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see message-info on urologist w/surname Dhanani.

Posted By: perhaps named after this surname? on 2006-12-08
In Reply to: wild guess but there is a surname....Dhanani...n/m - perhaps named after this surname?

Subject: see message-info on urologist w/surname Dhanani.

Urology, January 2005







December 2004 (Volume 172, Number 6)

Successful Outpatient Management of the Nonpalpable Intra-abdominal Testis With Staged Fowler-Stephens Orchiopexy


[[[ Dhanani NN, Cornelius D, Gunes, A Ritchey, ML 
The Journal of Urology.  2005; 172 (6) : 2399-2401]]]



Management of the high intra-abdominal testis is a challenging surgical procedure. Most pediatric urologists today would advocate either a laparoscopic or transabdominal orchiopexy to keep the gonadal vessels intact, but in some patients the testicular artery will be too short and not amenable to a standard orchiopexy. Preservation of these testicles requires either a microvascular procedure, in which the testicular vessels are reanastomosed to larger vessels in the leg, or a staged procedure, in which the vessels are ligated in the first operation, and the testicle is mobilized on a wide strip of peritoneum and moved to the scrotum on the basis of the blood supply of the vas deferens. Recognition of the patients who will require a 2-stage Fowler-Stephens procedure early in the initial exploration is probably one of the most important aspects of achieving a good outcome. Early recognition allows the avoidance of manipulation and possible injury of the collateral blood supply of the vas deferens and peritoneum that is necessary for a successful second-stage procedure. A prior meta-analysis of the previously reported 2-stage Fowler-Stephens procedures found an overall success rate of only 69%. The study authors review their success with a 2-stage Fowler-Stephens procedure.


http://www.medscape.com/viewarticle/501229




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wild guess but there is a surname....Dhanani...n/m
Subject: wild guess but there is a surname....Dhanani...n/m


See message for info
Subject: See message for info

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[


varum? See message for info
Subject: varum? See message for info

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de Quervain. See info in message
Subject: de Quervain. See info in message

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can you hear physiologic? See message for info,
Subject: can you hear physiologic? See message for info,


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Is this a urologist?
Subject: Is this a urologist?

Stuck on MRC but CUA is abbrev. for cystoscopy under anesthesia

Must put this just for laugh, reminds me of riddle/joke.

MR SNAKES
MR KNOT
OSAR
CM EDBD I'S

MR BIRDS
MR KNOT
OSAR
CM WANGS

You read out the individual letters of the smaller words.
Thanks, this is a urologist who always - sm
Subject: Thanks, this is a urologist who always - sm

says for pt to continue on this medication following cystoscopy, stone removal and stents.  He says it very clear, but to date have not been able to find it. 
I work for a urologist and he says..sm
Subject: I work for a urologist and he says..sm

"visually occlusive" quite frequently during this type exam.  Hope this helps.
urologist appointment? nm
Subject: urologist appointment? nm

s
I don't think that would be it because the dr who dictated it is a urologist.
Subject: I don't think that would be it because the dr who dictated it is a urologist.

Earlier in the note, the dr said he did not get an s/l osbot or ozbot appt.
is there a gynourologist or is it Gyno Urologist? NM THANKS!
Subject: is there a gynourologist or is it Gyno Urologist? NM THANKS!


I got this from the Peds Urologist I work from Arizona. SM
Subject: I got this from the Peds Urologist I work from Arizona. SM


This a bladder augmentation with the small bowel ileum (ileocystoplasty) and the creation of a continent catheterizable channel using the small bowel and reconfiguring that into a short tube or channel that is implanted into the bladder. That allows the patient to catheterize from the abdomen (often the belly button) rather than having to cath through the urethra since after the augmentation they usually can not void enough to empty the enlarged bladder. It was described by a physician named Montie (I think at the Univ of Miami) and is now often called a Montie catheterizable channel. Both are an attempt to make a small bladder (eg neurogenic bladder) bigger to hold more urine and avoid urinary incontinence. Essentially trading an enlarged bladder with the need for catheterization to maintain continence for too small a bladder and incontinence. PEG


Just a little humor for a Friday morning. Urologist, Dr. Stone.nm
Subject: Just a little humor for a Friday morning. Urologist, Dr. Stone.nm


Somehow my message went down to the white count message below, please see that message. (nm)
Subject: Somehow my message went down to the white count message below, please see that message. (nm)

x
forgot my message. Please see message
Subject: forgot my message. Please see message

anterior mediastinum


Anterior mediastinum, the narrow region between the pericardium and the sternum containing the thymus or its remnants, some lymph nodes and vessels and branches of the internal thoracic artery.


oops got it I think. no message/see message NM
Subject: oops got it I think. no message/see message NM


more info please :)
Subject: more info please :)

nm
Just info
Subject: Just info

This can be very crippling disease.  I have a friend who is only 33 and cannot even scratch her own nose.  She cannot turn over in bed or do anything for herself.  It is a progressive illness.  When she was little, she could walk and do everything a normal child could and by the time she was a teenager she was in a wheelchair.  Now she is completely disabled.


 


Thanks for all the info
Subject: Thanks for all the info

I came close to leaving a big blank for QA. thanks again for the lesson.
more info here
Subject: more info here

She had a hiatal hernia with some ___clonidine_ distal esophagus. No evidence of Barrett’s esophagus noted.

This doctor is usually clear and I love to do him. Today he has a cold and things sound muffled!
Thanks again for the info
Subject: Thanks again for the info

and for all of the research. I will add these links to my favorites.
more info....
Subject: more info....

The HIDA scan showed a normal ejection fraction of 60 percent. The gallbladder study showed a tiny gallbladder polyp but no stone or sludge. There was necrogenic density in the right lobe of the liver thought to represent hemangioma. There was also moderate gastric distention with concern about possible gastroparesis or outlet obstruction. EGD would therefore be recommended


more info would help...sm
Subject: more info would help...sm

what do they say just before? do you know what part of the anatomy we're dealing with? is this a foreign dictator? is this in the physical exam?
Do you have any further info that might help us out?
Subject: Do you have any further info that might help us out?

.


More info might help (sm)
Subject: More info might help (sm)

Throwing out possibilities that may or may not be obvious, but might only match your s/l if something was cut off or he stammered:

nasal cannula
blow-by
supplementa
canopy
bag-valve-mask
low-flow
humidified


Here is the info...
Subject: Here is the info...

This is from aamt.org regarding the CMT exam.  The CMT exam is taken in a testing center; therefore, there will be no internet access available, i.e., no chance of asking test questions at MTStars during the exam .

May I bring my own reference materials?
Reference materials are not allowed in the testing center, and none will be provided. Electronic aids such as spellcheckers and abbreviation expanders will not be permitted. One of the consequences of using secure testing centers is the elimination of reference materials. However, the exam has been designed so that a level 2 medical transcriptionist (as defined in AAMT’s "MT Job Descriptions") can pass using their critical thinking and problem solving skills and without using any reference materials.


Do I need to find my own proctor?
No. The new exam is being delivered at proctored testing centers.


That is all the info I have about it. Thank you
Subject: That is all the info I have about it. Thank you

x
need a little more info. NM
Subject: need a little more info. NM


more info
Subject: more info

The nitroskaph had allowed the retraction to lateralize.


Talking about doing a myringotomy.


More info please sm
Subject: More info please sm

Is the patient an inpatient? If so, is it possible the doc meant Cancidas?
More info.
Subject: More info.

She repeats it again in the PE and states **Ba-dex Ex-lo-dian** with kyphosis. Hope this helps! Thank you
Need little more info
Subject: Need little more info

Can you type out the whole sentence.
Thanks for the info. nm
Subject: Thanks for the info. nm


sm for more info
Subject: sm for more info

The patient had lateral split depression fracture of tibial plateau and was diagnosed wtih shatzka type 2 fracture. 


 


Thanks


More info!
Subject: More info!

BREASTS:             Fails to reveal any evidence of cellulitis.  Her ______ cath is in place. 


THANKS A MILLION!


We need more info to help you
Subject: We need more info to help you

nm
More info...
Subject: More info...

All I can give is this:


HEENT:  No (s/l: a-la-fearing) pinkish conjunctiva. 


(the patient has active airway disease and is in recovery using Albuterol MDI and Z-pack antibiotics. after that statement she moves on to the rest of the review.)


We want to help but need more info.
Subject: We want to help but need more info.

nm
Thank you very much for the info! nm
Subject: Thank you very much for the info! nm

nm
Thanks for the info
Subject: Thanks for the info


ha ha... thanks for the info.
Subject: ha ha... thanks for the info.


Need more info. that may help?
Subject: Need more info. that may help?

malampoti??? classification III, visualization of the soft palate in the base of the uvula only.


any more info?
Subject: any more info?

could you give the sentence before or after? that might help.
More info
Subject: More info

Bilateral hip films with s/l derma-blessimo (or derma-plassimo) were obtained showing no significant abnormalities. That's the whole sentence. Nothing before or after of relevance.
Any other info or dx?
Subject: Any other info or dx?

Could maybe be saying CII for continuous insulin infusion?  Are they trying to control glucose?


thanks for the info. (nm)
Subject: thanks for the info. (nm)


Here is some info about it. sm
Subject: Here is some info about it. sm

I find that no matter how many times I  think I know this, it always gets me sooner or later, usually on the last thing I am typing for the day!!


 


Here is a link. Hope it helps.


 


http://www.writersblock.ca/tips/monthtip/tipsep99a.htm


The only other info I have is
Subject: The only other info I have is

She had a previous colporrhaphy and had narrowing at the apex and only accomodated a medium sized EAF? sizer. Not much to go on.
Need more info
Subject: Need more info

Can't help without more info. Patient's medical problems, dose of this medication?
info
Subject: info

Need a little more info
Can we have more info?
Subject: Can we have more info?

Can we have a bit more to work with? Want to make sure he/she is not saying polydrug therapy. Thanks!