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Patient is also on Coumadin therapy because he had a s/l "port a cable" thrombosis at one time

Posted By: No Name on 2009-03-09
In Reply to:

Subject: Patient is also on Coumadin therapy because he had a s/l "port a cable" thrombosis at one time.

:-)


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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!
Only time I have heard ETC is electroconvulsive therapy?
Subject: Only time I have heard ETC is electroconvulsive therapy?


Patient was on optimal therapy...this must be ESL.
Subject: Patient was on optimal therapy...this must be ESL.

x
Is patient trying to get preggo? Or discussing estrogen therapy?? Might be
Subject: Is patient trying to get preggo? Or discussing estrogen therapy?? Might be

s
s/l the patient underwent radiation therapy using s/l MD ANDERSON protocol....NM is this right? TIA
Subject: s/l the patient underwent radiation therapy using s/l MD ANDERSON protocol....NM is this right? TIA


The knee was debrided, closed back up and patient was initiated on IV antibiotic therapy so as to s
Subject: The knee was debrided, closed back up and patient was initiated on IV antibiotic therapy so as to s

s/l ensure infection prior to placing the prosthetic knee implant. Thanks
Patient is continue going to hand therapy to have her s/l lasamer pads made weekly. ?
Subject: Patient is continue going to hand therapy to have her s/l lasamer pads made weekly. ?


"Port Right IJ single-lumen power port" ?? tks.
Subject: "Port Right IJ single-lumen power port" ?? tks.

That's how it sounds to me!


was the patient found on the floor for some time?
Subject: was the patient found on the floor for some time?

x
more help on scoliosis patient, really having a hard time here!
Subject: more help on scoliosis patient, really having a hard time here!

She has a 1.8 mm S/L- celutoe translation at L3-L4 level. 


Radiographs show s/l- a foot 80 degrees right thoracic, 76 lumbar.  ( it really sounds like he is saying foot, he is foreign, and I do not understand where foot would fit in, but Im not familar with typing these notes. 


THANKS SO MUCH!!


Patient has an appt in a weeks time.
Subject: Patient has an appt in a weeks time.

Is it weeks, week's or weeks'?
To clarify, the word "port hole" is NEVER correct. Always type portal
Subject: To clarify, the word "port hole" is NEVER correct. Always type portal


Third time now.. "The patient took his Advair this morning and Butavent at 6 a.m. and 10 a.m."
Subject: Third time now.. "The patient took his Advair this morning and Butavent at 6 a.m. and 10 a.m." :(


Patient had lap cholecystectomy. Denies "diet-ation" at current time. ??
Subject: Patient had lap cholecystectomy. Denies "diet-ation" at current time. ??

No other details,  sounds like "diet -ation" ?


Any ideas?


cable wire? nm
Subject: cable wire? nm


also..is there para-cable node
Subject: also..is there para-cable node

I can't reference this
Dall-Miles cable
Subject: Dall-Miles cable

:)
Patient is oriented to time, person and place with good *respondent* memory. Does this make sense?
Subject: Patient is oriented to time, person and place with good *respondent* memory. Does this make sense?


am I hearing CABLE lymph node??
Subject: am I hearing CABLE lymph node??

open x lap
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Subject: s/l doll miles cable..one of those days!!

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with thrombosis of stent?
Subject: with thrombosis of stent?

meaning she had stent placement, discontinued plavix and then clotted the stent
DVT - deep venous thrombosis
Subject: DVT - deep venous thrombosis

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What is this "plamery cemal"?
DVT? deep venous thrombosis ? nm
Subject: DVT? deep venous thrombosis ? nm

xx
Depends on what ports you have on laptop and type of cable you have on the screen...sm
Subject: Depends on what ports you have on laptop and type of cable you have on the screen...sm

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treatment for in situ thrombosis.... see message
Subject: treatment for in situ thrombosis.... see message

The doctor is dictating:  ....occlusive disease of the small arteries with in situ thrombosis, for which you were placed on s/l dyperdimal, Trental and neurontin.  TIA........ 


s/l SADs for Deep Vein Thrombosis
Subject: s/l SADs for Deep Vein Thrombosis

Doctor is recommending *SADs* or *SEDs* for DVT prophylactics.  Can't figure out what it is???  Any help would be appreciated.
Probably Port-a-Cath induced thrombosis......
Subject: Probably Port-a-Cath induced thrombosis......

xx
DVT (deep venous thrombosis) and PE (pulmonary emboli
Subject: DVT (deep venous thrombosis) and PE (pulmonary emboli


cardio..RCA stented 2005, after which she discontinued her plavix. s/l Thrombosis stent and ...
Subject: cardio..RCA stented 2005, after which she discontinued her plavix. s/l Thrombosis stent and ...

underwent cardiac catherization October 2005 with another stent being placed.
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?


CPAP therapy s/l stazen therapy
Subject: CPAP therapy s/l stazen therapy

Patient has been given information on desensitization techniques as well as s/l "stazen or stay on" therapy to improve her tolerance of CPAP.
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
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. 


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

,,
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! 
what time are we using here in mtStars? US time or India time?
Subject: what time are we using here in mtStars? US time or India time?


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
is it protime, pro-time, or spelled out prothrombin time? also, where did you find it.. i've look
Subject: is it protime, pro-time, or spelled out prothrombin time? also, where did you find it.. i've looked.

xx
with time are you supposed to put the word hour after the time, i.e. 1600 hours
Subject: with time are you supposed to put the word hour after the time, i.e. 1600 hours

nm
that would be two weeks' time. 's is singular (one week's time) and s' is pleural (two
Subject: that would be two weeks' time. 's is singular (one week's time) and s' is pleural (two weeks' time)

nm
pro time, no hypen, two words, as if your typing prothrombin time
Subject: pro time, no hypen, two words, as if your typing prothrombin time