Maybe referring to a stitch from the previous fistula??
Posted By: NM on 2008-03-26  
In Reply to: cardio/thoracic surgery help - cm
  
Subject: Maybe referring to a stitch from the previous fistula?? 
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He is referring to restless legs (from previous) but clearly says "skitchy".  Ideas? 
Subject: He is referring to restless legs (from previous) but clearly says "skitchy".  Ideas?  
  
	 
	
A Cimino fistula, also Cimino-Brescia fistula and arteriovenous fistula, is a type of vascular acces 
Subject: A Cimino fistula, also Cimino-Brescia fistula and arteriovenous fistula, is a type of vascular access for hemodialysis 
  
	 
	
they dictated AV fistula?  If so give 'em AV fistula 
Subject: they dictated AV fistula?  If so give 'em AV fistula 
 
 as far as post-end versus postend.....hyphens are used for clarity and in this case I would have used the hyphen.....because it is usually end-stage renal disease....I'd give 'em post-end   
If your account is verbatim and they said AV fistula give them what they said.  If you are allowed to expand, you could give them arteriovenous fistula.....  
HTH (hope that helps).......... 
	 
	
STITCH 
Subject: STITCH 
  THANKS
	 
	
O'Leary stitch 
Subject: O'Leary stitch 
  C-section, right uterine artery laceration repaired with sl-O'Leary stitch.
	 
	
surgical stitch 
Subject: surgical stitch 
 
    
looking for correct spelling of sl krakhour stitch???  
	 
	
S/l Chromex stitch?  TIA, nm. 
Subject: S/l Chromex stitch?  TIA, nm. 
  nm
	 
	
There is a Connell stitch... nm 
Subject: There is a Connell stitch... nm 
 
  
.
	 
	
Maybe Krackow stitch?!?  NM 
Subject: Maybe Krackow stitch?!?  NM 
   
	 
	
s/l transection stitch? 
Subject: s/l transection stitch? 
  Each pedicle was sutured with ___ stitch of 2-0 Vicryl
	 
	
PEG site stitch?  nm 
Subject: PEG site stitch?  nm 
  .
	 
	
I thought maybe PEG Z stitch since 
Subject: I thought maybe PEG Z stitch since 
  it went from a first point to a second and ended at a third?   
	 
	
Rudy Allgower stitch? 
Subject: Rudy Allgower stitch? 
 
 I got the Allgower part, but not the "Rudy" or "Rooty".  Any ideas?  
   
Thanks! 
	 
	
s/l denotty type stitch? 
Subject: s/l denotty type stitch?   
 
 Closing a heel surgical site with nylon in a s/l denotty type stitch.  Anyone??   
Thanks in advance  
  
	 
	
Ruedi-Allgower stitch 
Subject: Ruedi-Allgower stitch  
  Ruedi-Allgower stitch perhaps?
	 
	
Ortho: s/l crack-ile stitch ??? 
Subject: Ortho: s/l crack-ile stitch ??? 
  x
	 
	
s/l Mongoon-type stitch (sm) 
Doing an aortic valve replacement.  The aortotomy was closed in the usual 2-layer fashion with a s/l Mongoon-type stitch.  TIA.
	 
	
Monouguian-type stitch 
Subject: Monouguian-type stitch 
  After receiving information from a very helpful fellow MT, I found that it refers to a Monouguian procedure for aortic valve replacement.  You learn something new every day!  
	 
	
stitch of Berlin?  thks again.  nm 
Subject: stitch of Berlin?  thks again.  nm 
  xx
	 
	
running kinell 3-0 Vicryl stitch??? 
Subject: running kinell 3-0 Vicryl stitch??? 
 
 Hi all,   
I can't seem to figure out what he's saying in between running and 3-0.  It sounds like kinell or canelle, but I can't seem to find anything.  
Thanks for any help! 
	 
	
Dolphin stitch?  Anchovy technique? 
Subject: Dolphin stitch?  Anchovy technique? 
 
 On ligament reconstruction, tendon interposition surgery.  
  
	 
	
s/l ...placing a stitch around the 'Ber-li-sure' (clamp)..nm 
Subject: s/l ...placing a stitch around the 'Ber-li-sure' (clamp)..nm 
  s
	 
	
Left Lateral PEGSY stitch??? 
Subject: Left Lateral PEGSY stitch??? 
  that's how it sounds. they're inserting a gastrostomy tube on an infant with anoxic encephalopathy. 
	 
	
No previous MI.  Tx anyway!  nm 
Subject: No previous MI.  Tx anyway!  nm 
  xx
	 
	
Pt with vaginal hysterectomy. Pedicle was transfixed with a Vicryl s/l Ř and aft" stitch. 
Subject: Pt with vaginal hysterectomy. Pedicle was transfixed with a Vicryl s/l Ř and aft" stitch. 
  At first, it sounded like she was saying a 4 and F stitch, but this lady doc has a "Barbie" voice with a severe case of the sinusitis.  Any ideas? 
	 
	
You might not like this one, but I would go by what QA said on the previous report. This way you hav 
Subject: You might not like this one, but I would go by what QA said on the previous report. This way you have verification in writing of why you chose to keep it this way in case you are questioned on your choice of interpretation. I know we are looking for common sense but we are transcriptions and as we know that is not even close to always being the case in MD dictations. 
  
	 
	
could it be part of previous ?? 
Subject: could it be part of previous ?? 
  could it be the dosing of the med before and you think he is going to the next number in the list?  The "million" part is making me question this.  Otherwise I have no idea.  I hope you find your answer!
	 
	
a previous post 
Subject: a previous post 
  had this same sentence and it was "early satiety"
	 
	
PS to clarify my previous post 
Subject: PS to clarify my previous post 
 
 2 drugs:   
s/l Cadawa NHCTC; I think it's for hypertension or hyperlipidemia.   
s/l Rocethrin. For lesions? Could also be a pain med.   
TIA!    
  
	 
	
I took this from a previous post about eponyms... sm 
Subject: I took this from a previous post about eponyms... sm 
  According to BOS 
 
eponyms 
 
"While the use of the possessive form with eponyms remains acceptible, AAMT's preference is generally to drop the possessive form. 
 
Apgar score, Babinski sign, Down syndrome, Gram stain, Hodgkin lymphoma. 
 
Sometimes an awkward construction calls for use of the possessive form.  This patient suffers from Hodgkin's." 
 
	 
	
just a thought..how about no change to previous? 
Subject: just a thought..how about no change to previous? 
  
	 
	
Previous surgery for s/l lat pulley.  TIA nm 
Subject: Previous surgery for s/l lat pulley.  TIA nm 
   
	 
	
aaaahh, my previous note should be SM! 
Subject: aaaahh, my previous note should be SM! 
  
	 
	
did the link show up with the previous message? 
Subject: did the link show up with the previous message? 
  
	 
	
Found previous note.  It was Sigma...nm 
Subject: Found previous note.  It was Sigma...nm 
  nm
	 
	
Says this patient has previous CVT/CBT..have to expand and not sure what it could be for a PMH term, 
Subject: Says this patient has previous CVT/CBT..have to expand and not sure what it could be for a PMH term, 
 
 any ideas?    
Thanks  
	 
	
Here's a link to a previous MTStars post 
Subject: Here's a link to a previous MTStars post 
  on this same question.  Is this an ENT account?  The best thing would be see if you can get verification from the account, might be some name they have for their own conconction of Maalox, Benadryl and Xylocaine.  I've seen plenty of things misspelled in reports, even standards handed out by an account itself...
	 
	
no, doesn't make sense....previous does 
Subject: no, doesn't make sense....previous does 
 
 is this dictator an ESL?    
prior history of left shoulder pain?  
previous history of left shoulder pain?  
  
	 
	
Found it in a previous dictation - it is Toronto. 
Subject: Found it in a previous dictation - it is Toronto.   
  
	 
	
OOPS DISREGARD PREVIOUS THIS IS WAY IT IS WRITTEN? 
Subject: OOPS DISREGARD PREVIOUS THIS IS WAY IT IS WRITTEN? 
  A trigger point injection at the right gluteus maximus trigger point was performed using mixture of 2 mL 2% Xylocaine and 1 mL 40 mg per mL Depo-Medrol.
	 
	
Agree with previous poster.  NEVER GUESS 
Subject: Agree with previous poster.  NEVER GUESS 
  x
	 
	
I was able to locate a previous report which has 1, so I'll go with that 
Subject: I was able to locate a previous report which has 1, so I'll go with that 
   
	 
	
pt with previous respiratory burns on prednisone and now s/l zo air.  ?? nm 
Subject: pt with previous respiratory burns on prednisone and now s/l zo air.  ?? nm 
  
	 
	
Can you check a sample of doctor's previous 
Subject: Can you check a sample of doctor's previous 
  c
	 
	
patient with previous cesarean section..sm 
Subject: patient with previous cesarean section..sm 
  preterm premature ruptured membranes, history of cervical prolapse and suspected s/l "cor amniotic"  (but her voice trails off at the end so have no idea what she is saying)
	 
	
previous s/l attisoning syndrome secondary to steroid use 
Subject: previous s/l attisoning syndrome secondary to steroid use 
 
  
	 
	
elevated liver functions, previous cholecystectomy. 
Subject: elevated liver functions, previous cholecystectomy. 
 
 CT showed (S/L) ''normobilia''??  (have looked everywhere and cannot find--thanks for any help.) 
	 
	
capitalization rule after the previous word was a number. 
Subject: capitalization rule after the previous word was a number. 
  how to capitalize the first letter of a new sentence if the last word in the previous sentence was a number?
	 
	
Can find 1 small blurb using a Krakauer or Bunnell stitch on torn biceps. Even Tessier's doesn 
Subject: Can find 1 small blurb using a Krakauer or Bunnell stitch on torn biceps. Even Tessier's doesn't 
  s
	 
	
previous s/l "graft trostomy tube placement" along with COPD 
Subject: previous s/l "graft trostomy tube placement" along with COPD 
  previous s/l graft trostomy tube placement" along with COPD 
	 
	
He's saying bowstrung - I located a previous report where another doctor calls it a 
Subject: He's saying bowstrung - I located a previous report where another doctor calls it a  
   nm
	 
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