| None of the two suggestions match as to what he is saying! The doc has a strong accent and he clearlPosted By: mt on 2008-12-17In Reply to: Other areas?   - Me
 
 Subject: None of the two suggestions match as to what he is saying! The doc has a strong accent and he clearly says the word ending with "odiets" . I
 
 I have sent it for QA. Thanks for all your help
 
 
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 strong mid eastern accent (sm)
 Subject: strong mid eastern accent (sm)
 
 
 diagnosed with s/l glycogen stewers disease and elevated liver enzymes 
 RE:  Liver Tansplant 
 TIA 
   
 TIA Possible match
 Subject: Possible match
 
 In my OB-GYN book I see putrescine, but it doesn't show it combined with BV.  When I googled the words together, putrescine seems to have something to do with diagnosing this problem, so research it yourself to see if it works.
 Thanks- that looks like a match!
 Subject: Thanks- that looks like a match!
 
 
 closest match I come up with is
 Subject: closest match I come up with is
 
 Nicotinamide 25 mg - maybe someone misspelled it before?
 May be 1-haplotype match.  nm
 Subject: May be 1-haplotype match.  nm
 
 nm
 The doses don't match up though. but thanks for trying. nm.
 Subject: The doses don't match up though. but thanks for trying. nm.
 
 x
 Thanks.  I still don't see a match for what he is saying.  Maybe s/l "no kay kay test" will
 Subject: Thanks.  I still don't see a match for what he is saying.  Maybe s/l "no kay kay test" will ring a bell?
 
 
 good suggestion but. no match.  tx!  nm
 Subject: good suggestion but. no match.  tx!  nm
 
 
 I listened for those for thing but that't not it.  Doses do not match either.
 Subject: I listened for those for thing but that't not it.  Doses do not match either.
 
 
 Usually bounding and strong. Don't know your sounds like. Sorry. nm
 Subject: Usually bounding and strong. Don't know your sounds like. Sorry. nm
 
 b
 Pulses are FULL AND strong
 Subject: Pulses are FULL AND strong
 
 would s/l full-en-strong.
 (s/l) walking strong?? leukemia
 Subject: (s/l) walking strong?? leukemia
 
 Thanks in advance.  If can help ASAP, would appreciate it.
 A strong "GEE" sound.
 Subject: A strong "GEE" sound.
 
 I'm not comfortable with that, but he could be saying it wrong (like that ever happens). Thanks again though.
 Spelling is not a doc's strong point! :) nm
 Subject: Spelling is not a doc's strong point! :) nm
 
 s
 That's it!  Thanks... sounded like a strong V sound
 Subject: That's it!  Thanks... sounded like a strong V sound
 
 
   
 s/l    supris max strong??  graft
 Subject: s/l    supris max strong??  graft
 
 
 Doing a massive rotator cuff tear repair.  Here is the full sentence.  At this point, the  Wright Medical   supris max strong??  graft was then used covering the area of the repair using Vicryl suture medial anterior and then using the lateral double row as the lateral margin of the graft covering the entire area of the repair well. 
 I am assuming it is Wright Medical, so I googled that but I cannot find the supris max strong. 
 Thanks for any help. voice is strong without any s/l validy
 Subject: voice is strong without any s/l validy
 
 She has tight eye closure and her voice is strong without any validy.  Does not sound like valitidy.
 I had to turn it in with a blank, although I looked in Stedman's before and could not match the s
 Subject: I had to turn it in with a blank, although I looked in Stedman's before and could not match the sound with anything listed.
 
 
 You might be hearing "tissue" match as there are 6 antigens/antibodies they look for
 Subject: You might be hearing "tissue" match as there are 6 antigens/antibodies they look for
 
 s
 s/l neohepatocolic ligaments -- cannot find reference match - nm
 Subject: s/l neohepatocolic ligaments -- cannot find reference match - nm
 
 s
 update on phrase "coolum and strong"
 Subject: update on phrase "coolum and strong"
 
 
 FINALLY figured this one out.  The doc got real slow for once and the phrase he uses all the time for ie: pulses are & it s/l coolum and strong??? 
 BUT, alas...he is saying equivalent and strong....yeahhhhhhhhhhhhhh thank's everybody for their previous help on this I don't *think* that's it...it sounds like a very strong E at the start of the word. Thanks th
 Subject: I don't *think* that's it...it sounds like a very strong E at the start of the word. Thanks though!
 
 
 medication s/l Low-fon 32 mg IV? I found Lofene but cannot find a dosage to match
 Subject: medication s/l Low-fon 32 mg IV? I found Lofene but cannot find a dosage to match
 
 
 maybe "EOM" strong - extraocular eye movement/motion
 Subject: maybe "EOM" strong - extraocular eye movement/motion
 
 
 Nl perineal body and "levitus" with very strong ____ contractions, 5/5  sm
 Subject: Nl perineal body and "levitus" with very strong ____ contractions, 5/5  sm
 
 
 
 Normal perineal body and "levitus" with very strong ____| QA MARKER: 159 |____ contractions 5/5, not tender and the patient was able to kegal exercises very well upon request. still doing s/l soap-suds-rinse and Benadryl because QDall was not strong enough to stop the itch
 Subject: still doing s/l soap-suds-rinse and Benadryl because QDall was not strong enough to stop the itch
 
 that can't be right...what I am supposed to be hearing.  ??
 Thanks for the suggestions
 Subject: Thanks for the suggestions
 
 It was almost midnight last night and my Stedman book lists about 15 "M" signs.  I was hoping someone could help narrow the search, and yes, of course, I would look up any definition before using it.  I sent it to QA due to the late hour.  I'll have more time to devote to it today.
 Thanks!
 d~
 Thank you all for your suggestions . . .
 Subject: Thank you all for your suggestions . . .
 
 and it still may be what he is saying, but as you guys mentioned, rather than 'maneuver' it is usually followed by either 'sign' or 'test'.  It really sounds like Dover's (or 'there was'), so I am just not sure.
 
 Thanks again for the thoughts.
 Tried your suggestions, but they
 Subject: Tried your suggestions, but they
 
 did not work.  I wound up for a second losing sound through my headphones.  I'll try again when I have a little time to spare.  It is actually just this one particular doc I have to turn up, so usually it is not really a big deal, but man, is it loud for this guy.  I cannot seem to locate the spellcheck under your second suggestion.  Thanks so much for replying.  I really appreciate it.
   Thanks for the suggestions, but I think
 Subject: Thanks for the suggestions, but I think
 
 spirochete got butchered by a false start --
 
 You're right, though . . . pretty disgusting stuff (ewwwww!)
 
 Happy 4th!
 A few suggestions...
 Subject: A few suggestions...
 
 Angiogenic, angiolupoid, angioma, angiomatoid, angiosarcoma
 
 Hope that helps!
 Any suggestions?
 Subject: Any suggestions?
 
 
 The dictator says, "G4, P1, 1-1-3"  What does the 1-1-3 mean and how do I express it? any other suggestions.
 Subject: any other suggestions.
 
 
 Does anyone have any other suggestions?
 EXTREMITIES: Extremities show [hemerisnos] bilaterally.
 P*?! Any suggestions?
 Subject: P*?! Any suggestions?
 
 
 nephrolethiasis with status post pyelolethotomy? s/l. 
   Thanks so much for the suggestions
 Subject: Thanks so much for the suggestions
 
 I am looking them up and listening again.  I am pretty sure you got it!  Thanks again.
 Thanks for all the suggestions, I still don't think I have it.
 Subject: Thanks for all the suggestions, I still don't think I have it.
 
 Darnit.  He speaks English very plainly, so unless there is a skip on the tape or something, I have no idea.  I think I'm going to have to leave a blank this time.  There is no mention of this diagnosis anywhere else in the report either.  I wonder if QA will be able to get it.
 Good suggestions, but he says it clearly sm
 Subject: Good suggestions, but he says it clearly sm
 
 each time I get him.  I sent both of today's reports to QA.  I'll let you know what I find out.  Thanks!
 
 Thanks for the good suggestions
 Subject: Thanks for the good suggestions
 
 It may have been gutters and he was just mumbling it...I already flagged and sent it, but thanks for the help.
 Thanks for all the suggestions.. I am leaving it for QA since i am not sure! thanks for help
 Subject: Thanks for all the suggestions.. I am leaving it for QA since i am not sure! thanks for help
 
 
 Any more suggestions besides Thyamex?
 Subject: Any more suggestions besides Thyamex?
 
 
 Most likely vomitus.  Thanks for all the suggestions!
 Subject: Most likely vomitus.  Thanks for all the suggestions!
 
 
 Thanks for excellent suggestions, sm
 Subject: Thanks for excellent suggestions, sm
 
 
 I'm sure she is saying some version of "mentating" or "orientation" but I will have to send blank, as it is so not clear exactly what it is.  Medication s/l  Sirculax...any suggestions?  NM
 Subject: Medication s/l  Sirculax...any suggestions?  NM
 
 x
 wasn't trying to be rude, just the suggestions--sm
 Subject: wasn't trying to be rude, just the suggestions--sm
 
 given had absolutely nothing to do with the low back, which she specifically mentioned in her post. Not all MTs are way off in what they are asking about or looking for and some of these suggestions that have nothing to do with their requests can be very misleading, as well.  JMO and again, not meant to be rude.
 thanks for the suggestions, but i definitely hear a P sound. =) nm
 Subject: thanks for the suggestions, but i definitely hear a P sound. =) nm
 
 x
 SL  subacute O-DEN infarction???  Any suggestions???
 Subject: SL  subacute O-DEN infarction???  Any suggestions???
 
 
 Mr.___ today denies any worst headaches in his life or history of intracranial hemorrhage.  He has had the episode of left side weakness in the past and findings on the MRI suggested for subacute ** infarction. S/L space difficulty?? any suggestions?  thanks!!1
 Subject: S/L space difficulty?? any suggestions?  thanks!!1
 
 
 Mr. ___ today denies any worst headaches in his life or history of intracranial hemorrhage.  He has had the episode of left side weakness in the past and findings on the MRI suggested for subacute old infarction.  He denies any new symptoms and today has stated some visual symptoms of blurring but no binocular visual loss, new focal motor weakness, ***difficulty or sensory loss.   Thank you both.  I'm not sure.  It sounds like both suggestions at different times.
 Subject: Thank you both.  I'm not sure.  It sounds like both suggestions at different times.
 
 
 got it!!! C. trachomatis... thanks for your correct suggestions!
 Subject: got it!!! C. trachomatis... thanks for your correct suggestions!
 
 tc
 None of your suggestions make any sense
 Subject: None of your suggestions make any sense
 
 with the word impingement, however.  Impingement of a walker, leg brace or artificial knee joint does not make sense if it's a hip, as the sites I found suggest.  The sites I found suggest it is another name for a specific part of the femoral head.
 that is what I was thinking but wanted to see if anyone else had any other suggestions.  Thanks.
 Subject: that is what I was thinking but wanted to see if anyone else had any other suggestions.  Thanks.
 
 
 
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