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Bet the doctor is reading off the patient's list that sm

Posted By: nm on 2006-05-12
In Reply to: Help with drug name - Tam

Subject: Bet the doctor is reading off the patient's list that sm

the patient wrote him/herself. When they can't tell what it is, they often spell it the way the patient did. I'd leave a blank and make a note with the doctor's spelling if you've already researched the term and found nothing to verify it. I found nothing in my Drake. I never trust a doc's spelling of ANYTHING!!




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He is reading from a list sm
Subject: He is reading from a list sm

that the patient wrote so I feel sure that is it. Thanks!
reading med list says Toprol, B6?, Protonics..is B6
Subject: reading med list says Toprol, B6?, Protonics..is B6

B6 is okay?
Perhaps he is reading what the patient
Subject: Perhaps he is reading what the patient

incorrectly wrote down in place of Maxalt.  That's not so uncommon.  I'd leave a blank.
Bet the PA is reading the patient's history sheet. sm
Subject: Bet the PA is reading the patient's history sheet. sm

9 times out of 10 it is  arthroscopy and meniscectomy.


doctor list
Subject: doctor list

http://www.healthcarehiring.com/physician_directory.html

You have to scroll down below the picture that appears on the screen, then choose any state. You then enter the doctor's last name, or part of the name, and it brings up everybody in the state that fits that criteria. You can also scan by specialty.
The doctor is just giving a list of all medications.
Subject: The doctor is just giving a list of all medications.

I thank you all for your responses. I am just now getting back becuase my daughter became extremely sick rather suddenly yesterday, but feeling much better today. I definitely hear an "Av" sound.
"No change to p-fish." This doctor says this after the list of meds and before allergies. Th
Subject: "No change to p-fish." This doctor says this after the list of meds and before allergies. Thanks!

nm
doctor lists ALL medications the patient is on (she has cancer) s/l ear-bar-ca-tin.
Subject: doctor lists ALL medications the patient is on (she has cancer) s/l ear-bar-ca-tin.

d
Hmm, the doctor just says the patient was using Magic mouthwash & Biotene,,,
Subject: Hmm, the doctor just says the patient was using Magic mouthwash & Biotene,,,

for a sore throat consistent with mucositis.
doctor is admitting patient to "med-telly" what does that stand for? nm
Subject: doctor is admitting patient to "med-telly" what does that stand for? nm


Patient with seizure in ER - "Loaded with s/l phosphenytoin (doctor hiccoughed) 1 gram IV"
Subject: Patient with seizure in ER - "Loaded with s/l phosphenytoin (doctor hiccoughed) 1 gram IV"

HELP!


 


Patient with AIDS, doctor spells two meds, Travata and Cysteva. sm
Subject: Patient with AIDS, doctor spells two meds, Travata and Cysteva. sm

I can't document either.  Any help appreciated!  TIA
No, unfortunately it is just being dictated in the list of medications for the patient.
Subject: No, unfortunately it is just being dictated in the list of medications for the patient.


On patient's medication list: s/l Cartin XT
Subject: On patient's medication list: s/l Cartin XT


Cardiac patient's list of medications includes
Subject: Cardiac patient's list of medications includes

s/l Diameril.  Help?
Just my opinion... I never assume especially when it comes to a list of medications for a patient
Subject: Just my opinion... I never assume especially when it comes to a list of medications for a patient

You are probably right as it being Tessalon Perles, but I would have to flag it as such and send it with a blank since it is not a verbatim account.
In medication list of patient - s/l aspartane insulin? TIA
Subject: In medication list of patient - s/l aspartane insulin? TIA


Drug that sounds like Soltar. Patient has a LONG list. Don't know what it is for.
Subject: Drug that sounds like Soltar. Patient has a LONG list. Don't know what it is for.

/
It is listed in the list of medications. Patient has diabetes, hypertension, and heart disease. nm
Subject: It is listed in the list of medications. Patient has diabetes, hypertension, and heart disease. nm


Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm
Subject: Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm

1.                    Dementia of undetermined etiology.


2.                    Hypothyroidism.


3.                    Osteoporosis. 

History of depression. 
I think your doc has been reading
Subject: I think your doc has been reading

too much Harry Potter. I think there are Lamentors in there.

No wait, those are Dementors.

Never mind.
reading of an x-ray sm
Subject: reading of an x-ray sm

His zygomatic frontal and zygomatic temporal bones ? are all intact
I bet it is reading! nm
Subject: I bet it is reading! nm

,,
In list of meds...Full bee 1 tab q.a.m. sm for problem list :)
Subject: In list of meds...Full bee 1 tab q.a.m. sm for problem list :)

1.                    Diffuse Lewy body disease mixed with Alzheimer’s disease.


2.                    Generalized anxiety disorder.


3.                    Benign prostatic hypertrophy.

4          Gastroesophageal reflux disease. 
Med list, s/l mylar? drops. No context as in list only. Tx. nm
Subject: Med list, s/l mylar? drops. No context as in list only. Tx. nm

xx
I believe you are reading it wrong sm
Subject: I believe you are reading it wrong sm

There is a comma between tics and the next item so tics and spasm are separate items. 
Reading the article below it seems to dB
Subject: Reading the article below it seems to dB

The relationships among visual acuity (log MAR), diagnostic category, age, the magnitude of a relative afferent pupillary defect (RAPD) in log units, photopic foveal thresholds to white and colored light (dB), and the mean deviation on the Humphrey visual field (dB) were studied in patients with various optic neuropathies. All acuity and dB values were expressed as interocular differences, the majority of cases having normal acuity in the fellow eye. In multiple regression analyses, acuity and RAPD were alternately chosen as the dependent or response variable with all remaining variables serving as the predictors or independent variables. The main finding was that the only significant predictor of a RAPD was the interocular mean deviation difference on the Humphrey field and the only significant predictor of acuity was the foveal threshold to white light. Redundant and insignificant variables were therefore identified with multiple regression analysis. Subsidiary findings include: (a) although diagnostic group was not a significant predictor in the above, simple linear regression line slopes relating RAPD magnitude to the Humphrey mean deviation were significantly different between optic neuritis and compression categories; (b) for a given level of acuity, foveal thresholds were substantially worse in these cases with neuronal damage than in strabismic amblyopia, refractive error, or corneal damage; and (c) sensitivity losses for red vs. blue light were similar...


Can a lab reading be "small"??
Subject: Can a lab reading be "small"??

Patient is having high blood sugar and in her labs, dictator says something that s/l "serum acetone small."  Is this right or am I crazy?
Hmm after reading the dictation again, you may be right...sm
Subject: Hmm after reading the dictation again, you may be right...sm

Mohs does make sense, he does say with negative results, and this was done some time after the p63, TTF-1, etc.  THANK YOU for that great point!  My brain is so done today. 


Reading your sentence I would think sm
Subject: Reading your sentence I would think sm

That the EEC is enteropathic E. coli due to the anxiety. 
He may be reading from what the pt wrote
Subject: He may be reading from what the pt wrote

My doctor does that. He reads the drug as it was incorrectly written by the pt or the medical assistant. I have to look at the PMH to figure it out.
cardiology, echo reading
Subject: cardiology, echo reading

The aortic valve appears to be a s/l tri-commish-er valve with fusion of one s/l commish-er and acts as a bicuspid aortic valve.


 


he is pretty clear with both of these, but I cannot verify either one. Thanks!!


How is this being treated or is this an xray reading? nm
Subject: How is this being treated or is this an xray reading? nm

s
Blood Pressure Reading
Subject: Blood Pressure Reading

I had a doctor who did this also, and the person who QA'd my report told me to put it just like you have it except told me to use 120/80 without the "s".
Blood glucose reading, please sm
Subject: Blood glucose reading, please sm

Doc is saying "patient went back on Metaglip and now his sugars are around *100 mg percent*.  I've never heard that, just sugars around 100 or whatever, no "mg percent".  Thanks for any help!
reading that, it sounded rude. sm
Subject: reading that, it sounded rude. sm

I did not mean it that way. Again, just a pet peeve of mine.
Is this a follow up to lab work or reading a film, etc.? nm
Subject: Is this a follow up to lab work or reading a film, etc.? nm

s
I always enjoy reading your replies. Thanks for the info also!
Subject: I always enjoy reading your replies. Thanks for the info also!


He's very clear. I'm thinking he's reading from pt note.
Subject: He's very clear. I'm thinking he's reading from pt note.


Reading comprehension test s/l Wyatt? nm
Subject: Reading comprehension test s/l Wyatt? nm

xx
WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm
Subject: WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm


After reading my post, I also need to take a typing class, way to many typos!!!!
Subject: After reading my post, I also need to take a typing class, way to many typos!!!!


After reading all of it, would change my answer to distally going with sensation. Not sure about th
Subject: After reading all of it, would change my answer to distally going with sensation. Not sure about the second ??.


She has lost some weight, but she has been reading up on s/l “pekos”, and understands the issue with
Subject: She has lost some weight, but she has been reading up on s/l “pekos”, and understands the issue with


.........insulin resistance and problems with obesity and hyperlipidemia, as well as her elevated blood pressure and so she would like to go over issues with her diet today.


The patient has a diagnosis of polycystic ovarian syndrome with glucose intolerance.  Under the plan the doc again says, reviewed "pekos" in detail......


TIA!!!


Are you reading this off of doc notes or is he/she giving you these single letters in dictation? nm
Subject: Are you reading this off of doc notes or is he/she giving you these single letters in dictation? nm

s
He's probably relying on his poor memory and NOT reading off the package. Use Destination. nm
Subject: He's probably relying on his poor memory and NOT reading off the package. Use Destination. nm

s
When sis comes to visit she always gets good laughs reading the phobia pages in my Dorland's.
Subject: When sis comes to visit she always gets good laughs reading the phobia pages in my Dorland's.

nm
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Subject: Seems to mein what I am reading that anterior fundoplication is what is performed in terms of achalasia?


Sorry, I made a wrong assumption by not reading your entire question based on the area of fx.
Subject: Sorry, I made a wrong assumption by not reading your entire question based on the area of fx.

x
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM


Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.

nm