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Need type of stapler for Roux-en-Y, s/l Waitler GIA stapler (nm)

Posted By: quietmoods on 2006-03-03
In Reply to:

Subject: Need type of stapler for Roux-en-Y, s/l Waitler GIA stapler (nm)




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GIA stapler
Subject: GIA stapler

The doc is dictating a bowel resection, is using a GIA and then a TA stapler.  Would he be saying a GIA 80, 3.5 stapler, or a GIA 83.5 stapler?  I have been typing is as GIA 80, 3.5 stapler right up until today, when it struck me that I may be wrong.  Help, Anyone?  Thanks!


LDS stapler. nm
Subject: LDS stapler. nm

xx
there is a 3M stapler, but
Subject: there is a 3M stapler, but

can't get the 3 crow's feet.
Milton Red Stapler
Subject: Milton Red Stapler

I apologize for stepping on your toes.  I only posted those reports to get a little help.  I did not post any names of people, places, or anything confidential.


However, I do appreciate your concern.  It sounds to me that probably you are trying to start some type of drama as you are accustomed to doing all over these boards.  However, I am not going to enable that.


Have a nice day.


It's not my day, now need a 35-mm s/l Blulow GIA stapler (nm)
Subject: It's not my day, now need a 35-mm s/l Blulow GIA stapler (nm)


white-loaded GIA stapler NM
Subject: white-loaded GIA stapler NM

xx
blue blood stapler? tks.. no msg
Subject: blue blood stapler? tks.. no msg

xx
A blue load stapler, perhaps. nm
Subject: A blue load stapler, perhaps. nm

nm
Echelon™ 60 ENDOPATH® Stapler? nm
Subject: Echelon™ 60 ENDOPATH® Stapler? nm



s/l LES stapler to resect the omentum. Can't document. nm
Subject: s/l LES stapler to resect the omentum. Can't document. nm

.
a stapler used in a laparoscopic gastric bypass
Subject: a stapler used in a laparoscopic gastric bypass

I'm doing an op note dictated by an ESL and he's referring to a stapler that he's using to create the anastomosis in a laparoscopic gastric bypass.  It sounds something like Acolumn, Ecolint or Acumint stapler.  I'm so stumped and would welcome any hints on how to figure out what the heck he's saying!
Surgical stapler for sigmoid colectomy
Subject: Surgical stapler for sigmoid colectomy

sounds like Eschelon stapler?
My docs use the Ethicon Echelon stapler frequently. Is this it?
Subject: My docs use the Ethicon Echelon stapler frequently. Is this it?

nm
Roux-Y sm
Subject: Roux-Y sm

In Stedman's GI book they have both listed together, with Roux-en-Y listed first; so they are both acceptable but the first is usally preferred. I guess it would depend if you are on a verbatim account.
Roux-en-Y
Subject: Roux-en-Y

procedure
Roux-en-Y
Subject: Roux-en-Y


Roux-en-Y ?
Subject: Roux-en-Y ?

narrowing of her __________ (sounds like the word lamb is in there) of her Roux-en-Y  anastomosis.
in doing a roux-en-y
Subject: in doing a roux-en-y

doc keeps referring to "roulen"  i.e. a 100 cm "roulen" was measured.  any clues?? thanks
Should Roux-Y be changed to
Subject: Should Roux-Y be changed to

Roux-en-Y or are there actually two procedures?  or should it be left that way? Thanks!
Roux-en-Y anastomosis?
Subject: Roux-en-Y anastomosis?


Found it...it's Roux en Y
Subject: Found it...it's Roux en Y

nm
Roux limb
Subject: Roux limb


I am having heck with this roux-en-y
Subject: I am having heck with this roux-en-y

This one sounds like endo GIA with "Sim" guard  and 25 mm "Orville" through the mouth.  thanks so much!
sorry forgot my anastomosis after Roux-en-Y..LOL
Subject: sorry forgot my anastomosis after Roux-en-Y..LOL


Could they be mumbling a Billroth II anastomosis or a Roux-en-Y
Subject: Could they be mumbling a Billroth II anastomosis or a Roux-en-Y

s
Pt undergoing Roux-en-Y. s/l Sims-Guard strips were used on the mesentery.
Subject: Pt undergoing Roux-en-Y. s/l Sims-Guard strips were used on the mesentery.

Any ideas?
same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.
Subject: same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.

nm
Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm
Subject: Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm


which is preferred ~ diabetes mellitus type II or type 2?
Subject: which is preferred ~ diabetes mellitus type II or type 2?


I get confused, how do you type out grade, class, type SM
Subject: I get confused, how do you type out grade, class, type SM

I forget which ones  use Roman and which do not.  TIA


When doctor says tib-fib, do you type it like that or do you type tibiofibular? Thanks
.
Siewart type I or Siewert type I
Subject: Siewart type I or Siewert type I

When I google it, I'm finding both.  Cannot locate it in a Stedman's book.  Doctor spells with "a" but you can't always go by the spellings!
How do I type this particular type of dialysis bath? sm
Subject: How do I type this particular type of dialysis bath? sm

Doc is an ESL and unclear, but it s/l he is saying "...using a 3 K 21/2 bath." I have never had this in a report and after googling, am still as clueless as I was. I cannot find it in AAMT, either. Any help would be appreciated. Thank you!
acromion process - type 2 or type II
Subject: acromion process - type 2 or type II


Could it be hollowing-type or hollow-end-type? - nm
Subject: Could it be hollowing-type or hollow-end-type? - nm

xx
how to type out Type I Aortic aneurysm
Subject: how to type out Type I Aortic aneurysm

Would you use a roman numeral for Type I Aortic aneurysm or use Type one or type 1 ... I am thinking it is Type I but I am unsure. I am new to this all. Thanks for any help.
I would type it under PLAN and type what is dictated.
Subject: I would type it under PLAN and type what is dictated.

I have had that happen to me before, and I was told by QA to not move things around in the report, maybe that is the same for you, but if I were typing this report, I would type it in the order as is dictated, even if that means typing it under the heading PLAN.  Also, his vitals were probably taken at the end of the exam as they were repeated, so it would make sense to type them again under that heading.  Hope that helps! 
Type II diabetes vs. Type 2....sm
Still running into confusion about this....which is it?  If Type 2, was this a medical community change accepted by all?
Could it be pincer-type and cam-type?
Subject: Could it be pincer-type and cam-type?

x
Type 2 DM or type II DM, which is correct? nm
Subject: Type 2 DM or type II DM, which is correct? nm


what type of dictation do you type?
Subject: what type of dictation do you type?

It might help to know the specialty.  I am finding a lithiasis, but I don't think it would relate to gonorrhea, are you sure it is gonorrhea? 
how to type a blood type
Subject: how to type a blood type

simple question but how is a blood type transcribed .. such as 0+ .. is there a space between the 0 and + or is the word positive typed out? Thanks for your help.
ONCOtype, ONCO type, ONCO Type, found all three...
Subject: ONCOtype, ONCO type, ONCO Type, found all three...

nm
MRI of the C-spine - which is correct Modic type II changes or Modic type 2 changes.....nm
Subject: MRI of the C-spine - which is correct Modic type II changes or Modic type 2 changes.....nm


pincer-type nail or pincher-type nail? nm
Subject: pincer-type nail or pincher-type nail? nm


Of course you should type it. Why would you not type it? nm
Subject: Of course you should type it. Why would you not type it? nm

;
I would type it like this
Subject: I would type it like this

It sounds like a direct quote from the patient and not the doctor’s words. I would type it:


The patient reports, "When he tried to pee, he got weak, dizzy, hit the floor, did not feel right."


Would type exactly the way you have it.
Subject: Would type exactly the way you have it.

x
I just type re-x-ray as that is what they say. nm
Subject: I just type re-x-ray as that is what they say. nm


Would you type I&D'd?
Subject: Would you type I&D'd?

The toe was then I&D'd
Type 2
Subject: Type 2

Yes, it used to be Type II, but clarity is more important, so it was changed. Either would be acceptable in transcription, however.