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I listened again, definitely not deficiency, but thx for trying. mmw

Posted By: mmw on 2005-09-12
In Reply to: deficiency - txmt

Subject: I listened again, definitely not deficiency, but thx for trying. mmw




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deficiency
Subject: deficiency

nm
It may be antithrombin III deficiency. nm
Subject: It may be antithrombin III deficiency. nm

nm
dictator says ie (i.e. ?) B12 deficiency
Subject: dictator says ie (i.e. ?) B12 deficiency

everything that looks right is not aways right on my part? 
s/l facterphyalidin deficiency
Subject: s/l facterphyalidin deficiency

apparently was also recently diagnosed with _____ deficiency. Due to the _____ deficiency, her treatment options were discussed at length and she was quoted a higher than normal risk for invasive procedure due to this disorder.


I have no idea at this point. Facterphyalidin? Phactafialidin? HELP!javascript:editor_insertHTML('text','');


TIA!
factor 12 deficiency??
Subject: factor 12 deficiency??


Does he mean vitamin D deficiency?
Subject: Does he mean vitamin D deficiency?

Can you tell if that's what he means? Sounds like the dictator was really tired and confused.
*flexinile*?? cholinesterase deficiency
Subject: *flexinile*?? cholinesterase deficiency

Heavy foreign accent..............patient with a history of *flexinile*  cholinesterase deficiency which gives her trouble whenever she has to go under general anesthesia.  No other info available..he just mentions this offhandedly.
Cardiotek for vitamin deficiency.
Subject: Cardiotek for vitamin deficiency.


BLANK leiden deficiency
Subject: BLANK leiden deficiency

I have no idea what word he is saying before leiden deficiency.


it either starts with a P or an F


Any ideas?


Factor V (five) Leiden deficiency? nm
Subject: Factor V (five) Leiden deficiency? nm


Yes, the patient has vitamin D deficiency.
Subject: Yes, the patient has vitamin D deficiency.

He says "hypovitamin D emia" but ... not sure that's a word.
Whoops, forgot . . . . above is a deficiency.
Subject: Whoops, forgot . . . . above is a deficiency.


2. History of factor V Gluten deficiency
Subject: 2. History of factor V Gluten deficiency


he probably meant "succinylcholine" cholinesterase deficiency sm
Subject: he probably meant "succinylcholine" cholinesterase deficiency sm

see this link about it
http://psyche.knu.ac.kr/notebook/infocenter/succinylcholine_cholinesterase_deficit.html

I'm almost 100% sure the "flexinile" you heard is "succinyl" :)
He had a sickle cell and G6 PD deficiency. Is that correct G6 PD or G6PD?? Thank you
Subject: He had a sickle cell and G6 PD deficiency. Is that correct G6 PD or G6PD?? Thank you


Wow!!! Good work. I was thinking of GI diseases etc, not nutritional deficiency. Kudo's!!!! nm
Subject: Wow!!! Good work. I was thinking of GI diseases etc, not nutritional deficiency. Kudo's!!!! nm


Medications: S/L ?ZOMED and oral iron (patient has iron deficiency anemia)
Subject: Medications: S/L ?ZOMED and oral iron (patient has iron deficiency anemia)

NM
Patient with Factor IX deficiency, taking s/l factor. I found Factrel but can't find anything sm
Subject: Patient with Factor IX deficiency, taking s/l factor. I found Factrel but can't find anything sm

definite if this drug is taken for Factor IX deficiency. Any help would be great.

I listened again and...
Subject: I listened again and...

She was probably saying AND butazolidin instead of "em" or "am".  Thank you!
Listened to it again and that is it! Thank you!!
Subject: Listened to it again and that is it! Thank you!!


listened again...
Subject: listened again...

I definitely hear an "s" in the middle and a "tide or dide" at the end. Thanks for the suggestions.
I listened again
Subject: I listened again

and I really don't think that is what he is saying. I have worked for this doc for 2 years, he is very easy to understand but I have never heard him say anything remotely like this before. Thanks for helping.
I listened again -
Subject: I listened again -

definitely sounds like "monodide"
I listened again ...
Subject: I listened again ...

I definitly think seasonal is correct, but can't hear exacerbations. Thank you so much for getting me on the right track! I couldn't get over seizures.
Actually, duh on ME . . . just listened and that is it
Subject: Actually, duh on ME . . . just listened and that is it

xx
Listened again
Subject: Listened again

No, the sounds are definitely
hue - vee - ul. Thanks for the try though.
listened and listened again and it is....
Subject: listened and listened again and it is....

ear and sinus surgery thanks a bunch anyways
Listened again
Subject: Listened again

When listening with a refreshed ear this a.m., it certainly is effaces. Thanks
listened again...
Subject: listened again...

absent is a possibility, but I still can't say for sure.
listened again, and no thats not it, but thanks for trying nm
Subject: listened again, and no thats not it, but thanks for trying nm


Listened again, thats it. Thanks to all! nm
Subject: Listened again, thats it. Thanks to all! nm

!
I just went and listened again - she is saying
Subject: I just went and listened again - she is saying

restricted affect. DUH for me!! It's still early for me, ears aren't working right yet.
I listened again but sm
Subject: I listened again but sm

it still sounds like "1000 draped over it".

Just re-listened and I'm LOL at myself!!!!
Subject: Just re-listened and I'm LOL at myself!!!!

He's saying T8-T10. Ha! I tried to make it more difficult than it was...
I listened again but she definitely says
Subject: I listened again but she definitely says

"bath" at the beginning so I'm just going to flag it. Thank you though!
thank you - but I just listened again s/m
Subject: thank you - but I just listened again s/m

definitely sounds like "the view margin" or "the bu-margin" - ??
Listened again
Subject: Listened again

For sure, for sure, it is removal of myxoma. It is so weird how you can hear it so clearly after someone tells you the answer.  Thanks
I just listened again - that's just what he's saying - thanks a bunch!!
Subject: I just listened again - that's just what he's saying - thanks a bunch!!


Listened slower, that's it thank you so much!
Subject: Listened slower, that's it thank you so much!

:-)
I listened again - that's not it, but THANKS for the input. -nm-
Subject: I listened again - that's not it, but THANKS for the input. -nm-

xx
Thanks - I listened again and she CLEARLY starts with an "m"
Subject: Thanks - I listened again and she CLEARLY starts with an "m"

I did the usual Stedman's and googling but I tell ya, this fellow is a grrrrrrr. Thanks anyway. Gonna flag it. Another grrrrrr
I listened again and sounds maybe like
Subject: I listened again and sounds maybe like

bn
I went back and listened . . .
Subject: I went back and listened . . .

It sounds like "reostis" or "reosis" to sight.  This is an ESL but he's not too hard to understand. Thanks for your help.
That's it! Went back and listened again. Thx!
Subject: That's it! Went back and listened again. Thx!

nm
Listened to it again...and nope! Thanks though!
Subject: Listened to it again...and nope! Thanks though!

:)
I listened again lead III and AVF Thanks anyways
Subject: I listened again lead III and AVF Thanks anyways


I listened over and over again - it may be background
Subject: I listened over and over again - it may be background


listened again - why would it be elevated?
Subject: listened again - why would it be elevated?


I sounds more like K per al when I listened again.
Subject: I sounds more like K per al when I listened again.


Went back and listened again
Subject: Went back and listened again

but he definitely says "4-5" shaver. Thanks for your help though!
appendicits? Have you listened to
Subject: appendicits? Have you listened to

the rest of the dictation? If not, leave it blank and then see what the impression is. That might be of some help.