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maybe "with a lauer" might be incised "subareolar"?

Posted By: nm on 2009-04-09
In Reply to: Mastectomy instrument help - Jess

Subject: maybe "with a lauer" might be incised "subareolar"?




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Lauer link??
Subject: Lauer link??

I thought it was Lauer too, but I co-worker suggested Laurer.


I cannot find anything online or in a book that says Lauer.  Do you have a link?


incised----nm
x
uterus was palpable, s/l ring incised-sm
Subject: uterus was palpable, s/l ring incised-sm

I don't know if he is saying something like ring incised or ring sized.

Past history says: She had four cesarean sections, laparoscopic tubal sterilization, and a laparotomy with left oophorectomy and abdominoplasty.

In pelvic exam: PELVIC: Skene, urethral, and Bartholin glands within normal limits. Vagina, good support. Cervix was closed. No lesions were seen. Uterus was palpable, ______. s/l "ring incised" or "ring sized."

Could he be saying "ring incised" meaning he feels the incision from previous surgeries. Could it be he is saying uterus is "ring sized?"
That's the way I type it when the account is verbatim. Otherwise, you could correct to incised an
Subject: That's the way I type it when the account is verbatim. Otherwise, you could correct to incised and


Personally, I would put incised and drained (unless one of those really strict verbatim accounts)
Subject: Personally, I would put incised and drained (unless one of those really strict verbatim accounts)


Pt. with colon resection. The peritoneum was incised and the lateral rectal s/l socks were
Subject: Pt. with colon resection. The peritoneum was incised and the lateral rectal s/l socks were

mobilized with the harmonic scissors.  He says socks as clear as day, but never heard this said like this before.  Anyone?!



the pericardium was incised and ?? mobilized off the asnb superior vena cava?????
Subject: the pericardium was incised and ?? mobilized off the asnb superior vena cava?????


I would leave out the "with". You cannot
Subject: I would leave out the "with". You cannot

have 3 D&Cs with an appendectomy. Think you are making this too hard.
I agree with "with" (see message)
Subject: I agree with "with" (see message)

but now with some productive sputum.

Hey, we have ALL been there. Hang in there...it definitely gets better :-)
how about "with a" widely patent..."
Subject: how about "with a" widely patent..."


How about just "with suction cautery"? nm
Subject: How about just "with suction cautery"? nm

X
No comma before the word "with"
Subject: No comma before the word "with"

as it is a conjunction and doesn't need a comma before it.
Maybe substitute "to" with "with" or "of." JMO NM
Subject: Maybe substitute "to" with "with" or "of." JMO NM

d
Laparoscopic cholecystectomy "with grams"?
Subject: Laparoscopic cholecystectomy "with grams"?

x
Wondering if the "with" sound is "graphy" sm
Subject: Wondering if the "with" sound is "graphy" sm

aortography
Could the doctor be stuttering over "with ease" sm
Subject: Could the doctor be stuttering over "with ease" sm

and then changing his mind?
You added "with" after status, not necessarily
Subject: You added "with" after status, not necessarily

x
"with PAI-1 Stage 4G/5G gene heterozygous" nm
Subject: "with PAI-1 Stage 4G/5G gene heterozygous" nm


last part should read "with sensitivities to..." Why do words get cut off at the end of the l
Subject: last part should read "with sensitivities to..." Why do words get cut off at the end of the line?!?

I type in the subject line until I can't type anymore, but always the last few characters get cut off!!  You would think that end of the line would be the end of the line, not four or five spaces before the end of the line!!!  That is a pet peeve of mine.
Your Lispro sentence might be "with" her regular..& you usually hear
Subject: Your Lispro sentence might be "with" her regular..& you usually hear

s
Ach, nevermind- could easily change it to "with ballottement of the knee"- Thank you!
Subject: Ach, nevermind- could easily change it to "with ballottement of the knee"- Thank you!


I'm wondering if maybe it is "Gram-negative rods sensitive to" or maybe "with sensitivit
Subject: I'm wondering if maybe it is "Gram-negative rods sensitive to" or maybe "with sensitivities to..."

What does the dictator say immediately following your problem spot?


incised into Gerota's capsule/fascia (renal fascia) ? nm
Subject: incised into Gerota's capsule/fascia (renal fascia) ? nm


I wouldn't change" status" to "with" here, performance status is, sm
Subject: I wouldn't change" status" to "with" here, performance status is, sm

a specific term to quantify the patient's well being, "performance with" doesn't mean the same thing.