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Found it! It's grip mapping....the dictator really

Posted By: SDGal on 2007-10-01
In Reply to: Neurosurgical report: s/l *grid wrapping* resection? - SDGal

Subject: Found it! It's grip mapping....the dictator really

pronounced it incorrectly and distinctly as Wrapping.



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Glad you found it. Brings back memories. Do NOT miss my old derm. dictator. sm
Subject: Glad you found it. Brings back memories. Do NOT miss my old derm. dictator. sm

Because of words like the one you were looking for, and because it seems like she needed a minimum of 10 adjectives to describe every single speck on the skin - "Pt has a small, reddish-brown, raised, oval-shaped, 0.5 cm x 0.5 cm (etc., etc.) spot on the upper left arm..."    (Don't mean to be insensitive to the patients.  Just don't miss it is all I'm saying!)


Oops I mean GRID mapping....n/m
Subject: Oops I mean GRID mapping....n/m

s
Yes color flow mapping and what is
Subject: Yes color flow mapping and what is

cuffmapping?? WOW.

Color flow mapping has become widely used in fetal echocardiography
Electroanatomical mapping and cavotricuspid. nm
Subject: Electroanatomical mapping and cavotricuspid. nm

x
color flow mapping or cuffmapping?
I had the same new dictator twice in a row...QA filled in my blanks for the same word 2 different ways. One filled it in as color flow mapping (which sounds better to me), and one filled it in as cuffmapping. Since my specialty is NOT Echocardiograms, I thought I'd ask you all. Which is correct? Thanks
color flow mapping...Dorland's Cardio Words..nm
Subject: color flow mapping...Dorland's Cardio Words..nm

s
It is grid, not grip...
Subject: It is grid, not grip...

they are mapping out an area by grid lines
Is it s/l *tubey-grip*?
Subject: Is it s/l *tubey-grip*?


grip strength?
Subject: grip strength?


grip strength test s/l
Subject: grip strength test s/l

He completely accelerates speed and mumbles through this, help!!!
hand grip dynamometer
Subject: hand grip dynamometer

nm
single grip walker
Subject: single grip walker

`


No, I doubt it since grip strength was 35/50..
Subject: No, I doubt it since grip strength was 35/50..

something else starting with a T that is only 11-12 pounds.
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.....

.
This is grip strength bilaterally. The others were on separate hands.
Subject: This is grip strength bilaterally. The others were on separate hands.


Pt with contusion to the leg. "Will provide him with s/l tuli-grip". Thanks! nm
Subject: Pt with contusion to the leg. "Will provide him with s/l tuli-grip". Thanks! nm


compresso grip is a stocknit compression stocking..sm
Subject: compresso grip is a stocknit compression stocking..sm

This is what I found on the internet:

This article describes the use of elastic stockinette for residual limb with no bony prominence. The residual limbs after transtibial or Syme's amputations are managed with removable rigid dressings, which will be described later. Elastic stockinette Elastic stockinette is commercially available in the U.S.A. and Europe (Compresso-grip, by KNIT-RITE Co., 1-800-823-3094, or Tubigrip, 1-800-253-0684). It comes in rolls of various widths and can be cut in any length for any shape of residual limbs. In the low-income countries, with minimal set up of a knitting machine, production of elastic stockinette can be made locally. Elastic stockinette can easily be stretched onto the residual limbs. The degree of compression is dependent upon how much it is stretched and how many layers are applied. Desired gradient pressure can be achieved by applying layers of elastic stockinette with various lengths. In order to avoid excessive pressure, the elastic stockinette is added gradu
Testing grip strength? Jamar tester/gauge etc. nm
Subject: Testing grip strength? Jamar tester/gauge etc. nm


using "rice" to do range of motion and grip and wrist strengthening?
Subject: using "rice" to do range of motion and grip and wrist strengthening?


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 :(
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


You could be right as the dictator is ESL. Thank you. NM
Subject: You could be right as the dictator is ESL. Thank you. NM


two more for same dictator pls sm
Subject: two more for same dictator pls sm

Patient without evidence of a left atrial s/l apinich thrombus.

The patient underwent s/l durakyto cardioversion.

VERY fast talker. Any ideas?

I bet you that you are right though, it is an ESL dictator
Subject: I bet you that you are right though, it is an ESL dictator

and I think he is just flipping through the chart giving me every med she ever had not realizing they are one in the same. I will flag it anyway. You are awesome thank you!
could the dictator be SM
Subject: could the dictator be SM

stumbling over words and saying something like:

First, today I am giving him Vicodin and Skelaxin.

?? Just guessing. Never heard of first aid being used in that way, but I suppose it could be...?
If dictator says
Subject: If dictator says

"blood pressure was in the 140s 150s". How do I type this?
But if the dictator is saying the "A" it has to be
Subject: But if the dictator is saying the "A" it has to be

x
Dictator says:
Subject: Dictator says:

Abdomen is nondistended. No 'LKF' felt. Then he says 'BJE', the patient's abduction is normal.

What is LKF or is the acronym something different?
What does BJE stand for? He is clearly saying 'BJE', but I am not sure about 'LKF'. I still would like to know what BJE means. Thanks

Could the dictator be saying "CU" as in sm
Subject: Could the dictator be saying "CU" as in sm

"cystourethroscopy?"

Need quick help with this dictator please
Subject: Need quick help with this dictator please

This doctor just said


"Initial white blood count was elevated at 12.7 thousand."


Do I transcribe it like that, or do I put 12,700?


TIA!


Dictator said keep LDL cholesterol less than ...sm
Subject: Dictator said keep LDL cholesterol less than ...sm

70 per ----- guidelines.  He rambled off a bunch of initials and slowing him down only made it worse.  I think the last 3 were CHA.  TIA!
Am I hearing this right. Could the BP be 129/135 (ESL dictator)??? (nm)
Subject: Am I hearing this right. Could the BP be 129/135 (ESL dictator)??? (nm)


Dictator kept saying polynephritis ... sm
Subject: Dictator kept saying polynephritis ... sm

but I couldn't find that.  Did she mean pyelonephritis?  There were a lot of renal references in report.  TIA!
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!
maybe dictator meant to say....nm
Subject: maybe dictator meant to say....nm


could dictator be saying appendectomy?
Subject: could dictator be saying appendectomy?


Without further context, I'd say the dictator was saying sm
Subject: Without further context, I'd say the dictator was saying sm

"gassiness and indigestion" or possibly "gaseous distention" which is verified in the GI Stedman's.



?? Dictator is saying "technique" twice in a row? nm
Subject: ?? Dictator is saying "technique" twice in a row? nm

x
Mumbly dictator...med s/l
Subject: Mumbly dictator...med s/l

The patient has a problem with peripheral neuropathy and the _____ (s/l payomide) was refilled.  A1c is pending.    mumblers today!!
Dictator confusing....sm
Subject: Dictator confusing....sm

I have a dictator that dictated in two different reports.. "No CVA angle tenderness." and the same dictator in another report states "No CV angle tenderness." I am confused as to which is the correct way ?


 



meant dictator
Subject: meant dictator


I agree but dictator might mean...sm
Subject: I agree but dictator might mean...sm

especially if it's an ESL dictator......perhaps if an ESL, he might mean ratio which would be 1 to 1,000,000....1:1,000,000



No, not ESL, just fast dictator sm
Subject: No, not ESL, just fast dictator sm

I thought about "grazed" or "grazing" but, as you said, it really doesn't fit very well in this context.


I really hate to leave a blank because this is an account the MTSO I work for (IC) is trying to get more work from....if that makes sense.


if dictator is ESL, probably *advanced*
Subject: if dictator is ESL, probably *advanced*


Got it ! Bad dictator after many times..sm
Subject: Got it ! Bad dictator after many times..sm

relistening you are right it is heterozygous factor V Leiden.

Thank you all for your help. It is sincerely appreciated.