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Doc is not very clear - does this sound correct: FVC of 76% of predicted

Posted By: Thanks for your help on 2008-10-22
In Reply to: BTW, FEV1 is also correct.. happy hump day..nm - anon

Subject: Doc is not very clear - does this sound correct: FVC of 76% of predicted




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It there is a clear "t" sound, it may be tibial. nm
Subject: It there is a clear "t" sound, it may be tibial. nm

nm
No, the "eo" sound is very clear. Thanks though.
Subject: No, the "eo" sound is very clear. Thanks though.


doesn't sound like radial and doc is usually very clear
Subject: doesn't sound like radial and doc is usually very clear


Is the S sound clear? The ProTack device or ProTacker is used often. nm
Subject: Is the S sound clear? The ProTack device or ProTacker is used often. nm

s
Not Celebrex? Is that 'vet' sound pretty clear? nm
Subject: Not Celebrex? Is that 'vet' sound pretty clear? nm

s
Speech is minimally petabulatory? Beginning sound not clear.
Subject: Speech is minimally petabulatory? Beginning sound not clear.

Speech is minimally ___tabulatory. Can't think of anything!

Patient has a brain tumor and is depressed and slow and just wants to go home, so it should mean he is giving minimal effort in speech, I suppose.

noooo. it definitely starts with "quan" sound. kwan/quan suh seen.it is very clear. thx
Subject: noooo. it definitely starts with "quan" sound. kwan/quan suh seen.it is very clear. thx

x
Transcribing ESL. He is pretty clear, but does 15 cc fluid restriction sound a little severe??? (nm)
Subject: Transcribing ESL. He is pretty clear, but does 15 cc fluid restriction sound a little severe??? (nm)

x
Good/clear dicator says "Mal Ex" Typed him for years and is awesome. Doesn't sound like M
Subject: Good/clear dicator says "Mal Ex" Typed him for years and is awesome. Doesn't sound like Maxalt.


Abbreviation listing gives PPSA as Precursor PSA and there is Predicted PSA
Subject: Abbreviation listing gives PPSA as Precursor PSA and there is Predicted PSA


No, this is a very clear dictator, definitely impigination (just can't find correct spelling anyw
Subject: No, this is a very clear dictator, definitely impigination (just can't find correct spelling anywhere)


Hi, Amy, PORT score is for pneumonia severity on admission, predicted outcome.....nm
Subject: Hi, Amy, PORT score is for pneumonia severity on admission, predicted outcome.....nm

nm
does not sound correct to me
Subject: does not sound correct to me

I would put "This has been going on for 2 to 4 weeks."
no that does not sound correct...sm
Subject: no that does not sound correct...sm

i cannot come up with something-cerebelli....that sounds more anatomy that neuro exam.  the only thing i can think of is * mental status is fine *  or maybe sensorium is fine....
Does this sound correct? nm
Subject: Does this sound correct? nm

The patient denies any s/l saddle bowel anesthesia?


 


TIA!


Does this sound correct
Subject: Does this sound correct

Reduce the s/l sheer on the wound.  Does this sound correct?  And I did google this and look this up numerous places on the internet and can't seem to find it.  TIA.
Does this sound correct?
Subject: Does this sound correct?

s/l AP and collateral stability are normal.  TIA. 
does this sound correct..
Subject: does this sound correct..

There is also a degeneration of the patellofemoral joint with ***superior spurring of the superior patellar pole***, some calcification in the quadriceps tendon on the right versus the left.

Specifically in between the ***. tia.
does this sound correct?
Subject: does this sound correct?

DIAGNOSIS: LATERAL ANKLE SPRAIN WITH CENTRAL ANKLE OS TRIGONUM

He mumbles when he says what sounds like central ankle os trigonum. tia.
Does this sound correct?
Subject: Does this sound correct?

X-RAYS: An x-ray was done on the lateral of both knees which shows the right tibial tubercle solidifying very nicely. The left one shows calcification overlaid in the anterior aspect, consistent with Osgood-Schlatter disease.

in question is *on* the lateral....the word *overlaid* I am having a brain freeze!!
Does this sound correct? - sm
Subject: Does this sound correct? - sm

On examination her breasts show previous implants with grade 2 capsular contracture with ptosis of the breast tissue over the implants, left side worse than the right side. Also she has a THYROID ?? capsule on the left side.
That is correct, a sound is an instrument.
Subject: That is correct, a sound is an instrument.

x
Cry is correct. It's a sound the uterus makes when doing D&C. NM
Subject: Cry is correct. It's a sound the uterus makes when doing D&C. NM

:
does convalescent for his gallbladder sound correct...
Subject: does convalescent for his gallbladder sound correct...

He is going to have his gallbladder taken out tomorrow during his *convalescent for his gallbladder.* tia.


26-French Van Buren sound is correct. Some choices for the second...sm
Subject: 26-French Van Buren sound is correct. Some choices for the second...sm

one would be 23-French flexible cystoscope, rigid cystoscope, cystourethroscope, lubricated cystoscope.
word help sounds like or but that doesn't sound correct
Subject: word help sounds like or but that doesn't sound correct

X-rays taken today indicate the prosthesis to be in good alignment. There is no evidence of loosening s/l or___ radiolucency. There is some calcification noted at the femur and the acetabulum, but the joint space is well maintained.
"Gaseous" dilatation is noted in the small bowel.. does this sound correct?
Subject: "Gaseous" dilatation is noted in the small bowel.. does this sound correct?


Does Reglan 0.5 mg p.o. q.6h. sound like a correct dose for newborn who underwent heart surgery? sm
Subject: Does Reglan 0.5 mg p.o. q.6h. sound like a correct dose for newborn who underwent heart surgery? sm

It sounds like doc is clearly stating 0.5 mg, but I can't verify in my drug book or google.


Thanks and Merry Christmas!


It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(
Subject: It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(


Patient with diarrhea. Labs: s/l ESR 3 but sound is a bit distorted. Does that sound low for ESR?
Subject: Patient with diarrhea. Labs: s/l ESR 3 but sound is a bit distorted. Does that sound low for ESR?


no, I definitely hear a p sound at the start and an f sound at the end
Subject: no, I definitely hear a p sound at the start and an f sound at the end

nm
I am a dork! Definitely a "V" sound not "B" sound. nm
Subject: I am a dork! Definitely a "V" sound not "B" sound. nm


No, she said there was a for sure "K" sound. Hespan does not have a "K" sound. nm
Subject: No, she said there was a for sure "K" sound. Hespan does not have a "K" sound. nm

.
It's when it has a short vowel sound rather than a long vowel sound.
Subject: It's when it has a short vowel sound rather than a long vowel sound.

x
just to be clear...
Subject: just to be clear...

I just want to be sure about whether since she specified it is left side only that extensor hallucis "is" and not extensor hallucis "are". If she said bilateral then it would read extensor hallucis are 4+/5 -- am I getting that part correct? TIA
To be clear?
Subject: To be clear?

Hallucis IS.......halluces ARE. You will know when she is talking about a different side or bilateral. Don't over-think your dictator, okay? I'm thinking you may be new (I hope) and these things will become more clear as you go.

I know you're trying to get it perfect, but she knows what she's doing with the foot/feet. :)
it is very clear
Subject: it is very clear

She keeps referring to white matter abnormalities with signal loss and T2 prolongation through the entire report, so I am thinking leuko (white) something....no idea
I wish...but it's very clear. Thanks
Subject: I wish...but it's very clear. Thanks


Just to be clear
Subject: Just to be clear

My "duh" in the other post was for ME, not you. Didn't want any misunderstanding. Thanks for your help!
Clear? Nm
Subject: Clear? Nm

nm
Yes, it is clear. Thank you!
Subject: Yes, it is clear. Thank you!

x
I think if it's not clear
Subject: I think if it's not clear

I would leave a blank, although it is probably hypocoagulable (my Stedman's oncology book has this word) and we used it in the lab, such as defective clotting with factor deficiences such as hemophilia, von Willebrand (which heavy menstrual flow can be a sign), low platelet count, ITP, liver disorders that affect vitamin K production, etc.  But it's really hard to say without knowing more about this patient because, if I can explain this right, there are conditions or situations that can cause hypercoagulable states that then use up all the clotting factors, etc., and then cause bleeding.  So really need to know more on what the patient's other symptoms, family history, etc. to be sure on something like this when you can't hear for sure, I think anyway.  Sorry for the long essay here, used to be one of my areas of interest a long time ago.  Once worked up a lady who had heavy, heavy vaginal bleeding after childbirth, was in really bad DIC, docs had a heck of a time saving her.  You can google on some of this if you're interested.
not clear
Subject: not clear

it is urine drug screen and delirium tremens but 17a not clear
tks... really not sure... the K is VERY clear.
Subject: tks... really not sure... the K is VERY clear.

could be s/l Akiva maybe, but it definitely is not a V at the beginning. Unless the doc is reading it wrong from paper... not sure.

Thanks for the input!
THANK YOU SO MUCH! That is it! It is so clear now...THANKS AGAIN!
Subject: THANK YOU SO MUCH! That is it! It is so clear now...THANKS AGAIN!

nm
Everything else she said was so clear but I bet that is it! Thanks! nm
Subject: Everything else she said was so clear but I bet that is it! Thanks! nm


What is T1T? He is clear. thanks
Subject: What is T1T? He is clear. thanks


There is no evidence for ureteral obstruction. He may be a candidate for a minimal invasive therapy such as T1T or even laser prostatectomy.


I think the OP could have been a little more clear sm
Subject: I think the OP could have been a little more clear sm

in what they were asking, like perhaps given the whole sentence.  I assumed they were asking about a possessive but it could also be seen as asking about a pleural. 


doc is very clear. sm
Subject: doc is very clear. sm

he is spelling it out exactly like this "vobenzin", or could be "zobenzim"; and, "artron".  Definitely not Benzig and artane.  No mention of Parkinson's disease which Artane is used for, and doc is clearly not saying Artane.  I went to rxlist on Internet and nothing came up either!


to be more clear - s/m
Subject: to be more clear - s/m

i'm not questioning whether to hypen or use the word "and". What I'm questioning is can you use 2 different measurement systems for the same measurement - isn't the 3/8 referring to an inch? how do you have 157 cm and 3/8 of an inch?
it's very clear...
Subject: it's very clear...

He definitely says Levoryl (now that I know how to spell it).  :)  When I do a google search on Levoryl, there are only two pages that come up.  I can't find it in RxList.com.  Is it an old drug that doesn't exist anymore?