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I'm thinking maybe...

Posted By: vn on 2009-06-15
In Reply to: does this sound right? - mt3

Subject: I'm thinking maybe...

...lateral compartment/unicompartmental


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still thinking
Subject: still thinking

Turns out that the patient is having very high fevers giving impression of left lower lobe pneumonia. Came across a brand name of a drug used in mouthwash called Advexin. They were talking about oral cancers...but then cross-referenced on http://www.pharma-lexicon.com/ and found (generic Mepron) atovaquone, classified as an anti-infective used in both adults and children who are at risk for PCP with initial doses of 750 mg per 5 mL. Since Hodgkin's lymphoma and bone marrow transplant would put this girl in a severely immunocompromised state, I would bet they are giving her a pretty hefty dose of the stuff. Atovaquone it is.

Thanks for helping me.
Thanks, I was thinking along
Subject: Thanks, I was thinking along

those lines, just wanted a second opinion. :-)
that's actually what I was thinking too - nm
Subject: that's actually what I was thinking too - nm

x
Tks. I kept thinking there is another
Subject: Tks. I kept thinking there is another

Like ...there were lewes....or something.  You are probably right, and I finally found it in stedman's and it says *sternal angle* and that seems to fit the way the doctor used it.  Thanks again.
that's what i am thinking
Subject: that's what i am thinking

I was thinking along the lines of this from the begining....compression over lower extremities.....just wish I didn't hear otherwise!  (I hate Monday's)


That's exactly what I was thinking
Subject: That's exactly what I was thinking

but I have this doc all the time and she's never dictated time like that before, so I just wasn't sure.  Thanks to all who replied. 
I was thinking that too...I'd have to say it was:
Subject: I was thinking that too...I'd have to say it was:

Past history notable or is notable for ______.
That's what I was thinking..maybe she
Subject: That's what I was thinking..maybe she

just got ahead of herself when dictating it in the assessment..because I definitely didn't hear an itis at the end...just a gingival or gingivo sound. 


Thanks


that is what I am thinking..thanks
Subject: that is what I am thinking..thanks


What was I thinking
Subject: What was I thinking

of course, para anything with twins, triplets, etc. Thanks for fixing my answer!
I'm thinking it's probably
Subject: I'm thinking it's probably

R&M for "routine and microscopic" 
That's what I was thinking, too.
Subject: That's what I was thinking, too.

.
I am thinking it
Subject: I am thinking it

may be (LIMA) or left internal mammary artery ..... of course you are hearing it.
That's what I was thinking...
Subject: That's what I was thinking...

but was unsure. It's an ESL doctor and she says it twice. It doesn't really sound like there is an F in the pronunciation, though.
that's what I was thinking.
Subject: that's what I was thinking.

That is what I have been doing but I guess I just wanted extra reassurance! Thanks.
I am thinking that is what she must be saying. Thanks. nm
Subject: I am thinking that is what she must be saying. Thanks. nm


I am thinking it might be SM
Subject: I am thinking it might be SM

some kind of rowing exercise...____ rows, but I can't come up with anything better than that.
Thanks, I was thinking that or 0.1. nm
Subject: Thanks, I was thinking that or 0.1. nm

xxx
I was thinking that myself, but just not sure so I sent to QA
Subject: I was thinking that myself, but just not sure so I sent to QA


I was thinking the same, but (sm)
Subject: I was thinking the same, but (sm)

why would he dictate this along with vital signs?  Seems strange ...
I was thinking that too! Thanks!
Subject: I was thinking that too! Thanks!

Thank you for your input!!!
That's what I'm thinking..sm
Subject: That's what I'm thinking..sm

This client requires headings whether or not dictated, so I wanted to make sure I'm correct.

Anyway, I have always typed it under abdomen, but I went looking to make sure, and I did find it in a sample report with it listed under back.

However, I just found a very good article called "Varney's Midwifery" that says it is part of the abdominal exam.

Thanks!
That's what I was thinking.
Subject: That's what I was thinking.

Most of the references I found say that if a patient is unable to consent to surgery, two doctors can sign the consent form on the patient's behalf. I am just not sure if the dictators mean double-doctored or double-documented when they say double doc'd. I do all ops, so it comes up fairly often.
that's what i was thinking too - nm
Subject: that's what i was thinking too - nm


I was thinking that too . . .
Subject: I was thinking that too . . .

He is in rare form today. I think he meant to say compression but it honestly sounds like inspriation. Sigh*** I mightjust sent it through with a flag.
not thinking-- thanks!!
Subject: not thinking-- thanks!!

nm
thanks, that is what I was thinking also. nm
Subject: thanks, that is what I was thinking also. nm

nm
thinking...
Subject: thinking...

The left wrist is inspected showing there to be a visible soft tissue swollen area of the dorsal wrist closer to the radial aspect of the wrist. It is approximately 3 cm in diameter. Mobile tender to palpation and consistent with the ganglion cyst.

I was thinking a comma should go after diameter and before mobile. (where I have a period) What do you think?
I was thinking that too until...
Subject: I was thinking that too until...

...a couple of lines down he said the patient was circumcised. This guy completely rambles. I really didn't know about hair tourniquets until tonight's dictation. (Now If only I could forget the mental image!) Thanks for taking time to answer--this newbie appreciates it.
I was thinking
Subject: I was thinking

false lumen, but that when googled is associated it looks mostly with aorta. Unless you think they could be talking about the abdominal aorta???
that's what I was thinking, but
Subject: that's what I was thinking, but

I'm hearing a "cis" sound in the middle of the word. He also says it again part way down in the report. He says EG junction is 35 cm from the _______ orifice.

Thanks.
Thanks!. That's what I was thinking too.
Subject: Thanks!. That's what I was thinking too.


That's what I was thinking... : - )
Subject: That's what I was thinking... : - )


was thinking that but SM
Subject: was thinking that but SM

there wasnt any mention of the drug at any other part of the report and the word starts with a K or a C.
That's what I was thinking...
Subject: That's what I was thinking...

But I couldn't find anything that came close to matching what it sounds like she's saying.She has an accent which doesn't help at all.
thinking 6-mercaptopurine nm
xx
I'm thinking PTCA
Subject: I'm thinking PTCA


I was thinking the same thing
Subject: I was thinking the same thing

I've never heard of anyone being rushed to the ER to be given chemotherapy before.
I'm thinking in reference to
Subject: I'm thinking in reference to


More context would help. I'm thinking it is sm
Subject: More context would help. I'm thinking it is sm

"a soft cast or appliance" because the patient may have been placed in a soft cast or appliance (splint/brace) until the orthopedic doc saw him.

I'm thinking urticaric ... nm
Subject: I'm thinking urticaric ... nm

nm
Big help, right! That's funny. I'm thinking...sm
Subject: Big help, right! That's funny. I'm thinking...sm

is he possibly saying "cystoscopy"  instead of  something endoscopy?
Sorry. I keep thinking that with that 400 mg dose sm
Subject: Sorry. I keep thinking that with that 400 mg dose sm

it might be an antibiotic for UTI etc?  Here is a list of some antibiotics in that dosage. Good luck. All I can offer for this one!!


 


http://www.uphs.upenn.edu/bugdrug/antibiotic_manual/antibiotic%20costs.htm


Figured it out... was thinking too much...
Subject: Figured it out... was thinking too much...

Was "a layer of" roll gauze and Coban. 
I was thinking Gilbert's too..nm
Subject: I was thinking Gilbert's too..nm


Not an ENT MT, but I'm thinking maybe wholly
Subject: Not an ENT MT, but I'm thinking maybe wholly

xx
I'm thinking "pulses" also
Subject: I'm thinking "pulses" also

2+ pulses or positive pulses ??  Have you slowed dictation way down and listened again?
might be thinking too hard...
Subject: might be thinking too hard...

From the dictionary:

moi·e·ty Pronunciation (moi-t)
n. pl. moi·e·ties
1. A half.
2. A part, portion, or share.

Could be your doc is describing which part of the prosthesis?
Is there something before "braw?" I'm thinking sm
Subject: Is there something before "braw?" I'm thinking sm

it might be a probe of some kind.
Good thinking!!!
Subject: Good thinking!!!

 Now that made my day!
I was thinking it could be PE, but PA was very clear
Subject: I was thinking it could be PE, but PA was very clear