu Jan 16 06:09:46 2020 taco

**** • Thanks a lot. :-) - guy
Thu Jan 16 06:19:21 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Thu Jan 16 05:15:11 2020 guy


• I am pleased to say that she has no evidence of disease on her recent ...
+ mp3
Thu Jan 16 03:00:20 2020 mp3
I am pleased to say that she has no evidence of disease on her recent imaging. She is now well past five years, and her chances of cure are now outstanding. I therefore offered her the option of further annual follow up to the 10th year versus seeing as required, and she has requested ______ first. I will ______ see her in a year.
** • requested the first. I will therefore see her in a year. + taco
Thu Jan 16 06:11:02 2020 taco
(he stumbled on "the first")
**** • Thanks a lot. :-) - guy
Thu Jan 16 06:19:16 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Thu Jan 16 05:15:05 2020 guy


• Start omeprazole 20 mg p.o. q.h.s., one ________ problem is GERD.
- mp3 posted
Tue Jan 14 19:12:07 2020 mp3 posted

** • I actually think he is say, "one more on the problem list is GERD" + thanks - OP
Tue Jan 14 21:50:00 2020 thanks - OP
He wants me to add GERD to the problem list.
**** • Since omeprazole is used to treat GERD, and you think he + Questyr
Tue Jan 14 22:57:48 2020 Questyr
is saying "one more on the problem list", then consider that he is telling you to add GERD to the problem list section of the report (rather than wanting that statement to be included where he said it).....just a thought.
****** • that is what I said (if you open my post) ~ Thanks again. - OP
Tue Jan 14 23:05:09 2020 OP

******** • ah - Q
Wed Jan 15 00:47:55 2020 Q

** • ???month??? (and I think Problem starts a new sentence). - Questyr
Tue Jan 14 21:34:19 2020 Questyr


• Pt who has developed chronic osteomyelitis following a left tibial *HCON* nonunion
+ CO MT
Tue Jan 14 14:53:02 2020 CO MT
Says the letters H-C-O-N separately. Thx



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