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s/l ugly stick was angled near the spleen - gastric bypass nm

Posted By: MCP on 2006-05-23
In Reply to:

Subject: s/l ugly stick was angled near the spleen - gastric bypass nm

nm


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Rou-en-Y = gastric bypass surgery....
Subject: Rou-en-Y = gastric bypass surgery....

There is also the LAP-BAND (adjustable gastric band) which is the other gastric bypass surgery but the one with the least risks versus the Roux-en-Y.


 



is pt having gastric bypass surgery or had it?
Subject: is pt having gastric bypass surgery or had it?


I work for gastric bypass mds and it's always
Subject: I work for gastric bypass mds and it's always


Does this make sense? Gastric bypass, sm
Subject: Does this make sense? Gastric bypass, sm

I cannot confirm this "type" of trocar. It does not s/l "Veirs"-type trocar to me.

An incision was made above and to the left of the umbilicus, through which a #5/12 Visiport US Surgical trocar was inserted under direct vision into the peritoneal cavity. This was followed by placing another #5/12 trocar in the left upper quadrant. Another #5/12 trocar was placed in the epigastric region to the right of the midline. Another #5/12 trocar _____**s/l "varices"-type trocar was placed between the supraumbilical and the left upper quadrant trocar site. The abdomen was insufflated, and all the trocar sites were placed under direct vision.


a stapler used in a laparoscopic gastric bypass
Subject: a stapler used in a laparoscopic gastric bypass

I'm doing an op note dictated by an ESL and he's referring to a stapler that he's using to create the anastomosis in a laparoscopic gastric bypass.  It sounds something like Acolumn, Ecolint or Acumint stapler.  I'm so stumped and would welcome any hints on how to figure out what the heck he's saying!
Gastric bypass proc, dictator says laparoties? nm
Subject: Gastric bypass proc, dictator says laparoties? nm


S/L ? Orville tube or anvil/open gastric bypass (nm)
Subject: S/L ? Orville tube or anvil/open gastric bypass (nm)


I'm guessing here - could be - gastric ulcers, gastric erosions, hemorrhages.
Subject: I'm guessing here - could be - gastric ulcers, gastric erosions, hemorrhages.


If verbatim, you can't get around the ugly phrase. Otherwise, moved via LifeFlight? nm
Subject: If verbatim, you can't get around the ugly phrase. Otherwise, moved via LifeFlight? nm

s
Aortoiliac bypass graft versus aortic-iliac bypass graft
Subject: Aortoiliac bypass graft versus aortic-iliac bypass graft

Can someone tell me whether aortoiliac bypass graft or aortic-iliac bypass graft is proper? I seem to find it both ways when I do a Google search.  Is there a difference? 
Fingerstick, finger stick, or finger-stick?
Subject: Fingerstick, finger stick, or finger-stick?

Which way is most commonly used when in reference to blood sugar tests?
Duh on me! No spleen tip can be palpated.?
Subject: Duh on me! No spleen tip can be palpated.?


I wish it were. He's saying spleen for sure, but s/l dip or dent at the end.
Subject: I wish it were. He's saying spleen for sure, but s/l dip or dent at the end.


s/l bene-spleen
Subject: s/l bene-spleen

For sickle cell anemia.
Ruptured spleen with "rhombesiosis"?
Subject: Ruptured spleen with "rhombesiosis"?

Maybe sounds like thromb-ee-siosis.  I'm clueless!


 


Thanks!


LKS is liver, kidneys, spleen, not sure about BJE. nm
Subject: LKS is liver, kidneys, spleen, not sure about BJE. nm

xxx
I am sure it is spleen tip the. I am so dense today. Sorry.
Subject: I am sure it is spleen tip the. I am so dense today. Sorry.


no 'river' or spleen enlargement?
Subject: no 'river' or spleen enlargement?


 


 It's..


ABDOMEN: No 'river' or spleen enlargement. There was definite fullness in the left lower quadrant with pain on firm palpation.


 


Thanks!


please help - s/l bilaud the spleen or liver?
Subject: please help - s/l bilaud the spleen or liver?

nm
Oh, maybe LKS? Liver, kidney, spleen?
Subject: Oh, maybe LKS? Liver, kidney, spleen?

nm
Dexi-Stick
Subject: Dexi-Stick

Does the patient have diabetes? He/she could be referring to the Dexi-Stick. It's what they poke your finger with to measure blood sugar.
Thanks, I'm going to stick with keloid.
Subject: Thanks, I'm going to stick with keloid.


finger-stick?
Subject: finger-stick?


Medication s/l tee-a-stick
Subject: Medication s/l tee-a-stick

Just in a list of medications and the only thing listed in PMH is hypertension.  (HCTZ also in list of medications).   He's pronouncing it with the accent on the middle syllable, with the A sound like in cat.  Thanks for any help.
liver, spleen, kidneys, bladder nm
Subject: liver, spleen, kidneys, bladder nm


LKS is liver, kidneys, spleen. Still thinking about BJE.
Subject: LKS is liver, kidneys, spleen. Still thinking about BJE.

x
spleen tip but there was *domless* and traub’s space-nm Thanks.
Subject: spleen tip but there was *domless* and traub’s space-nm Thanks.

nm
Your second term is correct: stick tie. nm
Subject: Your second term is correct: stick tie. nm

x
a stick U-draped, prepped with...nm
Subject: a stick U-draped, prepped with...nm

x
Maybe a trek/hiking stick -
Subject: Maybe a trek/hiking stick -

Google muscular sclerosis poles and the first topic is for telescopic hiking sticks. It says they're used by people with MS.
sounds like dexta stick
Subject: sounds like dexta stick

Thanks in advance!
It will stick with thermalogics.. He clearly says it.. will bold it for QA! Thanks for help
Subject: It will stick with thermalogics.. He clearly says it.. will bold it for QA! Thanks for help


I disagree with above - stick with Tricor
Subject: I disagree with above - stick with Tricor


what is entire sentence? could it be "calcified spleen, granuloma, ..." ? nm
Subject: what is entire sentence? could it be "calcified spleen, granuloma, ..." ? nm


I believe it is Dexi-stick blood sugar.
Subject: I believe it is Dexi-stick blood sugar.

Google this to get more information.
What is the fully written out version of "chem stick"? - tia - nm
Subject: What is the fully written out version of "chem stick"? - tia - nm

.
RE: What is the fully written out version of "chem stick"? - tia - nm
Subject: RE: What is the fully written out version of "chem stick"? - tia - nm

Chemstick
Use a diagnostic tool (Chemstick) to measure for the presence of: ...
Use the indicator key on the Chemstick box to measure the pH of the urine sample
glove stick meaning poking with a finger?
Subject: glove stick meaning poking with a finger?

x
Abdomen exam: Spleen tip palbable. No evidence of "poop medusee" !!? TIA!! nm
Subject: Abdomen exam: Spleen tip palbable. No evidence of "poop medusee" !!? TIA!! nm

nm
Axillary-femoral bypass, axillary femoral bypass, or axillofemoral
Subject: Axillary-femoral bypass, axillary femoral bypass, or axillofemoral


Gastric dye?
Subject: Gastric dye?


gastric atony nm
Subject: gastric atony nm


or even gastric paresis? nm
Subject: or even gastric paresis? nm

s
could it be that he is saying gastric polyposia?
Subject: could it be that he is saying gastric polyposia?


perhaps it is "on gastric"
Subject: perhaps it is "on gastric"

xx
GI help s/l Gastric acne
Subject: GI help s/l Gastric acne

Anyone heard of this?  Thanks for your help


gastric lumen?
Subject: gastric lumen?

n/m
s/l gastric parathesis
Subject: s/l gastric parathesis

s/l gastric perithis or gastric partheis?
shallow gastric ulcer
Subject: shallow gastric ulcer

i just would like to ask about shallow gastric ulcer?? pls.. is there such thing? thank you


gastric insufficiency? merely guessing here
Subject: gastric insufficiency? merely guessing here


Gastric pillar procedure? please sm
Subject: Gastric pillar procedure? please sm

I know there is a pillar procedure for snoring so it does not seem to fit.  This is a patient with esophageal cancer that had this procedure that sounds like gastric bullet procedure. Thanks in advance.