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GPA system

Posted By: medtran on 2008-03-18
In Reply to:

Subject: GPA system

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


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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


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.


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.
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


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....


also a total hip system
Subject: also a total hip system


it's really Wound V.A.C. System but we are not to
Subject: it's really Wound V.A.C. System but we are not to

The V.A.C.® System


means vacuum-assisted closure system.......


VHS ? VerSys Hip System
Subject: VHS ? VerSys Hip System


cage system? nm
Subject: cage system? nm


pelvicalyceal system
Subject: pelvicalyceal system

VS pelvocaliceal system?  Same, different, incorrect?


Cocept system
Subject: Cocept system

There is a brand name Concept system for rotator cuff repair that one of my doctors uses.
s/l system AB scan
Subject: s/l system AB scan

suggesting inferior septal ischemia ??
Lymphatic system
Subject: Lymphatic system

x
PACS system
Subject: PACS system

Many, many hospitals use the PACS system and well as imaging centers. It is the electronic digital system that allows the x-rays to be viewed on a computer screen as opposed to the old school view box. They usually have an PACS administrator that oversees all problems related with the system. It now has an added dictation/transcription portion that can be purchased to go along with the system. If you are doing Radiology transcription PACS is a word you will hear alot, not so much in dictation but in film storage, etc.
Rise system?
Subject: Rise system?

anterior repair with mesh sling using the "RISE" system??


S-ROM is an arthroplasty system
Subject: S-ROM is an arthroplasty system

nm
tissue expander system
Subject: tissue expander system

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Oratec (ORA-50 Electrothermal System) nm
Subject: Oratec (ORA-50 Electrothermal System) nm


? RFS stylet - - (RFS for radiofrequency system). nm
Subject: ? RFS stylet - - (RFS for radiofrequency system). nm

X
osteotomy fixation system
Subject: osteotomy fixation system

S/L  Illumitek Smart Now bioabsorbable
probably the passer from the Endosuture System...sm
Subject: probably the passer from the Endosuture System...sm

I would just type "Endo passer." I pulled this from J&J site for you: Endosuture System
A versatile group of products designed to bring simplicity and control to endoscopic suturing and ligation.Precise control of sutures during suturing and ligation. Sensitive feel of tension when tying knots. One handed operation of ENDOLOOP ligature. Relative easy to learn. VersatileWide variety of sutures, needles, pre-tied loops, knots, and ENDOLOOP ligatures. Brings simplicity and control virtually every endoscopic suturing ligation procedure. Cost-effectiveMetalic ENDOHOLDER: May be reloaded multiple times during a procedure. Offers simplicity, control and easy of learning. Integral plastic suture passer and slider button may eliminate the need for an extra trocar in certain procedures.
Fast T-Fix suture system. nm
Subject: Fast T-Fix suture system. nm

nm
superior of the legal system? sm
Subject: superior of the legal system? sm

like when her stress might be superior of the legal system, meaning above and beyond her problems w/legal system?


Just a wild guess 


fear of the legal system? nm
Subject: fear of the legal system? nm


lift system? - 2 questions!
Subject: lift system? - 2 questions!

He reports that he has seen his doctor with regard to his urethral trauma, and his S/L: lift (LIFT?) system is working well.


He is status post right femoral to popliteal artery bypass graft...


Should this be written as right femoral-popliteal artery bypass graft?


TIA!!


Maybe "Dynesys Spinal System" - nm
Subject: Maybe "Dynesys Spinal System" - nm


s/l discectomy with Maxis? system
Subject: s/l discectomy with Maxis? system

Anyone heard of this??
No samples yet in the system, new account. nm
Subject: No samples yet in the system, new account. nm

nm
is there an X-plant osteotome system
Subject: is there an X-plant osteotome system


rapid advance system
Subject: rapid advance system

I'm transcribing an op note for a biventricular defibrillator implantation dictated by an ESL.  If I'm understanding him correctly, he says, "A rapid advance system was utilized to cannulate the coronary sinus." 


I've checked my references and googled to see if this rapid advance system is a brand name and can't seem to locate it.  Is anyone familiar with it? 


I believe it is Rapido Advance system
Subject: I believe it is Rapido Advance system


Could also be Kiwi vacuum system
Subject: Could also be Kiwi vacuum system


Here's the author of the system discussing it.
Subject: Here's the author of the system discussing it.

Re: "use staging as roman numerals and grading as arabic???? "

That's right. Here is an interview with Professor Christopher Elston, who invented the system. He's saying it's a grading system, and what that means to us is use arabic:

http://www.esi-topics.com/breast-cancer/interviews/Prof-Christopher-Elston.html
Internal fixation ZHS system?
Subject: Internal fixation ZHS system?

PREOPERATIVE DIAGNOSIS


Comminuted intertrochanteric fracture, left hip.


 


OPERATION PERFORMED


Open reduction and internal fixation with _______0m:15s_______ system, left hip fracture using 135 degree 4-hole side plate, 80 mm hip screw.


 


blank s/l ZHS


 


Pleurax drainage system?
Subject: Pleurax drainage system?

S/l "Pleurax" drainage system- can't find this. Thanks for any help. He is not saying pleural drainage system, definitely s/l Pleurax.
RPTC 3 stemmed system?
Subject: RPTC 3 stemmed system?

The patient returns in follow-up postop right total knee arthroplasty revision, femoral and tibial component, 09/29/08, with diffuse sigma RPTC 3 stemmed system, with fully coded femoral and tibial sleeves.


I cannot find, with the exception of Rinecker Proton Therapy Center, which I don't believe is correct.  Thanks for any help. 


first, it is arterial system of the legs...sm
Subject: first, it is arterial system of the legs...sm

the layout usually depends on the client, but I would probably type it as Right Leg: xxx
You do not use fractions with metric system.
Subject: You do not use fractions with metric system.

x
Our hospital uses a PACS system for
Subject: Our hospital uses a PACS system for

x
Your company more than likely has a system in place, but...
Subject: Your company more than likely has a system in place, but...

Is there a PCP or specialty doc? If so, the letter would be to him, with other doc cc'd. If it doesn't matter, then I'd put the first one dictated as the main addressee and cc the other.
multi system atrophy
Subject: multi system atrophy

or multiple system atrophy
Vac-Lok patient immobilization system
Subject: Vac-Lok patient immobilization system