I got this from the Peds Urologist I work from Arizona. SM
Posted By: MT and worn out on 2009-02-20
In Reply to: Monteurochannel for urinary incontinence - MTKT
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
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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.
where are you in Arizona? I live here too. NM
Subject: where are you in Arizona? I live here too. NM
:
There is an Arizona brace. I have
Subject: There is an Arizona brace. I have
it in my notes. I worked in orthopaedics previously.
UCN* or Arizona brace-type orthotic???
Subject: UCN* or Arizona brace-type orthotic???
If this works, she may benefit from ___ or ___(dASO) brace-type orthotic....
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.
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.
peds
Subject: peds
How old? COuld it be HC for head circumference?
Peds
Subject: Peds
Hi there,
I haven't found the medication yet...I've been looking..but the oxygen delivery thing is OxyHood.
I'm thinking the medication the baby may have been given is something like a steroid perhaps, or maybe a type of bronchodilator.
I'm no doctor, I just play one at home. (Just kidding. I know I shouldn't try and play "guess the diagnosis."  )
is there a gynourologist or is it Gyno Urologist? NM THANKS!
Subject: is there a gynourologist or is it Gyno Urologist? NM THANKS!
peds hodgkins
Subject: peds hodgkins
He gave Nystatin dose as 5 mL, then dictated ______ with its own dosage 2.7 mL. Looked on previous records for both MD and patient and everybody who heard that dictated left it blank.
Peds - see message
Subject: Peds - see message
She was on an AB monitor but that was stopped just recently secondary to normal s/l download. Thanks
Peds word help
Subject: Peds word help
Diagnosed with s/l Erloyz-Stanlose disease. In a child. TIA!
Help with peds cardiology please
Subject: Help with peds cardiology please
Infant presented with dilated cardiomyopathy and required "ETMO" treatment.
I think I have heard this before, but I am getting nowhere searching. Thanks!
Help wiht peds
Subject: Help wiht peds
Could it be ECMO?
Med help peds: S/L Kirisar? SM
Subject: Med help peds: S/L Kirisar? SM
 "Placed on Oxihood, but the distress worsened and, therefore, the infant was intubated and received a dose of Kirasir.".
Help. This is not my primary. I don't do pediatrics and I have no idea. If I sound stupid, sorry. I really don't know and have looked and looked.
Thank you.
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
Peds echo results
Subject: Peds echo results
There is no evidence of a patent duct s/l dis-arteri-osis
Is it a peds dictation? There is a Vusion (generic for metronazole) prescribed for diaper rash.
Subject: Is it a peds dictation? There is a Vusion (generic for metronazole) prescribed for diaper rash.
x
Work had to go in.....sm
Subject: Work had to go in.....sm
I emailed my QA (who is a sweetie, btw) and she had no idea, either. So, I sent the notes in flagged. She is going to try and find out about this "word". :) If she does, I'll let you guys know.
Thanks again!
lab work
Subject: lab work
woman with memory disturbances. had lab work including unremarkable vitamin B12, TSH, sl-amiga TP, and c-reactive protein.
RE: lab work
Subject: RE: lab work
I will take a stab at your sound-like (amiga) How about ammonia (level), guessing TPc is total protein. c-reactive should be C-reactive.
work help
Subject: work help
The patient also notes that he has had variable blood sugars and episodes of
sa-mo-g with blood sugars at 50 at appx. 3 a.m.
Work Help Please
Subject: Work Help Please
The doctor is saying with (s/l prodien) autoimmune syndrome, such as Lupus. TIA.
Do you work there now for the Big S?
Subject: Do you work there now for the Big S?
xx
Where I work you are to use 5 instead of five.
Subject: Where I work you are to use 5 instead of five.
.,
who do you work for? they are one
Subject: who do you work for? they are one
lucky company!
Lab work
Subject: Lab work
I am transcribing lab work. The doc states what sounds like "medical" alcohol is negative. Am I hearing this correctly? TIA
oh... that might work. Thanks
Subject: oh... that might work. Thanks
since it's lab work, would say x2. nm
Subject: since it's lab work, would say x2. nm
x
OB/GYN work help!
Subject: OB/GYN work help!
Doc says, . . . obtained an amniocentesis sample of amniotic fluid testing for s/l F-pole testing. Would appreciate any help on this -- I don't know a whole lot about OB/GYN. I Googled this and didn't get anything.
used to work with.
Subject: used to work with.
..used to work with..nm
Subject: ..used to work with..nm
nm
That might work! Thanks!
Subject: That might work! Thanks!
Help with lab work??
Subject: Help with lab work??
sodium of 140, potassium 4.5, BUN creatinine is 12 and 1.1 with glucose of 95 and s/l nyagus 2.3.
work help
Subject: work help
Thank you.
Thanks that does work
Subject: Thanks that does work
I had looked up apropos, but the definition that I found did not fit. I looked further and found definitions that did fit. Thanks for your help!!!!!
That would work too.
Subject: That would work too.
Where I work it is either way, 16 .9 (without
Subject: Where I work it is either way, 16 .9 (without
thousand following it) or 16,900.
The work remottling
Does the "re" go without a hyphen to mottling? Help is most appreciated.
If I they work for the same company. . .sm
Subject: If I they work for the same company. . .sm
I usually address it to:
Cardiology Associates
100 Main Street
Anytown, USA
and then use the salutation, Dear Doctors:
Otherwise, if the dictator dictates each name you could do each name on a line, then the address and then either put the salutation as Dear Doctors, or Dear Drs. Smith, Jones, White and Green.
Dr. Sam Smith
Dr. Joe Jones
Dr. Willy White
Dr. Gary Green
100 Main Street
Anytown, USA
Without the spaces, of course. :)
all I know is I work for PS 10 years now...sm
Subject: all I know is I work for PS 10 years now...sm
and in the beginning I gave them Weiss pattern and they immediately changed that for me to *Wise*.........but if the MD is spelling Wyse, I'd give him that....... even if he is wrong......*LOL*
would "tabescent" work here? sm
Subject: would "tabescent" work here? sm
SYLLABICATION: ta·bes·cent
ADJECTIVE: Progressively wasting away.
I work for two people....
Subject: I work for two people....
One person tells me to put disc for spine and disc for eyes. This is for a neurology account. The other person tells me to use disk for spine and disc for eyes. This is for neurosurgery. I still am not sure which one is correct though I just go by what the person prefers.
with 4 numbers in MT work...........sm
Subject: with 4 numbers in MT work...........sm
1800-calorie diet.......no comma....you use commas in numbers when there are more then 4 numbers.
Thanks!! Why I love MT work is because.....nm
Subject: Thanks!! Why I love MT work is because.....nm
HIV blood work
Subject: HIV blood work
Her CD4 count was 800 sl-desics (31%)
Thanks to all of you for your hard work. I appreciate it! nm
Subject: Thanks to all of you for your hard work. I appreciate it! nm
No laboratory work given ...
Subject: No laboratory work given ...
Patient is en route to emergency room status post plane crash with open fracture of the left ankle; no relevant laboratory work given but I would assume he would be kept NPO for surgery ... thought maybe IV fluids with bolus of pain medications in between (like a sandwich)? but I'm guessing !
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