Just a little humor for a Friday morning. Urologist, Dr. Stone.nm
Posted By: ss on 2008-01-25
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Subject: Just a little humor for a Friday morning. Urologist, Dr. Stone.nm
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ever hear of stone-tome? doc says sphincterotome/stone-tome sm
Subject: ever hear of stone-tome? doc says sphincterotome/stone-tome sm
to remove bile duct stone.
aw, c'mon, it's called humor
Subject: aw, c'mon, it's called humor
I apologize. I am not high-handed. That just really, really struck me as funny. I was not the one who asked how old her books were. And, truthfully, I started this when I was 18 years old, too many years ago to remember. So, it's possible I was incorrectly trained at the time. Once again, I apologize for only me thinking that was funny --- sorry.
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
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.
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
wow! must be Friday and Everybody is testy. sorry. nm
Subject: wow! must be Friday and Everybody is testy. sorry. nm
nm
Thank you- Happy Friday :) nm
Subject: Thank you- Happy Friday :) nm
x
You are a Friday angel... thank you!
Subject: You are a Friday angel... thank you!
Maybe Friday the 13th is her LUCKY day! sm
Subject: Maybe Friday the 13th is her LUCKY day! sm
She sounds cute.
Bless you! Happy Friday! :)
Subject: Bless you! Happy Friday! :)
LOL...He is being incoherent which he never is and I am jumpy could it be because it is Friday!
Subject: LOL...He is being incoherent which he never is and I am jumpy could it be because it is Friday!
Sounds like something for us old folks to do on Friday night!!!
Subject: Sounds like something for us old folks to do on Friday night!!!
Thanks .......it is friday and anxious to finish....do not have thinking cap on!
Subject: Thanks .......it is friday and anxious to finish....do not have thinking cap on!
No def says Coumadin!! I have listened too many times LOL WHY ON FRIDAY!!!!
Subject: No def says Coumadin!! I have listened too many times LOL WHY ON FRIDAY!!!!
I THINK I SHOULD FLAG!
Might be stone in the CBD. nm
Subject: Might be stone in the CBD. nm
s
Patient is [trepidous] about going on Friday for her impending mastectomy...
Subject: Patient is [trepidous] about going on Friday for her impending mastectomy...
... just can't seem to find what the right form of trepidation really is. Any good sites that will conjugate verbs like that?
sorry, so positive. too early today and it is Friday. Going to be a long day. NM
Subject: sorry, so positive. too early today and it is Friday. Going to be a long day. NM
I type "every Monday/Wednesday/Friday."
Subject: I type "every Monday/Wednesday/Friday."
x
Cast may be okay. It could just be a remnant of a stone. nm
x
Colon s/l bolic stone
Subject: Colon s/l bolic stone
Says this over and over and can't seem to quite pick it up. Thanks in advance!!!!
Pt with large stone with sig s/l hydrouretrophrosis.........tia NM
Subject: Pt with large stone with sig s/l hydrouretrophrosis.........tia NM
x
midureteral pelvic stone? nm
Subject: midureteral pelvic stone? nm
nm
vitreous humor, vitreous matter?
Subject: vitreous humor, vitreous matter?
a guess
I wonder if it's common bile duct stone? nm
Subject: I wonder if it's common bile duct stone? nm
nm
Lithotripsy and attempts at stone s/l vesking...nm
Subject: Lithotripsy and attempts at stone s/l vesking...nm
nm
In PMH, sounds like prada gland stone
Subject: In PMH, sounds like prada gland stone
This is just in the list of past medical history information...
"She has a history of a prada gland stone"...any ideas????
Thanks!!!
Med for kidney stone, s/l *Starolith* may be OTC naturopathic
Subject: Med for kidney stone, s/l *Starolith* may be OTC naturopathic
x
left urethral or ureteral stone
Subject: left urethral or ureteral stone
mt transcribed it as left urethral stone and i changed it to left ureteral stone, because as i understand it, there is only one urethra and bilateral ureters, am i right? or can it also be left urethral?
You are correct, ureteral stone, I get plenty of uro ops......NM :-)
Subject: You are correct, ureteral stone, I get plenty of uro ops......NM :-)
nm
stone "in gradu" formation...
Subject: stone "in gradu" formation...
That is the complete sentence if that helps any?
stone basketing... grab it and basket it to pull it out. nm
Subject: stone basketing... grab it and basket it to pull it out. nm
s
CT scan was performed and showed a 1-x-4-mm kidney stone SM
Subject: CT scan was performed and showed a 1-x-4-mm kidney stone SM
in the bladder with mild s/l "apney" of the ureter.
obstructing right s/l mo-adi renal pelvic stone. sm for complete infor. sm
Subject: obstructing right s/l mo-adi renal pelvic stone. sm for complete infor. sm
He brought a CT from an outside hospital which showed a cross fused renal ectopic system, heterotopic in origin. There were bilateral renal calculi and an obstructing right modi renal pelvic stone which was likely accouting for his symptoms.
kind of reaching: maybe steinstrasse (streak of stone particles) nmsg
Subject: kind of reaching: maybe steinstrasse (streak of stone particles) nmsg
x
If you're hearing a lot of syllables, it might be uric acid stone nephrolithiasis. Do a Google
Subject: If you're hearing a lot of syllables, it might be uric acid stone nephrolithiasis. Do a Google
s
Much appreciate the help this morning!
:>
thank you so much. I was having an off morning.
Subject: thank you so much. I was having an off morning.
x
Good morning to you too!
Subject: Good morning to you too!
she is on 25 mg s/l a-tel in the morning and 12.5 at night.. thanks
Subject: she is on 25 mg s/l a-tel in the morning and 12.5 at night.. thanks
Yes, being Monday morning
Subject: Yes, being Monday morning
and stating it was a guess, you probably could have corrected yourself and hopefully Angie did not use the wrong spelling. Yes, it is a word board, but the other posters are right in giving the correct spelling since you did not.
morning stiffness sm
Subject: morning stiffness sm
Could it be remarkable for extensive morning stiffness? Just because that's what I have!!
I am stumped this morning.
Subject: I am stumped this morning.
Anyone have any clue about "Mardinofil"? I don't even know what is is for! Thanks for your help. 
Morning and you're welcome!
Subject: Morning and you're welcome!
Just lucky this morning... :-)
Subject: Just lucky this morning... :-)
good morning :)
Subject: good morning :)
s/l 'cronicun 1 mg in the morning and...
Subject: s/l 'cronicun 1 mg in the morning and...
3 mg in the evening' The medication would have to do with one of these things:
- Schizoaffective disorder.
- Peptic ulcer disease.
- Migraine headaches
As always, thanks so much!!!
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