Hartmann _______ procedure - general surgeon talking about colostomy
Posted By: Anne on 2006-05-09
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Subject: Hartmann _______ procedure - general surgeon talking about colostomy
He's definitely saying Hartmann's ________ procedure, and the blank sounds like "lung."
Thanks so much!
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General surgeon does, too. nm
Subject: General surgeon does, too. nm
I work for a general surgeon who dictates...sm
Subject: I work for a general surgeon who dictates...sm
sestamibi scan on all his parathyroid patients...........
and google to back it up:
Sestamibi Scan for parathyroid disease and Sestamibi x-ray for parathyroid tumors. The Sestamibi scan finds the diseased parathyroid gland.
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Sigmoid colectomy with Hartmann's pouch and end sigmoid colostomy Op.
Subject: Sigmoid colectomy with Hartmann's pouch and end sigmoid colostomy Op.
There was a large perforation of the sigmoid colon present in an area markedly filled with stool. There was large s/l skivus stool present both in the colon and into the peritoneal cavity.
About Hartmann procedure - SM please
Subject: About Hartmann procedure - SM please
He keeps saying "Hartmann One (or I??) procedure. I can find documentation on a Hartmann procedure but can't find anything on a Hartmann One (or Hartmann I)procedure.
Could someone kindly enlighten my fried brain???
TGIF to everyone,too!
Thanks!
Hartmann procedure? nm
Subject: Hartmann procedure? nm
It is Hartmann procedure...:)...nm
Subject: It is Hartmann procedure...:)...nm
x
Ever heard of a Hewitt? procedure done with a colostomy.
Subject: Ever heard of a Hewitt? procedure done with a colostomy.
Physician has in parentheses (abdominoperineal resection) but clear states
patient under went a Hewitt? and at that time a colostomy was done..
Thanks
"imperforated anus, failed colostomy, imperforated anus, plan to do sl teeshart procedure"
Subject: "imperforated anus, failed colostomy, imperforated anus, plan to do sl teeshart procedure"
Here's a general ROS in general order : sm
Subject: Here's a general ROS in general order : sm
(they go from head to toe):
Constitutional, HEENT, Respiratory, (sometimes they give lymphatics before respiratory), Gastrointestinal, Genitourinary, Musculoskeletal (sometimes they say Neuromuscular),
Neurologic,
Endocrinologic, Hematologic,
Psychiatric,
Immunologic/Allergies.
What's missing in your review?
Believe it's Hartmann I (Roman numeral). nm
Subject: Believe it's Hartmann I (Roman numeral). nm
x
Patient on Ovcon-35, _______, and Os-Cal. sm
Subject: Patient on Ovcon-35, _______, and Os-Cal. sm
Patient has menorrhagia and is getting ready to undergo hysteroscopy, D & C. On OCPs to try and reduce blood flow.
Missing medication sounds like (or-pleva). Maybe wor or nor-pleva.
All help is greatly appreciated.
femoral _______ coagulation
Subject: femoral _______ coagulation
The patient has GI bleeding controlled with femoral "echo" or "anti" coagulation. Sounds more like echo but I've never heard of that.
Thanks! 
sentinel node _______ biopsy
Subject: sentinel node _______ biopsy
_______(septal) ointment t.i.d. to buttocks?
Subject: _______(septal) ointment t.i.d. to buttocks?
"In the hospital, patient had _______ privileges that she used to continue smoking."
Subject: "In the hospital, patient had _______ privileges that she used to continue smoking."
S/l "papule" privileges??? Which is obviously not right, but those are the sounds, anyway...
Various possibilities were kept for altered mental status, like _______?, metabolic encephalopathy,
Subject: Various possibilities were kept for altered mental status, like _______?, metabolic encephalopathy,
colostomy
Subject: colostomy
I actually had that surgery. It is common to have a colostomy and then six months later have it reversed or sometimes they call it a takedown. There is a cecostomy that is a fecal catheter if I am reading right so it could be either colostomy or cecostomy.
An ileal resection is the treatment, so I don't know how it was put in as part of the disease.
Pt doing well following takedown of colostomy...take down??? Thx nm
Subject: Pt doing well following takedown of colostomy...take down??? Thx nm
nm
endescending colostomy?
Subject: endescending colostomy?
She blatantly says endescending colostomy, never heard it before. Any ideas?
?SP? colectomy and colostomy
Subject: ?SP? colectomy and colostomy
"She has history of stage IIIB colon cancer with ?SP? colectomy and colostomy. She is on adjuvant chemotherapy....."
Oral Surgeon Help?
Subject: Oral Surgeon Help?
1. Bilateral sagittal split osteotomy with advancement and rigid fixation utilizing ____________ 2 mm placement screws.
Hello..filling in for ortho surgeon. Sounds like Sin these screws...any help?
With a #15 blade a 3.5 cm incision was made over the external _________ridge. A subperiosteal dissection was carried out laterally, adjacent to the ramus and anteriorly along the ramus of the mandible.
Sounds like baked ridge in the mouth? 
s/l a-kee-al plastic surgeon Dr. XXX
Subject: s/l a-kee-al plastic surgeon Dr. XXX
"she had a basal-cell carcinoma excised from her right lower eyelid in xxxDATExxx, by the ==a-kee-al= plastic surgeon Dr."
THANK YOU!!!
I type for a surgeon and he is (sm)
Subject: I type for a surgeon and he is (sm)
always saying fibrocystic change of the breast. Is it breast or breasts?
bright red blood per the colostomy
should it be colostomy bag? The doc just says...no bright red blood per the colostomy.
Down syndrome child with colostomy...sm
Subject: Down syndrome child with colostomy...sm
underwent "PSARP" ? two weeks ago. Very clear, but have not been able to find.
States colostomy is health and then states that the s/l "peroneum" is well healed........should that not be peritoneum? Thanks.
**diversionary** colostomy and had *stomonecrosis**
Subject: **diversionary** colostomy and had *stomonecrosis**
Ahh, my favorite plastic surgeon...
Subject: Ahh, my favorite plastic surgeon...
She's driving me nuts again! Talking about risks of breast augmentation and specifically of retropectoral placement with one of the risks being......"ana faa shun" ...deformity. Anyone know?? thanks.
Do they have a colostomy or ileostomy? Might be appliance is intact. nm
Subject: Do they have a colostomy or ileostomy? Might be appliance is intact. nm
s
end-to-side colostomy, describing the anastomosis? nm
Subject: end-to-side colostomy, describing the anastomosis? nm
s
my surgeon always says opened in the "direction of its fibers"
Subject: my surgeon always says opened in the "direction of its fibers"
Welcome. I have a hand surgeon who forced me to learn that one!
Subject: Welcome. I have a hand surgeon who forced me to learn that one!
and Dr. Bone is an Orthopaedic surgeon in Spokane!
Subject: and Dr. Bone is an Orthopaedic surgeon in Spokane!
Oral and Maxillofacial Surgeon consult?
Subject: Oral and Maxillofacial Surgeon consult?
Colostomy, but Brooke-type suture I guess. Thank
Subject: Colostomy, but Brooke-type suture I guess. Thank
x
..who did last inguinal hernia? Meaning the prior surgeon? nm
Subject: ..who did last inguinal hernia? Meaning the prior surgeon? nm
s
A long shot--the surgeon opened the Ray-Tec sponge and moistened it? nm
Subject: A long shot--the surgeon opened the Ray-Tec sponge and moistened it? nm
x
You'd be amazed. Once I was typing an OP from a very "proper" surgeon and I hear this othe
Subject: You'd be amazed. Once I was typing an OP from a very "proper" surgeon and I hear this other doc
in the background dictating away calling the instrument he was using during his procedure "the green doo-hickey with the spring" and just kept dictating away as if nothing. The poor transcriptionist who got that report went with my blessing. You wonder where they got their medical license at...
It makes sense, he is a very prominent professor and orthopedic surgeon,...sm
Subject: It makes sense, he is a very prominent professor and orthopedic surgeon,...sm
may be just too new to have much info on. I did see an article on Google with the Oakland Bone and Joint Specialists, where he and a colleague, Dr. Jeffrey Mann, were pioneering a new total ankle replacement. This is copyrighted for 2007-2008, so maybe he has developed dressings, bandages and such.
I'm gonna save this one, and if I do find it verified in any medical books, etc., will send you a message about it. Thanks for sharing!
Only thing I can find is Dr. Roger Mann, who is a Professor and Orthopedic Surgeon, and..sm
Subject: Only thing I can find is Dr. Roger Mann, who is a Professor and Orthopedic Surgeon, and..sm
there is a Roger Mann Award from the American Orthopedic Foot and Ankle Society, but I see nothing about a Roger Mann dressing. There is a Robert Jones dressing however. Sorry could not be more help.
s/l rucey procedure -- wondering if it is Ruiz procedure ...
Subject: s/l rucey procedure -- wondering if it is Ruiz procedure ...
The sentence reads "I advised the patient to undergo so-called s/l rucey procedure (i.e., bone graft repair of the nonunion)." This is an orthopaedic doctor dictating. TIA.
Gold's procedure or Gould's procedure..ortho? nm
Subject: Gold's procedure or Gould's procedure..ortho? nm
v
Help with general term...sm
Subject: Help with general term...sm
She says this in the past medical history - negative for any health problems or s/l "renal or anginal disease." But that doesn't make sense as a general term to say.
Thanks!
S/L general ways
Subject: S/L general ways
Patient is ready to be admitted for outpatient surgery tomorrow for right hemicolectomy. When awakened this morning he felt this sharp pain in his right upper quadrant, started having some nausea *** to upper fever of way over 102. (after nausea is sounds like he says general ways to upper fever..."can that be right)? thanks
general malaise? nm
Subject: general malaise? nm
General anesthesia with the use of an s/l LME?
Subject: General anesthesia with the use of an s/l LME?
What is the general consensus on this....sm
Subject: What is the general consensus on this....sm
20-pack-year smoking history or ????
Thanks in advance.
ps: Tara, if your online, I've got the file you need. I'll zip it and send......
general word help
Subject: general word help
On physical doc says slight s/l cog wheeling or something to that nature to explain upper extremities at the elbow. Any ideas?? Cannot find word.
GET - general endotracheal
Subject: GET - general endotracheal
Yes, that's right. It means in general.
Subject: Yes, that's right. It means in general.
Can a general anesthesia be..
Subject: Can a general anesthesia be..
given in "intravenous intubation"? I thought intubation was only a tube in a hollow organ, like the stomach.
General exam would be fine. (nm)
Subject: General exam would be fine. (nm)
.
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