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Mar 20 17:46
• punctuation + mat
Mon Mar 22 00:27:34 2010 mat
A few days ago, she had 1 day of vomiting; this time, she has not had any vomiting or diarrhea.
right to use semicolon here?
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• Under assessment and plan + k i p l i b
Mon Mar 22 00:26:17 2010 k i p l i b
Volitile mood, and she is on *apiprazole*
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Mon Mar 22 00:36:59 2010 nm
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• pls help + mat
Mon Mar 22 00:09:03 2010 mat
Last night, she started complaining of left ear pain and today she started running a fever.
need to put comma here?
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• The patient also stated that he was unable to move his ________ face b ... + bd
Sun Mar 21 23:45:13 2010 bd
The patient also stated that he was unable to move his ________ face bilaterally although the upper _________ function was intact bilaterally. Otherwise, his cranial nerve examination was intact.
What could this be ?
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Mon Mar 22 00:19:29 2010 nm
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Mon Mar 22 00:27:22 2010 l p g p n e
The patient also stated that he was unable to move his s/l low bro or lobro face bilaterally although the upper s/l facianary function was intact bilaterally. Otherwise, his cranial nerve examination was intact.
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Mon Mar 22 00:35:55 2010 nm
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• Tenderness to the very "light ess" touch. Can't find lightess as a real word in - websters. TY nm
Sun Mar 21 23:13:12 2010 websters. TY nm
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Sun Mar 21 23:13:45 2010 Time for bed DUH
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• Help with podiatry + SM thanks
Sun Mar 21 22:52:02 2010 SM thanks
Thick and dystrophic elongated nails x10 with intertrigo tinea and severe "brom" hydration.
Patient given prescription for Oxystat b.i.d. and patient to use Ban roll-on deodorant on his feet. Return to clinic in 1 month.
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Sun Mar 21 22:52:54 2010 nm OP
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Sun Mar 21 22:58:49 2010 nm OP
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• medication + kkg
Sun Mar 21 21:38:10 2010 kkg
medication list #1...peseron s/l pess-er-own...any ideas? thanks a bunch.
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Sun Mar 21 21:40:23 2010 no context
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Sun Mar 21 21:43:14 2010 kkg
thank you. that sounds correct.
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• unbelievable. Admitted 3-19 for surg (today 3-21) + .
Sun Mar 21 21:36:16 2010 .
</SUBJECTIVE/>
The patient had a cholecystectomy and has not been seen by the surgeon postop because she had no money. She will be on Medicaid, apparently on Monday. The patient was seen yesterday and no sutures or staples were found. She had a large scab in the medial aspect of the scar. She was told to shower, the scab came off and the knot of a suture was noted.
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Sun Mar 21 22:42:33 2010 Win
thought that Medicare was gonna' be the end of us all. I moved from the KC area to Texas in '74 and when I returned to the KC area in about '87, I found that same doc, now retired, was working for the Medicare folks and inspecting medical records at area hosps for compliance! I talked to him on the phone from the records room of a hospital that was way behind on their dictation, and he told me he'd decided "if ya can't beat 'em, join 'em!"
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Sun Mar 21 21:47:31 2010 nm
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• medication for gout s/l cochasine + sm
Sun Mar 21 21:01:20 2010 sm
He has gout and takes allopurinol and cochasine.
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Sun Mar 21 21:08:08 2010 berkel
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Sun Mar 21 21:09:09 2010 OP
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Sun Mar 21 21:08:04 2010 sm
Searches related to gout medications gout treatment colchicine allopurinol gout pain medications
gout medications side effects gout webmd gout prescription drugs gout hydrocodone
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Sun Mar 21 21:08:55 2010 OP
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Sun Mar 21 21:20:48 2010 nm
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• pls help with wav + ch
Sun Mar 21 19:12:51 2010 ch
Her shortness of breath is much improved. At the time I gave her the prednisone, she was _____ on going to the emergency department. She also has Mucinex, which does seem to help. The patient had reportedly seen allergist five years ago and was started on _____ shots every week, but were not helpful.
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Sun Mar 21 20:29:21 2010 yikes
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Sun Mar 21 20:31:08 2010 again
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• comma help + amber
Sun Mar 21 18:32:05 2010 amber
She has pain with motion, though, especially past 90 degrees of abduction and forward flexion.
okay to put comma before/after "though"?
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Sun Mar 21 22:45:18 2010 d f l l n n
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Sun Mar 21 21:27:45 2010 Mandi
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Sun Mar 21 19:57:14 2010 nm
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Sun Mar 21 20:32:34 2010 agreed
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Sun Mar 21 19:00:46 2010 amber-thanks
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Sun Mar 21 18:45:11 2010 nm
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• s/l chindelinburg position - sn
Sun Mar 21 18:13:25 2010 sn
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Sun Mar 21 18:19:30 2010 hth
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Sun Mar 21 18:25:55 2010 sn
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• weightloss + amber
Sun Mar 21 17:29:19 2010 amber
We will see her back in about 2 months with the AP and lateral right shoulder prior to being seen. All questions were answered. She will continue with weight loss with _s/l "using the pool"_.
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Sun Mar 21 18:07:47 2010 amber-thanks a lot
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Sun Mar 21 17:33:34 2010 me
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• is it ICA/CCA ratio or ICA:CCA ratio? - shrug
Sun Mar 21 17:27:45 2010 shrug
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Sun Mar 21 18:57:24 2010 jus sayn
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Sun Mar 21 21:42:48 2010 nm
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Sun Mar 21 18:48:12 2010 nm
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• Does anyone know what MI could stand for over here? + sn
Sun Mar 21 17:21:53 2010 sn
Her MI is interesting and certainly MS is in the realm of diagnostic possibilities.
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Sun Mar 21 17:24:00 2010 nm
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Sun Mar 21 17:26:42 2010 sn
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Sun Mar 21 17:25:43 2010 nmt
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• pt with MI had a cath and b/o restlessness during proc had been on S/L Intealgin? - nm
Sun Mar 21 15:51:45 2010 nm
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Sun Mar 21 15:55:12 2010 nmt
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Sun Mar 21 16:05:20 2010 nm
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• Dictator clearly states AGI nephropathy. I am documenting IgA. Any thoughts? - OP
Sun Mar 21 15:44:40 2010 OP
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Sun Mar 21 15:59:27 2010 OP
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Sun Mar 21 15:52:07 2010 Margaret
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Sun Mar 21 15:53:53 2010 logical. Margaret
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• s/l pro-sit-ee --observed to have difficulty enunciating certain hard consonants, in + Thanks, Mandi
Sun Mar 21 15:38:00 2010 Thanks, Mandi
“R” sounds, reflective of a possible speech and language or articulation disorder. However, her speech s/l "pro sit-ee" was normal.
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Sun Mar 21 15:38:49 2010 Mgt
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Sun Mar 21 15:44:20 2010 Mandi
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• a tree-in-bud type of pattern in the lung, along with asbestos + hmmm
Sun Mar 21 15:20:29 2010 hmmm
On this study he has diffuse pleural thickening in both sides of the chest, some with calcification present. In addition to this he has an interesting interstitial pattern which has been typified with some tree-in-bud type of pattern, which is evident, along with multifocal ground-glass type changes. I suspect this is more consistent with s/l "nu-goid" obstruction in the small bronchial airways associated with infection.....
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Sun Mar 21 15:46:56 2010 hmmm
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Sun Mar 21 15:21:26 2010 n o a d b k
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• He was struck in the face with a horse. Wow. That has to hurt. - :D
Sun Mar 21 14:10:54 2010 :D
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Sun Mar 21 14:14:02 2010 p n a m n e
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Sun Mar 21 14:20:25 2010 D
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• wav sent. pls sm + sn
Sun Mar 21 13:53:50 2010 sn
This is what I am hearing; An MRI of the cervical spine done 02/2010, showed increased signal at the level of C5.
Is she saying something before increased signal?
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Sun Mar 21 14:00:17 2010 ld
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Sun Mar 21 14:02:47 2010 sn
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• s/l 4 bees daily + ?
Sun Mar 21 13:38:20 2010 ?
1. Estring every 3 months
2. Imuran 75 mg daily
3. Reglan 10 mg p.r.n. nausea
4. Voltaren 75 mg from Dr. , her rheumatologist
5. She does go to the Pain Center for Percocet 7.5/325 mg 1 to 2 tablets every 4 hours
6. Zanaflex 4 mg p.r.n. for spasticity – from the Pain Center
7. Provigil 200 mg for fatigue – from the Pain Center
8. Neurontin 300 mg b.i.d.
9. Paxil 40 mg daily
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Sun Mar 21 13:48:11 2010 billybob
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Sun Mar 21 13:41:55 2010 nmt
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Sun Mar 21 13:51:39 2010 OP
I am sorry, yes it is to be the next on the list and it is a medication.
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• bladder cancer trial at USC-can't get the second medication + thanks
Sun Mar 21 12:56:21 2010 thanks
Taxotere and "fatima" trial.
"Metastatic bladder cancer and fever. The patient is on Taxotere plus (__________) through USC."
I checked the trials web pages but I can't find this and it's driving me nuts. Any suggestions?
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Sun Mar 21 13:02:06 2010 got it!
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• He is not yet very careful with his use of * s/l materials. + estp
Sun Mar 21 12:35:31 2010 estp
wav file attached
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Sun Mar 21 12:37:11 2010 b a d a l l
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Sun Mar 21 12:41:46 2010 nmt
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• reposted wav, pls sm + sn
Sun Mar 21 11:23:33 2010 sn
" " removed from vagina. (endometrial biopsy)
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Sun Mar 21 11:27:47 2010 ltt
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Sun Mar 21 11:28:16 2010 sn
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• wav sent. pls sm + s/l
Sun Mar 21 11:14:57 2010 s/l
" " was removed from the vagina. (this is an endometrial biopsy)
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Sun Mar 21 11:23:27 2010 d h j b a i
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Sun Mar 21 11:18:37 2010 a c d a c a
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• med S/L Stellate? 80 mg every 3 to 4 hours prn for breakthrough pain - nm
Sun Mar 21 11:11:33 2010 nm
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Sun Mar 21 11:42:10 2010 .
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Sun Mar 21 12:13:17 2010 hlp
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Sun Mar 21 12:36:12 2010 b a d a l l
frequency and the name of the med would be dictated - such as Depo-Medrol 80 mg. What are diagnoses and other meds?
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Sun Mar 21 12:40:49 2010 hlp
looks like the OP has flown the coop.
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Sun Mar 21 11:49:53 2010 lol
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Sun Mar 21 12:06:59 2010 nmt
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• Compining - is it a word? Dr very clearly says it and I find hits on + OP
Sun Mar 21 11:10:08 2010 OP
Google, but I can't verify it in any of my dictionary resources.
Thanks!
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Sun Mar 21 11:17:05 2010 n i b a a l
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Sun Mar 21 11:15:58 2010 PLease
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Sun Mar 21 11:16:57 2010 OP
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Sun Mar 21 11:20:04 2010 ?
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Sun Mar 21 11:23:54 2010 OP
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Sun Mar 21 11:23:02 2010 ya think?
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Sun Mar 21 11:19:58 2010 nm
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• wav file, thanks. + a c d a c a
Sun Mar 21 11:07:37 2010 a c d a c a
Shortness of breath.
Suspected ____ of his right upper lobe pneumonia.
Fever and tachycardia, rule out sepsis.
Non-ST-elevation myocardial infarction.
Coronary artery disease status post coronary artery bypass grafting.
Anemia.
Right hip replacement.
Right heel wound.
Urinary retention.
Hypertension.
Hyperlipidemia.
Hyponatremia.
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Sun Mar 21 11:32:53 2010 a c d a c a
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Sun Mar 21 11:25:39 2010 d h j b a i
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Sun Mar 21 11:08:34 2010 a c d a c a
Chronic obstructive pulmonary disease exacerbation, stable.
Right apical lung mass, adenocarcinoma.
Left-sided apex mass. PET scan as an outpatient.
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Sun Mar 21 11:10:42 2010 e f p o h d
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Sun Mar 21 11:14:55 2010 a c d a c a
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Sun Mar 21 11:18:00 2010 a c d a c a
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• status post trabecular "clot-a-micin" on the left. SM and TIA + Val
Sun Mar 21 10:54:49 2010 Val
The patient is on Combigan and has a somewhat encapsulated appearing bleb.
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• s/l family history of "vonvolabrance" disease. - sn
Sun Mar 21 10:47:56 2010 sn
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Sun Mar 21 10:49:06 2010 nmt
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Sun Mar 21 10:49:06 2010 n i b a a l
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Sun Mar 21 11:08:00 2010 pg 162, 2nd Ed
h
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Sun Mar 21 11:09:00 2010 n i b a a l
was also per BOS.
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Sun Mar 21 11:12:39 2010 :D
sticky wicket with some doctors and facilities. So the 2nd and 3rd, they still would prefer doing away with it, but they do defer to how it is dictated and account/doctor preference.
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Sun Mar 21 11:12:13 2010 n i b a a l
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Sun Mar 21 11:15:32 2010 however,
form is acceptable in environments where client or facility preference prevails."
They apparently conflict with themselves. But it should STILL be what the doctor/client prefers. They clearly say in 2nd and 3rd editions, that it is okay to use the 's (if dictated).
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Sun Mar 21 11:18:16 2010 n i b a a l
be trying to squint at my BOS book anymore. :)
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Sun Mar 21 10:48:50 2010 nm
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Sun Mar 21 10:51:01 2010 sn
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• NEURO: No gross motor _____ sounds or "di-vit-us" noted. (sm) + i e g l e n
Sun Mar 21 10:24:26 2010 i e g l e n
What's usually heard here. He's going so fast, I can't even get a s/l, on slow mode.
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Sun Mar 21 10:35:10 2010 hth
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Sun Mar 21 10:34:36 2010 n i b a a l
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Sun Mar 21 10:34:52 2010 n i b a a l
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Sun Mar 21 10:41:57 2010 i e g l e n
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Sun Mar 21 10:29:16 2010 s
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Sun Mar 21 10:28:11 2010 p n a m n e
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Sun Mar 21 16:40:39 2010 nm
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• White cell count of 1300 with a granulocyte percentage of + sm
Sun Mar 21 10:14:03 2010 sm
around 19% and a s/l "mononucleosis" of around 22%.
Dictator has an accent. Pt being evaluated neutropenia.
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Sun Mar 21 10:25:34 2010 t
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Sun Mar 21 10:46:27 2010 OP
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• Had recent echo that showed normal "asinic" and systolic function. - i e g l e n
Sun Mar 21 10:13:26 2010 i e g l e n
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Sun Mar 21 10:42:29 2010 i e g l e n
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Sun Mar 21 11:05:14 2010 nm
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Sun Mar 21 11:26:59 2010 i e g l e n
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• sounds like pression, correction?? + a c d a c a
Sun Mar 21 10:10:03 2010 a c d a c a
The patient was placed on cardiopulmonary bypass and cooled to 32 degrees centigrade. A cross-clamp was applied in a relatively plaque-free area. An excellent diastolic arrest was produced with 600 mL of cold crystalloid cardioplegia. Note that a retrograde cannula was also placed through a separate pursestring in the right atrium. The myocardial ___ was supplemented throughout the case with intermittent doses of cold crystalloid cardioplegia delivered in a retrograde fashion.
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Sun Mar 21 10:37:14 2010 were my note. sm
And it does make perfect sense.
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Sun Mar 21 10:42:31 2010 a c d a c a
hear it clearly but heard enough of the last part of it. Will go with it. Thanks.
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Sun Mar 21 10:12:29 2010 nm
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Sun Mar 21 10:14:28 2010 a c d a c a
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Sun Mar 21 10:17:12 2010 ltt
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Sun Mar 21 10:21:34 2010 a c d a c a
either.
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• Part of physical exam. No scapular s/l wanning. - nm
Sun Mar 21 09:43:21 2010 nm
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Sun Mar 21 09:43:53 2010 nm
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• Ortho - Meniscal tear - x-ray portion of report. s/l radial plate body?? + MTmama
Sun Mar 21 09:42:14 2010 MTmama
Today in my office, x-rays of her right knee were taken, AP, lateral patellar skyline, which do show a radial ____ loose body, somewhat rounded, but irregular, most consistent with a foreign body.
I am hearing plate or pate??
Thank you!
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Sun Mar 21 09:44:14 2010 t
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Sun Mar 21 09:44:57 2010 MTmama
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• Thyroidectomy, adrenalectomy, lymph node resection and "fort" placement (ESL) - i e g l e n
Sun Mar 21 09:16:34 2010 i e g l e n
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Sun Mar 21 09:17:13 2010 barbv
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Sun Mar 21 09:23:31 2010 i e g l e n
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• pls help with wav + gene
Sun Mar 21 09:14:50 2010 gene
The patient had a recent CT scan of the aorta. He has a calcified plaque and significant issues. The _____ was unremarkable. No evidence of pulmonary emboli. Moderate vascular calcification.
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Sun Mar 21 09:25:57 2010 gene
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Sun Mar 21 09:16:09 2010 barbv
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Sun Mar 21 09:16:59 2010 i e g l e n
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• SM + nm
Sun Mar 21 08:57:09 2010 nm
NEUROLOGICAL EXAM: Blood pressure 110/70, pulse 70, and respirations 18. She is alert and awake. However, she is not fully oriented to time and place. She is hard of hearing. She is wearing hearing aids. EOMs normal. No papilledema. No ptosis. Shoulder shrug strong and symmetrical. ___ (4:01) remains intact. The patient has a mild degree of s/l pal paralysis.
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Sun Mar 21 09:16:53 2010 barbv
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• The patient was referred to Dr. * for s/l heretic neuropathic pain management - nm
Sun Mar 21 08:51:35 2010 nm
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Sun Mar 21 08:59:38 2010 i b b g a j
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• Can someone please explain to me how a MRI of the brain can be used s.m. + MTinME
Sun Mar 21 08:30:16 2010 MTinME
for a comparison to an abdominal x-ray? Is radiologist losing his mind? I looked up previous reports thinking he must have misspoke, but the only x-ray done on the date the radiologist mentioned was an MRI of the brain...
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Sun Mar 21 08:36:22 2010 b a d a l l
but can't make a guess with nothing to go on.
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Sun Mar 21 08:42:58 2010 MTinME
Abdominal x-ray.
COMPARISON: MRI of the brain from 11/20/2009.
and then he goes onto the report.
I'm guess he had a total brain fart.
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• wav file, thanks. I have looked in the sound alike on drugs.com and did the * search + a c d a c a
Sun Mar 21 07:51:18 2010 a c d a c a
Diabetes, hypertension, dyslipidemia, status post kidney transplant and dementia.
on pumin. I have tried Google with a lot of spellings. payapumin, pyapumin, piapumin, peyapumin. I looked in Saunders under the p's. At a loss. Also do not think the way he said Triavil dose of 2.25 is correct. I can only document it as 2/25. Thanks.
____ 1 mg daily.
Singulair 10 mg daily.
Toprol 50 mg daily.
Lipitor 80 mg daily.
Avapro 300 mg daily.
Prednisone 5 mg daily.
Glucotrol-XL 2.5 mg daily.
Nexium 40 mg daily.
Doxazosin 4 mg daily.
Triavil 2.25 mg daily.
Monopril 10 mg daily.
Lasix 20 mg daily.
Oxybutynin 2.5 mg daily.
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Sun Mar 21 08:06:43 2010 wag - nm2
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Sun Mar 21 08:07:37 2010 nm2
attempting to pronounce it.
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Sun Mar 21 08:02:50 2010 s not an avail. dose
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Sun Mar 21 08:24:28 2010 a c d a c a
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Sun Mar 21 07:55:28 2010 a c d a c a
1 word or 2 as he really hesitates on it.
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Sun Mar 21 07:59:15 2010 nm
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cut and paste characters:
α
β
γ
μ
π
²
³
¼
½
¾
¢
°
±
×
÷
≥
≤
©
®
™
•
À Á Â Ã Ä Å à á â ã ä å
È É Ê Ë è é ê ë
Ì Í Î Ï ì í î ï
Ò Ó Ô Õ Ö Ø ò ó ô õ ö ø
Ù Ú Û Ü ù ú û ü
Ç ç Ñ ñ
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