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Maybe pending as in ordered, but not yet performed?

Posted By: MTME on 2008-08-03
In Reply to: Would it make sense to type x-ray is pending over read? TIA - akhan

Subject: Maybe pending as in ordered, but not yet performed?




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PT/NOT ordered
Subject: PT/NOT ordered

For a patient who had back surgery and then came back with severe leg spasms. She was treated with IV Ancef, IV fluids at 80 and IM Toradol every 6 hours.  She was on a PCA, which was later stopped and changed to oral medication.  She received IV Decadron x 1 for the spasms, IV Pepcid x 1 and PT/NOT was ordered. 


What would the PT/NOT stand for? 


pending clinical course
Subject: pending clinical course

nm
yes if it was ordered stat
Subject: yes if it was ordered stat


The UA was not obatined per s/l CAP, which was ordered.
Subject: The UA was not obatined per s/l CAP, which was ordered.

Have not heard of this one.  Suggestions?
maybe "addendum will be made pending..."? nm
Subject: maybe "addendum will be made pending..."? nm

X
Her s/l foley and B12 levels are currently pending.
Subject: Her s/l foley and B12 levels are currently pending.

n/t
Pending over read is correct (sm)
Subject: Pending over read is correct (sm)

It means that the x-rays were preliminarily read by the physician, but they are waiting for the x-rays to be read by a radiologist.
Regarding tests ordered for cancer...sm
Subject: Regarding tests ordered for cancer...sm

I talked with the patient and I will order the CA-125, CEA and ____ (s/l Alasa)  to rule out any problems.


Pt worried about having cancer and wanted tests ordered. 


TIA


 


Regarding tests ordered for cancer...sm
Subject: Regarding tests ordered for cancer...sm

PSA???

male/female?
sometimes I hear *the patient will be made pending*, could that be it? nm
Subject: sometimes I hear *the patient will be made pending*, could that be it? nm


meaning the patient will be put on pending status - nm
Subject: meaning the patient will be put on pending status - nm

x
s/l *Rekepsio* and parvovirus titers were pending??? nm Thanks.
Subject: s/l *Rekepsio* and parvovirus titers were pending??? nm Thanks.

nm
is there a lactic acid dyestat? says it was ordered and was 1.54
Subject: is there a lactic acid dyestat? says it was ordered and was 1.54


lupus screen with ANA and s/l antha? DNA was ordered
Subject: lupus screen with ANA and s/l antha? DNA was ordered


s/l night pride and Esmolol were ordered nm
Subject: s/l night pride and Esmolol were ordered nm

nm
Pt with restless leg syndrome. Lab work ordered. sm
Subject: Pt with restless leg syndrome. Lab work ordered. sm

Serum protein electrophoresis normal, ANA negative, _______ ??? vasculity is negative.
iron repletion, "once a day" as ordered?
Subject: iron repletion, "once a day" as ordered?


It sounds like he is saying "the average CT scan is pending. "
Subject: It sounds like he is saying "the average CT scan is pending. "


Would it make sense to type x-ray is pending over read? TIA
Subject: Would it make sense to type x-ray is pending over read? TIA


s/l atripep*** assay and triponin are pending? for Afib pt. nm
Subject: s/l atripep*** assay and triponin are pending? for Afib pt. nm

x
Ordered for albuterol inhaler "H F A" 2 puffs q.4 hours prn. nm
Subject: Ordered for albuterol inhaler "H F A" 2 puffs q.4 hours prn. nm


dictation will be made pending... possibly giving more information after results come back?
Subject: dictation will be made pending... possibly giving more information after results come back?


Pt advised to increase her oral intake of fluids based on S/L ?leuk est? was trace. ?UNC&S? ordered
Subject: Pt advised to increase her oral intake of fluids based on S/L ?leuk est? was trace. ?UNC&S? ordered

NM
*oscopy was performed. ??
Subject: *oscopy was performed. ??

The beginning of this word is cut off.  All I can hear is "oscopy" was performed that showed internal hemorrhoids. 


Would this be "endoscopy"  ??  Any help appreciated!


Sure this is not the name of the facility performed at?
Subject: Sure this is not the name of the facility performed at?

MRI at Open Imaging of Redwood?
Procedures... would these be performed by MD or DDS?
Subject: Procedures... would these be performed by MD or DDS?

Cricopharyngeal myotomy and swallowing study.


s/l pan-cystoscopy was performed
Subject: s/l pan-cystoscopy was performed

I've never had a prefix added to cystoscopy.  Does this make sense?
Do you have the name of the procedure performed?
Subject: Do you have the name of the procedure performed?


He says it as the procedure performed
Subject: He says it as the procedure performed

"Port: Right IJ single-lumen power port."


Stuff like this makes me look bad and also paranoid.  The suits only look at QA scores, that type of thing, and never how crappy the report was. 


It's just one of those nights.


Thanks so much...


As the type of operation being performed
Subject: As the type of operation being performed

Debridement of nonunion, right distal femur with bone grafting (cancellous chips allograft and INFUSE BMP bone grafting).

I am asking because I found it 3 different ways and thus my confusion.
A cardiac cath is usually performed
Subject: A cardiac cath is usually performed

through the femoral artery that runs past the knees. 
May we have the sentence please and the procedure being performed?
Subject: May we have the sentence please and the procedure being performed?


Is this performed on a baby or an adult?
Subject: Is this performed on a baby or an adult?


re: urinalysis..."long dip was performed"
Subject: re: urinalysis..."long dip was performed"

She is saying "s/l long dip was performed and showed a pH of 7.5. 


I can't reference "long dip".  Is this what she is saying??  Thanks in advance!


also, could it be "was performed on the RIGHT" (not 'on the side') ?? nm
Subject: also, could it be "was performed on the RIGHT" (not 'on the side') ?? nm


Cervical spine fusions performed with...
Subject: Cervical spine fusions performed with...

allograft, autograft and s/l metal graft.  Yes?  TIA!
He would like resection performed with s/l attempted margins. SM
Subject: He would like resection performed with s/l attempted margins. SM

He has a squamous cell carcinoma of the thumb.  Thanks guys!!!


 


Just not sure if this is correct.


Podiatrist says performed an excision of a s/l "poracatoma."
Subject: Podiatrist says performed an excision of a s/l "poracatoma."

x
Cotton test?? performed under floroscopy? doing ORIF
Subject: Cotton test?? performed under floroscopy? doing ORIF


Pulse oximetry to be performed by "aprax air", because this can be done at home. nm
Subject: Pulse oximetry to be performed by "aprax air", because this can be done at home. nm


distal exam was then performed, s/l medial apparent?
Subject: distal exam was then performed, s/l medial apparent?


CT scan was performed and showed a 1-x-4-mm kidney stone SM
Subject: CT scan was performed and showed a 1-x-4-mm kidney stone SM

in the bladder with mild s/l "apney" of the ureter.
She had a definitive s/l blide local excision performed.
Subject: She had a definitive s/l blide local excision performed.

In a patient with vaginal melanoma.  Any suggestions?
Comfort?? x-rays were performed on nursing home pt after fall
Subject: Comfort?? x-rays were performed on nursing home pt after fall


s/l incision was then performed of the alips and the adea clamps were used against towel
Subject: s/l incision was then performed of the alips and the adea clamps were used against towel


dictator says "We then performed several rounds of hemostasis. Again we used both fibrillar
Subject: dictator says "We then performed several rounds of hemostasis. Again we used both fibrillar

and s/l "new net" in the abdomen. 


This is a liver transplant and its very clear.  I just cant get a spelling on it enough for google to grab it.  any ideas?


First word might be "transcervical curetting and suction was performed." Still working on the
Subject: First word might be "transcervical curetting and suction was performed." Still working on the 2nd.


Seems to mein what I am reading that anterior fundoplication is what is performed in terms of achala
Subject: Seems to mein what I am reading that anterior fundoplication is what is performed in terms of achalasia?


Report for a cholangiogram. S/l Pelvis or Elvis (haha) maneuver was performed.
Subject: Report for a cholangiogram. S/l Pelvis or Elvis (haha) maneuver was performed.


Searching shows that spinal disc fragment transplants from cadavers are performed. Maybe
Subject: Searching shows that spinal disc fragment transplants from cadavers are performed. Maybe

s
s/l I reviewed the brain MRI recently performed: there is a septum delluzidium cavum, a normal -sm
Subject: s/l I reviewed the brain MRI recently performed: there is a septum delluzidium cavum, a normal -sm

anatomic varient???? Thanks.