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Confused and tired....

Posted By: Karen on 2007-11-18
In Reply to:

Subject: Confused and tired....

Doc says the patient was given a stool ....s/l wax... to complete and return. 


The only thing I have heard of is like stool cards but he is not saying cards.  Any suggestions?


Thanks.




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either I am really tired or
Subject: either I am really tired or

In reviewing imaging, he states "X-rays, AP and lateral **flikes**, T10-S1 shows solid arthrodesis. 


Later he is talking about exercises and states " leg exercises including crunches, leg lifts in a supine position, extensor exercise in the prone position, wall slides, and **lunches**.


 


I have listened to these several times, slowed it down, and this is still what I am hearing.   Thanks for any help!


Thanks so much. I am tired right about
Subject: Thanks so much. I am tired right about

now and have 1 more hour to go.
That is it! Tks, getting tired
Subject: That is it! Tks, getting tired


that's it thanks, I am really tired!!!
Subject: that's it thanks, I am really tired!!!

I noticed the sparing was wrong and yes it is the breast. Thanks again--so much...
I know I know, you are probably tired of seeing me
Subject: I know I know, you are probably tired of seeing me

I am so sorry, I promise I will get better with time


Does anyone have any suggestions for these two words?  I have typed them like they sound but can not figure them out.


...pending membranes are clear, no (listable) or spontaneousness (nisstagness) is recognized...


Sorry, the FDF should be FDS... I'm tired.
Subject: Sorry, the FDF should be FDS... I'm tired.


Thanks - tired in Ohio
Subject: Thanks - tired in Ohio


Thanks to you both.. it's late, I'm tired and
Subject: Thanks to you both.. it's late, I'm tired and

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Yes, that's it. Thanks. I'm tired today :( nm
Subject: Yes, that's it. Thanks. I'm tired today :( nm

x
been typing all day, tired and cannot think
Subject: been typing all day, tired and cannot think

I know this is stupid and I have typed it a million times but I am so tired right now I can't even think.  He says .... Myospan 500 mg ..... ?  Thanks. 
Sorry meant SVT (a bit tired here)
Subject: Sorry meant SVT (a bit tired here)


Yes Fissure! I'm tired. Thanks!
Subject: Yes Fissure! I'm tired. Thanks!

Why didn't I remember that?  Thanks so much.  It's late and my brain is not working this evening. 
Nevermind, I got it. VVI...duh. just tired. nm
Subject: Nevermind, I got it. VVI...duh. just tired. nm

x
nighthawks??? okay i am really tired.
Subject: nighthawks??? okay i am really tired.

CAT scan was read initially by NIGHTHAWKS??? as what appears to be mid to distal mechanical small bowel obstruction.  Could he mean the night shift?  and referring to them as nighthawks???
help! tired and can't figure this...s/l endricose
Subject: help! tired and can't figure this...s/l endricose

Status post-echo, revealing LVH and mild mitral s/l endricose regurgitation.



 


drug help! Too tired...s/l Tilltize??
Subject: drug help! Too tired...s/l Tilltize??

Hypertension; well controlled with s/l Tilltize MSR, 180 and HCTZ 25 mg. 


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Subject: plowshare effect - too tired to think (NM)

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Might be semifluorinated alkane, but I'm too tired to
Subject: Might be semifluorinated alkane, but I'm too tired to

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yep, i am having one of those days too. Getting tired fingers. NM
Subject: yep, i am having one of those days too. Getting tired fingers. NM


Getting tired and really cannot hear him or make out what he is saying but here it goes... S3 S4 s/l
Subject: Getting tired and really cannot hear him or make out what he is saying but here it goes... S3 S4 s/l

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Nevermind, its late and I'm tired..lol...
Subject: Nevermind, its late and I'm tired..lol...

It was PE - pulmonary embolism!!


Ct of abdomen and pelvis...please help, tired and can't think Tx
This is a CT of the abdomen and pelvis. talking about abdomen..No free fluid in the abdomen. No "free incher", no air.  Sounds like 'Free incher"
Oops, should be "believe", too tired and its late...nm
Subject: Oops, should be "believe", too tired and its late...nm

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sorry that should be making up a word not work. tired.
Subject: sorry that should be making up a word not work. tired.

.
sounds like hypercater -- tired and can't think anymore
Subject: sounds like hypercater -- tired and can't think anymore

Doc says:


Under sterile conditions, Xylocaine with epinephrine 0.5 ml injected subcutaneously.   ....s/l hypercater applied set on 10 for desiccation.  A dermabrasion blade was used to excise the wart ..............


 


Thanks. 


 


Never mind! I'm tired and making no sense! Thanks for the help!
Subject: Never mind! I'm tired and making no sense! Thanks for the help!


Don't you all get tired of cross-examining these people for details? NM
NM
Jeez you're right. I'm tired, time to quit.
Subject: Jeez you're right. I'm tired, time to quit.

Thank you.
Nope but I never get tired of hearing it, (kids don't say it anymore!)
Subject: Nope but I never get tired of hearing it, (kids don't say it anymore!)


s/l tired white blood cell study
Subject: s/l tired white blood cell study

s/l tired white blood cell study. This is in a patient with chronic wound infection. Not used in any context, just dictates will send copy of s/l tired white blood cell study.


OB/GYN s/l sadderdick (for stenotic cervix), on the tip of my tongue, tired, help please
Subject: OB/GYN s/l sadderdick (for stenotic cervix), on the tip of my tongue, tired, help please

I know this and is on the tip of my tongue... Sounds like "sadderdick" placement. Patient is having OB/GYN surgery but has a stenotic cervix. Could somebody help me? Gosh, tired.


 


Thanks!


Neck exam: Negative for a s/l cow's node. Help, I'm tired!!
Subject: Neck exam: Negative for a s/l cow's node. Help, I'm tired!!


I was ready to send to QA. Now I'm just laughing at my dumb self. :) I'm sooo tired...
Subject: I was ready to send to QA. Now I'm just laughing at my dumb self. :) I'm sooo tired...


confused
Subject: confused

Are you saying that I should expand ST to Electrocardiographic wave segment> or are you agreeing with me that there is no expansion for ST?

Okay, now I'm really confused
Subject: Okay, now I'm really confused

I thought I saw my post come up four times, but now I don't see it at all, so I'll ask one more time.  Hopefully this works and I haven't been too annoying! 


Okay, so the patient has bilateral otitis externa "and is having a lot of swelling in the [s/l "D man"] and in the nasal mucosa.  I injected it with Depo-Medrol and Marcaine and put him on Flonase."


I feel like I should be catching this but I'm stumped!  Any ideas?


Confused.

I was transcribing last night on a woman and the doc said quite clearly, twice, that she was post vasectomy.  Okay, I figured that maybe this female once was a male.  However, by the end of the report I knew that this was not the case.  Anyway, I left a QA marker as I figured what the doc said was incorrect and I did not want to be the one to type that information down.  I checked on the report today and QA had put in vasectomy, just as I thought he said. 


Okay, so my question is:  can women get vasectomies??  I thought it was impossible, but after yesterday my confidence is shaken.  Women don't have the vas for the ectomy.  If I am correct, then why would QA leave something so erroneus in a report?  If it were me I would have left it blank. 


Please, someone correct me if I am totally wrong.   


thanks a lot..... it confused me for a while there. nm
Subject: thanks a lot..... it confused me for a while there. nm


not sure, please SM... so confused!..
Subject: not sure, please SM... so confused!..

thanks... not sure... he continually says what actually sounds like .... "lungs sr"... i have been doing MT for 11+ years and this is now really frustrating me!!!!!!! TY
No. I am not sure. I am actually confused on this one LOL..
Subject: No. I am not sure. I am actually confused on this one LOL..

x
Still confused though.
Subject: Still confused though.

fabere is Flexion, ABduction, External Rotation and extension.

The doc is saying s/l Faber, so I do not know which one to go. So frustrating.
I get confused too sm
Subject: I get confused too sm

track (track) (trak)  1. the path along which something moves, or the mark left by its movement.  2. of pus, to follow the path of least resistance through the tissues, e.g., along an intermuscular septum.


tract (tract) (trakt) [L. tractus]  1. a region, principally one of some length.  2. a collection or bundle of nerve fibers having the same origin, function, and termination (tractus [TA]); see also under bundle, fasciculus, and lemniscus.  3. a number of organs, arranged in series, subserving a common function.


This is according to Dorland's online dictionary.  I too get confused but I think it should be track. 


confused
Subject: confused

patient needs a s/l lap cholie?
Thank you so much, I was getting confused.
Subject: Thank you so much, I was getting confused.

nm
Confused
Subject: Confused

I always get this confused.  Is it Penicillin (brand name) or penicillin (generic)?  TIA
confused
Subject: confused

for all I know he could be stuttering right now...lol. s/l minimeniscus tear does that sound like something?
confused
Subject: confused

New doctor. Can't understand 1/4 of dictation. I have no clue what the diagnosis is (some kind of sprain) he talks about the right ankle also the medial deltoid. I am very very confused. I have a ton of blanks and can't understand any of them.
now I'm really confused :)
Subject: now I'm really confused :)

xxx
Confused
Subject: Confused

Is s/he saying midsings or midsigns? You have written both in your post.
confused....lol
Subject: confused....lol

Examination of his left foot shows there is normal configuration. With plantar pressure between the third and fourth metatarsal head and compression, a popping sensation is elicited, consistent with a Morton’s neuroma.

Shouldn't there be a period after configuration? I am so confused every time I read it I come up with something different.

Above I have it with a period after configuration. Do I have that wrong?? tia again.
I, too, have been confused about that over the
Subject: I, too, have been confused about that over the

years - when it does come up, I type it as "Worker's," but "Workers'" might be correct
confused
Subject: confused

I think it is SIF-MDP-Technetium-99. I googled this and think it fits. Try it.