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I'm wondering if maybe it is "Gram-negative rods sensitive to" or maybe "with sensitivit

Posted By: MissouriMT on 2006-11-16
In Reply to: word help please discharge summary - sam

Subject: I'm wondering if maybe it is "Gram-negative rods sensitive to" or maybe "with sensitivities to..."

What does the dictator say immediately following your problem spot?




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could be "gram-negative rods" - nm
Subject: could be "gram-negative rods" - nm

.
gram-negative, lactose-negative rods is correct. I found a couple of interesting websites SM
Subject: gram-negative, lactose-negative rods is correct. I found a couple of interesting websites SM

after doing a google search for gram-negative, lactose-negative rods.  Basically testing organisms to see if they ferment lactose (positive) or not (negative).


Also, just FYI, gram-negative is not capitalized.


Probably too late, I'm sure.  Better late than never, I guess. 


Wondering if the "with" sound is "graphy" sm
Subject: Wondering if the "with" sound is "graphy" sm

aortography
There were 2 out of 2 gram-negative rods, is what I would do.
Subject: There were 2 out of 2 gram-negative rods, is what I would do.

x
how is this typed: 10 to the 5th gram-negative rods?

sm


Two out of two positive gram negative rods?
Subject: Two out of two positive gram negative rods?

Does that sound right? What's the right way for it to be transcribed?
gram-negative *leak? proof* rods?
Subject: gram-negative *leak? proof* rods?


urinary tract infection - greater than 100,000 ??? negative rods
Subject: urinary tract infection - greater than 100,000 ??? negative rods


wondering then if its an apnea hypopnea index... just wondering... n/m
Subject: wondering then if its an apnea hypopnea index... just wondering... n/m


0.7 (as for the "gram" part, "g" or "gm"
Subject: 0.7 (as for the "gram" part, "g" or "gm"


sensitive for 50-100,000 s/l cse/mL of Klebsiella.TIA
Subject: sensitive for 50-100,000 s/l cse/mL of Klebsiella.TIA

xx
enterococcus sensitive to s/l pendit EK
Subject: enterococcus sensitive to s/l pendit EK

The patient has had a decubitis in the buttocks area.  Here he says "The buttocks area looks better.  A culture grew an enterococcus sensitive to [pendit EK??]."


PVL-positive methicillin-sensitive maybe? - nm
Subject: PVL-positive methicillin-sensitive maybe? - nm


Wet-prep shows negative whiff, 10-20 WBCs, negative clue, few s/l "LB's". Is LB's right?
Subject: Wet-prep shows negative whiff, 10-20 WBCs, negative clue, few s/l "LB's". Is LB's right? nm


MRSA sensitive to "linacid" or linasyd??

Ortho - negative straight leg raise and negative s/l Lasek??
Subject: Ortho - negative straight leg raise and negative s/l Lasek??


She had a negative s/l clasp thumb test and a negative Finkelstein's.
Subject: She had a negative s/l clasp thumb test and a negative Finkelstein's.

:-)
E. coli was not sensitive to the "fora cone ilone",
Subject: E. coli was not sensitive to the "fora cone ilone",


Rule out 3+ s/l alkinsobacta and 3+ Pseudomonas both sensitive to piperacillin and tazobactam
Subject: Rule out 3+ s/l alkinsobacta and 3+ Pseudomonas both sensitive to piperacillin and tazobactam


medications to which Acinetobacter is usually sensitive include the following:. Meropenem. Colistin.
Subject: medications to which Acinetobacter is usually sensitive include the following:. Meropenem. Colistin. Polymyxin B ...


Correct. Just means the organism is sensitive to all antibiotics tested. (nm)
Subject: Correct. Just means the organism is sensitive to all antibiotics tested. (nm)

x
May be Harrington rods
Subject: May be Harrington rods


s/l Aynet Rods
Subject: s/l Aynet Rods

Hello,

Can someone please help me with this? The procedure is a total left knee arthroplasty. It sounds like they are saying "Aynet rods". I can't find this term ANYWHERE.

Any suggestions would be appreciated.
How would you type *10 to the 5th* gram-neg rods?
Subject: How would you type *10 to the 5th* gram-neg rods?

Hyphens, no hypens?  I can't do superscript, and I don't feel like I should change the numbers, though I *guess* I could...  Thanks
I would leave out the "with". You cannot
Subject: I would leave out the "with". You cannot

have 3 D&Cs with an appendectomy. Think you are making this too hard.
McMurray's negative. Lachman's negative. nm
Subject: McMurray's negative. Lachman's negative. nm


McMurray negative. Lachman negative. No 's at end
Subject: McMurray negative. Lachman negative. No 's at end

x
Surgical History: s/l harris rods in her spine. SM
Subject: Surgical History: s/l harris rods in her spine. SM

Does not sound like Harrington... sounds just like "Harris rods"
I agree with "with" (see message)
Subject: I agree with "with" (see message)

but now with some productive sputum.

Hey, we have ALL been there. Hang in there...it definitely gets better :-)
how about "with a" widely patent..."
Subject: how about "with a" widely patent..."


How about just "with suction cautery"? nm
Subject: How about just "with suction cautery"? nm

X
No comma before the word "with"
Subject: No comma before the word "with"

as it is a conjunction and doesn't need a comma before it.
Maybe substitute "to" with "with" or "of." JMO NM
Subject: Maybe substitute "to" with "with" or "of." JMO NM

d
Laparoscopic cholecystectomy "with grams"?
Subject: Laparoscopic cholecystectomy "with grams"?

x
Could the doctor be stuttering over "with ease" sm
Subject: Could the doctor be stuttering over "with ease" sm

and then changing his mind?
You added "with" after status, not necessarily
Subject: You added "with" after status, not necessarily

x
maybe "with a lauer" might be incised "subareolar"?
Subject: maybe "with a lauer" might be incised "subareolar"?


"with PAI-1 Stage 4G/5G gene heterozygous" nm
Subject: "with PAI-1 Stage 4G/5G gene heterozygous" nm


last part should read "with sensitivities to..." Why do words get cut off at the end of the l
Subject: last part should read "with sensitivities to..." Why do words get cut off at the end of the line?!?

I type in the subject line until I can't type anymore, but always the last few characters get cut off!!  You would think that end of the line would be the end of the line, not four or five spaces before the end of the line!!!  That is a pet peeve of mine.
Your Lispro sentence might be "with" her regular..& you usually hear
Subject: Your Lispro sentence might be "with" her regular..& you usually hear

s
Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R
Subject: Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R


Ach, nevermind- could easily change it to "with ballottement of the knee"- Thank you!
Subject: Ach, nevermind- could easily change it to "with ballottement of the knee"- Thank you!


There are some harrington rods with s/l 3 garth R defect or 3 garth atrifact?? TIA
Subject: There are some harrington rods with s/l 3 garth R defect or 3 garth atrifact?? TIA

x
Wondering...
Subject: Wondering...

How many of these questions are from MTs taking tests?
I*'m just wondering why all this
Subject: I*'m just wondering why all this


couldn't have been in emails by posting for help from a mentor.  If you'll notice on another forum on this website, I've pubically stated that I have mentored more than my share of newbies in the past.  BUT, if you are posting entire reports, that would concern me from an MTSO standpoint as a breach of confidentiality even IF the patient's name and doctor's names have been deleted.  I can tell it is a teaching/trauma hospital by the discharging service (so you can tell I'm not a newbie).


Also, do you know the people who run this board have to pay for the bandwidth of the posts here, so when you load it up with long reports, it costs them money.


BTW, yes, I've been in every setting possible in the health care industry other than doing procedures and practicing medicine and there wasn't someone there who enabled me and kept me from devloping my research skills.  I do think you are now trained like Pavlov's dogs to come here and ask questions rather than do a little research (which could have been helpful especially with a simple word like posttussive)...just do some research first.


Another thought I had was that you might not be working for a service yet but simply doing classwork/homework and if people here are going to do it for you, then how exactly do you feel you've earned your grade (or if employed, your salarly?)


Just making observations and not excuses.


wondering - sm
Subject: wondering - sm

Could it possibly be "Ludwig's angina" -- which can be a complication of oral abscesses. I know that is a stretch from your s/l, but would make sense.

Your question had me googling for about an hour last night -- love to try and figure out things I don't know! if you ever find out the correct word, let us know.

Have a great day.
That's what I was wondering if he..
Subject: That's what I was wondering if he..

was saying, but it sure didn't sound like that.  Thanks!


wondering
Subject: wondering

Is Potts a procedure?
yes, that is what I was wondering (sm)
Subject: yes, that is what I was wondering (sm)

if it were P0-1, they usually say P zero one, but this dictator is saying P zero TO one, so I wondered about that. I am definitely no OB/GYN expert, though, so I am not sure.
Wow...also wondering! I'd ask for them. nm
Subject: Wow...also wondering! I'd ask for them. nm

s
I was wondering if maybe
Subject: I was wondering if maybe

he did have an accent and was trying to say something like multiple falls and (resulting in) broken teeth or multiple falling, etc., sometimes hard to make sense of things...