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No, that doesn't work for this patient see message

Posted By: Kimberly on 2008-09-08
In Reply to: Pramipexole is used for treating the signs and symptoms of Parkinson disease - MTISME

Subject: No, that doesn't work for this patient see message

the other meds this patient is on are Lasix, Synthroid, Prilosex and asthma medications...no mentions at all of anything to do with Parkinson's.  .  Very clear speaking doctor, I am really getting a "Peripexol" sound no R sound after the P..




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Cardiac work, s/l eee by u prime. See message.
Subject: Cardiac work, s/l eee by u prime. See message.

So, looking for the lowest preload for each patient and aligning the lowest preload measure as ebyuu* prime reflects for each patient along each other, we saw in fact a U-shaped curve indicating that for each patient there is a unique AV delay that provides the best hemodynamic and contractile status for this patient, and that if you increase the AV delay over and above the optimum AV delay for each patient, you have a deterioration in the preload with an increase in *ebyuu prime*, and if you shorten it as well, you have an increase as well, so you have this U-shaped curve. 
The patient has a s/l pesh tube for feeds. Doesn't s/l push tube. nm
Subject: The patient has a s/l pesh tube for feeds. Doesn't s/l push tube. nm

.
Typing patient with lymphoma.. Please see message. Thanks.
Subject: Typing patient with lymphoma.. Please see message. Thanks.

Some patients if they have a lot of disease tend to have a lot of lymphoma in their peripheral blood, and that’s considered like kind of an extra s/l narital site but yours was negative.


patient denies s/l accumplates, see message
Subject: patient denies s/l accumplates, see message

The patient denies any fevers, chills, night sweats, weight loss, hemoptysis, pleuritic chest pain, nausea, synovitis, arthralgia, skin rash, s/l accumplates,  headaches or sinus pain.   


This is throwing me for a loop! 


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)
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
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
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM


Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.

nm
Work had to go in.....sm
Subject: Work had to go in.....sm

I emailed my QA (who is a sweetie, btw) and she had no idea, either. So, I sent the notes in flagged. She is going to try and find out about this "word". :) If she does, I'll let you guys know.

Thanks again!
lab work
Subject: lab work

woman with memory disturbances. had lab work including unremarkable vitamin B12, TSH, sl-amiga TP, and c-reactive protein.
RE: lab work
Subject: RE: lab work

I will take a stab at your sound-like (amiga) How about ammonia (level), guessing TPc is total protein. c-reactive should be C-reactive.
work help
Subject: work help

The patient also notes that he has had variable blood sugars and episodes of


sa-mo-g with blood sugars at 50 at appx. 3 a.m.


Work Help Please
Subject: Work Help Please

The doctor is saying with (s/l prodien) autoimmune syndrome, such as Lupus.  TIA.


 


 


Do you work there now for the Big S?
Subject: Do you work there now for the Big S?

xx
Where I work you are to use 5 instead of five.
Subject: Where I work you are to use 5 instead of five.

.,
who do you work for? they are one
Subject: who do you work for? they are one

lucky company!
Lab work
Subject: Lab work

I am transcribing lab work.  The doc states what sounds like "medical" alcohol is negative.  Am I hearing this correctly?  TIA
oh... that might work. Thanks
Subject: oh... that might work. Thanks


since it's lab work, would say x2. nm
Subject: since it's lab work, would say x2. nm

x
OB/GYN work help!
Subject: OB/GYN work help!

Doc says, . . . obtained an amniocentesis sample of amniotic fluid testing for s/l F-pole testing.  Would appreciate any help on this -- I don't know a whole lot about OB/GYN.  I Googled this and didn't get anything.
used to work with.
Subject: used to work with.


..used to work with..nm
Subject: ..used to work with..nm

nm
That might work! Thanks!
Subject: That might work! Thanks!


Help with lab work??
Subject: Help with lab work??

sodium of 140, potassium 4.5, BUN creatinine is 12 and 1.1 with glucose of 95 and s/l nyagus 2.3.


work help
Subject: work help

Thank you.
Thanks that does work
Subject: Thanks that does work

I had looked up apropos, but the definition that I found did not fit.  I looked further and found definitions that did fit.  Thanks for your help!!!!!
That would work too.
Subject: That would work too.


Where I work it is either way, 16 .9 (without
Subject: Where I work it is either way, 16 .9 (without

thousand following it) or 16,900.
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!
The work remottling
Does the "re" go without a hyphen to mottling? Help is most appreciated.
If I they work for the same company. . .sm
Subject: If I they work for the same company. . .sm

I usually address it to:


Cardiology Associates


100 Main Street


Anytown, USA


and then use the salutation, Dear Doctors:


Otherwise, if the dictator dictates each name you could do each name on a line, then the address and then either put the salutation as Dear Doctors, or Dear Drs. Smith, Jones, White and Green.


Dr. Sam Smith


Dr. Joe Jones


Dr. Willy White


Dr. Gary Green


100 Main Street


Anytown, USA


Without the spaces, of course. :)


all I know is I work for PS 10 years now...sm
Subject: all I know is I work for PS 10 years now...sm

and in the beginning I gave them Weiss pattern and they immediately changed that for me to *Wise*.........but if the MD is spelling Wyse, I'd give him that.......  even if he is wrong......*LOL*
would "tabescent" work here? sm
Subject: would "tabescent" work here? sm

SYLLABICATION: ta·bes·cent

ADJECTIVE: Progressively wasting away.

I work for two people....
Subject: I work for two people....

One person tells me to put disc for spine and disc for eyes.  This is for a neurology account.  The other person tells me to use disk for spine and disc for eyes.  This is for neurosurgery.  I still am not sure which one is correct though   I just go by what the person prefers.
with 4 numbers in MT work...........sm
Subject: with 4 numbers in MT work...........sm

1800-calorie diet.......no comma....you use commas in numbers when there are more then 4 numbers. 
Thanks!! Why I love MT work is because.....nm
Subject: Thanks!! Why I love MT work is because.....nm


HIV blood work
Subject: HIV blood work

Her CD4 count was 800 sl-desics (31%)
Thanks to all of you for your hard work. I appreciate it! nm
Subject: Thanks to all of you for your hard work. I appreciate it! nm


No laboratory work given ...
Subject: No laboratory work given ...

Patient is en route to emergency room status post plane crash with open fracture of the left ankle; no relevant laboratory work given but I would assume he would be kept NPO for surgery ... thought maybe IV fluids with bolus of pain medications in between (like a sandwich)? but I'm guessing !


Okay. I guess that would not work
Subject: Okay. I guess that would not work

LOL. I too have some shelves. I have never heard of that.
I work for 2 nationalsm, one FT, one PT, and have 8 (sm)
Subject: I work for 2 nationalsm, one FT, one PT, and have 8 (sm)

hospitals in the FT and 2 in the PT.  The PT is the one that pointed out my error (which frankly I'm not surprised by).  Thanks for the info.  I hate giving money to AAMT but guess I'll have to since they all seem to want to follow the "guidelines," which is laughable.  Thanks. 
Orthopedic work help again.
Subject: Orthopedic work help again.

In the examination he says "no evidence of hypersensitivity, no evidence of s/l skinmiling, no evidnece of RSD
seditious might work also. sm
Subject: seditious might work also. sm

meaning going against authority, etc?
what about just work of breathing
Subject: what about just work of breathing

same as saying difficulty breathing, basically having to work at it.