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dictator says ie (i.e. ?) B12 deficiency

Posted By: beNice on 2008-07-03
In Reply to:

Subject: dictator says ie (i.e. ?) B12 deficiency

everything that looks right is not aways right on my part? 


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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.....

.
deficiency
Subject: deficiency

nm
I listened again, definitely not deficiency, but thx for trying. mmw
Subject: I listened again, definitely not deficiency, but thx for trying. mmw


It may be antithrombin III deficiency. nm
Subject: It may be antithrombin III deficiency. nm

nm
s/l facterphyalidin deficiency
Subject: s/l facterphyalidin deficiency

apparently was also recently diagnosed with _____ deficiency. Due to the _____ deficiency, her treatment options were discussed at length and she was quoted a higher than normal risk for invasive procedure due to this disorder.


I have no idea at this point. Facterphyalidin? Phactafialidin? HELP!javascript:editor_insertHTML('text','');


TIA!
factor 12 deficiency??
Subject: factor 12 deficiency??


Does he mean vitamin D deficiency?
Subject: Does he mean vitamin D deficiency?

Can you tell if that's what he means? Sounds like the dictator was really tired and confused.
*flexinile*?? cholinesterase deficiency
Subject: *flexinile*?? cholinesterase deficiency

Heavy foreign accent..............patient with a history of *flexinile*  cholinesterase deficiency which gives her trouble whenever she has to go under general anesthesia.  No other info available..he just mentions this offhandedly.
Cardiotek for vitamin deficiency.
Subject: Cardiotek for vitamin deficiency.


BLANK leiden deficiency
Subject: BLANK leiden deficiency

I have no idea what word he is saying before leiden deficiency.


it either starts with a P or an F


Any ideas?


Factor V (five) Leiden deficiency? nm
Subject: Factor V (five) Leiden deficiency? nm


Yes, the patient has vitamin D deficiency.
Subject: Yes, the patient has vitamin D deficiency.

He says "hypovitamin D emia" but ... not sure that's a word.
Whoops, forgot . . . . above is a deficiency.
Subject: Whoops, forgot . . . . above is a deficiency.


2. History of factor V Gluten deficiency
Subject: 2. History of factor V Gluten deficiency


he probably meant "succinylcholine" cholinesterase deficiency sm
Subject: he probably meant "succinylcholine" cholinesterase deficiency sm

see this link about it
http://psyche.knu.ac.kr/notebook/infocenter/succinylcholine_cholinesterase_deficit.html

I'm almost 100% sure the "flexinile" you heard is "succinyl" :)
He had a sickle cell and G6 PD deficiency. Is that correct G6 PD or G6PD?? Thank you
Subject: He had a sickle cell and G6 PD deficiency. Is that correct G6 PD or G6PD?? Thank you


Wow!!! Good work. I was thinking of GI diseases etc, not nutritional deficiency. Kudo's!!!! nm
Subject: Wow!!! Good work. I was thinking of GI diseases etc, not nutritional deficiency. Kudo's!!!! nm


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 :(
Medications: S/L ?ZOMED and oral iron (patient has iron deficiency anemia)
Subject: Medications: S/L ?ZOMED and oral iron (patient has iron deficiency anemia)

NM
Patient with Factor IX deficiency, taking s/l factor. I found Factrel but can't find anything sm
Subject: Patient with Factor IX deficiency, taking s/l factor. I found Factrel but can't find anything sm

definite if this drug is taken for Factor IX deficiency. Any help would be great.

Help - not an ESL dictator.....sm
Subject: Help - not an ESL dictator.....sm

Anglo mushmouth cardiologist is saying:


This 85-year-old white male was admitted and had a posterior s/l *A to E* resection for rectal carcinoma. 


I am not sure he is saying *A to E* and I already googled this to no avail. 


TIA for any light anyone can shed on this....really appreciate it...


Dictator says ...
Subject: Dictator says ...

She has a history of being intolerant of an ACE and s/l RHAB. She says it like a word, so it s/l  Are ab


I pretty sure it's an abbreviation like ACE, but I can't make out the exact letters to even know what to look up to be sure. TIA!


When a dictator says Cor S1 and S2, how...sm
Subject: When a dictator says Cor S1 and S2, how...sm

should that be typed?  Coronary:  S1 and S2?
This must be something the dictator often says. sm
Subject: This must be something the dictator often says. sm

Can "preson" be "perfusion?"

"perfusion to tissues?"

"present 2+ pulses?" (awkward)

What are the sentences before and after? Do you have any other PEs from this dictator?

Is this an orthopedic exam or general PE?


Dictator says...
Subject: Dictator says...

CBC showed WBC of fourteen point six thousand.

What is the correct way to type this number?
is the dictator ESL? perhaps not saying N
Subject: is the dictator ESL? perhaps not saying N


You could be right as the dictator is ESL. Thank you. NM
Subject: You could be right as the dictator is ESL. Thank you. NM


two more for same dictator pls sm
Subject: two more for same dictator pls sm

Patient without evidence of a left atrial s/l apinich thrombus.

The patient underwent s/l durakyto cardioversion.

VERY fast talker. Any ideas?

I bet you that you are right though, it is an ESL dictator
Subject: I bet you that you are right though, it is an ESL dictator

and I think he is just flipping through the chart giving me every med she ever had not realizing they are one in the same. I will flag it anyway. You are awesome thank you!
could the dictator be SM
Subject: could the dictator be SM

stumbling over words and saying something like:

First, today I am giving him Vicodin and Skelaxin.

?? Just guessing. Never heard of first aid being used in that way, but I suppose it could be...?
If dictator says
Subject: If dictator says

"blood pressure was in the 140s 150s". How do I type this?
But if the dictator is saying the "A" it has to be
Subject: But if the dictator is saying the "A" it has to be

x
Dictator says:
Subject: Dictator says:

Abdomen is nondistended. No 'LKF' felt. Then he says 'BJE', the patient's abduction is normal.

What is LKF or is the acronym something different?
What does BJE stand for? He is clearly saying 'BJE', but I am not sure about 'LKF'. I still would like to know what BJE means. Thanks

Could the dictator be saying "CU" as in sm
Subject: Could the dictator be saying "CU" as in sm

"cystourethroscopy?"

Need quick help with this dictator please
Subject: Need quick help with this dictator please

This doctor just said


"Initial white blood count was elevated at 12.7 thousand."


Do I transcribe it like that, or do I put 12,700?


TIA!


Dictator said keep LDL cholesterol less than ...sm
Subject: Dictator said keep LDL cholesterol less than ...sm

70 per ----- guidelines.  He rambled off a bunch of initials and slowing him down only made it worse.  I think the last 3 were CHA.  TIA!
Am I hearing this right. Could the BP be 129/135 (ESL dictator)??? (nm)
Subject: Am I hearing this right. Could the BP be 129/135 (ESL dictator)??? (nm)


Dictator kept saying polynephritis ... sm
Subject: Dictator kept saying polynephritis ... sm

but I couldn't find that.  Did she mean pyelonephritis?  There were a lot of renal references in report.  TIA!
Is the dictator foreign?
Subject: Is the dictator foreign?

I wonder if they're saying Ativan.  Some of my foreign dictators say it as "Ati-won".  Just a thought!
maybe dictator meant to say....nm
Subject: maybe dictator meant to say....nm


could dictator be saying appendectomy?
Subject: could dictator be saying appendectomy?


Without further context, I'd say the dictator was saying sm
Subject: Without further context, I'd say the dictator was saying sm

"gassiness and indigestion" or possibly "gaseous distention" which is verified in the GI Stedman's.



?? Dictator is saying "technique" twice in a row? nm
Subject: ?? Dictator is saying "technique" twice in a row? nm

x
Mumbly dictator...med s/l
Subject: Mumbly dictator...med s/l

The patient has a problem with peripheral neuropathy and the _____ (s/l payomide) was refilled.  A1c is pending.    mumblers today!!
Dictator confusing....sm
Subject: Dictator confusing....sm

I have a dictator that dictated in two different reports.. "No CVA angle tenderness." and the same dictator in another report states "No CV angle tenderness." I am confused as to which is the correct way ?


 



meant dictator
Subject: meant dictator


I agree but dictator might mean...sm
Subject: I agree but dictator might mean...sm

especially if it's an ESL dictator......perhaps if an ESL, he might mean ratio which would be 1 to 1,000,000....1:1,000,000



No, not ESL, just fast dictator sm
Subject: No, not ESL, just fast dictator sm

I thought about "grazed" or "grazing" but, as you said, it really doesn't fit very well in this context.


I really hate to leave a blank because this is an account the MTSO I work for (IC) is trying to get more work from....if that makes sense.


if dictator is ESL, probably *advanced*
Subject: if dictator is ESL, probably *advanced*


Got it ! Bad dictator after many times..sm
Subject: Got it ! Bad dictator after many times..sm

relistening you are right it is heterozygous factor V Leiden.

Thank you all for your help. It is sincerely appreciated.