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Could he be saying the first part under his breath like some of my docs - nm

Posted By: erythrocythemia on 2007-09-10
In Reply to: Rubrocythemia??? - Margaret

Subject: Could he be saying the first part under his breath like some of my docs - nm

nm


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Breath
Subject: Breath


Breath sounds - nm
Subject: Breath sounds - nm

nm
Breast or Breath
Subject: Breast or Breath

I can not figure out what the word would be, if anyone could help me it would be great. I am new......


It is an emergency room that a male went to because he had apple stuck in his throat. I have included the sentence before so you might be able to tell what word he would use.


This is it:


There is no strider appreciated. Breath (or breast) sounds are clear and equal bilaterally.


Thank you


Breast or breath
Subject: Breast or breath

It's also stridor, not strider. :-)
Breathing? Breath sounds? nm
Subject: Breathing? Breath sounds? nm

s
last breath - medical term
I know there is a medical term for the very last breath a person takes before they die.  Can anyone help me out with this?  TX
Breath sounds were s/l operose
Subject: Breath sounds were s/l operose

Never heard this before, and it is a resident so wanted to double check.
maybe shortness of breath, wheezing?? nm
Subject: maybe shortness of breath, wheezing?? nm


Should be H2 or lactulose breath test. (sm)
Subject: Should be H2 or lactulose breath test. (sm)

http://www3.interscience.wiley.com/journal/118696419/abstract?CRETRY=1&SRETRY=0
Never mind - it was shortness of breath, just
Subject: Never mind - it was shortness of breath, just

x
short of breath and hypoxia

The patient presented with shortness of breath and was started on s/l congestive and oxygen.


 


Thanks.


Mammograms don't evaluate breath sounds.
Subject: Mammograms don't evaluate breath sounds.


s/l rethopnia??? fear of shortness of breath
Subject: s/l rethopnia??? fear of shortness of breath

Postive s/l "rethopnia" associated with fear of shortness of breath and development of panic.  What is rethopnia?  Can't find this definition for correct word.
short of breath and feet swelling
Subject: short of breath and feet swelling


Has anyone heard of "rhonchorous" breath sounds? nm
Subject: Has anyone heard of "rhonchorous" breath sounds? nm

Can't


Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm
Subject: Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm

s
She has COPD, shortness of breath, just in list of meds...tia
Subject: She has COPD, shortness of breath, just in list of meds...tia

nm
decreased breath sounds at the bilateral s/l faces? nm
Subject: decreased breath sounds at the bilateral s/l faces? nm


PE normal breath sounds in s/l in excursion, in discursion...I know it's something easy, thanks
Subject: PE normal breath sounds in s/l in excursion, in discursion...I know it's something easy, thanks


s/l bareknife breath test irritable bowel syndrome
Subject: s/l bareknife breath test irritable bowel syndrome


Nope, not even a breath before the Bay tall. It is so clear, even had my husband listen??
Subject: Nope, not even a breath before the Bay tall. It is so clear, even had my husband listen??


sleep apnea, shortness of breath and ?aneric? drug allergy nm
Subject: sleep apnea, shortness of breath and ?aneric? drug allergy nm

nm
drug help. flurithromycin? Patient has respiratory symptoms (shortness of breath secondary to
Subject: drug help. flurithromycin? Patient has respiratory symptoms (shortness of breath secondary to


2-part, 3-part, or 4-part possibly - nm
Subject: 2-part, 3-part, or 4-part possibly - nm


Sibilant can describe breath sounds, kind of rhonchi or "sh" sound on expiration,,,,,nm
Subject: Sibilant can describe breath sounds, kind of rhonchi or "sh" sound on expiration,,,,,nm

nm
Yep, it's okay. Docs say that often. nm
Subject: Yep, it's okay. Docs say that often. nm

x
Thanks...sometimes I think these docs should...
Subject: Thanks...sometimes I think these docs should...

type themselves for once and listen to some of the things they say. I bet they would think twice after that...:-)
Some docs
Subject: Some docs

actually dictate ABGs in this manner.  They say a number then slash then another number then slash, etc.  That is how they want it transcribed.  Just make sure your numbers are correct and you are set to go!
should say *my* docs
Subject: should say *my* docs


like the docs who are always ...
Subject: like the docs who are always ...

... putting "metatarsal" in the hand dictations. Plantar may be technically okay, but it seems like if he were more careful he would say palmar.
Our docs
Subject: Our docs

usually say normocephalic.
I have docs that use it
Subject: I have docs that use it

but my account is not crazy weird picky, either.  I haven't heard of it being unacceptable.  If it's worth your time, I'd question QA about it and ask her why she changed it. 
I have docs
Subject: I have docs

who add extra letters to lots of words, if it make them easier to pronounce. Kind of weird, but it happens.
Docs
Subject: Docs

make up lots of words...they make lots of mistakes (ergo malpractice insurance)...they even misspell lots of words. If we have to deal with their ineptness, they can deal with blanks. JMHO. :-)
With some docs..
Subject: With some docs..

that wouldn't be a stretch at all but a very good guess. :-)
It's not the docs I'm concerned about, or QA, when it comes to my...
Subject: It's not the docs I'm concerned about, or QA, when it comes to my...

work as an MT,
You don't add in mg or mcg, etc. unless it's dictated. The docs know
Subject: You don't add in mg or mcg, etc. unless it's dictated. The docs know

s
that's how my derm docs like it - sm
Subject: that's how my derm docs like it - sm

same with T zone.
ONLY if your QA, account, or docs want it to be so. Not everyone
Subject: ONLY if your QA, account, or docs want it to be so. Not everyone

s
The docs are correct. (nm)
Subject: The docs are correct. (nm)

.
the docs are incorrect
Subject: the docs are incorrect

there must be ownership to use an apostrophe. The word Smith does not show ownership to anything.

If the sentance read Dr. Smith's patient, then yes the apostrophe is used.
that's the section m docs usually put it in.
Subject: that's the section m docs usually put it in.


No, it is not. Docs do not always spell
Subject: No, it is not. Docs do not always spell

x
Some of my docs do list..sm
Subject: Some of my docs do list..sm

each artery's findings separately and I number them along the left under each other. Just use your common sense so you end up with a clear report. Good luck. I remember when I first started doing caths and it wasn't easy.
know how the docs are... making up as they go sm
Subject: know how the docs are... making up as they go sm

They are two separate ligaments but he is probably putting them together.
Most docs say "hypertrophy" when they
Subject: Most docs say "hypertrophy" when they

say it out instead of abbreviating. But, when in doubt, use the abbreviation, even if in diagnosis.
With docs like that, the only way to learn
Subject: With docs like that, the only way to learn

them is to do them repeatedly. When you get your QA feedback, make sure you keep it for further reference. I have been doing this for 25 years and there are still docs I can't understand and/or cringe when I get them. Some of them are totally impossible.
My docs always say "give-way"
Subject: My docs always say "give-way"

x
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm

The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.

But sometimes there's a clue in what's being tested, blood or urine, and/or the diagnosis.

Also, if you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.

If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!

Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm

The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.

Is there a clue in the dx?

If you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.

If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!

Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
I have found that some docs
Subject: I have found that some docs

will use that abbreviation for lymphadenopathy. Just a suggestion.