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Found it in a previous dictation - it is Toronto.

Posted By: mt12 on 2007-11-28
In Reply to: Cardiology - s/l Toronto conduit? see message - mt12

Subject: Found it in a previous dictation - it is Toronto.




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Found previous note. It was Sigma...nm
Subject: Found previous note. It was Sigma...nm

nm
Hi - thanks for trying. I was lucky and found a previous report for patient and it is TBSO.
Subject: Hi - thanks for trying. I was lucky and found a previous report for patient and it is TBSO.

nm
Cardiology - s/l Toronto conduit? see message
Subject: Cardiology - s/l Toronto conduit? see message

The doc is saying:  He had a bicuspid valve with dilated thoracic aorta, and this was replaced with a s/l "Toronto conduit," which is an aortic graft with a bioprosthetic valve sewn into it.
Some suggestions: Toronto SPV stentless or tilting disk or tricuspid aortic valve? nm
Subject: Some suggestions: Toronto SPV stentless or tilting disk or tricuspid aortic valve? nm

x
No previous MI. Tx anyway! nm
Subject: No previous MI. Tx anyway! nm

xx
You might not like this one, but I would go by what QA said on the previous report. This way you hav
Subject: You might not like this one, but I would go by what QA said on the previous report. This way you have verification in writing of why you chose to keep it this way in case you are questioned on your choice of interpretation. I know we are looking for common sense but we are transcriptions and as we know that is not even close to always being the case in MD dictations.


could it be part of previous ??
Subject: could it be part of previous ??

could it be the dosing of the med before and you think he is going to the next number in the list? The "million" part is making me question this. Otherwise I have no idea. I hope you find your answer!
a previous post
Subject: a previous post

had this same sentence and it was "early satiety"
PS to clarify my previous post
Subject: PS to clarify my previous post

2 drugs:


s/l Cadawa NHCTC; I think it's for hypertension or hyperlipidemia.


s/l Rocethrin. For lesions? Could also be a pain med.


TIA!


 


I took this from a previous post about eponyms... sm
Subject: I took this from a previous post about eponyms... sm

According to BOS

eponyms

"While the use of the possessive form with eponyms remains acceptible, AAMT's preference is generally to drop the possessive form.

Apgar score, Babinski sign, Down syndrome, Gram stain, Hodgkin lymphoma.

Sometimes an awkward construction calls for use of the possessive form. This patient suffers from Hodgkin's."


just a thought..how about no change to previous?
Subject: just a thought..how about no change to previous?


Previous surgery for s/l lat pulley. TIA nm
Subject: Previous surgery for s/l lat pulley. TIA nm


aaaahh, my previous note should be SM!
Subject: aaaahh, my previous note should be SM!


did the link show up with the previous message?
Subject: did the link show up with the previous message?


Says this patient has previous CVT/CBT..have to expand and not sure what it could be for a PMH term,
Subject: Says this patient has previous CVT/CBT..have to expand and not sure what it could be for a PMH term,

any ideas? 


Thanks


Here's a link to a previous MTStars post
Subject: Here's a link to a previous MTStars post

on this same question.  Is this an ENT account?  The best thing would be see if you can get verification from the account, might be some name they have for their own conconction of Maalox, Benadryl and Xylocaine.  I've seen plenty of things misspelled in reports, even standards handed out by an account itself...
no, doesn't make sense....previous does
Subject: no, doesn't make sense....previous does

is this dictator an ESL? 


prior history of left shoulder pain?


previous history of left shoulder pain?


 


OOPS DISREGARD PREVIOUS THIS IS WAY IT IS WRITTEN?
Subject: OOPS DISREGARD PREVIOUS THIS IS WAY IT IS WRITTEN?

A trigger point injection at the right gluteus maximus trigger point was performed using mixture of 2 mL 2% Xylocaine and 1 mL 40 mg per mL Depo-Medrol.
Maybe referring to a stitch from the previous fistula??
Subject: Maybe referring to a stitch from the previous fistula??

x
Agree with previous poster. NEVER GUESS
Subject: Agree with previous poster. NEVER GUESS

x
I was able to locate a previous report which has 1, so I'll go with that
Subject: I was able to locate a previous report which has 1, so I'll go with that


pt with previous respiratory burns on prednisone and now s/l zo air. ?? nm
Subject: pt with previous respiratory burns on prednisone and now s/l zo air. ?? nm


Can you check a sample of doctor's previous
Subject: Can you check a sample of doctor's previous

c
patient with previous cesarean section..sm
Subject: patient with previous cesarean section..sm

preterm premature ruptured membranes, history of cervical prolapse and suspected s/l "cor amniotic"  (but her voice trails off at the end so have no idea what she is saying)
previous s/l attisoning syndrome secondary to steroid use
Subject: previous s/l attisoning syndrome secondary to steroid use


elevated liver functions, previous cholecystectomy.
Subject: elevated liver functions, previous cholecystectomy.

CT showed (S/L) ''normobilia''??  (have looked everywhere and cannot find--thanks for any help.)


capitalization rule after the previous word was a number.
Subject: capitalization rule after the previous word was a number.

how to capitalize the first letter of a new sentence if the last word in the previous sentence was a number?
He is referring to restless legs (from previous) but clearly says "skitchy". Ideas?
Subject: He is referring to restless legs (from previous) but clearly says "skitchy". Ideas?


previous s/l "graft trostomy tube placement" along with COPD
Subject: previous s/l "graft trostomy tube placement" along with COPD

previous s/l graft trostomy tube placement" along with COPD
He's saying bowstrung - I located a previous report where another doctor calls it a
Subject: He's saying bowstrung - I located a previous report where another doctor calls it a

nm
Previous surgery includes lateral release of the s/l D&ACL reconstruction as well as shoulder.
Subject: Previous surgery includes lateral release of the s/l D&ACL reconstruction as well as shoulder.


Breast exam - She does have asymmetry in both breasts from previous s/l brain ansatangias. please sm
Subject: Breast exam - She does have asymmetry in both breasts from previous s/l brain ansatangias. please sm

I know that makes no sense at all but that's what it sounds like. This doctor is from Puerto rico. Up until this point, she has been pretty clear. Thanks for any help
Ophthalmology consult, this elderly gentleman has evidence of previous s/l a. phaci...the only
Subject: Ophthalmology consult, this elderly gentleman has evidence of previous s/l a. phaci...the only

thing that comes to my mind is phacoemulsification. The doc dictating this is so old and slurs so much that he should probably be retired. Any ideas anyone?
There is evidence of previous caput costae, left thorax with good bony healings
Subject: There is evidence of previous caput costae, left thorax with good bony healings


EMG/NCV dictation
Subject: EMG/NCV dictation

I am transcribing an EMG report right now, and the MD is foreign, so I am having difficulty hearing some of her words.


Dictated:  Ulnar "inching" (?) studies across the elbows .....


Is "inching" the correct word?  I can't find it in my ref books.


Thanks to whomever is able to help.  Judy Harrison


 


Dictation help...
Subject: Dictation help...

Dictated as: She reports psoriasis, occasional oral orphoras and sicker symptoms.


Are the underlined terms correct.


Thanks


end of dictation
Subject: end of dictation

I know we normally do not type "end of dictation", but would I type the following sentence since it has patient info and a date?

End of dictation on the patient (name) for workers compensation on 6/8/2007.
It would help if we could get the dictation after this.... nm
Subject: It would help if we could get the dictation after this.... nm

x
Help with dictation!!
Subject: Help with dictation!!

On digital rectal examination the prostate is ?flat?/flas? without firm or snug ?valerity?.
Dictation on a patient who is to
Subject: Dictation on a patient who is to

Under recommendations, doc says...number one...s/l ty pen hole or hold. What is the 't' word.
Floridian here- with dictation a G................nm
Subject: Floridian here- with dictation a G................nm


Did dictation get clipped? Maybe this?
Subject: Did dictation get clipped? Maybe this?

Akin osteotomy ?
Have see it in dictation both ways.nm
Subject: Have see it in dictation both ways.nm


Yes, that's it. She actually said it clearer later in dictation.
Subject: Yes, that's it. She actually said it clearer later in dictation.

Thanks!
MAYBE IT IS SRI DICTATION??? ANYONE HEARD OF THAT?
Subject: MAYBE IT IS SRI DICTATION??? ANYONE HEARD OF THAT?


unclear dictation
Subject: unclear dictation

The sentence reads:  One bottle out of four bottles of blood culture came back Staph coag negative positive.  Does that make sense? 
Is there a clearer s/l later in the dictation? nm
Subject: Is there a clearer s/l later in the dictation? nm

s
Psychiatric dictation help please
Subject: Psychiatric dictation help please

Dictator states very clearly "The patient is allergic to erythromycin and tetracillin." What is that???... mixture of tetracycline and a cillin drug??? This is a new one on me HELP!
Thanks for all the help, but none of these are fitting with his dictation.
Subject: Thanks for all the help, but none of these are fitting with his dictation.


Then I believe it is a dictation mistake.
Subject: Then I believe it is a dictation mistake.

Either meant metoprolol or Toprol. They blubbered and mixed them together!
Does the dictation indicate if the patient also has
Subject: Does the dictation indicate if the patient also has

a diagnosis of PCOS?