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1. PREOPERATIVE DIAGNOSIS: Lesion of vocal cords. POSTOPERATIVE DIAGNOSIS: Tumor of left vocal cord. OPERATION PERFORMED: Laryngoscopy. The patient is a 25-year-old student of opera who presented with a lesion of her left vocal cord seen on office laryngoscopy. Today she is seen in the ambulatory suite for further examination of this lesion, using the operating microscope. After the administration of local anesthesia, a direct endoscope is introduced. The operating microscope is brought into the field, and the pharynx and larynx are visualized. The pharynx appears normal. There was a mass noted of the left vocal cord. The mass was approximately 2.0cm in size and was removed in total and sent to pathology for analysis. All secretions were suctioned, and the area was irrigated with saline. The patient had minimal blood loss. It should be noted that the pathology report stated benign tumor of the vocal cord. CPT SERVICE CODE: ___________________________________ 2. PREOPERATIVE DIAGNOSIS: Lesion of vocal cords. POSTOPERATIVE DIAGNOSIS: Tumor of left vocal cord. OPERATION PERFORMED: Laryngoscopy. The patient is a 25-year-old student of opera who presented with a lesion of her left vocal cord seen on office laryngoscopy. Today she is seen in the ambulatory suite for further examination of this lesion, using the operating microscope. After the administration of local anesthesia, a direct endoscope is introduced. The operating microscope is brought into the field, and the pharynx and larynx are visualized. The pharynx appears normal. There was a mass noted of the left vocal cord. The mass was approximately 2.0cm in size and was removed in total and sent to pathology for analysis. All secretions were suctioned, and the area was irrigated with saline. The patient had minimal blood loss. It should be noted that the pathology report stated benign tumor of the vocal cord. ICD-9 DX CODE: _______________________________________ 3. PREOPERATIVE DIAGNOSIS: Hemoptysis. POSTOPERATIVE…
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When I first arrived at high school, I was extremely nervous. The school was huge and there was not a familiar face in site. Although I was nervous, staff and students did their best to create a positive learning environment. Going into my sophomore year, I received the same positive energy from the staff and my peers. My guidance counselor, Ms. Hunter, helped me to prepare and offered me the opportunity to enroll in…
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I was sure to do my study guide and review it before clinical, as well as completing all labor and delivery drug cards, including two extra. This helped me understand what the nurses and doctors were taking about. This clinical in L&D, which enabled me to use the wave understandings that Traywick taught to us the previous week. This helped me see how the patients were doing in relation to contractions and how the baby was responding. This was interesting and neat to have an idea of what it means instead of going throughout clinical without any insight on this.…
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Throughout this semester many things have been new experiences for the entire class. Some met new interesting people on the other hand some people learned new experiences that will be used throughout the rest of this next semester. Whether it was watching a video on the computer or reading through the Bedford book, many new techniques were learned, as well as new information being learned. Some day’s everything may have not been all together but everything still managed to work out for the entire class, or the one’s that stuck it out through “craziness” of being a new student or having a new teacher. This “craziness was definitely well worth it now that the semester is over and the new semester is approaching.…
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Students need to be made aware of contemporary ethical issues and learn to evaluate them in light of scriptural truth. This course is designed to teach students how to apply a biblical worldview to selected ethical issues that they are likely to encounter…
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Being born into America as a lower class citizen, there are many obstacles that you are going to be stuck with. One of the obstacles that you are forced to face is money issues. Most time the poor cannot pay for the things they will need for school. If you needed to buy books for class you would not have the money for it, since you cannot buy books for class you are limited in how much you learn. Another obstacle that is hard to get away from is the stress and how many lives it has consumed. People believe stress is the reason why part of the United…
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In the article, “Students Expectations Seen as Causing Grade Disputes,” Max Roosevelt uses six separate interviews to illustrate the fact that students need to go above and beyond what is considered “average” to receive an A. Students have the belief that if they do what they are supposed to and meet the standard requirements they should get an A, when in truth that is just simply what you are supposed to be doing in the first place. To receive outstanding academic achievement, students go to school not just to learn, but to give opinionated feed back, be interactive, and put high amounts of time and dedication into their studies. Roosevelt proclaims that a sense of entitlement to A’s and B’s may come from their prior experience from kindergarten to twelfth grade, a school system where “doing the work” implies high grades. Sarah Kinn, a junior English major at University of Vermont agrees with the majority of students, claiming “[Students] feel that if [they] do all of the readings and attend class regularly that [they] should be able to achieve a grade that of at least a B.” Students think that if they work hard, they deserve a high grade. In contrast, professor Marshall Grossman does not give an A for meeting the minimal requirements; he gives a standard C. Professor Greenberger assumes that giving an easy A can lead to a heightened sense of entitlement, which is be directly related to the increase of achievement anxiety. The fear of failure, pressure, and competition that one faces could play an effective role towards their belief of deserving good grades. Another example would be how Dean Hogge puts an emphasis on the locus of control. There needs to be a desire to earn an A rather than just easily receiving an A. The student’s dilemma is that they tend to put the responsibility on someone else if they receive a low grade, which leads to irresponsibility and does not prepare you for the real world. Lastly, professors at Wisconsin emphasize the true purpose of…
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My Armenian-born parents are a clear representation of the promise of equal opportunity and spirit of freedom that the United States is meant to embody. As refugees of World War I, my family came to America in pursuit of liberty with their kinship and industriousness as their “only” resources. Today, my parents own 100% of their home on WaiKiki Beach in Hawaii, and paid for my tuition at the same private school President Obama attended. Their success story is a great testimony to US idealism, and its departure from the rigid class system of the Old World.…
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