Perhaps guards as in bumps to pad or hold the patient during surgery.
Posted By: Spice on 2007-08-14
In Reply to: Help with OP report word, please - tc
Subject: Perhaps guards as in bumps to pad or hold the patient during surgery.
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Type and hold. Patient may need transfusion?
Subject: Type and hold. Patient may need transfusion?
x
Maybe 'hold, on call' to hold the patient in the office for the on call xray? nm
Subject: Maybe 'hold, on call' to hold the patient in the office for the on call xray? nm
s
I'd go with guards. nm
Subject: I'd go with guards. nm
x
Still confused - so is it hold and call, or hold, on call?
Subject: Still confused - so is it hold and call, or hold, on call?
Thanks, but my physician mumbles it so fast that I cannot make out if it is "hold and call" or "hold, on call."
There can be frond-like synovial bumps or sm
Subject: There can be frond-like synovial bumps or sm
projections in the knee. Bet that is what he means
Maybe knotty, like they're full of lumps and bumps? nm
Subject: Maybe knotty, like they're full of lumps and bumps? nm
s
The patient may have had incudostapedial surgery sm
Subject: The patient may have had incudostapedial surgery sm
in the past and this could be the dictator's slang for it.
maybe "revision" if patient has had surgery before...nm
Subject: maybe "revision" if patient has had surgery before...nm
x
Help! Patient had surgery for s/l hydronosis?
Subject: Help! Patient had surgery for s/l hydronosis?
..
does the patient have a scar from surgery maybe it is like incisional???
Subject: does the patient have a scar from surgery maybe it is like incisional???
.
Cervical surgery, patient placed IMJ collar SM
Subject: Cervical surgery, patient placed IMJ collar SM
cant find IMJ. Thanks in advance.
Cataract surgery, patient sent home on s/l nebuned, SM
Subject: Cataract surgery, patient sent home on s/l nebuned, SM
Zymar and Pred-Forte. TIA
patient had eye muscle surgery for exotropia and has had s/l *eosdidius* since? Thanks. nm
Subject: patient had eye muscle surgery for exotropia and has had s/l *eosdidius* since? Thanks. nm
nm
Patient status post surgery ...see mg for context
Subject: Patient status post surgery ...see mg for context
Had ventral hernia repair - which dehisced and wound is granulating in. At abdominal incision, wound is open. It measures about 4 cm. There is bright red blood coming from it. She has an s/l ABD in place.
Patient had back surgery s/l *moss my me* stabilization rod?? Thanks. nm
Subject: Patient had back surgery s/l *moss my me* stabilization rod?? Thanks. nm
nm
Mumbling PA, medication s/l Ectodate. Patient only had back surgery in his PMH, no other
Subject: Mumbling PA, medication s/l Ectodate. Patient only had back surgery in his PMH, no other
medical problems and the other only other med is Flexeril. I keep thinking some type of NSAID, but I just went thru over 50 of them and nothing came close.
Stomach: The patient recently underwent surgery for a s/l dist tumor? nm
Subject: Stomach: The patient recently underwent surgery for a s/l dist tumor? nm
.
hold and call
Subject: hold and call
Is there something like "hold and call" for any test like an x-ray or CAT scan, that needs to be done urgently on a patient before the patient leaves the office?
Thank you...my brain must be on hold today...sm
Subject: Thank you...my brain must be on hold today...sm
Thank you. It is CNS. I went back and relistened. I am losing it here today,too many hours trying to help catch up, the brain must be slowing down, lol. Your help is much appreciated.
OMG! I no longer know anything! ?ring to hold the
Subject: OMG! I no longer know anything! ?ring to hold the
He said the pupil was not dilated enough during a cataract surgery, so he used a ? ring was used to hold the pupil open. I have done hundreds, if not thousands of report for this ophthalmologist, but my whole day has been like this!
Won't it scroll if you hold the arrow key? (sm)
Subject: Won't it scroll if you hold the arrow key? (sm)
or maybe I don't understand your question...?
When I hold my nose, tilt my head back and sm
Subject: When I hold my nose, tilt my head back and sm
say your s/l really fast it "sounds" like drug-eluting stent..? lol worth a try anyway, couldn't find anything else.
Outpatient hold admission versus inpatient
Subject: Outpatient hold admission versus inpatient
Please read this with a little grain of salt, since I don't have enough info to be sure in this case, but this has happened to me before. Most hospitals and most insurance companies have a "24 hour hold bed" policy of some sort. The patient is considered an outpatient, (and charged the lesser "hold bed" charge) even though admitted to the hospital, for the first 24 hours, or 23 hours and 59 minutes. Maybe this doc is saying that the EKG was done at that time in the admission - hour #23, minute #____. Again, use caution, and if this is the case, the doctor sure SHOULD have said "at 23 hours X minutes after" admission or clarified it somehow. But this is just food for thought, since I have had docs dictate using the number of hours since the patient was admitted, though I'm happy to say they the docs always made it known that that's the way they were counting down the hold bed time.
takedown surgery vs take down surgery--which is correct? nm
Subject: takedown surgery vs take down surgery--which is correct? nm
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM
Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
nm
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.
Eye-orbit-surgery or I orbit surgery for a fracture
Subject: Eye-orbit-surgery or I orbit surgery for a fracture
Nothing else to add, it was in the past surgical history thanks all.
A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
Subject: A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
nm
ear surgery
I cannot figure out this term even after extensive research. The bony kent or boniquent was rather small so was enlarged with a rotating bur....
Help! Thank you
surgery
Subject: surgery
Is there an Emberton blade? Or something that sounds similar to that?
Surgery
Subject: Surgery
In response to wanderer about the Emberton blade, the surgery is a craniotomy. Thanks.
S/l moy-ya moy-ya surgery? Also sm....
Subject: S/l moy-ya moy-ya surgery? Also sm....
says something about being seen in endocrinology for what s/l hemloc ? 
Thanks.
surgery
Subject: surgery
Adair clamps with a green towel were applied to the interior flap.
He uses this term a few times in the report. I looked it up in Sloane's med book and I came up with Green towel. Any ideas? Thank you.
Eye surgery
Subject: Eye surgery
Pars plana vitrectomy, retinotomy, gas-fluid exchange, scleral bucklea and 28% SFA injection.
I can't find out what SFA is if that is what she's saying. Help!
Surgery
Subject: Surgery
The pericardium was reconstructured with a tailored Gore-Tex surgical membrane. Or is it Gortex? Thanks.
In surgery...
Subject: In surgery...
Intercostal block, 238, with 0.25% Marcaine with epinephrine... What is the 238?? is it 2-3/8ths.. Anybody familiar with this? Any and all help appreciated. TIA!
ENT surgery
Subject: ENT surgery
S/L dragal pit
?????
Talking about the ear, I believe outer ear
TIA
TUS Surgery
Subject: TUS Surgery
I am sure this is an abbreviation for a surgery. Has anyone heard of this type of surgery!! Thanks.
OB surgery
Subject: OB surgery
Hi,
I think you're right about cervix (vs. service)--apparently he's just pronouncing it a little slurry and it just makes more "sense".
I've listened and listened, but I'm certain that Babcock is not it even if he's saying it badly. I hear nothing at all prior to "koch".
Surgery help, please....sm
Subject: Surgery help, please....sm
Patient had overactive bladder and had the option of undergoing s/l whole lap procedure. At the beginning of report, he dictated Prolieve whole lap - like it was one procedure. Found Prolieve, but can't find whole lap or hole lap or whatever the heck it is!
surgery help
Subject: surgery help
This is a takedown of ileostomy and I don't do op notes usually.
"We passed the GIA s/l blue load through this plane and stapled off the proximal aspect of the bowel. Is blue load correct? 
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Subject: eye surgery
s/l DESAMAY? stripping, automated endothelial keratoplasty.
ENT surgery
Subject: ENT surgery
Sinus surgery here -- sounds like "beata probe". Says it over and over and it sounds just the same. Anybody familiar with this one?
ob surgery
Subject: ob surgery
Could be cold cup,Humi manipulator.
its to do with the eye, he does a surgery with it. nm
Subject: its to do with the eye, he does a surgery with it. nm
Surgery??
Subject: Surgery??
s/l D Amper-sand C x 2 in 1982 and 1985.
ACL surgery
Subject: ACL surgery
used two Mitek Rapid S/L LOCK BOTTLES orbital meniscal repair devices
also Donjoy "DEFIANCE" brace?
TIA
I think one that's never had surgery on it before. nm
Subject: I think one that's never had surgery on it before. nm
s
Surgery help
Subject: Surgery help
Doc is saying:
Probable contact dermatitis/allergic dermatitis. Possibly to the __________(sounds like "hibiquins" from the surgery. Patient has lap/chole surgery.
THANKS!!
Was there surgery?
Subject: Was there surgery?
Not sure of s/o but I may be biceps groove not screw. Sentence does not make sense, biceps and both shoulders instead of biceps in both shoulders. But type of report are you typing?
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