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Blood glucose reading, please sm

Posted By: Grace on 2008-06-10
In Reply to:

Subject: Blood glucose reading, please sm

Doc is saying "patient went back on Metaglip and now his sugars are around *100 mg percent*.  I've never heard that, just sugars around 100 or whatever, no "mg percent".  Thanks for any help!


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Subject: Glucose testing ?

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This pt. is doing a glucose test but sounds like dictator is stating a 50 mg glucotrol.  Is there something else this could be?  From the research I could find this does not sound right, unsure if I am missing something....TIA


perhaps glucose monitoring? GLUM?....not sure
Subject: perhaps glucose monitoring? GLUM?....not sure


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Subject: would it be 50 mg oral glucose load???

possibly
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Subject: Implantable glucose monitor, maybe? It would

help to hear it in context-
how do you write glucose level? sm
Subject: how do you write glucose level? sm

Doc dictates:


"She reports that her diabetic team would like her glucose between 70 and 140, but generally, it is running between 140 over 30."


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Subject: He is reading from a list sm

that the patient wrote so I feel sure that is it. Thanks!
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The relationships among visual acuity (log MAR), diagnostic category, age, the magnitude of a relative afferent pupillary defect (RAPD) in log units, photopic foveal thresholds to white and colored light (dB), and the mean deviation on the Humphrey visual field (dB) were studied in patients with various optic neuropathies. All acuity and dB values were expressed as interocular differences, the majority of cases having normal acuity in the fellow eye. In multiple regression analyses, acuity and RAPD were alternately chosen as the dependent or response variable with all remaining variables serving as the predictors or independent variables. The main finding was that the only significant predictor of a RAPD was the interocular mean deviation difference on the Humphrey field and the only significant predictor of acuity was the foveal threshold to white light. Redundant and insignificant variables were therefore identified with multiple regression analysis. Subsidiary findings include: (a) although diagnostic group was not a significant predictor in the above, simple linear regression line slopes relating RAPD magnitude to the Humphrey mean deviation were significantly different between optic neuritis and compression categories; (b) for a given level of acuity, foveal thresholds were substantially worse in these cases with neuronal damage than in strabismic amblyopia, refractive error, or corneal damage; and (c) sensitivity losses for red vs. blue light were similar...


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Subject: Perhaps he is reading what the patient

incorrectly wrote down in place of Maxalt.  That's not so uncommon.  I'd leave a blank.
Can a lab reading be "small"??
Subject: Can a lab reading be "small"??

Patient is having high blood sugar and in her labs, dictator says something that s/l "serum acetone small."  Is this right or am I crazy?
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Subject: Hmm after reading the dictation again, you may be right...sm

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he is pretty clear with both of these, but I cannot verify either one. Thanks!!


How is this being treated or is this an xray reading? nm
Subject: How is this being treated or is this an xray reading? nm

s
reading that, it sounded rude. sm
Subject: reading that, it sounded rude. sm

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Bet the doctor is reading off the patient's list that sm
Subject: Bet the doctor is reading off the patient's list that sm

the patient wrote him/herself. When they can't tell what it is, they often spell it the way the patient did. I'd leave a blank and make a note with the doctor's spelling if you've already researched the term and found nothing to verify it. I found nothing in my Drake. I never trust a doc's spelling of ANYTHING!!


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Subject: Bet the PA is reading the patient's history sheet. sm

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Subject: Is this a follow up to lab work or reading a film, etc.? nm

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I always enjoy reading your replies. Thanks for the info also!
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