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could dictator be saying appendectomy?

Posted By: Tinks on 2006-12-01
In Reply to: s/l lapendectomy..... - CM

Subject: could dictator be saying appendectomy?




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holiday...is the dictator an Arab dictator? nm
Subject: holiday...is the dictator an Arab dictator? nm

x
type what dictator said, dictator is not incorrect.....
Subject: type what dictator said, dictator is not incorrect.....

.
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
This is a patient with an appendectomy.
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...


 



 


 


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)


is this dictator ESL (foreign dictator)?....
Subject: is this dictator ESL (foreign dictator)?....

if ESL, I would either blank him or give him that Avodart but the other one I haven't a clue and would have to blank there too.  Sorry :(
Help - not an ESL dictator.....sm
Subject: Help - not an ESL dictator.....sm

Anglo mushmouth cardiologist is saying:


This 85-year-old white male was admitted and had a posterior s/l *A to E* resection for rectal carcinoma. 


I am not sure he is saying *A to E* and I already googled this to no avail. 


TIA for any light anyone can shed on this....really appreciate it...


Dictator says ...
Subject: Dictator says ...

She has a history of being intolerant of an ACE and s/l RHAB. She says it like a word, so it s/l  Are ab


I pretty sure it's an abbreviation like ACE, but I can't make out the exact letters to even know what to look up to be sure. TIA!


When a dictator says Cor S1 and S2, how...sm
Subject: When a dictator says Cor S1 and S2, how...sm

should that be typed?  Coronary:  S1 and S2?
This must be something the dictator often says. sm
Subject: This must be something the dictator often says. sm

Can "preson" be "perfusion?"

"perfusion to tissues?"

"present 2+ pulses?" (awkward)

What are the sentences before and after? Do you have any other PEs from this dictator?

Is this an orthopedic exam or general PE?


Dictator says...
Subject: Dictator says...

CBC showed WBC of fourteen point six thousand.

What is the correct way to type this number?
is the dictator ESL? perhaps not saying N
Subject: is the dictator ESL? perhaps not saying N


You could be right as the dictator is ESL. Thank you. NM
Subject: You could be right as the dictator is ESL. Thank you. NM


two more for same dictator pls sm
Subject: two more for same dictator pls sm

Patient without evidence of a left atrial s/l apinich thrombus.

The patient underwent s/l durakyto cardioversion.

VERY fast talker. Any ideas?

I bet you that you are right though, it is an ESL dictator
Subject: I bet you that you are right though, it is an ESL dictator

and I think he is just flipping through the chart giving me every med she ever had not realizing they are one in the same. I will flag it anyway. You are awesome thank you!
could the dictator be SM
Subject: could the dictator be SM

stumbling over words and saying something like:

First, today I am giving him Vicodin and Skelaxin.

?? Just guessing. Never heard of first aid being used in that way, but I suppose it could be...?
If dictator says
Subject: If dictator says

"blood pressure was in the 140s 150s". How do I type this?
But if the dictator is saying the "A" it has to be
Subject: But if the dictator is saying the "A" it has to be

x
Dictator says:
Subject: Dictator says:

Abdomen is nondistended. No 'LKF' felt. Then he says 'BJE', the patient's abduction is normal.

What is LKF or is the acronym something different?
What does BJE stand for? He is clearly saying 'BJE', but I am not sure about 'LKF'. I still would like to know what BJE means. Thanks

Could the dictator be saying "CU" as in sm
Subject: Could the dictator be saying "CU" as in sm

"cystourethroscopy?"

Need quick help with this dictator please
Subject: Need quick help with this dictator please

This doctor just said


"Initial white blood count was elevated at 12.7 thousand."


Do I transcribe it like that, or do I put 12,700?


TIA!


Dictator said keep LDL cholesterol less than ...sm
Subject: Dictator said keep LDL cholesterol less than ...sm

70 per ----- guidelines.  He rambled off a bunch of initials and slowing him down only made it worse.  I think the last 3 were CHA.  TIA!
Am I hearing this right. Could the BP be 129/135 (ESL dictator)??? (nm)
Subject: Am I hearing this right. Could the BP be 129/135 (ESL dictator)??? (nm)


Dictator kept saying polynephritis ... sm
Subject: Dictator kept saying polynephritis ... sm

but I couldn't find that.  Did she mean pyelonephritis?  There were a lot of renal references in report.  TIA!
Is the dictator foreign?
Subject: Is the dictator foreign?

I wonder if they're saying Ativan.  Some of my foreign dictators say it as "Ati-won".  Just a thought!
maybe dictator meant to say....nm
Subject: maybe dictator meant to say....nm


Without further context, I'd say the dictator was saying sm
Subject: Without further context, I'd say the dictator was saying sm

"gassiness and indigestion" or possibly "gaseous distention" which is verified in the GI Stedman's.



?? Dictator is saying "technique" twice in a row? nm
Subject: ?? Dictator is saying "technique" twice in a row? nm

x
Mumbly dictator...med s/l
Subject: Mumbly dictator...med s/l

The patient has a problem with peripheral neuropathy and the _____ (s/l payomide) was refilled.  A1c is pending.    mumblers today!!
Dictator confusing....sm
Subject: Dictator confusing....sm

I have a dictator that dictated in two different reports.. "No CVA angle tenderness." and the same dictator in another report states "No CV angle tenderness." I am confused as to which is the correct way ?


 



meant dictator
Subject: meant dictator


I agree but dictator might mean...sm
Subject: I agree but dictator might mean...sm

especially if it's an ESL dictator......perhaps if an ESL, he might mean ratio which would be 1 to 1,000,000....1:1,000,000



No, not ESL, just fast dictator sm
Subject: No, not ESL, just fast dictator sm

I thought about "grazed" or "grazing" but, as you said, it really doesn't fit very well in this context.


I really hate to leave a blank because this is an account the MTSO I work for (IC) is trying to get more work from....if that makes sense.


if dictator is ESL, probably *advanced*
Subject: if dictator is ESL, probably *advanced*


Got it ! Bad dictator after many times..sm
Subject: Got it ! Bad dictator after many times..sm

relistening you are right it is heterozygous factor V Leiden.

Thank you all for your help. It is sincerely appreciated.
is dictator ESL? Perhaps disparity
Subject: is dictator ESL? Perhaps disparity