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She is concerned about hepatic or herpetic and thyroid side effects with the use of amiodorone. th u

Posted By: Deborah on 2007-07-28
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Subject: She is concerned about hepatic or herpetic and thyroid side effects with the use of amiodorone. th u




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potential side effects
Subject: potential side effects


chemo side effects
Subject: chemo side effects

Another clue would be helpful, cause the only general side effect coming up is photosensitivity. Did MD specify the chemo drug or drug regimen combo?
Did you try looking up side effects of Roxanol to get your S/L? nm
Subject: Did you try looking up side effects of Roxanol to get your S/L? nm

x
Side effects of fluoxetine
Subject: Side effects of fluoxetine

Okay, here's the sentence...


"The S/L: TENDER effects and possible side effects of this medication were reviewed with him including S/L: INTENSIVE FOR NUANCE AT suicidal ideation, but since he has taken this medication before and not had that, it is not likely."


TIA!!


Radiation side effects? sm
Subject: Radiation side effects? sm

This doc is difficult to understand, but I'm pretty sure he's saying this and just want to verify.

Pt had Hodgkin's disease secondary to thyroid cancer.

On physical exam, head is normocephalic but smaller in proportion to the rest of his body. This is not new after his radiation treatments.

Is anyone aware if radiation has this effect? Thanks.
chemo vs tumor side effects
Subject: chemo vs tumor side effects

Sometimes the suggestion of chemo side effects can also be the symptoms or manifestations of the tumor itself. Temodar (brand name for the generic temozolomide) is primarily used in the treatment of brain tumors, i.e. gliomas, melanomas, astrocytoma, blastomas and the like. Photosensitivity is commonly correlated with gliomas and melanomas primaries as well as brain metastases....especially as these tumor types progress. Also, being a brain tumor, the location of the tumor itself (rather than its type) could be playing a central role in producing that symptom.
s/l 'super-satorial' side effects... (sm)
Subject: s/l 'super-satorial' side effects... (sm)

This doc has a talent for moving away from the microphone just when he says something difficult...  It sounded like 'supersatorial' side effects. 


Dictation:  She had __________ side effects from Neurontin and also stopped clonidine. 


I cannot find 'supersatorial' or anything close. Any ideas? 


Immunizations are deferred secondary to PACENTIAL side effects.
Subject: Immunizations are deferred secondary to PACENTIAL side effects.

IMMUNIZATIONS


Deferred secondary to PACENTIAL side effects.


not used to oncology..side effects, chemo sitosensitivity? cytosensitivity?
Subject: not used to oncology..side effects, chemo sitosensitivity? cytosensitivity?

definitely not photosensitivity.
I'm thinking you are hearing "severe itch" at the end there as one of the side effects is
Subject: I'm thinking you are hearing "severe itch" at the end there as one of the side effects is

skin irritation at the site of radiation.  I'm just not sure about the "meese aside" part.
With nystagmus, the eyeball might "jump." It beats from side to side, or middle to side, etc.
Subject: With nystagmus, the eyeball might "jump." It beats from side to side, or middle to side, etc. sm

Doubt antistigmatic--not a word. Astigmatism is something entirely different. There is no reference in Stedman's ophth for antistigmatic, but do believe they mean nystagmus for "eyes jump." Can you leave a blank? The author apparently doesn't know the correct word to use. Maybe the context of the sentence will help you.
can you here herpetic instead of her ...
Subject: can you here herpetic instead of her ...


herpetic?
Subject: herpetic?

cc
s/l herpetic or peptic tachyarrhythmias ...
Subject: s/l herpetic or peptic tachyarrhythmias ...

Doesn't make sense to me but these are the only words I can come up with that is close to what doctor dictates. The patient has WPW morphology type A and is going for surgery. TIA.
It's not the docs I'm concerned about, or QA, when it comes to my...
Subject: It's not the docs I'm concerned about, or QA, when it comes to my...

work as an MT,
I'm concerned about "deep nucleations." What comes sm
Subject: I'm concerned about "deep nucleations." What comes sm

before and after this sentence? Also "... DIPJ of the right hallux" doesn't sound right, either. I can see why you're questioning this. ;)
I'm concerned about "deep nucleations." What comes sm
Subject: I'm concerned about "deep nucleations." What comes sm

before and after this sentence? Also "... DIPJ of the right hallux" doesn't sound right, either. I can see why you're questioning this. ;)
That's probably it. Before saying A1a, he says family is concerned about thyromegaly.
Subject: That's probably it. Before saying A1a, he says family is concerned about thyromegaly.


I think it can be. Overly concerned. Prefixes can be used on most anything.
Subject: I think it can be. Overly concerned. Prefixes can be used on most anything.


That can happen on meds for a.m. and p.m. dosages, but if you are concerned, is it possible to leave
Subject: That can happen on meds for a.m. and p.m. dosages, but if you are concerned, is it possible to leavea a QA note just for the facility?


So true. I am concerned that the MT who did the Procedure Note also used what he spelled.
Subject: So true. I am concerned that the MT who did the Procedure Note also used what he spelled.


She is also concerned about s/l ___momali 1st interdigital space of the left foot
Subject: She is also concerned about s/l ___momali 1st interdigital space of the left foot


 



effects
Subject: effects

because amiodirone carries also beta blocking effects on heart.
untoward effects? (nm)
Subject: untoward effects? (nm)

x
effects is correct here - nm
Subject: effects is correct here - nm


diphenhydramine has sedative effects.....sm
Subject: diphenhydramine has sedative effects.....sm

is this an ESL? 
it was Bartters, cuz it effects kidneys
Subject: it was Bartters, cuz it effects kidneys

thanks anyway tho
cost effects over time? nm
Subject: cost effects over time? nm


got it... i think...hepatic thank u
Subject: got it... i think...hepatic thank u


hepatic ? nm
Subject: hepatic ? nm

x
hepatic, s/l insubatic..
Subject: hepatic, s/l insubatic..

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hepatic porphyria
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hepatic encephalopathy
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Thanks for your help! 
hepatic encephalopathy
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Xifaxan.
How about exocrine or hepatic? nm
Subject: How about exocrine or hepatic? nm

x
Could it be hepatic infection?
Subject: Could it be hepatic infection?


hepatic ligament
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distal
BEIR ...biological effects of ionizing radiations...nm
Subject: BEIR ...biological effects of ionizing radiations...nm

nm
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"discuss possible chemotherapeutic agents versus immunomodulators such as ___ zirapamid__.  "


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Subject: Figured it out - hepatic steatosis


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admitted for increased confusion secondary to (sounds like) hepatic inter falopathy?????
can you hear hepatic encephalopathy ??? (nm)
Subject: can you hear hepatic encephalopathy ??? (nm)


Epilepsy can be caused by hepatic
Subject: Epilepsy can be caused by hepatic

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s/l dasherol hepatic ligament
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Hepatic cirrhosis bloats?
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found it, hepatic enzymatic defect..nm
Subject: found it, hepatic enzymatic defect..nm

x
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Subject: hepatic? biliary? Does it seem like it pertains to current

s
diffuse tracer s/l attention in the hepatic.sm
Subject: diffuse tracer s/l attention in the hepatic.sm

parenchyma.


HIDA scan results.


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Subject: Just a guess here... Mesna is used for preventing or reducing the harmful effects of chemotherapy on the bladder.


There are flare effects of the breast tumors with hormone therapy, I believe you are hearing right!
Subject: There are flare effects of the breast tumors with hormone therapy, I believe you are hearing right!