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patient may be ordering via Internet?

Posted By: (nm) on 2007-08-17
In Reply to: s/l innermeet sm - sassee

Subject: patient may be ordering via Internet?

xx


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Sure. He could be ordering those tests for
Subject: Sure. He could be ordering those tests for

other problems the patient has.
Doesn't mean he isn't ordering it now.
Subject: Doesn't mean he isn't ordering it now.

x
Pt on Augmentin. Doc ordering PT/INR? Make sense?
Subject: Pt on Augmentin. Doc ordering PT/INR? Make sense?


wow. even the internet can be wrong now...sm
Subject: wow. even the internet can be wrong now...sm

guess we all had better be careful of what we post. sorry for the wrong spelling. ks.
bronchotracheomalacia is all over the internet
Subject: bronchotracheomalacia is all over the internet


What would you go by...book or internet....SM
Subject: What would you go by...book or internet....SM

For constipation, patient is being prescribed *Senna-lax-S*.  My Quick Look Drug Book does not have it at all.  Google does have it all over.  My Stedman's spellchecker marks it wrong though and wants to change it to Cenalax.  Cenalax does not come up on Google anywhere and asks if I meant 'sennalax' instead.   OY!  Anyone know which is correct?  Is my Stedman's spellchecker wrong-o?


I cannot reference this via the internet
Subject: I cannot reference this via the internet


I would list it anyway. I checked on the internet--sm
Subject: I would list it anyway. I checked on the internet--sm

and it does not say the drug has been discontinued. Obviously some physicians are still using it, perhaps under a different name.
I usually look around the internet for a picture of the bottle sm
Subject: I usually look around the internet for a picture of the bottle sm

If I can SEE the bottle and see how it is written on the actual bottle, then I take that as "gospel."  In this case I looked around and had no luck finding a picture of the bottle but did find some pictures of the SennaLax pills.  It is my thought that the "S" at the end may indicate syrup.  Is this person a child?? 
"googler" as in internet fan (a stretch maybe) nm
Subject: "googler" as in internet fan (a stretch maybe) nm


i did find a reference on the internet to a "turnplasty" sm
Subject: i did find a reference on the internet to a "turnplasty" sm

warning: "turnplasty" actually a rather graphic photo of a limb literally "turned" to salvage the leg...could be your case is a metastatic lesion from the original breast lesion...???
http://www.pbase.com/image/26133408.
There is a BAK cage, can be found on internet for more info
Subject: There is a BAK cage, can be found on internet for more info

nm
I found Shur-Clens on the internet...sm
Subject: I found Shur-Clens on the internet...sm

hope that is the same.
she has a s/l blatant ovum. could not find on internet? thank you
Subject: she has a s/l blatant ovum. could not find on internet? thank you


I found DSM IV bipolar disorder on the internet.
Subject: I found DSM IV bipolar disorder on the internet.


read inside. found off internet
Subject: read inside. found off internet

Primary care physicians frequently perform lumbar puncture, because cerebrospinal fluid (CSF) is an invaluable diagnostic window to the central nervous system (CNS). Commonly performed tests on CSF include protein and glucose levels, cell counts and differential, microscopic examination, and culture. Additional tests such as opening pressure, 'SUPERNATANT COLOR', latex agglutination, and polymerase chain reaction also may be performed. Knowing which tests to order and how to interpret them allows physicians to use CSF as a key diagnostic tool in a variety of diseases.


 


hope this helps...found on internet
Subject: hope this helps...found on internet

For patients with heparin induced allergy, there are several medications that inhibit factor IIa (thrombin) that can be used.


These include hirudin, lepirudin (Refludan) and bivalirudin (Hirulog) as well as argatroban (Novastan).


Search on the Internet for normal values for a
Subject: Search on the Internet for normal values for a

complete blood count (CBC).
Sistrunk procedure was found on the internet. Hope this is right.
Subject: Sistrunk procedure was found on the internet. Hope this is right.


Thx. I have been on the internet searching for a long time now :) Has anyone heard of this
Subject: Thx. I have been on the internet searching for a long time now :) Has anyone heard of this


she found wrong answer on internet, she needs reference books
Subject: she found wrong answer on internet, she needs reference books

what is your purpose? to pounce?
Cardio...osteo diagonal branch.. cannot find this on internet.. thank you
Subject: Cardio...osteo diagonal branch.. cannot find this on internet.. thank you


thank you, just happened to see this post. I looked on internet and also found that CYPHER stent
Subject: thank you, just happened to see this post. I looked on internet and also found that CYPHER stent

is also all caps. I never knew this. Thanks again.
white-white per the Internet Journal of Orthopedic Surgery
Subject: white-white per the Internet Journal of Orthopedic Surgery


Can find plenty on the internet regarding lipodermosclerosis, but unfortunately cannot find that exa
Subject: Can find plenty on the internet regarding lipodermosclerosis, but unfortunately cannot find that exact spelling in any dictionary... sorry. Anyone else?


doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM


Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.

nm
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.


A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
Subject: A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.

nm
Patient given PPD - sm pls
Subject: Patient given PPD - sm pls

Patient given PPD S/L "agreed" or "read" within the next 72 hours.
Patient does have a UTI but would it
Subject: Patient does have a UTI but would it


same doc. same patient
Subject: same doc. same patient

the lesion was vascular in natureand most likely _____ malformation.


S/L avio-lymphatic


HIV patient. Please sm.
Subject: HIV patient. Please sm.

Doc is dictating a test in relationship to patient's HIV.  He states s/l "firal row"is negative and T-cell count has actually risen since last visit.


Thanks for any/all help! 


do you have a Dx on this patient, and
Subject: do you have a Dx on this patient, and

if not, what is the chief complaint?
new patient
Subject: new patient

On a new patient is this how it should be put?  the doctor says it with chief complaint~~~~CHIEF COMPLAINT:  New patient, arm pain.
OD q.d.? Is it for the patient's eye? nm
Subject: OD q.d.? Is it for the patient's eye? nm

x
cc: the patient
Subject: cc: the patient

then he said, note to the transcriptionist, make sure that a copy of the mri scan results is sent to the patient with this letter.

What is the patient's dx? nm
Subject: What is the patient's dx? nm


Are you sure the patient isn't
Subject: Are you sure the patient isn't

very spiritual, and is hoping for healing through a prayer line? Many churches do have prayer lines and pray for sick people. Usually they don't intend that the person shouldn't seek medical help like it sounds like this patient would be talking about.
How old is this patient?
Subject: How old is this patient?


The patient has a ... (sm)
Subject: The patient has a ... (sm)

. . . distal radius fracture. It s/l the doctor dictates *there is a cast and flink* to right arm.  I thought it might be *splint*, but it really does not sound like that. Any idea?


Thanks, Melissa


Patient is p.o.ing well??????
Subject: Patient is p.o.ing well??????

POing??? or just change to eating?  It's a 3-month-old baby girl.
What is the patient
Subject: What is the patient

in the hospital for? Main symptoms? Specialist seeing the patient?


Is patient ill otherwise? sm
Subject: Is patient ill otherwise? sm

I know you say it is not positive exudate but if the patient is ill or has upper respiratory symptoms, positive could actually be right.
Doc is saying the patient is this PDI-3 or
Subject: Doc is saying the patient is this PDI-3 or

Peduli-3? Never heard of a patient being that, but I have heard of a resident doctor being a PGY-3 after their name. Otherwise, I have no idea. Sorry.
The patient has both, so you must be...
Subject: The patient has both, so you must be...

correct!!!  THANK YOU!!!!!!
but patient has URI, not UTI, yes? (nm)
Subject: but patient has URI, not UTI, yes? (nm)

nm
Patient with AML,
Subject: Patient with AML,

Sentence reads:  We have been watching her counts closely due to the fact that she has blood antibodies and requires s/l "spark of platelets" OR "sparkle platelets".  Any ideas?  TIA.
Thank you but the patient..sm
Subject: Thank you but the patient..sm

only came in for refill of birth control. She was out of insurance for a time period. No infections or anything.

Thank you for trying though. I do appreciate it. This dictator loves to ramble and sometimes not very clear.
The patient is on s/l T P.
Subject: The patient is on s/l T P.

It is definitely some sort of ventilator.
patient
Subject: patient

It is difficult to say whether his shortness of breath is secondary to coronary artery disease.  Ventricular function, underlying pulmonary disease, i.e. s/l a-co-sis, or his weight.