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Could be for central nervous system after the procedure...nm

Posted By: passing thru on 2007-09-23
In Reply to: right total knee arthroplasty sm - sloppy ESL

Subject: Could be for central nervous system after the procedure...nm

s


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nervous system
Subject: nervous system

Motor strength *** right. Test on upper and lower extremites were a normal sensory examination to a light touch.  Intact REFLEXES**2+ symmetric.  Events responses were critical, there is notes and comments.---it sounds like the doctor is saying motor strength coming off to the right???? (can that be correct)    the other problem sounds like Intact (relflexy in purse) 2+ cetrum symmatric)???? please help!! and thanks!!   THE DOCTOR IS A REAL MOTOR MOUTH


Possibly they're post BAK interbody fusion system or procedure? This one's tough! nm
Subject: Possibly they're post BAK interbody fusion system or procedure? This one's tough! nm

s
Nervous asthma is precipitated by
Subject: Nervous asthma is precipitated by

psychic stress.  Not sure if this is the word you are searching for, but considering the horrific everlasting after-effects of 9/11, it certainly might fit. 
Lanx Anterior Cervical Plate System is substantially equivalent to. the following device system mark
Subject: Lanx Anterior Cervical Plate System is substantially equivalent to. the following device system marketed by Sofamor/Danek


MUSE system (medicated urethral system for erections). NM
Subject: MUSE system (medicated urethral system for erections). NM


central? (nm)
Subject: central? (nm)

x
central?
Subject: central?

..
central line
Subject: central line

endoluminal central line
central lobar perhaps? nm
Subject: central lobar perhaps? nm

,
..try central air predominance?..nm
Subject: ..try central air predominance?..nm

nm
s/l terp balloon central - sm
Subject: s/l terp balloon central - sm

Utilizing standard terp balloon central venous kit, the right IJA was identified...
I think it's saccadic pursuit and VII central. nm
Subject: I think it's saccadic pursuit and VII central. nm

nm
found central pore?
Subject: found central pore?


That's it. Although, it sounds more like central porsche.
Subject: That's it. Although, it sounds more like central porsche.

nm
papule with a central core - nm
Subject: papule with a central core - nm


enteral? parenteral? central? peripheral?
Subject: enteral? parenteral? central? peripheral?


Percutaneous Inserted Central Catheter
Subject: Percutaneous Inserted Central Catheter


Could he have meant central venous access? I don't know
Subject: Could he have meant central venous access? I don't know

what the CVP would be, though, unless central venous pressure line?

I would have to see what the patient's other problems were I guess. I have never heard this in an extremity exam before though.
as postop diagnosis says severe central
Subject: as postop diagnosis says severe central

stenosis at L3-4 and 4-5 and s/l fraying/framing?? stenosis at 3-4, 4-5, and 5-1
Thanks....I was wondering about the central force part.
Subject: Thanks....I was wondering about the central force part.

I find referrence to papule central this-and-that, but no central force. Thanks!
s/l rucey procedure -- wondering if it is Ruiz procedure ...
Subject: s/l rucey procedure -- wondering if it is Ruiz procedure ...

The sentence reads "I advised the patient to undergo so-called s/l rucey procedure (i.e., bone graft repair of the nonunion)." This is an orthopaedic doctor dictating. TIA.
Gold's procedure or Gould's procedure..ortho? nm
Subject: Gold's procedure or Gould's procedure..ortho? nm

v
PICC - Peripherally Inserted Central Catheter, nm
x
yes, would be referring to medial, lateral and central compartments. nm
Subject: yes, would be referring to medial, lateral and central compartments. nm

ss
widely patton central spinal canal?
Subject: widely patton central spinal canal?

x
CVP catheter (central venous pressure monitoring)
Subject: CVP catheter (central venous pressure monitoring)

x
Central venous line placement, see message
Subject: Central venous line placement, see message

"


States:  A wire was then passed through the needle, the needle was removed, and the triple lumen was placed over the wire and the wire removed. This was sutured in place, all 3 lumens with a positive s/l "flash." 


Is "flash" lingo for blood return? or is he saying something else.  I've not typed these before. 


TURP central venous cath? Never heard nor cannot find IJA
Subject: TURP central venous cath? Never heard nor cannot find IJA


It is PICC line - peripherally inserted central catheter
Subject: It is PICC line - peripherally inserted central catheter

:)
Bony-impacted s/l palatally position central incisors? nm
Subject: Bony-impacted s/l palatally position central incisors? nm

.
yep umbo — central bulge where the malleus attaches to the drum. ...
Subject: yep umbo — central bulge where the malleus attaches to the drum. ...


PICC line (peripherally inserted central catheter)
Subject: PICC line (peripherally inserted central catheter)


PICC stands for: Peripherally Inserted Central venous Catheter.
Subject: PICC stands for: Peripherally Inserted Central venous Catheter.

x
SIMES procedure or SIMS procedure maybe?
Subject: SIMES procedure or SIMS procedure maybe?

Has anyone every heard of the Simes or Sims procedure?  I never heard of it and I am having a hard time trying to verify.  Perhaps I am not spelling it correctly? 


Thanks!


If he has central nausea and vomiting he may S/L amese?? gastric contexts through a feeding tube.
Subject: If he has central nausea and vomiting he may S/L amese?? gastric contexts through a feeding tube.

NM
nerve preservation procedure or nerve sparing procedure?
Subject: nerve preservation procedure or nerve sparing procedure?


Inserting a PICC or other central catheter? Maybe 'Groshong' catheter? nm
Subject: Inserting a PICC or other central catheter? Maybe 'Groshong' catheter? nm

s
Is an arterial line and central line the same thing? NM
Subject: Is an arterial line and central line the same thing? NM

xxxx
an arterial line usually goes in the arm and a central line in the chest or elsewhere. No they are
Subject: an arterial line usually goes in the arm and a central line in the chest or elsewhere. No they are not the same. nm

.
system
Subject: system

Below is the paragraph.  Cannot find s/l Nuez, news? 


The patient would like to get his s/l Nuez system again.  This is basically an erectile dysfunction system that I have prescribed before.  It is an older system, but it worked very well for him.  I would much rather him do that than use an oral drug.  So I wrote him for that today as well. 


Thanks in advance.


GPA system
Subject: GPA system

Doc dictates G6, P3, M1, Ab2.  I have been searching and cannot find what 'M' is.  Any help is much appreciated. 
Which system?
Subject: Which system?

Sorry for such a stupid question that I should know, but I am drawing an absolute complete blank on this one (just one of those dementia moments)...In physical exam what system would I list this under.  I'm drawing a blank thinking maybe genitalia, pelvic, rectal or what (none of it looks right to me).  I've been sitting staring at it for about 10 minutes now and have just confused myself.This is the info...


Penis is uncircumcised.  He has a 16-French Foley catheter in place.  There is clear urine output.  Testicles are descended bilaterally.  His prostate is 50 grams and benign.  He has normal sphincter tone.


Thanks much


What system?
Subject: What system?

.
Midas system - Thanks!!!
Subject: Midas system - Thanks!!!


TNM staging system per BOS: sm
Subject: TNM staging system per BOS: sm

Arabic numerals on the line and a space after each number. T1 N0 M0


Think you need stomatognathic system. nm
Subject: Think you need stomatognathic system. nm

s
Perigee system for SUI. nm
Subject: Perigee system for SUI. nm

nm
Only 1 other report by this MD in system,
Subject: Only 1 other report by this MD in system,

and whoever txd it blanked the same spot in her report.
Might be a 'needleless system." nm
Subject: Might be a 'needleless system." nm

s
lift system
Subject: lift system

Could he be saying lymph system?
It IS the LAP-BAND system....SM
Subject: It IS the LAP-BAND system....SM

http://www.lapband.com/


LAP-BAND is trademarked and is the name of the system....