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Pt is needing a hip revision. "We will plan to use a custom **Duralock 100-66 constraint liner**

Posted By: ortho help please on 2009-06-10
In Reply to:

Subject: Pt is needing a hip revision. "We will plan to use a custom **Duralock 100-66 constraint liner**.nm




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Pt to undergo knee replacement - "we will plan on using the s/l **2 through 3" versus sm
Subject: Pt to undergo knee replacement - "we will plan on using the s/l **2 through 3" versus sm

the hinged prosthesis. ??
Not sure but comprehensive 65 plan, may be referring to age/healthcare plan?
Subject: Not sure but comprehensive 65 plan, may be referring to age/healthcare plan?

Sorry, tried to help. Have a nice weekend.
given prescription for a custom molded s/l *ulnar
Subject: given prescription for a custom molded s/l *ulnar

nm
re: given prescription for a custom molded s/l *ulnar
Subject: re: given prescription for a custom molded s/l *ulnar

Ulnar Gutter Splint. Indicated for fractures of the 4th and 5th metacarpals. The splint material is folded on its long axis such that the ulnar side of the ...
www.hawaii.edu/medicine/pediatrics/pedtext/s19c02.html - 23k
Still needing help...
Subject: Still needing help...

Sounds like superior B quadrants and inferotemporal B quadrants of the eyes. Can anyone think of something else? Oblique? If it is B, I just can't seem to document it anywhere. I've tried every website you can think of on a Google search. I'm not 100% sure it is B but don't know of anything else either. Any help greatly appreciated! Thanks so much!
Are you needing the med or one of the reactions? nm
Subject: Are you needing the med or one of the reactions? nm

s
needing to know if this is the proper
Subject: needing to know if this is the proper

I need to know if this is the proper way to write this sentence please.


 


Atrial flutter with variable block at 2:1 and 3:1.  ( 2 to 1 and 3 to 1)


Thank you


Deborah


thanks for the dressing link!!! Been needing one
Subject: thanks for the dressing link!!! Been needing one

x
The next sentence was "We then elevated the mucosa." nm
Subject: The next sentence was "We then elevated the mucosa." nm

.
I would just type "we are going to discontinue the three staples"
Subject: I would just type "we are going to discontinue the three staples"

x
The PRAFO® is the totally adjustable, custom-fitted AFO that can help manage many of the ankle/foot
Subject: The PRAFO® is the totally adjustable, custom-fitted AFO that can help manage many of the ankle/foot anomalies


Yes, thank you! I just couldn't get past hearing spotty. Needing a nap this am.
Subject: Yes, thank you! I just couldn't get past hearing spotty. Needing a nap this am.


"We gave him a s/l Man-2 test for his physical at work". ?? TIA
Subject: "We gave him a s/l Man-2 test for his physical at work". ?? TIA


dictator says "We then performed several rounds of hemostasis. Again we used both fibrillar
Subject: dictator says "We then performed several rounds of hemostasis. Again we used both fibrillar

and s/l "new net" in the abdomen. 


This is a liver transplant and its very clear.  I just cant get a spelling on it enough for google to grab it.  any ideas?


J and J revision
Subject: J and J revision

Is there such a thing as a J and J revision in relation to the knee?
total hip revision help
Subject: total hip revision help

s/l esram stem

if I were to convert him to a total hip replacement which was not constrained, then I would plug in more in the way of anteversion with an s/l esram stem.

thanks
total knee revision
Subject: total knee revision

Surgeon states all (s/l) cementophytes were removed.  ??
Pt. undergoing revision of arm AV fistula.
Subject: Pt. undergoing revision of arm AV fistula.

A large side branch was controlled with a 150-mm s/l Grohen towel tape. Anyone?
scar revision surgery
Subject: scar revision surgery

A triangle was excised with a s/l "bros" triangle. 


Can anyone help?


help! VP shunt revision: s/l Bactroseal tubing (?)nm
Subject: help! VP shunt revision: s/l Bactroseal tubing (?)nm

x
corkscrew is an anchor used in revision surgery. nm
Subject: corkscrew is an anchor used in revision surgery. nm

nm
There is Z-plasty for scar revision during surgery? NM
Subject: There is Z-plasty for scar revision during surgery? NM

nm
hip revision surgery - using corkscrew from a (what sounds like) Moreland set.
Subject: hip revision surgery - using corkscrew from a (what sounds like) Moreland set.

Trying to verify "Moreland set".  I have never heard this before and can't seem to find it.


Thanks!


Yes! liner is it - I hear it now. = ) TY!!!!
Subject: Yes! liner is it - I hear it now. = ) TY!!!!


shoe liner
Subject: shoe liner

nm
s/l chamber of liner's syndrome
Subject: s/l chamber of liner's syndrome

involving the right tensor fascia lata, gluteus medius, and piriformis muscles."

Any help is GREATLY appreciated!!!
metal liner release...nm
Subject: metal liner release...nm

nm
Could possibly be liner and not lino.
Subject: Could possibly be liner and not lino.

They would look at the eccentric wear of the liner (polyethylene cup) of the hip replacement system.

I agree with DW on lucency.
You think liner acetabululm sounds OK?
Subject: You think liner acetabululm sounds OK?

I like the liner part, the eyeliner is a bit much, isn't it!!
Usually I have heard of it as acetabular liner not the other way around, but one never knows...
Subject: Usually I have heard of it as acetabular liner not the other way around, but one never knows...


poly liner is correct. sm
Subject: poly liner is correct. sm

Go to medcompare.com, click on orthopedics and do a search for poly liner for brand names etc.


 


You can also do a search for cups etc. I will look around also.


thanks to all. Manager says it is turf liner. nm
Subject: thanks to all. Manager says it is turf liner. nm

nm
Feel that revision ORIF would be most warranted and I will use a s/l stack plating technique. sm
Subject: Feel that revision ORIF would be most warranted and I will use a s/l stack plating technique. sm

Patient does suffer from neurofibromatosis and this is not unexpected. Is the **stack** plating correct? Thanks
ortho word help...s/l captur hip liner
Subject: ortho word help...s/l captur hip liner

it is a total hip revision due to dislocation of the previous arthroplasty...thanks in advance...
PROCEL cast liner -- all caps?
Subject: PROCEL cast liner -- all caps?

Would PROCEL be typed in all caps?  Thanks!
or changing the word "the" to "a" liner...
Subject: or changing the word "the" to "a" liner...


Could he be stuttering as in "the ahhhh liner acetabulum was then inserted...."???
Subject: Could he be stuttering as in "the ahhhh liner acetabulum was then inserted...."???


Plan
Subject: Plan

CBC with differential, type and cross for 20 units, electrolytes P3, P4, PT, PTT, EKG, PA and lateral chest pulmonary function test.


I'm just in school for Med Trans. I love this website. I'm always confused when it comes to listing labs. I need help on the above. Thank you so much.


Plan help please!
Subject: Plan help please!

  I am a new, and need some help.  after the doctor says plan he lists the medications he has prescribed.  He does not number them and I am used to them saying medications and then listing (1, 2, 3)   Do they usual do that?  Should I leave it like he says it?  Example: 


PLAN:


Ecotrin 1 p.o. b.i.d. with meals.  Keflex 500 mg p.o. q.i.d. for 4 days..  Follow-upl with me within the next 10 days.


 


thanks!


Plan help please!
Subject: Plan help please!

That all depends on the QA person reviewing the report.

I have been told both are correct and both are wrong, other than if there is only one item (in which case you never number).

I have been audited and smacked down (points) for NOT numbering when the dictator did not number on meds and on diagnoses, etc., even on a verbatim account. I would love if someone could explain why. The client profile for the account says "do not number" if the dictator does not number.


Plan.... UA and CNS or C&S?? thank you
Subject: Plan.... UA and CNS or C&S?? thank you


Do you have to have a plan?
Subject: Do you have to have a plan?

Where I work, if they don't say "plan", they don't get a "plan".


That's what I plan to do.
Subject: That's what I plan to do.

I do not like to guess. Now it says for prostate cancer, so it might be. I will just flag it and put a s/l, just in case. I don't want them to think I didn't try to look it up either.
Here's another one: Under Assessment/Plan
Subject: Here's another one: Under Assessment/Plan

1.      Erythrocytosis – the patient did have a hemoglobin of 17 on blood work one year ago.  I asked him to repeat it, but he forgot.  We will recheck his CBC with NORRIS REPREEDIN level today and work this up accordingly.  He is not symptomatic.


 


I keep listening over and over to this, and this is all I can make out.  Any clue what he might be referring to??? TIA


assessment&plan help!
Subject: assessment&plan help!

If the doctor says assessment and plan together, do I put the header together? I am confused because when he gives the assessment he numbers them 1) 2) then when he gives the plan he numbers them as well but does not say plan any help?


 


ASSESSMENT:



  1. Bilaterally arm numbness.
  2. Nausea.
  3. Health maintenance recommendations.

 


PLAN:



  1. Patient’s critical examination was hyperreflexia suspicious for possible cervical lesion.  She will be referred for MRI with cervical spine.  Patient may need EMG to further access her numbness.
  2. Patient will be tried on Nexium, although she does not have any overt symptoms of heartburn.  She does have chronic nausea and this may be a sign of stomach reflux.  She will be tried on Nexium 40 mg one q.d.  Other diagnostic possibilities include slow gastric emptying. The patient does not eat breakfast or lunch and has her largest meal at about 8:00 at night.  We discussed the need to consume breakfast and ideally eat 3-5 meals per day, smaller meals to encourage her metabolism.  ___ problem health maintenance and in regards to increase her exercise and changing her diet.  Patient will be referred to OB/GYN for Pap and pelvic and also will be referred for a screening mammogram.  When she follows up to see me we will discuss potential options for colon screening.  Patient is to follow-up with me in approximately 1 month time. 

assessment and plan
Subject: assessment and plan

I hate when docs do that - mine do it a lot. I think you're good either way but I would put "A&P" as the heading and then just type it the way the doc says it.
starts plan
Subject: starts plan

it starts the plan then says ??? flonase 2 sprays each nostril
Sounds like a plan to me!!
Subject: Sounds like a plan to me!!

Thanks!!
s/l her-plan-jet-ick lesions
Subject: s/l her-plan-jet-ick lesions

s/l her-plan-jet-ick lesions in the mouth and throat


this is a 17 month old with excessive drooling and fever.


that sounds like a plan
Subject: that sounds like a plan

nm
Is this directions for something or what? A plan at the end of a scan? nm
Subject: Is this directions for something or what? A plan at the end of a scan? nm

s