Also, any mention of his "dentition", many times a cause in elderly patients?? NM
Posted By: Cyndiee on 2008-11-15
In Reply to: I hear "chronic in nature" is some PTs with many problems,,?? NM - Cyndiee
Subject: Also, any mention of his "dentition", many times a cause in elderly patients?? NM
nm
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MD states under Plan: All EKS were fast at six seconds times 2 to 3 times? HELP
Subject: MD states under Plan: All EKS were fast at six seconds times 2 to 3 times? HELP
Elderly patient has history of
Subject: Elderly patient has history of
recurrent falls with ***icular ***ium syndrome. Can't make out the mumble. Thanks for any help!
So is this, like, a colonoscopy? Physcial exam? Pediatric? Elderly? NM
Subject: So is this, like, a colonoscopy? Physcial exam? Pediatric? Elderly? NM
nm
would doc say skin with good s/l rigidity??? and turgor for elderly patient?
Subject: would doc say skin with good s/l rigidity??? and turgor for elderly patient?
Ophthalmology consult, this elderly gentleman has evidence of previous s/l a. phaci...the only
Subject: Ophthalmology consult, this elderly gentleman has evidence of previous s/l a. phaci...the only
thing that comes to my mind is phacoemulsification. The doc dictating this is so old and slurs so much that he should probably be retired. Any ideas anyone?
I found articles pertaining to LH levels done in the elderly to check pituitary hormones etc.
Subject: I found articles pertaining to LH levels done in the elderly to check pituitary hormones etc.
"In women, although
not in all studies (22), a decline in both FSH and LH levels
occurs with age after menopause (19, 23), and decreased
gonadotropins secretion with age is also observed in aged
men (24)..."
I guess it would depend on what you patient is being studied for. It may not be LH at all? Sorry
...or two times or 2 times. Get some specs from QA. nm
Subject: ...or two times or 2 times. Get some specs from QA. nm
s
Thank you. That is probably it, now that you mention that.
Subject: Thank you. That is probably it, now that you mention that.
Sometimes they will mention sm
Subject: Sometimes they will mention sm
something like that in the PMH as it relates to the chief complaint/reason for being seen.
Maybe CoQ10? Sometimes taken by heart patients. nm
Subject: Maybe CoQ10? Sometimes taken by heart patients. nm
s
I found one paragraph re patients ...sm
Subject: I found one paragraph re patients ...sm
not sure but I found one paragraph thru google about dacron wool........being used on a patient:
Once cooling to -79 C was complete the patient was lifted out of the Silcool bath, the outer, Silcool wetted plastic bag was stripped off and the patient was placed within a polyester cloth bag which was in turn placed inside a standard aluminum neurocan which had been precooled to -90 and packed with dacron
wool. Temperature probes were left externalized to the neurocan for subsequent cooling to -196 C.
I don't really think this is going to help you though but I tried!! 
CD4 count for HIV patients and AIDS...
Subject: CD4 count for HIV patients and AIDS...
x
Experimental drug for MS patients sm
Subject: Experimental drug for MS patients sm
Has anyone heard of an experimental drug called "Revamune" (or s/l it) for MS patient's? It may be through Project Restore through Hopkins???
apparently patients sometimes refer to it as H1c. sm
Subject: apparently patients sometimes refer to it as H1c. sm
Try googling H1c, lots of hits from (apparently) patients. Also, wondered if slurring could make "an A1c" sound like your HUNC ? Also found at least one reference to histoplasmosis marker of H1C.
for cancer patients??? don't do oncology sorry
Subject: for cancer patients??? don't do oncology sorry
Thank you, but no mention of diabetes.
Subject: Thank you, but no mention of diabetes.
x
could be vitamian, any mention of
Subject: could be vitamian, any mention of
too much of a certain vitamin on blood work?
should mention that he's not saying "stridor" again..
Subject: should mention that he's not saying "stridor" again..
because he mentions it again in the report...no stridor or "sterder" HELP!! I don't want to have to leave 2 blanks!!
Docs often read off patients' handwritten sm
Subject: Docs often read off patients' handwritten sm
drug lists, saw this spelling and probably assumed it was something new. My vote is for Mirapex, but you can flag it to cover yourself.
long shot here but patients are Medi-Vac'd.....???
Subject: long shot here but patients are Medi-Vac'd.....???
Pain scale in leukemia patients
Subject: Pain scale in leukemia patients
Hi,
Is there a pain scale that is commonly referred to for leukemia patients? I'm doing a clinic note on a patient, and in the PE section, I hear something that sounds like ecot 0 (zero). The first thing that pops into my head is Ficat, but I don't think that's what it would be. I often hear doctors mention the pain scale rating right along with the vital signs, and that's where this is dictated. I'm googling and researching this, but I'm not even sure where to look. Any suggestions?
It's definitely rigid and it is a very unpleasant procedure for most patients, despite...
Subject: It's definitely rigid and it is a very unpleasant procedure for most patients, despite...
a local anesthetic.
FAST scan in trauma patients
Subject: FAST scan in trauma patients
Focused Assessment with Sonography for Trauma (FAST) is a limited ultrasound examination directed solely at identifying the presence of free intraperitoneal or pericardial fluid. In the context of traumatic injury, free fluid is usually due to haemorrhage and contributes to the assessment of the circulation.
Yeah, but I believe the OP did mention that research had been done...sm
Subject: Yeah, but I believe the OP did mention that research had been done...sm
The OP had used Google and found instances of both words being used. Sounds more like the OP was looking for some help with the proper usage of the word in the context of a report. I don't see why she (or he) caught any grief for asking for opinions on the proper term to use.
There was a mention of Zofran later, I will listen again for that Thank you!
Subject: There was a mention of Zofran later, I will listen again for that Thank you!
x
There was already a mention of hiatal hernia..
Subject: There was already a mention of hiatal hernia..
so I'm sure that is not what she said. She is an ESL, but she said hiatal hernia very clearly. This sounds like crow. I will go back and listen for crural. Thank you for the quick reply!
No, no mention of prostatitis. see inside
Subject: No, no mention of prostatitis. see inside
patient being treated for penile lesion and circumcision.
PA is clearly saying "post s/l hidas"
im not sure... i could hear an "R" and there was no mention of a PEG anywhere else on the repo
Subject: im not sure... i could hear an "R" and there was no mention of a PEG anywhere else on the report. NM
x
just want to mention that there is also a cosyntropin test NM
Subject: just want to mention that there is also a cosyntropin test NM
That sounds like it. I forgot to mention, this is mainly
Subject: That sounds like it. I forgot to mention, this is mainly
x
Sometimes they mention diameter of fibers. sm
Subject: Sometimes they mention diameter of fibers. sm
by Shin J. Oh - 2002 - Medical - 816 pages
According to his data, the NCV in the proximal segment is faster than in the ... a decrease in the average fiber diameter of the fastest conducting fibers ...
books.google.com/books?isbn=0781736811...
As a result, the conventional NCV evaluation is limited in that it is primarily only capable of evaluating the function of the large diameter nerve fibers ...
www.freshpatents.com/Nervous-tissue-stimulation-device-and-method-dt20050901ptan20050192567
doc does mention possiblity of arteritis!!
Subject: doc does mention possiblity of arteritis!!
forgot to mention...another search tip...sm
Subject: forgot to mention...another search tip...sm
when doing the Google wildcard search you can use the MINUS(-) exception to narrow the search matches; you can also enter multiple asterisks within the quotes, e.g. "medial * * skin lesion" -biopsy will return all possible matches EXCEPT biopsy; hope that's not confusing...and hope it helps.
forgot to mention - I would spell it out, though...
Subject: forgot to mention - I would spell it out, though...
epithelials
it would be brownie taste, most oftenly used with chemo patients. nm
Subject: it would be brownie taste, most oftenly used with chemo patients. nm
Kind of 'panel' tests for COPD patients...sm
Subject: Kind of 'panel' tests for COPD patients...sm
Strange Doc is FLYIN thru her tests for COPD patient....' CBC, fasting renal panel, lipid panel, ___ panel (maybe titer but not sure if that applies?) I get the impression its a common 'panel' test. If I didn't know any better I'd say she was saying Italian panel:) Any ideas? Its late and I can't come up with it.
Toradol is a pain medication for cancer patients.
Subject: Toradol is a pain medication for cancer patients.
Not sure if this is what you're looking for. Does it have a dosage?
Patients with non-bulky follicular non-Hodgkin's lymphoma.
Subject: Patients with non-bulky follicular non-Hodgkin's lymphoma.
50% effaced (dilated), then usually mention a "station" going from -5 to +5. nm
Subject: 50% effaced (dilated), then usually mention a "station" going from -5 to +5. nm
s
There was no mention of nausea or vomiting, but the s/l is close. Thank you I will look into it.
Subject: There was no mention of nausea or vomiting, but the s/l is close. Thank you I will look into it.
a
not to mention, decreased range of motion
Subject: not to mention, decreased range of motion
not emotion. geez.
Any mention of the patient's diagnosis in the dictation? It could be..
Subject: Any mention of the patient's diagnosis in the dictation? It could be..
Avonex which is prescribed for the treatment of multiple sclerosis.
The term you mention is spelled "asterixis."
Subject: The term you mention is spelled "asterixis."
x
Might be sawing. Do they mention a saw type of instrument? nm
Subject: Might be sawing. Do they mention a saw type of instrument? nm
s
PS - forgot to mention mine is from AAMT BOS
Subject: PS - forgot to mention mine is from AAMT BOS
Doses of Megace are given that high to cancer patients and others with cachexia. nm
Subject: Doses of Megace are given that high to cancer patients and others with cachexia. nm
s
Would use telemetry. Cardiac patients often go there before hitting the regular floors. nm
Subject: Would use telemetry. Cardiac patients often go there before hitting the regular floors. nm
s
Lovaza is used for treating patients who have very high triglyceride levels.
Subject: Lovaza is used for treating patients who have very high triglyceride levels.
That could be. I know that some docs make patients sign care contracts. sm
Subject: That could be. I know that some docs make patients sign care contracts. sm
Compliance promise could very well be. Perhaps the patient had been noncompliant with his CPAP and the doc threatened him with something like being hospitalize, dying, etc.
A lot of PCPs make their drug-seeking patients sign what is called a Care Plan. It takes care of the "frequent flyers" to different docs and ED's. They are tailored to each patient. Perhaps Jane Doe can only get 4 pain shots a month. If she uses them all up in a week, then too bad, so sad. She will just have to tough it out. They are on file with all the hospitls here in case the frequent flying drug-seekers trh to hit different emergency departments, etc.
Your "Les Bence" could be vermiformis especially since they mention the cecum...nm
Subject: Your "Les Bence" could be vermiformis especially since they mention the cecum...nm
s
Ah, I did see this as a chemo, but there is no mention of any cancer...so I was thinking in a differ
Subject: Ah, I did see this as a chemo, but there is no mention of any cancer...so I was thinking in a differ
ent direction. Thanks a lot!
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