| can you hear debridement?Posted By: mj on 2007-04-11In Reply to: s/l Bree-Dee or 3D? - Flo
 
 Subject: can you hear debridement?
 
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 debridement
 Subject: debridement
 
 
 
 The femoral trochlea demonstrated an area of grade III and grade IV hylan cartilage change. This area was gently debrided with a s/l full-radial resector? debridement ?
 Subject: debridement ?
 
 
 I cannot figure out what this doctor is saying, it starts under "operative technique" 
 Patient was "????" prepped and draped in the usual fashion in a supine position. The tourniquet was placed in the right upper arm. 
 It sounds like he is saying "freight wrapped" or maybe "tight wrapped"???? I could not find any reference to either of those terms.  Can anyone help?!? 
 Thanks! Knife used for debridement
 Subject: Knife used for debridement
 
 After general anesthesia, the leg was elevated and then using dermatome and _____ knife a debridement was done.
 
 OPERATIVE PROCEDURE:   Extensive debridement of left lower leg, fairly large area 20 cm x 16 cm and 10 cm x 15 cm.   
   
 It sounds like bouillon and I know that is not correct...any help would be appreciated. 
   s/l debridement of stratus
 Subject: s/l debridement of stratus
 
 PROCEDURE:  Drainage of seroma, debridement of stratus, placement of drain left breast.
 I & D also means irrigation and debridement
 Subject: I & D also means irrigation and debridement
 
 If the patient has a wound, say a sacral decubitus, they could be doing that.
 I&D, debridement plug VAC placement??? (sorry such a bad day)
 Subject: I&D, debridement plug VAC placement??? (sorry such a bad day)
 
 
 FYI this is a wound debridement procedure
 Subject: FYI this is a wound debridement procedure
 
 x
 Chronic debridement or debriding?
 Subject: Chronic debridement or debriding?
 
 
 Help please - s/l "LP Vapor suction 3.5" - for debridement
 Subject: Help please - s/l "LP Vapor suction 3.5" - for debridement
 
 
 I think it's debridement/shaving knee arthroscopy...
 Subject: I think it's debridement/shaving knee arthroscopy...
 
 
 s/l placement of lizera from foot debridement?
 Subject: s/l placement of lizera from foot debridement?
 
 placement of s/l **lizera** from foot debridement?
 
 I appreciate any help!
 Patient undergoing debridement for osteomyelitis by DPM.
 Subject: Patient undergoing debridement for osteomyelitis by DPM.
 
 We then packed the wound with s/l "prodance" or "prodanz" mixed with vancomycin 1 gm and 85 mg of tobramycin.
 I found Stedman's pronounciation for debridement - (da-bred-mon ')
 Subject: I found Stedman's pronounciation for debridement - (da-bred-mon ')
 
 
 It's a perirectal absces--incision and drainage rather than irrigation/debridement! nm
 Subject: It's a perirectal absces--incision and drainage rather than irrigation/debridement! nm
 
 x
 My ortho surgeons use the basket forceps routinely to retrieve fragments after debridement.....sm
 Subject: My ortho surgeons use the basket forceps routinely to retrieve fragments after debridement.....sm
 
 of the meniscus, not just in urology, other surgeries, also, I do mostly OPs. :-)
 Can you hear bunion for the first word?  And the second can you hear symptomatic or sensory pain?
 Subject: Can you hear bunion for the first word?  And the second can you hear symptomatic or sensory pain?
 
 
 Cannot hear adenopathy.  Clearly hear *pology.   Thank you, though.
 Subject: Cannot hear adenopathy.  Clearly hear *pology.   Thank you, though.
 
 
 Can you hear "mild".  Hear that a lot.  nm
 Subject: Can you hear "mild".  Hear that a lot.  nm
 
 
 I do not hear that
 Subject: I do not hear that
 
 but I believe you are correct, there is mention of exposed cartilage. Thank you very much.
 or can you hear..................nm
 Subject: or can you hear..................nm
 
 
   can you hear VRE - this has been associated
 Subject: can you hear VRE - this has been associated
 
 with C. difficile colitis as well - CD/VRE...also, resolved to the NVRA just doesn't make grammatical sense - you sure it's not "The C. difficile was treated with Flagyl, but resulted in VRE, then treated with Zyvox?"  GOOD LUCK!
 can you hear?
 Subject: can you hear?
 
 guaifenesin and Tessalon Perles
 can you hear
 Subject: can you hear
 
 ,,,
 That's it.  Can hear it clearly.  Thanks so much!
 Subject: That's it.  Can hear it clearly.  Thanks so much!
 
 
 Thank you.  I really could not hear...
 Subject: Thank you.  I really could not hear...
 
 cortical; he was not an ESL and said it 5 or 6 times in the report.
 
 Thanks for trying.
 Usually hear this
 Subject: Usually hear this
 
 nerve root impingement
 Used to hear that a lot. sm
 Subject: Used to hear that a lot. sm
 
 back in the day they said leukouria a lot, not so much today. I just typed it like that. I think it may have been in one of those old Dorland's from the 70s.
 can you hear...
 Subject: can you hear...
 
 suggested etiology or suggest ... or maybe assess etiology.  Sorry, just making some guesses without knowing what's right before and after.
 I'd like to hear more about this:...(sm).
 Subject: I'd like to hear more about this:...(sm).
 
 
  hysterical anesthesia
 
 Bodily anesthesia occurring in hysteria Can you hear
 Subject: Can you hear
 
 Byetta?
 Can you hear
 Subject: Can you hear
 
 Easy?  That makes the most sense.
 Can you hear
 Subject: Can you hear
 
 Harmonic scalpel?
 Thanks.  Now I hear it.
 Subject: Thanks.  Now I hear it.
 
 
   can you hear
 Subject: can you hear
 
 transverse?
 I hear ya
 Subject: I hear ya
 
 Since there are so many different transcription platforms, you can't always program in the 1/2 symbol and typing it like that - 1/2 - is clumsy and can be unclear when read. The guidelines at my last in-house job were to convert it to decimal if possible.
 Can you hear something like sm
 Subject: Can you hear something like sm
 
 ACBE or air contrast barium enema???
 sorry I would have to actually hear that one I think. nm
 Subject: sorry I would have to actually hear that one I think. nm
 
 .
 This is not it either, I def hear a 'D' before
 Subject: This is not it either, I def hear a 'D' before
 
 
 Not sure about that one as I do not hear a 'y' or 'x ' in
 Subject: Not sure about that one as I do not hear a 'y' or 'x ' in
 
 
 Need to hear what comes before and after this. nm
 Subject: Need to hear what comes before and after this. nm
 
 s
 can hear...
 Subject: can hear...
 
 I can only hear s/l a enroom taking out of his right third webspace.
 
 I think synergetic pain is correct but I can't hear bunion at all.
 thank you, I tried to hear it, but could not.
 Subject: thank you, I tried to hear it, but could not.
 
 
 No, can't hear that.
 Subject: No, can't hear that.
 
 
 Can you hear
 Subject: Can you hear
 
 nm
 Could you hear
 Subject: Could you hear
 
 medial partial or one-third facetectomy?  Not sure about the thoraco part since he's talking about L4-L5, lumbar not T-spine.  Not a neurosurgery expert, just some ideas...
 can you hear
 Subject: can you hear
 
 itraconazole?  see link
 Do you maybe hear GC-MS?  See msg
 Subject: Do you maybe hear GC-MS?  See msg
 
 GC-MS stands for gas chromatography-mass spectometry.  I looked this up on Google and did find it is used to test for opiates.  Hope it maybe helps.
 Can u hear BUN?... nm
 Subject: Can u hear BUN?... nm
 
 x
 Yes, I can hear that.
 Subject: Yes, I can hear that.
 
 nm
 No, definitely saying 3 and 1.  Can  hear the #3 and #1
 Subject: No, definitely saying 3 and 1.  Can  hear the #3 and #1
 
 not sure about the word AND. I will leave it blank and send through. Thanks for your help.
 Ill see if I hear that thanks!!
 Subject: Ill see if I hear that thanks!!
 
 
 
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