I don't know what this doctor is saying right now, but it sounds like he's saying, "I splinched him today." I'm pretty sure that's not what he meant, though. Although it certainly would be convenient if diseased organs and tissues could just magically remove themselves.
My MT training focused a lot of attention on doctors with foreign accents, and with good reason, but I wish they'd spent a little more time on doctors who just talk really fast. They also could have spent some time on doctors with domestic accents (which I suppose are technically known as "dialects") because the main doctor that I transcribe for speaks with a really strong Southern dialect. The nice thing about him, though, is that he has a lot of standard phrases that he says almost all the time, so having learned through experience and coaching what his standard phrases are and what they sound like, I now know what he is saying and I have programmed a lot of them as autotexts to save me a little bit of typing. Although, for some reason when he says "over-the-counter," it still doesn't sound like anything to me. The other nice thing about him is that when he gets to the end of his dictation, sometimes he says "Thank you very much," and he totally sounds like Elvis Presley.
The funny thing is that the splinching doctor is actually a lot easier to understand than Southern doctor, but since I transcribe Southern doctor more often, I'm not as used to the other doctor and his verbalistic quirks, so sometimes I have more trouble transcribing him than Southern doctor.