Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy.

• Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy. - md
  • There are fissures in the lungs. - NM

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result can greatly affect the mean, but the median is not as affected.    Any clues?  This is a horrible dictation. 

s/l:  "Also, given the patient’s financial status, I believe this is of less yield."

Does this make sense to anyone?  I have listened to it a hundred times and it's making me bonkers! 

Help?

Thanks!

Doc says, Her s/l NVOS was running between 53% and 56% which correlated with her mixed venous saturations. 

I had blanked this morning and QA has blanked it as well, and now I have it again this evening.  Would 'prec whatever help.

At that time, it was decided to explore (s/l trileptory) concerning for resection of small bowel. The patient went to surgery on that day for exploratory laparatomy, small bowel resection of primary anastomosis, and was discharged on 03/18/2009.

(they are concerned about a small-bowel obstruction.)

Doctor is describing a patient's finger pain.  He says:

"At her last visit she did have a maintenance interscalene block and reported several months of improvement in pain to a level of 3/10 when used in combination with her other conservative therapies.  These have included Lac-Hydrin applications, paraffin wax applications, and (s/l "co-bayne") and protective (s/l "cutlets") to the left ring finger.  The patient has dystonia and extreme difficulty in bending at the PIP joint from a functional standpoint.  Numeric pain score is an 8/10..."

First word sounds like Cobain or Cobayne, pronounced just like the last name of the late lead singer of Nirvana.  Second word sounds just like cutlets, like veal cutlets.     

I have no idea at all what these two words are, and he repeats them in both the subjective and in the assessment.  Can anyone save me from leaving four blanks? I'm sick and exhausted with a sick four year old at home, and I'm feeling a bit fussy and frustrated and would be SO thankful for the help. 

Thanks! 

Hello,

I am stuck on a word,  maybe two words..not sure! This is for cataract closure, the procedure is phacoemulsification and peripheral iridotomy.

"A superior corenomy was performed and hemostasis was achieved with wet-field cautery."

It actually sounds like "supear corenomy" but I thought he may mean "superior". But I have no idea what the next word should be.

Any thoughts?

Thanks in advance :)

If the patient's fever does not DEPRAVEST on antibiotics, then further assessment such as CT scan of the sinuses and thorax may be needed. 

I cannot find a word that fits, but it sounds clear as DEP-RA-VEST.  Any ideas? 

I'm a little confused, the doctor dictates "He is at a point where he is disabled by the anal fissure pain, and I have recommended surgery in terms of an anal fissurectomy and lateral internal sphincterotomy.

There is no such thing as an anal fissurectomy but I swear that is what he is saying, and I would think it would be a fistulectomy but through the whole dictation it sounds like he is saying fissure.  I am a little confused with this.  Any ideas or help would be greatly appreciated.  Thanks. 

FLASH]

University of Miami School of Medicine, Department of Radiology ...

The patient is scheduled for a lateral "trans" sphincterotomy for chronic fissure.

I cannot find any reference to "trans-" or "trans" infront of sphincterotomy.  Help!!! TIA

Chest x-ray showed a small amount of fluid in the right s/l "narrow fissure"???

Anyone know of this??

Thanks,

Abby

This one's stumping me after 15 years of experience... medical student dictating a report on social history:

The patient drinks one martini a day.  The patient denies tobacco use.  The patient denies ___________ (s/l  - no kidding - really  - "beetle nuts.")

Diagnosis is squamous cell carcinoma of the mouth - ENT tumor board report.  Thought it could be something to do with chewing tobacco - something of that nature, definitely not saying "drug abuse." 

Any ideas?  I did leave a blank, but I'm hoping someone might put my mind back on the right page... beetle nuts?  Give me a break.  

Thanks in advance for any ideas.

He says he will try to give her samples as much as possible to make up for the s/l *underage* (not under age) of what the insurance allows her per month.  This isn't a verbatim account, so I can use another word, but I just can't think of what to use. 

x