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Mar 3 04:31
• Question PE portion sounds like "mortal symmetry test
+ Julian
Fri Mar 5 16:17:45 2021 Julian
Physician could not find a "mortal or symmetry" test in either upper extremity.

• Assistant: Present throughout the case, assisted with opening, closin ...
+ mp3 posted
Tue Mar 2 14:19:05 2021 mp3 posted
Assistant: Present throughout the case, assisted with opening, closing, and arm positioning as well as application of _____________ postprocedure.
** • ... - mp3 deleted
Tue Mar 2 19:29:26 2021 mp3 deleted


• .. subscapularis were present ___________ and partial-thickness tears. ...
+ wav posted
Tue Mar 2 14:15:58 2021 wav posted
with no visible remnants of the supraspinatus or the infraspinatus. Parts of the subscapularis were present ___________ and partial-thickness tears.
** • I think I hear "but represented full" not sure that makes sense. - sea
Tue Mar 2 16:28:33 2021 sea

** • ?? full and partial (can't get the word before full - sea
Tue Mar 2 16:25:18 2021 sea

**** • Thank you, sea!! - wav deleted
Tue Mar 2 16:37:42 2021 wav deleted


• There is popliteal " formis" and lateral joint line tenderness. Cannot confirm this
- on knee exam.
Tue Feb 23 19:47:29 2021 on knee exam.

** • Repeated and clear now: Popliteus fullness. - on knee exam
Tue Feb 23 19:49:27 2021 on knee exam


• Is it LeCompte or Lecompte maneuver? I'm seeing both
- tia
Mon Feb 22 10:08:50 2021 tia

** • FWIW, Stedman's Surgery says it's Lecompte + nm
Mon Feb 22 12:14:20 2021 nm
x
**** • ... - thanks a lot
Mon Feb 22 13:47:51 2021 thanks a lot


• MRI reading: s/l *Keane-Hall* full-thickness rotator cuff tear
+ sm
Sun Feb 21 13:23:51 2021 sm
Trace amount of fluid present in the subacromial-subdeltoid bursa may present normal variant, sequela of mild bursitis, or sequela of s/l *Keane-Hall* full-thickness rotator cuff tear. Recommendation is MR arthrogram.
** • pinhole :-) - OP
Sun Feb 21 15:00:13 2021 OP


• ...but not in the sinuses _________ I can't confirm what I hear and need another
+ ear. wav posted
Fri Feb 19 15:20:54 2021 ear. wav posted
Both of those ostia were patent but with significant amount of edema. Irrigation in that area was also performed, but not in the sinuses _________
** • proper - what I hear
Fri Feb 19 15:56:16 2021 what I hear

**** • Thanks. I heard that too but could not confirm. Thanks again - wav deleted
Fri Feb 19 16:06:00 2021 wav deleted


• Breast reduction surgery
+ a p m f i g
Fri Feb 19 13:58:13 2021 a p m f i g
She then labeled it short superior, long lateral, double deep, and "s/l wide stitch" medial.

• Stryker four-hole periarticular proximal ulna plate with _____ stop pins.
+ wav posted
Wed Feb 17 17:18:41 2021 wav posted
A Stryker four-hole periarticular proximal ulna plate was selected and placed on the posteromedial aspect of the ulna and provisionally secured with ______stop pins.
** • I got it. Thanks - wav deleted
Wed Feb 17 17:30:08 2021 wav deleted


• Implants - OB/GYN
+ l b d f m b
Mon Feb 15 10:39:58 2021 l b d f m b
4 Prolene sutures were placed from the vulva to the 4 corners of the "Kalona"



• s/l "cow-ell's" assessment by the occupational therapist
+ SM
Mon Feb 15 09:39:33 2021 SM
Given the patient's concerns about activities of daily living, it would be reasonable to perform a s/l "cow-ell's" assessment by the occupational therapist, if available, to determine which domains the patient is struggling with

• PAST MEDICAL HISTORY: Lung nodules, s/l "nicotineous"... My spell checker does
- not recognize.
Thu Feb 11 20:15:34 2021 not recognize.

** • nicotine use? ... + e c g n c p
Sun Feb 14 11:09:23 2021 e c g n c p
nicotine use?
**** • Gee! Too late. Already turned in. Can't believe this. Thank you. - not recognize
Wed Feb 17 17:17:16 2021 not recognize


• lumbar ortho test s/l advancement?
+ sm - tia
Thu Feb 11 14:39:49 2021 sm - tia
The following orthopedic tests were performed in the lumbar spine and were negative: Gaenslen's, heel and toe walking, straight leg raise in the supine position, Milgrams, Elys, ______ [s/l advancement?] Kemps.
** • I actually think I found what I'm looking for - advancement test for sciatica - tia
Thu Feb 11 14:43:11 2021 tia


• Hi. This seems easy. Just cannot confirm by Googling with a variety of words
+ wav posted
Thu Feb 11 11:09:23 2021 wav posted
old female with a mallet fracture of her left ring finger who elected for surgical treatment given 50 percent __________ surface displacement of a fracture.
** • joint - what I hear
Thu Feb 11 11:16:34 2021 what I hear

**** • Hear it clearly now. Thanks a lot - wav deleted
Thu Feb 11 11:30:36 2021 wav deleted


• with 4-wheeled walkder able to s/l *contour* and ambulate short distances.
- mt
Wed Feb 10 13:00:36 2021 mt


• A 22-gauge spinal needle was used to cannulate the left-sided foramen. ___________
+ wav posted
Wed Feb 10 12:33:08 2021 wav posted
With the fluoro in the left oblique position, the skin was infiltrated with lidocaine with epinephrine. A 22-gauge spinal needle was used to cannulate the left-sided foramen. ___________. She had a contrast allergy....
** • thought I could hear "lateral foramen" in there. - mt
Wed Feb 10 13:03:00 2021 mt

**** • Thanks, mt. Yes, I think he corrected to 'lateral foramen'. - wav deleted
Wed Feb 10 13:42:04 2021 wav deleted


• The patient was strongly positive for TTF-1 and (sounds like) absent A expression?
+ tia
Sat Feb 6 21:03:19 2021 tia
I am unable to verify this so not sure that is what was sound.
** • Napsin A expression? - e c g n c p
Sun Feb 7 12:50:12 2021 e c g n c p

**** • that's it! Thanks so much. - OP
Sun Feb 7 14:08:49 2021 OP


• Cannot understand the type of lesion. Thank you. Can wait over weekend.
+ wav
Fri Feb 5 17:46:47 2021 wav
PREOPERATIVE DIAGNOSES:
1. VISUAL FIELD LOSS SECONDARY TO REDUNDANT UPPER EYELID SKIN.
2. _____________ LESIONS, POSTERIOR NASAL NERVE, SECONDARY TO VASOMOTOR RHINITIS.

** • Flagged. Thanks - wav deleted
Sun Feb 7 12:45:34 2021 wav deleted


• In med list (no other context), "s/l esoplatone 3 mg nightly"
- CO MT
Thu Feb 4 18:10:16 2021 CO MT

** • Think I might have found. Eszopiclone - CO MT
Thu Feb 4 18:21:01 2021 CO MT


• appear at this the patient is at *P 5* and has acceptable blood pressure.
+ sm
Wed Feb 3 14:37:46 2021 sm
ASSESSMENT AND PLAN: I have personally discussed the case at the bedside with Dr. X was well as the Mechanical Circulatory Support coordinator, XX. The patient does appear stable at this time. We will plan to place an art line as well. It does appear at this the patient is at _____ and has acceptable blood pressure. We will assess the patient today to determine if he requires to keep the Impella today or if that could possibly be DC'd today. The patient appears stable. His echo as well as his cath were carefully reviewed by myself at the bedside with Dr. X.
** • ... and at this point the patient is at P5... + sm
Thu Feb 4 13:11:28 2021 sm
P5 is correct. It looks like you're missing a word in that sentence.

• She presents to the office with a several-month history of increasing ...
+ wav
Fri Jan 29 16:19:27 2021 wav
She presents to the office with a several-month history of increasing pain, ______________in nature. She has had confirmed ovarian cysts
** • I hear "It is atypical in nature." Not 100% sure thought. - sea
Fri Jan 29 18:20:30 2021 sea

**** • I will use that, sea. Thanks a lot - wav
Sat Jan 30 09:20:12 2021 wav


• Speed talker and need help with 2 blanks - nerve root decompression
+ Dee
Fri Jan 29 09:54:28 2021 Dee
I went ahead and transected the left L2-L3 inferior articular process and skeletonized around the left L3 pedicle. This allowed me then to undercut the L1-L2 recess and allowed the foramen _____ the L2 nerve root freely exiting bilaterally, undercut the L2-L3 recess and allowed the foramen _____ the L3 nerve root freely exiting bilaterally. At this point, I was satisfied with the decompression.
** • And what does this blank sound like to you, Dee? - mary
Fri Jan 29 11:30:01 2021 mary

**** • He's so fast i can't tell if he is saying with palpation in it, not sure. - dee
Fri Jan 29 13:44:44 2021 dee


• dictated "complement fixation was one is to 8 to 16" How should that be written?
- tia
Thu Jan 28 21:35:33 2021 tia

** • thank you! - tia
Fri Jan 29 20:39:20 2021 tia

** • complement fixation was 1:8 to 1:16 - nm
Fri Jan 29 10:52:23 2021 nm


• hemiarthroplasty - Am I hearing vag pack ?
+ j o a d p b
Thu Jan 28 10:02:57 2021 j o a d p b
Next, the size 3 cement restrictor was placed in the femoral canal. Pulse lavage using the pulse lavage brush apparatus was accomplished. The canal was packed with epi-soaked s/l vag pack.
** • I would use it. Looks like it has many uses + link
Thu Jan 28 21:39:36 2021 link
"seat the restrictor in the femur at the planned depth, and then fill the canal with an epinephrine-soaked vaginal pack to minimize back bleeding"
**** • Thank you! - j o a d p b
Fri Jan 29 10:02:43 2021 j o a d p b


• C5-6 discectomy using a combination of s/l kirotoj and high-speed drill
- tia
Tue Jan 26 05:31:44 2021 tia

** • Got it, never mind - op
Tue Jan 26 05:37:50 2021 op


• s/l "eye spy" was utilized
+ sm
Mon Jan 25 07:19:20 2021 sm
_____ was utilized and at this point in time the frank line of demarcation was appreciated. The skin flap overlying the medial aspect of the lower extremity was found to be black. No perfusion was noted. Therefore, at this point in time, thorough excision of all of the devitalized skin, subcutaneous tissue, underlying muscle, and fascia were thoroughly debrided in preparation for staged split-thickness skin graft.

Utilization of intraoperative _____/fluorescence mapping for monitoring of soft tissue viability.
** • Found a lot of info on SPY fluorescence imaging, not sure about the "eye" part - sea
Mon Jan 25 09:04:39 2021 sea

**** • Me too. - thanks!
Mon Jan 25 10:38:58 2021 thanks!


• The patient is a gentleman with previous C5-6 _______, presents for r ...
+ wav posted
Fri Jan 22 15:12:07 2021 wav posted
The patient is a gentleman with previous C5-6 _______, presents for residual, recurrent right-sided arm pain. Found to have pseudoarthrosis, recurrent foraminal stenosis at C5-6.
** • ACDF who presents ... + e c g n c p
Sun Jan 24 12:20:55 2021 e c g n c p
ACDF who presents
**** • Thank you! - WAV deleted
Sun Jan 24 14:33:47 2021 WAV deleted


• Echocardiogram showed significantly diminished **leeze-ability**. sm
+ mt
Fri Jan 22 12:35:29 2021 mt
Then says:
Movement of interventricular septum was abnormal.

Any ideas on "leeze-ability"?
** • plse disregard - mt
Fri Jan 22 12:54:47 2021 mt


• A CBC reticulocyte was also overall unremarkable. ___________ hemoglo ...
+ mp3 posted
Thu Jan 21 16:47:18 2021 mp3 posted
A CBC reticulocyte was also overall unremarkable. ___________ hemoglobin 11.6 and hematocrit of 30.4.
** • flagged - OP
Fri Jan 22 00:39:23 2021 OP


• A CBC reticulocyte was also overall unremarkable ________ hemoglobin ...
+ mp3 posted
Thu Jan 21 16:46:38 2021 mp3 posted
A CBC reticulocyte was also overall unremarkable ________ hemoglobin 11.6 and hematocrit of 30.4.
** • please ignore this post. Posted above - OP
Thu Jan 21 16:48:08 2021 OP


• INTEGUMENT: Positive for rash,___________ , upper extremity.
- wav posted
Tue Jan 19 17:10:58 2021 wav posted

** • It was 'actinic keratosis'. Thanks to anyone who tried. - wav deleted
Tue Jan 19 17:16:36 2021 wav deleted


• use 1.5 quadrants or 1-1/2
+ sm
Mon Jan 18 12:14:19 2021 sm
The patella translates 1.5 or 1-1/2 quadrants with a solid endpoint
** • 1.5 - nm
Tue Jan 19 12:35:22 2021 nm


• _____ request from Dr. Daniel Tomlinson, M.D. requesting right shoulde ...
+ mp3
Sun Jan 10 20:21:24 2021 mp3
_____ request from Dr. Daniel Tomlinson, M.D. requesting right shoulder _____ two to three times a week for six weeks, dated November 25, 2020.
** • 2. therapy - poi
Sun Jan 10 20:55:28 2021 poi

** • The MG-2 NYS form is also known as the Attending Doctors Request for Approval of Variance - wag
Sun Jan 10 20:54:06 2021 wag

**** • Thanks a lot ... + Guy
Sun Jan 10 20:56:39 2021 Guy
Thanks a lot
** • Never mind. Thanks to anyone who tried. - guy
Sun Jan 10 20:43:40 2021 guy


• The x-ray report of the right shoulder. Impression: Comprehensive _ ...
+ wav
Sun Jan 10 20:08:55 2021 wav
The x-ray report of the right shoulder. Impression: Comprehensive _____ of the prior x-ray of right shoulder, dated March 3, 2008 and September 24, 2008. Findings thought most consistent with the prior surgical resection of the distal right clavicle.
** • Comparison made with the - poi
Sun Jan 10 20:13:03 2021 poi

**** • Thanks a lot. :-) - guy
Sun Jan 10 20:13:47 2021 guy


• CAT scan report of upper extremity without contrast on the right shoul ...
+ mp3
Sun Jan 10 19:43:10 2021 mp3
CAT scan report of upper extremity without contrast on the right shoulder. The history is right shoulder pain. There is no comparison available. The impression is no acute osseous abnormality. ____ glenoid. If there is a clinical condition for recurrent or residual labral tear or rotator cuff pathology, MR arthrography is recommended. Chronic
** • postoperative changes in the - poi
Sun Jan 10 20:10:28 2021 poi

**** • Thanks a lot. :-) - guy
Sun Jan 10 20:13:41 2021 guy


• He does not take any medication for pain. He last took some pain medi ...
+ mp3
Sun Jan 10 19:30:05 2021 mp3
He does not take any medication for pain. He last took some pain medication when he had surgery on the right wrist, which was carpal tunnel release surgery on November 9, 2020. He has _____ allergies. He denies any prior surgeries. He denies any prior medical conditions. He does not take any medication for medical problems .
** • environmental - poi
Sun Jan 10 19:33:57 2021 poi

**** • Thanks a lot. :-) - guy
Sun Jan 10 19:34:55 2021 guy


• Facelift procedure. Thanks (I can wait over the weekend)
+ wav posted
Fri Jan 8 18:01:18 2021 wav posted
An incision was made following the pinna, releasing the pinna, allowing it to _____________. Care was taken to avoid any tension, specifically in the inferior aspect of the pinna.
** • Thanks to anyone who tried. - wav deleted
Sun Jan 10 13:57:26 2021 wav deleted


• To help child calm down, his mother will often take him in her lap and ...
+ mp3
Thu Jan 7 20:40:08 2021 mp3
To help child calm down, his mother will often take him in her lap and hold his hands ____ while applying pressure to him.
** • in place - poi
Thu Jan 7 20:41:50 2021 poi

**** • Thanks a lot. :-) - guy
Thu Jan 7 20:42:47 2021 guy


• Ortho tests: s/l [Vectaroos, Welligrades,] and Bragard tests are negative.
+ sm - tia
Thu Jan 7 18:05:53 2021 sm - tia
Right straight leg raise produces lower back pain at 20 degrees and left straight leg raise produces lower back pain at 30 degrees. ______ [s/l Vectaroos, Welligrades, and Bragard tests are negative.

• There was no tenderness along the cervical spine. Range of motion of ...
+ mp3
Tue Jan 5 19:37:34 2021 mp3
There was no tenderness along the cervical spine. Range of motion of the cervical spine was normal and painless. Flexion was 60 degrees, extension 40 degrees, _____ rotation 45 degrees to the right 45 degrees to the left.
** • side - what I hear
Tue Jan 5 20:00:35 2021 what I hear

**** • Thanks a lot. :-) - guy
Tue Jan 5 20:03:09 2021 guy


• The patient was not accompanied by the interpreter. However, patient ...
+ mp3
Tue Jan 5 18:37:20 2021 mp3
The patient was not accompanied by the interpreter. However, patient could _____ conversation in English and was able to respond the conversation. He did not fill out any intake form because of his inability to write in English, I suppose.
** • this part appears incomplete "able to respond the conversation'", not on sound file - poi
Tue Jan 5 18:41:03 2021 poi

**** • it actually is on mp3, another weird clip. I would add "able to respond TO - poi
Tue Jan 5 18:42:14 2021 poi

****** • Thanks a lot. Thanks for the correction. - guy
Tue Jan 5 18:43:48 2021 guy

** • that was clipped, but would guess he said "understand"...I only hear clip.." stand" - poi
Tue Jan 5 18:40:03 2021 poi

**** • Thanks a lot. :-) - guy
Tue Jan 5 18:40:48 2021 guy


• Medication spelled: f-o-l-t-o-n-y See medical history
+ Thank you
Tue Jan 5 17:28:20 2021 Thank you
Psoriatic arthritis, sleep apnea, irritable bowel syndrome, narcolepsy, insomnia, migraine headaches, type 2 diabetes, degenerative joint disease
** • ... - flagged, thanks
Tue Jan 5 19:22:09 2021 flagged, thanks


• S/L either native or diminutive
+ Jill
Mon Jan 4 19:22:42 2021 Jill
Physician dictates CTA of head and neck revealed proximal left vertebral artery occlusion with s/l either "native" or "diminutive" left vertebral artery.

THANKS
** • diminutive - als
Tue Jan 5 00:08:45 2021 als


• "Abbott" segmental instrumentation from L3 to L5.
- any ideas?
Mon Jan 4 15:19:53 2021 any ideas?

** • Could it be the name of the device? ... + e c g n c p
Mon Jan 4 18:16:22 2021 e c g n c p
Could it be the name of the device?

• Happy Birthday to you, Billybob. Hope your 12-31 day was great.
+ nm
Sat Jan 2 16:45:03 2021 nm
no msg
** • Thank you! - billybob
Sat Jan 2 21:52:17 2021 billybob

**** • You're welcome! :) + :)
Sun Jan 3 08:22:18 2021 :)
nm

• Neuro Exam sounds like "stases"
+ Jennifer
Thu Dec 31 09:30:27 2020 Jennifer
Patient with essential tremor and dictator states what sounds like mild amount of "stases" noted and mild bilateral bilateral upper extremity resting tremor.
** • stasis. - billybob
Thu Dec 31 13:20:54 2020 billybob


• What does this mean? She is the 45-year-old gravida 9, *para 0, 1, 7, 0* patient
- tia
Wed Dec 30 23:06:05 2020 tia

** • Never mind, found it - op
Wed Dec 30 23:09:18 2020 op


• ...revisional surgery, ______________ amongst others. ...
+ wav posted
Tue Dec 29 15:05:20 2020 wav posted
. We discussed the risks of delayed healing, bleeding, hematoma, seroma, infection, need for revisional surgery, ______________ amongst others.
** • Got it now: DVT, PE, death... Thanks - wav deleted
Tue Dec 29 16:53:46 2020 wav deleted


• Includes ________ in 2005
- mp3 posted
Tue Dec 29 12:43:46 2020 mp3 posted

** • had a colostomy ? - e c g n c p
Tue Dec 29 19:25:32 2020 e c g n c p

**** • thanks for the suggestion - OP
Tue Dec 29 21:36:45 2020 OP


• PREOP DX: Query pelvic endometriosis/pelvic adhesions. s/l **Tubal factor. ** nm
- mt
Wed Dec 23 13:47:09 2020 mt

** • never mind, I see tubal factor is correct. - mt
Wed Dec 23 13:52:26 2020 mt


• I have recommended an L4-5 facetectomy ______ base of the lumbar fusion
+ mp3
Wed Dec 23 08:18:30 2020 mp3
I have recommended an L4-5 facetectomy ______ base of the lumbar fusion using L4-5 pedicle screws.
** • facetectomy and minimally invasive lumbar fusion using - sea
Wed Dec 23 10:29:09 2020 sea

**** • ... - thanks a lot
Wed Dec 23 15:46:37 2020 thanks a lot


• Should there be commas around "noncontrast" in these sentences?
+ tia
Wed Dec 23 03:01:54 2020 tia
With this, a CT of the neck, noncontrast, was performed, and it showed no mass and no pathologic lymphadenopathy. Further, a CT of the head, noncontrast, was performed, and I reviewed it carefully
** • yes - e d i j n p
Wed Dec 23 10:17:05 2020 e d i j n p

**** • ... - Thanks
Wed Dec 23 15:46:22 2020 Thanks


• chronic small vessels _____ with small lacunar infarct with no acute processes
+ mp3
Tue Dec 22 22:49:12 2020 mp3
the patient underwent an MRI of the brain which showed chronic small vessels _____ with small lacunar infarct with no acute processes.
** • small vessel disease, with small - ltt
Tue Dec 22 22:54:28 2020 ltt

**** • Thanks so much! - op
Tue Dec 22 22:56:26 2020 op


• Thus, **** inappropriate conclusions that lumbar epidural steroid inje ...
+ wav
Tue Dec 22 21:27:16 2020 wav
Thus, **** inappropriate conclusions that lumbar epidural steroid injections were medically reasonable and medically necessary is clearly inappropriate and does not follow from the information we have at hand. The medicines _____ continue as well as a chiropractic/physical therapeutic measures. This was apparently a visit with a "board certified orthopedic surgeon."
** • were to ... + e c g n c p
Tue Dec 22 22:16:36 2020 e c g n c p
were to
**** • Thanks a lot. - guy
Tue Dec 22 23:43:57 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Tue Dec 22 21:40:20 2020 guy


• Next are a variety of legal documents _____ to be primarily logistical ...
+ mp3
Tue Dec 22 21:10:26 2020 mp3
Next are a variety of legal documents _____ to be primarily logistical in nature.

Variety of bills, invoices and/or _____.

** • 1st blank - which look ... + e c g n c p
Tue Dec 22 21:19:25 2020 e c g n c p
1st blank - which look
**** • Thanks a lot. :-) - guy
Tue Dec 22 21:26:35 2020 guy


• It is unclear why after repairing phones they are bending over for ext ...
+ wav
Tue Dec 22 21:00:20 2020 wav
It is unclear why after repairing phones they are bending over for extensive periods of time, as this is not provided within the context of this note. She has tried medicines, chiropractic therapy/PT, and rest. _____ language trying to relate these multilevel degenerative disc and degenerative joint disease findings on the MRI scans as we have reviewed previously to the motor vehicle collision, which cannot be done in any medically reasonable fashion. Thus, _____ inappropriate conclusions that lumbar epidural steroid injections were medically reasonable and medically necessary is clearly inappropriate and does not follow from the information we have at hand.
** • 2nd blank - there are inappropriate ... + e c g n c p
Tue Dec 22 21:21:50 2020 e c g n c p
2nd blank - there are inappropriate
**** • Thanks a lot. :-) - guy
Tue Dec 22 21:26:30 2020 guy


• There is a 1 to 1.5 mm disc protrusion at L4-5 with accompanied facet ...
+ wav
Tue Dec 22 19:53:36 2020 wav
There is a 1 to 1.5 mm disc protrusion at L4-5 with accompanied facet arthrosis. At L5-S1, there is a 0.5 mm annular bulge with bilateral facet arthrosis. There is _____ inclusion regarding the sinuvertebral nerve, again which is limited either to this radiologist themselves and/or this facility, which I have never seen in any MRI lumbar spine report save from this radiologist and/or this facility. Again, there are no acute findings in the MRI lumbar spine.
** • boilerplate - what I hear
Tue Dec 22 20:59:11 2020 what I hear

**** • Thanks a lot. :-) - guy
Tue Dec 22 20:59:37 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Tue Dec 22 20:53:13 2020 guy


• There is also a description of periligamentous edema of the anterior l ...
+ mp3
Tue Dec 22 19:46:45 2020 mp3
There is also a description of periligamentous edema of the anterior longitudinal ligament from the base of the skull through C4, again, these types of descriptions of edematous areas in the soft tissues and the various spinal segment, MRI reports again are limited either to this radiologist and/or to this facility specifically, and are just not typically seen at all. Whether there is any veracity in any of these claims, I defer to _____ radiological colleagues. There are no clearly acute issues described in the actual description of the actual disc spaces and bony encasements of the spine.
** • never mind. Thanks to anyone who tried. - guy
Tue Dec 22 20:53:05 2020 guy


• does "plethoric" fits here?
+ f p d j f o
Tue Dec 22 19:31:24 2020 f p d j f o
The examination provides for plethoric abnormalities in the sensory examination, which I have never documented the extent of such sensory findings in my entire career as a neurologist

• We found the radial common digital nerve between the second webspace a ...
+ wav posted
Tue Dec 22 16:45:15 2020 wav posted
We found the radial common digital nerve between the second webspace and then retracted it out of the way, and then we removed all of this Dupuytrens from the radial side _____________ extend to the finger as did some more of the Dupuytrens on the ulnar side.
** • Thanks for anyone who tried :) - wav deleted
Tue Dec 22 17:48:20 2020 wav deleted


• Silicone oil was removed from the eye in its entirety. Four air/fluid ...
+ WAV
Tue Dec 22 14:48:17 2020 WAV
Silicone oil was removed from the eye in its entirety. Four air/fluid exchanges were performed to get as much silicone oil off the back of the patient's natural lens _______. Additionally, there was a small amount of oil......


** • ...patient's natural lens as possible. - nm
Tue Dec 22 15:24:39 2020 nm

**** • Thank you! - WAV deleted
Tue Dec 22 16:12:19 2020 WAV deleted


• Copious lavage was carried out. The nerve was carefully _____________ ...
+ wav posted
Tue Dec 22 12:45:32 2020 wav posted
Copious lavage was carried out. The nerve was carefully _____________ . Subcutaneous tissue and skin were closed.
** • Got it. Avoided. Thanks - wav deleted
Tue Dec 22 12:46:38 2020 wav deleted


• With fine motor skills, she is not yet able to unwrap small objects. ...
+ mp3
Mon Dec 21 20:07:02 2020 mp3
With fine motor skills, she is not yet able to unwrap small objects. She does not yet use a twisting hand wrist motion to open _____.
** • lids - sea
Tue Dec 22 08:18:59 2020 sea

**** • Thanks a lot. :-) - guy
Tue Dec 22 19:31:05 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Mon Dec 21 20:41:02 2020 guy


• Father described that she often is in her own world. She becomes frus ...
+ mp3
Mon Dec 21 19:28:21 2020 mp3
Father described that she often is in her own world. She becomes frustrated and when she is blocked from _____ or when there is a transition.
** • never mind. Thanks to anyone who tried. - guy
Mon Dec 21 20:06:13 2020 guy


• His pediatrician is Dr. Howard Dhonau, who practices out of the _____ ...
+ mp3
Fri Dec 18 20:54:59 2020 mp3
His pediatrician is Dr. Howard Dhonau, who practices out of the _____ in Fond du Lac.



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