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Foreign doc with heavy accent s/l clinical or clonical seizures. Ideas? nm

Posted By: grace on 2007-10-09
In Reply to:

Subject: Foreign doc with heavy accent s/l clinical or clonical seizures. Ideas? nm




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heavy accent? try this (sm)
Subject: heavy accent? try this (sm)

there's only one way that makes complete sense. 


"There is no tenderness to palpation over the cervical, thoracic and lumbar area, but there is no costovertebral angle tenderness."


s/l kapok - dictator has heavy Russian accent.
Subject: s/l kapok - dictator has heavy Russian accent.

.
good grief! It's Prilosec with a heavy NY accent! nm
Subject: good grief! It's Prilosec with a heavy NY accent! nm

x
I am wondering of the "siko" goes with the "lomotil', heavy accent, hard to tell!....nm
Subject: I am wondering of the "siko" goes with the "lomotil', heavy accent, hard to tell!....nm

nm
clonic seizures, may even be tonic-clonic seizures, listen close. nm
Subject: clonic seizures, may even be tonic-clonic seizures, listen close. nm

nm
Is the dictator foreign?
Subject: Is the dictator foreign?

I wonder if they're saying Ativan.  Some of my foreign dictators say it as "Ati-won".  Just a thought!
foreign bowel movements
Subject: foreign bowel movements

The pt is moving his bowels twice a day s/l foreign bowel movements.


He had constipation on Detrol. Now he is off it.


Thanks, he was foreign and hard to make out, thanks anyway.nm
Subject: Thanks, he was foreign and hard to make out, thanks anyway.nm

xxx
heavy ESL help please!
Subject: heavy ESL help please!

Neurology determined it was a case of brain stem CVA with S/L Login syndrome or Ludgen syndrome or Locking syndrome
I think a foreign phrase? :P s/l "Say ah complee" (sm)
Subject: I think a foreign phrase? :P s/l "Say ah complee" (sm)

Sentence:

If, indeed, she fails to pass the DMV requirements, it would clearly be a "[say ah complee]" with regards to her not driving at that time.


Could it be heavy duty? nm
Subject: Could it be heavy duty? nm

nm
That's it! (I should have know that, huh?..heavy sigh) Thank you!
Subject: That's it! (I should have know that, huh?..heavy sigh) Thank you!


Thanks a bunch - I'll bet that was it. It's a foreign dictator and she quite often mixes up s
Subject: Thanks a bunch - I'll bet that was it. It's a foreign dictator and she quite often mixes up syllables!


Foreign body in eye. Irrigated with s/l Dacron solution.
Subject: Foreign body in eye. Irrigated with s/l Dacron solution.

Thanks so much!!!
curette used to remove foreign object from ear canal
Subject: curette used to remove foreign object from ear canal

Doc is an ESL (and a pretty good speaker but the sound quality isn't the best), and he sounds like he says he's using a seeramick (spelled phonetically) to remove a BB from this child's ear.  I've searched my ENT and equipment books as well as googled and am having no luck finding this.  I thought maybe it was his way of pronouncing ceramic, but I don't even know if there is such a thing as a ceramic curette.  He's definitely not saying serrated.  Any ideas?
Drug name/foreign doctor sounds like Idabine nm
Subject: Drug name/foreign doctor sounds like Idabine nm


does anybody think it could be foreign pathology. That makes sense doesn't it? nm
Subject: does anybody think it could be foreign pathology. That makes sense doesn't it? nm

nm
heavy tox warns in regards to medications nm
Subject: heavy tox warns in regards to medications nm

nm
There is no s/l streaming, no evidence of foreign body with eversion of the lids.
Subject: There is no s/l streaming, no evidence of foreign body with eversion of the lids.

Mind is blank today.
'Buttons in her ears': Any foreign bodies pushed into the ear canal
Subject: 'Buttons in her ears': Any foreign bodies pushed into the ear canal


Heavy Ion Beam probe technology?
Subject: Heavy Ion Beam probe technology?


I think it's the name of a heavy metal band too. Yuck!
Subject: I think it's the name of a heavy metal band too. Yuck!


it sounds like *heavy aminiostinal* biopsy??? Thanks. nm
Subject: it sounds like *heavy aminiostinal* biopsy??? Thanks. nm

nm
TY! He was saying such a heavy "og" sound and was throwing me!
Subject: TY! He was saying such a heavy "og" sound and was throwing me!


Heavy bleeding, she has s/l Marie Knot, in place?
Subject: Heavy bleeding, she has s/l Marie Knot, in place?

nm
history of sarcoidosis after s/l *heavy aminio biopsy*??? thanks. nm
Subject: history of sarcoidosis after s/l *heavy aminio biopsy*??? thanks. nm

nm
S/L clinical "vinnet"
Subject: S/L clinical "vinnet"

/
clinical fixtures?
Subject: clinical fixtures?

she has no clinical __________ s/l fixtures to suggest any evidence of ongoing diverticulitis.


clinical fixtures?


clinical features nm
Subject: clinical features nm

x
could it be clinical representation?
Subject: could it be clinical representation?


Coutld it be clinical?
Subject: Coutld it be clinical?


s/l panair clinical course
Subject: s/l panair clinical course

Doing colonoscopy dictation with diverticulum and polyp and Doc gives "Further Recommendations" and says something that s/l "Panair" clinical course.  Any help?  Thanks!
pending clinical course
Subject: pending clinical course

nm
She is status post s/l therma lamp ablation of her uterus for heavy menses. thank you
Subject: She is status post s/l therma lamp ablation of her uterus for heavy menses. thank you


any other clinical info? symptoms? nm
Subject: any other clinical info? symptoms? nm


Clinical makes sense.
Subject: Clinical makes sense.

It means no biopsy or imaging or other testing was done, but on palpation, lymph nodes felt swollen.

If you have ever gotten very sick and it turned out to be strep throat, mumps or mononucleosis, and maybe before going to the MD, your neck hurt, so you reached up and found your nodes to be swollen. Your MD would call these clinically swollen lymph nodes. :o)
accessory clinical findings
Subject: accessory clinical findings

accessory, like jewelry:) flattering (clinical findings) to the diagnosis
right - clinical presentation is what made dict...s/m
Subject: right - clinical presentation is what made dict...s/m

treat the patient for strep.......did you read the entire thread?  I was the responder to Deborah....


I thought the MD was stuttering at first, stumbling and then she asked about *representation* - and I responded to that.......


HTH :)


excessory/accessory clinical findings?
Subject: excessory/accessory clinical findings?

At this point I've over-thought it, and would appreciate if someone knows.  Thanks!
CIWA-Clinical Institute Withdrawal Assessment nm
Subject: CIWA-Clinical Institute Withdrawal Assessment nm


Doesn't clinical presentation mean how the illness presents sm
Subject: Doesn't clinical presentation mean how the illness presents sm

itself, not the patient's number of visits.
Stedman has clinical seizure listed in Neurology 3
Subject: Stedman has clinical seizure listed in Neurology 3


CIWA-Clinical Institute Withdrawal Assessment
Subject: CIWA-Clinical Institute Withdrawal Assessment

score
Think you need CIWA - Clinical Institute Withdrawal Assessment nm
Subject: Think you need CIWA - Clinical Institute Withdrawal Assessment nm

x
clinical institute withdrawal assessment (CIWA) protocol. nm
Subject: clinical institute withdrawal assessment (CIWA) protocol. nm


I type tonic-clonic a lot, and that's not there. So, no one has heard of clinical or changing sm
Subject: I type tonic-clonic a lot, and that's not there. So, no one has heard of clinical or changing sm

Clonic to clonical?  Sigh. 
CIWA level - Clinical Institute Withdrawal Assessment
Subject: CIWA level - Clinical Institute Withdrawal Assessment


CIWA score (Clinical Institute Withdrawal Assessment) NM
Subject: CIWA score (Clinical Institute Withdrawal Assessment) NM


Seizures, I think?
Subject: Seizures, I think?

In the assessment, this doc is saying allergic rhino sinusitis with **seizure nod-ur-ations**. I am not even real sure about the seizure part, and there was never anything said about seizures in the history. This is geriatric medicine visit and the only thing in history is about depression, past medical history of hyperlipidemia and allergic rhino sinusitis.


 


Thanks for any help! I know it's not much to work with.


seizures
Subject: seizures

It's just absence seizures said with an accent.  :)
Seizures
Subject: Seizures

s/l absong seizures