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Doc mumbles/stumbles over words, had me going too since it was such a simple answer! LOL nm

Posted By: Its Monday again... on 2007-04-02
In Reply to: shwew....had me going for a while - no message

Subject: Doc mumbles/stumbles over words, had me going too since it was such a simple answer! LOL nm




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Is it recognition, repetition, "and" simple commands are intact (or is it "of" simple co
Subject: Is it recognition, repetition, "and" simple commands are intact (or is it "of" simple comands". nm


Knee x-ray help. Dr. Mumbles dictating again!
Subject: Knee x-ray help. Dr. Mumbles dictating again!

She has a patellar baja noted as well.  There is a large ______ ossification of the patellar tendon insertion.


Sounds like lar-a-ja  (pronounced with a short a sound).


That is funny!! Doc is saying shoe!! He mumbles sometimes!
Subject: That is funny!! Doc is saying shoe!! He mumbles sometimes!

Thanks sooooooooooo much!!
Abby
cardiology..... he stumbles here I think he says....
Subject: cardiology..... he stumbles here I think he says....

Carotid ultrasound:  No evidence for hemi-dynamically significant stenosis.


Thank you


Cardiology - he stumbles here
Subject: Cardiology - he stumbles here

hemodynamically
Patient has fair to s/l "low fiber" cardiac prognosis. MD mumbles. TIA
Subject: Patient has fair to s/l "low fiber" cardiac prognosis. MD mumbles. TIA

x
doctor stumbles..med for reflux.. Famotidine and s/l ni-crope-pa-mide.. its a longshot in know. th u
Subject: doctor stumbles..med for reflux.. Famotidine and s/l ni-crope-pa-mide.. its a longshot in know. th u


Mo, I just sent an e-mail to the doc to get answer. Thx for help. Will post answer. THX
Subject: Mo, I just sent an e-mail to the doc to get answer. Thx for help. Will post answer. THX


No links but the Stedman's GI & GU Words is great, and you'll need a Pathology/Lab Words book
Subject: No links but the Stedman's GI & GU Words is great, and you'll need a Pathology/Lab Words book or

s
onelook.com, Tessier's Surgical Words, and Sted's Ortho and Rehab Words. Great stuff! nm
,
This should be simple...
Subject: This should be simple...

But I can't seem to find documentation to tell me, maybe some of you with more experience can enlighten me?


I have a dictator today, she is saying, "Review of systems: s/l perinegative except for ...." and, "exam is s/l perinormal with EKG done today showing normal sinus rhythm"


Anyone hear of this "peri"normal "peri"negative and is this how to spell it? Can't find anything conclusive on google in any letter combination I can come up with. 


Thanks for any help.


Tara


of course something so simple
Subject: of course something so simple

Thank you so much.  Flolan......just what it sounded like and I was making it complicated!
simple was it!! thanks so much!
Subject: simple was it!! thanks so much!


I'm sure this is something simple, but here's the s/l - sm
Subject: I'm sure this is something simple, but here's the s/l - sm

Breasts are symmetric. Multiple firm masses surrounding left nipple that are tender to palpation. No nipple discharge. No overlying skin changes or s/l pu day aronge.

Appreciate any ideas!
thanks.. so simple. need more coffee
Subject: thanks.. so simple. need more coffee


I hope this is something simple.
Subject: I hope this is something simple.

I just cannot seem to get a grasp of this guy today. Pt is seen for congestive heart failure. Here are the sentences leading up to my problem:


We will check a BMP today to reevaluate renal function and, if he does have a markedly elevated creatinine, we may not be able to do this (referring to 64-slice CT angiography). I am hopeful that, with ___ and renal protection, we can get by with this. We will also plan on checking a TSH and baseline blood work, including a CBC and BNP for outpatient baseline.     


Sounds like mucavest. I then thought of Mucomyst, but would like to know if anyone agrees because it does not make sense to me.


 


Thanks for any help! 


And yet again 3 very simple ways...
Subject: And yet again 3 very simple ways...

ALT L with start numbered list lining them up and ALT L will shut it off.

Or start typing without the numbers, returning as needed and then block listings and ALT L.

Or, type 1, tab and type and when you return for #1 it will give you the number. If it indents, back up to the beginning of one of #1 sentences and SHIFT TAB to move it back the margin.

So simple yet so hard. Thank you very much!
Subject: So simple yet so hard. Thank you very much!


Probably a very simple question...
Subject: Probably a very simple question...

"On examination today, I did note that he has thickened yellow toenails on both feet. We recommend that he start using ?Clorox? soaks twice weekly as, at this time, oral treatment of this problem is extremely expensive.


I find one reference to this, but did not know how appropriate it would be. He may be saying something more like chloric, but I don't think that is it either. Thanks!


simple-locking
Subject: simple-locking


Ahhh! always so simple.
Subject: Ahhh! always so simple.


Need help with a simple surgery.
Subject: Need help with a simple surgery.

There is a complex closure of one layer of deep s/l *sutures or stuctures using 5-0 chromic gut, and then a superficial running, locking stitch using 5-0 Ethilon. The area is hemostatic. Sterile dressing is applied.

*It actually sounds more like sutures, but would that make sense? Thanks for any help.



simple question please
Subject: simple question please

Hi he says "progesterone cream qhs (small pause) qd"

should it be qhs daily or just daily? I think he might have been correcting himself, but have you ever seen qhs and daily together?
A simple search and I found this--sm
Subject: A simple search and I found this--sm

Breg Knee brace:

Breg Knee Brace TRI-PANEL IMMOBILIZER ACL PCL MCL*NEW

hope this is what you are looking for.
Not something simple like TriCor or Lopid? nm
Subject: Not something simple like TriCor or Lopid? nm

s
May be simple interrupted fashion. nm
Subject: May be simple interrupted fashion. nm

nm
The simple ones alway getcha!
Subject: The simple ones alway getcha!


Thanks everyone, simple English word
Subject: Thanks everyone, simple English word

The sentence was sugar still runs from 90-100. Feel dumb! Got to love the trainees. Still Googled WAG sugar...LOL Will not ever forget that one!
yw...sometimes we try so hard we miss the simple stuff :) nm
Subject: yw...sometimes we try so hard we miss the simple stuff :) nm


That second part could be a simple as "cyst wall"
Subject: That second part could be a simple as "cyst wall"

if it's pertaining to the same procedure.
Could it be so simple as men's glandular stage 2 cancer.
Subject: Could it be so simple as men's glandular stage 2 cancer.

Glandular tissue is also found in breast tissue and males also do get cancer there, most think about down below when referring to males.


How is male breast cancer staged?
The term "stage" is used to describe the anatomic extent of disease according to standardized rules. The same staging system is used for both male and female breast cancer patients. This standardized language allows clinicians and researchers to accurately describe the extent of disease. The AJCC (American Joint Committee on Cancer) staging system uses three numbers to determine the stage of the disease. T (stands for tumor) describes tumors of increasing size and local tissue destruction. N (stands for nodes) describes whether or not the tumor has metastasized to regional lymph nodes and if so, how extensive those nodal metastases are. M (stands for metastases) describes the presence or absence of systemic metastases. The AJCC staging system for breast cancer allows precise stratification of cases and is too complex to fully describe here (24).In most series, men present with more advanced disease (higher stages) women. It is not known whether this reflects delay in diagnosis, more rapid progression in disease, different breast anatomy resulting in most lesions being subareolar (with easy access to subareolar lymphatic trunks) or other factors.


pretty simple disk herniation
Subject: pretty simple disk herniation


See link, pretty simple but informative
Subject: See link, pretty simple but informative

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1122394
has a normal s/l affact. Help, I can't think of a simple word?!!? sm
Subject: has a normal s/l affact. Help, I can't think of a simple word?!!? sm

Patient is orineted times three and has a normal ______. s/l affact.

My mind is drawing a blank
thank you! it seems the most obvious/simple terms get me more than the complicated ones!
Subject: thank you! it seems the most obvious/simple terms get me more than the complicated ones!


Blah. Simple wrist x-ray, but I have a question. SM
Subject: Blah. Simple wrist x-ray, but I have a question. SM

She says:  "Mild to moderate osteoarthritis about the s/l TRI SCAVY joint."  Help? 


That's it - gosh such a complicated word for a simple function.
Subject: That's it - gosh such a complicated word for a simple function.

Thanks
Geez! It's usually that simple too! Doesn't that just drive you crazy?!?!?!
Subject: Geez! It's usually that simple too! Doesn't that just drive you crazy?!?!?!

x
PS Yes, I have been called simple minded but you don't need to explain, nicer people have.
Subject: PS Yes, I have been called simple minded but you don't need to explain, nicer people have.

nm
I feel dumb! I hate when I overlook the simple things!!!!
Subject: I feel dumb! I hate when I overlook the simple things!!!!


I agree - simple mental status exam from my "psychiatric" days.
Subject: I agree - simple mental status exam from my "psychiatric" days.


Echo: stumbles over s/l either A-E reversal or E-A reversal or I-E reversal
Subject: Echo: stumbles over s/l either A-E reversal or E-A reversal or I-E reversal

Says it is compatible with impaired left ventricular compliance.


Could it be as simple as hepatorenal syndrome or hypo/hyperventilation syndrome? Does neuro give a
Subject: Could it be as simple as hepatorenal syndrome or hypo/hyperventilation syndrome? Does neuro give a

s
ENT answer
Dorland refers to "great" auricular nerve when defining nervus auricularis magnus
answer
Subject: answer

He is on several meds, and 105/70 is As Low as it needs TO be. DOC doesn't want it to go any lower, so He is going to reduce one of the meds (Norvasc) some. They talk so fast that it's hard to tell if they're saying hyper or hypo.
Right Answer!!
Subject: Right Answer!!

Sted's Ortho has this:


 


Electro-Acuscope


   Electro-Acuscope electroacupuncture


   Electro-Acuscope 85 stimulator


 


 


answer
Subject: answer

addisonian syndrome
the answer?????? ..................NM
Subject: the answer?????? ..................NM

/
the answer was already given.....NM
Subject: the answer was already given.....NM


answer
Subject: answer

There is a rally, and also there is a balloon. But rally and balloon as one word... I don't know.
and the answer was
Subject: and the answer was

folliculitis.