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Seems to mein what I am reading that anterior fundoplication is what is performed in terms of achala

Posted By: MT50 on 2007-10-26
In Reply to: need help with fundoplication see msg - stuck

Subject: Seems to mein what I am reading that anterior fundoplication is what is performed in terms of achalasia?




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Two ENT terms.. I get stuck everytime, and I have not heard any feedback on either of these terms-sm
Subject: Two ENT terms.. I get stuck everytime, and I have not heard any feedback on either of these terms-sm

Head thrust demonstrates no catch-up "sicods"

ALSO

"Facutto" step/march testing.

Thanks in advance.
s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.”
Subject: s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.”

From a TEE report (doctor with thick Indian accent):


s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.”


 


 


do you hear anterior flexion (anterior west makes no sense) nm
Subject: do you hear anterior flexion (anterior west makes no sense) nm


in layman's terms or laman's terms?
Subject: in layman's terms or laman's terms?

Thanks for help!


pardon me? of course they're science terms, but they're also MEDICAL terms...see link
Subject: pardon me? of course they're science terms, but they're also MEDICAL terms...see link

http://www.americanmedicalsystems.com/womens_product_category_objectname_female_vaginal_prolapse_prod.html


Stedman's Medical Equipment terms book or the Ortho terms book would help. nm
Subject: Stedman's Medical Equipment terms book or the Ortho terms book would help. nm

x
maybe Dor fundoplication.
Subject: maybe Dor fundoplication.

x
need help with fundoplication see msg
Subject: need help with fundoplication see msg

Patient has achalasia and is status post s/l antral? fundoplication.


It sounds like antral or antero- but I don't find any resources that call the achalasia treatment that specifically.


Thanks.


s/l doll fundoplication
Subject: s/l doll fundoplication


Nissen fundoplication
Subject: Nissen fundoplication

He keeps saying "wrap".  And would it be first or 1st for this.  Thanks in advance you guys.


 


"Two additional sutures were placed cephalad to first (1st), approximating the right and left sides of the wrap without going through the esophagus.  The wrap was loose and"


Nissen fundoplication
Subject: Nissen fundoplication


Nissen fundoplication nm
Subject: Nissen fundoplication nm

x
Nissen fundoplication (nm)
Subject: Nissen fundoplication (nm)

x
Sorry, Nissen fundoplication (GI)
Subject: Sorry, Nissen fundoplication (GI)

nm
Nissen fundoplication with s/l cruroplasty..
Subject: Nissen fundoplication with s/l cruroplasty..

Can anyone confirm this term?  I see it on Google but not in a book.  Thanks.
Could be Veritas patch for Nissen fundoplication....nm
Subject: Could be Veritas patch for Nissen fundoplication....nm

nm
There is a shoeshine maneuver associated with a Nissen fundoplication (Stedman's surgery and web
Subject: There is a shoeshine maneuver associated with a Nissen fundoplication (Stedman's surgery and web results) I don't know about standalone yet.


I think your doc has been reading
Subject: I think your doc has been reading

too much Harry Potter. I think there are Lamentors in there.

No wait, those are Dementors.

Never mind.
reading of an x-ray sm
Subject: reading of an x-ray sm

His zygomatic frontal and zygomatic temporal bones ? are all intact
I bet it is reading! nm
Subject: I bet it is reading! nm

,,
He is reading from a list sm
Subject: He is reading from a list sm

that the patient wrote so I feel sure that is it. Thanks!
I believe you are reading it wrong sm
Subject: I believe you are reading it wrong sm

There is a comma between tics and the next item so tics and spasm are separate items. 
Reading the article below it seems to dB
Subject: Reading the article below it seems to dB

The relationships among visual acuity (log MAR), diagnostic category, age, the magnitude of a relative afferent pupillary defect (RAPD) in log units, photopic foveal thresholds to white and colored light (dB), and the mean deviation on the Humphrey visual field (dB) were studied in patients with various optic neuropathies. All acuity and dB values were expressed as interocular differences, the majority of cases having normal acuity in the fellow eye. In multiple regression analyses, acuity and RAPD were alternately chosen as the dependent or response variable with all remaining variables serving as the predictors or independent variables. The main finding was that the only significant predictor of a RAPD was the interocular mean deviation difference on the Humphrey field and the only significant predictor of acuity was the foveal threshold to white light. Redundant and insignificant variables were therefore identified with multiple regression analysis. Subsidiary findings include: (a) although diagnostic group was not a significant predictor in the above, simple linear regression line slopes relating RAPD magnitude to the Humphrey mean deviation were significantly different between optic neuritis and compression categories; (b) for a given level of acuity, foveal thresholds were substantially worse in these cases with neuronal damage than in strabismic amblyopia, refractive error, or corneal damage; and (c) sensitivity losses for red vs. blue light were similar...


Perhaps he is reading what the patient
Subject: Perhaps he is reading what the patient

incorrectly wrote down in place of Maxalt.  That's not so uncommon.  I'd leave a blank.
Can a lab reading be "small"??
Subject: Can a lab reading be "small"??

Patient is having high blood sugar and in her labs, dictator says something that s/l "serum acetone small."  Is this right or am I crazy?
Hmm after reading the dictation again, you may be right...sm
Subject: Hmm after reading the dictation again, you may be right...sm

Mohs does make sense, he does say with negative results, and this was done some time after the p63, TTF-1, etc.  THANK YOU for that great point!  My brain is so done today. 


Reading your sentence I would think sm
Subject: Reading your sentence I would think sm

That the EEC is enteropathic E. coli due to the anxiety. 
He may be reading from what the pt wrote
Subject: He may be reading from what the pt wrote

My doctor does that. He reads the drug as it was incorrectly written by the pt or the medical assistant. I have to look at the PMH to figure it out.
*oscopy was performed. ??
Subject: *oscopy was performed. ??

The beginning of this word is cut off.  All I can hear is "oscopy" was performed that showed internal hemorrhoids. 


Would this be "endoscopy"  ??  Any help appreciated!


Sure this is not the name of the facility performed at?
Subject: Sure this is not the name of the facility performed at?

MRI at Open Imaging of Redwood?
Procedures... would these be performed by MD or DDS?
Subject: Procedures... would these be performed by MD or DDS?

Cricopharyngeal myotomy and swallowing study.


s/l pan-cystoscopy was performed
Subject: s/l pan-cystoscopy was performed

I've never had a prefix added to cystoscopy.  Does this make sense?
Do you have the name of the procedure performed?
Subject: Do you have the name of the procedure performed?


He says it as the procedure performed
Subject: He says it as the procedure performed

"Port: Right IJ single-lumen power port."


Stuff like this makes me look bad and also paranoid.  The suits only look at QA scores, that type of thing, and never how crappy the report was. 


It's just one of those nights.


Thanks so much...


cardiology, echo reading
Subject: cardiology, echo reading

The aortic valve appears to be a s/l tri-commish-er valve with fusion of one s/l commish-er and acts as a bicuspid aortic valve.


 


he is pretty clear with both of these, but I cannot verify either one. Thanks!!


How is this being treated or is this an xray reading? nm
Subject: How is this being treated or is this an xray reading? nm

s
Blood Pressure Reading
Subject: Blood Pressure Reading

I had a doctor who did this also, and the person who QA'd my report told me to put it just like you have it except told me to use 120/80 without the "s".
Blood glucose reading, please sm
Subject: Blood glucose reading, please sm

Doc is saying "patient went back on Metaglip and now his sugars are around *100 mg percent*.  I've never heard that, just sugars around 100 or whatever, no "mg percent".  Thanks for any help!
reading that, it sounded rude. sm
Subject: reading that, it sounded rude. sm

I did not mean it that way. Again, just a pet peeve of mine.
As the type of operation being performed
Subject: As the type of operation being performed

Debridement of nonunion, right distal femur with bone grafting (cancellous chips allograft and INFUSE BMP bone grafting).

I am asking because I found it 3 different ways and thus my confusion.
A cardiac cath is usually performed
Subject: A cardiac cath is usually performed

through the femoral artery that runs past the knees. 
Maybe pending as in ordered, but not yet performed?
Subject: Maybe pending as in ordered, but not yet performed?


May we have the sentence please and the procedure being performed?
Subject: May we have the sentence please and the procedure being performed?


Is this performed on a baby or an adult?
Subject: Is this performed on a baby or an adult?


re: urinalysis..."long dip was performed"
Subject: re: urinalysis..."long dip was performed"

She is saying "s/l long dip was performed and showed a pH of 7.5. 


I can't reference "long dip".  Is this what she is saying??  Thanks in advance!


Bet the doctor is reading off the patient's list that sm
Subject: Bet the doctor is reading off the patient's list that sm

the patient wrote him/herself. When they can't tell what it is, they often spell it the way the patient did. I'd leave a blank and make a note with the doctor's spelling if you've already researched the term and found nothing to verify it. I found nothing in my Drake. I never trust a doc's spelling of ANYTHING!!


Bet the PA is reading the patient's history sheet. sm
Subject: Bet the PA is reading the patient's history sheet. sm

9 times out of 10 it is  arthroscopy and meniscectomy.


Is this a follow up to lab work or reading a film, etc.? nm
Subject: Is this a follow up to lab work or reading a film, etc.? nm

s
I always enjoy reading your replies. Thanks for the info also!
Subject: I always enjoy reading your replies. Thanks for the info also!


reading med list says Toprol, B6?, Protonics..is B6
Subject: reading med list says Toprol, B6?, Protonics..is B6

B6 is okay?
He's very clear. I'm thinking he's reading from pt note.
Subject: He's very clear. I'm thinking he's reading from pt note.