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Excellent reasoning - thank you very much for thinking for me. nm :)

Posted By: Lynne on 2009-05-02
In Reply to: I would say... - Patty

Subject: Excellent reasoning - thank you very much for thinking for me. nm :)




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Good reasoning - thank you very much for thinking for me. nm :)
Subject: Good reasoning - thank you very much for thinking for me. nm :)


Very good reasoning, txtype, thank you.
Subject: Very good reasoning, txtype, thank you.


May be visually enhanced audio reasoning ... maybe
Subject: May be visually enhanced audio reasoning ... maybe

he understands things better if he sees them as they are explained?
I thought possibly Plavix stent too. Ditto your reasoning. Thanks anyway! nm
Subject: I thought possibly Plavix stent too. Ditto your reasoning. Thanks anyway! nm

xx
Excellent
Subject: Excellent

Thanks for your help!
excellent - thanks!
Subject: excellent - thanks!


Excellent :) That's it. Thanx!
Subject: Excellent :) That's it. Thanx!


Thank you. Excellent link! nm
Subject: Thank you. Excellent link! nm


EXCELLENT answer! Thanks SO much! - sm
Subject: EXCELLENT answer! Thanks SO much! - sm

I'll go with dB, then.  It makes more sense to me than "disk diameter".  Fortunately, I'm still working on the report, so now I can send it without blanks. 


Thanks again for all your help! 



Thank you!! Excellent link. nm
Subject: Thank you!! Excellent link. nm


Excellent description. Thank you. nm
Subject: Excellent description. Thank you. nm

.
Another excellent link for almost everything.sm
Subject: Another excellent link for almost everything.sm

Do you know about Family Practice Notebook?


http://www.fpnotebook.com/


 


http://www.fpnotebook.com/ENT/Exam/index.htm


Thank you - excellent explanation of it.
Subject: Thank you - excellent explanation of it.

I have the Stedman book but couldn't find it. It also didn't help the doc didn't pronounce it anything like labelled red cells - I found it on numerous searches.

Thank you so much for your explanation.
Thanks for excellent suggestions, sm
Subject: Thanks for excellent suggestions, sm

I'm sure she is saying some version of "mentating" or "orientation" but I will have to send blank, as it is so not clear exactly what it is.


Excellent idea. Thank you my dear.
Subject: Excellent idea. Thank you my dear.


Excellent detective work!!!
Subject: Excellent detective work!!!

x
ahhhhh! excellent, flybye!!!
Subject: ahhhhh! excellent, flybye!!!

!!
Excellent post. Couldn't have said it better myself! nm
Subject: Excellent post. Couldn't have said it better myself! nm

x
Thanks for all the excellent replies--very appreciated!
Subject: Thanks for all the excellent replies--very appreciated!


Sorry. Forget ref. Here is an excellent lab link. sm
Subject: Sorry. Forget ref. Here is an excellent lab link. sm

http://www.labtestsonline.org/understanding/analytes/chem_panel/glance.html
I have heard the term excellent dating
Subject: I have heard the term excellent dating


After re-establishing flow, there was excellent s/l thrill in the antecubital facet .... TIA
Subject: After re-establishing flow, there was excellent s/l thrill in the antecubital facet .... TIA


milk thistle used for supplement? Here is an excellent site for this stuff. sm
Subject: milk thistle used for supplement? Here is an excellent site for this stuff. sm

Here is one link. Swanson's is another link but can't access it at this time. Sorry.


 


http://www.herbalmanac.com/menus/Alpha.html


She would be an excellent candidate for an epidural and would recommend a s/l call approach SM
Subject: She would be an excellent candidate for an epidural and would recommend a s/l call approach SM

since she does have bilateral discogenic-type low back pain, multilevel.
Patient had excellent spread of the dye with no blocks of flow I could identify. No s/l tu-bas-lo SM
Subject: Patient had excellent spread of the dye with no blocks of flow I could identify. No s/l tu-bas-lo SM

flow and no s/l subarachnoid flow noted.  Patient is having a caudal epidural performed.
still thinking
Subject: still thinking

Turns out that the patient is having very high fevers giving impression of left lower lobe pneumonia. Came across a brand name of a drug used in mouthwash called Advexin. They were talking about oral cancers...but then cross-referenced on http://www.pharma-lexicon.com/ and found (generic Mepron) atovaquone, classified as an anti-infective used in both adults and children who are at risk for PCP with initial doses of 750 mg per 5 mL. Since Hodgkin's lymphoma and bone marrow transplant would put this girl in a severely immunocompromised state, I would bet they are giving her a pretty hefty dose of the stuff. Atovaquone it is.

Thanks for helping me.
Thanks, I was thinking along
Subject: Thanks, I was thinking along

those lines, just wanted a second opinion. :-)
that's actually what I was thinking too - nm
Subject: that's actually what I was thinking too - nm

x
Tks. I kept thinking there is another
Subject: Tks. I kept thinking there is another

Like ...there were lewes....or something.  You are probably right, and I finally found it in stedman's and it says *sternal angle* and that seems to fit the way the doctor used it.  Thanks again.
that's what i am thinking
Subject: that's what i am thinking

I was thinking along the lines of this from the begining....compression over lower extremities.....just wish I didn't hear otherwise!  (I hate Monday's)


That's exactly what I was thinking
Subject: That's exactly what I was thinking

but I have this doc all the time and she's never dictated time like that before, so I just wasn't sure.  Thanks to all who replied. 
I was thinking that too...I'd have to say it was:
Subject: I was thinking that too...I'd have to say it was:

Past history notable or is notable for ______.
That's what I was thinking..maybe she
Subject: That's what I was thinking..maybe she

just got ahead of herself when dictating it in the assessment..because I definitely didn't hear an itis at the end...just a gingival or gingivo sound. 


Thanks


that is what I am thinking..thanks
Subject: that is what I am thinking..thanks


What was I thinking
Subject: What was I thinking

of course, para anything with twins, triplets, etc. Thanks for fixing my answer!
I'm thinking it's probably
Subject: I'm thinking it's probably

R&M for "routine and microscopic" 
That's what I was thinking, too.
Subject: That's what I was thinking, too.

.
I am thinking it
Subject: I am thinking it

may be (LIMA) or left internal mammary artery ..... of course you are hearing it.
That's what I was thinking...
Subject: That's what I was thinking...

but was unsure. It's an ESL doctor and she says it twice. It doesn't really sound like there is an F in the pronunciation, though.
that's what I was thinking.
Subject: that's what I was thinking.

That is what I have been doing but I guess I just wanted extra reassurance! Thanks.
I am thinking that is what she must be saying. Thanks. nm
Subject: I am thinking that is what she must be saying. Thanks. nm


I am thinking it might be SM
Subject: I am thinking it might be SM

some kind of rowing exercise...____ rows, but I can't come up with anything better than that.
Thanks, I was thinking that or 0.1. nm
Subject: Thanks, I was thinking that or 0.1. nm

xxx
I was thinking that myself, but just not sure so I sent to QA
Subject: I was thinking that myself, but just not sure so I sent to QA


I was thinking the same, but (sm)
Subject: I was thinking the same, but (sm)

why would he dictate this along with vital signs?  Seems strange ...
I was thinking that too! Thanks!
Subject: I was thinking that too! Thanks!

Thank you for your input!!!
That's what I'm thinking..sm
Subject: That's what I'm thinking..sm

This client requires headings whether or not dictated, so I wanted to make sure I'm correct.

Anyway, I have always typed it under abdomen, but I went looking to make sure, and I did find it in a sample report with it listed under back.

However, I just found a very good article called "Varney's Midwifery" that says it is part of the abdominal exam.

Thanks!
That's what I was thinking.
Subject: That's what I was thinking.

Most of the references I found say that if a patient is unable to consent to surgery, two doctors can sign the consent form on the patient's behalf. I am just not sure if the dictators mean double-doctored or double-documented when they say double doc'd. I do all ops, so it comes up fairly often.
that's what i was thinking too - nm
Subject: that's what i was thinking too - nm


I was thinking that too . . .
Subject: I was thinking that too . . .

He is in rare form today. I think he meant to say compression but it honestly sounds like inspriation. Sigh*** I mightjust sent it through with a flag.
not thinking-- thanks!!
Subject: not thinking-- thanks!!

nm