Getting tired and really cannot hear him or make out what he is saying but here it goes... S3 S4 s/l
Posted By: Jenn on 2008-01-29
In Reply to:
Subject: Getting tired and really cannot hear him or make out what he is saying but here it goes... S3 S4 s/l
(heaves)???, thrills and rubs.
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did he dictate the point, or did he say 1 5, to make sure you did not hear 50
Subject: did he dictate the point, or did he say 1 5, to make sure you did not hear 50
nm
no that does not make sense - leave a blank if that's what you hear. /nm
Subject: no that does not make sense - leave a blank if that's what you hear. /nm
.
I hear lumbar. So would it make sense as: Posture has decreased lumbar lordosis
Subject: I hear lumbar. So would it make sense as: Posture has decreased lumbar lordosis
The only thing I can find close is subtilise meaning to make senses more keen or make one's sense
Subject: The only thing I can find close is subtilise meaning to make senses more keen or make one's senses more acute?
either I am really tired or
Subject: either I am really tired or
In reviewing imaging, he states "X-rays, AP and lateral **flikes**, T10-S1 shows solid arthrodesis.
Later he is talking about exercises and states " leg exercises including crunches, leg lifts in a supine position, extensor exercise in the prone position, wall slides, and **lunches**.
I have listened to these several times, slowed it down, and this is still what I am hearing. Thanks for any help!
Thanks so much. I am tired right about
Subject: Thanks so much. I am tired right about
now and have 1 more hour to go.
That is it! Tks, getting tired
Subject: That is it! Tks, getting tired
that's it thanks, I am really tired!!!
Subject: that's it thanks, I am really tired!!!
I noticed the sparing was wrong and yes it is the breast. Thanks again--so much...
I know I know, you are probably tired of seeing me
Subject: I know I know, you are probably tired of seeing me
I am so sorry, I promise I will get better with time
Does anyone have any suggestions for these two words? I have typed them like they sound but can not figure them out.
...pending membranes are clear, no (listable) or spontaneousness (nisstagness) is recognized...
Sorry, the FDF should be FDS... I'm tired.
Subject: Sorry, the FDF should be FDS... I'm tired.
Thanks - tired in Ohio
Subject: Thanks - tired in Ohio
Thanks to you both.. it's late, I'm tired and
Subject: Thanks to you both.. it's late, I'm tired and
Merry Christmas and Happy Hannukah!
Yes, that's it. Thanks. I'm tired today :( nm
Subject: Yes, that's it. Thanks. I'm tired today :( nm
x
been typing all day, tired and cannot think
Subject: been typing all day, tired and cannot think
I know this is stupid and I have typed it a million times but I am so tired right now I can't even think. He says .... Myospan 500 mg ..... ? Thanks.
Sorry meant SVT (a bit tired here)
Subject: Sorry meant SVT (a bit tired here)
Yes Fissure! I'm tired. Thanks!
Subject: Yes Fissure! I'm tired. Thanks!
Why didn't I remember that? Thanks so much. It's late and my brain is not working this evening. 
Nevermind, I got it. VVI...duh. just tired. nm
Subject: Nevermind, I got it. VVI...duh. just tired. nm
x
Confused and tired....
Subject: Confused and tired....
Doc says the patient was given a stool ....s/l wax... to complete and return.
The only thing I have heard of is like stool cards but he is not saying cards. Any suggestions?
Thanks.
nighthawks??? okay i am really tired.
Subject: nighthawks??? okay i am really tired.
CAT scan was read initially by NIGHTHAWKS??? as what appears to be mid to distal mechanical small bowel obstruction. Could he mean the night shift? and referring to them as nighthawks???
help! tired and can't figure this...s/l endricose
Subject: help! tired and can't figure this...s/l endricose
Status post-echo, revealing LVH and mild mitral s/l endricose regurgitation.
drug help! Too tired...s/l Tilltize??
Subject: drug help! Too tired...s/l Tilltize??
Hypertension; well controlled with s/l Tilltize MSR, 180 and HCTZ 25 mg.
plowshare effect - too tired to think (NM)
Subject: plowshare effect - too tired to think (NM)
x
Might be semifluorinated alkane, but I'm too tired to
Subject: Might be semifluorinated alkane, but I'm too tired to
s
yep, i am having one of those days too. Getting tired fingers. NM
Subject: yep, i am having one of those days too. Getting tired fingers. NM
Nevermind, its late and I'm tired..lol...
Subject: Nevermind, its late and I'm tired..lol...
It was PE - pulmonary embolism!!
Ct of abdomen and pelvis...please help, tired and can't think Tx
This is a CT of the abdomen and pelvis. talking about abdomen..No free fluid in the abdomen. No "free incher", no air. Sounds like 'Free incher"
I'm still listening and trying to fit it together to make any suggestions make sense.
Subject: I'm still listening and trying to fit it together to make any suggestions make sense.
Oops, should be "believe", too tired and its late...nm
Subject: Oops, should be "believe", too tired and its late...nm
x
sorry that should be making up a word not work. tired.
Subject: sorry that should be making up a word not work. tired.
.
sounds like hypercater -- tired and can't think anymore
Subject: sounds like hypercater -- tired and can't think anymore
Doc says:
Under sterile conditions, Xylocaine with epinephrine 0.5 ml injected subcutaneously. ....s/l hypercater applied set on 10 for desiccation. A dermabrasion blade was used to excise the wart ..............
Thanks.
Never mind! I'm tired and making no sense! Thanks for the help!
Subject: Never mind! I'm tired and making no sense! Thanks for the help!
Don't you all get tired of cross-examining these people for details? NM
NM
Jeez you're right. I'm tired, time to quit.
Subject: Jeez you're right. I'm tired, time to quit.
Thank you.
Nope but I never get tired of hearing it, (kids don't say it anymore!)
Subject: Nope but I never get tired of hearing it, (kids don't say it anymore!)
s/l tired white blood cell study
Subject: s/l tired white blood cell study
s/l tired white blood cell study. This is in a patient with chronic wound infection. Not used in any context, just dictates will send copy of s/l tired white blood cell study.
OB/GYN s/l sadderdick (for stenotic cervix), on the tip of my tongue, tired, help please
Subject: OB/GYN s/l sadderdick (for stenotic cervix), on the tip of my tongue, tired, help please
I know this and is on the tip of my tongue... Sounds like "sadderdick" placement. Patient is having OB/GYN surgery but has a stenotic cervix. Could somebody help me? Gosh, tired.
Thanks!
Neck exam: Negative for a s/l cow's node. Help, I'm tired!!
Subject: Neck exam: Negative for a s/l cow's node. Help, I'm tired!!
I was ready to send to QA. Now I'm just laughing at my dumb self. :) I'm sooo tired...
Subject: I was ready to send to QA. Now I'm just laughing at my dumb self. :) I'm sooo tired...
Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
Subject: Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
Cannot hear adenopathy. Clearly hear *pology. Thank you, though.
Subject: Cannot hear adenopathy. Clearly hear *pology. Thank you, though.
Dont you get tired of being rude? If you dont want to help, then dont reply. nm
.
Can you hear "mild". Hear that a lot. nm
Subject: Can you hear "mild". Hear that a lot. nm
Thank you both!! I'm going to see if I can make either of these out. nm
Subject: Thank you both!! I'm going to see if I can make either of these out. nm
x
I actually know of 2 QA who do indeed make above 17.00.
Subject: I actually know of 2 QA who do indeed make above 17.00.
s
LOL, make that above. NM
Subject: LOL, make that above. NM
nm
I need more help I just can't make out what she is saying...
Subject: I need more help I just can't make out what she is saying...
Her left shift resolved within one day of IV antibiotics* at 645 band* Lymphocytes 41, monocytes 90 with ***. Patient was continued on ** plus 2 feeds along with IV fluids ~~~does 645 band sound correct?~~~after monocytes 90 with S/L OPEN-SOR-PER?---AFTER CONTINUED ON S/L IN-STRAL?
I would make just a few changes -
Subject: I would make just a few changes -
If you're asking whether the sentences look right, most of it looks okay to me, but at the very least, I'd suggest the following changes:
1. BioMed AGC anatomic femoral component, 60 mm, left.
2. BioMed all-poly patellar button, three-post, 34 mm diameter. (you might be able to expand all-polyethylene if okay with account specs).
3. Biomet DCN AGC molded tibial component, interlock finish, posterior stabilized, 12 mm thick x 65 mm wide.
Someone else may do it differently, but this is how I would type it.
BTW, did you mean BioMed on #3, or is it actually Biomet in this case?
just to make sure
Subject: just to make sure
you are saying it is Kerlix and fluffs, not Kerlix fluffs?
I would make the following changes..
Subject: I would make the following changes..
I would like to take this opportunity to wish a healthy and happy holiday season, a Merry Christmas, and a joyous New Year to you, your families, and staff members . . . . "
like that? Many thanks in advance! (And Merry Christmas!)
no, but i would make sure the
Subject: no, but i would make sure the
patient's name and date of service were completed in your demographic screen.
Make sure...
Subject: Make sure...
you are not mistaking for brachiocephalic.
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