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s/l darka postop shoe? SM

Posted By: sassee on 2008-01-22
In Reply to:

Subject: s/l darka postop shoe? SM

Patient with diabetes who has an ulceration on her foot - dictator says patient will use Panafil and Fibracol, and  "she will continue to wear the darka postop shoe with a forefoot wedge."


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type of shoe wear for postop cuneiform fracture? s/l cunua nm
Subject: type of shoe wear for postop cuneiform fracture? s/l cunua nm


s/l Repleva 21/7 for postop c-sec?
Subject: s/l Repleva 21/7 for postop c-sec?


Pre and Postop diagnosis is
Subject: Pre and Postop diagnosis is

cholecystitis but he says the procedure is an appendectomy??  That cannot be right or am I crazy??   It is clear as could be.
postop surgery for what?
Subject: postop surgery for what?

what surgery?
postop exercise sm
Subject: postop exercise sm

Surgery was a total abdominohysterectomy and bilateral salpingo-oophorectomy was done with morcellation technique, significant enterolysis and uterosacral plication for vaginal suspension.   Postoperatively doc says she was doing her s/l base-ense-exercises and ambulating........


dr is describing postop incisions- sm
Subject: dr is describing postop incisions- sm

She does have some erythema in her perineum and her buttocks.  She is not tender in this area, and there is no s/l screpadence or sucrepadence or induration noted. 


Anyone doing MT should know if a period is required after postop.
Subject: Anyone doing MT should know if a period is required after postop.

Where did you get your education? If you don't know that much, you should not be in this field as you are a disgrace to the MT field.
Would think "split" sutures, unless this is postop a few days &
Subject: Would think "split" sutures, unless this is postop a few days &

s
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
Pt with postop bleeding txd with s/l QL and polystyrene mixture. (nm)
Subject: Pt with postop bleeding txd with s/l QL and polystyrene mixture. (nm)

  
I-PRO shoe?
Subject: I-PRO shoe?

The doc is describing an offloading shoe.  He pronounces it "I-PRO" but I can't find that anywhere.  The closest I can get is in my Stedman's Equipment Words, "ipos heel relief shoe," but the doctor specifically says it is to shift weight TO the heel, for a forefoot amputation site wound.  Anybody? 
Shoe
Subject: Shoe

Could he possibly be saying hard-shell?
Could be right; they often use an agent to deaden nerves for postop pain. NM
Subject: Could be right; they often use an agent to deaden nerves for postop pain. NM


"High Pro" shoe?
Subject: "High Pro" shoe?

In a wound care clinic note, the doc is recommending what sounds like a "High Pro" offloading shoe.  I can't find that as a brand name anywhere.  Can anyone help?  Thanks!
Maybe Darco shoe?
Subject: Maybe Darco shoe?


Ortho shoe
Subject: Ortho shoe

Ortho shoe - sounds like "have her use the CASS shoe or calf shoe p.r.n."  Cant find either one.  thanks for your help!
nevermind... in-shoe
Subject: nevermind... in-shoe

x
s/l Docko shoe
Subject: s/l Docko shoe

this is some type of foot orthotic i believe.


s/l Docko shoe.


Scarpa shoe - nm
Subject: Scarpa shoe - nm


Need help with s/l - possible shoe type?
Subject: Need help with s/l - possible shoe type?

Patient in with great toenail pain. She had bought some new s/l new mare-uls over the last couple of weeks and had been wearing them and did not feel that they were necessarily rubbing on her feet, however.

shoe liner
Subject: shoe liner

nm
maybe just the "tongue of her shoe"
Subject: maybe just the "tongue of her shoe"


..one day postop removal of a glomus tumor. We also had to do an eardrum repair. nm
Subject: ..one day postop removal of a glomus tumor. We also had to do an eardrum repair. nm


pt. came in with appendicitis, but in postop notes, dictator keeps saying left epi/appe?
Subject: pt. came in with appendicitis, but in postop notes, dictator keeps saying left epi/appe?


s/l Darco weight shoe
Subject: s/l Darco weight shoe

/


Darco shoe. You've got it
Subject: Darco shoe. You've got it

It is as brand name of shoe for postoperative surgery.
Darco surgical shoe
Subject: Darco surgical shoe


ortho shoe type
Subject: ortho shoe type

s/l wreath type shoe

fracture to the proximal phalanx third digit
There is a Darco Wedge shoe. nm
Subject: There is a Darco Wedge shoe. nm

nm
That is funny!! Doc is saying shoe!! He mumbles sometimes!
Subject: That is funny!! Doc is saying shoe!! He mumbles sometimes!

Thanks sooooooooooo much!!
Abby
Drain was removed at this first postop visit- discontinued makes the most sense. Thanks!
Subject: Drain was removed at this first postop visit- discontinued makes the most sense. Thanks!


CXR: Ill defined density seen in the right s/l PROVERBUN apex, which may represent postop change. NM
Subject: CXR: Ill defined density seen in the right s/l PROVERBUN apex, which may represent postop change. NM


there is a cast shoe in the stedmans ortho book
Subject: there is a cast shoe in the stedmans ortho book


Patient has progressed to postoperative shoe from her *TM* walk...TIA (again)
Subject: Patient has progressed to postoperative shoe from her *TM* walk...TIA (again)

xxxx
I found a "tarsal pronator" shoe in Stedman's. nm
Subject: I found a "tarsal pronator" shoe in Stedman's. nm


orthopedics--type of shoe--tarsal? Harstal? Harshall? Partial?
Subject: orthopedics--type of shoe--tarsal? Harstal? Harshall? Partial?

As you can see, I am really reaching for this one.  This is a type of shoe that is worn when someone has an ankle fracture. I'm thinking it could be "tarsal shoe" but then it almost sounds like "Harstel shoe" or something else entirely. I need an expert on shoe types and/or orthopedics to help me!
Postop was colon cyst, question cyst intestinale? sm
Subject: Postop was colon cyst, question cyst intestinale? sm

I just sent to QA to see if they could figure it out :)