PROCEDURE PERFORMED: Brachytherapy implant.
Now, where does "PROCEDURE ABORTED" go, so patient isnt charged for it, etc, and no errors are made? And, should it be all caps? In name of procedure or as a separate "Please Note:" Its dictated as name of procedure but Dr. is indecisive and stutters dictation ambiguously. ...
I have a patient who had a px of her ankle. The doctor did not give any hx of injury or any symptoms, just stated that she had a left ankle arthroscopy and what sounds like a Brostin procedure of her ankle? Anyone ever hear of this?
Thank you so much in advance!
Forgive my giddiness today but I havent' had a lot of sleep in the past several days and I do get giddy with little sleep. For some reason, one of my mom's most famous sayings just came to mind: "From the day of your ...
I'm embarassingly stuck on the sound-alike ladder vs latter. I know the difference, the ladder being the physical structure used for cilmbing, and latter being positional in a sentence, the second option of two things, the end half, etc (much like how I used it for this sentence). However, I find myself second guessing which one to use as neither really made any sense to me. The doctor says repeatedly,"She has failed a [ladder/latter] number of therapy." My gut is saying latter, ...
The patient had a shoulder MRI. The doctor say:
No obvious-appearing instability or injury to the coracoclavicular or ---s/l clochoclavicular---- ligaments on the MRI.
Thanks. ...
Doc is talking about pts shoulder and says: She had a normal (s/l Mieres), Hawkins, and Jobes tests. Can someone give me the correct spelling of Mieres? Thx CM ...
Ortho doc is dictating PSH and he's stating the patient had a right shoulder histo. Any idea what histo means?
Thanks so much in advance. Hope you're having a good night! ...
This is what she says:
INSTRUMENTS USED: A Stryker 5.0 BioZip anchor with a #2 Force Fiber x2, and a PEEK SSS nutless disposable Relix STT 5.5-mm anchor x2.
I cannot verify the "PEEK SSS nutless disposable relix STT" is correct. Any help is much appreciated! ...
new to this account.....he says
I also performed injection of her tendon sheath of her extensor tendon insertion origin with 1 cc of Lidocaine and 1 cc of Kenalog. Her ?JMARS? are left 18, 21, and 21 and right 10, 16, 18. ...
He has pain in the intrascapular area of the right shoulder.
I can't tell if the doc says intrascapular or interscapular. Are they interchangeable? I am inclined towards him saying intra- but I can't be sure and can't ask him.
thanks. ...
Dictated: Treatment options were discussed with him. These include repeat selective AC joint injection, s/l mulfer type (or tight or tech) distal clavicle, or living with residual symptoms.
He just slurs right over this. Any help, thank you! ...
He is nontender over the s/l (bony girdle) s/l (above) the clavicle and the scapula.
He is nontender at the elbow and wrist. He has good s/l (dorsalis) or s/l (radial) pulses and the sensation and grip strength is equal. ...
His right shoulder has 180° forward flexion, external rotation to 97° in the abducted 90° position with positive apprehension sign and pain.
This is exactly what he says. Does it make sense? ...
An old and chronic problem I have when doing MT work is that my right shoulder aches after just a shor time at the keyboard. (I am left-handed). It seems the constant mouse movement irritate it a lot. I am now doing VRE type work and boy has it made it worse. I know my right side is probably weaker than my left and I can work on strengthening it somehow but I wondered if anyone has any ideas for this? I do not like being in pain. I've thought about a new chair ...
The patient has normal-appearing supra- and infraspinatus with normal-appearing *baria*. He distinctly does NOT say barrier (no "r" at the end), but I cannot verify "baria". Thanks! ...
Total shoulder arthroplasty
Using blunt digital dissection, the subdeltoid bursa was developed as well as the plane underneath the "s/l fox" fascia and conjoined tendon.
I've seen "faux" fascia being used in other reports from this doctor, but I have not been able to document this. I feel uneasy about just sticking that in just because somebody else did. ...
working on report on shoulder arthroscopy, and I hear this: There was a small amount of FRAIN? at the superior aspect of the glenoid labrum at the origin of the biceps tendon. ...
On postop plan after dictating OP report (shoulder arthroscopy for impingement and AC joint arthritis, doctor dictates postop plan which includes pendulum, gentle ROM plus "He can progress to active and (s/l) PREs (??) as pain and symptoms allow." Wondered if this was correct and what it stood for. Thanks. ...
Dictated: The rotator cuff was mobilized with the (Frear and the Kingfisher) and satisfactory mobilization was able to be achieved.
Clearly spoken - and I can't find "Frear" and "Kingfisher" to verify.
Any help, please ... thank you. ...
There is no evidence of significant rotator cuff tear and she has normal appearing s/l **slant sign** of the shoulder on her radiographs, I believe that she would be a candidate for a total shoulder rather than a reverse total shoulder. ...