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patient going to PT for deep scar massage and

Posted By: paraffin and silicone *pats/patch*? on 2006-04-11
In Reply to:

Subject: patient going to PT for deep scar massage and

TIA!


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physical therapy note - scar massage per s/l super bill
Subject: physical therapy note - scar massage per s/l super bill


Patient uses his s/l Restomet massage chair. ?? Thanks for any help
Subject: Patient uses his s/l Restomet massage chair. ?? Thanks for any help


does the patient have a scar from surgery maybe it is like incisional???
Subject: does the patient have a scar from surgery maybe it is like incisional???

.
Is it a deep-seeded, or deep-seated infection? (of hip prosthesis)
Subject: Is it a deep-seeded, or deep-seated infection? (of hip prosthesis)

x
deep vein or deep venous or pulmonary, and emboli
Subject: deep vein or deep venous or pulmonary, and emboli


I disagree re: deep-seated versus deep-seeded
Subject: I disagree re: deep-seated versus deep-seeded

I believe deep-seeded may be correct.  It is a term frequently used in oncology and dermatology.  "Deep-seeded" means that something has been "seeded" from another site (primary), as in metastasis.  Please do a Google search and form your own opinion on this. 


But - is it a deep-SEEDED or deep-SEATED infection?
Subject: But - is it a deep-SEEDED or deep-SEATED infection?

x
deep seeded or deep seated keratoma
Subject: deep seeded or deep seated keratoma

Help please - which one deep seated keratoma or deep seeded keratoma. 


if only 8 ribs visible, patient's inspiration was not deep enough? better insp. shows 10-11 ribs
Subject: if only 8 ribs visible, patient's inspiration was not deep enough? better insp. shows 10-11 ribs


That's a massage, not a dog. nm
Subject: That's a massage, not a dog. nm

x
Got it - it's resonance massage chair.
Subject: Got it - it's resonance massage chair.


There is nothing before Deep...sm
Subject: There is nothing before Deep...sm

A.D.: Deep nucleations, right, x3, second, fifth and DIPJ of the right hallux.

C.S.: The patient returns for a followup check and is much improved. He still has deep nucleations present.

Treatment/Plan: Today I débrided all lesions. I advised him to continue applying the Duofilm on a daily basis. PTR in three months.

Lay scar????
Subject: Lay scar????

My doctor is dictating what sounds like "lay scar" from previous CABG procedure.  Is there such a thing?  Cannot seem to find it.    Thanks.
It is deep-seated. nm
Subject: It is deep-seated. nm

:)
Meds: Am I looking to deep into this?
Subject: Meds: Am I looking to deep into this?

MEDICATIONS:  He takes Crestor, Diovan, 'lowest' aspirin, Toprol, Flomax, and Trileptal.


Make sense or is there any such other term that would fit there?  I am at a loss with this one and of course there is no hesitation between meds, so I am thinking it belongs together. = )


deep tendon...nm
Subject: deep tendon...nm

x
deep-seated
Subject: deep-seated

Keratosis is described as "deep-seated", so I would think that would be proper for keratoma as well. 
s/l Vansteel scar (sm)
Subject: s/l Vansteel scar (sm)

re: she has a well healed Vansteel scar present"  pt status post TAH/BSO...
buttonhole scar? nm
Subject: buttonhole scar? nm

s
Pfannenstiel scar nm
Subject: Pfannenstiel scar nm

x


glial scar?
Subject: glial scar?

It may be "glial scar"
sternotomy scar
Subject: sternotomy scar

nm
nothing about a scar, still unsure
Subject: nothing about a scar, still unsure


delayed scar?
Subject: delayed scar?


cicatrix (scar)
Subject: cicatrix (scar)


BUCG scar
Subject: BUCG scar

Anyone heard of BUCG or PUCG scar to upper arm?
BCG vaccination scar
Subject: BCG vaccination scar


Where is the scar?? If in the hand could
Subject: Where is the scar?? If in the hand could

be using it for exercises???
Deep tendon reflexes. nm
Subject: Deep tendon reflexes. nm


Deep tendon reflexes?
Subject: Deep tendon reflexes?


DVT - deep venous thrombosis
Subject: DVT - deep venous thrombosis

Depends on the preferences of your company. I just put DVT myself, but my account allows for that.

What is this "plamery cemal"?
deep tendon reflexes are L1+ ? (NM)
Subject: deep tendon reflexes are L1+ ? (NM)

nm
DVT? deep venous thrombosis ? nm
Subject: DVT? deep venous thrombosis ? nm

xx
s/l desevrating to deep pain
Subject: s/l desevrating to deep pain

"He was s/l "desevrating" bilaterally to deep pain." Gentleman had suffered massive subdural hematoma, had decreasing level of consciousness, etc. I know what it must mean, but the word eludes me...
how about ... deep vein ultrasound for DVT
Subject: how about ... deep vein ultrasound for DVT


? deep radial nerve - nm
Subject: ? deep radial nerve - nm


listened again and it is scar tissue
Subject: listened again and it is scar tissue

No not erosion but I listened again and he is saying "scar tissue"


Thanks for the effort!!


butt-healed scar
Subject: butt-healed scar

Is there such a thing.  I am thinking to blunt ends pushed together would be the "butt" ends.  The sentence is:  She has a butt-healed surgical scar.  or could be blunt-healed, but it sure s/l butt.  Thanks!
Proferlinear scar of lung?
Subject: Proferlinear scar of lung?

right mid lung ______ scar. 


Blank s/l profer linear


major scar tissue? nm
Subject: major scar tissue? nm

ssd
scar revision surgery
Subject: scar revision surgery

A triangle was excised with a s/l "bros" triangle. 


Can anyone help?


glial scar. Here is a link
Subject: glial scar. Here is a link

http://books.nap.edu/openbook.php?record_id=11253&page=43
Cicatrix means scar, so
Subject: Cicatrix means scar, so

she may like to form scars becuase she likes to see them.
WAG - scar remodeling exercises?
Subject: WAG - scar remodeling exercises?

trying to soften existing scars?
Location of thymectomy scar. sm
Subject: Location of thymectomy scar. sm

Under physical exam, my doc says "There is a healed right upper parasternal surcigal scar."  The patient had a thymectomy.  I'm supposed to put this under one of the usual headings for a PE, should it be Neck or Thorax?  (The dcotor usually dictates the heading, but did not this time.) Thanks for any help!


well healed s/l fan and steel scar
Subject: well healed s/l fan and steel scar

n/t
Deep nucleations, right, x3, second, fifth and DIPJ of the right hallux.
Subject: Deep nucleations, right, x3, second, fifth and DIPJ of the right hallux.

Deep nucleations, right, x3, second, fifth and DIPJ of the right hallux.

Not sure if I should re-word or exactly where the punctuation goes.

Any ideas?
Yep - crypts - deep pits in tonsils
Subject: Yep - crypts - deep pits in tonsils

Tonsillar crypts are deep recesses found on the surface of the tonsils. Chronic tonsillitis often results from the accumulation of partially digested food debris in the depths of these crypts. When the crypts are particularly deep, the debris may actually form concretions known as tonsilloliths. Chronic tonsil inflammation associated with such debris in the crypts in most cases can be successfully managed by relatively simple oral hygiene measures designed to mechanically cleanse or irrigate the tonsils. Scheduled and regular gargling with antiseptic rinses such as Cepacol or saline-soda solutions (1/4 tsp salt, 1/4 tsp baking soda in 6-8 oz water) are helpful in many. For more difficult cases, the use of a Water-Pik device with pulsating jets of solution directed at the tonsil crypts is advised. Antibiotics may be occasionally recommended for acute exacerbations associated with bacterial colonization of the crypts, however, antibiotics are often not particularly helpful. Ultimately, if these measures fail, and if the individual is sufficiently syptomatic, tonsil removal may be recommended.


deep tendon reflexes are euthyroid?
Subject: deep tendon reflexes are euthyroid?

does this make sense because that is what the doctor says?
s/l SADs for Deep Vein Thrombosis
Subject: s/l SADs for Deep Vein Thrombosis

Doctor is recommending *SADs* or *SEDs* for DVT prophylactics.  Can't figure out what it is???  Any help would be appreciated.
Never mind. He said deep Hemovac drains. nm
Subject: Never mind. He said deep Hemovac drains. nm

x