He's probably relying on his poor memory and NOT reading off the package. Use Destination. nm
Posted By: Love my ops. nm on 2007-04-17
In Reply to: This is not it. He says Destiny Pinnacle - ...does not say destination.
Subject: He's probably relying on his poor memory and NOT reading off the package. Use Destination. nm
s
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relying on drug book
Subject: relying on drug book
I had checked my drug book as well as an online reference and did a Google search. However, I often find that some medications are not in my reference materials and I found spelling for both ways with the Google search. (Posters often misspell things when posting on the internet). When I looked up what amantadine was used for, I found that it was an antiviral agent for Influenza or viral infection. This is not what it was being prescribed for, so I thought just maybe there could be such a drug that sounded similar. It wouldn't be the first time I have run into this. Thanks for you input.
vacation destination
Subject: vacation destination
He just got back from a two week vacation in Care-a-sell
Pinnacle® Destination™ Guiding Sheath. nm
Subject: Pinnacle® Destination™ Guiding Sheath. nm
x
memory drugs
Subject: memory drugs
Hello! I need some help for a foreign acquaintance of mine. He's from the Ukraine, or thereabouts, and has been having memory problems. His doctor discussed some meds with him, but he can't remember what they were, and now he's too embarassed to ask about them again!!?? I told him I'd see if we could get a list together, in the hopes that one (or more) of them would jump off the page at him, and he'd remember what he and his Dr. discussed. Help me! 
Thank you, now all I have to do is commit that to memory...lol, Thanks again (nm)
Subject: Thank you, now all I have to do is commit that to memory...lol, Thanks again (nm)
Come on - not memory foam
Subject: Come on - not memory foam
Nothing comes to mind for the memory portion, but the foam is more than likely "from" edema, don't you think.
No, it is not about memory problem.
Subject: No, it is not about memory problem.
This has to do with problem eating, but thanks anyway, and it is very clear he is saying "pneumestic" or "numestic", etc. I even tried plugging in a word ending in "mastic" having to do with chewing, but no luck.
drug for memory?
Subject: drug for memory?
The patient was electrocuted and takes this for memory...sounds like "namotin" or "nanotin"....???
Help!
Indirect memory
Subject: Indirect memory
Respondent memory is right.
Subject: Respondent memory is right.
A respondent is defined as "one who responds."
If it's truly that and not say 9.7, then give it to them. They may just be stating it from memory
Subject: If it's truly that and not say 9.7, then give it to them. They may just be stating it from memory
x
help refresh my memory...C.diff...
Subject: help refresh my memory...C.diff...
How do you spell the word that is the "C" in C. difficile? He's pronouncing it but I can't find it, I'm drawing a blank here....
like, no edema from the memory foam
Subject: like, no edema from the memory foam
nm
I think your doc has been reading
Subject: I think your doc has been reading
too much Harry Potter. I think there are Lamentors in there.
No wait, those are Dementors.
Never mind.
reading of an x-ray sm
Subject: reading of an x-ray sm
His zygomatic frontal and zygomatic temporal bones ? are all intact
I bet it is reading! nm
Subject: I bet it is reading! nm
,,
Pt with memory problem on B12 and s/l methylphelonic acid. nm
Subject: Pt with memory problem on B12 and s/l methylphelonic acid. nm
on a short term memory test do they say
Subject: on a short term memory test do they say
recall 2 out of 3 s/l Pad?? objects after 5 mintues
med help. Cosenex? kofanac? for memory issues. Thanks!
Subject: med help. Cosenex? kofanac? for memory issues. Thanks!
Memory foam edema?? quite clear
Subject: Memory foam edema?? quite clear
nm
Thanks! My memory is faulty and I thought it was for the symbol itself.
Subject: Thanks! My memory is faulty and I thought it was for the symbol itself.
Yes. Patient is able to respond to memory testing etc. nm
Subject: Yes. Patient is able to respond to memory testing etc. nm
He is reading from a list sm
Subject: He is reading from a list sm
that the patient wrote so I feel sure that is it. Thanks!
I believe you are reading it wrong sm
Subject: I believe you are reading it wrong sm
There is a comma between tics and the next item so tics and spasm are separate items.
Reading the article below it seems to dB
Subject: Reading the article below it seems to dB
The relationships among visual acuity (log MAR), diagnostic category, age, the magnitude of a relative afferent pupillary defect (RAPD) in log units, photopic foveal thresholds to white and colored light (dB), and the mean deviation on the Humphrey visual field (dB) were studied in patients with various optic neuropathies. All acuity and dB values were expressed as interocular differences, the majority of cases having normal acuity in the fellow eye. In multiple regression analyses, acuity and RAPD were alternately chosen as the dependent or response variable with all remaining variables serving as the predictors or independent variables. The main finding was that the only significant predictor of a RAPD was the interocular mean deviation difference on the Humphrey field and the only significant predictor of acuity was the foveal threshold to white light. Redundant and insignificant variables were therefore identified with multiple regression analysis. Subsidiary findings include: (a) although diagnostic group was not a significant predictor in the above, simple linear regression line slopes relating RAPD magnitude to the Humphrey mean deviation were significantly different between optic neuritis and compression categories; (b) for a given level of acuity, foveal thresholds were substantially worse in these cases with neuronal damage than in strabismic amblyopia, refractive error, or corneal damage; and (c) sensitivity losses for red vs. blue light were similar...
Perhaps he is reading what the patient
Subject: Perhaps he is reading what the patient
incorrectly wrote down in place of Maxalt. That's not so uncommon. I'd leave a blank.
Can a lab reading be "small"??
Subject: Can a lab reading be "small"??
Patient is having high blood sugar and in her labs, dictator says something that s/l "serum acetone small." Is this right or am I crazy?
Hmm after reading the dictation again, you may be right...sm
Subject: Hmm after reading the dictation again, you may be right...sm
Mohs does make sense, he does say with negative results, and this was done some time after the p63, TTF-1, etc. THANK YOU for that great point! My brain is so done today.
Reading your sentence I would think sm
Subject: Reading your sentence I would think sm
That the EEC is enteropathic E. coli due to the anxiety.
He may be reading from what the pt wrote
Subject: He may be reading from what the pt wrote
My doctor does that. He reads the drug as it was incorrectly written by the pt or the medical assistant. I have to look at the PMH to figure it out.
You're welcome - my long-term memory still good
Subject: You're welcome - my long-term memory still good
s/l poor man's PFD's?
Subject: s/l poor man's PFD's?
New onset asthma; pre and post peak flow done, s/l poor man’s PFD’s noted
Could it be poor?
Subject: Could it be poor?
cardiology, echo reading
Subject: cardiology, echo reading
The aortic valve appears to be a s/l tri-commish-er valve with fusion of one s/l commish-er and acts as a bicuspid aortic valve.
he is pretty clear with both of these, but I cannot verify either one. Thanks!!
How is this being treated or is this an xray reading? nm
Subject: How is this being treated or is this an xray reading? nm
s
Blood Pressure Reading
Subject: Blood Pressure Reading
I had a doctor who did this also, and the person who QA'd my report told me to put it just like you have it except told me to use 120/80 without the "s".
Blood glucose reading, please sm
Subject: Blood glucose reading, please sm
Doc is saying "patient went back on Metaglip and now his sugars are around *100 mg percent*. I've never heard that, just sugars around 100 or whatever, no "mg percent". Thanks for any help!
reading that, it sounded rude. sm
Subject: reading that, it sounded rude. sm
I did not mean it that way. Again, just a pet peeve of mine.
Just guessing, "some problems" with short-term memory?
Subject: Just guessing, "some problems" with short-term memory?
Just for the heck of it, can you hear "lapses in short-term memory"?
Subject: Just for the heck of it, can you hear "lapses in short-term memory"?
x
Razadyne is used for: Treating mild to moderate impairment of memory
Subject: Razadyne is used for: Treating mild to moderate impairment of memory
poor x-ray view nm
Subject: poor x-ray view nm
x
sl Poor-seen valve
Subject: sl Poor-seen valve
The patient underwent a bypass and mitral valve replacement with a s/l poor-seen valve.
Thanks
on relistenting it could be poor, thanks
Subject: on relistenting it could be poor, thanks
The it would be poor dentition.
Subject: The it would be poor dentition.
poor demarcation? (nm)
Subject: poor demarcation? (nm)
you poor thing!
Subject: you poor thing!
And I really mean that, seriously, to have to put up with horrible QA.
It is sickle cell disease, and Alzheimer's disease, although with that stupid rule about the 's, it may be Alzheimer.
Sickel isn't even a word. I would bring these gripes to the attention of your supervisor. Maybe you have Indian QA?
Bet the doctor is reading off the patient's list that sm
Subject: Bet the doctor is reading off the patient's list that sm
the patient wrote him/herself. When they can't tell what it is, they often spell it the way the patient did. I'd leave a blank and make a note with the doctor's spelling if you've already researched the term and found nothing to verify it. I found nothing in my Drake. I never trust a doc's spelling of ANYTHING!!
Bet the PA is reading the patient's history sheet. sm
Subject: Bet the PA is reading the patient's history sheet. sm
9 times out of 10 it is arthroscopy and meniscectomy.
Is this a follow up to lab work or reading a film, etc.? nm
Subject: Is this a follow up to lab work or reading a film, etc.? nm
s
I always enjoy reading your replies. Thanks for the info also!
Subject: I always enjoy reading your replies. Thanks for the info also!
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