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Pt with restless leg syndrome. Lab work ordered. sm

Posted By: Jan on 2007-12-28
In Reply to:

Subject: Pt with restless leg syndrome. Lab work ordered. sm

Serum protein electrophoresis normal, ANA negative, _______ ??? vasculity is negative.


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That med is also used for restless leg syndrome.
Subject: That med is also used for restless leg syndrome.


She has restless leg syndrome, but is is also similar to when she had...sm...
Subject: She has restless leg syndrome, but is is also similar to when she had...sm...

S/L TRANSPUS ARAL E ITIS  many years ago and she has had these symptoms persistant since then.  Thanks in advance!!!!


 



Restless leg syndrome medication
Subject: Restless leg syndrome medication

Doctor spells Mirajet.  I cannot reference this.  Used the drug reference,  a drug site on the web and also googled restless leg syndrome as well as different spellings of the drug.  I am wondering if it is supposed to be Mirapex.  Any suggestions?
I would expect him to say restless legs
Subject: I would expect him to say restless legs

or even itchy legs. Unfortunately it is possible he is quoting the patient's description. If you are sure, I'd do it as you have it, with the quotes. If you aren't sure, then I'd blank it.
ropinirole? (Parkinson's/restless legs), does come in 0.25 mg
Subject: ropinirole? (Parkinson's/restless legs), does come in 0.25 mg


He is referring to restless legs (from previous) but clearly says "skitchy". Ideas?
Subject: He is referring to restless legs (from previous) but clearly says "skitchy". Ideas?


PT/NOT ordered
Subject: PT/NOT ordered

For a patient who had back surgery and then came back with severe leg spasms. She was treated with IV Ancef, IV fluids at 80 and IM Toradol every 6 hours.  She was on a PCA, which was later stopped and changed to oral medication.  She received IV Decadron x 1 for the spasms, IV Pepcid x 1 and PT/NOT was ordered. 


What would the PT/NOT stand for? 


yes if it was ordered stat
Subject: yes if it was ordered stat


The UA was not obatined per s/l CAP, which was ordered.
Subject: The UA was not obatined per s/l CAP, which was ordered.

Have not heard of this one.  Suggestions?
Regarding tests ordered for cancer...sm
Subject: Regarding tests ordered for cancer...sm

I talked with the patient and I will order the CA-125, CEA and ____ (s/l Alasa)  to rule out any problems.


Pt worried about having cancer and wanted tests ordered. 


TIA


 


Regarding tests ordered for cancer...sm
Subject: Regarding tests ordered for cancer...sm

PSA???

male/female?
Maybe pending as in ordered, but not yet performed?
Subject: Maybe pending as in ordered, but not yet performed?


is there a lactic acid dyestat? says it was ordered and was 1.54
Subject: is there a lactic acid dyestat? says it was ordered and was 1.54


lupus screen with ANA and s/l antha? DNA was ordered
Subject: lupus screen with ANA and s/l antha? DNA was ordered


s/l night pride and Esmolol were ordered nm
Subject: s/l night pride and Esmolol were ordered nm

nm
iron repletion, "once a day" as ordered?
Subject: iron repletion, "once a day" as ordered?


Ordered for albuterol inhaler "H F A" 2 puffs q.4 hours prn. nm
Subject: Ordered for albuterol inhaler "H F A" 2 puffs q.4 hours prn. nm


Pt advised to increase her oral intake of fluids based on S/L ?leuk est? was trace. ?UNC&S? ordered
Subject: Pt advised to increase her oral intake of fluids based on S/L ?leuk est? was trace. ?UNC&S? ordered

NM
Could it be as simple as hepatorenal syndrome or hypo/hyperventilation syndrome? Does neuro give a
Subject: Could it be as simple as hepatorenal syndrome or hypo/hyperventilation syndrome? Does neuro give a

s
possibly Ayerza syndrome? Search to see if it fits. How is your syndrome being treated? nm
Subject: possibly Ayerza syndrome? Search to see if it fits. How is your syndrome being treated? nm

s
Patellofemoral syndrome versus Patella-femoral syndrome? (sm)
Subject: Patellofemoral syndrome versus Patella-femoral syndrome? (sm)

Are there any ortho MTs who can give documentation regarding the above, in so far as, what distinguishes one from the other?  Thanks in advance.


s/l either "Lilly Geilech" syndrome or "Rolling Geilich syndrome"
Subject: s/l either "Lilly Geilech" syndrome or "Rolling Geilich syndrome"

It's in the secondary diagnosis, and an ESL doc. Any suggestions?
Could it just be trisomy syndrome or Cri-du-chat syndrome? So many to choose from. nm
Subject: Could it just be trisomy syndrome or Cri-du-chat syndrome? So many to choose from. nm

s
maybe saying something like FB syndrome or failed back surgery syndrome ?
Subject: maybe saying something like FB syndrome or failed back surgery syndrome ?


? s/l bichette syndrome, pachette syndrome, has anyone heard of that?
Subject: ? s/l bichette syndrome, pachette syndrome, has anyone heard of that?


dysmetabolic syndrome versus metabolic syndrome
Subject: dysmetabolic syndrome versus metabolic syndrome

Is dysmetabolic syndrome and metabolic syndrome used interchangeably?  In this dictation the doctor refers to it in the past medical history as metabolic syndrome and then in the assesment/plan as dysmetabolic syndrome. 
There is TTT syndrome and BBB syndrome but need for more info to know if either will fit
nm
Can outlet syndrome or thoracic outlet syndrome be found in there? nm
Subject: Can outlet syndrome or thoracic outlet syndrome be found in there? nm

s
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.
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*