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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
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"
** • Not sure, but it s/l the doc is asking you to use a template to + Questyr
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
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.
** • got it - pleural parenchymal - thanks - OP
Tue Jun 18 23:35:42 2019 thanks - OP


• Proceed with unsedated "ERM" to look for reflux anal inhibition response (child). nm
- JC
Tue Jun 18 13:18:13 2019 JC

** • Could it be ARM, anorectal manometry? - Maybe?
Tue Jun 18 14:46:36 2019 Maybe?

**** • ^ this - nm
Wed Jun 19 11:28:26 2019 nm

** • oops..should be reflex anal inhibition, but can find nothing close to ERM? tia nm - JC
Tue Jun 18 13:30:59 2019 JC


• hypoxic at this point on supplemental oxygen and on an *H CAP*
+ ?
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 ______.


** • BiPAP or CPAP? - poi
Wed Jun 19 00:04:09 2019 poi

** • flagging - -
Tue Jun 18 14:05:44 2019 -


• s/l inter sepsular changes in both lung fields
+ sm
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.
** • See if you can hear "COPD who HAD INTERSTITIAL changes" - Questyr
Tue Jun 18 12:33:36 2019 Questyr

**** • ok - ty
Tue Jun 18 13:05:39 2019 ty


• s/l mat suture
+ sm
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.
** • See message + Questyr
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.
**** • thanks - -
Tue Jun 18 13:05:59 2019 -


• Aside from glomerulonephritis, he also has a history of high blood pre ...
+ wav
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
** • Crestor, tamsulosin, ... - billybob
Mon Jun 17 22:17:54 2019 billybob


• This is in the background of a several-month history of intermittent j ...
+ wav
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.
** • never mind. Thanks to anyone who tried. - guy
Mon Jun 17 16:26:49 2019 guy


• The patient does not have any infectious features at this time. I t th ...
+ wav
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....
** • never mind. thanks to anyone who tried. - guy
Mon Jun 17 15:24:56 2019 guy


• The patient is a 40-year-old gentleman who we saw for query cellulitis ...
+ wav
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..."
** • warranted him of sprain?? - poi
Mon Jun 17 15:20:04 2019 poi

**** • and I think the rest is fine - poi
Mon Jun 17 15:21:14 2019 poi

**** • Thanks a lot. - guy
Mon Jun 17 15:20:31 2019 guy


• Sedation was offered to him, but given the sigmoidoscopy _____, I told ...
+ wav
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.
** • mitigation?? - poi
Mon Jun 17 14:53:35 2019 poi

**** • Thanks a lot. - guy
Mon Jun 17 14:55:18 2019 guy


• COPD, schizophrenia, anemia, _____ ...
+ wav
Mon Jun 17 13:55:00 2019 wav
COPD, schizophrenia, anemia, _____
** • and BPH - poi
Mon Jun 17 13:57:29 2019 poi

**** • Thanks a lot. - guy
Mon Jun 17 14:02:54 2019 guy


• Anyone from Nevada?
+ sm please
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.
** • There is a Chewey in Sparks - poi
Mon Jun 17 14:04:14 2019 poi

** • do you have a city? - b m o p e d
Mon Jun 17 13:58:57 2019 b m o p e d


• Multivitamins _____ tablet p.o. daily. ...
+ wav
Mon Jun 17 12:33:17 2019 wav
Multivitamins _____ tablet p.o. daily.
** • Multivitamins with minerals ? - sea
Mon Jun 17 13:02:21 2019 sea

**** • Thanks a lot. - guy
Mon Jun 17 13:54:08 2019 guy

** • never mind. Thanks to anyone who tried. - guy
Mon Jun 17 12:43:09 2019 guy


• She was working in the past in accounting _____ but presently having j ...
+ wav
Mon Jun 17 12:24:23 2019 wav
She was working in the past in accounting _____ but presently having job in
** • retail ___? and designing - poi
Mon Jun 17 12:27:59 2019 poi

**** • maybe retail space designing? - poi
Mon Jun 17 12:30:50 2019 poi

****** • Thanks a lot. - guy
Mon Jun 17 12:31:24 2019 guy


• RA drug spelled out entembra. Closest found Actemra. Anyone?
- t
Mon Jun 17 11:29:46 2019 t

** • I could only find Actemra also. - sea
Mon Jun 17 12:59:40 2019 sea


• total hip replacement anterior approach, sm pls
+ mo
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

** • see message + Questyr
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.
**** • Thanks Questyr, difficult dictator at the best of times. Appreciate your input - OP
Sat Jun 15 12:47:01 2019 OP


• early pregnancy assessment ultrasound sm pls (s/l ITN/GS)
+ mo
Fri Jun 14 17:01:49 2019 mo
Ultrasound findings:
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)

** • flagged - mt
Fri Jun 14 18:53:48 2019 mt


• Excess fat and tissue were removed sharply from the anterior surface o ...
+ wav
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.
** • such that each leaf of the platysma - taco
Fri Jun 14 15:08:00 2019 taco

**** • Thank you, taco - wav
Fri Jun 14 15:16:56 2019 wav


• what is "MCI" listed under past medical history? Totally stumped here.
- nt
Fri Jun 14 14:26:30 2019 nt

** • ah!!! Of course. Thank you. - nt
Fri Jun 14 15:54:15 2019 nt

** • mild cognitive impairment? - taco
Fri Jun 14 14:30:37 2019 taco


• ProFractional erbium laser treatment with s/l Lah-Tease ...
+ k m b h o b
Fri Jun 14 12:19:14 2019 k m b h o b
ProFractional erbium laser treatment with s/l Lah-Tease
** • Latisse - taco
Fri Jun 14 12:36:22 2019 taco

**** • 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 12:50:11 2019 k m b h o b


• Is "Bondo" correct for skull repair?
+ thanks
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"
** • Well, Bondo is used as a filler, like for car body work, so it makes sense. - taco
Fri Jun 14 12:08:20 2019 taco

**** • Thanks taco. - thanks
Fri Jun 14 12:14:08 2019 thanks


• medication list: sounds like "So ho pella" testosterone implant every 3 months.
+ taco (ino rush)
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.
** • GOT IT! (well, my QA person got it) -- it is SottoPelle (he was pronouncing it badly). - taco
Thu Jun 13 15:12:11 2019 taco

** • btw - this is for a postmenopausal woman with no PMH listed. - taco (in no rush)
Thu Jun 13 14:51:59 2019 taco (in no rush)


• wrist exam s/l oz septic
+ sm
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.
** • asymmetric? - taco
Thu Jun 13 14:05:03 2019 taco

**** • found it - ossific density + op
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
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.
** • Scaled area.. - wav deleted
Thu Jun 13 14:03:23 2019 wav deleted

**** • Thanks for letting us know. - Questyr
Thu Jun 13 20:08:47 2019 Questyr


• Echo results, need some help. S/l in the " M O" section
+ sm/
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
** • M-mode - taco
Thu Jun 13 09:16:45 2019 taco

**** • TY - !
Thu Jun 13 09:21:34 2019 !


• His additional medications currently include lisinopril, Topamax, ______, budesonide,
+ mp3
Thu Jun 13 08:02:14 2019 mp3
His additional medications currently include lisinopril, Topamax, ______, budesonide, Singulair, Zanaflex, Flomax, and Pamelor
** • Does the patient have HIV or at risk for HIV? Might be Truvada. - taco
Thu Jun 13 08:13:57 2019 taco

**** • No mention of it, but thanks for trying - op
Thu Jun 13 10:02:04 2019 op


• SM
+ d h k h k o
Wed Jun 12 13:07:16 2019 d h k h k o
...man who has a history of "nasterosis" complicated by hepatopulmonary syndrome.

** • NASH cirrhosis - taco
Wed Jun 12 13:18:12 2019 taco

**** • You'd think David Crosby would be the one to get a liver disease named after him. - billybob
Wed Jun 12 17:34:22 2019 billybob

****** • haha - good one, bb - t
Thu Jun 13 06:29:22 2019 t

****** • ;D - Q
Wed Jun 12 19:50:55 2019 Q

**** • YES! + d h k h k o
Wed Jun 12 13:21:21 2019 d h k h k o
Thank you!

• Is "access" correct or does he mean "axis"?
+ wav posted
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"
** • axis - nt
Tue Jun 11 16:00:52 2019 nt

**** • Thank you! - wav posted
Tue Jun 11 16:25:36 2019 wav posted


• orificed-hernia? pls sm
+ abcdefg
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.
** • It would be subcentimeter orifice hernia (no "d") - Questyr
Tue Jun 11 13:58:31 2019 Questyr

**** • questyr - thanks - abcdefg
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
Tue Jun 11 10:17:16 2019 k h n m d b
The Mediport was then removed while Anesthesia Valsalva the patient.
** • If you did choose to use the back-formation "valsalva'd" just note that you should drop + Questyr
Tue Jun 11 14:06:10 2019 Questyr
the capital letter
** • are you allowed "while Valsalva performed by Anesthesia"? - nt
Tue Jun 11 11:01:55 2019 nt

**** • I think so. Not told this is verbatim. Sounds much better. Thank you - k h n m d b
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
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.
** • Yes. (see link, scroll down to Comma Rule #5 and read ALL the way down to + Questyr
Tue Jun 11 14:12:06 2019 Questyr
the bottom of the page. )
**** • Thank you, Questyr - p j l m i g
Tue Jun 11 15:36:56 2019 p j l m i g


• Medication that sounds like: fos-fo-low
- Thanks
Mon Jun 10 16:28:45 2019 Thanks

** • ... - mp3 posted
Mon Jun 10 16:30:08 2019 mp3 posted

**** • ... - mp3 deleted
Mon Jun 10 19:33:56 2019 mp3 deleted


• .. cyproheptadine, _________, gabapentin...
+ wav posted
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.
** • Might be Diprolene - Questyr
Mon Jun 10 18:48:34 2019 Questyr

**** • Thank you Quetyr - wav posted
Mon Jun 10 19:08:42 2019 wav posted

** • Hi. Still waiting. I have some time to turn this in. Thank you. - wav posted
Mon Jun 10 17:13:06 2019 wav posted

**** • ... - wav deleted
Mon Jun 10 19:34:08 2019 wav deleted


• Physician sloughed blister and hemorrhage off toe, thus the lesion bec ...
+ Kelsie
Mon Jun 10 15:13:43 2019 Kelsie
Physician sloughed blister and hemorrhage off toe, thus the lesion became sounds like "apigmented".

Thank you
** • "apigmented" is a word and can be used to describe appearance of a lesion - Questyr
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
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.
** • how about "this creates a cone or aperture" ? - taco
Sat Jun 8 11:01:45 2019 taco

**** • That's it, taco. Thanks so much. - l d p g l l
Sat Jun 8 11:05:25 2019 l d p g l l

** • ... - wav posted
Sat Jun 8 10:41:56 2019 wav posted


• Pain medication s/l side-a-vex.
- :)
Fri Jun 7 20:33:44 2019 :)

** • As usual after searching forever after I posted here I found it. Citabax. - :)
Fri Jun 7 20:35:36 2019 :)


• Mitchell modification of a *yungees* urethroplasty
+ CO MT
Fri Jun 7 15:39:18 2019 CO MT
Patient having fistula closure after epispadias repair
** • Young-Dees - taco
Fri Jun 7 15:55:56 2019 taco

**** • I looked and looked and looked for that, now it's suddenly showing up. Thanks!!!!! - CO MT
Fri Jun 7 15:58:53 2019 CO MT


• Pt is status post surgery and is constipated.
+ sm please
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.
** • can you hear "mag citrate"? (magnesium citrate) - taco
Fri Jun 7 15:05:41 2019 taco

**** • I think that is what he's saying. Ty very much. + nm
Fri Jun 7 15:08:04 2019 nm
x

• There were *opta* like erosion in the proximal esophagus.
+ sm
Fri Jun 7 05:59:51 2019 sm
NAME OF PROCEDURE: Esophagogastroduodenoscopy, brushing, and biopsy.

ANESTHESIA: MAC.

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.
** • aphthous? - taco
Fri Jun 7 06:07:54 2019 taco

**** • thank you - !
Fri Jun 7 08:44:49 2019 !


• grade I-II acromioclavicular joint dislocation
- roman or arabic
Thu Jun 6 12:43:59 2019 roman or arabic

** • 2 (sm) + k d i e m n
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).
**** • Thanks - op
Thu Jun 6 16:13:06 2019 op


• Is "declared" corredt? Once the mastectomy skin "declared" itself,
+ b b b j e b
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.
** • yes + sm
Thu Jun 6 10:35:53 2019 sm
link
**** • Thank you! I am such a lously researc - wav posted now
Thu Jun 6 10:38:26 2019 wav posted now

****** • researcher on Google. Thanks again. - wav posted now
Thu Jun 6 10:39:07 2019 wav posted now

** • ... - 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
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.... Also: It's apical akinesis. + sm
Wed Jun 5 16:24:41 2019 sm
Still thinking about s/l bank erds.
**** • Resting EKG shows sloping QRS. - nm
Thu Jun 6 10:36:54 2019 nm

**** • Apologies - more likely they said "apical HYPOkinesis." + sm
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
Tue Jun 4 14:46:18 2019 Kim
Does stress stiffness make sense?

Thanks
** • listen for "progressive stiffness" - nm
Tue Jun 4 16:35:15 2019 nm


• Avoid startling ____ and scary amusement park rides.
- mp3
Mon Jun 3 10:05:54 2019 mp3

** • sstartling, all falls, and scary amusement.... (0R) startling, or falls, and scary - f f b e i p
Mon Jun 3 14:32:08 2019 f f b e i p

** • alarm clocks? - f a i c l b
Mon Jun 3 14:26:48 2019 f a i c l b

**** • ... - Thanks!
Mon Jun 3 20:30:50 2019 Thanks!


• this is associated with LQTS type 1. Thus, she is _______.
+ mp3
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 _______.
** • ? is she just struggling and repeating "phenotype positive" - ltt
Mon Jun 3 09:50:45 2019 ltt

**** • Thanks. She repeated it at the end. Genotype positive and phenotype positive - op
Mon Jun 3 09:56:40 2019 op


• surgical remedial defect? pls sm
+ abdcdef
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?
** • surgically remediable - maybe - ltt
Mon Jun 3 09:29:16 2019 ltt

**** • oops! Thank you. - abdcdefg
Mon Jun 3 09:52:03 2019 abdcdefg

**** • thanks - abcdefg
Mon Jun 3 09:49:45 2019 abcdefg


• tests for autonomic insufficiency, s/l taupe test
+ see sentence
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.
** • tilt test - nm
Mon Jun 3 10:00:23 2019 nm


• *S/L Astergan solution - Cervical cold knife conization with endocervical curettage
+ TYIA=)
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.
** • AstrinGyn (see link) + Questyr
Sun Jun 2 23:35:42 2019 Questyr
link

• 3. Hypertension. 4. Allergic ____________ 5. Overweight with bod ...
+ mp3 posted
Sun Jun 2 13:51:45 2019 mp3 posted
3. Hypertension.
4. Allergic ____________
5. Overweight with body mass index of 29.


** • allergic rhinitis? - mn
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
+ :)
Fri May 31 22:33:00 2019 :)
normal s/l Elf-in's test.
** • look at tendons-ECU (?) - y
Mon Jun 3 07:57:33 2019 y

**** • look at Elson's test - nm
Mon Jun 3 10:02:21 2019 nm

** • Elson test (S can sound like F sometimes) - nm
Sat Jun 1 11:23:50 2019 nm

** • Allen's test - maybe
Fri May 31 22:48:03 2019 maybe

** • Phalen's? - POI
Fri May 31 22:48:02 2019 POI

**** • 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 22:51:10 2019 OP
up. It almost s/l Alison's now

****** • Thanks for trying but I really think this is going to have to be a blank. - OP
Fri May 31 22:52:38 2019 OP


• We also discussed the use of _______________other materials
+ wav
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.
** • BTW...I wonder if you are hearing "BUT felt like" (not THAT felt like) - Questyr
Fri May 31 20:39:00 2019 Questyr

** • ... - wav deleted
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 patients 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
Thu May 30 14:45:51 2019 mp3

** • I'm hearing 5 grain but can't document that anywhere. Sorry, I'm not much help. - sea
Thu May 30 15:13:40 2019 sea

**** • gram - ?
Thu May 30 15:58:54 2019 ?

****** • Thanks to you both - op
Thu May 30 16:32:50 2019 op


• sensory test for diabetic neuropathy
+ qwerty
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!
** • how about fine grade? - nt
Thu May 30 14:23:05 2019 nt

**** • Maybe? I thought of that first, but that's not what I'm hearing. Than ... + qwerty
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
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.
** • I think it is 'corrected.' - wav
Thu May 30 10:39:51 2019 wav


• mix and s/l paramix
+ n g h a n i
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.
** • payer mix (I do believe) + sm
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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