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Also dictates the patient had scoliosis diagnosed at 10 years of age, no treatment (is now 60)

Posted By: Thanks on 2008-02-12
In Reply to: Ortho s/l --- need help! - Thanks

Subject: Also dictates the patient had scoliosis diagnosed at 10 years of age, no treatment (is now 60)




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doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM


Patient was seen in the ER, diagnosed with a distal humerus fracture and placed in please sm
Subject: Patient was seen in the ER, diagnosed with a distal humerus fracture and placed in please sm

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patient with idiopathic scoliosis help please...
Subject: patient with idiopathic scoliosis help please...

Afebrile, stable S/L-ladder signs standing upright, well compensated. 


 


HAPPY EASTER!


more help on scoliosis patient, really having a hard time here!
Subject: more help on scoliosis patient, really having a hard time here!

She has a 1.8 mm S/L- celutoe translation at L3-L4 level. 


Radiographs show s/l- a foot 80 degrees right thoracic, 76 lumbar.  ( it really sounds like he is saying foot, he is foreign, and I do not understand where foot would fit in, but Im not familar with typing these notes. 


THANKS SO MUCH!!


S/L APO thoracic curve..patient has scoliosis...foriegn doc
Subject: S/L APO thoracic curve..patient has scoliosis...foriegn doc

nm
The patient has MS, dictates she cannot s/l antigravitate the leg.
Subject: The patient has MS, dictates she cannot s/l antigravitate the leg.

Have not heard the term antigraviate before, and cannot find it anywhere. That is all the context I have
Patient has sebaceous cyst, doc dictates s/l hidranidus.
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The doc dictates under ROS, GU: The patient denies issues with polyuria POLYPHASIA, or polydipsia..
Subject: The doc dictates under ROS, GU: The patient denies issues with polyuria POLYPHASIA, or polydipsia..

is this correct?  POLYPHASIA????  Isn't POLYPHAGIA having to do with eating/swallowing?  I can't find anything in google relating to urination or GU system.....


  Thanks in advance!!


 


Dictates, we are working on (s/l) "preos" forms since the patient cannot afford Cymbalta. nm
Subject: Dictates, we are working on (s/l) "preos" forms since the patient cannot afford Cymbalta. nm


The patient is nearly 80 years old, or an
Subject: The patient is nearly 80 years old, or an

octagenarian.
s/l the patient was placed on impaired treatment with amoxicillin
Subject: s/l the patient was placed on impaired treatment with amoxicillin

thanks....
The patient reports her symptoms began s/l assiduously approximately two to three years ago. Is thi
Subject: The patient reports her symptoms began s/l assiduously approximately two to three years ago. Is thi


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Subject: Patient has bacterial vaginosis - treatment s/l quasents tablets.


says patient will undergo *gammonized* treatment?? Do I leave it as spelled. Thanks. nm
Subject: says patient will undergo *gammonized* treatment?? Do I leave it as spelled. Thanks. nm

nm
I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)
Subject: I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)

Now some are saying it's q. 4h.??  UGH, YUCK!!  I have also worked on accounts where it had to be "every 4 hours," and we had to spell out p.r.n. (as needed for).  At least we got more characters. 


First rule:  It is all what the "client/account" wants, not always what the BOS says it is.  I realize that language and its usage is constantly changing, but I've seen so many BOS and client flip-flops on so many other things in nearly 3 decades that it's laughable.  What isn't laughable is when we get penalized for not knowing what they want, even when they, themselves, don't know or are wrong.


Oh, and I still prefer the old no spaces:  q.4h., q.4-6h., q.12h., and so on.....


Wow, thank you. Just years, years and more years of experience
Subject: Wow, thank you. Just years, years and more years of experience

and a constant thirst for learning something new everyday. As we all know this can get to be somewhat boring, but learning from what I transcribe as well as from other transcriptionists keeps me going (money is not bad either). It becomes a challenge. But I can't thank you enough for the kind words.

Use to be younger...
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Subject: Baby diagnosed with ALTY? (sm)

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diagnosed with bacterial s/l docalditus
Subject: diagnosed with bacterial s/l docalditus

I'm working on a Discharge summary ESL doctor;


Hospital Course: The patient was diagnosed with bacterial s/l docalditus and started on triple antibiotics.


Thanks!


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Subject: . Sister – just diagnosed with “SAMALEAL neuropathy”


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Subject: diagnosed with **airidostanlos, as well as a daughter, and she is believed to be a carrier

Connected with osteopenia
Or if they've been diagnosed with heart block, it might be Mobitz. nm
Subject: Or if they've been diagnosed with heart block, it might be Mobitz. nm

s
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Subject: Could be Wolff-Parkinson-White syndrome, many get diagnosed

s
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Subject: Placenta previa diagnosed on s/l "Altright ultrasound". TIA nm

x
scoliosis help please sm..
Subject: scoliosis help please sm..

riser stage 3 scoliosis.


 


Is Riser right?


scoliosis help
Subject: scoliosis help

Risser.
scoliosis help please sm..
Subject: scoliosis help please sm..

She is being followed for idiopathic scoliosis and currently switched to a s/l-VNECK-Milwaukee brace for a double thoracic scoliosis.  (foreign doc)
scoliosis
Subject: scoliosis

Is there such a thing as v-nerve scoliosis or venere scoliosis?
s/l a-ki-fol scoliosis?
Subject: s/l a-ki-fol scoliosis?

xx
Pulmonary _____ @18.9 embolism. This subsequently diagnosed by spiral CT, 01/16/2009 with
Subject: Pulmonary _____ @18.9 embolism. This subsequently diagnosed by spiral CT, 01/16/2009 with

n


Yes, and sometimes you can have rotatory scoliosis sm
Subject: Yes, and sometimes you can have rotatory scoliosis sm

Some docs will say "rotoscoliosis" and others "rotatory scoliosis."
degenerative scoliosis? nm
Subject: degenerative scoliosis? nm

x
Structural scoliosis
Subject: Structural scoliosis


Is it 'apical' scoliosis?
Subject: Is it 'apical' scoliosis?


Oops! Pulmonary _____ embolism. This subsequently diagnosed by spiral CT, 01/16/2009 with
Subject: Oops! Pulmonary _____ embolism. This subsequently diagnosed by spiral CT, 01/16/2009 with

n
Could it be scoliosis? Wild guess... nm
Subject: Could it be scoliosis? Wild guess... nm

4
He does have a slight "exrow" scoliosis. TIA
Subject: He does have a slight "exrow" scoliosis. TIA


Nevermind. Later on he says going to get scoliosis series...
Subject: Nevermind. Later on he says going to get scoliosis series...


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Subject: Scoliosis pt - s/l "parasail" configuration

Of concern is her possible development of thoracic insufficiency as her ribs are beginning to fall in a "parasail" type configuration. 


 


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8-month old with scoliosis. Recommended a s/l callibus brace.
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Subject: S/l Stenowar scoliosis (report is for a spinal block)


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Subject: Has anyone heard of s/l "X-LIP" procedure for spinal stenosis/scoliosis? nm

x
For measurement of scoliosis, Cobb's angle. See link inside.
Subject: For measurement of scoliosis, Cobb's angle. See link inside.

http://www.e-radiography.net/radpath/c/cobbs-angle.htm
Makes sense. Scoliosis is a lateral curve. A rotation is more of a twisting
Subject: Makes sense. Scoliosis is a lateral curve. A rotation is more of a twisting

s
herniated disc of her lumbar spine with s/l suporsis.. I dont hear scoliosis
Subject: herniated disc of her lumbar spine with s/l suporsis.. I dont hear scoliosis

. ,
2 years' time because years is plural. One year's time because it is singular, only one year.
Subject: 2 years' time because years is plural. One year's time because it is singular, only one year.


Under PMH. MD dictates: sm
Subject: Under PMH. MD dictates: sm

 Status post trauma/repair to patient’s eye.


 


Would you leave this as is with the slash or change it?  I am permitted to change things when necessary.  Thanks.


What do you do when the doc dictates sm
Subject: What do you do when the doc dictates sm

... and I gave the patient 50 "mikes" of whatever medication.  One said to spell it m-i-q-u-e-s, one said to use m-i-k-e-s, and one hospital said not to use it at all. So, does it stand for micrograms?  Should we use slang?  Aghh!  Help, please.