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Re: Operative NotesFrom: Elrod, Darryl G MAJ 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)Fri Feb 24 01:47:49 2006
I have always included that in the narrative part of the report. Apparently, now there is a rule that there has to be a separate 'findings' heading with something dictated there. I now dictate the findings there and then only reference that in the narrative section. Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Friday, February 24, 2006 2:56 AM To: Multiple recipients of list OB-GYN-L Subject: Gyn: Operative Notes Do all of you put a section in your dictated operative notes describing the findings, or at least describe the findings in the text? I have seen two patients recently--one had an open supracervical hysterectomy/unilateral S and O (other side already out), the other a unilateral S and O, and the op notes described what was done nicely, but not the findings, i.e. how large was the ovary being removed, was there adhesive disease or endometriosis, etc. They were not very helpful, frankly. Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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