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Could the dictator just be stumbling here and mean nephrologist? NM

Posted By: me on 2007-08-23
In Reply to: She has chronic renal insufficiency and will be followed by... - Deborah

Subject: Could the dictator just be stumbling here and mean nephrologist? NM




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I think the dictator is stumbling and means
Subject: I think the dictator is stumbling and means


focus? think dictator is stumbling or ESL?
Subject: focus? think dictator is stumbling or ESL?


yes, I think you are right - dictator is stumbling over the word- Thanks!
Subject: yes, I think you are right - dictator is stumbling over the word- Thanks!


Dictator stumbling - low blood sugar nm
Subject: Dictator stumbling - low blood sugar nm

Low blood sugar
I would think dictator is stumbling over the word bursitis, like beginning to say it and then restat
Subject: I would think dictator is stumbling over the word bursitis, like beginning to say it and then restating it.


holiday...is the dictator an Arab dictator? nm
Subject: holiday...is the dictator an Arab dictator? nm

x
type what dictator said, dictator is not incorrect.....
Subject: type what dictator said, dictator is not incorrect.....

.
is this dictator ESL (foreign dictator)?....
Subject: is this dictator ESL (foreign dictator)?....

if ESL, I would either blank him or give him that Avodart but the other one I haven't a clue and would have to blank there too.  Sorry :(
could dr be stumbling
over 'subsequently' ?
stumbling...duh, duh....uh...
Subject: stumbling...duh, duh....uh...

I wouldn't be surprised, the way a lot of these guys talk.  And they're first language is english! 


But really, he said it three times in the report and the "de" part was clear.  I put in blanks.



Thanks anyway.!


I think he's just stumbling
Subject: I think he's just stumbling

I think he changed his mind; I think he means visual acuity of 20/40 after proparacaine drops.
Maybe stumbling on" CT" ? nm
Subject: Maybe stumbling on" CT" ? nm

nm
Could it be TSH and the doc is just stumbling.
Subject: Could it be TSH and the doc is just stumbling.


Thanks to all - I think she's stumbling over
Subject: Thanks to all - I think she's stumbling over

finasterides :=(

Not sure though so I'm flagging it. She's got a mouth full of cotton balls.
unless he's stumbling
Subject: unless he's stumbling

nm
stumbling over ED?
Subject: stumbling over ED?

nm
maybe doc is just stumbling, saying...
Subject: maybe doc is just stumbling, saying...

"uh some arthritis" ??
nevermind...I think she is stumbling.
I think she starts to say ecchymosis but puts that word at the end instead.  Thanks.
probably just stumbling and means
Subject: probably just stumbling and means

x
unless he is just stumbling on his words
Subject: unless he is just stumbling on his words

He does that constantly while he dictates, so it's difficult to tell if there's really another word or not.
could he just be stumbling and saying "congruent" ? nm
Subject: could he just be stumbling and saying "congruent" ? nm

x
he is stumbling and probably means
Subject: he is stumbling and probably means


I was wondering if that's what she's stumbling over, it could be, thanks. nm
Subject: I was wondering if that's what she's stumbling over, it could be, thanks. nm

x
could he be stumbling over swelling?
Subject: could he be stumbling over swelling?

just a guess
is he/she stumbling trying to say Remeron?
Subject: is he/she stumbling trying to say Remeron?


Could he/she be stumbling over proximal?
Subject: Could he/she be stumbling over proximal?


I think he's just stumbling on bursitis....
Subject: I think he's just stumbling on bursitis....

is what I'd do.......
I think he's just stumbling over positive...
Subject: I think he's just stumbling over positive...

x
Stumbling over defibrillation??
Subject: Stumbling over defibrillation??

x
Could the doc just be stumbling on GU evaluation? Sorry not more help Nm
Subject: Could the doc just be stumbling on GU evaluation? Sorry not more help Nm

nm
Could he be stumbling over "marrow"? sm tia!
Subject: Could he be stumbling over "marrow"? sm tia!

MRI of the right knee:  Anterior and posterior cruciate ligaments are visualized and appear normal.  Lateral and medial collateral ligaments are visualized and appear within normal limits.  Osseous structures show no s/l "u-me-gal" edema.  There appears to be moderate effusion best seen on axial images.
maybe just stumbling over "follicular dermatitis" /n.
Subject: maybe just stumbling over "follicular dermatitis" /n.


could he just be saying scalp and stumbling a bit over his words?
Subject: could he just be saying scalp and stumbling a bit over his words?


disregard - he is stumbling over his words, he did it twice.
Subject: disregard - he is stumbling over his words, he did it twice.

.
Oops, meant stumbling-nm
Subject: Oops, meant stumbling-nm


pole (stumbling over the word) ?? nm
Subject: pole (stumbling over the word) ?? nm

x
Love those mumbling stumbling dictators.
Subject: Love those mumbling stumbling dictators.

Not sure about Rhino tonsil balls either but it does sound funny LOL !!
she is stumbling and stuttering over this word if that helps. nm
Subject: she is stumbling and stuttering over this word if that helps. nm

x
probably stumbling on the phrase free fragments (nm)
Subject: probably stumbling on the phrase free fragments (nm)

x
No never heard of decather, could he/she be stumbling over their words?
Subject: No never heard of decather, could he/she be stumbling over their words?


could he just be stumbling over "an arthritic knee" ?
Subject: could he just be stumbling over "an arthritic knee" ?


Just a guess...Could be stumbling and saying "these ummm periods...
Subject: Just a guess...Could be stumbling and saying "these ummm periods...


Could he be stumbling and just means Neurologically cranial nerves II-XII intact?
Subject: Could he be stumbling and just means Neurologically cranial nerves II-XII intact?


Macrobid (nitrofurantoin) is commonly used, maybe doc stumbling on whether to dictate brand name or
Subject: Macrobid (nitrofurantoin) is commonly used, maybe doc stumbling on whether to dictate brand name or generic?


Might be stumbling over the word "gross" and repeating the word gross visual fields.
Subject: Might be stumbling over the word "gross" and repeating the word gross visual fields.


Help - not an ESL dictator.....sm
Subject: Help - not an ESL dictator.....sm

Anglo mushmouth cardiologist is saying:


This 85-year-old white male was admitted and had a posterior s/l *A to E* resection for rectal carcinoma. 


I am not sure he is saying *A to E* and I already googled this to no avail. 


TIA for any light anyone can shed on this....really appreciate it...


Dictator says ...
Subject: Dictator says ...

She has a history of being intolerant of an ACE and s/l RHAB. She says it like a word, so it s/l  Are ab


I pretty sure it's an abbreviation like ACE, but I can't make out the exact letters to even know what to look up to be sure. TIA!


When a dictator says Cor S1 and S2, how...sm
Subject: When a dictator says Cor S1 and S2, how...sm

should that be typed?  Coronary:  S1 and S2?
This must be something the dictator often says. sm
Subject: This must be something the dictator often says. sm

Can "preson" be "perfusion?"

"perfusion to tissues?"

"present 2+ pulses?" (awkward)

What are the sentences before and after? Do you have any other PEs from this dictator?

Is this an orthopedic exam or general PE?


Dictator says...
Subject: Dictator says...

CBC showed WBC of fourteen point six thousand.

What is the correct way to type this number?
is the dictator ESL? perhaps not saying N
Subject: is the dictator ESL? perhaps not saying N