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Looks like Tina may have hit it, but if not, possibility of Coumadin? nm

Posted By: as on 2007-08-20
In Reply to: Word Help - Nancy

Subject: Looks like Tina may have hit it, but if not, possibility of Coumadin? nm

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Tina what???
Subject: Tina what???

Patient has polio in her left leg.

She also has almost nil plantar flexor and I think she may be _________.

It sounds like "tina deest".
Tina what???
Subject: Tina what???

Could be "tenodesed", as in tenodesis.
Tina
Subject: Tina

EGD with PEG placement
Word help/Tina
Subject: Word help/Tina

If it's just a minor procedure sometimes they will say scrub and alcohol prep...but it's a stretch at best.
Coumadin

She is somewhat concerned that her Coumadin is having a difficulty to managing it.


sentence doesn't make sense. Please Hellpppp!


 


Coumadin maybe
Subject: Coumadin maybe


Coumadin? nm
Subject: Coumadin? nm


coumadin
Subject: coumadin

Discharge medications...sounds like coumadin 30.5 mg p.o. q.h.s.  I cannot find coumadin available in that dosage, is it possible to get coumadin in that amount?  thanks!
Coumadin?
Subject: Coumadin?


Could she be referring to coumadin?
Subject: Could she be referring to coumadin?

I noticed the patient was on 5 mg of coumadin on the last progress note. Do you think she may be referring to coumadin?
Could be Coumadin, could be warfarin. Would
Subject: Could be Coumadin, could be warfarin. Would

x
sorry, that's for coumadin, can you hear PTT-LA?...nm
Subject: sorry, that's for coumadin, can you hear PTT-LA?...nm

x
Coumadin therapy w/DDT?
Subject: Coumadin therapy w/DDT?

Patient is a follow-up on Coumadin therapy with (DDT?)  Is this correct?  Sounds like it but can't find anything on that really except pesticide.  help!
We would like to use an imidazole on this, however she is on Coumadin and that would probably ~sm~
Subject: We would like to use an imidazole on this, however she is on Coumadin and that would probably ~sm~

cause her INR to skyrocket. 


Could be "enoxaparin (Lovenox)" and Coumadin
Subject: Could be "enoxaparin (Lovenox)" and Coumadin


Protocol type for Coumadin
Subject: Protocol type for Coumadin

I have a dictator that is saying what sounds like Coumadin per "joint X" protocol...  I cannot find this anywhere, but I may be hearing it incorrectly.  If anyone has any ideas, I'd appreciate it. 


that's a Coumadin dosage, not INR, wonder if the doc is getting ahead...sm
Subject: that's a Coumadin dosage, not INR, wonder if the doc is getting ahead...sm

of himself about doing an INR level to make sure the Coumadin is therapeutic, not too much and not to little.  The INR level should be between 2-3 for most labs.  Sounds like he meant to say Coumadin, and may later on in the dictation talk about getting an INR level.  Hope this helps! 
Is there any possibility
Subject: Is there any possibility

That's for pulmonary artery hypertension.
Always a possibility...
Subject: Always a possibility...

Could be from the area of the thigh up to the mid-pubic line???
any help? Doc will decide to *desee* her Coumadin if there is improvement. thanks! nm
Subject: any help? Doc will decide to *desee* her Coumadin if there is improvement. thanks! nm


No def says Coumadin!! I have listened too many times LOL WHY ON FRIDAY!!!!
Subject: No def says Coumadin!! I have listened too many times LOL WHY ON FRIDAY!!!!

I THINK I SHOULD FLAG!
his Coumadin be held s/l transilay prior to this
Subject: his Coumadin be held s/l transilay prior to this

nt
Now thats a good possibility!

Guess your up late too?  Somehow don't think thats what my doc was saying, although would be more interesting!!!!


 


Dawn


Flailing. Another possibility. nm
Subject: Flailing. Another possibility. nm

x
That's a definite possibility
Subject: That's a definite possibility

I'm thinking that too. He might be saying something to the effect that the pt needs to step up, get going, finally agree to have this test performed. Thanks for the help
found a possibility, but (sm)
Subject: found a possibility, but (sm)

I personally wouldn't take it upon myself to add any initials at all unless they were specifically requested.
another possibility -- "choanal atresia"?? -- nm
Subject: another possibility -- "choanal atresia"?? -- nm

.
That's a possibility, but I'm not sure. I had to go ahead and send. Thanks!
Subject: That's a possibility, but I'm not sure. I had to go ahead and send. Thanks!


hmmm--good possibility...sm
Subject: hmmm--good possibility...sm

I had to send it back already with blanks and a note to my coordinator for some help. this sounds pretty close, as in the note to the referring physician, he mentioned a urine test for this too. It is hard to believe a one year old baby would have something like this though, but I do appreciate your help. I will let you know when I find out definitely what it is. oh, and I am hopped up on Hershey kisses with caramel, so don't feel bad! LOL. thanks again. I have a feeling this might be it.
another possibility is buccal mucosa nm
Subject: another possibility is buccal mucosa nm

/
Para 2 with twins (another possibility)
Subject: Para 2 with twins (another possibility)

x
Xalatan - possibility if for eye dictation
Subject: Xalatan - possibility if for eye dictation


WAG here... possibility would be "pretty small"??? NM
Subject: WAG here... possibility would be "pretty small"??? NM

x
Evaluation for possibility of lymphoma
Subject: Evaluation for possibility of lymphoma


His peripheral blood lymphocyte analysis revealed no s/l coronal populations.


 


that's a possibility - I'll have to listen again...sm
Subject: that's a possibility - I'll have to listen again...sm

I listened over the phone last night - we were even thinking that he was saying "a bit of" pancreatitis in the hx (which doesn't make sense, either), but it's mentioned in the dx, too, and he wouldn't be saying that in the dx...I'm stumped.
Patient is also on Coumadin therapy because he had a s/l "port a cable" thrombosis at one time
Subject: Patient is also on Coumadin therapy because he had a s/l "port a cable" thrombosis at one time.

:-)
last CBC, her leukocytes?? i know nothing to do with thyroid panel but a possibility. nm
:
Googling suggested polysplenia as a possibility.
Subject: Googling suggested polysplenia as a possibility.

(nm)
another possibility - Zaroxolyn, depending on dialect?
Subject: another possibility - Zaroxolyn, depending on dialect?


That's a possibility. It's garbled, but I hear what might be atrophy but don't know.
Subject: That's a possibility. It's garbled, but I hear what might be atrophy but don't know.


Yes, that is also a possibility, if listen closely, you should hear which??? >-)
Subject: Yes, that is also a possibility, if listen closely, you should hear which??? >-)

x
Actually, giving it more thought, Ceptaz is also a possibility. sm
Subject: Actually, giving it more thought, Ceptaz is also a possibility. sm

...though none of these are cardiac meds, actually.
Wound care - Another possibility would be to go to one of the s/l echinocadins. Help Please! nm TIA
Subject: Wound care - Another possibility would be to go to one of the s/l echinocadins. Help Please! nm TIA

x


Maybe sclerae-gray test, that would be more for neurological, but maybe a possibility.
Subject: Maybe sclerae-gray test, that would be more for neurological, but maybe a possibility.


does not give. Listed with other meds Coumadin, metoprolol, Lasix, Synthroid, calcon, potassium. nm
Subject: does not give. Listed with other meds Coumadin, metoprolol, Lasix, Synthroid, calcon, potassium. nm

nm


Possibility of using a long-acting preparation with some inhaled steroids would be s/l forpeasmal.
Subject: Possibility of using a long-acting preparation with some inhaled steroids would be s/l forpeasmal.

I have no clue.  Thanks.  x