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I have an ESL who dictates a lipid profile

Posted By: Grandma D on 2005-10-17
In Reply to:

Subject: I have an ESL who dictates a lipid profile

and then says "lipid profile comment NIHN." What in the world does that mean?


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they also do a high-risk lipid profile for SM
Subject: they also do a high-risk lipid profile for SM

metabolic syndrome ??
labs, fasting s/l sms7, liver, lipid profile,etc.
Subject: labs, fasting s/l sms7, liver, lipid profile,etc.


Fasting lipid profile and fasting blood sugar perhaps?
Subject: Fasting lipid profile and fasting blood sugar perhaps?

You need to correlate the correct abbreviations with the patient's medical history, eg. does the patient have diabetes, high cholesterol, etc.
Lipid panel maybe? -nm
Subject: Lipid panel maybe? -nm

x
fasting lipid??
Subject: fasting lipid??

could your "value" sound like "fasting" (for fasting lipid panel)
lipid medication
Subject: lipid medication

The patient saw her doctor about her elevated lipids.  He put her on a lipid ? medication. 


I assume he is saying a lipid "lowering" medication but it sound like there might be a g or a v in the middle of the word.  Is there something else it could possibly be?


s/l lipid (trip-cee)
Subject: s/l lipid (trip-cee)

s/l lipid (? trip-cee ?)


Thanks for any help.


S/L lipid arcoid
Subject: S/L lipid arcoid

S/L no visible LIPID ARCOID in the ears
that could be either lipid panel or just triglyceride, NM
Subject: that could be either lipid panel or just triglyceride, NM

.
Lipid lowering agent...
Subject: Lipid lowering agent...

Okay had this before, but it is stumping me now on spelling.


for dyslipidemia.  S/L  Mini-3 or amini-3.  Please advise of proper spelling.  Thanks.


s/l taw-tur-tile CRP. Lipid lab review.
Subject: s/l taw-tur-tile CRP. Lipid lab review.

 One of those days when I can't understand anyone!


Abnormal Protein S, s/l CNN and possible lipid antibody. sm
Subject: Abnormal Protein S, s/l CNN and possible lipid antibody. sm

Doc says, "pt  has hx of abnormal protein S, (s/l) CNN, and possible lipid antibody,  all three.  Hx of DVT in 2001.  She had pulmonary embolus in June at which time she had Factor V difficiency.  She has multiple coagulopathies."   Any help appreciated.Thx. mmw 


protein S, C and ? (maybe stuttering) possible lipid antibody...
Subject: protein S, C and ? (maybe stuttering) possible lipid antibody...

xx
Then I would say it is lipid-lowering medication (thanks for the compliment!)
Subject: Then I would say it is lipid-lowering medication (thanks for the compliment!)


VDL may be vasodepressor lipid resembling prostaglandin in the renal venous blood of hypertensive
Subject: VDL may be vasodepressor lipid resembling prostaglandin in the renal venous blood of hypertensive

patients.
DM profile?
Subject: DM profile?

DM profile


Diabetes mellitus profile. this is ordered with labs. Not sure what this consists of. The pt has type-2 diabetes.


? maybe correlation profile ?
Subject: ? maybe correlation profile ?

nm
hypercoagulation profile
Subject: hypercoagulation profile

It's not that this word sounds too crazy, I am just too green to know what it is!


 


"We will check a hypercoagulable profile, antiphospholipid antibody and *S/L* sector five liden.


 


Thanks in advance!


BPP (biophysical profile) nm
Subject: BPP (biophysical profile) nm

x
I have a client profile that says DO NOT add...
Subject: I have a client profile that says DO NOT add...

paragraphs and I don't add them in those notes. Otherwise, I have never heard of a rule not to. QS may have client profiles confused.
chem profile, perhaps
Subject: chem profile, perhaps

nm
s/l hyperal profile s/m
Subject: s/l hyperal profile s/m

Patient with hyperchloremic metabolic acidosis.  Checking sodium, potassium etc.


Also ______lo testing for RTA evaluation.  TIA


diurnal profile?
Subject: diurnal profile?


Whole clonine? profile
Subject: Whole clonine? profile

Is there a lab test/profile that is something like clonine?  S/L it is pronounced KLAH-NEEN.  Any ideas?  He doesn't dictate all the specific findings of the test/s, but just mentioned the name so I don't have much to go on. 


invalid profile?
Subject: invalid profile?

Can someone tell me why I am getting this "Invalid Profile ID" sticker next to my posts?
Unless it is in the client profile to do such, I would not (sm)
Subject: Unless it is in the client profile to do such, I would not (sm)

If it states the specific hospital or institution, i.e. General Hospital Diabetes Education Team, then capitalize it. They way you have it would be NOT capitalized. Hope that makes sense (no coffee yet).
if client profile does not specify,
Subject: if client profile does not specify,

either way is acceptable.  Personally, I would separate.
depends on client profile...sm
Subject: depends on client profile...sm

Rule of thumb is verbatim........
Coalition profile lab test?
Subject: Coalition profile lab test?

s/l coalition profile was negative under lab section in with bilirubin values.  Thanks.


fetal biophysical profile? nm
Subject: fetal biophysical profile? nm

s
just a guess... porphyrin profile? nm
Subject: just a guess... porphyrin profile? nm

x
oops - could be profile and/or panel too....
Subject: oops - could be profile and/or panel too....


probably the BMP basic metabolic profile
Subject: probably the BMP basic metabolic profile

Sodium, potassium, etc.


Basic metabolic profile (BMP)
Subject: Basic metabolic profile (BMP)


BMP for basic metabolic profile? nm
Subject: BMP for basic metabolic profile? nm


comprehensive metabolic profile (CMP). ? nm
Subject: comprehensive metabolic profile (CMP). ? nm


Depends on client profile...
Subject: Depends on client profile...

If you have a verbatim account I would type as is. If not vertabim I would change it to gastroenterology. Really I think it depends on what your QA would say. Mine would do as above.
check your client profile sm
Subject: check your client profile sm

and follow any instructions you find there, and if it says to follow BOS guidelines, then you should probably type "3."
Under PMH. MD dictates: sm
Subject: Under PMH. MD dictates: sm

 Status post trauma/repair to patient’s eye.


 


Would you leave this as is with the slash or change it?  I am permitted to change things when necessary.  Thanks.


What do you do when the doc dictates sm
Subject: What do you do when the doc dictates sm

... and I gave the patient 50 "mikes" of whatever medication.  One said to spell it m-i-q-u-e-s, one said to use m-i-k-e-s, and one hospital said not to use it at all. So, does it stand for micrograms?  Should we use slang?  Aghh!  Help, please.
I would put as doc dictates..sm
Subject: I would put as doc dictates..sm

if he says "calcium one every day" I would not input the q.d., but I would expand it as "calcium, one tablet every day." jmo and how I have been doing it with no complaints.
Exactly the way MD dictates it
Subject: Exactly the way MD dictates it

If the patient could see anything at all (I had one today where the patient could see 20/1760), then the MD would have given the value, but when there is nothing there, you just type nothing. I have a verbatim account, but even if I didn't, I still would not change it to 20/0 as that lone "0" could be mistaken as something else.
If a Dr. dictates
Subject: If a Dr. dictates

"posterior tib", meaning posterior tibial artery, do you type the abbreviation or go ahead and type out tibial?
if that's the way he/she dictates it...then yes I would. nm
Subject: if that's the way he/she dictates it...then yes I would. nm

xxx
yes, BMP, basic metabolic profile, or panel (nm)
Subject: yes, BMP, basic metabolic profile, or panel (nm)

///
Yep, it's a lab profile; I used to type it all the time at my children's
Subject: Yep, it's a lab profile; I used to type it all the time at my children's

nm
bio short for biochemical profile(chem-7 for example)
Subject: bio short for biochemical profile(chem-7 for example)


OR comprehensive basic metabolic profile - nm
Subject: OR comprehensive basic metabolic profile - nm


QA puts in "EF cardiac profile"
Subject: QA puts in "EF cardiac profile"

but it sure sounds like "ES" Cardiac Profile. I cannot locate it EF or ES when doing research as the way it is dictated.  dictator goes on to give lab values such as white count, bun and creatinine and so on. Any suggestions would be very grateful. BTW, even with my new Bose headsets the "ES" is coming in more clearly than it did before!!  TIA. 
The doctor dictates
Subject: The doctor dictates

His aortic valve appeared well-(s/l seated).  I found some examples like that, but am unsure of certainty and spelling accuracy?  Thank you in advance for any help.
Think that one is bad? my md dictates things like this...sm
Subject: Think that one is bad? my md dictates things like this...sm

I used a small, tiny, little Q-tip .... and he doesn't want me to change it.   Bizarre!!!