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Hmm, tough one. The only thing I can think of ..

Posted By: sm on 2006-09-16
In Reply to: All I have for the info is that it is a surgery. - jami

Subject: Hmm, tough one. The only thing I can think of ..

assuming it's part of the patient's surgical history is toe surgery?? Wild guess.


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That is a tough one. I wonder if
Subject: That is a tough one. I wonder if

there could be something about axial loading in there???

Good luck :)
tough one but
Subject: tough one but

This is a quote from the Jounal of Nuclear Medicine Technology...


In the event that there is a significant splanchnic or bowel overlap with the inferior wall, various maneuvers, such as drinking water or milk or eating fatty food, can be tried to alleviate the problem before repeating delayed imaging.


So, sound like * overlap * would be correct.


I got this by googling the words - myocardial perfusion scan splanchnic


this is a tough one! sm
Subject: this is a tough one! sm

Just going to give you wild guesses and maybe it will help - could the word be

self-_____?
cell _____?
____ folate?

I'm not 100% sure but I think it is typed FOLFOX (??)
Man, that's a tough one!
Subject: Man, that's a tough one!

All I can think of is saying GCS fast with something, but then the 96 doesn't make any sense with that, but the 96 could represent glucose, but even then that's not low enough to cause coma, is it? Sorry--just thinking out loud.  Let us know if you figure it out! 


Good luck with that! 


A tough one
Subject: A tough one

Osteopathy report says did deep tissue, manipulation as well as ?? s/l kindricks ?? crunch. Googled for a long time without luck.


Suggestions appreciated!


 


That's a tough one since s/m
Subject: That's a tough one since s/m

he probably didn't type it out. My guess is something with the patella?


Good luck.


Nah, that was a tough one. I don't think
Subject: Nah, that was a tough one. I don't think

I have ever heard that abbreviated before.


hmm I can't think of anything, that is a tough one NM
Subject: hmm I can't think of anything, that is a tough one NM


wow that is a tough one :( nm
Subject: wow that is a tough one :( nm


tough one (sm)
Subject: tough one (sm)

The only thing I can think of that comes close is that instead of spelling out those letters, he might actually be saying "coronary arteries."

If he's speaking distinctly enough, though, that you're sure he's dictating specific letters, then I'm stumped.
are you sure the doc isn't saying "hypertension" - sometimes tough to tell nm
Subject: are you sure the doc isn't saying "hypertension" - sometimes tough to tell nm


that's a tough one, got any more of a sentence??..nm
Subject: that's a tough one, got any more of a sentence??..nm

x
Tough to say without hearing it, but
Subject: Tough to say without hearing it, but

Could he be saying the coude catheter was connected to irrigant. And then say something about using K-Y?
Tough to say without hearing it, but
Subject: Tough to say without hearing it, but

Could he be saying: The coude catheter was connected to irrigant. And then say something about using K-Y?
a tough one having to do with radioisotope...plse sm.
Subject: a tough one having to do with radioisotope...plse sm.

The patient is a candidate for a sentinel node biopsy based on the intermediate thickness melanoma. Despite the negative lymphscintogram, it is certainly reasonable on the day of surgery for her melanoma excision to inject ? radioisotope at the primary site and with the handheld gamma counter, we may still be fortunate enough to identify a sentinel node that we can biopsy.

He kind of mumbles the type of radioisotope to be injected and if anyone has any ideas, I can see if they match up to what he is "trying" to say! Thanks so much.
tough one, but angioma or ecchymosis?
Subject: tough one, but angioma or ecchymosis?

just a thought.
You're welcome, Christa. Gyn is tough when you start out. nm
Subject: You're welcome, Christa. Gyn is tough when you start out. nm

x
True, but there are some terms that are tough to find. sm
Subject: True, but there are some terms that are tough to find. sm

This one is a good example of a term difficult to Google. However, it can very easily and quickly be found in Stedman's. I recommend books first, Google as a last resort.

You may want to help out at the MT Chat board where only hints are given.

Don't forget what it was like when you started out. You probably weren't at home working alone, were more than likely paid hourly and were able to research ad nauseum.

"Do unto others..."
glad I could help - those weird pronunciations are tough sometimes! NM
Subject: glad I could help - those weird pronunciations are tough sometimes! NM


Thanks-a-lot! It was hard to figure out from his tough accent!!
Subject: Thanks-a-lot! It was hard to figure out from his tough accent!!


a tough one--drugs that use "grains" and fractions thereof
Subject: a tough one--drugs that use "grains" and fractions thereof

That's right, go ahead and run off when you see my boring hard question!!


Okay, I've have to say that I never really got the "grain" concept in terms of drug usage and was too lazy to ask my instructors back in the day, and now my lack of knowledge has come back to haunt me.  The doc says this patient is taking "three-fourths of a grain of phenobarbital."  How do I transcribe this? Anyone? 


 


Possibly they're post BAK interbody fusion system or procedure? This one's tough! nm
Subject: Possibly they're post BAK interbody fusion system or procedure? This one's tough! nm

s
Sure thing...


Only thing I can think of is (sm)
Subject: Only thing I can think of is (sm)

thalassemia. Listen for that and see what you come up with.
yep, there is such a thing. sm
Subject: yep, there is such a thing. sm

can google.com and enter your word or phrase and up come articles - info.


Charcot's pseudoarthropathy of the knee treated by means of a ...
[Charcot's pseudoarthropathy of the knee treated by means of a total prosthesis (a
complication of intra-articular glucocorticoids)] [Article in Spanish] ...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve& db=PubMed&list_uids=4458000&dopt=Abstract - Similar pages


[PDF] REPORT to the SUPREME COUNCIL OF ANTIQUITIES on the 2000/2001 ...
File Format: PDF/Adobe Acrobat - View as HTML
The pseudoarthropathy is eburnated (polished). indicating considerable use after
the fracture. The flat pattern of wear suggests her gait was ...
www.arts.monash.edu.au/archaeology/ excavations/dakhleh/dakhleh-report-2000-2001.pdf - Similar pages

[


Is there such a thing as a lab
Subject: Is there such a thing as a lab


one more thing......sm
Subject: one more thing......sm

I never put post before bilateral - I put postsurgery, postinflammatory, postmastectomy, postprostatectomy, but I never put postbilateral - that just looks incorrect, to me........just my take.....
The only thing I can see it could be
Subject: The only thing I can see it could be

would be vera, as in color -- measuring it by rubra vera.

one more thing
Subject: one more thing

Forgot to mention this is listed under past surgical history.
Is there such a thing as a
Subject: Is there such a thing as a

I asked this on another board, s/l pla-say gaze,and someone said plessy gaze, but I cannot find it in any of my books, so wondered if this is correct?  No one else answered when I asked about it later.  Thank you.
the only thing I can think of
Subject: the only thing I can think of

is the doc is saying something like "reductase" (inhibitor) maybe?? can you hear anything before the "regis rice" part?
Is there such a thing as a .....
Subject: Is there such a thing as a .....

MacGyver or McGyver retractor?  I have heard this several times, but I can't find it.  The current report is "s/l Macgyver was used for oral exposure."  TIA!
Is there such thing as a bio 7? The Dr. says
Subject: Is there such thing as a bio 7? The Dr. says

CBC, s/l bio 7 and UA are within normal limits.  I have heard of a chem-7, but bio 7?  Are these the same thing, and if so, how do I type bio 7?  Thanks!
the only thing I could think would be that
Subject: the only thing I could think would be that

the doc is leaving off the second ideation to be understand that it exists.

suicidal ideation/homicidal (intented ideation)

But still, I'm not entirely sure that is what he intends. Do you absolutely need to expand it or can you send it through as you hear it and flag it for clarification?
sure thing! is that what was being said nm
Subject: sure thing! is that what was being said nm


there is such thing as.....see msg
Subject: there is such thing as.....see msg

superior capital artery and lateral capital artery, so superficial capital artery might be right.
That's the only thing I
Subject: That's the only thing I

know of too, but it does not sound like that is what he is saying! Thought maybe there was something else
Thanks - only thing I could think of. nm
Subject: Thanks - only thing I could think of. nm

nm
Yes, there is a such thing
Subject: Yes, there is a such thing

as a seeker needle.  Sometimes they will say a finder needle too.
Sure thing.
Subject: Sure thing.


Sure thing.
Subject: Sure thing.


Sure thing! nm
Subject: Sure thing! nm

x
Sure thing!
Subject: Sure thing!


I think it looks okay, but then again, I'm an old thing who
Subject: I think it looks okay, but then again, I'm an old thing who

s
Sure thing.
Subject: Sure thing.


Sure thing!
Subject: Sure thing!


Sure thing!
Subject: Sure thing!


Sure thing.
Subject: Sure thing.


Sure thing.
Subject: Sure thing.


Sure thing
Subject: Sure thing


Sure thing.
Subject: Sure thing.