3. CT scan showing an odontoid fracture at the base and also fracture of the posterior ALMA at C1-C2

• 3. CT scan showing an odontoid fracture at the base and also fracture of the posterior ALMA at C1-C2 - Please help. STAT report ALMA?????
  • Lamina - vastar
  • Lamina? - nm
  • Is doc spelling it out, i.e., A-L-M-A? sm - RadGal
  • Posterior elements? - mqpeep
  • ?? foramina ?? - MadamX
  • More info - USMT

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I'm working on an ortho eval for a patient with a PIP fracture.  Doctor has dictated an unfamiliar term (there's always that ONE WORD) for me.  He dictates, "X-ray examination today shows impaction at the base of the middle phalanx with approximately 70% joint surface involvement."  Here's the word I don't know (spelled phonetically--Sorry":  "A syphiant(??) portion of the joint surface is translated dorsally."

If someone could point me in the right direction for finding this word, I would really appreciate it!

Copy the pic.  When you go into word, just view "header/footer" and paste in the pic.  This has worked for me. 

x

I know HIDA scans are nuke med but would they fall into the category of CT/MRI/PET or US/DEXA for billing purposes?

I say CT/MRI/PET but please correct me if I'm wrong.

My 4 y/o daughter is scheduled to have this done tomorrow AM. I have tried to Google it, but not getting much info on it. She was at a specialist today and they scheduled her to go to the Childrens Hosp for a Chalasia scan, which is also referred to as a gastroesophogeal reflux scan. Any info would be much appreciated. thanks

As early as today, the Ft. Custer Training Center, a fenced-in military base just west of Battle Creek, will become home to 500 Hurricane Katrina evacuees.

Just getting my power back and being able to access the internet after Wilma, I know exactly what it's like.  We're in an area that had to ride out the whole eyewall front, side, and back.  At least with the eye going overhead you get a 2 to 3-hour break.  We didn't.  Our power went out in the early morning hours before the storm even hit and we JUST got it back.   The east coast of FL where I am was told to expect a cat. 1 storm by the time it reached us.   Usually that means limited power outages with restoration of power within 24 to 48 hours.   The eye made landfall over the Everglades and it was moving so quickly that by the time it got to us it was still a cat. 3, and with the forward motion of the storm at 25-30 mph, it intensified the wind gusts to a cat. 4 in some areas.   This was much different than the storm we were expecting.

We've got more than enough water and canned goods to last us, and DS joked that we had enough batteries to power a third-world country.  But, we were on the verge of being out of fuel for the grill, camp stove, and lantern, out of batteries for the flashlights and radios, NO ice whatsoever because there is no way that ice will last for 3 days.  Think about preparing for the storm.  If you buy or make ice and your power goes out before the storm even hits, that means day 1 is over before the storm is even over.  By the end of day 2 (which is considered storm day 1 by FEMA) your ice is already starting to melt.  By FEMA day 3, you're already ending your 4th day and beginning your 5th.  Any perishables you had are long gone. 

In Broward County we were promised that ice would be delivered by 2 p.m. on the day after the storm (which had already been almost 48 hours since preparations were completed and the power went out).  People had been waiting in line since 6 a.m. that morning.   By 8:00 that evening the lines were already 1000s of people long and the ice hadn't arrived yet.  Some people's medications had already gone 24 hours without refrigeration by that point.  It was at that point that the announcement was made that ice wouldn't even be delivered to our area by FEMA until the next day. 

So while it may seem to you that all those people are just standing there with their hands out, it isn't quite the picture you paint it.  Ice was more importance than the water and the MREs, but FEMA doesn't let you take 1 without the other.  So while it looks to you that all those people were waiting for meals because they didn't prepare, the majority of them were waiting for ice because what we had was long gone. 

Coming originally from an area that was well known for blizzards in the winter time, the preparation for hurricanes is a lot different.  In the blizzards when the power went out there were blankets for warmth and indoor natural gas stoves for cooking.  Perishables could be placed outside and ice would keep for days.  Frozen goods would stay frozen.  Not so in Florida.  Until you've actually gone through it you don't really appreciate the difference.  And until you've actually gone through it, you're in no position to judge "all those people" waiting for handouts.

Hopefully you answered to the wrong poster as she said nothing about investing in anything to help her KEEP the account she doesn't have it.  If not, you are way off base and rude.    Most of us charge by the line normally and it depends where you live and what you will be providing, printing, is it pick up and delivery, etc.   What kind of doctor, etc.  But most of the time between 12 and 15 cpl, I am at the lower end but that is me.    

If a company hires only ICs, then they cannot expect them to work except for the times they want. 

Typing less than 100 lines a day is not pocketchange because of the pay. 

up on my doorstep, so I have my taxes done by H&R Block.  No guarantee that you still won't have problems with IRS, but it makes me feel better.  I don't claim my house/utilities.  I don't claim nickel and dime stuff either. 

When my mother died exactly a week later I get a letter from the IRS stating she owed $25,000.00 - no explanation.  I was freaking, not only was I grieving but having to worry about this.  I wrote a very nice letter, sent them a copy of her death certificate, and said I thought the issue was a roll-over of an IRA.   My mom didn't have much money and I knew that she had rolled over one so I was just guessing.   They sent me a letter a couple of weeks later saying the situation had been resolved and no monies due.  I  don't know what the problem was, but 5 years later I still have that letter.