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Help with a sentence...do I have it right? - AJR

Posted: Feb 12, 2010

Here's what I hear...Evaluation for elective thymectomy in displacement with myasthenia gravis. Not sure if it sounds like "in" or "and". Which is correct? Thanks for any help!

I would say "in"..see inside - but not sure

[ In Reply To ..]
Google:
What is the role of the thymus gland in myasthenia gravis?

The thymus gland, which lies in the upper chest area beneath the breastbone, plays an important role in the development of the immune system in early life. Its cells form a part of the body's normal immune system. The gland is somewhat large in infants, grows gradually until puberty, and then gets smaller and is replaced by fat with age. In adults with myasthenia gravis, the thymus gland is abnormal. It contains certain clusters of immune cells indicative of lymphoid hyperplasia - a condition usually found only in the spleen and lymph nodes during an active immune response. Some individuals with myasthenia gravis develop thymomas or tumors of the thymus gland. Generally thymomas are benign, but they can become malignant.

The relationship between the thymus gland and myasthenia gravis is not yet fully understood. Scientists believe the thymus gland may give incorrect instructions to developing immune cells, ultimately resulting in autoimmunity and the production of the acetylcholine receptor antibodies, thereby setting the stage for the attack on neuromuscular transmission.

Now what drugs? - AJR

[ In Reply To ..]
Now I've moved on to the past medications. It sounds like the dr is reporting prednisone twice! 80 mg p.o q.o.d. & 40 mg q.o.d. Is that right? This has been a real challenging one!

Yes, every other day - DRH

[ In Reply To ..]
Yup, q.o.d. meaning every other day, one day they're taking 80 mg, the other day 40 mg, then 80 again, etc.

With q.o.d. being on the dangerous abbrev. list, make sure you transcribe "every other day" though

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