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At the end of report, he now says hyper, er, um, hypothyroid - so must be Levothroid

Posted By: Thanks for help. on 2008-03-19
In Reply to: That's what I thought it might be, but sm - Thanks

Subject: At the end of report, he now says hyper, er, um, hypothyroid - so must be Levothroid




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Has anyone heard of autogel, ottogel, audogel for hypothyroid?
Subject: Has anyone heard of autogel, ottogel, audogel for hypothyroid?

Not in QLDB. I found a few references for autogel with Google but can't tell if it's capped or not. Thanks.
Levothroid
Subject: Levothroid


Levothroid - nm
Subject: Levothroid - nm

XX
Levothroid?
Subject: Levothroid?


Actually it's either Levothroid or levothyroxine
Subject: Actually it's either Levothroid or levothyroxine

No such drug as levothyroid!!! This is per page 491 of the QLDB.

Levothroid vs. Levothyroid?
Subject: Levothroid vs. Levothyroid?

Are these two the same medication?  Doc is statign Levothyroid...I can find Levothroid in my medication spell checker but not Levothyroid.  (Levothyroid comes up in a Google search, but not sure if it is spelled wrong?)  Thanks!
Yes, Levothroid is the brand name drug
Subject: Yes, Levothroid is the brand name drug

levothyroxine is the generic.

Levothroid® (levothyroxine sodium tablets, USP) is a synthetic product containing the hormone levothyroxine (T4). It is indicated for the treatment of hypothyroidism. Levothroid is available in 12 strengths ranging from 25 mcg through 300 mcg to allow for proper titration of thyroid function.1
Can he possibly be saying Levothroid and not Levoril?
Subject: Can he possibly be saying Levothroid and not Levoril?

 
Levothroid or levothyroxine are the two medications. Levothyroid (per http://www.online-medical-dic
Subject: Levothroid or levothyroxine are the two medications. Levothyroid (per http://www.online-medical-dictionary.org/?q=Levothyroid) is the hormone derived from the thyroid gland.


hyper vs hypoparathyroidism, pls sm
Subject: hyper vs hypoparathyroidism, pls sm

We discussed the risks, benefits, and alternatives of proceeding with parathyroidectomy with the risks including but not limited to the possibilities of permanent hyperparathyroidism and possible recurrent laryngeal nerve injury.

Is hyperparathyroidism correct or should it be hypo? TIA
Thanks, but definitely hearing hi or hyper
Subject: Thanks, but definitely hearing hi or hyper


s/l hyper-am-in-emia
Subject: s/l hyper-am-in-emia


with endstage liver disease, cirrhosis with recent hospitalization with s/l hyperaminemia


s/l hyper??? granulation sm.
Subject: s/l hyper??? granulation sm.

Sorry but all I can make out is it begins with an H...full sentence is...

He did have one little area of __ granulation tissue which I cauterized today.

The patient has a ruptured Achilles.tia.
hyper/hypo-ureter
Subject: hyper/hypo-ureter


.....unremarkable workup there except for the presence of 2 continued stones in his kidney. There was no evidence of a s/l "hyper/hypo-ureter".


Not good with urology.  Thanks


s/l hyper-atrophy-air-kalemia
Subject: s/l hyper-atrophy-air-kalemia

Please help. I cannot reference this word.
Hyper vs. hypocoagulable disorder
Subject: Hyper vs. hypocoagulable disorder

I have a doc with a british accent and I can't make out if he is saying "hypocoagulable disorder" or "hypercoagulable disorder". If the patient had DVT or clot I would default to hypercoagulable, but this patient has excessive menstrual bleeding, so I am thinking hypocoagulable. However, when I look it all up on the net, references all seem to be "hypercoagulable" regardless if it's excessive bleeding or clot. Does anyone out there know which it should be? Thanks.
Hyper-CVAD is what i found. nm
Subject: Hyper-CVAD is what i found. nm

:)
s/l hyper coke lesions right kidney
Subject: s/l hyper coke lesions right kidney

I feel like this is something easy and I am just completely missing it.  HELP!
pls see msg for complete sentence for context. s/l hyper-C-vat. sm
Subject: pls see msg for complete sentence for context. s/l hyper-C-vat. sm

It is yet unclear as to whether or not an improved remission; i.e., a complete remission prior to autotransplant is associated with improved outcome, although it appears likely given the data from several studies indicating that an autotransplant after hyperC vat or salvage chemotherapy for those who do not enter complete remission with CHOP-R is associated with a better outcome than those transplanted in partial remission.
Hypo, hyper, macro, micro
I'm a long-time MT and I still have a problem telling hypo from hyper, hypothyroid from  hyperthyroid,  macro from micro, etc....unless it's very obvious from the content of the dictation which is a lot of times isn't.    Another difficulty is the lab values...it's hard to tell 15 or 50, 20 from 30.  I leave blanks and then I see where QA fills them in.  So, I don't know if my hearing is getting bad or if they or just guessing.  Or, they may have access to othe lab values from previous dictation.  So I'm just wondering if this is a common problem with other MT's. Maybe I need to have my hearing checked.
Thanks CL! I'll double check if it's hypo or hyper. New dictator ...
Subject: Thanks CL! I'll double check if it's hypo or hyper. New dictator ...


Percussion of the chest shows s/l hyper-tymp-a-nism
Subject: Percussion of the chest shows s/l hyper-tymp-a-nism

:-)
in past history, s/l hyper-call liver/level? condition
Subject: in past history, s/l hyper-call liver/level? condition


hyper (fast); hypo (slow); micro (small); macro (large)
Subject: hyper (fast); hypo (slow); micro (small); macro (large)

nm
EKG report
Subject: EKG report

"No weeshnoblomotion abnormalities are identified." What is that word?
thanks everyone. One more report and then I am going to bed.
Subject: thanks everyone. One more report and then I am going to bed.


nothing more to add about the report unless
Subject: nothing more to add about the report unless

the patient had an implanted pacemaker which is not eluded to here.  Just a note, adenosine is not capitalized except to start a sentence.


Maybe you will hear something back.


d~


Sorry, same report...
Subject: Sorry, same report...

"CPK and _______ were negative"  s/l intraconals??


 


Still on the pulmonologist's report...


EEG report
Subject: EEG report

Anyone ever heard of an EEG performed on a Nikon Codon machine?  Thanks.
just sent the report on.........nm
Subject: just sent the report on.........nm

x
op report sm
Subject: op report sm

What kind of surgery is it? If he used "lap" laparotomy pads may be the second one. They usually say sponge, needle and instrument counts. Will keep thinking on this one. Type of surgery would help.


You don't say where in the report -- sm
Subject: You don't say where in the report -- sm

this is given, or any other context, so I have to wonder if this isn't a problem list perhaps giving more than one diagnosis/problem here (as in (1) portosystemic shunt and (2) nephrolithiasis)...

Just a thought
ENT report - sm
Subject: ENT report - sm

Does include sinus surgeries, Caldwel-Luc surgery. Is also on Flonase. Patient is actually here regarding Grave's disease. I'm wondering if this is Relpax D, but I'm not able to verify that as a drug. Any suggestions?
ENT OP report help, please...
Subject: ENT OP report help, please...

Vocal cord lesion biopsy -


Peripheral -s/l orb or oral- sinuses were intubated to their apices and were normal.


Specimen was sent -s/l informal- and for pathology.


TIA!


OP report
Subject: OP report

OP report, lumbar spine


Next, fluoroscopy was used to place new screws at the L2-3 segment.  Starting points were identified at the confluence of the midpoint of the transverse process, the **manloid** process, and the pars interarticularis



He really mumbles through this part, so I am just not sure, but I have not heard this term used before. Thanks!


op report help please sm...
Subject: op report help please sm...

FINDINGS:  Epidurogram revealed normal (s/l-cephaloquadet-) contrast flow outlining the right L5 nerve root sleeve in the epidural space with good flow achieved medial to the right L5 pedicle.  The patient did experience some concordant L5 symptoms on the right side during the injection.  Vital signs remained stable throughout. 


 


 


 


 


OP Report
Subject: OP Report

Hi all! I am doing an OP for a lumbar spine surgeon, but this is just for an I&D. He says the area was probed with "sucker tips" and was found to be subfascial. I am not too comfortable with what I am finding online for this. Has anyone heard this before? Thanks!
OP report help, please
Subject: OP report help, please

Patient was premedicated with intravenous s/l Benadryl. 


Would that be right?


report does not say .. but says she is on BC
Subject: report does not say .. but says she is on BC


help with op report
Subject: help with op report

I never do op notes!  The sentence reads:


The S/L RAFFAY between the anterior and middle deltoids was then opened.  TIA!


Doing EMG report sm
Subject: Doing EMG report sm

The patient has focal severe slowing primarily in sensory fibers in the right upper extremity, on multiple restimulation unable to elicit a response to both s/l "Palmar 8" studies. 


 


I can't find this anywhere.  Anybody have any ideas?  Thanks!


I wish I could see the report, but
Subject: I wish I could see the report, but

could she be saying communication, as in an opening has formed between 2 sinuses or something?

It is so frustrating to be given only a tidbit of a report instead of being able to puzzle it out from what is going on with the patient.
Thanks, but as I'm into the report it
Subject: Thanks, but as I'm into the report it

sounds like this is some weird wording for microscopic blood.

I've done thousands of endoscopy reports and GI consults, but I can't think why he'd say "affobiddy positive stool" instead of something about occult blood or microscopic blood.
ER report. Sm please
Subject: ER report. Sm please

The patient has a 4 mm calcification on the pelvis on the right which may represent a s/l flevolith, thus a right ureteral calculus could not be entirely occluded. 


OP report
Subject: OP report

general s/l elam anesthesia. New to OP reports! TIA


Thanks! That's how I did it in the report nm
Subject: Thanks! That's how I did it in the report nm


OP report
Subject: OP report

s/l -fecal lift- at the base of the appendix
C-sec report
Subject: C-sec report

Does this by some chance have to do with cephalodisproportion, because I looked up Jill Cohen - C-section in google, and there is somebody named Jill Cohen and it talks about labor and delivery and C-section and something this lady wrote about it.  Could this be it.  Check it out on google.
PT report
Subject: PT report

S/l ESTEEM for pain management?
report
Subject: report

Does any one know focal tics of sounds like aphitical movements. Thank could use the help.
TEE report - Need help
Subject: TEE report - Need help

" NO BUBBLES ___________ FROM RIGHT TO LEFT SIDE"  s/l caused.  He also said bubble study was done with 9 mL normal saline and "a cc" of air.  Is this written 1 mL?