Word Board

Wed Nov 19 14:24:26 2008 Kathy
quotation marks for "killing field." Most of the hits I see are for the plural "killing fields" and most seem to be capped, but my inclination would be to not cap it.

** • The only time I would cap is if you were referring to the movie. I wouldn't say + Mandi

Wed Nov 19 14:36:25 2008 Mandi
the killing field, though. I would make it plural.

** • Would only capitalize Cambodian, but agree, it is usually fields. In an article they sm + f p b i n p

Wed Nov 19 14:32:49 2008 f p b i n p
would capitalize all of it if it were the title to the article, but otherwise, shouldn't.

** • I've always seen it plural.. and I would cap, no quotes tho. Killing Fields there + JaD

Wed Nov 19 14:29:45 2008 JaD
was more than one field/site where the mass murder took place.

• medication help + i k a p c o

Wed Nov 19 14:21:09 2008 i k a p c o
Medications: Tylenol, Motrin, daily multivitamin, albuterol, (anisolate C 10:01.2), benzonatate, gabapentin, calcium, clonidine 0.1 mg daily, pancreatin, and several topical creams.
Past Medical History: She has ongoing problems with some arthritis, migraines, history of pancreatitis, fibromyalgia.
s/l AN E SOLATE C

• x-rays + sm

Wed Nov 19 14:17:49 2008 sm
It also shows a T7 wedging, possibly some of T8. I measured his kyphosis overall by s/l co method from T8 toT10

** • can you hear Cobb? see link - Lo

Wed Nov 19 14:21:46 2008 Lo

** • Cobb method - ltt

Wed Nov 19 14:20:53 2008 ltt

**** • ty - /

Wed Nov 19 14:25:19 2008 /

• question + i k a p c o

Wed Nov 19 14:15:21 2008 i k a p c o
comes for followup after ventral hernia repair. She has a slowly resolving subcutaneous seroma that is not causing her significant discomfort. It does not interfere with her activities. (I reassured her that this should gradually continue to reabsorb over several months,) and we will see her back on a p.r.n. basis.

Does the ( ) sentence sound right?? It s/l he is saying reabsorb???

** • thanks - i k a p c o

Wed Nov 19 14:21:45 2008 i k a p c o

** • yes that is fine. (some people will say resorb, some reabsorb) same thing - ltt

Wed Nov 19 14:18:13 2008 ltt

** • Why does reabsorb bother you? + sm

Wed Nov 19 14:17:43 2008 sm
I looked it up for you.

• INR 1.7, PT *60.5,* PTT 37.3. Not sure of 16.5 or 60.5. - nm

Wed Nov 19 14:15:07 2008 nm

** • If PTT is only 37.3, PTT would not be 60.5. more likely 16.5 - nm

Wed Nov 19 14:18:51 2008 nm

** • There is a box above for normal labs. Look up what is normal. Howevwer, + sm

Wed Nov 19 14:16:29 2008 sm
keep in mind that certain labs may not be in the normal range because the patient is, well...sick.

However, in a case like this, it should give you some sort of obvious baseline.

**** • Thanks to you both. I'm just overall confused. Lab link above not helpful to me in this - case. nm

Wed Nov 19 14:21:46 2008 case. nm

• CVS: S1, S2. *Bounding* RRR. Negative murmurs, gallops, or thrills. + sm

Wed Nov 19 14:12:14 2008 sm
I'm not sure if "bounding" stands alone or goes with RRR.

ESL. Does bounding make sense?

** • could be S1, S2 bounding. I'd just put: S1, S2, bounding, RRR. - a g a m m c

Wed Nov 19 14:14:50 2008 a g a m m c

**** • Thanks so much! - nm

Wed Nov 19 14:15:23 2008 nm

• word help needed - sm + i g i m f c

Wed Nov 19 14:09:22 2008 i g i m f c
Patient had a laminectomy and partial facetectomy. This lady has had multiple level disc pathology with back pain for which she has "s/l resurged" surgical treatment.

** • requested? (future help)... received (already had it)? - mn

Wed Nov 19 14:12:00 2008 mn

** • received surgical treatment? (multiple-level disk pathology. I tend to hyphenate this) - nm

Wed Nov 19 14:11:10 2008 nm

**** • Thank you. - i g i m f c

Wed Nov 19 14:17:48 2008 i g i m f c

****** • I will listen again for your suggestions. - i g i m f c

Wed Nov 19 14:18:10 2008 i g i m f c

• s/l *Sternal enlargement.* any suggestions? thanks + b e f n p d

Wed Nov 19 13:58:48 2008 b e f n p d
CHEST X-RAY:
Slight increase in interstitial markings in the right base consistent with pneumonitis. s/l *Sternal enlargement.*

** • I don't know that there is anything wrong with that. - Mandi

Wed Nov 19 14:01:45 2008 Mandi

** • What is wrong with sternal enlargment? - soundsokatome

Wed Nov 19 14:00:34 2008 soundsokatome

**** • thanks, as you can tell, new to this - b e f n p d

Wed Nov 19 14:06:39 2008 b e f n p d

• Can you say either "the hives go away" or "the hives goes away?" - marla

Wed Nov 19 13:57:58 2008 marla

** • the hives go away. - nm

Wed Nov 19 13:59:35 2008 nm

** • I'd put 'the hives go away' - Nighthawk

Wed Nov 19 13:59:26 2008 Nighthawk

** • Hives go.....I wouldn't say hives goes away, unless it was in this circumstance, "The + Mandi

Wed Nov 19 13:59:25 2008 Mandi
outbreak of the hives goes away when she takes Benadryl." If hives is the subject, it would be go.

** • This doc is saying "The hive goes away." - marla

Wed Nov 19 13:58:59 2008 marla

**** • Subject/verb agreement for most doctors is just as frustrating as knowing how to spell... + verysimple

Wed Nov 19 14:10:11 2008 verysimple
They don't concentrate on those things, they have US to do it for them. Type what you know is correct! hives go away.

**** • Maybe he is saying someting else then, as usually one does not get just 1 hive, but has a + case of hives. SM

Wed Nov 19 14:08:37 2008 case of hives. SM
the case of hives goes away but the hives go away.

**** • "Hives go away" sound right to me too.. Thanks.. - marla

Wed Nov 19 14:07:16 2008 marla

• Ever notice how some people get reamed for asking a simple question while + watching

Wed Nov 19 13:52:57 2008 watching
others are helped kindly? Unbelievable.

** • Isn't it though? I was just thinking the same thing! One person asks + sm

Wed Nov 19 13:53:48 2008 sm
a simple question and gets reamed, yet others get the most help possible, context or no. I agree with unbelievable!

**** • I think it depends on who is here and when. I don't think it's preferential because + Mandi

Wed Nov 19 13:58:05 2008 Mandi
most don't even use a name or "monikor" or however you spell it.

**** • Sorry folks. Today seems to be a bad day for some. There are those who truly want to help - -grain of salt :-)

Wed Nov 19 13:57:44 2008 -grain of salt :-)

****** • And there are some who truly want to be helped. Those are the ones who dpn - b j p c e p

Wed Nov 19 14:01:13 2008 b j p c e p

******** • My keyboard had a quake. LOL. Those who truly want to be helped do not get reamed for - asking a simple ?

Wed Nov 19 14:02:05 2008 asking a simple ?

********** • Believe me, they sure do. I did. I was bombarded with rude comments for a simple ? - nm

Wed Nov 19 14:03:04 2008 nm

************ • nd people continue to justify being rude. - c h a c j f

Wed Nov 19 14:16:21 2008 c h a c j f

************ • If you're the IP ? from below. It was so simple.... most thought you might could have + ?

Wed Nov 19 14:13:06 2008 ?
figured it out on your own probably.

************ • I'm sure it seems that way to you, but if you did not make your question clear, + sm

Wed Nov 19 14:10:18 2008 sm
did not give enough context for someone to know the answer or know how to find it, or it was obvious you did not research it yourself before asking...

************** • I think the point is -regardless of the stupidity (opinion), the lack of research, etc., + Mandi

Wed Nov 19 14:17:15 2008 Mandi
if you don't like the question - don't answer it. Nothing gives anyone the right to be rude, period. It's inexcusable from askers or answerers....either side of the coin. If you think the OP needs to research, give pointers on how to find it without giving the answer...OR...just skip over it entirely. If someone chooses to spoonfeed someone else the answer, who am I or you or anyone else to give an obese rodent's rectum??

**************** • Isn't this the same hash, different day. If someone wants to make a point, they make it, + ME

Wed Nov 19 14:25:31 2008 ME
and that includes you and everyone else here. Sometimes, people just feel like venting off on things that irritate them. Personally, I get sick and tired of the posters that can't follow the rules, can't figure out their butt from a hole because they don't have any clues and if anyone TRIES to help them, then the helper typically gets blasted. Everything is a 2-way street here. It never failes that the poor OPs get coddled, babied, spoonfed, etc.

**************** • I don't care if someone spoonfeeds anyone. However, choose not to, instead directing them + to SM

Wed Nov 19 14:20:45 2008 to SM
onelook, google or give tips on how to google phrases or words.

I dare say that many of those asking questions are pretty rude themselves, demanding answers and getting mad if asked to provide more context.

****************** • So one justifies the other?? My point was not that it was only people answering, but + Mandi

Wed Nov 19 14:29:21 2008 Mandi
also people asking. Rude is in the eye of the reader, not the typer. If it could be interpreted as snarky, why send it? No excuses either side, IMO. I always get tied up in the gotta expound on my theory thing, so I will now choose to sit on my hands. LOL I wish I did not have such bad ADD!

******************** • "Rude is in the eye of the reader".... right. So we all have to be extra + ain't got all day

Wed Nov 19 14:31:59 2008 ain't got all day
careful and pay attention to how we post, so no one dare 'interpret' how we type something.

**************** • AGREE! First rule for posters is "be respectful" - that should show up for responders too - ltt

Wed Nov 19 14:19:51 2008 ltt

• I noted on the "zeta" FLAIR sequence a mild amount of diffuse sm + mtinco

Wed Nov 19 13:29:03 2008 mtinco
I noted on the "zeta" FLAIR sequence a mild amount of diffuse periventricular T2 hyperintensity, with multiple small subcortical foci particularly around the vertex bilaterally.

He says it like "zayta" rather than "zeeta."

** • T2 weighted? - JaD

Wed Nov 19 13:31:45 2008 JaD

**** • No, not that. It sounds clear but I cannot document. Thank you! nm - mtinco

Wed Nov 19 13:40:37 2008 mtinco

• I know this is so simple but I am so brain dead at the moment, I can't even think. + sm

Wed Nov 19 13:28:49 2008 sm
. Once I flexed the finger, there was gross purulence coming from the area of the nail matrix. Based on what I see, I suspect the patient has a disruption of his extensor tendon giving him a mallet. He has an underlying s/l *para-neek-ia* that apparently was decompressed by the emergency room staff.

** • paronychia - nm,

Wed Nov 19 13:31:38 2008 nm,

** • paronychia - nm

Wed Nov 19 13:31:23 2008 nm

**** • See, I told you I was brain dead! Thanks to both of you. - nm

Wed Nov 19 13:32:36 2008 nm

• Psychiatric report: Objective: Well groomed. Alert and oriented x3. Normal + marla

Wed Nov 19 13:28:35 2008 marla
s/l psycho order activity. Normal gait.

** • psychomotor activity. - nm

Wed Nov 19 13:31:58 2008 nm

** • Normal psychomotor activity. - nm

Wed Nov 19 13:31:52 2008 nm

**** • That's it.. thanks - marla

Wed Nov 19 13:33:23 2008 marla

• how to punctuate the 2nd sentence? + MTinME

Wed Nov 19 13:02:43 2008 MTinME
It was my pleasure to follow up today with 10-year-old XXXX and his mom here at XXXX. They were accompanied by, I believe it was, his grandmother. According to all of them he is doing fine.

commas fine? thx

** • another question on this report... + MTinME

Wed Nov 19 13:08:56 2008 MTinME
later on the doc says: I have reviewed them with mom and the patient and grandmom.

would mom and grandmom be capped? he is not saying "with the patient's mom" or "with the patient's grandmom", so is it still capped becuase he is referring to them as mom and grandmom even if they are not the doc's mom and grandmom? if I'm even close to explaining it how I am thinking...

**** • I wouldn't. - nm

Wed Nov 19 13:24:56 2008 nm

**** • MHO, I still don't cap those usages. although the or his or other there, it is + JMHO

Wed Nov 19 13:22:04 2008 JMHO
implied.

****** • thx so much - i f d d j e

Wed Nov 19 13:25:17 2008 i f d d j e

** • I agree with the commas in second sentence. I'd add one after according to them. JMHO. - nm

Wed Nov 19 13:07:30 2008 nm

**** • okay, thanks. - MTinME

Wed Nov 19 13:09:22 2008 MTinME

• pls listen to mp3 (laparoscopic cholecystectomy) + thanks

Wed Nov 19 12:54:41 2008 thanks
An incision was then made in the infraumbilical skin fold; and at that point, a #5 ___ port was placed through the abdominal wall and into the peritoneal cavity.

** • anybody ever heard of a #5-10 mm port?? cuz that's what he is saying sm + ??

Wed Nov 19 13:00:47 2008 ??
unless he means to correct it from 5 to a #10 mm port.

**** • A #5 10 mm port? - ?

Wed Nov 19 13:22:55 2008 ?

****** • thanks for trying, but i think poster confirmed it below - -

Wed Nov 19 14:22:56 2008 -

**** • i don't think he's correcting self, 'cause i heard it,, too, except i didn't hear the "mm" + -

Wed Nov 19 13:05:49 2008 -
part, just "#5-10 port"; thanks

****** • I didn't hera mm either, but I have a doc who says a 5-10 mm port, maybe he s.m. + i f d d j e

Wed Nov 19 13:16:25 2008 i f d d j e
said the"number" erroneously?

******** • ok, thanks for the confirmation - -

Wed Nov 19 14:22:02 2008 -

• Patient with left biceps tendinitis. Px: She has pain with Yergason, but no + c l d h o d

Wed Nov 19 12:39:53 2008 c l d h o d
subluxation or dislocation is noted. She has negative s/l "over-inactive" compression test and negative SLAP test. She has negative cross-arm adduction.

Thank you!!

** • Obrien test? See link - Txczech

Wed Nov 19 12:57:22 2008 Txczech

** • Apley ? - nm,

Wed Nov 19 12:56:22 2008 nm,

**** • Thank you but I just flagged. :( - c l d h o d

Wed Nov 19 12:59:24 2008 c l d h o d

• History of short Barrett�s with prior _____, ongoing reflux symptoms. + wav

Wed Nov 19 12:34:39 2008 wav
History of short Barrett�s with prior __)___, ongoing reflux symptoms.

The endoscope was introduced under direct vision. The esophagus was somewhat tortuous. There were mucosal tongues and a few islets above the GE junction and they were biopsied. There were no acute inflammation and no mucosal nodules. A small hiatal hernia was present. The stomach showed mild inflammation but no ulceration or erosion. The pylorus, duodenal bulb, and the postbulbar duodenum to the third portion were normal. Retroflex exam showed no other pathology. The procedure was tolerated well.

** • could you back it up just a little and record a bit more so we can get the cadence sm + f p b i n p

Wed Nov 19 12:52:01 2008 f p b i n p
of his way of speaking, etc. I'm thinking it is something else descriptive of atypia being said.

** • I hear atypia, comma, ongoing... (not sure of the word "prior" ?) - ltt

Wed Nov 19 12:40:50 2008 ltt

**** • I heard prior atypia too, wasn't sure that made sense - thanks

Wed Nov 19 12:59:26 2008 thanks

• blood work including: s/l ...Inkas, car-globulins, compliment, serum protein .... + sm

Wed Nov 19 12:34:18 2008 sm
We have arranged for her to have some blood work today including CBC, reticulocyte count, ANA, INCAs, carglobulins, compliment, serum protein electrophoresis, liver enzymes and renal function.

** • ANCAs (p-ANCA, etc). cryoglobulins?, complements - JaD.

Wed Nov 19 12:36:50 2008 JaD.

**** • TY - f g l b a f

Wed Nov 19 12:39:13 2008 f g l b a f

• tried on " " inergics, specifically an uptake inhibitor, to address OCD behavior. sm + DJ

Wed Nov 19 12:33:05 2008 DJ
It is recommended that the patient be tried on " "inergic, specifically an uptake inhibitor, to address her stereotypic/OCD like behavior.

Very mumbled, as this physician has an extremely thick accent.

Thanks for the help.

** • I'm hearing serotonergic, specifically an uptake inhibitor. nm - OP

Wed Nov 19 12:44:34 2008 OP

** • If you google your phrase + sm

Wed Nov 19 12:36:46 2008 sm
I was going to google tried on* specifically uptake inhibitor, but forgot to take the " " inergic out, and it gave me this below - see if anythikng helps.

if not, try tried on * specifically uptake inhibitor

• It took 10 days after withdrawal of *lavin-aci-tram* for seizures to return. I've + sm

Wed Nov 19 12:30:09 2008 sm
checked my QL but I guess my spelling is so off that I'm not finding it. Plus, doc isn't the best at pronouncing meds.

** • I didn't know this word (but did know Keppra - the brand). However, if you + Mandi

Wed Nov 19 12:34:47 2008 Mandi
google antiepileptics it will bring up multiple listings of antiepileptic medications and I found it there. There are always tricks you can use to find what you're looking for even if you don't have a spelling. Think of what keywords will point you in the right direction. The information you do know will usually lead you to find the information you don't know. :)

** • Levetiracetam - rather common seizure med, also used as a mood stabilizer for bipolar - disorder.

Wed Nov 19 12:31:10 2008 disorder.

**** • however, it is not capped - it was only because it started my sentence - sorry. - nm

Wed Nov 19 12:31:45 2008 nm

****** • Thanks for your kind help! - nm

Wed Nov 19 12:33:36 2008 nm

******** • You are very welcome! Below I was called rude. - you are welcome.

Wed Nov 19 12:40:38 2008 you are welcome.

• pls listen to mp3 + thanks

Wed Nov 19 12:25:51 2008 thanks
The patient underwent an uncomplicated coronary artery bypass grafting with a mammary to the LAD distally, a vein graft to the LAD proximally and a vein graft to the obtuse marginal. The postoperative course was complicated by atrial fibrillation, but he was placed on Pacerone and digoxin and ultimately discharged ___ stable condition, had an uneventful home course and was seen again and evaluated on October 21, 2008 and subsequently admitted on the date listed above for right carotid endarterectomy.

** • in sinus rhythm in stable condition. + SM

Wed Nov 19 12:29:37 2008 SM
can't really get any clearer than that - however, a lot of times, people say that it sounds clearer when posted than it did when it wasn't? Do you think there is some kind of filter or something that makes it clearer? I mean, someone said they wished they could run all their voice through it because it made it so clear.

**** • don't know, but i guess my brain was expecting to hear something else 'cause i seriously + -

Wed Nov 19 12:34:37 2008 -
didn't hear that; thanks

****** • Again, I don't think it was you. I swear, it sounds different on this end + sm

Wed Nov 19 12:42:59 2008 sm
again, it seems to happen that it is so clear when hearing it as an MP3, even the person posting it says so, but I don't know what about that process clears it up.

• pt was in car accident...neck was is C-collar and s/l Fern-ohs + ty

Wed Nov 19 12:25:35 2008 ty
Is there such a thing as a Ferno neck support?

** • did you even google it????? - ts

Wed Nov 19 12:28:45 2008 ts

**** • Obviously he/she did not, 'cause if he/she had - sm

Wed Nov 19 12:30:22 2008 sm

• Inferior hypokinesis noted on previous *step* study on gated wall motion analysis. + SM

Wed Nov 19 12:02:33 2008 SM
I've googled "step study" in context of what was said as well as simply heart and not finding any solid hits. I checked archives on this board and find some hits of STEP study but not necessarily in my context. When I googled that (in caps), I found something relating to a study of postmenopausal women.

I'm not sure if he's referring to a formal study, a trial of something, or just in general a step study (maybe some kind of study done in steps). In other words, I'm stumped and lost! Any help appreciated! (From that sentence I gave, doc goes on to describe that pt had a vasovagal event and atenolol was held, so not much more info for that.)

** • probably too late, but I think your answer was SPECT study - nm

Wed Nov 19 12:13:40 2008 nm

**** • Nope, she got it. - nm

Wed Nov 19 12:15:52 2008 nm

** • Don't know if this is going to help but, this may confirm something - I don't know + sm

Wed Nov 19 12:12:28 2008 sm
see what you think

I googled inferior hypokinesis SPECT study and it gave me:

**** • I mean, it brought up gated wall motion stuff so, maybe that is confirmatory? - see what you think

Wed Nov 19 12:13:13 2008 see what you think

**** • Oh, I just saw this! Thanks...I'll check it out further!! - nm

Wed Nov 19 12:13:01 2008 nm

****** • No promises - I didn't check it out myself before posting, just flying by - nm

Wed Nov 19 12:13:43 2008 nm

******** • Well, I can hear SPECT now. Thanks to you so much and to other poster as well! - nm

Wed Nov 19 12:15:05 2008 nm

** • Never mind...need to send in. I'll flag. - nm

Wed Nov 19 12:12:27 2008 nm

• This doesn't make sense to me. Is this right or am I not hearing him correctly? + sm

Wed Nov 19 11:50:43 2008 sm
**The PT is a normal INR.** However, PTT is elevated at 97.

** • Mayby, misspoke, The patient has a normal INR;however, PTT is elevated???????????? - ts

Wed Nov 19 11:57:30 2008 ts

** • I was going to say what was said below, but here is something wild: The patient has a + normal INR, however.

Wed Nov 19 11:56:12 2008 normal INR, however.
The patient has a normal INR, however, PTT is elevated at...

Kinda out there but.,,

** • Probably means PT is normal as is the INR; however, PTT is elevated at 97. - nm

Wed Nov 19 11:52:32 2008 nm

** • Something definitely amiss. - nm

Wed Nov 19 11:51:44 2008 nm

• Negative anterior and posterior drawer. *el-fill* and MCL intact to + sm

Wed Nov 19 11:41:26 2008 sm
varus and valgus stress. (Pt seen with knee pain and bruising after a fall.)

I feel like I have this on the tip of my tongue but can't quite bring it forth!

** • ACL - iwssbiw

Wed Nov 19 11:42:33 2008 iwssbiw

**** • Thanks for that! Going back to listen for it now. : ) - nm

Wed Nov 19 11:44:20 2008 nm

• s/l voyer/voyeur, lower midline incision was made and carried down through the voyer + ks

Wed Nov 19 11:34:43 2008 ks
We were, however, unable to visualize the troublesome polypoid lesion that was biopsied and revealed high grade dysplasia on previous colonoscopy. We then prepped the patient and draped. A lower midline incision was made. It was carried down through a s/l voyer/voyeur and the abdomen was entered. The patient had a prior mucous fistula that in fact had healed over and was closed off with intact skin. This was quickly seen after deepening the lower midline incision, and the colon was visualized and circumferentially dissected and separated away from the fascia and the anterior abdominal wall and surrounding tissues.

** • I was thinking foyer, like a passageway, but can't say I've actually heard it dictated - hootie

Wed Nov 19 12:12:57 2008 hootie

** • maybe the fat, layer or adipose tissue? - Txczech

Wed Nov 19 12:04:29 2008 Txczech

** • Not to be nasty, but what happens if you say, google voyer? Did you look them up? + sm

Wed Nov 19 11:44:55 2008 sm
I'm really not trying to be mean here, but really, if you look up the word/words, you might see how they pertain to what is being done.

That is research. And that is how you learn.

**** • looked, but did not think either one really fit this sentence, did I miss a definition + ks

Wed Nov 19 11:54:17 2008 ks
somewhere that I did not see in google?????

Voyer is a village and commune in the Moselle d�partement of north-eastern France.

Main Entry: voy�eur
Function: noun
: one obtaining sexual gratification from observing unsuspecting individuals who are partly undressed, naked, or engaged in sexual acts; broadly : one who habitually seeks sexual stimulation by visual means

****** • In this case, I would say voyeur simply means to look. - nm

Wed Nov 19 11:57:37 2008 nm

• s/l "blue" footies... + hootie

Wed Nov 19 11:16:46 2008 hootie
The Profore dressing and Optifoam Ag have been doing fine. His ulcers are healing up. I have stressed to him that he needs to keep his toes covered. We will get him some of those ___s/l "blue" footies, especially with the cold weather so he does not have any frostbite to his toes that are exposed in this cold weather.

** • Yeah- you know, those disposable hospital slippers? - nm

Wed Nov 19 11:20:16 2008 nm

**** • I mean, you know, those blue disposable hospital slippers - blue footies. - makes sense 2me

Wed Nov 19 11:21:13 2008 makes sense 2me

****** • yeah, I know what footies are but didn't know they were necessarily blue. lol thanks - hootie

Wed Nov 19 11:24:45 2008 hootie

******** • You know, it is an odd thing, but honestly, I don't think I've ever seen them in any other - color.

Wed Nov 19 11:26:06 2008 color.

********** • In our hospital if you are a fall risk your footies are red. That means if you see + Mandi

Wed Nov 19 11:40:02 2008 Mandi
a patient walking down the hall alone with red footies, you better stay with them and have somebody find the nurse. LOL (nonchalantly of course).

************ • Reminds me-Xmas party-doc's house. White carpet. Made us take our shoes off/wear blue - booties. nmt

Wed Nov 19 11:46:25 2008 booties. nmt

************** • that he probably stole....er brought home from the hospital. - LOL

Wed Nov 19 11:50:33 2008 LOL

**************** • Oh, funny. We didn't know we had to take our shoes off, holes in socks and all. - nmt

Wed Nov 19 11:57:05 2008 nmt

****************** • I should be anon for this....HUMILIATING. But not knowing it was going to matter if your + Mandi

Wed Nov 19 12:28:20 2008 Mandi
socks were "holy" made me think of this. Had to go to the heme/onc doc because my ferritin was down to 6. I thought he would only draw another iron panel, talk to me, and set up my iron infusion. Heck no...."Get nekkid and lay on the table, please." I know all the blood had to drain from my face when the nurse said that. I had felt so bad from lack of iron and depleted energy that I had not shaved my legs in at least 2 weeks. It was wintertime...geez, who would know other than my husband?? I have NEVER been so humiliated in my whole entire life! <sigh>

******************** • Oh, my. I wonder if he noticed? UGH. I've done that "sort of thing" but not tellin'..... - nmt

Wed Nov 19 12:33:33 2008 nmt

********************** • Oh yeah.....He noticed. Spent forever checking for pitting edema. LOL + Mandi

Wed Nov 19 12:37:42 2008 Mandi
I was mortified to say the least. C'est la vie I guess. I'm sure that wasn't the worst thing he'd ever seen....however, I'm sure (because he's an oncologist) most of his bad visions don't come with 1/4 inch hairs on them. <sigh again>

************************ • You're right. You should have been anon. ;-) - nmt

Wed Nov 19 12:44:12 2008 nmt

************ • That is a really good idea, you know. - nm

Wed Nov 19 11:42:52 2008 nm

********** • Dictator sucks, so I wasn't real sure that's what he was saying but was the best I could + hootie

Wed Nov 19 11:37:54 2008 hootie
get out of his slurring. Just checking to make sure it wasn't something else. You're probably right with them normally being blue. Patient is a he, so I guess blue is the appropriate color. :D

************ • Yeah, but I've never seen them in pink for women. Always see them in blue. - nm

Wed Nov 19 11:40:26 2008 nm

• **250 blunt** + sm

Wed Nov 19 11:14:07 2008 sm
UA specific gravity 1.010, pH 8, 2+ leukocytes, **250 blunt**

ASSESSMENT
Urinary tract infection.

** • Already says 2+ leukocytes (leukocytes=WBC s). - nm

Wed Nov 19 11:25:10 2008 nm

**** • oops, this was supposed to go under wag's response below. - nm

Wed Nov 19 11:25:29 2008 nm

** • 2 to 5 WBCs? - wag

Wed Nov 19 11:23:03 2008 wag

** • blood? leukocytes and blood=UTI - nm

Wed Nov 19 11:15:46 2008 nm

• is there anything on radiographs called "forbella"? SM + Jimmy

Wed Nov 19 11:09:55 2008 Jimmy
There is a spur on the superior anterior surface of the patella extending into the rectus femoris. There was a minimal narrowing of the patellar femoral joint noted on the lateral view and a S/L forbella noted along the lateral joint line.

** • fabella is a sesamoid bone located inside the gastrocnemius lateral head tendon on the pos + fabella

Wed Nov 19 11:11:16 2008 fabella
fabella is a sesamoid bone located inside the gastrocnemius lateral head tendon on the posterior side of the knee, in about 25% of people.

** • patellofemoral joint (not patella femoral joint) . I'm not sure about your s/l yet. - nm

Wed Nov 19 11:10:54 2008 nm

• open fixation left foot, second s/l meta tarsal tarsal joint - what?

Wed Nov 19 11:08:43 2008 what?

** • I usually hear tarsal-metatarsal joint, but I suppose metatarsal-tarsal joint works too. - nm

Wed Nov 19 11:10:04 2008 nm

• This guy says "IP joint , right big toe. " Now aren't the IP joitns in the hands? + g i a l n f

Wed Nov 19 11:04:49 2008 g i a l n f
Correct me if I'm wrong. . . please. Thanks much!

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