I would put the word *vasectomy* in quotes.....SM

I am sure he MEANT to say *tubal ligation* but perhaps couldn't think of the word at the moment and said *vasectomy* - If it's verbatim, I'd put quotes around it 

• Confused. - Female vasectomy??
  • "mastectomy" hit me right away. nm - Lifer
  • I would put the word *vasectomy* in quotes.....SM - verbatim......quote him......SM
  • I would be correct to leave it as dictated because..sm - JLH
    • Both Stedman's and Dorlands defines vasectomy as surgical removal of the vas deferens - Tinks
      • It's true that Dorland's defines that way, but - JLH
    • I meant it would be correct, not I would be correct..nm - bonehead
  • As far as I know, woman cannot have vasectomies. Another fine example of the "brainiacs" - Tinks

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In vasectomy,

The vas deferens on the left was then grasped with s/l "hell or helm" clip

or a portion of it specifically to induce sterility.  It absolutely is not correct to leave vasectomy in a female patient's report.  It is wrong!  Nowhere in any of my reference books can I find vasectomy referring to anything other than the vas deferens for male sterility, NOWHERE.  I don't care how you break up the word, you can not change its meaning as a whole.

The QA person who filled it in is a boob who is simply filling in blanks for the sake of sending a report with no blanks.  The report simply should have been sent with the blank and a note drawing the physician's attention to the discrepancy.

Dictator states - CHIEF COMPLAINT:  I have a heart infection. 

He doesn't request quotes, but obviously the patient is making the statement.  Would you include the quotes or not?

"naltrexone and autism".   Lots of info. I was skeptical but the S/L was so close it may be naltrexone.

do I use a comma in e.g.: She tells me, "I don't know."

and also if it's not a sentence but e.g.: She tells me the color is, "greenish."

what about capitalization? always or just if it's a whole sentence...

sorry, lot of questions.. TIA

Vasectomy:

The tissue over the vas was incised using "knife technique or lyse technique."

Anyone heard of osseous cartilagenous OSCAL benign biopsy? 

I am doing podiatric but patient has been having diarrhea and cultures have

been taken.  Under care of infectious disease doctor. Doctor says "may need to consider a napograph or an apograph"

She had a previous gallbladder, which suggested sludge or chololithiasis

I need to figure out the omited word after gallbaldder. Is there 1 specific test done to find gallstones? Ultrasound or endo. doc mentions neither.

Was it electroneurography (ENog) ?

HEENT:  Neck is ___________.  sounds like he's saying brooshy.  Please help!

I hate even asking this question because I'm sure it is something everyone has heard, but lately I have been doing so many oncology and renal reports that I am getting rusty with everything else. 

Doctor mentions a distal radius fracture with "dorsal translation across the pyses of the distal foramen."

I can't find the word pyses.  I know how I spelled it is not correct.  But can someone please help!!?

TIA.

Hi, CC ...

I'm sorry that I don't have an answer for you regarding "pex", but I have just contacted a GI doctor friend of mine to ask him if he is familiar with the word.  You said that it was used in a sentence with the phrase: "the esophagus was pexed", so I thought that maybe, since he does EGDs, he might be familiar with that word. 

Once thing I ask ... please ... when you find your answer - and you will - please post it on the board so that we who are just learning surgcal dictation can add it to our repetoire of weird words.  PLEASE?  Thanks, and good luck.  I hope I have an answer for you later this evening, or that someone else does.   Judy H.