my surgeon always says opened in the "direction of its fibers"

• NEW to OP notes--inguinal hernia repair--4 questions - nayfray
  • Op note or test? - karen
    • it's a long story - nayfray
      • No, they don't. You should just - almost 40
        • sorry about testing ignorance--i'm not a cheater, promise! - nayfray
  • See inside. - Spice
  • fourth is "interrupteds" as in interrupted sutures - MT
    • Retzius doesn't seem right - nayfray
      • can you hear - almost 40
        • no, still sounds like "trex-i-vus fibers" - nayfray
          • my surgeon always says opened in the "direction of its fibers" - pdqtrans
            • that's gotta be it! Good job! - almost 40
          • I've heard "cremasteric fibers" in this procedure.(nm) - Hayseed
  • Think your first one is Retzius, for space of Retzius. nm - NM

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Background: Electrodiagnostically, localization of ulnar nerve lesions, which commonly occurs at the elbow, is sometimes problematic. Measurement of motor ulnar nerve conduction velocity (NCV) at the elbow is amongst the most popular techniques to diagnose ulnar neuropathy. In this method, recording from the first dorsal interosseous muscle (FDI) is suggested to be more sensitive than the abductor digiti minimi (ADM). However, the criterion for abnormality is based on the normal values recorded from ADM. Aims: To determine the normal values of Ulnar motor NCV using FDI and ADM and the difference between the values obtained from FDI and ADM. Additionally, to measure the amount of reduction of NCV across the elbow for each recording site. Materials and Methods: This was a cross-sectional study performed on 50 healthy volunteers (100 nerves). All subjects were in the same condition regarding joint position and surface hand temperature. We recorded ulnar NCV at forearm and across the elbow with recording electrode on both FDI and ADM, simultaneously.

1.             Bilateral sagittal split osteotomy with advancement and rigid fixation utilizing ____________ 2 mm placement screws. 

Hello..filling in for ortho surgeon.  Sounds like Sin these screws...any help?

With a #15 blade a 3.5 cm incision was made over the external _________ridge.  A subperiosteal dissection was carried out laterally, adjacent to the ramus and anteriorly along the ramus of the mandible. 

Sounds like baked ridge in the mouth? 

She's driving me nuts again!  Talking about risks of breast augmentation and specifically of retropectoral placement with one of the risks being......"ana faa shun" ...deformity.  Anyone know?? thanks.

sestamibi scan on all his parathyroid patients...........

and google to back it up:

in the background dictating away calling the instrument he was using during his procedure "the green doo-hickey with the spring" and just kept dictating away as if nothing.  The poor transcriptionist who got that report went with my blessing.  You wonder where they got their medical license at...

may be just too new to have much info on.  I did see an article on Google with the Oakland Bone and Joint Specialists, where he and a colleague, Dr. Jeffrey Mann, were pioneering a new total ankle replacement.  This is copyrighted for 2007-2008, so maybe he has developed dressings, bandages and such. 

I'm gonna save this one, and if I do find it verified in any medical books, etc., will send you a message about it.  Thanks for sharing! 

He's definitely saying Hartmann's ________ procedure, and the blank sounds like "lung."

Thanks so much!