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pain management or ortho help

Posted By: mtmomof2 on 2008-03-13
In Reply to:

Subject: pain management or ortho help

Docs says patient had MRI scans done at s/l biv ska pig stone gap???? 


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MRI ortho/pain management s/l please sm
Subject: MRI ortho/pain management s/l please sm

An MRI scan of the lumbar spine was performed in an open unit. The quality of the scan is poor.

There is a retrolisthesis on the scan at L5-S1 with a s/l shelf of disc material and possible impingement of the right L5 and S1 nerve roots with a left lateral disc osteophyte complex as well.

Has anyone ever heard the term shelf of disc material?




pain management or ortho help
Subject: pain management or ortho help

A post myelography CT showed s/l promenus disk and end plate degeneration at L4-L5.
Pain management/ortho question - s/l
Subject: Pain management/ortho question - s/l

Patient continues to have foot and ankle s/l COPS or CRPS.
Please help with pain management
Subject: Please help with pain management

mild L3-4 disc degeneration with annular s/l reversal


Thanks for any and all help here!


Pain management -
Subject: Pain management -

Patient has 5 Hertz resting tremor of the upper extremities.

How would you write that? Thanks.
Pain management s/l
Subject: Pain management s/l

Dorsal column stimulator s/l TAT 10 or PAT 10. I'm guessing this is a model but can't find anywhere.
It's pain management, the sentence is below, Thanks!
Subject: It's pain management, the sentence is below, Thanks!

she states, about 70% improved since going to our physical medicine and rehabilitation program with the trigger point injections, regenerative injection therapy, as well as Clasper laser therapy.  I found the other word.  Thanks again.


pain management specialist
Subject: pain management specialist

 


Under physical examiantion,


s/l * fay-ling's (sign) is negative, Tinel's is negative, Spurling's is negative. There is no Hoffmann's sign


Any help appreciated, thank you


I type for pain management
Subject: I type for pain management

and always type pain as 5/10. Nothing has ever been said, so I don't know if it's right or wrong.
Pain management question -
Subject: Pain management question -

Discogram indicated pain at L4-L5 level which was concordant, but no pain at the L5-S1 level, which seems to be the worst level by MRI.

Injection of local anesthetic at the L5-S1 disc would help to s/l clarify the patient.
word help - pain management
Subject: word help - pain management

The patient will undergo diagnostic  s/l   putivly    therapeutic costotransverse costovertebral joint blockade. 
Glad to help. SM for some pain management refs. sm
Subject: Glad to help. SM for some pain management refs. sm

http://www.oregon.gov/DHS/pain/glossaryterms.shtml


 


==


http://jax.shands.org/hs/pain/services.asp


 


===


 


chronic pain management which s/l Zentene ???
Subject: chronic pain management which s/l Zentene ???

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ortho help....hay pad for forefoot pain? nm
Subject: ortho help....hay pad for forefoot pain? nm

f
Ortho: Pain scale s/l A7 (or 87) nm
Subject: Ortho: Pain scale s/l A7 (or 87) nm

nm
Please help with s/l ortho/pain medicine...sm
Subject: Please help with s/l ortho/pain medicine...sm

Possibility that she is having pain around the instrumentation. Reviewed her last CT scan from November. This shows progressing fusion, but there are still areas of s/l fry-grenti graft at that time.
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MRI shows a progression of the degenerative discs. There is a transitional lumbosacral junction with lumbarization of the S1 level, and s/l decidual discs within the sacrum.
pain med/ortho material
Subject: pain med/ortho material

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Subject: Ortho...bilateral shoulder pain. (sm)

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Ortho consult for thoracic pain after spontaneous pulmonary embolism. In list of current meds.
Subject: Ortho consult for thoracic pain after spontaneous pulmonary embolism. In list of current meds.


There is a Byetta, management of diabetes...
Subject: There is a Byetta, management of diabetes...

Found in drug book.
Possible risk management issue
Subject: Possible risk management issue

I think the proper form would be to type it verbatim and then flag the report for possible risk management.
"medical management versus empiric gas CD" nm
Subject: "medical management versus empiric gas CD" nm


possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
Subject: possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm


if it's in the spine, it could be "discogenic" pain versus "facet"-related pain
Subject: if it's in the spine, it could be "discogenic" pain versus "facet"-related pain


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Subject: Cardiac cath, s/l *ReadyWire pressure management* placement? TIA


There are hits on Google for Operational Performance Management. Would that fit into the dictation?
Subject: There are hits on Google for Operational Performance Management. Would that fit into the dictation?


Oh got it, yes there is a Compass sheet used for therapeutic notes in medical management.
Subject: Oh got it, yes there is a Compass sheet used for therapeutic notes in medical management.


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Subject: could be TKA-total knee amputation. pain could be "ghost" pain --nm

///
Drug name - s/l amarek, for back pain and neck pain
Subject: Drug name - s/l amarek, for back pain and neck pain

Any ideas?  Thanks! 
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Subject: Cardiac Hospitalization Atherosclerosis Management Program (CHAMP) see link

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Subject: possibly E&M? =(HCFA) documentation guidelines for Evaluation and Management (E and M) Services


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Subject: cardiac: The patient was enrolled in the *Curg* trial , which supported medical management for angi


shoulder pain and knee pain
Subject: shoulder pain and knee pain

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nEck pain and back pain
Subject: nEck pain and back pain

what a day!
Maybe 'pes plano valgus (or planovalgus)?' Sted's Ortho&Rehab Words is invaluable for ortho
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n
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Subject: Ortho op note, dictator says up in the s/l b strap position? I hate ortho.

 
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Subject: eye exam - distance is s/l ortho? near is ortho?

xx
px with rib pain
Subject: px with rib pain

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TMJ Ear Pain
Subject: TMJ Ear Pain

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pain?
Subject: pain?

The patient's pain was 5 out of 10.


Is it 5/10 or 5:10?



Pain med
Subject: Pain med

Is it for ear pain?  If so, there is Aralgen.
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Subject: They are also without and with pain.


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Subject: SP pain??

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pain?
Subject: pain?


I would think so, because pain down either - sm
Subject: I would think so, because pain down either - sm

extremity (sciatica) can often go along with lower back pain, especially if there is a herniated lumbar disc involved.
nothing more than pain in the great toe. sm
Just states he injected w/Xylocain and "Delone". thanks
I feel your pain. SM
I had a few like that.  Guess who got fired?  It wasn't me. 
Sorry, it's PAIN. Long day!!
Subject: Sorry, it's PAIN. Long day!!

x
On-cue pain buster?
Subject: On-cue pain buster?

x