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Found it - program at a local hospital.

Posted By: Thanks. nm on 2009-01-16
In Reply to: Patient is in for labs - sm - Thanks...

Subject: Found it - program at a local hospital.




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It's likely hospital specific or the name of a local SNF. n/m
Subject: It's likely hospital specific or the name of a local SNF. n/m



is it the name of a local hospital or scanning center?
Subject: is it the name of a local hospital or scanning center?

x
I only found GHPP=Genetically Handicapped Persons Program..nm
Subject: I only found GHPP=Genetically Handicapped Persons Program..nm

nm
Local MAC is local with monitored anesthesia care. nm
Subject: Local MAC is local with monitored anesthesia care. nm

.
It's in Recommendations, and I have found it in the hospital employment listings but NOT expanded
Subject: It's in Recommendations, and I have found it in the hospital employment listings but NOT expanded, so still scratching head.


Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an
Subject: Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an

experience is, it lacks credibility especiall when you base it on YOUR experience.  Who are you?  How much experience do you actually have?  What kind of experience do you have?  How many diabetic patients have you encountered in your years of experience?


You can't expect to make a sweeping generalization like "all diabetics have hypertension" and not get called out on it.  Come on!  Know your place.  Arrogance is an unattactive personality trait.


what program are you MTg in if I may ask?
Subject: what program are you MTg in if I may ask?

because our program, DocQscribe, I was told doesn't allow us to do that.....


a local anesthetic?
Subject: a local anesthetic?

Coulld it be bupivicaine?
Meditech Program
Subject: Meditech Program


Local MAC anesthesia?
Subject: Local MAC anesthesia?

How should Local MAC betranscribed?  I can't verify in my books or online.  thanks for your help
*suma* program
Subject: *suma* program

She spells it, but I am unsure whether to CAP all of it... I can't find any information on it, does anyone know what it is? 



Thanks!


can only think of *rehabilitation* program...NM
Subject: can only think of *rehabilitation* program...NM

x
figured it out... MAC and local
Subject: figured it out... MAC and local

drip
Local anesthesia? nm
Subject: Local anesthesia? nm


local ablator?
Subject: local ablator?

I know it's being used to ablate the synovitis in the shoulder.  For some reason, the docs this PM seem to be hungry, as they have half the phone swallowed...


Thanks!


Could it be a local restaurant or something? nm
Subject: Could it be a local restaurant or something? nm

xx
Curious what transcription program

Veritas is a rotational program - don't know the
Subject: Veritas is a rotational program - don't know the


Child Assistance Program
Subject: Child Assistance Program

.
Maybe local and IV anesthesia? It's usually something minor
Subject: Maybe local and IV anesthesia? It's usually something minor

s
Yep, acceptable, because your program doesn't know
Subject: Yep, acceptable, because your program doesn't know

s
pt was started on a program of s/l MSN and Tylenol. sm
Subject: pt was started on a program of s/l MSN and Tylenol. sm

Right knee pain. The patient has had previous injuries and problems with the knee including some arthritis that flared up a few weeks ago and was particularly bothersome for awhile. She got on a program of s/l MSN and Tylenol
local bone allograft with 12 mg of s/l BNP and s/l 10
Subject: local bone allograft with 12 mg of s/l BNP and s/l 10

x
Quick Look is a program by Stedman's.
Subject: Quick Look is a program by Stedman's.

Another good one is Onelook.com
Wide (local) excision
Subject: Wide (local) excision

to excise a cancerous lesion on the nose?


PAP = Patient Assistance Program
Subject: PAP = Patient Assistance Program

Sometimes if you just walk away for a few hours it will click! The doc is saying PAP, as in the patient will take these Rxs to the Patient Assistance Program for free/cheap meds!! YAY!! Now I can sleep. :) Thanks for all your help! :)
Local injection prep
Subject: Local injection prep

I am stumped on the prep material being used- "the posterior aspect of her left shoulder is well prepped with something ending in "quin" sounds like ciproquin or siproquin?  and injected with 2.5 cc of 0.5% sensorcaine, 2.5% cc of 2% lidocaine and 80 mg depo-medrol.  Any ideas what the injection site is preppred with? 


Don't know what type of expansion program you use...sm
Subject: Don't know what type of expansion program you use...sm

but since mibi is usually the part heard, make an expansion with that, then you will be able to see that word that is on the tip of your tongue.  I do that with certain medications, instruments and procedures that I often forget.  I make the expansion from what I usually hear, then sometimes back it up with a better description of the correct term.  Good thing the expansion programs have a lot of memory cause my brain seems to get overloaded or just downright DUH some days!  Glad we could help you! 
s/l fluid exercise program sm
Subject: s/l fluid exercise program sm

His MRI arthrogram unfortunately has showed a fair amount of arthrosis. He has been read as having a superior labrale tear, but I think this is likely a normal sulcus.

TREATMENT/PLAN: I am going to put him on some meloxicam. We will see how this affects his osteoarthritis of the hip, and I will see him back as needed. We have talked also about using cushion-soled shoes, s/l fluid exercise program with a non-resistive stationary bike and swelling or the like.

How about a flexible exercise program...also
Subject: How about a flexible exercise program...also

you might want to change labrale to labral and instead of swelling, possibly swimming as part of the exercises?  Maybe re-listen again and see if you hear this.


How about therapeutic exercise program?
Subject: How about therapeutic exercise program?


Are they ESL? Maybe it's local field block. n/m
Subject: Are they ESL? Maybe it's local field block. n/m


Does anyone know of a good mentoring program?
Subject: Does anyone know of a good mentoring program?

Thanks
Rescheduling of Continuing Education program
To everyone in "Bang for the Buck" class, I am rescheduling Lea Sims.  She notified Tina that she is unable to get online due to weather problems.  She feels she might not be ready by Monday, and Tuesday is "iffy." 

 

With Emily out there, she might knock out our Texans and Louisiana participants if Lea would get back for this weekend, as scheduled; however, I will try to reschedule Lea in ASAP for this same class.  It may be August

It's Medicare Part D for medication program
Subject: It's Medicare Part D for medication program

:
YW! Still thinking. intervention? It could be a local proper name. nm
Subject: YW! Still thinking. intervention? It could be a local proper name. nm

x
Might be local MAC. Hear MAC anesthesia frequently. nm
Subject: Might be local MAC. Hear MAC anesthesia frequently. nm

s
Hammertoe local anesthesia - H-block?
Subject: Hammertoe local anesthesia - H-block?

This is for a hammertoe OP report:  .......2% lidocaine plain and 0.5% Marcaine plain were administered in an ________ block fashion.  s/l "H" as in H-block, but I can't confirm.  Does that stand for 'hammertoe block"........ or am I hearing it all wrong?


Laguna


Demon local mass effect?
Subject: Demon local mass effect?

CT of the head...showed no increased....demon local mass effect??? Anybody have a clue?
Maybe that Heart Smart program/regimen ? nm
Subject: Maybe that Heart Smart program/regimen ? nm


Local anesthesia to the foot utilizing
Subject: Local anesthesia to the foot utilizing

a [s/l Mayo, MAO, or male] as well as a reverse [s/l Mayo, MAO, or male] technique.  I've google all three of these but can't find a match.  Thanks for any help! 
National Cholesterol Education Program (NCEP) maybe.
Subject: National Cholesterol Education Program (NCEP) maybe.

//
Some long shots: MAC with local or monitored IV sedation
Subject: Some long shots: MAC with local or monitored IV sedation

x
Sacral ulcer, local wound care with a ----- AG? TIA
Subject: Sacral ulcer, local wound care with a ----- AG? TIA

xxx
Rhinoplasty. Local anesthetic was administered to the areas....sm
Subject: Rhinoplasty. Local anesthetic was administered to the areas....sm

10 minutes of time was allowed to elapse before beginning the procedure. The area of the s/l bray cee a was removed with bacitracin. Can't figure this out!
Patient will continue on the s/l rely study program.
Subject: Patient will continue on the s/l rely study program.


Figured it out. I think he means graded exercise program but is saying
Subject: Figured it out. I think he means graded exercise program but is saying

nm
She had a definitive s/l blide local excision performed.
Subject: She had a definitive s/l blide local excision performed.

In a patient with vaginal melanoma.  Any suggestions?
this is a guess - NCEP (National Cholesterol Education Program) ..nm
Subject: this is a guess - NCEP (National Cholesterol Education Program) ..nm

.
mastectomy and reconstruction followed by ETC and local chest wall radiation
Subject: mastectomy and reconstruction followed by ETC and local chest wall radiation

NM
possibly no increased edema, no local mass effect?
Subject: possibly no increased edema, no local mass effect?