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May 16 02:25
• Cochleostomy
+ d h k h k o
Sat May 19 15:39:28 2018 d h k h k o
With the marked site facing the "tort's modulus", we performed a round window insertion of the Flex28 electrode.
** • facing toward the modiolus - ~C
Sat May 19 19:29:23 2018 ~C

** • sm plse + MT
Sat May 19 17:45:44 2018 MT
I would google external anatomy of ear, click on images, see if anything fits.

Maybe you are hearing tragus, lobule, sulcus, some combination. You might relisten while you look at the images.

• Vaginal myomectomy, vaginal hysterectomy, cystoscopy.
+ d h k h k o
Sat May 19 15:12:48 2018 d h k h k o
We then looked at the fallopian tubes and ovaries, noted that they both had "Vultious" bilaterally.
** • Filshies... - d h k h k o
Sat May 19 15:29:00 2018 d h k h k o


• Fetal respirations, movement, kidneys, bladder, gastrointestinal tract ...
+ mp3 posted
Sat May 19 14:29:08 2018 mp3 posted
Fetal respirations, movement, kidneys, bladder, gastrointestinal tract, spine, skull, two-vessel cord insertion site, and four-chamber heart have a normal appearance. The ______ is not well seen.

• This is a 30-year-old male who initially presented with difficulty bre ...
+ wav
Sat May 19 02:15:18 2018 wav
This is a 30-year-old male who initially presented with difficulty breathing to the left side of his nose after being punched in the face in August. He never sought treatment initially. He wakes up at night. On initial examination, it was seen that the patient has a significant deviation to the left as well as caudal septal deflection to the left and septal cartilage deflection to the right _____ inferior turbinate. Because of this, he was consented for an open septorhinoplasty and bilateral turbinate reduction.
** • never mind. Thanks to anyone who tried. - guy
Sat May 19 02:39:14 2018 guy


• Procedure: LEFT LATERAL ORBITOTOMY WITH ORBITAL BONY FRAGMENT REMOV ...
+ wav
Sat May 19 01:24:45 2018 wav
Procedure:
LEFT LATERAL ORBITOTOMY WITH ORBITAL BONY FRAGMENT REMOVAL.

Using an indirect ophthalmoscopy and #28 diopter lens, dilated fundus exam was done of the posterior pole and there was no hemorrhage. No notable indentation or scarring, and no vitreous hemorrhage. The view was blurred secondary to ointment and the marked periphery was not examined; however, the posterior pole _____ was within normal limits. Forced duction testing was done and there was
** • Not sure, but I think I hear "and beyond each arcade" - Questyr
Sat May 19 01:28:48 2018 Questyr

**** • Thanks a lot. - guy
Sat May 19 01:31:43 2018 guy


• Preoperative Diagnosis: LEFT PATELLA FRACTURE. Procedure: ...
+ wav
Sat May 19 00:19:06 2018 wav
Preoperative Diagnosis:
LEFT PATELLA FRACTURE.

Procedure:
LEFT PATELLAR OPERATIVE FIXATION.

The patient was brought to the operating room and placed under general anesthesia. Antibiotics were administered. Tourniquet was applied to the left groin. The left lower extremity was prepped and draped in the usual sterile fashion. Tourniquet was inflated following exsanguination of the limb. The prior midline incision was used over the patients knee and was _____ skin and subcutaneous tissue. At this point, the patient already had medial and lateral flaps that were made from the _____ there was extensive comminution noted. The patella was debrided. The fracture sites were debrided and identified. There was noted to be a coronal split
** • Someone should tell this guy to get new equipment. - Questyr
Sat May 19 01:20:39 2018 Questyr

**** • yeah. there is one other as well in dire need of a new one - guy
Sat May 19 01:25:41 2018 guy

** • never mind. Thanks to anyone who tried. badly dictating. - guy
Sat May 19 00:26:49 2018 guy


• A time-out was called with the attending surgeon in the room and the e ...
+ wav
Fri May 18 17:50:08 2018 wav
A time-out was called with the attending surgeon in the room and the entire team. We then draped and prepped the patient in a sterile fashion. The patient did not receive antibiotics as this was a clean case and _____ indicated. The patient did not receive SCDs given that the patient was done with no sedation and no anesthesia.
** • were not indicated - poi
Fri May 18 18:19:24 2018 poi

** • were not indicated. - mn
Fri May 18 18:18:36 2018 mn

**** • Thanks a lot everybody - guy
Fri May 18 18:19:32 2018 guy


• Notation was made of a s/l*distidual* S1-2 disc.
+ sm
Fri May 18 14:38:27 2018 sm
The METRx tubes were inserted to the inferior edge of the left L5 lamina and sequentially dilated up until a 22 mm x 8 cm tube was then placed and attached to the rigid holder. Notation was made of a s/l*distidual* S1-2 disc. The left L5 lamina was identified with direct visualization and finger palpation and the microscope was then brought into the field.
** • Ne - OP
Fri May 18 14:44:05 2018 OP

**** • Never mind. It was vestigial. - OP
Fri May 18 14:44:16 2018 OP


• ___ 2.5 mg daily
- WAV
Fri May 18 14:10:50 2018 WAV

** • too muffled. - sorry!
Fri May 18 14:51:00 2018 sorry!


• Restless leg, gabapentin s/l 25-1 mg per tablet
+ Hmg
Fri May 18 12:05:52 2018 Hmg
For this feeling, I have recommended we change her medication to further stabilizer her, so I am going to try gabapentin of _____ mg per tablet, 1 tablet 2 times a day
** • I'd flag that since there are so many dosages that can be given, but usually it is 300 mg - for RLS.
Fri May 18 12:57:28 2018 for RLS.


• s/l para goid myofascial spasm
+ sm
Fri May 18 11:38:24 2018 sm
the mandibular movement with s/l para goid myofascial spasm continue, though all somewhat better.
** • pelvic floor? - poi
Fri May 18 11:41:55 2018 poi

**** • duh to me. Obviously I should have read the entire post - poi
Fri May 18 11:50:43 2018 poi

** • pterygoid - got it
Fri May 18 11:41:30 2018 got it


• what the heck is this word (WC note) sounds clear
+ sm
Fri May 18 10:23:44 2018 sm
The s/l saline issues are these. The patient has coronary artery disease requiring a stent. Some of that coronary issue has caused LV dysfunction and left bundle-branch block. The same is true for hypertension. The same is true for other unknown substrates having caused his cardiac dysfunction.
** • salient - taco
Fri May 18 10:25:42 2018 taco

**** • big thanks - !
Fri May 18 10:26:08 2018 !


• Vaginal Surgery
+ TYIA=)
Fri May 18 00:15:03 2018 TYIA=)
A second small biopsy was taken from the right uterosacral ligament. Fulgurations of multiple small endometriosis lesions in the posterior cul-de-sac were performed. Bilaterally there were **McMasterson windows

Can't seem to verify McMasterson windows, any ideas?
** • I found this - see message + n m l e f g
Fri May 18 10:39:54 2018 n m l e f g
An Allen-Masters window, also known as peritoneal pocket, is a pocket or fold in the peritoneum the thin membrane that lines the abdominal cavity. Pockets can trap endometrial cells that make their way into the peritoneal cavity during menstruation/grow there. Peritoneal pockets are associated with endometriosis when the endometrial cells attach to the peritoneum, causing pain and bleeding every cycle.
** • I can find "Allen-Masterson windows" (see link) + Questyr
Fri May 18 00:22:09 2018 Questyr
link

• please help -- s/l bi-vee-mode scanning (arterial doppler study)
+ m
Thu May 17 23:47:18 2018 m

The s/l bi-vee-mode scanning did reveal presence of intimal thickening with evidence of scattered nonocclusive plaques noted.
** • I think he misspoke. He means B-mode. + sm
Fri May 18 08:09:38 2018 sm
His tongue got away from him, probably because of biV mode pacing, which is not germane to arterial doppler scanning for intimal thickening.
** • I am just seeing B-mode and M-mode to evaluate intimal thickening - fwiw-poi
Fri May 18 00:02:35 2018 fwiw-poi

** • BiV (stands for biventricular) - Questyr
Fri May 18 00:00:56 2018 Questyr

**** • are you finding that is a mode on ultrasound scanning? - poi
Fri May 18 00:08:10 2018 poi

****** • These hits seem to support echo-guided biventricular (V-V...which + Questyr
Fri May 18 00:13:03 2018 Questyr
I presume is another way of saying BiV)
******** • Those hits are talking about echo parameters and biV pacing. - nm
Fri May 18 08:06:57 2018 nm

******** • not an ultrasound scanning mode...but won't continue to debate + poi
Fri May 18 00:22:29 2018 poi
Several modes of ultrasound are used in medical imaging.[17][18] These are:
A-mode: A-mode (amplitude mode) is the simplest type of ultrasound. A single transducer scans a line through the body with the echoes plotted on screen as a function of depth. Therapeutic ultrasound aimed at a specific tumor or calculus is also A-mode, to allow for pinpoint accurate focus of the destructive wave energy.
B-mode or 2D mode: In B-mode (brightness mode) ultrasound, a linear array of transducers simultaneously scans a plane through the body that can be viewed as a two-dimensional image on screen. More commonly known as 2D mode now.

B-flow image of venous reflux.
Video is available
B-flow is a mode that digitally highlights weak flow reflectors (mainly red blood cells) while suppressing the signals from the surrounding stationary tissue. It can visualize flowing blood and surrounding stationary tissues simultaneously.[19] It is thus an alternative or complement to Doppler ultraso
********** • I understand what you're saying, which is why I used the + Q
Fri May 18 00:25:20 2018 Q
words "seem to support". I wouldn't argue either.

• Ultrasound confirmed that this was the cystic lesion and in close prox ...
+ mp3
Thu May 17 22:55:22 2018 mp3
Ultrasound confirmed that this was the cystic lesion and in close proximity to the radial artery. The patient was under the understanding that the radial artery could be damaged as well as the adjacent radial sensory nerve, and possibly the anterior and interosseous nerve branch to the nerve capsule. Risks and benefits of the procedure were given to the patient. _____. Anesthesia obtained a separate consent.
** • I can't get any of that. - poi
Thu May 17 23:15:45 2018 poi

**** • Thanks for the effort. flagging. - guy
Thu May 17 23:23:24 2018 guy


• Preoperative Diagnosis: RIGHT WRIST VOLAR GANGLION CYST. Pro ...
+ wav
Thu May 17 22:53:07 2018 wav
Preoperative Diagnosis:
RIGHT WRIST VOLAR GANGLION CYST.

Procedure:
SURGICAL EXCISION OF RIGHT WRIST VOLAR GANGLION CYST.

The patient initially presented to the Hand Surgery Clinic complaining of six months of an enlarging mass on the right volar wrist. _____ of the patient was complaining about the size of such, as well as the irritation _____ performing her normal work activities in the restaurant, and said she wanted to undergo excisional biopsy.
** • the irritation that this has caused in performing her normal ... + TYIA=)
Fri May 18 00:18:18 2018 TYIA=)


the irritation that this has caused in performing her normal
** • I hear the correct post now, but sorry I can't get the blanks. - Questyr
Fri May 18 00:04:04 2018 Questyr

** • sorry. wav posted again - guy
Thu May 17 23:20:34 2018 guy

**** • i uploaded waves 3 times and when i hear in IE it is still airplane wav. strange. moving + guy
Thu May 17 23:22:51 2018 guy
forward. thanks for the effort.
** • I still hear airplaned wav - poi
Thu May 17 23:16:22 2018 poi


• sounds like airplaned
+ guy
Thu May 17 19:20:39 2018 guy
The fascia was grasped with two Allis clamps and it was entered sharply with the curved Mayo scissors. The peritoneum was visualized which was grasped with two hemostats and was entered bluntly. The incision was then extended laterally to improve visualization. The patient was then ***airplaned*** to the left. The right fallopian tube was visualized and was grasped with a Babcock
** • The archives have a few hits--search "airplaned" - FWIW
Thu May 17 19:35:17 2018 FWIW

** • "Patient positioned in steep Trendelenburg and airplane position to the right...." - Found this on Google
Thu May 17 19:33:28 2018 Found this on Google

**** • Thanks a lot everybody - guy
Thu May 17 19:42:52 2018 guy

** • wav posted. Thanks. - guy
Thu May 17 19:22:43 2018 guy


• rotator cuff repair. Sounds like s/l cushion ry
+ sm
Thu May 17 18:23:08 2018 sm
an arthroscopic subacromial decompression with a medium s/l cushionry repair of a medium-sized rotator cuff tear
** • long file- he was saying correction with bad audio - ugh
Thu May 17 18:50:38 2018 ugh


• space between 4 CR and 5 FB?
+ guy
Thu May 17 18:00:24 2018 guy
IMPLANTS: DePuy Synthes Attune total knee system, cruciate, retaining, cemented, fixed bearing tibia. Femur, size #4 CR. Tibia, size #5 FB
** • Femur size #4 CR (cruciate retaining). Tibia size #5 FB (fixed bearing ... + ~C
Thu May 17 18:05:11 2018 ~C
Femur size #4 CR (cruciate retaining). Tibia size #5 FB (fixed bearing). No comma between cruciate and retaining.
**** • Thanks a lot. Thanks for the info. - guy
Thu May 17 18:09:10 2018 guy


• prolactinoma
+ sm
Thu May 17 14:26:51 2018 sm
He presented acutely with signs of a s/l "son ward" mass. This was in association with elevated prolactinomas.
** • I would expect you may be hearing "thyroid mass" (see link) + Questyr
Thu May 17 15:02:41 2018 Questyr
link

• inguinal hernia repair, s/l "dee-sy-tro-sah" sm plse for setence
+ mt
Thu May 17 13:12:06 2018 mt
Once the mesh plug had been secured, attention was turned to the floor of the canal which appeared to be grossly weakened without a well-defined **dee-sy-tro-sah.** Polypropylene mesh was then cut to the appropriate size.

(maybe de-sy-tro-sak or dee-sy-tro-sah)
** • or how about "well-defined defect or sac" ? (I found that exact phrase on Google) - taco
Thu May 17 13:26:20 2018 taco

**** • OMG! That is it exactly!! Thank you so much - OP
Thu May 17 13:26:50 2018 OP

** • there is a "detrusor" muscle in the area - can you hear that? - taco
Thu May 17 13:24:32 2018 taco

**** • thanks, listened 10 ways to the center, going to flag it. - OP
Thu May 17 13:26:29 2018 OP


• Z pattern-type flaps because of ______ , and these were
+ mp4
Thu May 17 11:46:18 2018 mp4
We made a Z type incision to open up the extensor retinaculum on the dorsum of the wrist in order for later repair after developing the Z pattern-type flaps because of ______ , and these were retracted radial ulnarly.
** • her angle? - ?
Thu May 17 12:00:34 2018 ?

**** • Thanks for confirming the 'angle'. I hear now (since male patient), because of their angle - mp4 deleted TX!
Thu May 17 12:05:43 2018 mp4 deleted TX!


• dorsal radial aspect of the index finger ________ the metacarpophalangeal joint.
+ MP3
Thu May 17 11:39:21 2018 MP3
He was also noted to have a mass on the dorsal radial aspect of the index finger ________ the metacarpophalangeal joint.
** • over the - b o l b o m
Thu May 17 12:00:52 2018 b o l b o m

**** • Thank you!! - MP3 deleted
Thu May 17 12:02:25 2018 MP3 deleted


• to the left ring finger with ______ extensor tendons.
+ WAV
Thu May 17 11:38:13 2018 WAV
He was noted to have some clicking with range of motion to the left ring finger with ______ extensor tendons. Concern for persistent, chronic tenosynovitis to the wrist area.
** • can't get much with that yawn, i do hear "with motion" and "dorsal aspect of the extensor - *i'm sleepy too*
Thu May 17 12:02:08 2018 *i'm sleepy too*

**** • He keeps yawning and speaking, does so every time! Arg! Thank you. - WAV
Thu May 17 12:06:23 2018 WAV


• He may engage in road biking on a limited basis and avoid a lot of the s/l"jaw sling"
+ Sm
Thu May 17 11:19:41 2018 Sm
IMPRESSION: Left wrist dorsal triquetral avulsion fracture with radial styloid fracture.

PLAN: I would like him to transition into an OSMD splint to utilize at night and during the day as needed for support. He is free to remove this at regular intervals to work on range of motion exercises. He may engage in road biking on a limited basis and avoid a lot of the s/l"jaw sling", which might be associated with mountain biking at this time, at least for the next two weeks.
** • jostling - sea
Thu May 17 11:25:45 2018 sea


• thumb CMC osteoarthritis can s/l*in site* a reaction in the first dorsal compartment
+ SM
Thu May 17 10:30:42 2018 SM
With regard to his thumb CMC findings, we did discuss that in 17% of cases thumb CMC osteoarthritis can s/l*in site* a reaction in the first dorsal compartment and cause De Quervain's.
** • incite? - guy
Thu May 17 10:35:30 2018 guy

**** • I agree with guy - incite - taco
Thu May 17 10:35:54 2018 taco

****** • Thanks ya'll - OP
Thu May 17 10:44:38 2018 OP


• The patient will be seen a week postoperatively. The splint will be c ...
+ mp3
Thu May 17 10:21:38 2018 mp3
The patient will be seen a week postoperatively. The splint will be changed for left thumb spica cast and ____. The finger will be kept in place for a total of six weeks. _____ removed and range of motion will be started.
** • second one (I think) is "It will afterwards be" - taco
Thu May 17 10:26:08 2018 taco

**** • Thanks a lot. - guy
Thu May 17 10:34:56 2018 guy


• An incision with a #15 blade was made over the adductor aponeurosis an ...
+ wav
Thu May 17 10:09:58 2018 wav
An incision with a #15 blade was made over the adductor aponeurosis and raised above the capsule and at the UCL. The ulnar collateral ligament and the accessory ligament were visualized. The laceration at the proximal insertion of the ligament was also visualized. The capsule was raised using the #15 blade. Then, guidewire of the Arthrex system was inserted from the ulnar to the radial condyles. The positioning of the guidewire was confirmed using fluoroscopy. Then, a 2.9 drill bit was used to drill the passage on the ulnar condyle. The SwiveLock system was used in order to _____. A 2-0 FiberWire suture was used to do a Bunnell type of suture over the proper _____ ulnar collateral ligament.
** • can #1 be in order to do the bone anchorage? - guy
Thu May 17 10:37:27 2018 guy

** • second one is "and accessory" - taco
Thu May 17 10:24:56 2018 taco

**** • Thanks a lot. - guy
Thu May 17 10:34:50 2018 guy


• Preoperative Diagnosis: LEFT FIRST DIGITAL _____ LACERATION. ...
+ wav
Thu May 17 09:36:04 2018 wav
Preoperative Diagnosis:
LEFT FIRST DIGITAL _____ LACERATION.

Procedure:
EXPLORATION OF LEFT THUMB AND ULNAR TO LATERAL LIGAMENT REPAIR AT THE METACARPOPHALANGEAL JOINT, REPAIR OF ADDUCTOR APONEUROSIS AND REPAIR OF FIRST DORSAL INTEROSSEOUS MUSCLE.

** • got it. thanks. + guy-
Thu May 17 09:41:53 2018 guy-
WEBSPACE

• vidence of previous *fundi* cholecystostomy tube
+ ?
Thu May 17 06:02:32 2018 ?
is a 69-year-old gentleman with a history of total colectomy with end ileostomy who is status post two cholecystostomies in the past and who underwent an ERCP for bile duct clearance who now comes for completion of treatment with laparoscopic cholecystectomy.

SURGICAL FINDINGS: Chronically inflamed gallbladder with evidence of previous ________ cholecystostomy tube, now no longer present who has normal cystic duct and cystic artery anatomy and presents for laparoscopic cholecystomy.
** • I would think "fundic cholecystostomy tubes" (1 fundus which has been intubated 2x)..but I + Questyr
Thu May 17 10:50:02 2018 Questyr
realize the s/l may well have been fundI not fundIC..I'm just thinking he pluralized the wrong word.
** • Maybe change tube to tubes to match plural fundi? (dictator mentions history of 2) - veganyet?
Thu May 17 07:11:28 2018 veganyet?

**** • ty - -
Thu May 17 10:12:57 2018 -


• FINDINGS: Left lower extremity significant for flush occlusion of ant ...
+ wav
Thu May 17 00:58:31 2018 wav
FINDINGS: Left lower extremity significant for flush occlusion of anterior tibial, posterior tibial, and peroneal arteries with minimal reconstitution. The anterior tibia does reconstitute quite distally off of extensive collaterals and has patent _____. There was also a small segment of PT that was reconstituted distally.
** • I hear something like "patent ____ to DP in the foot" - Questyr
Thu May 17 01:24:32 2018 Questyr

**** • Thanks a lot. - guy
Thu May 17 01:37:08 2018 guy


• The retinaculum which was partly divided to gain exposure was closed w ...
+ wav
Wed May 16 22:31:29 2018 wav
The retinaculum which was partly divided to gain exposure was closed with a 2-0 Vicryl followed by a superficial 3-0 Vicryl and running buried 3-0 Monocryl. Then, 3-0 Monocryl was used to close the medial and lateral poke holes.

Injection of 0.25% Marcaine was given for local _____.
** • pain control - Questyr
Wed May 16 22:41:21 2018 Questyr

**** • Thanks a lot. - guy
Wed May 16 22:50:21 2018 guy


• Procedure: OPEN REDUCTION AND INTERNAL FIXATION OF RIGHT ANKLE. ...
+ wav
Wed May 16 22:18:31 2018 wav
Procedure:
OPEN REDUCTION AND INTERNAL FIXATION OF RIGHT ANKLE.

The fracture site was visualized and widely exposed. It was debrided with a curette. After cleaning out the fracture site, a reduction was performed using a large reduction clamp. This was done by placing _____ laterally through the incision and another medially by making a separate poke hole over the medial malleolus.
** • one time - poi
Wed May 16 22:19:20 2018 poi

**** • Thanks a lot. - guy
Wed May 16 22:31:15 2018 guy


• On six-month followup mammogram, the architectural distortion of the l ...
+ wav
Wed May 16 21:22:04 2018 wav
On six-month followup mammogram, the architectural distortion of the left 12 oclock was again seen and felt to be an intermediate suspicion and thus a stereotactic biopsy was recommended, and thus stereotactic biopsy was recommended and performed. Pathology was consistent with a radial scar, for which surgical incision was recommended. The lesion was noted to be _____ Savi Scout localization and the patient came in prior to date of surgery to have Savi Scout reflector placed.
** • a candidate for - poi
Wed May 16 21:29:31 2018 poi

**** • Thanks a lot. - guy-
Wed May 16 21:30:19 2018 guy-


• 2.2. ___ PPI or ranitidine
+ WAV
Wed May 16 14:02:13 2018 WAV
2.1. Intermittent diarrhoea as well.
2.2. ___ PPI or ranitidine

** • No response to PPI or ranitidine. - sea
Wed May 16 15:25:14 2018 sea

** • No response to PPIs or ranitidine. - taco
Wed May 16 14:35:14 2018 taco


• numbness is on the forearms. Associated with ___ pain.
+ WAV
Wed May 16 13:11:08 2018 WAV
The biggest area of numbness is on the forearms. Associated with ___ pain.
** • no neck - isgal
Wed May 16 13:11:42 2018 isgal

**** • you rock isgal. thank you! - :)
Wed May 16 13:16:06 2018 :)


• She continues to manifest significant footdrop with a large ___ L5-S1 right-
+ mp3
Wed May 16 09:59:21 2018 mp3
She continues to manifest significant footdrop with a large ___ L5-S1 right-sided foraminal disc herniation.
** • Yes..google spinal disc extravasation - Questyr
Wed May 16 10:07:50 2018 Questyr

**** • Meant to post this directly under your question. - Q
Wed May 16 10:08:24 2018 Q

****** • thanks - op
Wed May 16 10:24:04 2018 op

** • extravasated - Questyr
Wed May 16 10:03:50 2018 Questyr

**** • Thanks. I do hear that, but does that fit the context? - op
Wed May 16 10:04:25 2018 op


• PMH, s/l has had "s tube" previously.
+ sm
Wed May 16 09:50:59 2018 sm
eustachian tube? ever hear it said like this?
** • I found this....see if it might fit your patient's story + Questyr
Wed May 16 10:02:57 2018 Questyr
link

• PROCEDURE IN DETAIL: The patient was taken to the operating room and ...
+ wav
Wed May 16 00:23:04 2018 wav
PROCEDURE IN DETAIL: The patient was taken to the operating room and placed supine on the operating room table. Anesthesia was induced in the usual fashion, except for the use of paralytics was avoided to any of the facial nerve monitoring. Facial nerve and EMG electrodes were placed _____ usual fashion. The patients left ear was prepped and draped for otologic surgery and injections of 1:100,000 epinephrine were performed in four quadrants.
** • I hear something that sounds like ____ nasal fashion but don't know if that makes sense. + isgal
Wed May 16 02:58:27 2018 isgal
I don't hear "usual fashion."

** • Sorry I couldn't get your blank - Q
Wed May 16 02:32:48 2018 Q

** • NOTE: It is not "nerve AND EMG electrodes", but "nerve EMG electrodes" - Q
Wed May 16 02:30:33 2018 Q

** • NOTE: It is not "to any of the facial"etc, but "to enable facial" - Questyr
Wed May 16 02:24:36 2018 Questyr

**** • Thanks for the correction. - guy
Wed May 16 21:19:49 2018 guy

** • never mind. Thanks to anyone who tried. - guy
Wed May 16 01:18:06 2018 guy


• Preoperative Diagnosis: CONDUCTIVE HEARING LOSS. Procedure: ...
+ wav
Tue May 15 23:58:16 2018 wav
Preoperative Diagnosis:
CONDUCTIVE HEARING LOSS.

Procedure:
LEFT TYMPANOPLASTY AND OSSICULAR CHAIN RECONSTRUCTION.

FINDINGS:
1. One small anterior superior _____ repaired with tragal cartilage.
2. Eroded umbo.
3. Thick mucus which was removed.
4. Sheath of tympanosclerosis in attic.
5. Mobile stapes.

** • ... + o p a l n l
Wed May 16 22:18:13 2018 o p a l n l

** • perf? as in perforation? - wag
Wed May 16 00:16:48 2018 wag

**** • Thanks a lot. - guy
Wed May 16 00:16:54 2018 guy


• SM
+ d h k h k o
Tue May 15 21:35:28 2018 d h k h k o
An inner guide and a Terumo glidewire were used to obtain access to the coronary sinus. Access was obtained and was confirmed with "Diaveinography."
** • Only thing I can think of is that it might be "dye venography" - Questyr
Wed May 16 02:23:15 2018 Questyr


• Capsulotomy was made at the first leg parallel to and on the front of ...
+ wav
Tue May 15 20:30:51 2018 wav
Capsulotomy was made at the first leg parallel to and on the front of the femoral neck from the acetabular rim extending distally to the intertrochanteric line over which the second leg of the capsulotomy was performed. This was extended more posteriorly on the proximal and distal aspects of the superior leaf. The #2 FiberWire sutures were placed as holding sutures in both leaflets. Fracture hematoma was encountered upon opening the capsule. A second blunt cobra retractor had been placed over the superior neck extracapsular which was moved _____ capsulotomy.
** • intracapsular after the? - poi
Tue May 15 20:41:48 2018 poi

**** • Thanks a lot. - guy
Tue May 15 20:49:28 2018 guy


• Procedure: LEFT TOTAL HIP ARTHROPLASTY, ANTERIOR APPROACH, WITH FLU ...
+ wav
Tue May 15 19:31:29 2018 wav
Procedure:
LEFT TOTAL HIP ARTHROPLASTY, ANTERIOR APPROACH, WITH FLUOROSCOPIC INTRAOPERATIVE IMAGING AND COMPUTER ASSISTED COMPONENT POSITIONING.

Given her age, diagnosis of displaced femoral neck fracture, and high functioning community ambulatory level preoperatively, the recommendation for total hip arthroplasty was made to the patient as the most reliable treatment option to facilitate immediate mobilization and limit her degree of _____ postoperatively and the complications associated with such.
** • senescence - mn
Tue May 15 19:43:51 2018 mn

** • senescence - sea
Tue May 15 19:43:38 2018 sea

**** • Thanks a lot everybody - guy
Tue May 15 19:46:01 2018 guy


• MEDICATIONS: OCPs. Hyphen needed if not account specific?
- a a g c c j
Tue May 15 16:43:39 2018 a a g c c j

** • I would leave out the apostrophe - ltt
Tue May 15 17:13:34 2018 ltt

**** • Of course, apostrophe not hyphen. Thanks - a a g c c j
Tue May 15 17:15:43 2018 a a g c c j


• interval reduction in the size of the cystic lesion in the posterior aspect of the __
+ WAV
Tue May 15 14:20:52 2018 WAV
MRI pituitary October 2017 showed marginal interval reduction in the size of the cystic lesion in the posterior aspect of the ___
** • sella turcica - Q
Tue May 15 15:02:33 2018 Q

** • ????_____ testicle???? - Questyr
Tue May 15 15:01:43 2018 Questyr

**** • Disregard. - Q
Tue May 15 15:02:21 2018 Q


• free T4 17, free T3 4.9, 17-OHP 2.5 and __ 4.0, testosterone 1.0
+ WAv
Tue May 15 13:18:53 2018 WAv
FSH 3, LH 5, oestradiol 300, prolactin 210, TSH 2.88, free T4 17, free T3 4.9, 17-OHP 2.5 and __ 4.0, testosterone 1.0
** • androstenedione ? - ltt
Tue May 15 13:23:16 2018 ltt

**** • genius! yes! thank you ltt! - srt
Tue May 15 13:56:29 2018 srt


• 4. Previous ____ infection.
+ WAV
Tue May 15 12:48:40 2018 WAV
3. Previous CMV encephalitis.
4. Previous ____ infection.

** • anyone hear anything there? long report, help!! - please??
Tue May 15 12:57:17 2018 please??

**** • sorry, cannot get it - ltt
Tue May 15 13:07:52 2018 ltt

****** • thanks for trying ltt! - srt
Tue May 15 13:19:08 2018 srt


• This was truncated ______ the radiocarpal joint. We then checked ____________
+ wav
Tue May 15 11:50:28 2018 wav
The sac of this was excised, taken out with a portion of the dorsal capsule. Carried down and followed the stalk to the radiocarpal joint area. This was truncated ______ the radiocarpal joint. We then checked ____________ of the wrist. At this time, instability noted dorsally.
** • I hear "This was truncated at the radiocarpal joint." for 1st blank - sea
Tue May 15 12:13:32 2018 sea

** • second blank - overall stability - p o l i j c
Tue May 15 12:09:35 2018 p o l i j c

**** • I'm so thankful to both of you!! - wav
Tue May 15 12:30:53 2018 wav


• scissors cut in a ____ like fashion
+ mp3
Tue May 15 06:13:04 2018 mp3
Bladder flap was created using Metzenbaum scissors cut in a ____ like fashion. The uterus was nicked with a knife.
** • Just can't get it. Any way U can access prior OP report by same dictator? - mn
Tue May 15 07:06:28 2018 mn

** • more + sm
Tue May 15 06:13:30 2018 sm
ladder flap was created using Metzenbaum scissors cut in a ____ like fashion. The uterus was nicked with a knife. The incision was extended in a ____ fashion using bandage scissors. The baby was noted to be in a breech presentation at this point.

• usual sterile fashion. ____ was taken and incision
+ wav
Tue May 15 06:12:17 2018 wav
The patient was brought to the operating room and placed in the supine position. She was prepped and draped in the usual sterile fashion. ____ was taken and incision was made in the Pfannenstiel fashion. The abdomen was then entered in the usual fashion.
** • First count was taken (?, like sponge, instrument, etc. - not sure tho) - mn
Tue May 15 06:37:48 2018 mn

**** • ty - -
Tue May 15 07:32:18 2018 -


• abdomen soft and nontender. No lipoatrophy _____ noted.
- wav :)
Tue May 15 04:46:18 2018 wav :)


• POSTOPERATIVE PLAN: The incisional VAC will stay in place for four day ...
+ mp3
Tue May 15 01:05:17 2018 mp3
POSTOPERATIVE PLAN: The incisional VAC will stay in place for four days postoperatively, at which time it will be taken down and the surrounding skin will be assessed for viability. It is not unexpected given the patients tenuous surrounding blood supply to those areas that some of that skin may break down and ultimately require additional procedures for coverage; however, _____ VAC comes out in four days.



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