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just a guess....foraminal lamina? nm

Posted By: NYMT2 on 2009-03-24
In Reply to: s/l "five hood lamina or spinous process" - abby

Subject: just a guess....foraminal lamina? nm

xx


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is is neuro foraminal stenosis or neural foraminal stenosis
Subject: is is neuro foraminal stenosis or neural foraminal stenosis

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spine surg: s/l D process lamina...
Subject: spine surg: s/l D process lamina...

The muscularature was reflected off the s/l D process lamina.
s/l "five hood lamina or spinous process"
Subject: s/l "five hood lamina or spinous process"

This patient had some lumbar spine x-rays which showed only a "five hood lamina" or spinous process.....


Has anyone heard of anything like "five hood lamina?"


Thanks!!


Abby


 


neural foraminal
Subject: neural foraminal

x
I think I got it thanks, it must be foraminal stenosis
Subject: I think I got it thanks, it must be foraminal stenosis


s/l foraminal butts??
Subject: s/l foraminal butts??

This is listed under MRI findings:


"Disk material within the (s/l foraminal butts), but does not appear to compress the nerve root sheath.


Any ideas?  TIA


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Subject: foraminal stenosis?


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Subject: Maybe neural foraminal???

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Subject: Possibly neural foraminal?

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Subject: foraminal coach maneuver.....sm

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Subject: neural foraminal stenosis


2 words--neural foraminal
Subject: 2 words--neural foraminal

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Subject: neural foraminal narrowing?


neuroforaminal vs neural foraminal
Subject: neuroforaminal vs neural foraminal

I know I am responding to a very old post, but those of you who use "neural foraminal" as opposed to "neuroforaminal" in your transcriptions are correct.  I am a Certified Court Reporter in the state of Texas and a Registered Professional Court Reporter at the national level.  I've been so-licensed for 25 years, and I always see the two-word error.  And it's AMAZING how often the radiologists are incorrect and ESPECIALLY their staff.  Though using the medical combining forms is often the most common, in this case, it is incorrect.  But, like some of the others said in their posts, who's going to argue with the doc?


Congrats on standing up for yourself!


 


 


Proper is neural foraminal stenosis.
Subject: Proper is neural foraminal stenosis.

Neuroforaminal stenosis is acceptable if okay with your account specifics. It is considered a neologism.
it's neural foraminal. How is he saying plades? long a? nm
Subject: it's neural foraminal. How is he saying plades? long a? nm


Neuroforaminal versus neural foraminal (warning: rant ahead)
Subject: Neuroforaminal versus neural foraminal (warning: rant ahead)

I know this has been discussed before, but I have never typed anything except "neural foraminal," and when I first started with this particular account, all the templates had "neural foraminal stenosis" as one of the headings on the spine CTs and MRIs.


Now the "billing and coding specialist" who is in charge of the account (and who is obviously not a trained transcriptionist - she typed "flebolith" on one report I saw), has changed all the templates to "neuroforaminal," and when I just changed them back, she sent me a nasty little note saying "Don't change the templates."


Well, you should have seen the sorry state the templates were in when I started here. I have spent hours of my OWN time (I am paid by the line) not only cleaning up the templates but also standardizing the naming of the templates so that they can be found easily using the wild card notation.


I am tempted to send an email back saying, "Okay, I'll leave them that way, but 'neuroforaminal' is incorrect" but I am leaving this account as soon as they have my replacement trained.


In fact, I just sent it. I'm leaving, got nothing to lose, and actually have more work than I can comfortably handle right now. I really wish she would tell me she didn't need me any more.


Oh, I just got her reply: "Actually, no it is not [incorrect].  That is how it was always spelled before we hired ____________ [MTSO] and that is how all of the rads wanted it spelled."


So be it.


The patient is status post trans_s/l foraminal resection of gangliocytoma.
Subject: The patient is status post trans_s/l foraminal resection of gangliocytoma.

TIA :-)
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Subject: lamina terminalis? stria terminalis? nm


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Subject: I guess it could be intravenous, but I'll turn in a blank rather than guess. Thanks!!!


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Subject: Avelox is a guess...might not be a good guess, though! nm

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Subject: My guess sm

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just a guess
Subject: just a guess

but i think he is abbreviating -- so i would just put it inside quotes as you have it -- as it could refer to too many different things, if that is what he is doing.
and guess what?
Subject: and guess what?

depending on what lab you work in, all specs and values are different also. i worked in two different labs so I KNOW
Guess
Subject: Guess

I'm guessing the "caphate tethose" is ______ TED hose. The word prior, I don't know.

Without more...this is only a guess.
just a guess here....
Subject: just a guess here....

demonstrated increased L3-4
THAT was my next guess!!! lol nm
Subject: THAT was my next guess!!! lol nm

nm
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Subject: my best guess...

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just a guess
Subject: just a guess

Decadron ?
This is a guess
Subject: This is a guess

I have never had a doc dictate it, but a list I obtained several years back from MT Desk that lists lots of "normal" physical exam phrases lists, under HEENT, flattening of the (left/right) nasolabial fold . . . maybe?
OA would be my guess too. nm
Subject: OA would be my guess too. nm

m
not sure but my guess would be SM
Subject: not sure but my guess would be SM

that the doctor will use a dye or ink of some kind to mark a spot where they remove a polyp or see something, so that they can locate the area more readily on followup.

but thats just a guess. I do rad and pathology and never have done gastroenterology procedure stuff.
I guess you mean that SM
Subject: I guess you mean that SM

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I was referring to the osteum (bone) and meatus (opening) or the osteomeatal complex of the nose.   


just a guess
Subject: just a guess

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Subject: Thanks so much. Should have gotten that, I guess.


482,000? GUESS
Subject: 482,000? GUESS

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Subject: Okay, thanks. I guess he

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Subject: guess....sm

Just guessing here, but first sentence might be uterus normal tone, size and position.  Second sentence - about *____ dilated, should probably be  a number, not "already"  Uterus was sounded to 10 cm.   Sorry, can't help with the next sentence.


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Subject: Best guess :)

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Maybe this will help - just saw your post and feel your pain! 


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Subject: This is just a guess, but

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Subject: That would be my guess too nm

nm
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Subject: Sorry. My guess was way off.

Glad you found it.
My GUESS is
Subject: My GUESS is

I do not know. My guess is rad/cm2, which would be spoken as rad per centimeter squared.

Rad as the unit of radiation, and cm2 as the area of application.

But again, I don't know. Maybe someone can verify or deny that guess.