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He's a dream dictator - precise in his pronunciation (sm)

Posted By: Clear as a bell. on 2007-09-22
In Reply to: ortho - mt

Subject: He's a dream dictator - precise in his pronunciation (sm)

Context: It should be noted that the patient has evidence of s/l palm (pom) arthrorheumatosis in both palms which is long-standing and cause no contracture.

Thanks!


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dream job
Subject: dream job

Who is this company, 10 cents is pretty generous, to say the least? Is it IC status only?
Precise reason why Google is unreliable--Stedman's best refs!
Subject: Precise reason why Google is unreliable--Stedman's best refs!

x
Maybe a precise posterior sagittal curvature formed by the radius RIO?
Subject: Maybe a precise posterior sagittal curvature formed by the radius RIO?


Sounds like that pronunciation-thanks see message
Subject: Sounds like that pronunciation-thanks see message

I'm pretty good at research, etc. and can usually find things but every once in a while I am stumped and I come to this board and usually get an answer.  Thanks all. 


British/European pronunciation
Subject: British/European pronunciation

Does the dictator have a British or foreign accent?  Many British doctors pronounce "cephalad" as "Kephalad".  For some reason that's how they learn to pronounce it.  Could be the dictator is using a hard "K" sound for the soft "C" sound.
I bet that's it. It fits, but she botched the pronunciation! Thanks. nm
Subject: I bet that's it. It fits, but she botched the pronunciation! Thanks. nm


reply on medication pronunciation
Subject: reply on medication pronunciation

If you have any questions on how to pronounce medications, I have found a great tool for this problem. If you go to sayitrite.com they have a audio cd that pronounces like 400 meds, brand and generic. I am a pharm. tech. and this has helped me alot.
I would think maybe a tongue-tied pronunciation of
Subject: I would think maybe a tongue-tied pronunciation of

vasectomy.
Maybe esophagectomy, and you misunderstood pronunciation AND spelling? NM
Subject: Maybe esophagectomy, and you misunderstood pronunciation AND spelling? NM

x
Interesting! I have docs who never spell meds, but murder the pronunciation!
Subject: Interesting! I have docs who never spell meds, but murder the pronunciation!


yes, absence seizures. always sounds like french word (ab sahns or similar pronunciation)
Subject: yes, absence seizures. always sounds like french word (ab sahns or similar pronunciation)


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.....

.
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.
is dictator ESL? Perhaps disparity
Subject: is dictator ESL? Perhaps disparity


and yes, dictator being cute as....sm
Subject: and yes, dictator being cute as....sm

your dictator was just being cute since Pierre and Madame Curie discovered radium.........*LOL* but it's millicuries and I'd spell it out (expand) due to your dictator's cuteness....*winks*
99% when a dictator spells anything
Subject: 99% when a dictator spells anything

whenever they spell anything, I look it up because 99% of the time the dictator has spelled whatever they are trying to spell INCORRECTLY....it's a general rule of thumb for most MTs to do this - look up anything a dictator spells.........because we ALL know this about the dictators after 25+ years..........for some of us....in this biz. 
Just my opinion, but since the dictator did not
Subject: Just my opinion, but since the dictator did not

give you any differentials for each value, I would do it exactly as you have it with a comma between each.
it's dermatome; dictator is probably saying e as Y..
Subject: it's dermatome; dictator is probably saying e as Y..


maybe dictator was thinking about his new car and
Subject: maybe dictator was thinking about his new car and


What is this "this" of which your dictator (sm)
Subject: What is this "this" of which your dictator (sm)

speaks? That is your clue, which you did not share.