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And yet it would be wrong in the rest of the world. Go figure.

Posted By: nm on 2006-03-10
In Reply to: if your company or client is using BOS - sm

Subject: And yet it would be wrong in the rest of the world. Go figure.

.




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probably surgical excision of (can't figure ot the rest)
Subject: probably surgical excision of (can't figure ot the rest)


You are correct, doc either gave wrong dosage or wrong drug, would "flag" this for your QA dep
Subject: You are correct, doc either gave wrong dosage or wrong drug, would "flag" this for your QA dept if you have one.


world help
Subject: world help

Hibiclens?
need world help
Subject: need world help

Cystectomy with an s/l *ileal conduit prostate* for bladder cancer.




in my world ---
Subject: in my world ---

Xeroform gauze, Fluffs (capitalized) and a dry sterile dressing were applied.  (I could be wrong, too)... 


WW2, World War II?
Subject: WW2, World War II?

I would much rather type The Greatest Generation, but you know...  This is the 3rd time I've gotten it in just the past week.  Can't remember how to type it!  Tks.
I would say World War II
Subject: I would say World War II

nm
What in the world....???
Subject: What in the world....???

I've never heard of that. 


That's the world of an MT!
Subject: That's the world of an MT!

Constantly changing. Just as you think you have something down pat and in your brain, someone tells you a new way! lol

For all I know, this has changed again since January at my last update. :)
Small world...
Subject: Small world...

I used it for fever blisters, too!  YUCK!!!!



THAT would rock my world!
Subject: THAT would rock my world!

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why in the world are you YELLING??
Subject: why in the world are you YELLING??

/
Out in the real world, it is according to
Subject: Out in the real world, it is according to

how the client prefers. If you are being marked down for not putting them, then I would go ahead and add them if you cannot get an instructor to let you know one way or the other. Sometimes the docs do dictate vital signs separate from the PE, and unless you have been told to move them under the PE heading, then I would leave them as dictated.
what in the world is that symbol? Should be 0 nm
Subject: what in the world is that symbol? Should be 0 nm

x
How in the world do they expect us to know??

This guy does not finish his sentence.. How am I to know what he means??


Sentence is... Previous career was as a cabinet and working in a mill.  A cabinet What?  maker, salesman, ???..apparently he was a cabinet.. lol


What in the world is this word??
Subject: What in the world is this word??

He demonstrates full range motion of his neck without pain or _________ ("shesfind") tenderness to palpitation.

Could it be scafley tenderness?
try emedicine dot com (world library)
Subject: try emedicine dot com (world library)


Really, I'm in Nokomis. Small world.
Subject: Really, I'm in Nokomis. Small world.


Mandimt - very small world
Subject: Mandimt - very small world

I am helping with a fundraiser for Denise Amber Lee and one of the ladies I met online during this is bestfriends with a prior co-worker of mine. She is still there, I am the one who left. That is a small world too! = )
Was this in wrong spot before? We had a slew of responses, all wrong! nm
Subject: Was this in wrong spot before? We had a slew of responses, all wrong! nm

s
Depending on age of patient,, maybe anxiety about world issues
Subject: Depending on age of patient,, maybe anxiety about world issues

xx
Petioles in the plant world means it's on a stalk. Might be applying it here instead of saying
Subject: Petioles in the plant world means it's on a stalk. Might be applying it here instead of saying

s
rest looks okay.....nm
Subject: rest looks okay.....nm

x
The rest looks okay then?
Subject: The rest looks okay then?


bed rest
Subject: bed rest

According to English dictionary, it should be typed as two separate words.
What is the rest of the sentence?
Subject: What is the rest of the sentence?

nm
Bowel Rest
Subject: Bowel Rest

I need to know what the protocal is for bowel rest. Does anyone have a clue? Thanks
Here's the rest of the paragraph. I need someone to look at this.
Subject: Here's the rest of the paragraph. I need someone to look at this.

This is listed under the PMH:  Do these numbers look right?  My question is really the


"FEF 25 to 75 1.66 (65%).  "  Does this look right?  not sure how to type the 75 1.66. ... MD says it like this:   


"FEF 25 to 75 one point six six and parentheseses 65%"

Pulmonary – status post pulmonary embolus, status post a prolonged road trip.  Coumadin was discontinued in April and  MTHFR Heterozygote  with an elevated homocysteine level
.       She has been maintained on Folate.  She has also been treated for asthma.  Pulmonary function tests in December of 2002 demonstrated a FEV1 of 1.86 (79%), and FVC of 2.41 (83%) an FEV1 of 77% and FEF 25 to 75 1.66 (65%).  In March of 2004, a diagnostic polysomnogram demonstrated obesity, hypoventilation; no evidence of obstructive sleep apnea.  She has been maintained on 2 liters q.h.s.  A repeat study in June of 2005 confirmed that treatment.


the rest of the sentence
Subject: the rest of the sentence

It is recommended that the patient have a s/l "seizure" and cystoscopy with dilation under general anesthesia.  (entire sentence)
What's the rest of the sentence? (sm)
Subject: What's the rest of the sentence? (sm)

I would guess it's "____________ of the esophagus."  Clostridium difficile?  Dunno, need more info.
where's the rest of the context? Help us help you. thanks!
Subject: where's the rest of the context? Help us help you. thanks!

x
OP is correct as far as the rest of the sm
Subject: OP is correct as far as the rest of the sm

world is concerned, but it should be 3-4-mm for MT.
conjunctivae - don't know the rest
Subject: conjunctivae - don't know the rest

xx
pancreatic rest
Subject: pancreatic rest


P.S. re the rest of the sentence
Subject: P.S. re the rest of the sentence

I think it should read:


The patient’s MRI results showed L3-L4 grade I anterolisthesis of L4 on L3, causing severe narrowing of the lateral recess (or recesses).


Is the rest correct then??
Subject: Is the rest correct then??

each within normal limits  ???
read below for rest.
Subject: read below for rest.

There is 3+ bacteria noted. ?? was positive. There is no evidence of glucose or ketones. (Sorry it was cut off original)
Got part of it, need help with rest
Subject: Got part of it, need help with rest

Sent for cytology for s/l fat stain.

This doctor has a very pronounced southern accent and hard to understand (and I'm from the south)!
bowel rest?
Subject: bowel rest?

Dictation states "Patient was started on an IV antibiotic with Flagyl and Zosyn and placed on bowel rest with IV fluids."   Sounds something like bowarest - is there a medication similar to this?  Not sure if bowel rest make sense?  Thanks! 
bowel rest, maybe?
Subject: bowel rest, maybe?


Roto-Rest ?
Subject: Roto-Rest ?

The Roto-Rest. ® bed is often used for patients who have not yet under- gone stabilization. .... The head of the bed must be as low as tolerated (measured by pulmonary function) ...

trying to figure it out. sorry nm
Subject: trying to figure it out. sorry nm

s
If you figure out what this is....
Subject: If you figure out what this is....

Please let me know.  I've done a lot of duplex ultrasounds over the past 5-6 years but I am very "aural" when it comes to dictation - once I see "increment" and have that in my mind, I can't think of anything else.   Anyway, I would like to know what it is in case I run across it.


Thanks!   


Thanks for trying anyway. I did figure it out though.
Subject: Thanks for trying anyway. I did figure it out though.

I had to copy the entire document into a new document and save it as a new document.


I believe she's saying figure-of-four but .... sm
Subject: I believe she's saying figure-of-four but .... sm

not sure if it fits with context. Can someone help? Here's more:

S: Low back pain. No radiation to lower extremities. No foot drop.

O: SLRs are essentially negative. She has full range of motion with negative (figure-of-four). No tenderness noted to palpation of spine. There are palpable spasms on both the right and left low back region.

A: Musculoskeletal low back pain with spasm.

P: Treat with Skelaxin 800 mg, Lodine 400 mg. Pt could also take Vicodin.
No, sorry. Maybe QA can figure it out. sm
Subject: No, sorry. Maybe QA can figure it out. sm

I've spent too much time on it as it is.  I'm overly tired and grumpy anyway from getting up to pee every hour for the last several nights from my own urinary issues.  The NP said I'd have relief today.  What an a**hole.  I'm in so much pain.  He insists it could not be a kidney stone yet I'm peeing massive amounts of blood and blood clots.  I've had a hyster so I know it's not coming from there.  I don't usually wish things on people but I'm so grumpy from lack of sleep and in so much pain right now, I hope he gets one this bad.  Curses! 
Tried and tried, but cannot figure out what she's saying. Please help..sm
Subject: Tried and tried, but cannot figure out what she's saying. Please help..sm

A 77-year-old - history of diabetes mellitus and hypertension - in a wheelchair. No obvious distress when first presents.

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Needed more urgent evaluation and was sent to the ER.

DX: DJD and sudden change in mental status with elevation of BP.
can't figure this out, but could doc be saying
Subject: can't figure this out, but could doc be saying

"notable" for something??
The levels consistently rest between
Subject: The levels consistently rest between


Context? The rest of the sentence?
Subject: Context? The rest of the sentence?

Can't get it from what you've posted as bronchoscopies aren't accidental.
Rest of message inside
Subject: Rest of message inside

Chondrodermatitis nodularis chronica helicis (CNH) is a common, benign, painful condition of the helix or antihelix of the ear