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My opinion: In bunionectomy there is an apical access guide, so I guess why not a guidewire?

Posted By: MT50 on 2007-12-19
In Reply to: apical access guidewire? - Country MT

Subject: My opinion: In bunionectomy there is an apical access guide, so I guess why not a guidewire?




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apical access guidewire?
Subject: apical access guidewire?

This is a bunionectomy. s/l apical access guidewire
it's apical axis guide or guid or guidewire. nm
Subject: it's apical axis guide or guid or guidewire. nm

x
Guide wire or guidewire?
Subject: Guide wire or guidewire?

Stedman's has both listed.  Is there a difference?  Stedman's Spellchecker accepts both.


 


Thanks!


Glidewire guidewire. Glidewire is the trademark name & guidewire is what it is. You have to listen
Subject: Glidewire guidewire. Glidewire is the trademark name & guidewire is what it is. You have to listen

really carefully to discern between Glidewire and guidewire, as these docs don't always speak clearly, and there are different types of guidewires besides the Glidewire...boy talk about a play of words. LOL



Bunionectomy
Subject: Bunionectomy

There is a Reverdin-McBride bunionectomy, but that does not sound like your DeVries. It's the only one I found. Sorry can't be of more help!
bunionectomy
Subject: bunionectomy

s/l a viosteotomy was performed through and through. 
type of bunionectomy
Subject: type of bunionectomy

Sounds like maybe "DeVries-McBride bunionectomy."  Very fast talker, slurs the first part.  I can't find any reference to a DeVries bunionectomy or any type of DeVries foot surgery.  The McBride part is clear, however.  Any ideas?
doing bunionectomy, flexery??
Subject: doing bunionectomy, flexery??

Modified Austin bunionectomy with plantar FLEXERY??? modification with screw fixation, left foot.  
Austin Bunionectomy
Subject: Austin Bunionectomy

Local anesthetic was infiltrated in a ??______ block fashion. s/l male block fashion.


Every now and then i get stupafied and can't hear what they're really saying 


 



 


Thanks for your help!


"chelectomy" (with bunionectomy)?
Subject: "chelectomy" (with bunionectomy)?


s/l slapus bunionectomy
Subject: s/l slapus bunionectomy

DIAGNOSIS: NONUNION OF A s/l SLAPUS BUNIONECTOMY
s/l guad bunionectomy
Subject: s/l guad bunionectomy


bunionectomy with s/l sharv osteotomy. TIA
Subject: bunionectomy with s/l sharv osteotomy. TIA

xx
CVT access
Subject: CVT access

Has anyone heard of CVT access?  Chief complaint is "Need for CVT (?) access"
It was apical! nm
Subject: It was apical! nm

nm
apical? WAG here.
Subject: apical? WAG here.


you sure it's not bi-apical ? (nm)
Subject: you sure it's not bi-apical ? (nm)


IV access?
Subject: IV access?

nm
apical HCM--sm
Subject: apical HCM--sm

Apical hypertrophic cardiomyopathy (HCM)
0.35 guidewire
Subject: 0.35 guidewire

Is it correct as 0.35 guidewire or 0.035 guidewire, I get QA back from 2 different people, each telling me to do it in a different way.  Thanks


It's 0.35 guidewire. NM
Subject: It's 0.35 guidewire. NM


0.035 guidewire
Subject: 0.035 guidewire

nm
I always use guidewire, & QA seems okay with it. nm
Subject: I always use guidewire, & QA seems okay with it. nm

x
guidewire
This s/l three thirty seconds guidewire was placed up in the femoral head.
guidewire
Subject: guidewire

According to the medical and surgical equipment word book it is guidewire, guide wire.  One word is preferred, but. .


Glidewire is one word


I bet he's saying access catheter then!
Subject: I bet he's saying access catheter then!


Yes, the KVO allows easy access
Subject: Yes, the KVO allows easy access

warranted.  In my experience, the KVO rate was used during a transesophageal echocardiogram wherein if the patient needed a bolus of a med, then the line was there to give it.  Saline was given at a KVO rate, but I think it also (slow drip) allowed hydration for the patient while undergoing the procedure.  I believe these drips given at KVO rate can be started a lot of times in the ER to allow venous access. 
apical rate?
Subject: apical rate?


apical rate
Subject: apical rate

I think that's it. Thanks!
anteroseptal apical
Subject: anteroseptal apical


Cannot access the site? - sm
Subject: Cannot access the site? - sm

Tried googling http://ssrsurgical.com/index.html but no can find.
I will check on the apical. What's WAG?
Subject: I will check on the apical. What's WAG?


apical peripheral
Subject: apical peripheral

apical peripheral bullae or apicoperipheral....peripheroapical...apical/peripheral??
Is the MT able to access old records
Subject: Is the MT able to access old records

and saw this was the proper medication? That may be where the MT got it.
could it be apical lordotic?
Subject: could it be apical lordotic?

nm
I do see apical in there. subapical?
Subject: I do see apical in there. subapical?


apical capping. nm.
Subject: apical capping. nm.

x
apical capping?
Subject: apical capping?


Apical s/l holcome??
Subject: Apical s/l holcome??

I have tried every spelling I can think of and can not get a confirming hit.  Anyone know what this is?


TIA!


Apical s/l holcome?? Don't know if this will help.
Subject: Apical s/l holcome?? Don't know if this will help.


3. Atrial fibrillation:  Per the CHADS2 criteria score it has a score of 1. However, given that he has an apical "holcome", I have however recommended we continue with Coumadin.


have only typed 0.035 guidewire.......
Subject: have only typed 0.035 guidewire.......

x
some type of guidewire? nm
Subject: some type of guidewire? nm


guidewire question
Subject: guidewire question

Hello all.  Is J wire with or without a hyphen? (have seen both ways, not sure which is correct)  I also here dictator saying "hit" wire?  Is this HIT for HI-torque? TIA


Guidewire or glidewire?
Subject: Guidewire or glidewire?

Doctor is putting in a ureteral stent. Sometimes it sounds like he's saying guidewire, but then other times it sounds like glidewire. Most things I've found on google say guidewire. Could he be dictating both? Which one is usually used in this type of procedure? Thanks.
Need help with name of guidewire. S/L Hydrojag.
Subject: Need help with name of guidewire. S/L Hydrojag.

Using a Microvasive RX 44 Sphincterotome and a 0.035 inch, 260 cm "Hydrojag" guidewire the ampulla was engaged and the common bile duct was preferentially cannulated.


 


I can't find Hydrojag anywhere.


 


The patient is having the following procedure:Endoscopic Retrograde cholangiography with biliary sphincterotomy, biliary balloon sweep and biliary stent placement.


 


TIA.


? Vascular access resistance
Subject: ? Vascular access resistance

s/l it, though VAR could stand for venoarteriolar reflex, venoarteriolar response, etc.
Can you access old reports to see if it's something used routinely? nm
Subject: Can you access old reports to see if it's something used routinely? nm

s
Can you access any of the old reports to see if he "normally" says something here? nm
Subject: Can you access any of the old reports to see if he "normally" says something here? nm

s
s/l mitrophenov access to the bladder?
Subject: s/l mitrophenov access to the bladder?


apical thoracic curve?
Subject: apical thoracic curve?


apical fixed infarct?
Subject: apical fixed infarct?