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It is "an MRI." M is an ih sound...see above...nm

Posted By: casey on 2006-07-26
In Reply to: The "an" before the vowel - FT MT

Subject: It is "an MRI." M is an ih sound...see above...nm

nm


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Doc atually says "an" before so don't think it would "an a ptotic gait". sm
Subject: Doc atually says "an" before so don't think it would "an a ptotic gait". sm

Speech and motor were normal, although his gait, he has an "____" gait, although he has no stiffness or dystonia or other movement disorders when sitting and speaking with us or on exam when sitting.
Sorry, meant to say "an MI"...same with "an MRI" though...nm
Subject: Sorry, meant to say "an MI"...same with "an MRI" though...nm

nm
"An" is not always used with a vowel...sm
Subject: "An" is not always used with a vowel...sm

It is used with a vowel "sound."   People really misunderstand the use of "a" and "an."  Just remember, it's the sound, not the vowel.  Ah, uh, eh....
The "an" before the vowel
Subject: The "an" before the vowel

works with other words but here it just does not. Some docs even say "an MI" and the M is not a vowel. Go figure.
could it be, "an avulsion" fracture?
Subject: could it be, "an avulsion" fracture?


Yep, "an echogenic density" (nm)
Subject: Yep, "an echogenic density" (nm)

...
sure they're not saying "an exostosis" ? sm
Subject: sure they're not saying "an exostosis" ? sm

perhaps something like, "an exostosis off the radial and distal wrist?"
"An additional" port was placed.....
Subject: "An additional" port was placed.....


Per AAMT BOS ... "an" (see message)
Subject: Per AAMT BOS ... "an" (see message)

a, an
The indefinite articles are a and an, and the definite article is the.

a chair (may be any chair)
the chair (a specific, or definite, chair)

See: articles
before consonants, h's, u sounds, vowels
Use a before a consonant, a sounded (aspirate) h, or a long u sound. Use an before a vowel or an unsounded h.

a patient
a hemorrhoid
a unit
an indication
an hour
a 1-mile run
a CMT
an 8-hour delay
an MT

HINT: Pronunciation determines whether a word is preceded by a or an; this is most useful with abbreviations and numerals.

how about "an element" of Parkinson.... nm
Subject: how about "an element" of Parkinson.... nm

no m
just a guess, but maybe "an herbal oil" ??
Subject: just a guess, but maybe "an herbal oil" ??


"an adrenergic type of sweating" ??? nm
Subject: "an adrenergic type of sweating" ??? nm


Found it. He was saying "an OpSite" applied...nm
Subject: Found it. He was saying "an OpSite" applied...nm


could he just be stumbling over "an arthritic knee" ?
Subject: could he just be stumbling over "an arthritic knee" ?


WAG at maybe..."an exudative patina" or shiny appearance? nm
Subject: WAG at maybe..."an exudative patina" or shiny appearance? nm

s
certainly not trying to be mean..but it is a unique type of work, and takes "an ear" in additi
Subject: certainly not trying to be mean..but it is a unique type of work, and takes "an ear" in addition to training.


Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm
Subject: Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm

She has a pleural-based lesion in the right lower lobe that appears to be either an algomized effusion or soft tissue. She also has multiple pulmonary nodules bilaterally suggestive of either a metastatic neoplastic disease or granulomatis changes.
Patient with diarrhea. Labs: s/l ESR 3 but sound is a bit distorted. Does that sound low for ESR?
Subject: Patient with diarrhea. Labs: s/l ESR 3 but sound is a bit distorted. Does that sound low for ESR?


no, I definitely hear a p sound at the start and an f sound at the end
Subject: no, I definitely hear a p sound at the start and an f sound at the end

nm
I am a dork! Definitely a "V" sound not "B" sound. nm
Subject: I am a dork! Definitely a "V" sound not "B" sound. nm


No, she said there was a for sure "K" sound. Hespan does not have a "K" sound. nm
Subject: No, she said there was a for sure "K" sound. Hespan does not have a "K" sound. nm

.
It's when it has a short vowel sound rather than a long vowel sound.
Subject: It's when it has a short vowel sound rather than a long vowel sound.

x
Thanks but he says something with a di sound
diar, dial...
Help with sound
Subject: Help with sound

This will not fix all of your sound problems but if you plug your headseat directly into your computer rather than you speakers, you will get better sound quality.


Just because a doctor is a doctor doesn't me he got good grades in med school.  It just means he passed!


Does it sound anything like....
Subject: Does it sound anything like....

Fowler; this is a back stretcher for MRI.
are you sure it's not an FFF sound as in
Subject: are you sure it's not an FFF sound as in

FIGO which is a staging system for cancer patients
sound a like
Subject: sound a like

drugs for mass of breast



  • uravel

sound a like
Subject: sound a like

DHS?
sound-a-like
Subject: sound-a-like

distension versus distention in the abdomen and neck.
Help!! Does this sound right?
Subject: Help!! Does this sound right?

Very rarely transcribe anything on echocardiograms so I'm not familiar with terms.


Echocardiogram performed August 4, 2006, does show normal left ventricular size of function without any valvular abnormalities. Ejection fraction of 55 to 60 percent. Cardiac cath performed August 3, 2006, 80 percent right coronary artery stenosis for which a drug-eluding stent was placed.


Does this sound right?
Subject: Does this sound right?

She reports that her symptoms of epigastric burning discomfort and coughing due to possible **acid rash** has been improved with initiation of Protonix.


 


I'm not sure about the acid rash part. Does this make sense to anyone else? Thanks!


Does this sound right?
Subject: Does this sound right?

There is still necrotic tissue in the central aspect and it does probe down to the bone.


Does that make sense?  Have not run across this one before.  Thanks in advance.


does this sound right? ESL
Subject: does this sound right? ESL

Her left shift resolved within one day of IV antibiotics* at 645 band* Lymphocytes 41, monocytes 90
"S" sound or "K" sound for the CAB?
Subject: "S" sound or "K" sound for the CAB?

I've been looking, I'm making the assumption that the AB would stand for Adjustable Band. I found a Swedish Adjustable Band procedure, but they abbreviate as SAGB.
Sorry it's not more helpful.
It was K sound, thank you!
Subject: It was K sound, thank you!

x
does this sound right?
Subject: does this sound right?

It sounds like the doctor is saying one of these two words, but I can't verify.  (moderate, minor) disease was noted in the carotid arteries on the right and left.  thanks for any help!!! 
Do the "c's" have an "s" or "k" sound? nm
Subject: Do the "c's" have an "s" or "k" sound? nm

x
does this sound right?
Subject: does this sound right?

After general anesthetic had been induced and Foley catheter STD's were in place, 5cc of Lymphazurin die was similarily injected in the breast.  help please? 


Does this sound right?
Subject: Does this sound right?

He has quadriceps tightness in the prone position with an inability to (s/l-get his ear close to his glute.-) 
thanks, but no "c/k" sound in it... thanks tho.
Subject: thanks, but no "c/k" sound in it... thanks tho.


It does sound like....
Subject: It does sound like....

It does sound like he is saying:  A topical regimen of tar baths s/l applied by high-potency topical steroid??????
that does not sound right ...
Subject: that does not sound right ...

why would doctor say at end of letter to therapist that the patient got a copy of their MRI? It sounds like he means put cc at bottom of letter so patient gets a copy of the letter, and that the MRI scan results should be enclosed with the letter to the therapist for review, where you would put at end of letter:
Enclosure: MRI results.
Does it sound like (sm)
Subject: Does it sound like (sm)

Does it sound like nipple retraction?
sound like any of these?
Subject: sound like any of these?

TURBT - transurethral resection of bladder tumor. This would be my guess

TUVP - transrurethral vaporization of the prostate

TURP - transurethral resection of the prostate

TUEP - transurethral evaporation of prostate

TUIP - transurethral incision of prostate

TUMT - transurethral microwave thermotherapy
what else does it sound like could it be
Subject: what else does it sound like could it be

Finkelsteins
it did not sound like q.h.s., so could at h.s. be right??
Subject: it did not sound like q.h.s., so could at h.s. be right??


Does it sound like
Subject: Does it sound like

benzocaine?
That does sound more like it. Thanks nm
Subject: That does sound more like it. Thanks nm

!
does this sound right?
Subject: does this sound right?


The fascia was closed, in 2 sides, with 0-Vicryl running stitch, with excellent approximation.  Could it be, in 2 sites, at 2 sites?  This is for a C-sec.


what does it sound like?
Subject: what does it sound like?


What does it sound like?
Subject: What does it sound like?