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If you google palmer point incision

Posted By: GSN on 2007-10-27
In Reply to: Maybe he's British? I can find Palmer's point as a spot - for a subcostal incision. nm Wanderer

Subject: If you google palmer point incision

Several articles pop up with "The left subcostal site in the midclavicular line (Palmer's point) was the site of choice" AND "Use of Palmer’s point (left subcostal incision) for primary port entry to undertake therapeutic laparoscopy", ECT. It has to be Palmer's point.


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Is she just spelling Palmer's point WRONG?
Subject: Is she just spelling Palmer's point WRONG?

Why do they even BOTHER to spell things out if they are going to spell it wrong?? I'm thinking it has to be Palmer's point. Anyone agree?
Maybe he's British? I can find Palmer's point as a spot
Subject: Maybe he's British? I can find Palmer's point as a spot

s
Kocher's point is a common entry point for an intraventricular catheter to drain cerebral spinal
Subject: Kocher's point is a common entry point for an intraventricular catheter to drain cerebral spinal fluid from the cerebral ventricles.


Incision, they first make a small incision for the port or trocar to go in for viewing the GI system
Subject: Incision, they first make a small incision for the port or trocar to go in for viewing the GI system

nm
Yes there is V-shaped incision and an inverted T-incision, so maybe they converted from a V to T
Subject: Yes there is V-shaped incision and an inverted T-incision, so maybe they converted from a V to T


Always typed end point. My Stedman's has end point.
Subject: Always typed end point. My Stedman's has end point.


I too love Google but be V_E_R_Y careful w/google
Subject: I too love Google but be V_E_R_Y careful w/google

Google is great for retrieving anything faster than the speed of light *lol* - but if the info comes from a nonverifiable medical website, be very wary.  There are a few I trust only...the NIH for one (Nat'l Institute of Health) and the CDC (Center for Disease Control) and a few others out of the government actually.


As for prescription places, I trusted rx.com for far too long, there are many more reliable drug websites out there... medilexicon.com is a great site and to confirm a proper name of a disease or things like that, there is whonamedit.com which, if you write to the site owner, can be added to (I have done some communication with the site owner so this is 100% true). 


When I first started using google in MT work about 8 years ago as google is not that old, (got online 12 years ago, been an MT since 1980), I had looked up Spironolactone, and Google gave the spelling to me incorrectly and (who knew it was wrong?!?!??) I used their spelling and I was wrong. 


So, only advice is be VERY CAREFUL what YOU CHOOSE to use as far as websites go regarding MT/ME work because in the end you're the one responsible....not google. 



gotta be careful w/Google....I love Google
Subject: gotta be careful w/Google....I love Google


that was my point :)
Subject: that was my point :)

x
EKG help - J Point
Subject: EKG help - J Point

Cardio doc dictates EKG as follows: 

EKG demonstrates normal sinus rhythm at 61 beats per minute with normal axes, normal intervals, J point elevation 1 and 0; otherwise, no ischemic changes.  


But just not sure on how to type the 1and 0 or if he is saying 0, but sounds for sure like 1.  Anyone with any ideas.  This is a new one on me?  Any help appreciated!!!


Sometimes I think you can get to the point where
Subject: Sometimes I think you can get to the point where

Someone new at this might have to look-up a lot things.  Sometimes you just get to the end of your rope with researching especially when the doc isn't sounding too clear or the word is slurred.  We must support one another though not tear each other down.  Why can't people just go by the old saying of "if you do not have something nice to say then do not say anything at all".  To come off like a know it all proves what?  Absolutely nothing in my opinion.  Not everyone is up on everything. 
.062 (point 062)
Subject: .062 (point 062)


The point I believe is that there are
Subject: The point I believe is that there are

so many drugs that sound alike it is dangerous to guess at an allergy.
it's usually ten-point ROS
Subject: it's usually ten-point ROS

or 14-point, etc.
That's exactly the point...
Subject: That's exactly the point...

I like it here, it's you who don't like it here, with all your complaining and bashing and nagging etc........

I think you are not getting it, you are missing the whole point of this discussion.

What fragmented sentences? You don't know what you are talking about.
Incision
Subject: Incision

Patient is undergoing a mediastinoscopy of the paratracheal lymph nodes.  Physician dictates that the chest was scrubbed with betadine and a "supracellanodule" incision was made.  Please help me verify that.
or maybe two-incision
Subject: or maybe two-incision

x
incision
Subject: incision

A s/l gopost anterior vaginal incision was created.
incision? nm
Subject: incision? nm


Incision Name
Subject: Incision Name

Pt. had splenectomy, pancreatectomy, transverse colectomy.  She also had a C-section 2008.  Doc is describing scars on her abdomen.  Multiple trocar scars and a what s/l "foffenstiel" incision.  Thought it might be Pfannenstiel because of C-section, but doc says this scar is midline.  TIA.  -Brenda
I think that's her point. It IS Homer. lol
Subject: I think that's her point. It IS Homer. lol

She's got a good sense of humor about herself. LOL
Great Point
Subject: Great Point

Very good point - never thought of it that way!  Thank you so much and if the doctor asks why I expanded her abbreviation I will explain it exactly like that!


Thank you so much!


axial point, maybe
Subject: axial point, maybe

nm
Yes, I know. The point is, he didn't SAY that sm
Subject: Yes, I know. The point is, he didn't SAY that sm

Although he does mention "near the perforation" later in the report.


My point is, docs sometimes use the abbreviations they use in speaking in their reports as well. Most of the time I will type them out, but it bugs me either way - I like to type verbatim and not add anything the doc didn't say, but if he says it wrong, what are you going to do? (Except maybe leave him a message.)


Could someone point me in the right direction please?
Subject: Could someone point me in the right direction please?

 11-year-old with neurofibromatosis, autism, and behavioral disorder. Doc states, "He is on a multiplicity of medications including lithium, S/L hel-a-trek-sone, Abilify, gabapentin, and Trileptal.


 


He very clearly states this drug just like the S/L above, but I am finding nothing of the sort. Thanks for looking!


so is an exclamation point...sm
Subject: so is an exclamation point...sm

WHO HAS THE PROBLEM AGAIN??
WHO HAS THE PROBLEM AGAIN??
WHO HAS THE PROBLEM AGAIN??

LOL LOL LOL LOL

SEE ME SHOUT, SEE ME DANCE.
SEE YOU FEEL humbled LOL
SO IS AN EXCLAMATION POINT LOL LOL LOL
Subject: SO IS AN EXCLAMATION POINT LOL LOL LOL

/
Sorry, static at that point, but SM
Subject: Sorry, static at that point, but SM


S/L
Less than rock

almost like left and right BUT exam is for left side probem.. This one might get a blank. Thanks


could it be Kocher point?
Subject: could it be Kocher point?

nm
There is Kocher's point. sm
Subject: There is Kocher's point. sm


Neurosurgery - Fulltext: Volume 53(3) September 2003 p 778-780 ...





The ventricular catheter and shunt valve were placed through a burr hole at Kocher's point, and the distal end of the catheter was placed in the superior ...
www.neurosurgery-online.com/pt/re/neurosurg/fulltext.00006123-200309000-00028.htm;jsessionid=GKwVBXTBQDzc... - Similar pages

End point or endpoint?
Subject: End point or endpoint?

I have done ortho for many years and have always typed "endpoint" but I have noticed on some previous files typed by other MTs they use "end point." My stedman's ortho book lists it as "endpoint" (Lachman has a firm endpoint).  Does anyone know which is preferred?
Two-point discrimination?
Subject: Two-point discrimination?


Two-point discrimination
Subject: Two-point discrimination

Two-point discrimination is a term used to describe our ability to discriminate (detect) touch from two different points, or sources, versus one point.
Good point!
Subject: Good point!


That is where I have it also, someone was kind enough at one point to tell me about it!
Subject: That is where I have it also, someone was kind enough at one point to tell me about it!


good point!
Subject: good point!

Sorry, she has thyroid nodules and the doctor sounds like she wants to test her for thyroid cancer.
Just wanted to point out that the
Subject: Just wanted to point out that the

actual instrument, the Hyfrecator, is capitalized.  
thank you, got me point in the right direction...sm
Subject: thank you, got me point in the right direction...sm

actually said s1 and s2 over all valve areas.  THANK YOU again! 
I clearly see your point Jenny.
Subject: I clearly see your point Jenny.


I think you missed the point.
Subject: I think you missed the point.

We all know what they mean. It's trying to decipher what the doc is saying when they barely open their mouths or are talking a mile a minute. When they say hyper___ or hypo____ and then never mention it again in the dictation, what to do? I think that's what she meant.
s/l 3-point pin headrest
Subject: s/l 3-point pin headrest

operation is laminoforaminotomy:


"in the supine position after the application of the ________ headrest."  s/l 3-point pin????


Pfannenstiel incision.
x
Incision into the uterus
Subject: Incision into the uterus

What is the correct medical term for this incision????
Pfannenstiel incision.
Subject: Pfannenstiel incision.

nm
Cusiform incision?
Subject: Cusiform incision?

Used in an incision and drainage procedure with tracts going in different directions.
Benirschke incision.
Subject: Benirschke incision.

/
skin incision
Subject: skin incision

typr of kin incision used in cesarian section.
incision for ZMC fracture
Subject: incision for ZMC fracture

type of incision in zygomatic malar complex fracture
Maylard incision. nm
Subject: Maylard incision. nm

x
It's circumareolar incision
Subject: It's circumareolar incision


Dural incision
Subject: Dural incision

I no longer see the post, but dural incision of "Tisseel".