Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

Randomized Evaluation of Long-Term Anticoagulant Therapy (RELY)

Posted By: MT50 on 2008-01-17
In Reply to: cardiac - help please

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




Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu


Other related messages found in our database

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


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? 


Need help with a physical therapy term - s/l
Subject: Need help with a physical therapy term - s/l

Impression: Partial thickness tear of subscapularis and anterior and anterosuperior labrum with early glenohumeral arthritis.

His physical therapist has utilized s/l dialto and phonophoresis/ or the alto and phonophoresis /.

Totally stumped. Thanks for your help.
Physical therapy term - please see message.
Subject: Physical therapy term - please see message.

Begin to work on a thumbs-up s/l "v" raise in the scapular plane to isolate the supraspinatus.
Physical therapy term - please see message
Subject: Physical therapy term - please see message

Patient has done six to eight sessions of physical therapy, internal and external rotation, seated row, door stretch, internal rotation behind her back, s/l UBE and V raises.

Thanks!

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


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


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


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. 
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 ??


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.


 


evaluation for renal colic
Subject: evaluation for renal colic

s/l BNP?  Doc is talking about her evaluation for renal colic  the def for this abbrevation does not seem to match this evaluation.  Could it be something different?
i would say Examination and Evaluation needs to be put as a heading.
Subject: i would say Examination and Evaluation needs to be put as a heading.

just my thoughts.
Evaluation for possibility of lymphoma
Subject: Evaluation for possibility of lymphoma


His peripheral blood lymphocyte analysis revealed no s/l coronal populations.


 


Actually, can't get VATS out of it....:P...any ideas? on E Vas or E vus evaluation?
Subject: Actually, can't get VATS out of it....:P...any ideas? on E Vas or E vus evaluation?


buzz therapy, ram therapy?
Subject: buzz therapy, ram therapy?

Is anyone famiilar with buzz therapy and ram therapy in regards to a patient with v-tach? 
Psych evaluation drug question
Subject: Psych evaluation drug question

Just going over his general psychiatric history and what drugs he has tried:


"He has had no typical psychotics or S/L: claw-seh-rill."


TIA!!


Here is the paragraph for the s/l line infection evaluation..
Subject: Here is the paragraph for the s/l line infection evaluation..

Patient here today for a post-op s/l line infection evaluation.  She has been doing daily wet to dry dressing changes and today the wound breadown area is less than a cm across and with probing with a Q-tip will not extend any greater than 2 cm in the area.  I do not think that this continues to require any packing.  I have recommended that she just keep gauze over the area for the drainage.  thank you
fiberoptic endoscopic evaluation of swallowing ?
Subject: fiberoptic endoscopic evaluation of swallowing ?


DME durable medical equipment evaluation?
Subject: DME durable medical equipment evaluation?


Consider KRAS and s/l ?brath? mutations evaluation.
Subject: Consider KRAS and s/l ?brath? mutations evaluation.

NM
Kohlman Evaluation of Living Skills (KELS) nm:)
nm
Absolutely; Arch Range of Motion and Evaluation.
Subject: Absolutely; Arch Range of Motion and Evaluation.


Protein S is a vitamin K–dependent anticoagulant protein, thus low levels tend to
Subject: Protein S is a vitamin K–dependent anticoagulant protein, thus low levels tend to

increase the tendency for coagulation/DVT. In this regard, I agree with you.

However, maybe the elevation of protein S at the time of the DVT rules out protein S deficiency as a probable cause of the thrombotic episode. Is there any such implication? The clotting mechanism involves a complex cascade of activation events of numerous factors, and Protein S is just one cofactor for another anticoagulant protein.

Still, it would be wise to flag the doctor and let him put the final word.
Referred to interventional pulmonologist for potential "EE VAS" evaluation.
Subject: Referred to interventional pulmonologist for potential "EE VAS" evaluation.

Pt with subcarinal mass on CT.