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Yes, I listened again and it was epidural. How could I miss that??! Thanks nm

Posted By: Tracey on 2008-10-23
In Reply to: anapural steroid injection treatment - karen

Subject: Yes, I listened again and it was epidural. How could I miss that??! Thanks nm

nm


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Pt. having an epidural blood patch. A s/l Husset epidural needle was used to
Subject: Pt. having an epidural blood patch. A s/l Husset epidural needle was used to

inject 20 cc of sterile blood.  Anyone??? 
duh.. a new dr., but how could I miss that??
Subject: duh.. a new dr., but how could I miss that??

NM
thanx, miss banana
Subject: thanx, miss banana

that's surely it.  thank you.  i was so stumped.  nothing worse than a 10-minute op note with only one silly blank in it.... once again, thanks.  you da best!!!
yw...sometimes we try so hard we miss the simple stuff :) nm
Subject: yw...sometimes we try so hard we miss the simple stuff :) nm


Oh my gosh!! sometimes you miss the simplist words. Thanks. nm
Subject: Oh my gosh!! sometimes you miss the simplist words. Thanks. nm

nm
Glad you found it. Brings back memories. Do NOT miss my old derm. dictator. sm
Subject: Glad you found it. Brings back memories. Do NOT miss my old derm. dictator. sm

Because of words like the one you were looking for, and because it seems like she needed a minimum of 10 adjectives to describe every single speck on the skin - "Pt has a small, reddish-brown, raised, oval-shaped, 0.5 cm x 0.5 cm (etc., etc.) spot on the upper left arm..."    (Don't mean to be insensitive to the patients.  Just don't miss it is all I'm saying!)


Yes epidural
Subject: Yes epidural


RK epidural needle ?
Subject: RK epidural needle ?


epidural steroid injections
Subject: epidural steroid injections


doing epidural steroid injection
Subject: doing epidural steroid injection

The skin was then infiltrated with 0.25% bupivacaine, and an ANTIMED????? introducer needle with sheath was inserted and directed towards the 6 o'clock position of the pedicle at L5.  Thanks.


epidural steroid injection
Subject: epidural steroid injection

Sounds like 1 cc "OSORVIEW" was injected.. Any ideas please?
epidural steroid injection s/l
Subject: epidural steroid injection s/l

abscence of "sheen", CSF or paresthesia. Appreciate any and all suggestions!
s/l *epidural bar and broad line * pls sm
Subject: s/l *epidural bar and broad line * pls sm

The canal was narrowed to 7 mm, and the disc osteophyte complex extended 4 mm into the canal.  At C6-7 there was moderate disc space narrowing with broad-based disc osteophyte complex, mild anterior s/l *epidural bar and broad line *central stenosis, a filling defect in the right neural foramen possibly representing a lateral disc protrusion, which would impact the exiting C7 nerve root, and a filling defect extending 7 mm in length x 4 mm.  It was uncertain whether this represented disc or disc osteophyte. 


This doesn't seem to make sense..  Any suggestions here? thanks


Epidural steroid injection help please
Subject: Epidural steroid injection help please

1 mL of *** injected demostrated nice flow in the posterior epidural space.  Thanks for any help!
based on your sounds like, epidural? nm
Subject: based on your sounds like, epidural? nm


Epimed R.K.™ Epidural Needle? sm
Subject: Epimed R.K.™ Epidural Needle? sm


  • Needles and Introducers Products Listing | Pain Management Products


    As with the Epimed R.K.™ Epidural Needle, the RX rear heel is rounded to resist .... Stylet is fitted to the needle and the slot in the hub is in the ...
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    epidural blood patch (EPB) see info.
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    Lumbar epidural steroid injection ...sm
    Subject: Lumbar epidural steroid injection ...sm


    Using #22 gauge needle and loss-of-resistance (s/l 2A or to air) technique. 



    Is this epidural or general? They usually test the skin if
    Subject: Is this epidural or general? They usually test the skin if

    s
    are you doing an epidural steroid injection procedure?
    Subject: are you doing an epidural steroid injection procedure?

    wheal not wheels...give me a little more info before I try to fill in the blanks.  Cat


    Epidural Steroid Injection Technique
    Subject: Epidural Steroid Injection Technique

    s/l Air Ballentine Technique
    Yes, sometimes also as LESI or lumbar epidural steroid injection. nm
    Subject: Yes, sometimes also as LESI or lumbar epidural steroid injection. nm

    s
    probably "benefit" (of pain relief from an epidural steroid injection?) nm
    Subject: probably "benefit" (of pain relief from an epidural steroid injection?) nm


    doing L5/S epidural steroid injection says s/l serium??? floroscopy was used to identify the L5/S1
    Subject: doing L5/S epidural steroid injection says s/l serium??? floroscopy was used to identify the L5/S1

    interspace
    The combined spinal–epidural technique (CSE) has become increasingly popular
    Subject: The combined spinal–epidural technique (CSE) has become increasingly popular

    Can you hear any of this in it?
    She would be an excellent candidate for an epidural and would recommend a s/l call approach SM
    Subject: She would be an excellent candidate for an epidural and would recommend a s/l call approach SM

    since she does have bilateral discogenic-type low back pain, multilevel.
    is it thoracic? Maybe TESI - thoracic epidural steroid injection? Just a guess - nm
    Subject: is it thoracic? Maybe TESI - thoracic epidural steroid injection? Just a guess - nm

    xx
    I listened again and...
    Subject: I listened again and...

    She was probably saying AND butazolidin instead of "em" or "am".  Thank you!
    Listened to it again and that is it! Thank you!!
    Subject: Listened to it again and that is it! Thank you!!


    listened again...
    Subject: listened again...

    I definitely hear an "s" in the middle and a "tide or dide" at the end. Thanks for the suggestions.
    I listened again
    Subject: I listened again

    and I really don't think that is what he is saying. I have worked for this doc for 2 years, he is very easy to understand but I have never heard him say anything remotely like this before. Thanks for helping.
    I listened again -
    Subject: I listened again -

    definitely sounds like "monodide"
    I listened again ...
    Subject: I listened again ...

    I definitly think seasonal is correct, but can't hear exacerbations. Thank you so much for getting me on the right track! I couldn't get over seizures.
    Actually, duh on ME . . . just listened and that is it
    Subject: Actually, duh on ME . . . just listened and that is it

    xx
    Listened again
    Subject: Listened again

    No, the sounds are definitely
    hue - vee - ul. Thanks for the try though.
    listened and listened again and it is....
    Subject: listened and listened again and it is....

    ear and sinus surgery thanks a bunch anyways
    Listened again
    Subject: Listened again

    When listening with a refreshed ear this a.m., it certainly is effaces. Thanks
    listened again...
    Subject: listened again...

    absent is a possibility, but I still can't say for sure.
    listened again, and no thats not it, but thanks for trying nm
    Subject: listened again, and no thats not it, but thanks for trying nm


    Listened again, thats it. Thanks to all! nm
    Subject: Listened again, thats it. Thanks to all! nm

    !
    I just went and listened again - she is saying
    Subject: I just went and listened again - she is saying

    restricted affect. DUH for me!! It's still early for me, ears aren't working right yet.
    I listened again but sm
    Subject: I listened again but sm

    it still sounds like "1000 draped over it".

    Just re-listened and I'm LOL at myself!!!!
    Subject: Just re-listened and I'm LOL at myself!!!!

    He's saying T8-T10. Ha! I tried to make it more difficult than it was...
    I listened again but she definitely says
    Subject: I listened again but she definitely says

    "bath" at the beginning so I'm just going to flag it. Thank you though!
    thank you - but I just listened again s/m
    Subject: thank you - but I just listened again s/m

    definitely sounds like "the view margin" or "the bu-margin" - ??
    Listened again
    Subject: Listened again

    For sure, for sure, it is removal of myxoma. It is so weird how you can hear it so clearly after someone tells you the answer.  Thanks
    I listened again, definitely not deficiency, but thx for trying. mmw
    Subject: I listened again, definitely not deficiency, but thx for trying. mmw


    I just listened again - that's just what he's saying - thanks a bunch!!
    Subject: I just listened again - that's just what he's saying - thanks a bunch!!


    Listened slower, that's it thank you so much!
    Subject: Listened slower, that's it thank you so much!

    :-)
    I listened again - that's not it, but THANKS for the input. -nm-
    Subject: I listened again - that's not it, but THANKS for the input. -nm-

    xx