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send/listen to WAV files
send/listen to MP3 files
send/listen to MP4 files

Feb 20 13:07
• I am sure you would have seen the results of the ______ testing indica ...
+ mp3
Wed Feb 26 04:00:52 2020 mp3
I am sure you would have seen the results of the ______ testing indicating that the patient was in a low risk group.
** • just repeating "testing." - billybob
Wed Feb 26 09:10:47 2020 billybob

** • never mind. Thanks to anyone who tried. - guy
Wed Feb 26 04:06:24 2020 guy


• He has continued to improve since that time and is not requiring oxyge ...
+ wav
Wed Feb 26 02:21:47 2020 wav
He has continued to improve since that time and is not requiring oxygen. I am confident that clinically, he is responding to the treatment. Blood test today was satisfactory. ______ plan to continue to see him on a weekly basis to monitor him closely.
** • never mind. Thanks to anyone who tried. - guy
Wed Feb 26 04:06:18 2020 guy


• I guess this is goodbye everyone. I can't get the sound to work on either
+ Questyr
Wed Feb 26 01:48:06 2020 Questyr
Firefox or Google Chrome. Good luck to all.
** • Both Vivaldi and Firefox will play the MP3 file directly SM + billybob
Wed Feb 26 09:09:44 2020 billybob
if you click on the link below (at least in Windows 7). If this works for you and if you wish, I can add a direct link to the list above.
** • you should be able to listen to mp3 or wav files directly on MP3 player SM + billybob
Wed Feb 26 02:26:21 2020 billybob
for instance with Winamp select Play / URL...

the active files should be named:
http://www.greatdictator.com/mp3/1.mp3
http://www.greatdictator.com/wav/1.wav

No voice files are there but I sent a music recording as an mp3.
** • you did not like the way i suggested? i hear it that way. Thanks. - guy
Wed Feb 26 01:59:33 2020 guy


• Unfortunately, the patient did not tolerate the treatment at all well, ...
+ mp3
Wed Feb 26 01:30:33 2020 mp3
Unfortunately, the patient did not tolerate the treatment at all well, and when I saw her on December the 5th, she was definite that she did not wish to have any further active therapy. ______ contacted me saying she had been extremely unwell with severe lethargy and anorexia.
** • never mind. Thanks to anyone who tried. - guy
Wed Feb 26 02:19:52 2020 guy


• The patient has attended today at the start of his last cycle of _____ ...
+ mp3
Wed Feb 26 00:45:44 2020 mp3
The patient has attended today at the start of his last cycle of ______ chemo. He has overall tolerated the treatment better as time has gone on and ______ quite used to some of the side effects and how to manage them.
** • 1. Xelox - poi
Wed Feb 26 00:54:44 2020 poi

** • 2. and I think he has gotten used to - poi
Wed Feb 26 00:54:12 2020 poi

**** • Thanks a lot. :-) - guy
Wed Feb 26 00:59:31 2020 guy


• He has been well with no symptoms of concern. His scans have revealed ...
+ mp3
Wed Feb 26 00:14:52 2020 mp3
He has been well with no symptoms of concern. His scans have revealed stability, which is pleasing. His bloods _______ unchanged, but I note his fasting glucose was quite high. I gather this is unusual and may have related to some cake he ingested on the weekend
** • recently? - poi
Wed Feb 26 00:21:34 2020 poi

**** • Thanks a lot. :-) - guy
Wed Feb 26 00:30:00 2020 guy


• I am concerned about recurrent tumour and I have organised a PET scan ...
+ wav
Tue Feb 25 23:18:53 2020 wav
I am concerned about recurrent tumour and I have organised a PET scan for him. The ______ has gone well. At this stage, I am holding off on further chemotherapy until we have clarification of the underlying problem.
** • never mind. Thanks to anyone who tried. - guy
Tue Feb 25 23:36:46 2020 guy


• cc: Dr _____ In Australia ...
+ wav
Tue Feb 25 23:12:54 2020 wav
cc: Dr _____

In Australia
** • Dr Jon Shenfine - poi
Tue Feb 25 23:18:02 2020 poi

**** • Thanks a lot. :-) - guy
Tue Feb 25 23:18:33 2020 guy


• cc: Dr _____ In Australia ...
+ mp3
Tue Feb 25 23:10:04 2020 mp3
cc: Dr _____

In Australia
** • never mind. Thanks to anyone who tried. - guy
Tue Feb 25 23:36:39 2020 guy


• I have taken the liberty of referring him to his cardiologist, Alistai ...
+ mp3
Tue Feb 25 22:14:56 2020 mp3
I have taken the liberty of referring him to his cardiologist, Alistair Begg, for further advice as his creatinine has now normalised. There were really no other issues and the patient felt that ______ his creatinine was impaired. He ______ long haul flights and the weather was very hot and he had been forgetting to drink well.
** • at the time his creatinine was impaired, he had been doing a lot of long haul - sea
Tue Feb 25 22:22:41 2020 sea

**** • Thanks a lot. Thanks for the correction. - guy
Tue Feb 25 22:24:14 2020 guy


• I have recommended that the patient continue on the current dose and I ...
+ wav
Tue Feb 25 21:53:46 2020 wav
I have recommended that the patient continue on the current dose and I will see him in one month. I am reluctant to increase it, given his degree of frailty, but it does appear to have helped to stabilise things at this stage. I have made an appointment for four weeks time. We will be happy to see him _______ if there is any concern.
** • and he will be contacted - sea
Tue Feb 25 22:13:13 2020 sea

**** • Thanks a lot. :-) - guy
Tue Feb 25 22:15:11 2020 guy

** • and will be contacted - poi
Tue Feb 25 22:03:31 2020 poi

**** • Thanks a lot. :-) - guy
Tue Feb 25 22:12:55 2020 guy


• On the 6th of January prior to starting treatment, his PSA was 50, ___ ...
+ mp3
Tue Feb 25 21:48:31 2020 mp3
On the 6th of January prior to starting treatment, his PSA was 50, ______ later was 53, 17th of January 51, so it certainly has stabilised, but has not fallen as yet
** • one month later it was 53, - poi
Tue Feb 25 22:01:27 2020 poi

**** • Thanks a lot. :-) - guy
Tue Feb 25 22:12:50 2020 guy


• She was having symptoms very suggestive of a urinary tract infection a ...
+ mp3
Tue Feb 25 20:20:33 2020 mp3
She was having symptoms very suggestive of a urinary tract infection and was complaining of quite severe pain in the neck, radiating down both arms, she felt was getting worse. I prescribed some norfloxacin 400 mg bd. The urine showed a mixed growth, however, but she did feel symptomatically improved following this ______. Given the increase in her neck pain, I arranged for her to have an MRI of the cervical spine
** • course? (of medication) - poi
Tue Feb 25 20:24:28 2020 poi

**** • Thanks a lot - guy
Tue Feb 25 20:49:45 2020 guy


• I explained the patient that _______ to start him on a systemic treatm ...
+ mp3
Tue Feb 25 19:53:36 2020 mp3
I explained the patient that _______ to start him on a systemic treatment, given it is most likely TCC
** • explained TO the patient that we definitely need to - poi
Tue Feb 25 19:58:23 2020 poi

**** • Thanks a lot. Thanks for the correction. - guy
Tue Feb 25 20:00:29 2020 guy


• After careful discussion, I have advised him to lower it down to 8 mg ...
+ mp3
Tue Feb 25 19:13:45 2020 mp3
After careful discussion, I have advised him to lower it down to 8 mg just to avoid some of this significance side effect. I explained him that it is difficult to balance the steroid side effect versus benefit. He would receive ______ down the swelling in the brain from radiation necrosis. He is due to see Dr McDonald next week.
** • benefit he would receive to reduce down - poi
Tue Feb 25 19:48:46 2020 poi

**** • Thanks a lot. :-) - guy
Tue Feb 25 19:52:43 2020 guy


• She has ongoing issues with rheumatoid arthritis managed by Dr Graf, _ ...
+ mp3
Tue Feb 25 18:47:32 2020 mp3
She has ongoing issues with rheumatoid arthritis managed by Dr Graf, ______ managed by Dr Anthony Smith, and also has a long-term bladder issues.
** • I'm hearing urticaria - see if that fits - sea
Tue Feb 25 18:54:39 2020 sea

**** • Thanks a lot. :-) - guy
Tue Feb 25 18:55:09 2020 guy


• Diagnoses: 1. Multiple toxicity with ADT and was stopped. Commenced ...
+ wav
Tue Feb 25 18:21:41 2020 wav
Diagnoses: 1. Multiple toxicity with ADT and was stopped. Commenced on Cosudex 50 mg intermittently.
2. PSA currently _____ (75 in November 2019).

I followed up the patient with PSMA PET scan given his PSA has shot up quite dramatically in the last six months.

I am confused if what I am hearing is right then how "PSA has shot up?"

** • never mind. Thanks to anyone who tried. - guy
Tue Feb 25 18:32:26 2020 guy


• I am leaning towards Xtandi given it required a less frequent monitori ...
+ mp3
Tue Feb 25 18:12:09 2020 mp3
I am leaning towards Xtandi given it required a less frequent monitoring and also is more lipid friendly. I gave him ______plan to arrange him to have a baseline testosterone level and repeat PSA in a four weeks time to see if there is any effect with the Zoladex and Cosudex. He will also enrol into exercise program and hopefully he will lose some weight in upcoming months.
** • never mind. Thanks to anyone who tried. - guy
Tue Feb 25 18:32:21 2020 guy


• Unfortunately, his PSMA scan shows quite ______ metastatic disease inv ...
+ mp3
Tue Feb 25 17:56:17 2020 mp3
Unfortunately, his PSMA scan shows quite ______ metastatic disease involving multiple lymph nodes and also spine as well.
** • florid - mn
Tue Feb 25 18:00:40 2020 mn

**** • Thanks a lot. :-) - guy
Tue Feb 25 18:00:54 2020 guy


• To Billybob..also it's just possible there is currently no clip on
+ Questyr
Tue Feb 25 10:07:48 2020 Questyr
the site at this moment (although I thought the last WAV from guy might be there....so perhaps someone could post one so I can test it ... maybe the 2 changes I made have worked, but there's no clip there for me to hear?

• To Billybob: Re: my browser difficulty and not hearing the audio clips
+ Questyr
Tue Feb 25 10:04:19 2020 Questyr
As I said, I'm using Firefox as the browser and last night I found the "Permissions" section for this website. Here are the choices it gives me
Access Virtual Reality Devices
Always Ask _x_ Allow__ Block __
Access Your Location
Always Ask _x_ Allow__ Block __
Autoplay (I changed it to:)
Allow Audio and Vidio _x_Block Audo __Block Audio & Vidio__
Install Add-Ons
Always Ask _x_ Allow__ Block __
Open Pop-up Windows
Allow __ Block _x_
Override Keyboard Shortcuts
Allow _x_ Block __
Send Notifications
Always Ask _x_ Allow__ Block __
Set Cookies (I changed it to:)
Allow for Sessions _x_ Allow __ Block __
Share the screen
Always Ask _x_ Allow__ Block __
Switch to this tab
Always Ask _x_ Allow__
Use the camera
Always Ask _x_ Allow__ Block __
Use the Microphone
Always Ask _x_ Allow__ Block __

Are there any more that I need to change?



• Possible s/l*bore-I*are identified; however, no definite fetal parts are present.
+ SM
Tue Feb 25 09:02:06 2020 SM
The specimen was received in a large container formalin labeled products of conception. Inside the large container are two small containers. The containers contain in aggregate fragments of tan-pink hemorrhagic soft tissue measuring 7.5 x 7.0 x 2.5 cm. Possible s/l*bore-I*are identified; however, no definite fetal parts are present.
** • ? fimbriae - nm
Tue Feb 25 10:35:15 2020 nm


• cc: Dr Lang, _____ Medical Clinic In Australia ...
+ wav
Tue Feb 25 08:41:33 2020 wav
cc: Dr Lang, _____ Medical Clinic

In Australia
** • Gumeracha - nm
Tue Feb 25 17:00:30 2020 nm

**** • Thanks a lot. :-) - guy
Tue Feb 25 17:28:45 2020 guy

** • can send this file tomorrow. else pls feel free to post over. - guy
Tue Feb 25 08:41:59 2020 guy


• He has not been managing well at home, been losing weight as he is pro ...
+ wav
Tue Feb 25 07:32:04 2020 wav
He has not been managing well at home, been losing weight as he is probably missing his meals. He seems to be more confused about day, date, _______ misplacing things, and has also occasionally lost his way around while catching public transport.
** • It sounded like "and time" to me - what I hear
Tue Feb 25 08:21:18 2020 what I hear

**** • Thanks a lot. :-) - guy
Tue Feb 25 08:21:41 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Tue Feb 25 08:14:34 2020 guy


• I am aware that he has been reviewed by Dr Ravi Ruberu in the past, bu ...
+ mp3
Tue Feb 25 07:23:45 2020 mp3
I am aware that he has been reviewed by Dr Ravi Ruberu in the past, but he is not ______ follow up currently. I was also informed that aged care assessment has been booked for her and she has had some visits with the physiotherapists planned soon.
** • never mind. Thanks to anyone who tried. - guy
Tue Feb 25 08:14:29 2020 guy


• She was diagnosed with a PE in January and is now on apixaban 5 mg bd ...
+ wav
Tue Feb 25 05:45:39 2020 wav
She was diagnosed with a PE in January and is now on apixaban 5 mg bd after an initial period on Clexane. Palbociclib has been associated with slightly increased risk of thromboembolic risks and as a result of the ______ metastatic breast cancer, I agree with the patient that her anticoagulation should be continued on an indefinite basis.
** • result of this and in the setting of - nm
Tue Feb 25 07:12:18 2020 nm

**** • Thanks a lot. :-) - guy
Tue Feb 25 07:13:41 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Tue Feb 25 07:11:38 2020 guy


• We gave her a second cycle of dose-reduced chemotherapy with growth fa ...
+ mp3
Tue Feb 25 05:10:51 2020 mp3
We gave her a second cycle of dose-reduced chemotherapy with growth factor support. Thus far, her white count remains satisfactory, but she has again developed deep thrombocytopaenia. Her bleeding is continuing and we have started her on ______ with some drug juggling because of the tendency of this drug to result in fluid retention.
** • Provera - nm
Tue Feb 25 07:13:52 2020 nm

**** • Thanks a lot. :-) - guy
Tue Feb 25 07:14:40 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Tue Feb 25 07:11:33 2020 guy


• ... a ____________ was placed retracting tissue anteriorly..
+ wav posted
Mon Feb 24 19:29:00 2020 wav posted
I released the tissue between the tunnel and the lateral aspect of the mastoid with the bipolar as well as scissors. At this point in time, a ____________ was placed retracting tissue anteriorly. With a hemostat, I was able to easily identify the facial nerve as well as the pes.
** • I think he's saying "malleable" - sea
Mon Feb 24 19:51:44 2020 sea

**** • It sounds like it. I was listening for a retractor name. Would that make sense? - wav posted
Mon Feb 24 19:57:15 2020 wav posted

****** • I just read your explanation below. Thank you! I would never have found that - wav posted
Mon Feb 24 19:57:58 2020 wav posted

******** • Here's a link + sea
Mon Feb 24 20:10:34 2020 sea
link
********** • Thanks, sea - Wav posted
Mon Feb 24 21:33:51 2020 Wav posted


• I just changed my computer from Windows 7 to Windows 10 and
+ Questyr
Mon Feb 24 16:47:14 2020 Questyr
now I can't hear any of the Word Board clips....However, I can hear music from my iTunes and computer sounds when functions are being done. Does anyone know a solution for my problem?
** • i use MS Edge browser to listen wav or mp3. can't do it on firefox. + guy
Tue Feb 25 07:56:53 2020 guy
I click on send/listen to WAV files or send/listen to MP3 files and after that right click on "here" (in red alphabets) and click on Save Target As. After the audio clip is downloaded, I listen to it.
** • It sounds like it's just browser settings SM + billybob
Mon Feb 24 19:15:14 2020 billybob
For example in Internet Explorer 11 check box for: Tools/Internet Options/Multimedia/Play sounds in webpages. Location will vary by the browser you're using. Windows 10 installation may have altered this or restored defaults as a side effect. You can also see whether they are audible on a different browser.

**** • The sound does not work in Google Chrome nor in Firefox. I guess I'll only + Q
Mon Feb 24 20:24:11 2020 Q
be able to watch the board until I can solve my problem...but I'll keep trying.
** • Are you using the power MP3 recorder? - d n l m p d
Mon Feb 24 16:59:11 2020 d n l m p d


• The inferior turbinates really were exceedingly enlarged and ______ va ...
+ mp3 posted
Mon Feb 24 16:35:17 2020 mp3 posted
The inferior turbinates really were exceedingly enlarged and ______ vascular. I elected to reduce the left inferior turbinate by cauterizing it deeply submucosally with bipolar turbinate cautery.
** • Hi. I am still waiting and can wait all evening. Thanks - mp3 posted
Mon Feb 24 17:56:17 2020 mp3 posted

**** • Let's drop the arrogance and maybe you'll get some help, OK? - jen
Mon Feb 24 19:17:43 2020 jen

****** • I didn't think she was being arrogant but I DO think YOU'RE very rude. -
Mon Feb 24 19:55:14 2020

******** • I can only agree to that. Thank you! - mp3 posted
Mon Feb 24 19:58:49 2020 mp3 posted

********** • Correction: 'with' that. :) - mp3 posted
Mon Feb 24 20:03:13 2020 mp3 posted

****** • No arrogance intended at all. I am not an arrogant person. It was a meant kindly. - mp3 posted
Mon Feb 24 19:20:14 2020 mp3 posted

******** • 'can' as in 'able to'. I did not type 'can't' Don't have to turn in until morning. - mp3 posted
Mon Feb 24 19:26:36 2020 mp3 posted

** • ... - mp3 posted
Mon Feb 24 17:55:33 2020 mp3 posted


• At this point in time, a ____________ was placed retracting tissue anteriorly.
+ wav
Mon Feb 24 16:26:32 2020 wav
I released the tissue between the tunnel and the lateral aspect of the mastoid with the bipolar as well as scissors. At this point in time, a ____________ was placed retracting tissue anteriorly. With a hemostat, I was able to easily identify the facial nerve as well as the pes.
** • see message + sea
Mon Feb 24 19:52:53 2020 sea
Ribbon (Malleable) Used to retract deep wounds. May be bent to various shapes to assist in holding back tissue.
** • There was no arrogance intended at all. This just came across wrong. Not meant at all - wav posted
Mon Feb 24 19:19:36 2020 wav posted

** • Hi. I am still waiting and can wait all evening. Thanks - wav
Mon Feb 24 17:56:29 2020 wav

**** • Reposted above. - wav
Mon Feb 24 19:29:46 2020 wav

**** • Reposted above. - wav
Mon Feb 24 19:29:40 2020 wav


• He remains on hemodialysis via "lava"
- CO MT
Mon Feb 24 14:11:47 2020 CO MT

** • Google arteriovenous LAVA fistula. - mn
Mon Feb 24 16:34:44 2020 mn

** • Blanking - CO MT
Mon Feb 24 14:17:06 2020 CO MT


• She definitely has evidence of moderate-to-severe dementia. We do not ...
+ wav
Mon Feb 24 08:41:17 2020 wav
She definitely has evidence of moderate-to-severe dementia. We do not have an MMSE score, but I doubt that it would be more than 14. After discussion with family, a trial of ______ in the morning 10 mg memantine can be considered. This will not change the course of Alzheimers dementia, but may help with management of behavioural issues. I have not made any arrangements to see her again at this stage, but will be happy to review as required.
** • memantine - sea
Mon Feb 24 08:57:31 2020 sea

**** • Thanks a lot. :-) - guy
Mon Feb 24 08:57:52 2020 guy


• She could not tell me about her extended family in Adelaide, including ...
+ mp3
Mon Feb 24 08:40:36 2020 mp3
She could not tell me about her extended family in Adelaide, including her children. She was not oriented to day, date, month, or year, ______ of the time of the day. A lot of repetition of similar information was also evident during the interview.
** • or aware - sea
Mon Feb 24 09:02:56 2020 sea

**** • Thanks a lot. :-) - guy
Mon Feb 24 09:17:18 2020 guy

** • wrong mp3 - sea
Mon Feb 24 08:56:54 2020 sea

**** • mp3 posted again. There seems to be a change in WB system. wav gets changed to mp3 and + guy
Mon Feb 24 08:59:20 2020 guy
versa. when click on "here" you will notice that wav changes to mp3 and vice versa.

• Venlafaxine SR 37.5 mg mane, vitamin D, B12 supplementation, _______. ...
+ wav
Mon Feb 24 03:40:48 2020 wav
Venlafaxine SR 37.5 mg mane, vitamin D, B12 supplementation, _______. The carer today could not help me
** • ___ and p.r.n. oxazepam. - sea
Mon Feb 24 08:35:05 2020 sea

**** • Thanks a lot - guy
Mon Feb 24 08:37:10 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Mon Feb 24 04:21:07 2020 guy


• which could represent a small sentinel ileus or _________ small bowel obstruction.
- mp3 posted
Mon Feb 24 00:13:04 2020 mp3 posted

** • this is the same wav posted above - sea
Mon Feb 24 08:33:33 2020 sea


• Mother is deceased, had hypertension and _____ cancer.
- mp3 posted
Sun Feb 23 19:53:23 2020 mp3 posted

** • heart disease - got it - OP
Sun Feb 23 23:09:15 2020 got it - OP


• Total brain fart: Pain in the feet and the joints has/have been getting worse.
- nm
Sun Feb 23 08:40:58 2020 nm

** • Pain is the singular subject, so it should be has. - nm
Sun Feb 23 09:03:03 2020 nm

**** • Thank you :-) - OP
Sun Feb 23 10:27:44 2020 OP


• The patient had two doses of chemotherapy, which she tolerated quite p ...
+ wav
Sat Feb 22 09:32:21 2020 wav
The patient had two doses of chemotherapy, which she tolerated quite poorly. After the treatment ______ she is feeling better. We did a scan, which shows stable finding.
** • break - nm
Sat Feb 22 10:17:19 2020 nm

**** • Thanks a lot - guy
Sat Feb 22 18:23:48 2020 guy

** • can't get it - poi
Sat Feb 22 10:01:18 2020 poi

**** • Thanks for the effort. - guy
Sat Feb 22 10:02:57 2020 guy

****** • never mind. Thanks to anyone who tried. - guy
Sat Feb 22 10:03:04 2020 guy


• We touched base today with his restaging scans. A month down the trac ...
+ mp3
Sat Feb 22 09:31:47 2020 mp3
We touched base today with his restaging scans. A month down the track, these show radiologic stable disease. He is _______ steroids. He has no significant progressive symptoms.
** • off all - poi
Sat Feb 22 10:01:10 2020 poi

**** • Thanks a lot. :-) - guy
Sat Feb 22 10:02:50 2020 guy


• There is clearly progression of some of her lung disease, which is ___ ...
+ wav
Sat Feb 22 02:20:40 2020 wav
There is clearly progression of some of her lung disease, which is ______ of the CT scan.
** • caught on the low windows - taco
Sat Feb 22 06:04:59 2020 taco

**** • Thanks a lot - guy
Sat Feb 22 09:27:57 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Sat Feb 22 03:44:35 2020 guy


• I have also discussed with them the importance of involvement of palli ...
+ mp3
Sat Feb 22 02:07:17 2020 mp3
I have also discussed with them the importance of involvement of palliative and supportive care colleagues. There is clear data demonstrating that involvement of formal palliative care results in better control of symptoms, better quality of life, and longer survival (this latter data is more in relation to early involvement of patients in palliative care with initiation of systemic and extensive therapy). I have therefore done my best to put this in a positive light, given the strong use of ______ about negativity.
** • strong views of his daughter Emma + nm
Sat Feb 22 06:34:08 2020 nm


** • I can't get blank, but he says "anti-cancer therapy" not "and extensive therapy" - taco
Sat Feb 22 06:08:34 2020 taco

**** • Thanks a lot everybody. - guy
Sat Feb 22 09:27:31 2020 guy

** • never mind. Thanks to anyone who tried. - guy
Sat Feb 22 03:44:31 2020 guy


• The morphology of her spinal cord lesion, which is long segmental lesi ...
+ mp3
Fri Feb 21 04:14:14 2020 mp3
The morphology of her spinal cord lesion, which is long segmental lesion, raises suspicion for neuromyelitis optica, which is MS mimic condition. Today, I ordered _____ serology and serum ACE level as well for further characterisation.
** • NMO - taco
Fri Feb 21 06:00:37 2020 taco

**** • Thanks a lot. :-) - guy
Sat Feb 22 02:07:30 2020 guy


• help with C-section, ESL doc pls sm
+ mt
Thu Feb 20 17:44:31 2020 mt
(talking about yesterday's lead up to C-section)

She came yesterday and had an ultrasound done which showed **the distal acree-shah was high** so she saw Dr. Smith and decided to induce.
** • It was "diastolic ratio" Thank you for the help. - OP
Sat Feb 22 11:51:38 2020 OP

** • ? atresia - nm
Fri Feb 21 11:05:35 2020 nm

** • ?accreta - sea
Thu Feb 20 18:58:01 2020 sea


• Synthroid, *vivetric*, Prilosec, Neurontin,
+ sm
Thu Feb 20 11:41:18 2020 sm
PAST MEDICAL HISTORY: The patient has a prior history of osteoarthritis, gastroesophageal reflux disease, mitral valve prolapse, recent left rib and spinal compression fracture secondary to fall.

PAST SURGICAL HISTORY: He is status post remote appendectomy, status post bladder reconstruction, status post remote colon resection, secondary to perforated appendix.

HOSPITAL MEDICATIONS: Synthroid, _____ Prilosec, Neurontin,
** • Myrbetriq??? - sea
Thu Feb 20 13:59:51 2020 sea

**** • Will try that - ty
Thu Feb 20 14:46:52 2020 ty

** • What is the pt in the hospital for? - nm
Thu Feb 20 12:14:11 2020 nm

**** • sm + -
Thu Feb 20 12:15:33 2020 -
The patient is a generally healthy 87-year-old woman living independently at home with her husband who developed the onset of fever approximately two days prior to admission accompanied by malaise, fatigue and slight dry cough.

• s/l common law chisel (mandibular osteotomy). Def not saying Cottle.
- meme
Thu Feb 20 09:11:16 2020 meme

** • it is: common wall chisel - meme
Thu Feb 20 09:13:05 2020 meme


• I understand this was mentioned when she was in the ED with the patien ...
+ wav
Thu Feb 20 08:25:40 2020 wav
I understand this was mentioned when she was in the ED with the patient; however, I feel it would be unlikely to change management at present and I am conscious that the family have a lot going on with a new baby due to ______. I have recommended ENT referral should he have habitual snoring, recurrent tonsillitis or ______. Otherwise, I am happy that his viral wheeze is under control and he has not required recent Ventolin and the leg pain is also getting better, as are the cold sores.
** • I know this is late but she says "re" ear effusion not "for" - sea
Thu Feb 20 11:11:07 2020 sea

**** • Thanks for the correction. - guy
Fri Feb 21 04:14:42 2020 guy

** • #1 - arrive soon #2 [concern for?] ear effusions - taco
Thu Feb 20 08:42:35 2020 taco

**** • Thanks a lot. :-) - guy
Thu Feb 20 08:43:02 2020 guy


• He has a mild degree of tibial torsion, particularly on the left and s ...
+ wav
Thu Feb 20 08:19:23 2020 wav
He has a mild degree of tibial torsion, particularly on the left and some out-towing, but I am happy to simply monitor at this stage. ______ examination is normal with normal tonsils of grade 2, ______ significantly increased, nasal airway was patent ______ decline for nasal examination.
** • #1- ear #2 - and not #3- ? but it is decline "full" nasal examination (not "for") - taco
Thu Feb 20 08:22:18 2020 taco

**** • Thanks a lot. Thanks for the correction. - guy
Thu Feb 20 08:24:56 2020 guy


• His appetite is good. He did have an episode of spasmodic croup requi ...
+ mp3
Thu Feb 20 08:13:34 2020 mp3
His appetite is good. He did have an episode of spasmodic croup requiring ED presentation and one adrenaline nebuliser in December last year while on holiday in Sydney. This is the second such croup event in approximately 12 months. It seems to hit him quickly without an obvious _______. He does not have stridor at other times. He can snore intermittently for a couple of weeks at a time, but does not habitually snore. He does not have a history of recurrent tonsillitis. His hearing and language skills are excellent. There is no history of ear infection.
** • ___ prodrome (can't get the missing word) - taco
Thu Feb 20 08:19:55 2020 taco

**** • can it be URTI prodrome? - guy
Thu Feb 20 08:30:20 2020 guy

****** • yes! it definitely could be if she says "URTI" like a word. Good solve, Guy. - taco
Thu Feb 20 08:43:47 2020 taco

******** • Thanks for the confirmation. :-) - guy
Thu Feb 20 08:46:19 2020 guy

**** • Thanks a lot. :-) - guy
Thu Feb 20 08:21:19 2020 guy


• We have recommended Coloxyl drops if required for more comfortable bow ...
+ mp3
Thu Feb 20 07:26:01 2020 mp3
We have recommended Coloxyl drops if required for more comfortable bowel actions and discussed the safe introduction of solids. He would benefit from an iron-containing cereal, given the prematurity. Given the history of vitamin D deficiency, he will also start _____ two drops once a day until at least 12 months. I will plan to see him in three to four months regarding his development and growth.
** • got it. thanks. OsteVit-D Kids - guy
Thu Feb 20 07:38:51 2020 guy


• She is aware that radiation with implant in situ _______ cause a poor ...
+ mp3
Thu Feb 20 06:37:00 2020 mp3
She is aware that radiation with implant in situ _______ cause a poor cosmetic result
** • will often - taco
Thu Feb 20 06:44:14 2020 taco

**** • Thanks a lot. :-) - guy
Thu Feb 20 06:54:54 2020 guy


• She has numerous small hepatic metastases, now seen on CT as well as a ...
+ wav
Thu Feb 20 04:46:30 2020 wav
She has numerous small hepatic metastases, now seen on CT as well as a new right upper lobe lesion without any chest ______ infective symptoms to suggest this is inflammatory.
** • she says "or slash" - I would just put "chest/infective" and leave out "or" - taco
Thu Feb 20 06:05:21 2020 taco

**** • Thanks a lot. :-) - guy
Thu Feb 20 06:36:48 2020 guy


• Clinically, there were no signs of recurrence and she will have a repe ...
+ wav
Thu Feb 20 04:15:56 2020 wav
Clinically, there were no signs of recurrence and she will have a repeat bone densitometry as she has osteopaenia and fasting ______ and lipids, given she has an increased risk of cardiovascular disease, given her left-sided radiation and Herceptin use. She will be reviewed again in 12 months time.
** • never mind. Thanks to anyone who tried. - guy
Thu Feb 20 04:46:15 2020 guy


• She has not started any new medication. Clinically, there were no sig ...
+ mp3
Thu Feb 20 03:51:02 2020 mp3
She has not started any new medication. Clinically, there were no signs of recurrent disease. She has a smooth ______ liver, which is unchanged and previous imaging performed in 2014 showed no evidence of recurrence.
** • tippable - taco
Thu Feb 20 06:06:37 2020 taco

**** • Thanks a lot. :-) - guy
Thu Feb 20 06:36:40 2020 guy


• plural of "flexor digitorum profundus" - doc says "profundi" but I thinking flexorS
+ any thoughts?
Wed Feb 19 16:01:15 2020 any thoughts?
.
** • From what I could find, it says if the noun (flexor/flexors) is + Questyr
Wed Feb 19 18:37:40 2020 Questyr
plural then the adjective is also plural (profundus/profundi) and digitorum doesn't change....so it would be flexors digitorum profundi. See link for it being used in a medical book called "Muscles, Nerves, and Pain: A Guide to Diagnosis, Pain Concepts and Therapy" (see link)
**** • I gleaned the information from 3 different sites, but only gave you the + Q
Wed Feb 19 18:38:31 2020 Q
site where it was used.
****** • Here is the site that explains digitorum already means "of multiple + Q
Wed Feb 19 18:44:17 2020 Q
fingers (or toes)"
******** • thanks Q - that makes sense. - op
Thu Feb 20 06:44:52 2020 op




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