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"with PAI-1 Stage 4G/5G gene heterozygous" nm

Posted By: flybye on 2009-05-13
In Reply to: See MS. Not sure if word after "PAI-1 Stage 4G/5G (being). Does being fit or maybe revealed? - marie

Subject: "with PAI-1 Stage 4G/5G gene heterozygous" nm




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Heterozygous
Subject: Heterozygous

Heterozygous????
Sure, sorry. It's heterozygous. Have a good day.
Subject: Sure, sorry. It's heterozygous. Have a good day.


could it be heterozygous factor V Leiden?
Subject: could it be heterozygous factor V Leiden?

xx
stage 2 fibrosis (from hep C) or stage II?
Subject: stage 2 fibrosis (from hep C) or stage II?

I can not find a reference to roman or arabic.   Thanks for the help!
Do you capitalize Stage IV or is it stage IV. not sure.
Subject: Do you capitalize Stage IV or is it stage IV. not sure.

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stage I or stage 1 rectocele. TIA nm
Subject: stage I or stage 1 rectocele. TIA nm

x
I would leave out the "with". You cannot
Subject: I would leave out the "with". You cannot

have 3 D&Cs with an appendectomy. Think you are making this too hard.
I agree with "with" (see message)
Subject: I agree with "with" (see message)

but now with some productive sputum.

Hey, we have ALL been there. Hang in there...it definitely gets better :-)
how about "with a" widely patent..."
Subject: how about "with a" widely patent..."


How about just "with suction cautery"? nm
Subject: How about just "with suction cautery"? nm

X
No comma before the word "with"
Subject: No comma before the word "with"

as it is a conjunction and doesn't need a comma before it.
Gene mutations
Subject: Gene mutations

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Subject: Gene screening

He has had open right adrenalectomy and an FNA of his thyroid nodule. The thyroid nodule was consistent with a benign process.


Since his last visit, we did send off gene screening for the "Rett protolocegene" that has come back negative so he is not an MEN-2A or 2B patient.


NFRSF1A gene?
Subject: NFRSF1A gene?


fmf gene testing
Subject: fmf gene testing


and gene amplification
Subject: and gene amplification


Need help with a gene mutation
Subject: Need help with a gene mutation

Does anyone know how this should be written.  The dictator is stating a Q5 mutation.  I have done some research and have come up with R506Q mutation.  Should I be typing R506Q mutation or QV mutation.
schocks gene
Subject: schocks gene

followed by endocrinology due to her history of short stature.  She had had a karyotype performed by them in the past, which revealed a normal 46-XX karyotype.  She also had normal testing of the ***  (Schocks?) gene.
? gene allele maybe - nm
Subject: ? gene allele maybe - nm


Maybe substitute "to" with "with" or "of." JMO NM
Subject: Maybe substitute "to" with "with" or "of." JMO NM

d
Laparoscopic cholecystectomy "with grams"?
Subject: Laparoscopic cholecystectomy "with grams"?

x
Wondering if the "with" sound is "graphy" sm
Subject: Wondering if the "with" sound is "graphy" sm

aortography
Could the doctor be stuttering over "with ease" sm
Subject: Could the doctor be stuttering over "with ease" sm

and then changing his mind?
You added "with" after status, not necessarily
Subject: You added "with" after status, not necessarily

x
maybe "with a lauer" might be incised "subareolar"?
Subject: maybe "with a lauer" might be incised "subareolar"?


perhaps gene amplification? ... oncology
Subject: perhaps gene amplification? ... oncology

isn't my specialty though.  Just a guess.


S/L Shocks gene deletion
Subject: S/L Shocks gene deletion

Doc dictates there is a family history of s/l shocks gene deletion. TIA!
According to my glossary, there is gene sequencing. sm
Subject: According to my glossary, there is gene sequencing. sm

http://ghr.nlm.nih.gov/glossary=sequenceanalysis


 


Also found refs to L2 sequence.


 


Not sure though, will look some more.


BRCA1 gene for breast CA? nm
Subject: BRCA1 gene for breast CA? nm


gene (s/l oliel) for hemochromatosis -NM
Subject: gene (s/l oliel) for hemochromatosis -NM


last part should read "with sensitivities to..." Why do words get cut off at the end of the l
Subject: last part should read "with sensitivities to..." Why do words get cut off at the end of the line?!?

I type in the subject line until I can't type anymore, but always the last few characters get cut off!!  You would think that end of the line would be the end of the line, not four or five spaces before the end of the line!!!  That is a pet peeve of mine.
Your Lispro sentence might be "with" her regular..& you usually hear
Subject: Your Lispro sentence might be "with" her regular..& you usually hear

s
Past medical history s/l ben rr ma gene
Subject: Past medical history s/l ben rr ma gene

Under past medical history, dictator is saying s/l ben r r ma gene.  Or banner arma gene.  ??? 


Patient also has hypertension, dyslipidemia, asymptomatic stroke, sleep apnea, renal insufficiency.  Any ideas?


Plasmid-borne armA gene?
Subject: Plasmid-borne armA gene?


Ach, nevermind- could easily change it to "with ballottement of the knee"- Thank you!
Subject: Ach, nevermind- could easily change it to "with ballottement of the knee"- Thank you!


Never mind! Doc spelled it out = SHOX gene deletion
Subject: Never mind! Doc spelled it out = SHOX gene deletion

Doc spelled it out later in the dictation. Nice doc, huh?
I'm wondering if maybe it is "Gram-negative rods sensitive to" or maybe "with sensitivit
Subject: I'm wondering if maybe it is "Gram-negative rods sensitive to" or maybe "with sensitivities to..."

What does the dictator say immediately following your problem spot?


eNos is a gene therapy & still in testing, OP states doc said it was old treatment. NM
Subject: eNos is a gene therapy & still in testing, OP states doc said it was old treatment. NM


There is a gene mutation test done for Tay-Sachs called HEXA
Subject: There is a gene mutation test done for Tay-Sachs called HEXA


On CT angiogram: s/l "ro gene eous" material in the prepontine cistern. sm
Subject: On CT angiogram: s/l "ro gene eous" material in the prepontine cistern. sm

head CT angiogram, which showed no evidence of arterial aneurism but previously described the rogeneous material in the prepontine cistern reflects a combination of vascular structures and vein hardening artifact. 
I wouldn't change" status" to "with" here, performance status is, sm
Subject: I wouldn't change" status" to "with" here, performance status is, sm

a specific term to quantify the patient's well being, "performance with" doesn't mean the same thing. 
stage 4
Subject: stage 4

stage 4 macular hole
It's stage I, II etc. nm
Subject: It's stage I, II etc. nm

nm
stage III
Subject: stage III

if unless specified by the client use Roman ie III with 'stage' and Arabic with 'grade'
he says Stage T2 B sm
Subject: he says Stage T2 B sm

in BOS it says Stage is in Roman Numerals and the T would have Arabic number after, so I can't fig out how to write this.  ty for your help.
Stage IIb
Subject: Stage IIb


Stage T2b
Subject: Stage T2b


just like you have it, I would put Stage T2-B
Subject: just like you have it, I would put Stage T2-B

.
Probably end-stage (sm)
Subject: Probably end-stage (sm)

End-stage:  The last phase in the course of a progressive disease.
stage
Subject: stage

I type this as stage III-B
Are you sure it is not stage Ib
Subject: Are you sure it is not stage Ib