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Right. Just unsure as I've recently been asked to start using list.

Posted By: Thanks - nm on 2008-02-02
In Reply to: My opinion: The actual name of the medication is Humulin 70/30 so the slash would be appropriate - MT50

Subject: Right. Just unsure as I've recently been asked to start using list.

nm


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Sheesh - I've had that myself recently and should have heard it :)
Subject: Sheesh - I've had that myself recently and should have heard it :)


recently.
Subject: recently.


Had this recently.
Subject: Had this recently.

Maybe he's saying Neuro:  Filament exam....


There is a filament exam that is under neuro but I have not seen it typed the way you have it.


I just recently had the same thing, also new to me (sm)
Subject: I just recently had the same thing, also new to me (sm)

in my case it was dictated as "I plus" - I think it is I+.
take out the comma after recently since you have it after the end parenthesis
Subject: take out the comma after recently since you have it after the end parenthesis

/
I don't know. Doctors just began using this recently.
Subject: I don't know. Doctors just began using this recently.

nm
The patient is s/l *kicectic* with wieght loss recently (In ROS) Thanks! nm
Subject: The patient is s/l *kicectic* with wieght loss recently (In ROS) Thanks! nm


referring to EKG: He recently had a (s/l red incline) stress test - nm
Subject: referring to EKG: He recently had a (s/l red incline) stress test - nm


Chest x-ray done recently showed his residual from his s/l peringcamal resection on the right.
Subject: Chest x-ray done recently showed his residual from his s/l peringcamal resection on the right.


Medical prefix/suffix website posted recently
Subject: Medical prefix/suffix website posted recently

Whoever posted it, could you re-post it?  There must be some error in what was posted before because I cannot get it to link up to any site.  Thanks!
Stomach: The patient recently underwent surgery for a s/l dist tumor? nm
Subject: Stomach: The patient recently underwent surgery for a s/l dist tumor? nm

.
s/l I reviewed the brain MRI recently performed: there is a septum delluzidium cavum, a normal -sm
Subject: s/l I reviewed the brain MRI recently performed: there is a septum delluzidium cavum, a normal -sm

anatomic varient???? Thanks. 
You've got it right. I've type that for years, as in transforaminal steroid injection.
Subject: You've got it right. I've type that for years, as in transforaminal steroid injection.

nm
Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm
Subject: Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm

1.                    Dementia of undetermined etiology.


2.                    Hypothyroidism.


3.                    Osteoporosis. 

History of depression. 
Still unsure. Sent to QA:)
Subject: Still unsure. Sent to QA:)

I tried to fit something like vesicles or bubbles in, but it just didn't match what he said...oh well.
Unsure
Subject: Unsure

Patient is an 18-year-old gravida 1, para 0 who comes in for her first prenatal appointment. 


 


ASSESSMENT:  This is about a 27-week pregnancy with uncertain dating in a  _____ (s/l pri nep or pri mep??) with late prenatal care.


 



Unsure
Subject: Unsure

The fact that he has both retinopathy and nephropathy does bouge ill if he continues to have uncontrolled blood sugar readings.


ESL doctor, not sure what he's saying.  s/l bouge ill but that really doesn't make sense to me...lol


Unsure
Subject: Unsure

LOWER EXTREMITIES:  No edema.  No breakdown.  The right foot shows an irregularly cut great toenail, but no evidence of infection or tenderness.  He continues to have dependent  _______________ , more noticeable on the right foot.  Pulse is minimal, 0 to 1+.


 


Blank s/l roo-war


 


The patient is a diabetic.


Im just unsure. SBN, SDN ? nm
Subject: Im just unsure. SBN, SDN ? nm

?
Unsure of something
Subject: Unsure of something

An ABI was attempted but no pulse could be found around his “ankle.”


ABI means ankle-brachial index?  Another way of checking pulse?  Just need to understand what is being talked about.  Unsure 


Unsure
Subject: Unsure

Would it be possible to address with name, title?
so unsure
Subject: so unsure

It is so hard to say. He could be slurring the S in from diagnosis with ac contusion. He does not make sense with any of his sentences. For example exact words ?? contusion foot contusion shin. He ends with shin. I have no clue. I am new at this with a doc with marbles in his mouth and doesn't finish sentences correctly. It is going to be a long night. Three reports from the same doc. :-( Calgon take me away.
In list of meds...Full bee 1 tab q.a.m. sm for problem list :)
Subject: In list of meds...Full bee 1 tab q.a.m. sm for problem list :)

1.                    Diffuse Lewy body disease mixed with Alzheimer’s disease.


2.                    Generalized anxiety disorder.


3.                    Benign prostatic hypertrophy.

4          Gastroesophageal reflux disease. 
Med list, s/l mylar? drops. No context as in list only. Tx. nm
Subject: Med list, s/l mylar? drops. No context as in list only. Tx. nm

xx
Please help, unsure of a sentence....sm
Subject: Please help, unsure of a sentence....sm

I am having a hard time understanding something a dictator is saying.  She is new to me.  Would you mind telling me which makes sense.  She is a bit quick and I am unsure.  I tried looking it up without any success.  The sentence is below.


has had years of varicose veins.  She has had stripping on the right side and also it appears sclerotic therapy or arteriosclerotic therapy ? s/l sclerotic therapy but not sure.   Thank you.


 


Really unsure of this word
Subject: Really unsure of this word

The patient was sent to the pain clinic because of cervical neuropathy turned to _____.


s/l rec-noid-itis


looks correct - unsure what the s/l is though nm
Subject: looks correct - unsure what the s/l is though nm


nothing about a scar, still unsure
Subject: nothing about a scar, still unsure


I would flag it if unsure.
Subject: I would flag it if unsure.


Unsure of words
Subject: Unsure of words

I need help on a couple of sentences.  Not sure if I am hearing correctly.


CT scan of the ________ revealed 2 small calcifications in the middle and lower poles of the right kidney measuring 3 mm with no hydrophrosis.  (The blank could be one or two words and it sounds like "other-in-pelva".  No idea where to begin looking.


Next one


On digital rectal exam, the prostate is "flat" without firmness nodularity.  Also sounds like "flask". 


 


unsure of words
Subject: unsure of words

That's it thanks so much.
Not what you asked ...
Subject: Not what you asked ...

I can't think of the word you are looking for (I think it's a regular English word though). But I think the doc is perplexed with the constellation of sx rather than consolation.
I don't think that's what OP asked...NM
Subject: I don't think that's what OP asked...NM


I know this has been asked before, but
Subject: I know this has been asked before, but

when a doctor starts a report a letter and then continues like it is a consult what do you do? 


 


Dear Dr.  X:  I saw your patient and blah blah blah.  Current medications, none.  Past history, none. 


 


Thanks!


I asked her that below, but...
Subject: I asked her that below, but...

she has posted 2 more times with no more information than the first time. Sorry we can not help you without more information. Stents can be used in Cardiology or Urology, so you need to at least tell us what discipline you are working in.
Try google when you are unsure of a term -sm
Subject: Try google when you are unsure of a term -sm

put in the word as best you can with part of the sentence and see what comes up. I do that when I am unsure of a term and can usually find what I am looking for that way, its a lot faster than posting here, and it teaches you how to reference.
I would think it is lytic then, but if unsure flag it
Subject: I would think it is lytic then, but if unsure flag it

It seems your patient either had a replacement or fracture earlier (is there arthritis in the hx?) I often hear lytic lesions or lytic lines in the areas you mention on patients with arthritis/oseoarthritis. Lysis is the process of destruction of something (in this case, bone), which seems to have been ruled out by these x-rays.
Guess I just won't expand it, still unsure....
Subject: Guess I just won't expand it, still unsure....

because too many times when he uses the term PFC there is no other indication of a joint replacement system having been done or anticipated, so I still have my doubts that that is really what he means by these initials.  Thanks for your help.
two thoughts; unsure how helpful, but,
Subject: two thoughts; unsure how helpful, but,

This is 1 of many definitions from an "URBAN" dictionary: MACK

mack is a flexible word as a verb; it can be used in pretty much any situation and its meaning will be understood.
Thus, in your case, maybe the dictator chose the word mack as slang for height?.....because 23.5 cm is equal to 9.25 inches. I used this as an example, as I believe you were referring to dietary in a Parkinson patient?....Wish I could assist more.
If unsure blank it and don't waste your
Subject: If unsure blank it and don't waste your

x
Then leave it blank if you are unsure.
Subject: Then leave it blank if you are unsure.

x
the only reason I asked about the INR is because....
Subject: the only reason I asked about the INR is because....

usually he says laboratory data and he did not on this report.  He talked about the ECG then just said INR 3.0.  The doctor says type as dictated, so I did not feel it went under ECG thats why I wanted to make sure about the lab, not unless it would appropriately fit under ECG??  Thanks
Thanks! I find both is why I asked......thanks again
Subject: Thanks! I find both is why I asked......thanks again


Someone asked about T'd or teed.
Subject: Someone asked about T'd or teed.

I just had an orthopedic doctor tell me while dictating it was T'ed.  Go figure.
Thank you! i'm so glad I asked n/m
Subject: Thank you! i'm so glad I asked n/m


I've never heard of "Toprolol XL" and I've been sm
Subject: I've never heard of "Toprolol XL" and I've been sm

doing this a looooooong time.
Unsure, but maybe you could compare this word with what you hear.
Subject: Unsure, but maybe you could compare this word with what you hear.

Not sure, but there is a pericentromeric marker....Maybe you could take a listen and compare it to this word - again, unsure, but maybe...
unsure of spelling cardio term
Subject: unsure of spelling cardio term

Mild s/l baling of the posterior leaflets.


Thank you Deborah


MR as in mitral regurgitation but unsure if there of 2 MRs in that sentence? nm
Subject: MR as in mitral regurgitation but unsure if there of 2 MRs in that sentence? nm

nm
Thanks. I was listening for him to say thecal, but he didn't, so I was unsure.
Subject: Thanks. I was listening for him to say thecal, but he didn't, so I was unsure.


I'm unsure. That was given in past history info and...
Subject: I'm unsure. That was given in past history info and...

patient is in for abdominal pain... hepatic flexure of colon suggesting intraluminal lipoma. I don't know if they are related or not. Also, am wondering if my s/l is an "uh" before "kine-o-chocal" cyst.