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somnolent means patient is not totally awake. Has

Posted By: nothing to do with this. (NM) on 2008-11-19
In Reply to: somnolent? NM - jusme

Subject: somnolent means patient is not totally awake. Has

x


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Totally Stumped!!! Patient has respiratory failure..sm
Subject: Totally Stumped!!! Patient has respiratory failure..sm

and is status post "dragon pack", "drag n pack"???? I can't find anything on this.  Dictator is ESL, so it could be something completely different than what it sounds like.  Thanks if anyone knows what this is!
Probably means that the patient's ankles are sm
Subject: Probably means that the patient's ankles are sm

so swollen that the skin hangs (drapes) down over the ankles.

Probably what he means, or what the patient wrote. Why, oh why, do they do this!
Subject: Probably what he means, or what the patient wrote. Why, oh why, do they do this!

nm
Probably means the patient has rhinorrhea
Subject: Probably means the patient has rhinorrhea

after meals.
could be just what he means... patient's balance
Subject: could be just what he means... patient's balance

Personally I have not heard that phrase in any of the reports I've done regarding neuro exams, but it makes sense, right?
"active" means the patient can move sm
Subject: "active" means the patient can move sm

her shoulder by herself. "Passive" means when the doctor is moving the extremity. So, "actively" here is correct as far as the patient moving the extremity by herself in flexion and elevation as the other helper indicated.
means the patient has pallor (pale)
Subject: means the patient has pallor (pale)


somnolent? NM
Subject: somnolent? NM

.
Maybe you were somnolent at the time. :-) nm
Subject: Maybe you were somnolent at the time. :-) nm

x
maybe somnolent or combatant? Can go either way, but usually sleepiness prevails. nm
Subject: maybe somnolent or combatant? Can go either way, but usually sleepiness prevails. nm

s
Maybe sibilant -- Somnolent refers to awareness/
Subject: Maybe sibilant -- Somnolent refers to awareness/

neurologic state of a patient.
Thank you. Duh. I am not awake yet.
Subject: Thank you. Duh. I am not awake yet.

Have a nice day.

awake and drowsy EEG
Subject: awake and drowsy EEG

x
sorry - apparently I'm not awake yet! (nm)
Subject: sorry - apparently I'm not awake yet! (nm)

x
Thanks! Obviously I'm still not fully awake..
Subject: Thanks! Obviously I'm still not fully awake..

Sorry I didn't think to look up the word changing the Y to an I - an obvious blunder on my part. Thanks for your help anon. I appreciate it. :-)
you're very welcome...helping keeps me awake! :) nm
Subject: you're very welcome...helping keeps me awake! :) nm


Pt will have s/l en centers spirometry while pt is awake. nm
Subject: Pt will have s/l en centers spirometry while pt is awake. nm


He is under general anesthesia so in no pain, not awake.. nm
Subject: He is under general anesthesia so in no pain, not awake.. nm

.
CPS (check pain scale) q.2 h. while awake...? nm
Subject: CPS (check pain scale) q.2 h. while awake...? nm


Better ask your QA. Some "verbatim" means "not really verbatim," some means "strictl
Subject: Better ask your QA. Some "verbatim" means "not really verbatim," some means "strictly verbatim." nm

x
Para means near. Parathoracic means near the thoracic muscles. nm
Subject: Para means near. Parathoracic means near the thoracic muscles. nm

x
Probably totally off but here goes,
Subject: Probably totally off but here goes,

FISH [also called fluorescence in situ hybridization]

This is a lab test that measures the amount of a certain gene in cells. It can be used to see if an invasive cancer has too many HER2 (HER TOO) genes. A cancer with too many of these genes is called HER2-positive. If a cancer is HER2-positive, it may respond to Herceptin. (her-SEP-tin) This is a drug that can slow down or stop the growth of cancer with too many HER2 genes.

you totally rock!!!
Subject: you totally rock!!!

x
Thanks for your help.... I totally missed that....
Subject: Thanks for your help.... I totally missed that....


I agree with you totally.
Subject: I agree with you totally.

She is from Canada so may be they do things differently there. Yes, it seems like she knows everything, has an answer for everything, even if it is wrong, as in Lyderm, and there seems to be no stopping her.

I ask a few questions on this board and give some answers, only if I definitely know the answer. I feel it is difficult to do sounds like on this board without hearing the dictation. There is too much guessing going on.
Totally agree, also!
Subject: Totally agree, also!

Should be changed. Medical transcription should not even have strictly verbatim accounts. It's so unprofessional. Most verbatim account contracts I have ever had actually stated verbatim with light editing for grammar/punctuation per the AAMT.
Absolutely not!!! Totally different! sm
Subject: Absolutely not!!! Totally different! sm

Transient means short-lived, fleeting, coming and going.
Trans is a prefix that means 'across' or 'moving around.' Transglobal amnesia is not remembering anything, regardless of time or context.
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
Haha, thank you-was totally
Subject: Haha, thank you-was totally

blank!
It's totally up to the client what they want you to do with it. Looks like
Subject: It's totally up to the client what they want you to do with it. Looks like

s
agree with you totally !
Subject: agree with you totally !


I totally agree
Subject: I totally agree

That is what I was suggestion with all the similar choices, do not just take the first sound alike - way to risky - many choices.
This one has me totally stumped...
Subject: This one has me totally stumped...

It is ringing a very vague bell for me, probably back to an ancient MedTerm class. I would be very interested to hear what it is/was.
totally guess
Subject: totally guess

archway?
thats totally different that hemerisnos? But sure.
Subject: thats totally different that hemerisnos? But sure.


Ok, I might be totally wrong here, but I think it is...sm
Subject: Ok, I might be totally wrong here, but I think it is...sm

corrected acuity is -1.75 to -2.50 x2, giving her vision of 20/20?  Again this is just a guess. 
totally agree.
Subject: totally agree.

x
I am being totally blond today!
Subject: I am being totally blond today!

I can't seem to come up whether it would be: Patient follows back after last being seen about 8 months ago.  or is it:  Patient follows back after last been seen about 8 months ago
and I totally agree - SHOW ME THE $$....sm
Subject: and I totally agree - SHOW ME THE $$....sm

While I feel I'm an excellent MT, I refuse to get as ANAL as some about this subject disc versus disk....one being from Latin and one being from the Greeks....


We follow a Greek calendar but the Egyptian one was here before that.......


people need to be a little more flexible generally speaking but also with words that are accepted either way, not have a virtual STROKE over it. 


QA here 4 many years, and totally agree!!!
Subject: QA here 4 many years, and totally agree!!!

x
Totally agree with M.A. It's so much easier to look these sm
Subject: Totally agree with M.A. It's so much easier to look these sm

terms up in a book, and quicker, too. Google can be very misleading.

Now that you're totally confused
Subject: Now that you're totally confused

I guess it would depend on the account, but Book of Style no hyphens.
forgive me, it was ME who totally misunderstood!
Subject: forgive me, it was ME who totally misunderstood!

what a moron I am......*LOL*....so sorry....seems I have a reading comprehension problem this Friday (after a very long week but still NO EXCUSE)........please forgive me........



you totally misunderstood OP's query....*LOL*
Subject: you totally misunderstood OP's query....*LOL*

SOAP - format used years ago in MT work......(not the company name of Soap Transcription)


Have a nice weekend! 


That would make sense. I totally
Subject: That would make sense. I totally

could not understand him! I put a blank. Thanks.
sorry, I'm totally wrong...ignore me please
Subject: sorry, I'm totally wrong...ignore me please

x
sorry, I'm totally wrong...ignore me please
Subject: sorry, I'm totally wrong...ignore me please

geesh - I can't even put my post in the right place -


time to get offline...LOL


your orthopedist would be totally wrong....
Subject: your orthopedist would be totally wrong....


I'm totally wrong, not minocycline..sorry
Subject: I'm totally wrong, not minocycline..sorry


Please clarify, you are QA? This is totally incorrect...sm
Subject: Please clarify, you are QA? This is totally incorrect...sm

any procedure or disease attributed to a person's name should no longer carry an 's, thus Morton neuroma. I am really sorry to say this, as I really do appeciate QA support, but from what I have seen from your posts, you are very uninformed.
This is totally bogus. There is no connection between ....sm
Subject: This is totally bogus. There is no connection between ....sm

the outer ear canal and the sinuses.