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New neurology dictator hard to understand

Posted By: Angela on 2007-05-11
In Reply to:

Subject: New neurology dictator hard to understand

s/l he is saying has a history of neurocystic sarcosis, but there is no such thing, is there? Any ideas?


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Is doc hard to understand?
Subject: Is doc hard to understand?


Glad to help. That is one term that is hard to understand. nm
Subject: Glad to help. That is one term that is hard to understand. nm


holiday...is the dictator an Arab dictator? nm
Subject: holiday...is the dictator an Arab dictator? nm

x
type what dictator said, dictator is not incorrect.....
Subject: type what dictator said, dictator is not incorrect.....

.
Yes, and hard to say, so hard to find
Subject: Yes, and hard to say, so hard to find

Again, thanks.
He says the consonants hard - he gives a hard P on the par and B on the bow.
Subject: He says the consonants hard - he gives a hard P on the par and B on the bow.


is this dictator ESL (foreign dictator)?....
Subject: is this dictator ESL (foreign dictator)?....

if ESL, I would either blank him or give him that Avodart but the other one I haven't a clue and would have to blank there too.  Sorry :(
I can't understand this guy!!!
Subject: I can't understand this guy!!!

OBJECTIVE:  Exam today, anterior rhinoscopy:  The nasal turbinates are edematous.  Left TM is slightly dull, moderately dull, does not move well for Siegle otoscope.  Right TM is somewhat dull.  Nose shows mild edema.  _____ _____ decrease curves. 


 


s/l right crim??? I have noooo idea!


Someone please help me understand . . .
Subject: Someone please help me understand . . .

Will someone please help me understand why there are those who insist on posting sarcastic comments to those who ask questions?  If it is such a bother to them, why do they even visit the word help board?Obviously, their intention is to be rude to someone else . . . displaced anger maybe?  or perhaps they want to make themselves feel superior (self esteem problems)? 
I do not understand either
Subject: I do not understand either

I do not come onto this board much anymore because of those who always have to attack.

I came onto the word board last week and someone just had to post to correct my spelling. I did not feel that was necessary but these type of people just have that need to feel superior than others and they always have to be right.

I feel sorry for these people who feel the need to be rude and sarcastic. They must just be very unhappy people and get pleasure out of knocking others down.

This is my opinion and I am sure I will get that sarcastic, rude person making a comment about my opinion.

does anyone understand this?
Subject: does anyone understand this?

His mother says he is quite active and active in prone?
What I don't understand...
Subject: What I don't understand...

Is why these posts are being answered without the slightest possibility of a test...No thank you's, no help, and easily looked up and answered on one's own.
I still don't understand how
Subject: I still don't understand how

QA would know the doctor meant the trade name rather than the generic name, since they both sound exactly alike!! Whenever I hear that drug, I always type gentamicin, so I guess your QA person would bust me too. Unless the doctor specifically said it was the brand name, I don't know how she can knock you for using the generic!
cannot understand
Subject: cannot understand

While on DUR in IV no (unintelligible) is seen.  Patient is in for midepigastric pain. 
Don't understand that as the 70 would be
Subject: Don't understand that as the 70 would be

x
Don't understand why you think this is so
Subject: Don't understand why you think this is so

funny. Many diseases have their own smell/odor, diabetics have a distinctive breath odor if sugar is not controlled, gangrene has a distinct odor, etc.
I understand what you are saying.
Subject: I understand what you are saying.

There is no such medical phrase as the one you are hearing.  Therefore, it must be something else.  If you can't hear diabetes mellitus, or anything else, you must leave a blank. 


I would do it just as he said. Don't understand
Subject: I would do it just as he said. Don't understand

x
Neurology
Subject: Neurology

I don't hear fibro at all. I don't think it could be lipoma since it's not mentioned anywhere else in the records. Thanks for your help.
Neurology
Subject: Neurology

Upon further research, I found that a lipoma could be found on routine CT or MRI without having any symptoms. So lipoma it is. Thanks very much. (On careful listening again, he's pronouncing it lapalma)
Neurology
Subject: Neurology

Has anybody ever heard of "syngipital spread"?? Help please!!
Neurology
Subject: Neurology

Sounds like he is saying "Lamitz Sign"...can't find the correct spelling. Can anyone help? Thanks!
neurology
Subject: neurology

I'm trying to find a term that sounds like Mose's sign. All I can find is Mosse syndrome. It's in reference to neurology. Any suggestions?
Neurology help
Subject: Neurology help

____ right PCA and absent hypoplastic right A1 segment. (Sounds like "fetal").

Finger flexors, ______, and pincher grasp. (Sounds like lumbar curls).
Neurology
Subject: Neurology

This is in the history section referring to MRI results 


"there is a patchy focus of "MARROW" signal alteration that has developed at the T7 level, which is essentially "OF ANTI COLY" morphology to a stable "MARROW" signal abnormality at T9."


Any ideas would be greatly appreciated.  Thank you: Liza


Neurology
Subject: Neurology

S/L "rapid oneal axonal neuropathy"  Is this a phrase?


An EMG exam has been done in her lower extremities on 05/11/07, and this shows a wasting or "rapid oneal axonal neuropathy ".


 


Thank you for any help: Liza


Neurology help please
Subject: Neurology help please

Good morning...doc is dictating consultation and states

Cervical spine x-rays have been obtained, which revealed no evidence of cervical rib.  Documentation did reveal findings of diffuse degenerative disease in the cervical spine with pronounced osteophytic growth in the s/l angioportions of C4-C7. 


 


Is angioportions correct?  I cannot find good documentation. 


Neurology help please
Subject: Neurology help please

Recommendations were to obtain brain and cervical spine MRI for the possible of central s/l de mon ing disorder. 


 


Any ideas?  Appreciate the help! 


neurology
Subject: neurology

could it be "brisk reflexes" in......
Neurology H&P
Subject: Neurology H&P


s/l ("blanchers") are down going bilaterally. hoping someone can help withthe s/l. thank you


EXTREMITIES: Strength is 5/5, normal motor strength in lower extremities including proximally and distally. Tone is normal. No cogwheeling. Deep tendon reflexes are equal. ("blanchers") are down going bilaterally. Coordination is slow but intact from finger to nose, bilaterally. She has no pronator drift; however, her left arm bobs quite a lot on out-stretched hands. Sensation is decreased on the right, especially on the new foot and hands, as well. Romberg is not even testable because she cannot stand straight with her eyes open much less closed.


 


Exactly, that is why I don't understand, QA does the same with H&H, they change it H and H. Nm
Subject: Exactly, that is why I don't understand, QA does the same with H&H, they change it H and H. Nm

x
I understand your frustration! sm
Subject: I understand your frustration! sm

I have posted on these boards several times, only asking questions, and have gotten some crazy, rude, ugly, nasty, idiotic, etc., responses.  When people respond and make you out to be an idiot, just because you asked a simple question, THEY are the ones who really look like the idiot!!  I see people criticize others for the least little thing, like in your instance.  They will post a response just to let someone know they misspelled a simple word, when it has nothing at all to do with the question or comment.  They must have a lot of time on their hands, is all I can say!!! 


BTW, I like to vent every once in a while, too!


I understand your frustration...sm
Subject: I understand your frustration...sm

I think we all have at least one doc that drives us up a wall with his dictation ways. I have a couple too, and it is very easy to overlook the *obvious*. Hope you got it worked out.

ks
To understand a Southerner...
Subject: To understand a Southerner...

You just have to overemphasize the vowels, and if all else fails, add a syllable or slacken your jaw and repeat the suspected phrase. You'll figure it out. LOL
I'm from Georgia. ;)
4+ to 5-/5 is the easiest to understand..nm..jmo
Subject: 4+ to 5-/5 is the easiest to understand..nm..jmo

nm
cannot understand word..sm
Subject: cannot understand word..sm

Patient with a knee injury.  Sounds like (This is a pristine type of injury.)  Any suggestions?


 


TIA


ok, I understand - sorry you got attacked..
Subject: ok, I understand - sorry you got attacked..

I get your point and some were rude - but I still think honey and sugar work a lot better than salt and vinegar. 


I totally understand sm
Subject: I totally understand sm

just added another doc to the office I work for. He often says per HPI above and it took me until just now what he meant. I know we I was typing a History & Physical but didn't know what the I was for. I feel really really dumb but at least now I know. LOL
he is spelling and I still can't understand him
Subject: he is spelling and I still can't understand him

6 year old with stomach pain, diarrhea he is awaiting the C-Dif results and prescribed what he spells as Anilia?  10 cc bid  


I can't find it  help 


neurology term
Subject: neurology term

Sounds like "probellar" tap is positive. It is definitely not cerebellar.
Neurology syndrome
Subject: Neurology syndrome

s/l "top of the basilar syndrome" re some kind of stroke
Neurology test - help!
Subject: Neurology test - help!

"suggesting Poltz perceptual features" ???
neurology questions
Subject: neurology questions

In the neurologic part of the physical exam:  "Cranial nerves II-XII are grossly intact, with the exception that she does have a [s/l sarcotic/psychotic pursuit] as well as a decreased left [s/l seven central], which is mild." 
Neurology Term
Subject: Neurology Term

Is dictator referring to seizures?  If so, might he be saying absence seizures.  Some pronounce this term ab-sons' (emphasize on second syllable).


Neurology--EMG term
Subject: Neurology--EMG term

The word is vastus lateralis.


Well, it is neurology with a chief
Subject: Well, it is neurology with a chief

complaint of unsteadiness of gait. she has a lot of problems, but he says "past medical history: Medical Illnesses: FBS 110. Would you think that would fall under medical illnesses? I'm pretty sure that is what he is saying, though
Neurology word help
Subject: Neurology word help

diagnsoed with lissencephaly and/or s/l paclegira
Neurology question
Subject: Neurology question

Patient has occipital nerve pain.


The discomfort is retroorbital and bilateral, and he describes it as a constant ache. 


I can't seem to find this word anywhere.  Does anyone know how this is typed?  TIA.


To MT50 below (neurology) see msg below
Subject: To MT50 below (neurology) see msg below


neurology term
Subject: neurology term

s/l ditonal reflexes are intact.


Any idea? Thanks


Neurology question sm
Subject: Neurology question sm

HPI:  Workup included a noncontrast CAT scan of the brain which demonstrated generalized atrophy with S/L: EX-VAC-YOU-EL enlargement of all of the ventricles. 


Diagnosed with memory disturbance and dementia.


Thanks!