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Cardio surg: The LAD gave off a large s/l septa, which was occluded.

Posted By: AJ on 2008-09-14
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Subject: Cardio surg: The LAD gave off a large s/l septa, which was occluded.




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Possibly Tel/Surg like Med/Surg as in telemety
Subject: Possibly Tel/Surg like Med/Surg as in telemety


thickening or "whiskering" of the normal perinephric septa
Subject: thickening or "whiskering" of the normal perinephric septa

dd
partially occluded s/l eep duct
Subject: partially occluded s/l eep duct

I need help with this part on a not so great recording.  The doctor says "At the bronchus intermedius is a partially occluded [s/l eep] duct and [s/l polyp or polished] white pale tissue which [bled (I think)] easily."  Can anyone shed any light?  Thanks.


but I believe occluded is incorrect, should that be excluded??
Subject: but I believe occluded is incorrect, should that be excluded??

I think so.
s/l: Associated mucocellular papillae are occluded ...(sm)
Subject: s/l: Associated mucocellular papillae are occluded ...(sm)

as well as the right frontal recess with moderate polypoid soft tissue within...


mucocellar papillae


or mucocele papillae?  Not finding either one in my search.


 


Thank you kindly :)


OBJECTIVE: Left s/l "EEC" is occluded with soft cerumen.
Subject: OBJECTIVE: Left s/l "EEC" is occluded with soft cerumen.

diagnosis:  Cerumen impaction.
The LAD actually **supplied clavis**S/L to the totally-occluded right coronary artery
Subject: The LAD actually **supplied clavis**S/L to the totally-occluded right coronary artery


OB/GYN surg....
Subject: OB/GYN surg....

under post op diagnosis:   Frozen section s/l musna hysterioma
med/surg/soc?
Subject: med/surg/soc?

Medical/Surgical/Social History: See summary report
CV surg equip
Subject: CV surg equip

During the course of an aortogram, AAA repair and bifurcation graft, he exchanged 0.025 glide wires with 0.035 s/l "Mire" wires, removed the sheath and inserted the bifurcation graft. Mylar maybe (?) but was not able to verify. After deploying the graft, he passed a s/l "AquaTempo" 5-French catheter. I may have a few more of these gems before the report is finished. He is naming every single brand of all the obscure pieces of equipment he can lay his hands on.
ortho surg help
Subject: ortho surg help

The ACL reconstruction was carried out using the hamstring tendon.  We used the (s/l-retrogel-) on the femoral side, 7 mm tunnels were used on femur and tibia. 
Not a surg report
Subject: Not a surg report

A letter. Patient has severe back symptoms. Clearly dictated seclo-strectomy... but cannot find any reference to such a word.

Ortho surg help
Subject: Ortho surg help


Three distal interlocking screws were placed through the outrigger.  A single proximal s/l ADP (or maybe A-to-P) interlock was placed in the most proximal hole. 


 


Any ideas?  Thanks!


Spinal surg
Subject: Spinal surg


My Med/Surg equipment book has sm
Subject: My Med/Surg equipment book has sm

Hasson cannula, nothing under catheter. Vera Pyle confirms Hasson cannula. No Hassan anywhere. Which surgical book are you referring to? Tessier's? I had her original book which had lots of errors in it.

Steadman's Med/Surg equipment...
Subject: Steadman's Med/Surg equipment...

word book had French capitalized.
Ortho surg word help
Subject: Ortho surg word help

 We used 30 cc of allograft "crouton" ?


 


carpal tunnel surg question...
Subject: carpal tunnel surg question...

s/l "as markeys dangling" at the arm and left on the forearm as a tourniquet


from Tessier Surg Word book-sm
Subject: from Tessier Surg Word book-sm

medicated bougie, mercury-filled bougie, mercury-weighted bougie, Maloney mercury bougie. Does it sound like any of these? Also Hegar bougie.
gyn surg- s/l anhydramnios, but can't find it in dictionary.
Subject: gyn surg- s/l anhydramnios, but can't find it in dictionary.


s/l Bio-Track screw? (used in ortho surg) TIA
Subject: s/l Bio-Track screw? (used in ortho surg) TIA


spine surg: s/l D process lamina...
Subject: spine surg: s/l D process lamina...

The muscularature was reflected off the s/l D process lamina.
knee surg: s/l tamajent canal
Subject: knee surg: s/l tamajent canal


surg. colon anastomosis s/l *Egelon-60*. TIA nm
Subject: surg. colon anastomosis s/l *Egelon-60*. TIA nm


Thanks you two...gave up on this one :(
Subject: Thanks you two...gave up on this one :(

nm
What you gave was what I was looking for...
Subject: What you gave was what I was looking for...

... he dictated that upon examination of the incision site there was no ____.  I gave the wrong definition,  but you gave me the right word.  Thanks again!
I gave up...
Subject: I gave up...

No Suboxone either. What a horrid report. Thank you so much for trying to help. Maybe I can just get nailed by QA again. I got critical feedback for misspelling a word that does not even exist yesterday. The doc said it, I spelled it and put a hyphen in between "dis" and the rest of the word, and QA wanted no hyphen. I can't do ANYTHING right of late (very long story including the mtquestions situation).

Thanks again for trying, though!!
Apple troacar (Stedmans Med/Surg Equipment). nm
Subject: Apple troacar (Stedmans Med/Surg Equipment). nm

nm
its Merocel (Stedman's surg equip book)
Subject: its Merocel (Stedman's surg equip book)

x
Stedman's Med/Surg Equipment has 5 pages of sutures sm
Subject: Stedman's Med/Surg Equipment has 5 pages of sutures sm

and lists Krackow as one of them. Cross-referenced in its Ortho book, too.
Yes. It's Corson. See Stedmsn's Med/Surg word book
Subject: Yes. It's Corson. See Stedmsn's Med/Surg word book


enpty port? there are 3 portals used in knee surg...
Subject: enpty port? there are 3 portals used in knee surg...


nasal surg. The lesion was approaching the s/l coleta
Subject: nasal surg. The lesion was approaching the s/l coleta


gyn surg s/l "slim" procedure (for a rectocele/cystocele) TIA
Subject: gyn surg s/l "slim" procedure (for a rectocele/cystocele) TIA


It would help if you gave a little more information
Subject: It would help if you gave a little more information

:
I have tried and tried - if they gave him Suboxone - I
Subject: I have tried and tried - if they gave him Suboxone - I

was trying to make it into Narcan or naloxone - I have the most trouble with Asians because they emphasize the wrong syllable and the consonants are totally blurred.  I almost called my daughter - who is a pharmacist.
Ha! I hate it so much I gave away the
Subject: Ha! I hate it so much I gave away the

only psych reference book I had. It was the old Stedman's one that had psych and neuro mixed together. HATED that book, LOL.

Not only is psych boring, but a lot of it is actually drug rehab, and those patients' problems are 95% self-inflicted out of pure foolishness.


That is what they gave me to dry my milk.
Subject: That is what they gave me to dry my milk.

its not a psych drug.
You gave a really good s/l. nm
Subject: You gave a really good s/l. nm

nm
I gave him Permacath, but still if anyone
Subject: I gave him Permacath, but still if anyone

out there can clear this up, I would greatly appreciate it. I have used Permacath and PermCath on many occasions and not sure which is right anymore.
That's the answer I already gave, though.
Subject: That's the answer I already gave, though.


Thanks...I gave her a blank...
Subject: Thanks...I gave her a blank...

She was clearly saying "saline walked" rather than saline washed or locked. I think she was distracted (dictating at 3 a.m.) and just threw a wrong word in there, so I left her a blank.

Thanks so much for your help!!!
Plastic Surg. Pt has excess skin on right lid due to lateral s/l "heading". TIA. nm
Subject: Plastic Surg. Pt has excess skin on right lid due to lateral s/l "heading". TIA. nm

nm
s/l vilotis coastal incision (during a liver transplant surg)
Subject: s/l vilotis coastal incision (during a liver transplant surg)


spinal surg: s/l C mesh cage and midas m8 drill ?
Subject: spinal surg: s/l C mesh cage and midas m8 drill ?


Good reference is Stedman's Med/Surg Equipment terms sm
Subject: Good reference is Stedman's Med/Surg Equipment terms sm

Long shot (but commonly used)--Jobst stockings?
Yes it was and I could hear it clearly since you gave me the word!
Subject: Yes it was and I could hear it clearly since you gave me the word!


the definition you gave is correct (sm)
Subject: the definition you gave is correct (sm)

i wondered how you got the incorrect spelling to go with it.  must be google huh?  that is a good example of google being incorrect. it finds all kinds of things, even wrong ones. 


but a good definition!!! 


my pea gave out on me very early today LOL
Subject: my pea gave out on me very early today LOL

ewww yeah I bet that wasn't a whole lot of fun lol


If he already gave you a couple, then it would be 'all other...' nm
Subject: If he already gave you a couple, then it would be 'all other...' nm

s
I have a 'normal' the hospital gave to me...
Subject: I have a 'normal' the hospital gave to me...

for cataract surgery and it has super-sharp blade in it.  ...don't know if that helps ya or not.