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Pt with memory problems. and lots others. s/ Corete cell janka type symptoms. see message.

Posted By: tracy on 2008-10-22
In Reply to:

Subject: Pt with memory problems. and lots others. s/ Corete cell janka type symptoms. see message.

The patient has had weight loss since discontinuation of steroids.  The patient and her husband believe that the general improvement in her condition may be related to steroid use, and they point out a recent article in Archives of Neurology in which a channel antibody has been associated with corete cell janka type symptoms. 




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Hydergine is used for treating symptoms of declined mental capacity (memory, mood, and behavior prob
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Sorry, need lots of help with this letter See message
Subject: Sorry, need lots of help with this letter See message

On December 7, 2005, a PET/CT scan showed a decreased cervical mass compared to May 11, 2005, S/L chains ??of multiple lymph nodes more in number but smaller and less intense on a prior study.  There was resolved left pelvis uptake.
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Subject: Maybe for IBS type symptoms? sm

lactase?


 


See this link.


 


http://www.ibsgroup.org/medications


My MD dictates all the time, "perimenopausal symptoms" I can't document. Should I type it
Subject: My MD dictates all the time, "perimenopausal symptoms" I can't document. Should I type it anyway?


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Subject: perhaps "carcinoma of clear cell type" nm


amorphus also relates to cell type, morphology, does it fit/sound right? NM
Subject: amorphus also relates to cell type, morphology, does it fit/sound right? NM


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Subject: he could not identify the cell type lesion, although this suggests s/l men-ga-lary thyroid cancer.

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Subject: The symptoms of perimenopause or perimenopausal symptoms. Why not?? nm

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Lots of Detail for Lots of Help!
Subject: Lots of Detail for Lots of Help!

Okay, I'm transcribing a SOAP note and this word that I'm trying to figure out is under the ASSESSMENT AND PLAN part. She says the word three times and I am now thinking she is saying something like "number next or number next is." What do you think?


(Normonaxis) Anemia may be caused from a recent epistaxis. He will start an iron pill daily over the counter called Fergon. Next visit we will check a hemoglobin, iron studies. (Normonax) He was in for right shoulder pain in the past. This was resolved. (Normonax) Recent qualm was treated with doxycycline.


Also, I was told to transcribe this using a straight SOAP format, but the doctor dictates things like "Review of Systems" and "Exam." I didn't think those headings or subheadings were in a SOAP format. She never dictates "Subjective" or "Objective," only "Assessment And Plan" as one heading towards the end of the report. Any advice?


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Subject: Maybe hairy cell CLL or T-cell CCL (also Sezary syndrome. nm

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York cell or yolk cell tumor?
Subject: York cell or yolk cell tumor?

The dictator is spelling it but he is oriental and does the R for L substitution!


Testicular cancer.  Yolk or York?   I did a google search and York University has a lot of research papers on such subjects.  Otherwise, nada.


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Could someone help with correct way to type labs. Please see message.
Subject: Could someone help with correct way to type labs. Please see message.

ANA has fluctuated rapidly from 1 to 1280 to 0 depending on the lab in which it is measured.

How would you type this? Thanks so much.
non-small cell or nonsmall cell?
Subject: non-small cell or nonsmall cell?

I was taught that typically we do not use hyphens but QA changed mine.  That doesn't mean it is correct (as we all know), so thought I would ask you all. 


Thanks for your help!


T-cell rich, B-cell lymphoma?
Subject: T-cell rich, B-cell lymphoma?


memory drugs
Subject: memory drugs

Hello!  I need some help for a foreign acquaintance of mine.  He's from the Ukraine, or thereabouts, and has been having memory problems.  His doctor discussed some meds with him, but he can't remember what they were, and now he's too embarassed to ask about them again!!??  I told him I'd see if we could get a list together, in the hopes that one (or more) of them would jump off the page at him, and he'd remember what he and his Dr. discussed.  Help me! 


Thank you, now all I have to do is commit that to memory...lol, Thanks again (nm)
Subject: Thank you, now all I have to do is commit that to memory...lol, Thanks again (nm)


Come on - not memory foam
Subject: Come on - not memory foam

Nothing comes to mind for the memory portion, but the foam is more than likely "from" edema, don't you think.
No, it is not about memory problem.
Subject: No, it is not about memory problem.

This has to do with problem eating, but thanks anyway, and it is very clear he is saying "pneumestic" or "numestic", etc.  I even tried plugging in a word ending in "mastic" having to do with chewing, but no luck.
drug for memory?
Subject: drug for memory?

The patient was electrocuted and takes this for memory...sounds like "namotin" or "nanotin"....???


 


Help!


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Subject: Indirect memory


Respondent memory is right.
Subject: Respondent memory is right.

A respondent is defined as "one who responds."
If it's truly that and not say 9.7, then give it to them. They may just be stating it from memory
Subject: If it's truly that and not say 9.7, then give it to them. They may just be stating it from memory

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help refresh my memory...C.diff...
Subject: help refresh my memory...C.diff...

How do you spell the word that is the "C" in C. difficile?  He's pronouncing it but I can't find it, I'm drawing a blank here....
like, no edema from the memory foam
Subject: like, no edema from the memory foam

nm
Pt with memory problem on B12 and s/l methylphelonic acid. nm
Subject: Pt with memory problem on B12 and s/l methylphelonic acid. nm


on a short term memory test do they say
Subject: on a short term memory test do they say

recall 2 out of 3 s/l Pad?? objects after 5 mintues
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Subject: med help. Cosenex? kofanac? for memory issues. Thanks!


Memory foam edema?? quite clear
Subject: Memory foam edema?? quite clear

nm
Thanks! My memory is faulty and I thought it was for the symbol itself.
Subject: Thanks! My memory is faulty and I thought it was for the symbol itself.


Yes. Patient is able to respond to memory testing etc. nm
Subject: Yes. Patient is able to respond to memory testing etc. nm


You're welcome - my long-term memory still good
Subject: You're welcome - my long-term memory still good


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Subject: Just guessing, "some problems" with short-term memory?


Just for the heck of it, can you hear "lapses in short-term memory"?
Subject: Just for the heck of it, can you hear "lapses in short-term memory"?

x
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Subject: He's probably relying on his poor memory and NOT reading off the package. Use Destination. nm

s
Razadyne is used for: Treating mild to moderate impairment of memory
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Subject: Patient is oriented to time, person and place with good *respondent* memory. Does this make sense?


thank you lots
Subject: thank you lots


Lots and lots of thanks
Subject: Lots and lots of thanks

Many thanks wanderer. I never would have figured that out. I am going to add your name to my list of Favorites.
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Subject: lots of them say GOT and GPT instead of


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
We know. This person has lots of sm
Subject: We know. This person has lots of sm

trouble with the English language, to say nothing of the medical language. His (I'm assuming he's male) questions are very confusing. See above. It's scary.
I use lots of sites - SM
Subject: I use lots of sites - SM

I use google first and get to healthgrades dot com if I know the state and then I only click on the CACHE button thru google and only the MD I'm searching for will highlight in all the states.  I hope I made myself understood in that sentence.  I also use anywho dot com and 411 dot com, 411locate dot com, dr-411 dot com, and last but far from least:


http://www.upinregistry.com/provider_form.asp


http://upin.ecare.com/


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Subject: Thank you! There are lots of sites...

out there on google who have drug-eluding. I did look that up and thought I chose the right one!! Thanks!
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Subject: Lots of things it could be, unfortunately. Why do you think

s
It gets lots of hits on
Subject: It gets lots of hits on

googling the phrase. I think I've heard it dictated before also.
We use 'd on lots of things they say.
Subject: We use 'd on lots of things they say.

x
Lots of docs
Subject: Lots of docs

say patellar crepitus as patellar is referring to the patella. Just another way to say patella crepitus. :-)
I learn lots
Subject: I learn lots

from "late" posts. :-)
More info would help lots.
Subject: More info would help lots.


I know...lots sounded very weird. :) Thanks. NM
Subject: I know...lots sounded very weird. :) Thanks. NM

d