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I thought melanoma but clearly not stating that...nm

Posted By: Confused on 2007-08-14
In Reply to: s/l mellinolar resection ? ..sm - Confused

Subject: I thought melanoma but clearly not stating that...nm

x


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I thought so to but she is stating something different....
Subject: I thought so to but she is stating something different....

x
Melanoma
Subject: Melanoma

Doctor dictates what sounds like "malignant melanoma in site 2 with all the celotic margins free"  I keep looking but can't find anything on this.  Help!


D


"Y" excision of melanoma?
Subject: "Y" excision of melanoma?

Anyone heard of this?  Sounds like "Y" excision, but I can't find it.


 


Thanks!!


Are you sure it says melanoma vaccine?
Subject: Are you sure it says melanoma vaccine?

Melanoma is a type of skin cancer...there is no vaccine for that.
Uh, melanoma resection? nm
Subject: Uh, melanoma resection? nm

s
intertrigonal melanoma
Subject: intertrigonal melanoma

Would this be correct?  Dr did a bx of this.


s/l coserata melanoma
Subject: s/l coserata melanoma

The pt is a T2b, N0, M0, Clark’s level IV, 1.5 millimeter "coserata"  melanoma. 
melanoma vaccine with S/L "interlocking two"
Subject: melanoma vaccine with S/L "interlocking two"

Oncologist with a THICK russian accent


 


Help


tia~


help - melanoma chemo drug s/l petefulon? NM
Subject: help - melanoma chemo drug s/l petefulon? NM


Recommendation and plan in patient with metastatic melanoma
Subject: Recommendation and plan in patient with metastatic melanoma

To maintain DENSE intensity for neutropenic fever precautions, we have ordered Nuelasta 6 mg subcutaneous injection on 10/18.07. 


For the life of me, I can't figure out dense intensity.  Any ideas?


Patient is status post melanoma excision s/l....
Subject: Patient is status post melanoma excision s/l....

Past medical history is significant for melanoma. She has had surgery in September for this s/l "essential" excision of melanoma from her right lower extremity.
doc is stating how many pills are in RX. (nm)
Subject: doc is stating how many pills are in RX. (nm)

x
No actually stating 50 mg glucotrol...sm
Subject: No actually stating 50 mg glucotrol...sm

I think she might have messed up on this one.
Thanks but no. She is stating what sounds ...
Subject: Thanks but no. She is stating what sounds ...

like some type of bacteria.
No not vaginosis, clearly stating with an "m".
Subject: No not vaginosis, clearly stating with an "m".

x
Just stating the facts....that's all......nm
Subject: Just stating the facts....that's all......nm


Thanks but clearly stating Varisol..nm
Subject: Thanks but clearly stating Varisol..nm

x
If the physician is stating that the (sm)
Subject: If the physician is stating that the (sm)

"hemoglobin A1c over 12. "  that would tell me that it was greater than 12 and could be alternatively be written as:


"Hemoglobin A1c >12.


Very clearly stating Protec. (nm)
Subject: Very clearly stating Protec. (nm)

x
Well, could it be Lentigo maligna melanoma is more prevalent on chronically sun-damaged skin of the
Subject: Well, could it be Lentigo maligna melanoma is more prevalent on chronically sun-damaged skin of the head, neck, and arms.

..
another guess - could the artron be Intron? for hepatitis, leukemia, lymphoma, melanoma....etc. nm
Subject: another guess - could the artron be Intron? for hepatitis, leukemia, lymphoma, melanoma....etc. nm


If it's truly that and not say 9.7, then give it to them. They may just be stating it from memory
Subject: If it's truly that and not say 9.7, then give it to them. They may just be stating it from memory

x
How about persevered, stating the fact that he was...
Subject: How about persevered, stating the fact that he was...

xx
Need actual sentence stating the type of cup.
Subject: Need actual sentence stating the type of cup.


Doc is distinctly stating "knee molizer" (sm)
Subject: Doc is distinctly stating "knee molizer" (sm)

Is this a slang term for knee immobilizer?  If so, should I type as "kneemolizer?" 


Doctor stating s/l knee sebella. I have looked
Subject: Doctor stating s/l knee sebella. I have looked

a
Just a discharge summary stating pt had a uti with that type of bacteria, but nothing else.
Subject: Just a discharge summary stating pt had a uti with that type of bacteria, but nothing else.

xx
I'm not sure of the sentence but is he stating 2 diagnoses or symptoms, i.e. UA with efflux
Subject: I'm not sure of the sentence but is he stating 2 diagnoses or symptoms, i.e. UA with efflux


in general sentence, not capitalize; if stating a specific department,
Subject: in general sentence, not capitalize; if stating a specific department,

nm
Understand, just stating mucus for vagina, mucous for lung
Subject: Understand, just stating mucus for vagina, mucous for lung


it is not ESL and I thought of warts but thought the same thing and it does not sound like a "t&#
Subject: it is not ESL and I thought of warts but thought the same thing and it does not sound like a "t"


I second your thought Dee. :) nm
nm
that is what I thought but. . .
Subject: that is what I thought but. . .

She says it twice in the report and pronounces it like it rhymes with cube or tube and sound like she says pube, so that is what made me think it was short for pubic.  Here is the other sentence: 


He had a high (pube) on the left and an elevate ASIS on the left in a sheer pattern.


 


 


That is what I thought, but. .sm
Subject: That is what I thought, but. .sm

I have to blank it since he is not saying the whole word including in the diagnosis.  He just say pila or pyelo.
Thank you. That is what I thought it was.
Subject: Thank you. That is what I thought it was.

x
Just thought I would
Subject: Just thought I would

glycopyrrolate (gly·co·pyr·ro·late) (gli”ko-pir´o-lât) [USP] a synthetic quaternary anticholinergic used as an antispasmodic to help treat peptic ulcer and other gastrointestinal disorders, a preanesthetic antisialagogue to decrease salivation and respiratory secretions, and an antiarrhythmic to counteract vagal inhibitory reflexes during induction of anesthesia and surgery; administered orally, intramuscularly, or intravenously. Called also glycopyrronium bromide.


that's what i thought. thank you.
Subject: that's what i thought. thank you.

x
my first thought was /sm
Subject: my first thought was /sm

"midline raphe" -- but looking it up, usually refers to area around mandible/jaw, so not sure if it would fit or not.


Thanks a ton. Thats what I thought too
Subject: Thanks a ton. Thats what I thought too


I thought that first too, but I don't...
Subject: I thought that first too, but I don't...

think that's it, but thanks!
i just had a thought....
Subject: i just had a thought....

that pic COULD be worse......he could be smiling... wouldn't that be totally freaky!!!


Exactly what I thought......nm
Subject: Exactly what I thought......nm


That's what I thought....Thank you!!
Subject: That's what I thought....Thank you!!

/
This is just a thought, but I have a doc who says--sm
Subject: This is just a thought, but I have a doc who says--sm

mag scan, for magnified scan. probably not it, but trying to help out. good luck.
At first I thought it was someone having a bad day...
Subject: At first I thought it was someone having a bad day...

then I saw the rest of the questions later on.  Won't happen again from me!
thought so
Subject: thought so

Just common sense, but I think this is an offshore MT anyway - hence the MD's name in the post.
thought of something
Subject: thought of something

could he be saying "formalized" meaning formalized studies/tests. Just a shot in the dark
I just had a thought of perhaps maybe
Subject: I just had a thought of perhaps maybe

it could be "appropriate" flouride was also administered? Just a thought. Probably way off base.
1st thought
Subject: 1st thought

That's what I thought to, but it sounds like localized. The doctor does stumble over this one and then i hear localized.
Ahhhhhh!!!
on second thought
Subject: on second thought

forget it - i dont need this aggravation. I'll figure it out myself.
I thought that, too, but not 100% sure.
Subject: I thought that, too, but not 100% sure.