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Kidney transplant pt now with documented s/l "In stem eee" just had MI

Posted By: Pat on 2009-05-21
In Reply to:

Subject: Kidney transplant pt now with documented s/l "In stem eee" just had MI

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kidney transplant
Subject: kidney transplant

may be Veress?
Kidney mismatch for transplant.
Subject: Kidney mismatch for transplant.

I have seen this 2 ways, does anyone know correct way to transcribe this:


The patient's sister is living-donor related for kidney transplant.  He is saying they are 2-1-2 mismatches - 2-1-2 or 2:1:2???? TIA.


kidney transplant with s/l uteroneocystostomy ?
Subject: kidney transplant with s/l uteroneocystostomy ?

x
How to type: pancreas after kidney transplant. Would it be:
Subject: How to type: pancreas after kidney transplant. Would it be:

pancreas-after-kidney transplant?  Thanks.


Pt with kidney transplant had a ඘ fistula" placed. sm
Subject: Pt with kidney transplant had a ඘ fistula" placed. sm

This kidney lasted again for about 10 years, and she subsequently was restarted on dialysis in 03/2006.  She had an 80 fistula placed in 2007 and has been on dialysis since that time. 


kidney transplant antirejection drug
Subject: kidney transplant antirejection drug

It sounds like "NUR-all" or "Neural" or "Neurol."  Dosage is 100 mg bid. Any ideas??
Seems to be listed as such as a title of the transplant "pancreas-after-kidney".
Subject: Seems to be listed as such as a title of the transplant "pancreas-after-kidney".


Azasan is used for preventing kidney transplant rejection along with other medicine. It may also be
Subject: Azasan is used for preventing kidney transplant rejection along with other medicine. It may also be used to treat signs and symptoms of active rheumatoid arthritis.


we used standard s/l var-ous technique to enter the abdomen (for kidney transplant).
Subject: we used standard s/l var-ous technique to enter the abdomen (for kidney transplant).

d
doing a kidney transplant...We used standard s/l ver-ous technique to enter the abdomen.
Subject: doing a kidney transplant...We used standard s/l ver-ous technique to enter the abdomen.


Stedman's shows APR hip stem and APR I femoral stem. ?
Subject: Stedman's shows APR hip stem and APR I femoral stem. ?

x
I think it's made up since it can't be documented
Subject: I think it's made up since it can't be documented

but I have heard it before used in that sense.
I have had and documented Avaulta - I think it is a sling by
Subject: I have had and documented Avaulta - I think it is a sling by

x

Without more details, I'd transcribe: double documented.
Subject: Without more details, I'd transcribe: double documented.

.
cardiac evaluation which documented some sleeping episodes of *wankibok* through a Holter monitor.
Subject: cardiac evaluation which documented some sleeping episodes of *wankibok* through a Holter monitor.


they say stem fit too.....to fit the stem or rim
Subject: they say stem fit too.....to fit the stem or rim


How about just long-stem
Subject: How about just long-stem

component. May be he is saying "using" and not user, long-stem components. There is a long-stem femoral component. I typed long stem component on Google and this came up.
That sounds more likely, stem..
Subject: That sounds more likely, stem..

they often refer to stem, as in the femoral stem.
s/l aperion stem? sm
Subject: s/l aperion stem? sm

PHYSICAL EXAMINATION:


On examination today, the patient forward flexion to 100 degrees, able to straight-leg-raise against resistence.


RADIOGRAPHS:


Radiographs show good position of the (aperion) stem.


ASSESSMENT:


Status post (aperion) stem, doing well. 


Corail ® stem
Subject: Corail ® stem


main stem?
Subject: main stem?

I don't know if that is possible. Are you sure you hear bruit? I would think that would be over the carotids. But I really don't know enough about it.
As Stubby is the name of the stem, I would only
Subject: As Stubby is the name of the stem, I would only

x
May be Morse taper of the stem. nm
Subject: May be Morse taper of the stem. nm

nm
Could it be Charnley femoral stem from De Puy? nm
Subject: Could it be Charnley femoral stem from De Puy? nm

x
brain *glubeal** stem
Subject: brain *glubeal** stem


mini stem flow device and pi's
Subject: mini stem flow device and pi's


Has anybody ever heard of this device and/or have any idea what the PI is? Doing a CABG.


We then encircled the vessel with a ministem flow device. The flow meter showed us that we had good flows in the range of 15-20 milliliters per minute with diastolic flow, and good PI's.


I found it - Prochymal - a stem cell product - yeesh!
Subject: I found it - Prochymal - a stem cell product - yeesh!


fetal tissue cell transplant. Is it really cell? I could only find fetal tissue transplant. Thanks!
Subject: fetal tissue cell transplant. Is it really cell? I could only find fetal tissue transplant. Thanks!


Patient consuming pureed and nectar thick liquids with s/l eastem or E stem?? TIA
Subject: Patient consuming pureed and nectar thick liquids with s/l eastem or E stem?? TIA


Pt with multiple myeloma, have a "coronoscopy" performed prior to stem cell transplantation,
Subject: Pt with multiple myeloma, have a "coronoscopy" performed prior to stem cell transplantation,

score was 100%. 
transplant
Subject: transplant

This is a kidney? might be something along the line of transplant arteriolopathy? don't quote me though!
Could it be transplant?
Subject: Could it be transplant?


no, definitely not transplant.sm
Subject: no, definitely not transplant.sm

patient needs the line in order for doc to provide adenosine.


transplant ?
Subject: transplant ?

PAST SURGICAL HISTORY: Two failed "outlet valve" transplants. Does this sound routine, thought they would be called replacements, but I know NUTHIN about heart surgery and it actually S/L he is saying "eyelet sauce", but that is nothing new with him!


"In-Fast"
Subject: "In-Fast"

is a trade name . he may  be saying "dash" to use as a hyphen


 


maybe "in airway"??
Subject: maybe "in airway"??

x
transplant rejection
Subject: transplant rejection

The pt is seen for transplant rejection.


The pt had a transplant biopsy done which showed acute tubular interstitial cellular rejection, s/l** trans-lanchal merio-opathy**, and interstitial capillaritis. Any help greatly appreciated!


Help with renal transplant
Subject: Help with renal transplant

This is a cadaver kidney. Right upper pole was biopsied...etc. s/l the r-to-coffee was normal.  ??
liver transplant ... sm
Subject: liver transplant ... sm

Seen improvement since s/l CALINURIME discontinued. 


Current immunosuppresant is CellCept and s/l CHIRONOMUS.


 thank you!!


 


will check an "in-helm" INR. ??
Subject: will check an "in-helm" INR. ??

Not sure this is what I'm hearing.  The patient has an enterocutaneous fistula.  Says "need for daily wound care discussed.  Will check an "in-helm" INR. 


Clues??


Not "romare"..."in room air".
Subject: Not "romare"..."in room air".

You'll hear it this time!


maybe "in florid relapse" NM
Subject: maybe "in florid relapse" NM


"In regards to" is not correct grammar. SM
Subject: "In regards to" is not correct grammar. SM

If we are going to be grammar experts, we must know that it should be in regard or as regards. 
the second one is probably "in formalin" for pathology nm
Subject: the second one is probably "in formalin" for pathology nm

xx
Second one, could it be "in origin" instead of epichondral?
Subject: Second one, could it be "in origin" instead of epichondral?


"in short order"
Subject: "in short order"


confused...when to use "in" and "at"
I have had no problems using these before but my new Editor has started to confuse me, when do i use "at" and when do I use "in"...for example...the patient was seen "in/at" the clinic....appointment with the oncology department "in/at" soandso hospital...thanks
Thanks. I definitely hear the "In-testum"
Subject: Thanks. I definitely hear the "In-testum"

though so I'll flag it. It almost sounds like the word cuts off in the dictation.
just a guess, but how about "in excess"?
Subject: just a guess, but how about "in excess"?


I think it's "in-stent" - as in restenosis
Subject: I think it's "in-stent" - as in restenosis


meaning "in sinus rhythm." nm
Subject: meaning "in sinus rhythm." nm