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Medication help needed. Please see message for context

Posted By: Thanks on 2008-07-08
In Reply to:

Subject: Medication help needed. Please see message for context

Pt had infected burn on his leg. He has been using s/l neo-peer-sin ointment prescribed at his last visit.


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Medication help needed s/l
Subject: Medication help needed s/l

Patient has numbness of finger.

Diagnosis is mechanical neuropathy.

Patient reassured. Given s/l peer-a-dox-a-dine and sometimes s/l peer-a-dox-ine s/l 15 or 50 mcg daily.

Not sure if pyridoxine would be used this way. Also, cannot find dosage of 15 or 50 mcg.

Can someone help, please! Thanks!


Medication help needed
Subject: Medication help needed

Patient has fungal infection of the mouth. Was given s/l chloratropate triches. Thanks.
Help needed Tweaking a letter. See message please
Subject: Help needed Tweaking a letter. See message please

My MD dictated a letter of recommendation and would like me to make him sound better.  Gosh!!  I am so brain dead when it comes to these things... been doing verbatim transcription for far toooo long. 


 


Would anyone out there like to give this a whirl? 


 


I appreciate any suggstions.  Thanks.


 


 


Mr. X spent a week with me in my internal medicine office this past summer.  He is currently a student at XX University and has decided on a career in a medicine.  Mr. X, in the process of starting his medical career, has spent time with multiple physicians to show that he is serious about a career in medicine.  Mr X has excellent personal skills, as you will see when you interview him.  He asked intelligent questions and showed a genuine interest while he was here with me in the office.  His thought process seemed both logical and rational during our discussions.


 


Mr. X  has all the makings of a good physician, intelligence, hardworking, motivated, and personal.  I recommend highly that he be accepted in your training to become an xxx  physician.


Pain clinic help needed - please see message
Subject: Pain clinic help needed - please see message

Patient has sacral fracture.

Medications: Cozaar 50 mg p.o. b.i.d.; Lipitor 10 mg p.o. q.h.s.; Lexapro 20 mg p.o. q.a.m. (prescribed by psychiatrist Dr. Laakso); Fosamax 70 mg p.o. q. week; Sinemet 25/100 q.2 h; Sinemet R at bedtime (could not find Sinemet R, but that's what he says).

I have asked her to increase the OxyContin to 10 mg in the morning and 20 mg in the evening, and she can continue to use the s/l sure-lacking medication for breakthrough pain.
Medication help needed--s/l colethra
Subject: Medication help needed--s/l colethra

This is a pediatric patient with immunodeficiency syndrome.  


"She is taking (s/l co-leth-ra)..."  He then lists several more meds, but stumbles and mispronounces most of them.  I have them all figured out but this one.


TIA!


Topical medication s/l help needed. sm
Subject: Topical medication s/l help needed. sm

MetroGel 0.75% one application s/l pv or pd or pb at bedtime x5 nights. Thanks for any help.
see message for context:
Subject: see message for context:

This patient is a xx year old female with a past medical history of hypertension, status post gastric-bypass surgery in (DATE) who presents for preoperative clearance.  She is undergoing surgery by Dr. XXX on (DATE) for thighplasty and panniculectomy   Apparently, she is feeling well and has no complaints.  Specifically, she denies any chest pain, shortness of breath, dyspnea on exertion, PND, or orthopnea.  She denies any bleeding or clotting disorders.  She has no difficulty with anesthesia.


Need help with a s/l. Please see message for context - thanks!
Subject: Need help with a s/l. Please see message for context - thanks!

Pt diagnosed with bacterial skin infection, took Bactrim DS and it started to clear. One bump had purulent discharge, and the nurse is concerned that it is MRSA, or that he is a carrier.

He was s/l not solved/or absolved for MRSA at the clinic. Thanks.

Rheumatology - Please see message for context.
Subject: Rheumatology - Please see message for context.

Patient is 5-year-old white male with recurrent episodes of high fever.

Impression is period fever syndrome. Giving brief trial of cimetidine to see if this will cut off his episodes, suggesting that they are in fact s/l foppa/FOPPA

Then s/l SMF gene testing was ordered. He says this part so fast that I'm not sure there could be more initials.

Thanks.
Need help with ortho - please see message for context.
Subject: Need help with ortho - please see message for context.

Patient in for treatment of a skin lesion over the extensor tendon of the right hallux. Continues to have problems with the lesion over the s/l bowstrung tendon.

Many thanks for your help.

Rheumatology - please see message for context
Subject: Rheumatology - please see message for context

Patient has a strongly positive ANA, but normal C3 and C4, with a normal CBC and sedimentation rate, but she has a weakly positive rheumatoid factor and a low-titer of s/l anti-phos-photetal serian (maybe serum) antibodies.

If any help, patient may have lupus.

Swollen gland please see message for context
Subject: Swollen gland please see message for context


On exam, in the left groin, he does have two open areas that appear to be the s/l exto-gesta glands in his skin.
Medication help... please see message.
Subject: Medication help... please see message.

The patient has hypertension and gastroesophageal reflux, and the doctor is stating in his medication list what sounds like dexlanzapro, and another medication which sounds like prazol (Kapidenx) 60 mg daily.  The doctor actually spelled out Kapidenx.  TIA.


Medication s/l thiagopurin - see message
Subject: Medication s/l thiagopurin - see message

This is a patient with no known chronic medical problems who is seeing a cardiologist for evaluation of an aortic aneurysm.  The doctor dictates the medication in the medication list of the patient.  TIA.
Pain clinic medication s/l. Please see message.
Subject: Pain clinic medication s/l. Please see message.

Patient doing well now six months post-op, is on MS Contin 15 mg b.i.d., one-half of immediate-release morphine 15 mg at midday, s/l pol-e-sor 200 mg q.a.m. She takes Neurontin and Risperdal 1 mg. She ambulates with a cane and is improving on aqua-therapy.

?? Could be medication to aid in weaning off the narcotics.
posted new message by accident. It is listed in medication list.
Subject: posted new message by accident. It is listed in medication list.


Maybe Procrit? Check the HIV drug and medication links at the bottom of your message. nm
Subject: Maybe Procrit? Check the HIV drug and medication links at the bottom of your message. nm

b
without any context, maybe concha bullosa? next time give context. thanks!
Subject: without any context, maybe concha bullosa? next time give context. thanks!


Context, context, context. There is a lott
Subject: Context, context, context. There is a lott

of help out here but what is this?


Somehow my message went down to the white count message below, please see that message. (nm)
Subject: Somehow my message went down to the white count message below, please see that message. (nm)

x
pt medication list includes s/l lodapine. Purpose for medication is not stated. TIA
Subject: pt medication list includes s/l lodapine. Purpose for medication is not stated. TIA


Medication - s/l Endrion? Dictated in general medication list. TIA
Subject: Medication - s/l Endrion? Dictated in general medication list. TIA


more help needed same md sm
Subject: more help needed same md sm

Given the high incidence of MRSA, he was treated with extended CARO Penicillin of Unasyn
Thanks.Had to take a well needed
Subject: Thanks.Had to take a well needed

break and now done for the night.

I do not have that book but will have to invest. I get a lot of those and very confusing on how to write them.
help needed
Subject: help needed

I got cystoproctography, but does cystoproctoscopy exists as i could not find it in  stedman also,


 


 


thank u


james


Thanks, I needed that
Subject: Thanks, I needed that

:-)
Thanks! Exactly what I needed!!
Subject: Thanks! Exactly what I needed!!


Help needed MRI -
Subject: Help needed MRI -

MRI demonstrates marked narrowing of the patellofemoral joint, with subcortical signal s/l ontuation and marginal osteophytes.
Lab help needed
Subject: Lab help needed

Wet prep revealed 0 WBCs, moderate EPIs, no clue cells, slight trace bacteria, 0 yeast, 0 s/l trich.

Is trich correct - or should it be capped? Thanks.
Lab help needed
Subject: Lab help needed

Will send out LFTs, Epstein-Barr acute panel, and s/l CMV or CMB titer - Thanks
EKG help needed
Subject: EKG help needed

EKG showed normal sinus rhythm with a rate of 67. Normal intervals. Normal axis. No ectopy. There is T-wave flattening in s/l one, and T-wave inversion in aVL.

Does one sound correct? Would it be typed as I or 1? Thank you.
thanks - you don't know how much I needed that!
Subject: thanks - you don't know how much I needed that!


Lab help needed
Subject: Lab help needed

CBC reveals white blood cells of 5.1, hemoglobin 12.5, platelets 217. There were some s/l codes on the differential, so that was sent out.

Thanks.
help needed again....
Subject: help needed again....

Most likely, she will need calcaneal osteotomy and ___(FTL/FDL) tendon transfer to restore the alignment of her right foot  ___ (gentle/trying to stay in) place of this disease to degenerative posterior tibial tendon..............does it make sense..................
Thanks! That's what I needed!
Subject: Thanks! That's what I needed!

I really appreciate your help!
could it be p.r.n. (as needed)
Subject: could it be p.r.n. (as needed)

Thanks
Help is desparately needed.
Subject: Help is desparately needed.

How do you type this?  I never did ob/gyn before.  What does miss mean, and how do I format?  Any help is appreciated.  Thank you.


 


PAST MEDICAL HISTORY


1.      Gynecologic – G3, P2, 1 miss.  She had been followed by Dr. XXXXXXXX   Her last Pap smear was approximately two years ago, as was mammogram.  Menses are on a q 28-30 day cycle, but there are periods where she will skip and have a menses q.o. month.


Derm help needed sm
Subject: Derm help needed sm

Need help with words in bold.  Thank you.


 


SKIN:  Lots of seborrheic keratoses.  He does have an elevated 9 mm papule on left side of the face, which has some vascularization and central core.  It almost looks like acanthokeratosis, but basal cell carcinoma cannot be fully ruled out.  No other suspicious lesions.  He does have some miliary rubra on the back. 


Yes, the final s is not needed..sm
Subject: Yes, the final s is not needed..sm

leiomyoma, singular; leiomyomata, pleural. Leiomyomatas is not a word.


Your opinion needed
Subject: Your opinion needed

My doctor keeps saying psoricytic arthritis. I transcribe for him a lot, but this is what he is saying.


I am thinking he means psoriatic arhtritis. What do you think?


um I don't think they needed "grammar help"...nm
Subject: um I don't think they needed "grammar help"...nm


eye surgery help needed....
Subject: eye surgery help needed....

PREOPERATIVE DIAGNOSIS: Superior and temporal visual field loss due to s/l maglacoius, matiglacious, maniglacius?.

Procedure is bilateral blepharoplasty.

TIA.

Thanks! I just needed another opinion. nm
Subject: Thanks! I just needed another opinion. nm

nm
eye surgery help needed....
Subject: eye surgery help needed....

'PREOPERATIVE DIAGNOSIS: Dense nuclear sclerotic cataract with posterior subcapsular cataract right eye with s/l stroke exfoliation syndrome.'

Anyone know if 'stroke exfoliation syndrome' is correct? TIA.
psychiatry help needed....
Subject: psychiatry help needed....

'We put her on lorazepam for elevated SIWAS.'

Doc spells out SIWAS as above but am thinking it should be CIWAs. Please let me know what you think. TIA.
opinion needed....
Subject: opinion needed....

'Potassium chloride 20 mg p.o. every day'

Doc dictates as stated above but think dosage should read 20 mEq but am not sure if mg is also correct for this med. TIA.
Ortho help needed
Subject: Ortho help needed

Doing a rotator cuff tear repair.  two words 


Procedure: 1) Left shoulder arthroscopy, subacromial decompression with MINIMUMFER?  procedure.


the left upper extremity was prepped and draped in the usual sterile manner utliizing 8 pounds of traction in the ARTHREX?? arm holder?


THANKS


ophthalmology help needed....
Subject: ophthalmology help needed....

'Slit lamp examination demonstrates clear anterior segments with 2+ s/l MS in the right and 3+ s/l MS and 4+ PSC in the left.'


This sentence is part of examination. Thanks.
Opinion needed please
Subject: Opinion needed please

This is a 4-year-old with metabolic-type cardiomyopathy who required "Amikin chest tube treatment".


I see that Amikin is an antibiotic, but do not feel comfortable with the references I have found with chest tube and/or cardiomyopathy. I would appreciate any opinions on this. Thanks!


sm, ortho help needed
Subject: sm, ortho help needed

She also describes some vague weakness in the right upper extremity, such that when she was working the upper extremity _____try, she felt a heaviness.

The first part of the word is garbled, ends in "try". Anyone have a guess what might fit?

Drug help needed
Subject: Drug help needed

The past medical history is HIV, hepatitis C, underlying asthma, and gastroesophageal reflux disease.


The drug sounds like cyclobid 1 tablet b.i.d. It is as clear as anything but can't document it anywhere. He kind of botches drug names up sometimes so wondering if this is the case here.


Thanks!