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This is a patient with an appendectomy.

Posted By: Spice on 2005-11-02
In Reply to:

Subject: This is a patient with an appendectomy.

A window was created at the base of the appendix at the junction with the cecum.  This was confirmed by splaying of the s/l tinea or pinna.  I know these are both wrong, but the closest sound alikes I could muster up.  I got the hospital's bad boys today...


 



 


 




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Appendectomy
Subject: Appendectomy

s/l bobbee?


Hemostatis was obtained with a bobbee??


Thanks,


Cheryl


Appendectomy
Subject: Appendectomy

COuld it be Bovie, maybe???
doing appendectomy
Subject: doing appendectomy

The base of the appendix was reached at the coalescence of the s/l three tinea coli???


appendectomy? nm
Subject: appendectomy? nm


appendectomy
Subject: appendectomy


You are probably right, an appendectomy would be
Subject: You are probably right, an appendectomy would be

x
appendectomy? nm
Subject: appendectomy? nm

nm
could dictator be saying appendectomy?
Subject: could dictator be saying appendectomy?


2nd try--new to basic four--appendectomy
Subject: 2nd try--new to basic four--appendectomy

 Risks involved of recurrent infection, bleeding, wound problems including hernias and ?stump leak?were explained.


 


With the patient in the supine position under satisfactory general endotracheal anesthesia with ?FCDs? in place, the abdomen was prepped and sterilely draped


 


It was grasped with an Allen's clamp and the ?musil? appendix was serially divided and ligated with 2-0 Vicryl suture.


 


Peritoneum was closed with 2-0 Vicryl and the anterior fascia was closed with figure-of-eight ?zero PBS"?.


appy....appendectomy
Subject: appy....appendectomy

nm
Checked EMR-no appendectomy-Thanks for trying.
Subject: Checked EMR-no appendectomy-Thanks for trying.


incidental appendectomy
Subject: incidental appendectomy

//
Appendectomy for fibroids?
Subject: Appendectomy for fibroids?

In a list of past medical history it sounds like the doctor says appendectomy for fibroids- I have never heard of that-anyone else? 
Agreed - incidental appendectomy
Subject: Agreed - incidental appendectomy

x
New to basic four--Appendectomy OP note--HELP!
Subject: New to basic four--Appendectomy OP note--HELP!

 Risks involved of recurrent infection, bleeding, wound problems including hernias and "stump leak" were explained.


 


With the patient in the supine position under satisfactory general endotracheal anesthesia with "FCDs" in place, the abdomen was prepped and sterilely draped


 


It was grasped with an Allen's clamp and the "musil" appendix was serially divided and ligated with 2-0 Vicryl suture.


 


Peritoneum was closed with 2-0 Vicryl and the anterior fascia was closed with figure-of-eight 0 ("zero PBS").


appy? short for appendectomy
Subject: appy? short for appendectomy


appendectomy....s/l McKittrick's veil. Cannot confirm....Thanks!
Subject: appendectomy....s/l McKittrick's veil. Cannot confirm....Thanks!

x
s/l BTV? status post appendectomy (this appears in a list of diagnoses)
Subject: s/l BTV? status post appendectomy (this appears in a list of diagnoses)


doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM


Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.

nm
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.


A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
Subject: A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.

nm
Patient given PPD - sm pls
Subject: Patient given PPD - sm pls

Patient given PPD S/L "agreed" or "read" within the next 72 hours.
Patient does have a UTI but would it
Subject: Patient does have a UTI but would it


same doc. same patient
Subject: same doc. same patient

the lesion was vascular in natureand most likely _____ malformation.


S/L avio-lymphatic


HIV patient. Please sm.
Subject: HIV patient. Please sm.

Doc is dictating a test in relationship to patient's HIV.  He states s/l "firal row"is negative and T-cell count has actually risen since last visit.


Thanks for any/all help! 


do you have a Dx on this patient, and
Subject: do you have a Dx on this patient, and

if not, what is the chief complaint?
new patient
Subject: new patient

On a new patient is this how it should be put?  the doctor says it with chief complaint~~~~CHIEF COMPLAINT:  New patient, arm pain.
OD q.d.? Is it for the patient's eye? nm
Subject: OD q.d.? Is it for the patient's eye? nm

x
cc: the patient
Subject: cc: the patient

then he said, note to the transcriptionist, make sure that a copy of the mri scan results is sent to the patient with this letter.

What is the patient's dx? nm
Subject: What is the patient's dx? nm


Are you sure the patient isn't
Subject: Are you sure the patient isn't

very spiritual, and is hoping for healing through a prayer line? Many churches do have prayer lines and pray for sick people. Usually they don't intend that the person shouldn't seek medical help like it sounds like this patient would be talking about.
How old is this patient?
Subject: How old is this patient?


The patient has a ... (sm)
Subject: The patient has a ... (sm)

. . . distal radius fracture. It s/l the doctor dictates *there is a cast and flink* to right arm.  I thought it might be *splint*, but it really does not sound like that. Any idea?


Thanks, Melissa


Patient is p.o.ing well??????
Subject: Patient is p.o.ing well??????

POing??? or just change to eating?  It's a 3-month-old baby girl.
What is the patient
Subject: What is the patient

in the hospital for? Main symptoms? Specialist seeing the patient?


Is patient ill otherwise? sm
Subject: Is patient ill otherwise? sm

I know you say it is not positive exudate but if the patient is ill or has upper respiratory symptoms, positive could actually be right.
Doc is saying the patient is this PDI-3 or
Subject: Doc is saying the patient is this PDI-3 or

Peduli-3? Never heard of a patient being that, but I have heard of a resident doctor being a PGY-3 after their name. Otherwise, I have no idea. Sorry.
The patient has both, so you must be...
Subject: The patient has both, so you must be...

correct!!!  THANK YOU!!!!!!
but patient has URI, not UTI, yes? (nm)
Subject: but patient has URI, not UTI, yes? (nm)

nm
Patient with AML,
Subject: Patient with AML,

Sentence reads:  We have been watching her counts closely due to the fact that she has blood antibodies and requires s/l "spark of platelets" OR "sparkle platelets".  Any ideas?  TIA.
Thank you but the patient..sm
Subject: Thank you but the patient..sm

only came in for refill of birth control. She was out of insurance for a time period. No infections or anything.

Thank you for trying though. I do appreciate it. This dictator loves to ramble and sometimes not very clear.
The patient is on s/l T P.
Subject: The patient is on s/l T P.

It is definitely some sort of ventilator.
patient
Subject: patient

It is difficult to say whether his shortness of breath is secondary to coronary artery disease.  Ventricular function, underlying pulmonary disease, i.e. s/l a-co-sis, or his weight. 
What is patient seen for?
Subject: What is patient seen for?


Perhaps it has to do with what he is seeing the patient for..
Subject: Perhaps it has to do with what he is seeing the patient for..

?
Patient on s/l flo-air
Subject: Patient on s/l flo-air


could he mean the patient
Subject: could he mean the patient

can CONTINUE routine regimen of Prelief with these other meds?
is this patient HIV?
Subject: is this patient HIV?

Sustiva and Epizicom are given in conjunction for HIV
Patient has hep C
Subject: Patient has hep C

treated with s/l pegasus and ribaviran. These are not listed in my drug book, nor the one online. Not sure of spelling or whether capped. Thank you for your help.
No, the patient is in her 40s.
Subject: No, the patient is in her 40s.

:-)