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It could be. He's famous for mispronouncing meds - doesn't say she has hypercholesterolemia.

Posted By: Thanks. nm on 2007-12-07
In Reply to: could the second word be Vytorin? It is for hypercholesterolemia..nm - helen

Subject: It could be. He's famous for mispronouncing meds - doesn't say she has hypercholesterolemia.

nm


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It doesn't say, it is in a list of meds
Subject: It doesn't say, it is in a list of meds

the only problems listed that she has is foot pain.
Thanks!!! The FNP keeps spelling it Ascenda. Apparently, she doesn't know her meds..LOL
Subject: Thanks!!! The FNP keeps spelling it Ascenda. Apparently, she doesn't know her meds..LOL


may be named after famous orthopedist Roger A. Mann, MD? nm
Subject: may be named after famous orthopedist Roger A. Mann, MD? nm


Maybe the name of Susan Sontag seemed familiar? Famous author, critic. nm
Subject: Maybe the name of Susan Sontag seemed familiar? Famous author, critic. nm

s
doesn't sound like BUN, she doesn't spell out the letters, it just sounds like "win". sm
Subject: doesn't sound like BUN, she doesn't spell out the letters, it just sounds like "win". sm

Her whole sentence is: Chemistries show a mild increase in the s/l WIN (22) suggestive of mild dehydration and a mild increase in calcium (10.2)
I am sure he is mispronouncing it
Subject: I am sure he is mispronouncing it

because I have worked for him for 13 years and he always mispronounces words, but I'm stuck on this one!
perhaps mispronouncing Cournand? nm
Subject: perhaps mispronouncing Cournand? nm


She is saying kyzor...maybe mispronouncing it?
Subject: She is saying kyzor...maybe mispronouncing it?

She might be as rusty as me given how she is pronouncing some of the others -teehee!  Thanks!
are you sure doc isn't just mispronouncing "trauma" ?
Subject: are you sure doc isn't just mispronouncing "trauma" ?


He doesn't give it. He's flying, but doesn't s/l fentanyl.
Subject: He doesn't give it. He's flying, but doesn't s/l fentanyl.

nm
not stupid at all....doc prolly mispronouncing. nm
Subject: not stupid at all....doc prolly mispronouncing. nm

x
Trust Txczech! Doc is probably mispronouncing it. nm
Subject: Trust Txczech! Doc is probably mispronouncing it. nm

s
maybe mispronouncing *Veramyst* ??--just a guess (nm)
Subject: maybe mispronouncing *Veramyst* ??--just a guess (nm)

x
Would think that he read Levoxyl as Levoryl and is mispronouncing it.
Subject: Would think that he read Levoxyl as Levoryl and is mispronouncing it.


hypercholesterolemia maybe?? nm
Subject: hypercholesterolemia maybe?? nm

s
Has hypercholesterolemia become
Subject: Has hypercholesterolemia become

nm
hypercholesterolemia
Subject: hypercholesterolemia

that's correct
Hypercholesterolemia - sm
Subject: Hypercholesterolemia - sm

It is under the impression. He states:
1. Hypercholesterolemia. We will trial the patient on ??. I know I hear "asa" at the end. The patient has had trouble with statins, and he says he will wait until a new drug comes around. So I am not sure if this is actually a medication or some kind of supplement.
usually it would be hypercholesterolemia
Subject: usually it would be hypercholesterolemia

but if the doctor dictates "hypercholesterol", then I would type what he says.  They make up words all the time, and I would type it as one word. 
he says it pretty clear, but is probably mispronouncing it, as I could not find it anywere.
Subject: he says it pretty clear, but is probably mispronouncing it, as I could not find it anywere.

but thanks for the suggestions. 
if anhedonia fits, maybe the dictator is mispronouncing the word? sm
Subject: if anhedonia fits, maybe the dictator is mispronouncing the word? sm

For example, I have one who always says "epitectasis" for epistaxis, and another one who always says "supp-tull" for supple. ??
no speciality. final diagnosis was uti. these meds were admit meds, only hist was hypertension
Subject: no speciality. final diagnosis was uti. these meds were admit meds, only hist was hypertension


How about TriCor for hypercholesterolemia
Subject: How about TriCor for hypercholesterolemia

??
hypercholesterolemia? guessing here...
Subject: hypercholesterolemia? guessing here...


Drug for hypercholesterolemia
Subject: Drug for hypercholesterolemia

S/L Olvasa, Bulbasa, Vulvasa - Something along that line.  Please help.  Thanks.
Vytorin is for hypercholesterolemia, if that
Subject: Vytorin is for hypercholesterolemia, if that

is not mentioned in the patient history, I don't think I would guess/use that.
i'm wondering if he might be mispronouncing and means "backwash" - but would that make sens
Subject: i'm wondering if he might be mispronouncing and means "backwash" - but would that make sense?


Can you hear either hypercholesterolemia or hypertriglyceridemia?
Subject: Can you hear either hypercholesterolemia or hypertriglyceridemia?

Does this patient have high cholesterol?
could the second word be Vytorin? It is for hypercholesterolemia..nm
Subject: could the second word be Vytorin? It is for hypercholesterolemia..nm

s
What is the exact sentence, are you sure it is for hypercholesterolemia?
Subject: What is the exact sentence, are you sure it is for hypercholesterolemia?


Patient with hypertension and hypercholesterolemia is on sm
Subject: Patient with hypertension and hypercholesterolemia is on sm

s/l Tek turna, hydrochlorthiazide, Zocor and s/l ex forge?
History of profound hypercholesterolemia with BALANSTOMAS on her eyelids
Subject: History of profound hypercholesterolemia with BALANSTOMAS on her eyelids

I'm fairly new at this work but I can't make anything of it.  Anyone have any ideas? 


Just listed in med list during breast carcinoma consult, but does have HTN, hypercholesterolemia, &
Subject: Just listed in med list during breast carcinoma consult, but does have HTN, hypercholesterolemia, & depression. Thanks everyone for your ideas.


Hypercholesterolemia. Reduce animal fat and ___________, increase exercise and weight loss.
Subject: Hypercholesterolemia. Reduce animal fat and ___________, increase exercise and weight loss.

The blank sounds like "courage", lol.  Thanks for any help.


S/l, but doesn't fit (sm)
Subject: S/l, but doesn't fit (sm)

  Nobody's laughing :)  This wouldn't exactly fit, but Kleinert-Kutz is in my ortho book, but it's a bone cutter/rongeur/rasp/forceps, etc.  Could you make that fit?
Probably doesn't fit but...sm
Subject: Probably doesn't fit but...sm

Hill-Sachs defect or dislocation Doesn't make sense, but this came to my mind.
Doesn't say anything about
Subject: Doesn't say anything about

drugs. Diagnoses are Major depressive disorder, single, mild, with previous history of psychotic features and suicidality; nonrecurrent since the visit of 6/23/06. PCRP with mother improving a great deal since last visit and semi-concurrent with mother’s declining health status. Rule out learning disorder not of reading type.

Thanks - it doesn't say anything, so...
Subject: Thanks - it doesn't say anything, so...

I know we need to defer to the BOS, which is MQ's basic style, so I put 3.  Funny how it really didn't occur to me until today, seeing it as "3" in ASR.


Thanks.


 


No it doesn't...
Subject: No it doesn't...

as they are 3 different procedures that have nothing to do with each other.  I would separate them as above.  I guess you could have a D&C at the same time as an appy but not 3.
Doesn't mean
Subject: Doesn't mean

that it's not a "made up" word.
No.........it doesn't. Maybe this guy
Subject: No.........it doesn't. Maybe this guy

is mealy mouthed.  Thanks for the help!
Thanks!! Maybe my book is too old, doesn't have it. nm
x
Doesn't sound like any of those.
Subject: Doesn't sound like any of those.

He's got me stumped.


just because it doesn't matter to YOU
Subject: just because it doesn't matter to YOU

and google is NOT the authority on when to use which word. You can find errors all over the internet and I don't consider google a research tool unless it takes me to a manufacturer web site so I can find a copyrighted spelling.

A good dictionary and solid reference materials are needed. Additionally, the OP did not say the client wanted it one way or another so your bringing that into the equation makes you look as though you are trying to justify what you do, and I really do not care what you do. You are only trying to deflect the direction of the discussion to one in which you _win_ and you try to make me _lose_. The people here who lose are the ones who still don't know the CORRECT usage of the 2 words.

I stand my ground. The OP still does not know definitively how to use these 2 words based on this thread. And you can huff and puff and try to blow my house down but you still don't _win_.
Thanks for trying but doesn't sound like that....
Subject: Thanks for trying but doesn't sound like that....

.. I think I'll have to just flag it. It could be Uterus, bowel loops are normal.



It doesn't sound like either of these. Thank you both!
Subject: It doesn't sound like either of these. Thank you both!

nm
probably saying *doesn't bode well*.....nm
Subject: probably saying *doesn't bode well*.....nm


Capital F but not L?? That doesn't seem right
Subject: Capital F but not L?? That doesn't seem right

xx
doesn't sound like it, but...
Subject: doesn't sound like it, but...

ZYPREXA® Zydis® (olanzapine)
Orally Disintegrating Tablets

so maybe ODT?

http://insidezyprexa.com/about/efficacy/prescribing_zydis.jsp
Retzius doesn't seem right
Subject: Retzius doesn't seem right

Retzius is hard to find because it refers you all over the place, but appears to be some kind of cell column and has something to do with the cochlea. It's quite a stretch from what it sounds like--"the trex-i-vuss or drex-i-vuss


I wonder if he doesn't mean Veress
Subject: I wonder if he doesn't mean Veress

the old standby needle