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There is a Norwood procedure which is the first in a series of three operations to treat a complex d

Posted By: MT50 on 2008-01-30
In Reply to: patient is a 15-year-old girl with history of significant - charlie

Subject: There is a Norwood procedure which is the first in a series of three operations to treat a complex disorder called hypoplastic left heart syndrome. Does this girl have heart problems also?




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I heard of a Norwood procedure, but there is no
Subject: I heard of a Norwood procedure, but there is no

indication that she has a heart condition.  I am so sure I am hearing "Norwood degenerative type disorder" but I have been known for creative hearing before!
Is this after a procedure's been done or to treat something still on the nose? nm
Subject: Is this after a procedure's been done or to treat something still on the nose? nm

s
s/l Norwood degenerative type disorder (sm)
Subject: s/l Norwood degenerative type disorder (sm)

doc has very strong accent.  patient being treated for urology services at clinic - catheterization.  patient is trach dependent and G-tube dependent.


Thanks for any help on this!


pediatric cardiology - Norwood s/l SANOMONIFICATION??
Subject: pediatric cardiology - Norwood s/l SANOMONIFICATION??

A 14-month-old with complex congenital heart disease, basically hyperplastic left heart syndrome with a Norwood SONOMONIFICATION? initially at birth and status post bidirectional Glenn. 
found Norwood Sano shunt
Subject: found Norwood Sano shunt

modification procedure, but please verify; I noticed you had hyperplastic left heart; this procedure is for a hypoplastic left heart.
could it be dorsovenous complex??? also says deep dorsovenous complex?? about 4 blanks here
Subject: could it be dorsovenous complex??? also says deep dorsovenous complex?? about 4 blanks here


Is there an N-series? nm
Subject: Is there an N-series? nm

nm
CK-MBs may be done in a series of 3 in total
Subject: CK-MBs may be done in a series of 3 in total

x
It would just mean a few images one after the other, in a series. nm
Subject: It would just mean a few images one after the other, in a series. nm

s
C-spine series. nm
Subject: C-spine series. nm

nm
obstruction series?
Subject: obstruction series?


s/l navicular series
Subject: s/l navicular series

X-rays of the navicular s/l series show the nondisplaced radial fracture. The navicular appears to be intact.

Not sure if he is saying x-rays *of* the navicular series or *in* the navicular series, if series is correct at all. tia.
Sometimes they do a series of x-rays.
Subject: Sometimes they do a series of x-rays.


s/l Fourth right rib series, negative.
Subject: s/l Fourth right rib series, negative.

Doc is dictating on a patient who fell. Chest x-ray, negative. Fourth right rib series, negative.

I have never heard this before...could this be correct...'fourth right rib series'?
grammar help when using versus in a series
Subject: grammar help when using versus in a series

Can someone answer if you use a comma if a dictator is dictating versus so and so, versus so and so, versus so and so, etc? i.e. the mole  is blue versus black versus brown versus green and so on.  Thank you.


finally got it, it was obstructive series!! Thanks all :)
Subject: finally got it, it was obstructive series!! Thanks all :)


But the OP didn't have that many adjectives in the series, sm
Subject: But the OP didn't have that many adjectives in the series, sm

so no comma is correct. The elderly patient is pleasant. Not pleasant and elderly.
small bowel series
Subject: small bowel series

Is there such a thing as "small bowel murals"?  thanks
Nevermind. Later on he says going to get scoliosis series...
Subject: Nevermind. Later on he says going to get scoliosis series...


C series for cervical radiculopathy?
Subject: C series for cervical radiculopathy?

?


Probably slang for C-spine series. nm
Subject: Probably slang for C-spine series. nm

Peace out.
Wrist x-ray - gamat series??
Subject: Wrist x-ray - gamat series??

Doctor spelled "gamat" but I cannot find this anywhere. Thank you


CHEM-7 (SMAC7 OR SMA7) series of 7
Subject: CHEM-7 (SMAC7 OR SMA7) series of 7

nm
s/l permetheus series 7 serologic markers...sm
Subject: s/l permetheus series 7 serologic markers...sm

Doc says:  We also performed a s/l permetheus series 7 serological markers and they have been negative for Crohn's disease or ulcerative colitis.  Thanks!
Acute abdominal series demonstrated s/l adalectis of the right base..what??
Subject: Acute abdominal series demonstrated s/l adalectis of the right base..what??


I treat it the same s/m
Subject: I treat it the same s/m

as all other latin abbreviations.  I abbreviate it, etc.
how about completed "circuit" in 1992 nm (series-parallel circuit for treatment of HepB) nm
Subject: how about completed "circuit" in 1992 nm (series-parallel circuit for treatment of HepB) nm


There is a VAC used to treat ulcers...
Subject: There is a VAC used to treat ulcers...

nm
ligament of Treat?
Subject: ligament of Treat?

sounds like ligament of Treats - maybe in the abdomen/colon ?
Novantrone is used to treat MS nm
Subject: Novantrone is used to treat MS nm

x
s/l rucey procedure -- wondering if it is Ruiz procedure ...
Subject: s/l rucey procedure -- wondering if it is Ruiz procedure ...

The sentence reads "I advised the patient to undergo so-called s/l rucey procedure (i.e., bone graft repair of the nonunion)." This is an orthopaedic doctor dictating. TIA.
Gold's procedure or Gould's procedure..ortho? nm
Subject: Gold's procedure or Gould's procedure..ortho? nm

v
that is used to treat hypertension, but thanks neways
Subject: that is used to treat hypertension, but thanks neways

x


yes, but also used to treat orthostatic hypotension sm
Subject: yes, but also used to treat orthostatic hypotension sm

Beta Blockers

Beta blockers have also been studied for the treatment of orthostatic hypotension.9 The three agents most widely studied are propranolol, piûdolol, and xamoterol. Propranolol’s mechanism of action is believed to be antagonism of beta-controlled vasodilator effects of catecholamines. Pindolol is a nonselective beta blocker with intrinsic sympathomimetic activity. Patients with orthostatic hypotension may have reduced sympathomimetic activity, and the agonist properties of pindolol account for its usefulness in these patients. Xamoterol, a partial beta1-selective agonist, has been shown to be useful in patients unable to tolerate pindolol. Because xamaterol is an investigational agent, its usefulness is limited. Nevertheless, a New Drug Application has been filed with the FDA.
You know an antibiotic could cause thrush, not treat it, right? (nm)
Subject: You know an antibiotic could cause thrush, not treat it, right? (nm)

(nm)
Asparaginase? used to treat leukemia
Subject: Asparaginase? used to treat leukemia


Drug used to treat ED-- s/l Bimex???
Subject: Drug used to treat ED-- s/l Bimex???


Top 3 meds to treat gout.........sm
Subject: Top 3 meds to treat gout.........sm

NSAIDs, Indomethacin, Probenecid.  Can you hear any of these being dictated?
Mobic is used to treat arthritis. Could the doc being saying that?
Subject: Mobic is used to treat arthritis. Could the doc being saying that?


Alinia - used to treat diarrhea with
Subject: Alinia - used to treat diarrhea with

certain intestinal infections.
I think it is probably scintillator complex.
Subject: I think it is probably scintillator complex.

A scintillator is a substance that absorbs high energy (ionizing) electromagnetic or charged particle radiation.
hippocampal complex? (nm)
Subject: hippocampal complex? (nm)


s/l ocumeatal complex sm
Subject: s/l ocumeatal complex sm

CT scan shows some narrowing of her s/l ocumeatal complex.  tytyty
ostiomeatal complex
Subject: ostiomeatal complex

dd
Shon's?? complex
Subject: Shon's?? complex

A 2-month-old with critical coarctation of the aorta and VSD status post surgical repair.  We are following her closely as she may be a variant of Shon's?? complex with mitral stenosis, aortic stenosis and coarctation.  Never heard of this.  Doc is spelling it, but I cannot verify.  Thanks.


Ostiomeatal complex (nm)
Subject: Ostiomeatal complex (nm)

dd
Actually it's ostiomeatal complex. Always.
Subject: Actually it's ostiomeatal complex. Always.

http://www.onelook.com/?w=ostiomeatal+complex&ls=a
Vitamin D Complex?
Subject: Vitamin D Complex?


Vitamin D complex is this capitalized?


yes...vitamin D complex nm
Subject: yes...vitamin D complex nm

xxx
Ghon complex
Subject: Ghon complex


CharcoCaps: activated charcoal used to treat....
Subject: CharcoCaps: activated charcoal used to treat....

Gas, Diarrhea, Poisoning from Swallowed Unknown Substance.