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Could the "nial" part possibly be "needle?" Still trying to work out the rest.......hmmm

Posted By: TTH on 2006-02-10
In Reply to: nerve blocks - sm

Subject: Could the "nial" part possibly be "needle?" Still trying to work out the rest.......hmmmm




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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)!
Hmmm, you may be on to something there, maybe I just heard the laise part. Will go back to relisten
Subject: Hmmm, you may be on to something there, maybe I just heard the laise part. Will go back to relisten

Thanks.
hmmm..possibly...really sounds like sping though...thanx
Subject: hmmm..possibly...really sounds like sping though...thanx


possibly so..can you tell from rest of dictation whether it was actually transient?
Subject: possibly so..can you tell from rest of dictation whether it was actually transient?


the rheumatologist I work for does not pronounce the hydroxy part either, just hydro. nm.
Subject: the rheumatologist I work for does not pronounce the hydroxy part either, just hydro. nm.


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


probably "needle" biopsy
Subject: probably "needle" biopsy


Possibly ostial occlusion for first part (???), still checking on second....nm
Subject: Possibly ostial occlusion for first part (???), still checking on second....nm


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
Hmmm...could be. Probably is.
Subject: Hmmm...could be. Probably is.

Lactic acid level was 1.1
hmmm...a.c.? nm
Subject: hmmm...a.c.? nm

s
hmmm, not sure, but thanks for trying!
Subject: hmmm, not sure, but thanks for trying!

:)
Hmmm.
Subject: Hmmm.

The only other meds I can think of that sound anywhere near that are Meclomen and Motrin.
Hmmm...
Subject: Hmmm...

I googled and there is a HTAB LA for bronchospasms.
hmmm - can't think of anything :( NM
Subject: hmmm - can't think of anything :( NM


Hmmm.... maybe
Subject: Hmmm.... maybe

Maybe inguinal hernia, TRUS (transrectal ultrasonography) or TRUSP (transrectal ultrasonography of the prostate) ?? 
Hmmm -- I am not sure ..... sm
Subject: Hmmm -- I am not sure ..... sm

I am familiar with Venturi, grommet, Paparella. I can't find anything close to sounding like "dutcher".
hmmm, if it is EGD, then the
Subject: hmmm, if it is EGD, then the

whole word is esophagogastroduodenoscopy (scope of the esophagus, stomach, and duodenum).   Do ya think that's it? 


 


Hmmm
Subject: Hmmm

I think this must be it. The patient is a 72 yo in the ER with diarrhea so I have no clues as to her past medical history. Ugggh, hate it when docs spell also.
Thanks to both of you.
hmmm
Subject: hmmm

Thank you for you honesty and encouragement.
hmmm
Subject: hmmm

Not saying Valcyte by any chance? 
hmmm
Subject: hmmm

nope he isnt ESL, but he does shmoosh his words together sometimes.  I will relisten to it and see if that it what he says.  Thanks.
hmmm
Subject: hmmm





No search results for: "levoryl"


Did you mean: levoxyl ?


I guess I'll just leave Levoxyl alone. 


Thanks :)


Hmmm
Subject: Hmmm

PENT ICCP

could it be anti-CCP?

P(ENT I)CCP

But that would still leave the P to be determined. I also would like to know if he spelled PENT or if he said it.
hmmm...
Subject: hmmm...

That makes sense b/c of the renal failure... i'm thinking the doc is misspeaking... i clearly hear the PLEX part... i think i'll be leaving that one blank ;)


Thanks!!  :)


hmmm....sm
Subject: hmmm....sm

I can only come up with some wild guesses at the moment, such as:

get formolent = ___ for a minute

OR

get formolent = get 4 ____

as in "the wound bed was allowed to ___ for a minute to control some bleeding" or "the wound bed was allowed to get 4 ____ to control some bleeding"

I wish I could be more help...
hmmm...
Subject: hmmm...

Could he/she be saying: Appendectomy, "apparently" 3 D&Cs, tonsillectomy.  It doesn't really make sense with the parentheses, makes it sound like the patient had 3 D&Cs at the time of the appendectomy. 
hmmm...
Subject: hmmm...

The only thing that comes to mind is that he is possibly saying "OC", meaning oral contraceptive.  I'd have to blank him if that's not what he says. 
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.
Hmmm....ridges? Got me...nm
Subject: Hmmm....ridges? Got me...nm

s
Hmmm..maybe serpiginous SM
Subject: Hmmm..maybe serpiginous SM

Don't know if it fits...sorta sounds like it.


serpiginous
Creeping; denoting an ulcer or other cutaneous lesion that extends with an arciform border; the margin has a wavy or serpent-like border.


hmmm...maybe "pathogenic"...nm
Subject: hmmm...maybe "pathogenic"...nm

nm
Hmmm....autism? nm
Subject: Hmmm....autism? nm

s
hmmm - see reply
Subject: hmmm - see reply

Actually after listening to that one at least 50 times, I could get nothing else from it.  A Cobb can be a retractor or elevator.  In this case, it was used to scrape vertebrae...I did find micro-Cobb.  But it really didn't sound a bit like that.  Macoa or Mikoa perhaps, but I tried every spelling I could think of.  Oh well...it's a mystery, and the report went to proofing, but it left me curious.  Thanks!
Hmmm, I can think of a number of
Subject: Hmmm, I can think of a number of

things, but nothing like your s/l.  Usually the doctor will address any occupational exposure such as asbestos or silica, noxious fumes, etc. which may be encountered in a factory or manufacturing environment.  Could you maybe tweak your s/l a little? 
hmmm...can't tell if he is sayin that or not
Subject: hmmm...can't tell if he is sayin that or not

because it sounds more like 'kite'.  I will blank it.  Thanks.
Hmmm.would rheumatic fit here?
Subject: Hmmm.would rheumatic fit here?


Hmmm. that looks promising..
Subject: Hmmm. that looks promising..

Here's the complete phrase:
Follow-up appointment for an excision of a fistula and an A and O x 2. (in a 6 month old)
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  ???