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How clear is what you're hearing? Maybe hemochromatosis? nm

Posted By: wanderer on 2005-08-16
In Reply to: Patient has history of anemia..sm - Jenn

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Are you sure you're not hearing...
Subject: Are you sure you're not hearing...

GPT instead of GDT? 
R U sure you're hearing 90 mg?
Subject: R U sure you're hearing 90 mg?


I think you're hearing it right...
Subject: I think you're hearing it right...

I usually type it like "Acute-on-chronic bronchitis."   
Yes! You're good. Now it is quite clear but I could not figure that out myself. Thanks!!
Subject: Yes! You're good. Now it is quite clear but I could not figure that out myself. Thanks!!


Might be 4-7 WBCs if you're not clearly hearing 427. nm
Subject: Might be 4-7 WBCs if you're not clearly hearing 427. nm

s
Are you sure you're not hearing "Yellowfin" ? sm
Subject: Are you sure you're not hearing "Yellowfin" ? sm

Also called Lloyd-Allen; they're padded and used for OB and prostate procedures....
I bet you're hearing Hespan - nm
Subject: I bet you're hearing Hespan - nm

:)
any chance you're hearing
Subject: any chance you're hearing

four oh size shaver, which would be transcribed 4.0 shaver?
Probably TR but if you're not hearing it clearly, blank it. nm
Subject: Probably TR but if you're not hearing it clearly, blank it. nm

s
Are you sure you're hearing minor? - sm
Subject: Are you sure you're hearing minor? - sm

Could he be saying reveals malalignment? 
Sure you're not hearing "patting"?
Subject: Sure you're not hearing "patting"?

lightly slapping the cheeks?
Ignore that. At least you're good at hearing what is being said.
Subject: Ignore that. At least you're good at hearing what is being said.

You'll get there. You got the phonetics on that one.
If you're hearing "number" in there, then yes it's correct. nm
Subject: If you're hearing "number" in there, then yes it's correct. nm

s
I wonder if you're hearing the end of the word illegal
Subject: I wonder if you're hearing the end of the word illegal

nm
yes, but without specifics it's impossible to know if you're hearing it right
Subject: yes, but without specifics it's impossible to know if you're hearing it right


Let me be clearer, your ESL is probably saying esomeprazole, you're not hearing the "eh" sy
Subject: Let me be clearer, your ESL is probably saying esomeprazole, you're not hearing the "eh" syllable.

x
Gotta wonder if "normal" is what you're hearing there as a DVT is not a normal finding.nm
Subject: Gotta wonder if "normal" is what you're hearing there as a DVT is not a normal finding.nm

s
Numbers always get the comma when 5 digits or longer unless you're hearing "point something
Subject: Numbers always get the comma when 5 digits or longer unless you're hearing "point something" as the

s
If it's a lab test and not some kind of scan, xray, or study, then you're mis-hearing
Subject: If it's a lab test and not some kind of scan, xray, or study, then you're mis-hearing

s
If you're hearing a lot of syllables, it might be uric acid stone nephrolithiasis. Do a Google
Subject: If you're hearing a lot of syllables, it might be uric acid stone nephrolithiasis. Do a Google

s
Google 'eye grounds + exam' & you'll see that you're hearing correctly. nm
Subject: Google 'eye grounds + exam' & you'll see that you're hearing correctly. nm

s
hemochromatosis
Subject: hemochromatosis

x
hemochromatosis? NM
Subject: hemochromatosis? NM


You have it right. It is hemochromatosis.
Subject: You have it right. It is hemochromatosis.


hemochromatosis?
Subject: hemochromatosis?


gene (s/l oliel) for hemochromatosis -NM
Subject: gene (s/l oliel) for hemochromatosis -NM


Hemochromatosis is the iron overload condition. nm
Subject: Hemochromatosis is the iron overload condition. nm

x
It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(
Subject: It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(


hemochromatosis versus hemachromatosis. Report came down with hemachromatosis but Steadman's show
Subject: hemochromatosis versus hemachromatosis. Report came down with hemachromatosis but Steadman's shows

hemochromatosis. Which is correct?  I am going with Steadman's. Thanks in advance for your help.
I personally transcribe buttock if they're referring to one side, and buttocks if they're refe
Subject: I personally transcribe buttock if they're referring to one side, and buttocks if they're referring to both or the whole thing....nm


just to be clear...
Subject: just to be clear...

I just want to be sure about whether since she specified it is left side only that extensor hallucis "is" and not extensor hallucis "are". If she said bilateral then it would read extensor hallucis are 4+/5 -- am I getting that part correct? TIA
To be clear?
Subject: To be clear?

Hallucis IS.......halluces ARE. You will know when she is talking about a different side or bilateral. Don't over-think your dictator, okay? I'm thinking you may be new (I hope) and these things will become more clear as you go.

I know you're trying to get it perfect, but she knows what she's doing with the foot/feet. :)
it is very clear
Subject: it is very clear

She keeps referring to white matter abnormalities with signal loss and T2 prolongation through the entire report, so I am thinking leuko (white) something....no idea
I wish...but it's very clear. Thanks
Subject: I wish...but it's very clear. Thanks


Just to be clear
Subject: Just to be clear

My "duh" in the other post was for ME, not you. Didn't want any misunderstanding. Thanks for your help!
Clear? Nm
Subject: Clear? Nm

nm
Yes, it is clear. Thank you!
Subject: Yes, it is clear. Thank you!

x
I think if it's not clear
Subject: I think if it's not clear

I would leave a blank, although it is probably hypocoagulable (my Stedman's oncology book has this word) and we used it in the lab, such as defective clotting with factor deficiences such as hemophilia, von Willebrand (which heavy menstrual flow can be a sign), low platelet count, ITP, liver disorders that affect vitamin K production, etc.  But it's really hard to say without knowing more about this patient because, if I can explain this right, there are conditions or situations that can cause hypercoagulable states that then use up all the clotting factors, etc., and then cause bleeding.  So really need to know more on what the patient's other symptoms, family history, etc. to be sure on something like this when you can't hear for sure, I think anyway.  Sorry for the long essay here, used to be one of my areas of interest a long time ago.  Once worked up a lady who had heavy, heavy vaginal bleeding after childbirth, was in really bad DIC, docs had a heck of a time saving her.  You can google on some of this if you're interested.
not clear
Subject: not clear

it is urine drug screen and delirium tremens but 17a not clear
tks... really not sure... the K is VERY clear.
Subject: tks... really not sure... the K is VERY clear.

could be s/l Akiva maybe, but it definitely is not a V at the beginning. Unless the doc is reading it wrong from paper... not sure.

Thanks for the input!
THANK YOU SO MUCH! That is it! It is so clear now...THANKS AGAIN!
Subject: THANK YOU SO MUCH! That is it! It is so clear now...THANKS AGAIN!

nm
Everything else she said was so clear but I bet that is it! Thanks! nm
Subject: Everything else she said was so clear but I bet that is it! Thanks! nm


What is T1T? He is clear. thanks
Subject: What is T1T? He is clear. thanks


There is no evidence for ureteral obstruction. He may be a candidate for a minimal invasive therapy such as T1T or even laser prostatectomy.


I think the OP could have been a little more clear sm
Subject: I think the OP could have been a little more clear sm

in what they were asking, like perhaps given the whole sentence.  I assumed they were asking about a possessive but it could also be seen as asking about a pleural. 


doc is very clear. sm
Subject: doc is very clear. sm

he is spelling it out exactly like this "vobenzin", or could be "zobenzim"; and, "artron".  Definitely not Benzig and artane.  No mention of Parkinson's disease which Artane is used for, and doc is clearly not saying Artane.  I went to rxlist on Internet and nothing came up either!


to be more clear - s/m
Subject: to be more clear - s/m

i'm not questioning whether to hypen or use the word "and". What I'm questioning is can you use 2 different measurement systems for the same measurement - isn't the 3/8 referring to an inch? how do you have 157 cm and 3/8 of an inch?
it's very clear...
Subject: it's very clear...

He definitely says Levoryl (now that I know how to spell it).  :)  When I do a google search on Levoryl, there are only two pages that come up.  I can't find it in RxList.com.  Is it an old drug that doesn't exist anymore?
clear
Subject: clear

dd
Clear?
Subject: Clear?

Could it be "skin is clear?"
if its clear then why you asking?
Subject: if its clear then why you asking?

I love it when people ask and then argue.
No, he's being very clear.
Subject: No, he's being very clear.

That's why it has me so stumped.  The previous line says it was an enlarged lesion on his buttock that was excised and felt to be a "fiddle" lymphoma.