I don't think that would be it because the dr who dictated it is a urologist.
Posted By: rmb on 2007-10-07
In Reply to: urologist appointment? nm - dunno
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.
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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
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
see message-info on urologist w/surname Dhanani.
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
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
Just as you have it if that's what was dictated. If "one fourth" was dictated, sm
Subject: Just as you have it if that's what was dictated. If "one fourth" was dictated, sm
it would be 1/4 pill or one fourth of a pill.
Def an 'N' dictated - Diabetes unsure of - no PMH dictated
Subject: Def an 'N' dictated - Diabetes unsure of - no PMH dictated
We type it as dictated, if dictated
Subject: We type it as dictated, if dictated
c spine we transcribe C-spine, if cervical then cervical spine.
for PA- DICTATED BY PA's name...nm
Subject: for PA- DICTATED BY PA's name...nm
x
Dictated 427 rbc's and 58 rbc's
Subject: Dictated 427 rbc's and 58 rbc's
what was dictated; if not, do it your way...NM
Subject: what was dictated; if not, do it your way...NM
x
what was actually dictated?
Subject: what was actually dictated?
This was just also dictated under sm
Subject: This was just also dictated under sm
past surgical history, but STILL sounds like dragon pack. This is going to drive me nuts!!!!
exactly as dictated.
Subject: exactly as dictated.
x
L4-5 if that is what is dictated NM
Subject: L4-5 if that is what is dictated NM
xxx
Thanks! He only dictated one N
Subject: Thanks! He only dictated one N
Thank you!
If that is what he dictated, then that is
Subject: If that is what he dictated, then that is
what you use, even though it is usually esophagogastroduodenostomy; however, maybe duodenum has been removed so therefore could be.
Just like he dictated it.
Subject: Just like he dictated it.
x
Yes, as dictated. (nm)
Subject: Yes, as dictated. (nm)
.
I'm not sure if this is one or two drugs being dictated. SM
Subject: I'm not sure if this is one or two drugs being dictated. SM
I will refill her Armour Thyroid and her s/l modratic and estrace
or maybe it s/l modratic in estrace??? any clue what this is ???
do it, regardless if dictated differently...nm
Subject: do it, regardless if dictated differently...nm
x
Whichever way it was dictated. nm
Subject: Whichever way it was dictated. nm
x
it depends on how it is dictated...sm
Subject: it depends on how it is dictated...sm
6600 (no comma) or 6.6 if they say it that way; if they say 6.6 thousand then you give them *6.6 thousand*
give them what was dictated as the pt probably...nm
Subject: give them what was dictated as the pt probably...nm
It's okay. I'd transcribe it as dictated. nm
Subject: It's okay. I'd transcribe it as dictated. nm
/
You don't add in mg or mcg, etc. unless it's dictated. The docs know
Subject: You don't add in mg or mcg, etc. unless it's dictated. The docs know
s
lasered, as dictated
Subject: lasered, as dictated
.
SGOT dictated: 4-2-6 T: 426 or 4.26
Subject: SGOT dictated: 4-2-6 T: 426 or 4.26
SGOT dictated: 4-2-6 T: 426 or 4.26. same with SGPT dictated 1-1-9 T: 119 or 1.19
I have only used galactorrhea as dictated. nm
Subject: I have only used galactorrhea as dictated. nm
Complete hx not dictated
Subject: Complete hx not dictated
Thanks! Kept your info for future reference. Endo doc just dictated as part of hx; did not elaborate, so not sure.
Never heard it dictated but (sm)
Subject: Never heard it dictated but (sm)
I have heard of some hollistic remedies that include a clorox soak of the feet for yellow nails however normally the docs order Lamisil (terbafine hydrochloride). Just my two cents sorry I couldn't be more help.
five-way CABG if that is what he dictated. nm
Subject: five-way CABG if that is what he dictated. nm
xx
I use rule of 2-3 min. per dictated min. (nm)
Subject: I use rule of 2-3 min. per dictated min. (nm)
x
I always type it the way you have it if that's the way it's dictated. sm
Subject: I always type it the way you have it if that's the way it's dictated. sm
Of course, go by your account specifics. If you can change it, some do. I always just type what they say and it keeps me out of trouble. :)
I would just type as dictated. nm
Subject: I would just type as dictated. nm
That's all I can think of too, but the labs were not dictated.
Subject: That's all I can think of too, but the labs were not dictated.
It was most always dictated to me under abdomen.
Subject: It was most always dictated to me under abdomen.
Leave as dictated...sm
Subject: Leave as dictated...sm
I've seen them that high before. You might see transaminitis in the diagnosis or something like that.
No dosage dictated
Subject: No dosage dictated
He doesn't dictate a dosage. Only problems he had dictated were:
hematuria
benign positional vertigo
pancreatitis
Idiopathic thrombocytopenia purpura
I appreciate your help!
I would leave it as dictated,
Subject: I would leave it as dictated,
x
What was dictated just prior to that?
Subject: What was dictated just prior to that?
.
i would type as dictated.
Subject: i would type as dictated.
x
No - most likely means what he dictated. nm
Subject: No - most likely means what he dictated. nm
x
Type whatever he dictated.
Subject: Type whatever he dictated.
x
I think it is when you add words to what was really dictated? NM
Subject: I think it is when you add words to what was really dictated? NM
xx
I would use it if dictated - see message
Subject: I would use it if dictated - see message
I find it on NIH site and American Journal of Physical Medicine and Rehab. I trust NIH.
Would tend to do a dictated
Subject: Would tend to do a dictated
All dictators have their own style (they use particular phrases etc) I would tend to give them what they want. Some may say first diagonal branch, some may have M1 or M2 or (marginal 1 branch and marginal 2 branch.)
No, D means dictated....as in
Subject: No, D means dictated....as in
D is what is dictated so you T transcribe this....
decubiti dictated and you should transcribe decubitus
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