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I'm thinking something like a "neck roll" added to

Posted By: vn on 2009-06-04
In Reply to: s/l nex-up-erol? - mt

Subject: I'm thinking something like a "neck roll" added to

bed to elevate her head - just a guess


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how about negative log roll?
Subject: how about negative log roll?

X
agree with log roll
Subject: agree with log roll


That is definitely it...... I thought the "O" was roll
Subject: That is definitely it...... I thought the "O" was roll

nm
Maybe roll check?
Subject: Maybe roll check?


rate roll on EKG?
Subject: rate roll on EKG?

An EKG was normal except the **rate rolls** of a rapid heart.
Maybe ABDs, roll gauze, etc...?? nm
Subject: Maybe ABDs, roll gauze, etc...?? nm

s
pullway sheath? on a roll here. nm tks.
Subject: pullway sheath? on a roll here. nm tks.

ss
Axial loading. Log roll is right too. Don't know about the other two. nm
Subject: Axial loading. Log roll is right too. Don't know about the other two. nm

nm
Neurosurgery, placed on backboard with s/l "Hick's roll". TIA
Subject: Neurosurgery, placed on backboard with s/l "Hick's roll". TIA

nm
s/l *aly-ureth* roll gauze and Coban sm
Subject: s/l *aly-ureth* roll gauze and Coban sm

The patient elects to proceed with the Una boot wrap today.  With informed consent this was applied followed by _____ roll guaze and Coban.  The patient is to go immediately home and begin wearing her surgical shoe. 


I'm not sure if this is ____, roll gauze, and Coban OR if it is a kind of roll gauze and Coban


The patient has a sprained ankle.


Thanks!


Just a guess, 3-layer bump was placed (as in a roll)
Subject: Just a guess, 3-layer bump was placed (as in a roll)


neck surgery...sugar roll?
Subject: neck surgery...sugar roll?

The patient was placed in the supine position with his neck in slight extension, with a s/l sugar roll underneath this back. 
added?
Subject: added?


should have added...sm
Subject: should have added...sm

parent/child relational problems is a V code, as it does not pertain to any psychological disorder, whereas Posttraumatic Stress Disoder is not a V code because it is considered a mental disorder.
I should have added...
Subject: I should have added...

This lady had this diagnosis for five months before she died. Thanks again.
No hyphen in motor vehicle. Maybe driving a 4 x 4 with a roll bar
Subject: No hyphen in motor vehicle. Maybe driving a 4 x 4 with a roll bar

s
Thanks a million, that must be it then, was unfamiliar, definitely sounds like body roll, thank you!
Subject: Thanks a million, that must be it then, was unfamiliar, definitely sounds like body roll, thank you!


Thanks I added that site to my fav. nm
Subject: Thanks I added that site to my fav. nm

x
Thanks -I added that to my "favorites" sm
Subject: Thanks -I added that to my "favorites" sm

It was a stat report so I sent it flagged - didnt see anything resembling "queery" LOL
thank you...added it to my book.
Subject: thank you...added it to my book.

d
oops...added an 'n'
Subject: oops...added an 'n'


sorry should have added sentence..sm
Subject: sorry should have added sentence..sm

There is some hyperlucency noted on the ____ s/l "tricotrim" of the wrist although awaiting radiology report.
Headings are allowed to be added.
Subject: Headings are allowed to be added.

It would look weird without a heading.  Thanks. 
Should have added patient's other medications
Subject: Should have added patient's other medications

She's on levothyroxine for her thyroid, Lipitor for her cholesterol, verapamil for her hypertension so I'm really confused here.

Thanks again! :-)
gonarthrosis is correct. There is a "field test" for hips, so maybe log roll, extension, and
Subject: gonarthrosis is correct. There is a "field test" for hips, so maybe log roll, extension, and field test


No - he spelled it the second time and added a hyphen ...
Subject: No - he spelled it the second time and added a hyphen ...

mega-gastrium.  (But we all know how well they spell sometimes.) TGIF!
Got it - hypothenar - doctor added an 'ic'
Subject: Got it - hypothenar - doctor added an 'ic'


Could be abbreviating neutralizer like bicarbonate being added. nm
Subject: Could be abbreviating neutralizer like bicarbonate being added. nm

s
Glad to help. I added the mesh to my list. nm
Subject: Glad to help. I added the mesh to my list. nm


TY! copied and pasted and added to favs...nm
Subject: TY! copied and pasted and added to favs...nm

x
You added "with" after status, not necessarily
Subject: You added "with" after status, not necessarily

x
I have it dictated as "no added heart sounds"...nm
Subject: I have it dictated as "no added heart sounds"...nm

nm
A/P: s/l morris atherine was added to her reime and she is sent to GI for a screening colon. thank
Subject: A/P: s/l morris atherine was added to her reime and she is sent to GI for a screening colon. thank


I'm wondering if it's short for preservative free or having no color added,
Subject: I'm wondering if it's short for preservative free or having no color added,

s
That's it! Thanks added it and found this wonderful site for lap instrument searches, see inside.
Subject: That's it! Thanks added it and found this wonderful site for lap instrument searches, see inside.

http://lapsearch.net/
psyllium is a type of seed husk added to the diet for bulk and fiber. No capital 'p.' nm
Subject: psyllium is a type of seed husk added to the diet for bulk and fiber. No capital 'p.' nm

m
it is roll ball cautery or roller ball or
Subject: it is roll ball cautery or roller ball or

rollerball.  Googled roll ball and roller-ball comes up.  My Surgical Word Book has rollerball endometrial ablation but the doc is clearly saying ROLL BALL.  She is saying is very slowly and precise.  This drives me nuts.
Sounds okay. Reagent is a solution added to another solution. nm
Subject: Sounds okay. Reagent is a solution added to another solution. nm


or Bennell roll as in bennell bandage
Subject: or Bennell roll as in bennell bandage


still thinking
Subject: still thinking

Turns out that the patient is having very high fevers giving impression of left lower lobe pneumonia. Came across a brand name of a drug used in mouthwash called Advexin. They were talking about oral cancers...but then cross-referenced on http://www.pharma-lexicon.com/ and found (generic Mepron) atovaquone, classified as an anti-infective used in both adults and children who are at risk for PCP with initial doses of 750 mg per 5 mL. Since Hodgkin's lymphoma and bone marrow transplant would put this girl in a severely immunocompromised state, I would bet they are giving her a pretty hefty dose of the stuff. Atovaquone it is.

Thanks for helping me.
Thanks, I was thinking along
Subject: Thanks, I was thinking along

those lines, just wanted a second opinion. :-)
that's actually what I was thinking too - nm
Subject: that's actually what I was thinking too - nm

x
Tks. I kept thinking there is another
Subject: Tks. I kept thinking there is another

Like ...there were lewes....or something.  You are probably right, and I finally found it in stedman's and it says *sternal angle* and that seems to fit the way the doctor used it.  Thanks again.
that's what i am thinking
Subject: that's what i am thinking

I was thinking along the lines of this from the begining....compression over lower extremities.....just wish I didn't hear otherwise!  (I hate Monday's)


That's exactly what I was thinking
Subject: That's exactly what I was thinking

but I have this doc all the time and she's never dictated time like that before, so I just wasn't sure.  Thanks to all who replied. 
I was thinking that too...I'd have to say it was:
Subject: I was thinking that too...I'd have to say it was:

Past history notable or is notable for ______.
That's what I was thinking..maybe she
Subject: That's what I was thinking..maybe she

just got ahead of herself when dictating it in the assessment..because I definitely didn't hear an itis at the end...just a gingival or gingivo sound. 


Thanks


that is what I am thinking..thanks
Subject: that is what I am thinking..thanks


What was I thinking
Subject: What was I thinking

of course, para anything with twins, triplets, etc. Thanks for fixing my answer!
I'm thinking it's probably
Subject: I'm thinking it's probably

R&M for "routine and microscopic" 
That's what I was thinking, too.
Subject: That's what I was thinking, too.

.