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Patient was "bronched". A few sentences before it is mentioned sm

Posted By: sandy on 2009-06-16
In Reply to:

Subject: Patient was "bronched". A few sentences before it is mentioned sm

that the patient was on a bronchodilator.




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OMG that's it b/c he mentioned it earlier with the same patient...
Subject: OMG that's it b/c he mentioned it earlier with the same patient...

It just didn't sound like Aricept the second time around, but I'm sure that is correct. Thanks to all who replied...:)
The sentences that contain your s/l would be a really BIG help! nm
Subject: The sentences that contain your s/l would be a really BIG help! nm

s
what are the other two sentences?
Subject: what are the other two sentences?


Here is one of the sentences. sm
Subject: Here is one of the sentences. sm

On examination of her back, any skin touch caused her to scream out and retract, hooked tuna type sign.
Two sentences or one?
Subject: Two sentences or one?


Two sentences or one?
Subject: Two sentences or one?

Headaches stable on Tylenol most likely secondary to stress.
or
Headaches stable on Tylenol. Most likely secondary to stress.

which one?
Could you give us the sentences before and after? That would really help. Thanks!
Subject: Could you give us the sentences before and after? That would really help. Thanks!

x


I would break it up into 2 sentences
Subject: I would break it up into 2 sentences

She is doing that often; in work situations and other situations. She is confirming that she is less passive.

ok, just how far do yo go in fixing the ESL sentences?
Subject: ok, just how far do yo go in fixing the ESL sentences?

I have this ESL this morning, and I am really stumped.  Her sentences don't make any sense.  How far do I go in fixing them?  I am afraid I will change the meaning.


Ex: (this is exactly what is dictated.)


Unfortunately, due to his severe and bad progression and aggressive and active MRI, we thought about even trying that with chemotherapy, and he was positive for core hepatitis B antibody that right suspicion of possible chronic infection.


Huh???  How much would you change to make it make sense??  This is just one of them.....


refractory something? How about the sentences before and
Subject: refractory something? How about the sentences before and

s
That's why the sentences are more helpful.
Subject: That's why the sentences are more helpful.

x
Sentences are always nice.
Subject: Sentences are always nice.

Sometimes when a person can get the idea of what is going on, there may be something that triggers the association. Are these components for a replacement, an orthotic, etc.? I was wondering if it was a #8 shell.
Should I take out one of the word (many) from these two sentences?
Subject: Should I take out one of the word (many) from these two sentences?

She advised me that for many, many years she had a tea and toast diet with a very poor protein intake, and admitted to not having consumed milk for many, many years. She also had the habit, as do many patients with osteoporosis, by lying down a great deal during the day to coop with her back pain before finally seeking medical attention.


Should I take out one of the word (many) from these two sentences?
Subject: Should I take out one of the word (many) from these two sentences?

She advised me that for many, many years she had a tea and toast diet with a very poor protein intake, and admitted to not having consumed milk for many, many years. She also had the habit, as do many patients with osteoporosis, by lying down a great deal during the day to coop with her back pain before finally seeking medical attention.


The sentences before and after the S/L will give us the clues we need. nm

x


Sentences reads this exactly - please read.
Subject: Sentences reads this exactly - please read.

Her major problem is breathlessness.  It is present with no exertion.  She used _____ oxygen.


It does not sound cut off.  tonelisary, denelisary


I am ready to scream.  Not sure if it is a method of oxygen or what.


how 'bout some sentences or history on pt....
Subject: how 'bout some sentences or history on pt....

x
Whole sentences help us understand what the doctor
Subject: Whole sentences help us understand what the doctor

is talking about.
Thank you! I wish they would speak in complete sentences!!!
Subject: Thank you! I wish they would speak in complete sentences!!!


Starting sentences of a file
Subject: Starting sentences of a file

The patient is a ----and most usual entries as follows


-old accountant


-old active duty military personnel


-old administrator


-old advertising sales specialist


-old administrative assistant


-old African-American


-old airhostess


-old architectural conservator


-old astrophysics


-old assistant


-old attorney


-old aunt


-old auto technician


-old author


 


-old black


-old boy


-old board member


-old bank manager


-old banking person


-old business owner


-old bus driver


-old bartender


-old brought by


-old Caucasian


-old child


-old carpenter


-old construction worker


-old creative director


-old communications director


-old college professor


-old daughter


-old disabled


-old dancer


-old driver


-old emergency room physician


-old Egyptian


-old executive


-old female


-old financial advisor


-old girl


-old gentleman


-old Hispanic


-old Hassidic


-old homemaker


-old heating ventilation and air-conditioning mechanic


-old heavy equipment operator


-old hospitalist


-old industrial electrician


-old internist


-old infant


-old lady


-old laborer


-old left hand dominant


-old male


-old musician


-old medical secretary


-old nurse


-old obese


-old Oriental male


-old patient


-old physical therapist


-old right handed


-old retired


-old retiree


-old recovery room nurse


-old student


-old son


-old semiretired child case worker/nurse


-old technical writer


-old teacher


-old twin daughters


-old white


-old woman


-old well driller


-old young


respiratory? sentences before or after might give more clues?
Subject: respiratory? sentences before or after might give more clues?


Personally, I do a verbatim account and I have begun sentences with "CT".
Subject: Personally, I do a verbatim account and I have begun sentences with "CT".


sentences are "He was also tachycardic, but in no respiratory distress. He is not s/l T tipnic.
Subject: sentences are "He was also tachycardic, but in no respiratory distress. He is not s/l T tipnic. NM

nm
oh you mean mentioned BELOW...LOL...nm
Subject: oh you mean mentioned BELOW...LOL...nm

x
No, that was already mentioned. Thank you!
Subject: No, that was already mentioned. Thank you!

x
"a for to mentioned" how to type
Subject: "a for to mentioned" how to type

I have heard this expression  but never seen it written out.  The patient was taken to the OR for the afore to mentioned operation.  TIA
I mentioned that because when I started out, sm
Subject: I mentioned that because when I started out, sm

we MTs had very few references, certainly no Google. We would beg doctors to give us their old PDR (Physicians Desk Reference) and would find lots of our S/L there. We oldsters were definitely word detectives in our day.
No, just as mentioned above is what I hear
Subject: No, just as mentioned above is what I hear


OMG Thanks so much! It's mentioned a ton of times.
Subject: OMG Thanks so much! It's mentioned a ton of times.

nm
No, unless a brand name is mentioned. nm
Subject: No, unless a brand name is mentioned. nm

s
If hospital mentioned yes, otherwise no. nm
Subject: If hospital mentioned yes, otherwise no. nm

.
A pacemaker is not mentioned so I'm not sure
Subject: A pacemaker is not mentioned so I'm not sure


Any other conditions mentioned?
Subject: Any other conditions mentioned?

It can also be used for bipolar and migraines.  I hope this helps!!
Thx for trying. No dosage mentioned. Will tag.
Subject: Thx for trying. No dosage mentioned. Will tag.


These two things you mentioned are not procedures or sm
Subject: These two things you mentioned are not procedures or sm

operations themselves.
anything mentioned about a recent flight...sm
Subject: anything mentioned about a recent flight...sm

if so, I bet it is "med in LA."
endoluminal centerline (fly through) may also be mentioned
Subject: endoluminal centerline (fly through) may also be mentioned

nm
Are there any unusual tests mentioned later on? nm
Subject: Are there any unusual tests mentioned later on? nm

s
I am going to listen again for it, but there were no symptoms mentioned for it. Thank you!
Subject: I am going to listen again for it, but there were no symptoms mentioned for it. Thank you!

x
Can only think of friable, but probably not if bleeding isn't mentioned. nm
Subject: Can only think of friable, but probably not if bleeding isn't mentioned. nm

s
that does not sound like the puhmegreeous mentioned
Subject: that does not sound like the puhmegreeous mentioned

but probably correct
But the right colon is mentioned in findings. Can we have
Subject: But the right colon is mentioned in findings. Can we have

s
Should have mentioned, spelled eukalemic.
Subject: Should have mentioned, spelled eukalemic.


maybe "drains" if mentioned previously. nm
Subject: maybe "drains" if mentioned previously. nm


Might be tonsillopharyngeal if the throat, oropharynx isn't mentioned after this. nm
Subject: Might be tonsillopharyngeal if the throat, oropharynx isn't mentioned after this. nm

s
That is it! He mentioned rheumatic fever earlier...thank you.
Subject: That is it! He mentioned rheumatic fever earlier...thank you.

f
thanks. I had already looked that up..& pt never mentioned nor did the dr about any whitish dischar
Subject: thanks. I had already looked that up..& pt never mentioned nor did the dr about any whitish discharge..sm

so I am not comfortable putting it. I will put a blank. thanks for trying.
Is it twins? Is the diagnosis mentioned again at end of the note? nm
Subject: Is it twins? Is the diagnosis mentioned again at end of the note? nm

s
Might be some kind of study. Any testing mentioned in there? nm
Subject: Might be some kind of study. Any testing mentioned in there? nm

s
I should have mentioned that the rash was on the trunk and extremites...
Subject: I should have mentioned that the rash was on the trunk and extremites...

He really is definitely EEEEEE tox.  Strong and obvious E sound. 

 

But thanks fellow graveyarder so much for trying to help.  Gonna have to blank it.  Darn it!


 

I think that's it...like I said to the other poster, he only mentioned it once in past medical (s
Subject: I think that's it...like I said to the other poster, he only mentioned it once in past medical (sm)

history and no where else.  But I listened again and heard the "s" at the beginning of the word that I didn't hear before.  Thank you!