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RELY study program is Randomized Evaluation of Long term anticoagulant

Posted By: MT50 on 2008-01-16
In Reply to: Patient will continue on the s/l rely study program. - Lori

Subject: RELY study program is Randomized Evaluation of Long term anticoagulant




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Randomized Evaluation of Long-Term Anticoagulant Therapy (RELY)
Subject: Randomized Evaluation of Long-Term Anticoagulant Therapy (RELY)


Patient will continue on the s/l rely study program.
Subject: Patient will continue on the s/l rely study program.


I would be curious to know correct term for this study...purpleadvocate...let us know!
Subject: I would be curious to know correct term for this study...purpleadvocate...let us know!


long-term illness.. sm
Subject: long-term illness.. sm

or: illness is long term, without dash... never used longterm... hope this helps
You're welcome - my long-term memory still good
Subject: You're welcome - my long-term memory still good


Perforomist is used for long-term treatment of asthma.
Subject: Perforomist is used for long-term treatment of asthma.


Thanks....stupid ASR. Been correcting that term for so long I was doubting myself.
Subject: Thanks....stupid ASR. Been correcting that term for so long I was doubting myself.

Thought maybe I was out of the ordinary in typing S1, S2 as it ALWAYS comes up S1-S2. Stupid fricken ASR, grumble, grumble, grumble.
gaze-evoked? Long time since ENG but remember that term. nm
Subject: gaze-evoked? Long time since ENG but remember that term. nm


Could it possibly be LTAC..for long term acute care? nm
Subject: Could it possibly be LTAC..for long term acute care? nm

nm.
Fat accumulation on back of the neck can be caused by long-term steroid use.
Subject: Fat accumulation on back of the neck can be caused by long-term steroid use.


In Review of systems: Hem/Lymph: Has long-term bruising, no s/l atreemia, noncontributory. nm
Subject: In Review of systems: Hem/Lymph: Has long-term bruising, no s/l atreemia, noncontributory. nm


breast cancer study - Veridex versus "Gupta-Didert-Nath study"
Subject: breast cancer study - Veridex versus "Gupta-Didert-Nath study"


That's definitely it, can't rely on doc spelling
Subject: That's definitely it, can't rely on doc spelling

as he spelled it Times and I have been going crazy looking for it as Timmes, or Timies...Thank you so much for your expertise!

:)
Use your drug book and rely on it
Subject: Use your drug book and rely on it

Just because they pronounce badly, depend on your drug reference resources. You have to ignore the bad pronunciation and rely on your resource materials. It is amantadine just as it says in your drug book
Only my take, but please don't rely exclusively on Google...sm
Subject: Only my take, but please don't rely exclusively on Google...sm

as your reference.  I have been doing this for 26 or more years, home, hospital, office, clinic, radiology, every specialty, plus rad/psych, and I have seen things really messed up spelling-wise in Google, there is lots of misinformation there.  I have also come up with different spellings and answers for the same thing on different days!  Perhaps it is because I came into this field before the internet (gasp) and even before PCs, (gasp/faint), I find that Google is okay for a quick double-check on something you are pretty familiar with, but NOTHING beats Stedman's, Dorland's, Mosby's, and some of the other reference books.  It take longer to look up, but I keep mine always handy (all three shelves) updated, and you learn and retain knowledge so much better and remember much more!!  Hope I am not preachy, I just see a lot of MTs relying solely on Google and getting into trouble because of someone else's mistake that gets regurgitated up on a search.



I don't rely solely on Google either. However,
Subject: I don't rely solely on Google either. However,

if the word pops up and it is a legit medical web site then it is probably correct. I never take it at face value, I always go in and look at what it is saying, etc. But, it can point you in the right direction.
anticoagulant?....nm
Subject: anticoagulant?....nm

nm
s/l Leukos anticoagulant
Subject: s/l Leukos anticoagulant

She is status post pulmonary embolism and the ____ (s/l leukos) anticoagulants positive and follows with hematology. 


Difficult to hear.  She is rustling papers while talking.  TIA


Arixtra? anticoagulant......???
Subject: Arixtra? anticoagulant......???


lupus anticoagulant syndrome? sm
Subject: lupus anticoagulant syndrome? sm


Anti-Phospholipid Antibodies (Lupus Anticoagulant)





In general, to diagnose the syndrome, a positive blood test to either the lupus anticoagulant or the anticardiolipin antibody on two separate occasions at ...
www.thedoctorsdoctor.com/diseases/antiphospholipid_antibody.htm - 75k - Cached - Similar pages--------------------------------------------------------------------------------------------------


Lupus Anticoagulant - New Treatments, May 2, 2006





It is a relatively common syndrome, often known as the antiphospholipid syndrome or lupus anticoagulant syndrome. Its diagnosis depends both on clinical and ...
www.medical-library.org/journals_6a/lupus_anticoagulant.htm - 16k -

s/l bout of lupus anticoagulant
Subject: s/l bout of lupus anticoagulant

It sounds like the doctor says either "He was still with a bout of lupus anticoagualant" or "He was still with a battle of lupus anticoagulant".  Do either of those make sense?  Is there another word that he could be saying instead?
anticoagulant medicine s/l Lorfran? nm
Subject: anticoagulant medicine s/l Lorfran? nm

!
Maybe enoxaparin...a low molecular weight heparin-type anticoagulant, used
Subject: Maybe enoxaparin...a low molecular weight heparin-type anticoagulant, used

y
Up for a challenge? S/L **Probable LB** aneurysm with chronic anticoagulant therapy
Subject: Up for a challenge? S/L **Probable LB** aneurysm with chronic anticoagulant therapy

I am just not familiar with this dictator, and he talks SO fast!   Anyone heard of anything that sounds like **Probable LB** aneurysm?  Probable may not even be the correct word...  It just sounds like what he is saying. Or it is and I have never heard of an 'LB' aneurysm. 


Any ideas? 


awwww thanks Jai - was long long ago *hugs*....nm
Subject: awwww thanks Jai - was long long ago *hugs*....nm


what program are you MTg in if I may ask?
Subject: what program are you MTg in if I may ask?

because our program, DocQscribe, I was told doesn't allow us to do that.....


GAU evaluation
Subject: GAU evaluation

Does anyone know what this pertains to?  I do not find anything in my Stedman's reference that would shed light on it.  The patient is 51 years old and it is a very short dictation with little detail. 
Meditech Program
Subject: Meditech Program


*suma* program
Subject: *suma* program

She spells it, but I am unsure whether to CAP all of it... I can't find any information on it, does anyone know what it is? 



Thanks!


can only think of *rehabilitation* program...NM
Subject: can only think of *rehabilitation* program...NM

x
evaluation and treatment?
Subject: evaluation and treatment?

x
Evaluation of right shoulder . . .
Subject: Evaluation of right shoulder . . .

Evaluation of his right shoulder shows he does have some atrophy in his 'p_____ disfaucet'.


I know that is not right, but that I was I get from his garble and what sounds like him eating the recorder. LOL


Thanks.


s/l fornik evaluation (sm)
Subject: s/l fornik evaluation (sm)

The patient had been on aspirin at the time of his stroke.  He was changed to Plavix.  He may be considered for __________ evaluation in the future. 


This doctor flies through the dictation at warp speed, but the closest I can hear is "fornik."


Thanks.


Maybe "eval" for evaluation???
Subject: Maybe "eval" for evaluation???

x
Re-evaluation or Reevaluation?
Subject: Re-evaluation or Reevaluation?

Any idea whether this word has a hyphen or not?


Thank you


Could the doc just be stumbling on GU evaluation? Sorry not more help Nm
Subject: Could the doc just be stumbling on GU evaluation? Sorry not more help Nm

nm
maybe for "a VATS" evaluation ??
Subject: maybe for "a VATS" evaluation ??


Curious what transcription program

Veritas is a rotational program - don't know the
Subject: Veritas is a rotational program - don't know the


Child Assistance Program
Subject: Child Assistance Program

.
Yep, acceptable, because your program doesn't know
Subject: Yep, acceptable, because your program doesn't know

s
pt was started on a program of s/l MSN and Tylenol. sm
Subject: pt was started on a program of s/l MSN and Tylenol. sm

Right knee pain. The patient has had previous injuries and problems with the knee including some arthritis that flared up a few weeks ago and was particularly bothersome for awhile. She got on a program of s/l MSN and Tylenol
Quick Look is a program by Stedman's.
Subject: Quick Look is a program by Stedman's.

Another good one is Onelook.com
PAP = Patient Assistance Program
Subject: PAP = Patient Assistance Program

Sometimes if you just walk away for a few hours it will click! The doc is saying PAP, as in the patient will take these Rxs to the Patient Assistance Program for free/cheap meds!! YAY!! Now I can sleep. :) Thanks for all your help! :)
Don't know what type of expansion program you use...sm
Subject: Don't know what type of expansion program you use...sm

but since mibi is usually the part heard, make an expansion with that, then you will be able to see that word that is on the tip of your tongue.  I do that with certain medications, instruments and procedures that I often forget.  I make the expansion from what I usually hear, then sometimes back it up with a better description of the correct term.  Good thing the expansion programs have a lot of memory cause my brain seems to get overloaded or just downright DUH some days!  Glad we could help you! 
s/l fluid exercise program sm
Subject: s/l fluid exercise program sm

His MRI arthrogram unfortunately has showed a fair amount of arthrosis. He has been read as having a superior labrale tear, but I think this is likely a normal sulcus.

TREATMENT/PLAN: I am going to put him on some meloxicam. We will see how this affects his osteoarthritis of the hip, and I will see him back as needed. We have talked also about using cushion-soled shoes, s/l fluid exercise program with a non-resistive stationary bike and swelling or the like.

How about a flexible exercise program...also
Subject: How about a flexible exercise program...also

you might want to change labrale to labral and instead of swelling, possibly swimming as part of the exercises?  Maybe re-listen again and see if you hear this.


How about therapeutic exercise program?
Subject: How about therapeutic exercise program?


Does anyone know of a good mentoring program?
Subject: Does anyone know of a good mentoring program?

Thanks
s/l "Osfinder" evaluation of cervix
Preoperative diagnosis is:
RECURRENT HIGH-GRADE SQUAMOUS INTRAEPITHELIAL LESION FOLLOWING CONE BIOPSY AND CERVICAL STENOSIS PENDING PATHOLOGY.

Procedure is:
EXAMINATION UNDER ANESTHESIA, **OSFINDER** EVALUATION AND DILATATION OF THE CERVIX.

vVery muffled, but "--finder" seems clear (??).
sentence..Returned for re-evaluation of her...
Subject: sentence..Returned for re-evaluation of her...

blood pressure.  She is on clathylone, verapamil 240 b.i.d., Mevacor 20 b.i.d., Prilosec, Flexeril, Mataglip and atenolol 25 a day.


She has had restriction of activity secondary to her let shoulder surgery and her right hip arthalgias.


Physical normal.  She was given instructions to start water aerobics at the YMCA.  A return visit in a year.  Thats all the info I have.