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thanks, good suggestion, but it clearly starts with a P NM

Posted By: sassee on 2008-01-31
In Reply to: Tylox? - MT50

Subject: thanks, good suggestion, but it clearly starts with a P NM




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good try but it sounds like it starts with an A. thanks for your help.
Subject: good try but it sounds like it starts with an A. thanks for your help.


good suggestion...thanks! nm
Subject: good suggestion...thanks! nm

z
Don't think so but good suggestion!
Subject: Don't think so but good suggestion!


oh - good suggestion. I already sent and flagged it.
Subject: oh - good suggestion. I already sent and flagged it.

that may have been it.

thanks!


good suggestion but. no match. tx! nm
Subject: good suggestion but. no match. tx! nm


Definitely starts with a "C"
Subject: Definitely starts with a "C"

He's definitely saying a work that starts with a "C". He's just stating that the patient has no double vision, blurry vision, trouble hearing, rhinorrhea, or s/l chariza.
Ok,,it starts like this....sm
Subject: Ok,,it starts like this....sm

Radiographs today show no evidence of hardware loosening. There is a
cup with two screws. The femoral component has no changed position from prior radiographic examination.

Thanks for any help!
What starts with a D?
Subject: What starts with a D?

Could it be under ultrasound guidance ... ?  I've seen that many times.
no that is not it, it def starts with an 'm'
Subject: no that is not it, it def starts with an 'm'


s/l it starts with M
Subject: s/l it starts with M

. Transfers, from sit to stand, [____] to chair, bed, tub and toilet, were all contact guard
No it starts with....
Subject: No it starts with....

I don't think so. It starts clearly with a P and sounds like Para or Pera with hardware intact.
it definitely starts with a B. NM
Subject: it definitely starts with a B. NM

x
it starts with a d...sm
Subject: it starts with a d...sm

and sounds like decision. I thought incision also, but not sure with x-ray findings and starting with a D. Thank you for your help.
Thanks - I listened again and she CLEARLY starts with an "m"
Subject: Thanks - I listened again and she CLEARLY starts with an "m"

I did the usual Stedman's and googling but I tell ya, this fellow is a grrrrrrr. Thanks anyway. Gonna flag it. Another grrrrrr
sounds like it starts with a B
Subject: sounds like it starts with a B

Chronic would make sense... I dont know
DVT medications - is there one that starts
Subject: DVT medications - is there one that starts

The patient reports she is currently being treated for the DVT with Lovenox, ____ and she started taking the Coumadin about three days ago.


 


Sounds like a 'b' word, but I am not sure.  Thanks.


No, definitely sounds like it starts with an "R". Thanks for the try!
Subject: No, definitely sounds like it starts with an "R". Thanks for the try!


Definitely starts with S, like samarium but a instead of ium
Subject: Definitely starts with S, like samarium but a instead of ium


starts plan
Subject: starts plan

it starts the plan then says ??? flonase 2 sprays each nostril
it definitely starts with a vowel NM
Subject: it definitely starts with a vowel NM

nm
when pH starts a sentence
Subject: when pH starts a sentence

shoud it be pH or PH??  thanks!
I'm not sure, it sounds like it starts with R, thanks for trying. nm
Subject: I'm not sure, it sounds like it starts with R, thanks for trying. nm

xxx
It definitely ends in "tion" and starts with a "p"
Subject: It definitely ends in "tion" and starts with a "p"


No, that's not it. He actually starts spelling b-e-r and then he gets to mumbling.
Subject: No, that's not it. He actually starts spelling b-e-r and then he gets to mumbling.


There is no word that even starts with daii
Subject: There is no word that even starts with daii


superior labral tear or a ? starts with a 'B'
Subject: superior labral tear or a ? starts with a 'B'

Review of the MR arthrogram shows that she does not have any evidence of a superior labral tear or _____.
not sidenafil. Dose is wrong. Starts at 25 mg etc.
Subject: not sidenafil. Dose is wrong. Starts at 25 mg etc.


Possible she starts to say contralateral, then corrects herself, so should be "equal to ..."?
Subject: Possible she starts to say contralateral, then corrects herself, so should be "equal to ..."? (nm)

*
She definitely starts out with a 'pr' sound. Think I'll flag it. Thanks, though.
Subject: She definitely starts out with a 'pr' sound. Think I'll flag it. Thanks, though.

.
noooo. it definitely starts with "quan" sound. kwan/quan suh seen.it is very clear. thx
Subject: noooo. it definitely starts with "quan" sound. kwan/quan suh seen.it is very clear. thx

x
NWMNMT:Good grief, good grief, good grief..If this is the case, the doctor should also explain
Subject: NWMNMT:Good grief, good grief, good grief..If this is the case, the doctor should also explain

the meaning in an ADDENDUM.
How do you know what the doctor meant? GOOD GRIEF, are you the know-it-all (hyphens must be put here, as it is used as a noun!) on this board? Get over yourself!

Who understands what it means without an explanation?
The MOST obvious is apparently like I understood it:
5 packs in 1 year.

Maybe the doctor really meant this, 5 packs per year, so essentially a nonsmoker.

GOOD GRIEF, get over yourself!
Chest CT showed (s/l lines,but also s/l starts with m) __________ suspicious for osseous metastasis
Subject: Chest CT showed (s/l lines,but also s/l starts with m) __________ suspicious for osseous metastasis

x
Thanks so much. Your suggestion of -sm
Subject: Thanks so much. Your suggestion of -sm

of "stable" seemed like that might be right. Slowing it way down, I can clearly hear "currently appears acceptable." You steered my thoughts in the right direction. Thank you again.
my suggestion would be to
Subject: my suggestion would be to

research docusate, research Dulcosate, compare against patient report. Choose most appropriate. HTH
that may be it...thanks for the suggestion
Subject: that may be it...thanks for the suggestion


suggestion
Subject: suggestion

I don't really have any suggestions for your missing words, but I do have a few general suggestions. 


Are the terms in parenthesis the ones you don't know?  If they are, put s/l in front of it (s/l= sounds like), and then do your best to type what you are hearing phonetically.  Sometimes it also helps people figure out the missing words if you can share as much about the physical condition of the patient that you know. 


Good luck with your training!


Thanks for the suggestion. sm
Subject: Thanks for the suggestion. sm

It was really unclear.

It may have been trapezius, but I looked at it from every angle I could, thinking he may have been saying TM - for teres minor --

So I finally gave up and did the safe thing...QA!

Thanks.
my suggestion.
Subject: my suggestion.

The patient had something in his eye. The eye was numbed with ophthalmic phenacaine, and also, the eye was stained with fluorescein and checked with blue light.
Thanks for your suggestion
Subject: Thanks for your suggestion

I think that is what he means but is clearly spelling with a P. Guess this is one for QA. Too bad for me that he mentions it several times in the report.

Thanks for the suggestion!
Subject: Thanks for the suggestion!

You are probably right and the doctor is misprouncing the word. I still hear a K and X sound so I shall leave a blank just in case being that I do not have a firm diagnosis to match it up with. Thanks for your help!
suggestion
Subject: suggestion

Maybe meant to say "equal to the contralateral side" and accidentally started to say contralateral and then backtracked?
just a suggestion sm
Subject: just a suggestion sm

the only thing I can come up with is tibial guide (as in tibial cutting guide used for knee arthroplasty) ???
Thanks for the suggestion!
Subject: Thanks for the suggestion!

I appreciate the help!!  I still can not find the normal range for leukocytes or lymphocytes.  Thanks though!


Abby


Just a suggestion - sm
Subject: Just a suggestion - sm

This could very possibly be the word "metaphor."  Suggest listening again and looking it up to see if it fits. 


Thanks for the suggestion!
Subject: Thanks for the suggestion!

Thank you !

Abby
Thanks for the suggestion!
Subject: Thanks for the suggestion!

I really appreciate. I have been banging my head against the wall trying to figure this one out. It sounds like the "five hood" could be one word. Anyway, thanks again!

Abby
I don't think so...but thanks for the suggestion :) nm
Subject: I don't think so...but thanks for the suggestion :) nm


One suggestion
Subject: One suggestion

I would not put a comma after supination because the phrase following is not an independent clause. 
Thank you for the suggestion.
Subject: Thank you for the suggestion.

Thanks for the suggestion. It has too much of an "ee" sound. I appreciate the help though.
Abby :)
My suggestion on this . . . sm
Subject: My suggestion on this . . . sm

""The superficial femoral artery was then dissected free with the dissection preceding more proximally,exposing the profunda and the common femoral artery with dissecting it using sharp dissection to completely expose it so that an umbilical tape could be passed around the SFA.""


Here's the way I would do this:


""The superficial femoral artery was then dissected free with the dissection proceeding more proximally, exposing the profunda and the common femoral artery, dissecting it using sharp dissection to completely expose it so that an umbilical tape could be passed around the SFA.""


** I took out the word ""with"" because it sounds awkward and the word ""preceding"" I believe should be ""proceeding"", and then with the 2 commas.


I hope this helps!


Thanks very much for the suggestion
Subject: Thanks very much for the suggestion

I think this mystery word has an M in it. Thank you though :)
Abby