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Sorry, I made a wrong assumption by not reading your entire question based on the area of fx.

Posted By: orthoMT on 2008-02-18
In Reply to: tibial plateau. - orthoMT

Subject: Sorry, I made a wrong assumption by not reading your entire question based on the area of fx.

x


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I believe you are reading it wrong sm
Subject: I believe you are reading it wrong sm

There is a comma between tics and the next item so tics and spasm are separate items. 
entire area maybe. nm.
Subject: entire area maybe. nm.

x
assumption correct (nm)
Subject: assumption correct (nm)


of shooting pain into the left radial wrist and thumb area and over the intercuginous area of the-sm
Subject: of shooting pain into the left radial wrist and thumb area and over the intercuginous area of the-sm

first and second digit of the left hand.  Thanks. 
that's all I could think of as well..but isn't that the chest area and not the neck area? nm
Subject: that's all I could think of as well..but isn't that the chest area and not the neck area? nm

d
You are correct, doc either gave wrong dosage or wrong drug, would "flag" this for your QA dep
Subject: You are correct, doc either gave wrong dosage or wrong drug, would "flag" this for your QA dept if you have one.


Was this in wrong spot before? We had a slew of responses, all wrong! nm
Subject: Was this in wrong spot before? We had a slew of responses, all wrong! nm

s
sorry-don't know any--just happened to know the other based on your s/l - n/m
Subject: sorry-don't know any--just happened to know the other based on your s/l - n/m


How about lingual-based?
Subject: How about lingual-based?

That's the closest I could come to your s/l. There are blast cells, but I couldn't find that combined with anything like muco. There are platinum-based treatments, but I can't tell from your partial sentence whether it could be that.
I got it - narrow-based! nm
Subject: I got it - narrow-based! nm

x


 


And based on the help she needs, she's going to be a doozy of an MT. NM
Subject: And based on the help she needs, she's going to be a doozy of an MT. NM


based on the sentence.... (sm)
Subject: based on the sentence.... (sm)

I'd say it pretty much has to be L5-S1 facet since that explains exactly where the cystic mass is located.

or glial-based
Subject: or glial-based

glial brain tumors
Based on nothing.....trazodone? N/M
Subject: Based on nothing.....trazodone? N/M

x
Little area. Same as Kiesselbach area.
Subject: Little area. Same as Kiesselbach area.

I found it in my Sted's Electronic Dictionary. Really good source for everything.


 


Little area



Syn: Kiesselbach area.


Kiesselbach area



an area on the anterior portion of the nasal septum rich in capillaries (Kiesselbach plexus) and often the seat of epistaxis. Syn: Little area.


I think your doc has been reading
Subject: I think your doc has been reading

too much Harry Potter. I think there are Lamentors in there.

No wait, those are Dementors.

Never mind.
reading of an x-ray sm
Subject: reading of an x-ray sm

His zygomatic frontal and zygomatic temporal bones ? are all intact
I bet it is reading! nm
Subject: I bet it is reading! nm

,,
It's a company based out of Louisville, KY
Subject: It's a company based out of Louisville, KY

It is individually owned but has been in operation for years.  Has contracts all over the US.  Is US based.  IC.  I hesitate to give the name of the company because she is reorganizing under a different name.  I looked yesterday on the internet and she does not have a website up and going yet under the new name.  Thanks for the good feedback!  I like my job and enjoy working for them.  Gives me the opportunity to work from home, be a stay-at-home mom and homeschool my two children as well!  I think I have the best situation in the world!!!!
yeah, but based on the sentence I don't think
Subject: yeah, but based on the sentence I don't think

the doc is referring to a particular drug, just a class of drug.
I would type as 157-3/8 cm. This is just based on what I've seen.
Subject: I would type as 157-3/8 cm. This is just based on what I've seen.


well...based on the "tipulating" you heard
Subject: well...based on the "tipulating" you heard

it would be the closest...there are just so many joints in the lumbar spine, and none sound close to "tipulating" except articulating.  Why do they make our job so hard by talking so fast!  Sorry I couldn't help you more
Based on the following paragraph written by
Subject: Based on the following paragraph written by

Vanderbilt University in relationship to Troubleshooting PICC problems, in particular; "My patient's arm is red, swollen, and/or painful."
A. How does the arm look in comparison to the arm without a PICC line.
B. If redness is involved, is it a red streak up the arm along the vein tract.
C. If swelling is involved, what is the difference in the girth of the two arms.

Your sound-alike brings to my mind: gorge; as engorged. Definition: gorge, glut; especially: to fill with blood to the point of congestion. Just an educated guess though. Good luck.

based on other meds named...
Subject: based on other meds named...

It seems likely that the mystery name has something to do with doxorubicin. It will be interesting to see if you get a reply so that we all can learn something new!
possibly glio-based
Subject: possibly glio-based


based on your sounds like, epidural? nm
Subject: based on your sounds like, epidural? nm


He is reading from a list sm
Subject: He is reading from a list sm

that the patient wrote so I feel sure that is it. Thanks!
Reading the article below it seems to dB
Subject: Reading the article below it seems to dB

The relationships among visual acuity (log MAR), diagnostic category, age, the magnitude of a relative afferent pupillary defect (RAPD) in log units, photopic foveal thresholds to white and colored light (dB), and the mean deviation on the Humphrey visual field (dB) were studied in patients with various optic neuropathies. All acuity and dB values were expressed as interocular differences, the majority of cases having normal acuity in the fellow eye. In multiple regression analyses, acuity and RAPD were alternately chosen as the dependent or response variable with all remaining variables serving as the predictors or independent variables. The main finding was that the only significant predictor of a RAPD was the interocular mean deviation difference on the Humphrey field and the only significant predictor of acuity was the foveal threshold to white light. Redundant and insignificant variables were therefore identified with multiple regression analysis. Subsidiary findings include: (a) although diagnostic group was not a significant predictor in the above, simple linear regression line slopes relating RAPD magnitude to the Humphrey mean deviation were significantly different between optic neuritis and compression categories; (b) for a given level of acuity, foveal thresholds were substantially worse in these cases with neuronal damage than in strabismic amblyopia, refractive error, or corneal damage; and (c) sensitivity losses for red vs. blue light were similar...


Perhaps he is reading what the patient
Subject: Perhaps he is reading what the patient

incorrectly wrote down in place of Maxalt.  That's not so uncommon.  I'd leave a blank.
Can a lab reading be "small"??
Subject: Can a lab reading be "small"??

Patient is having high blood sugar and in her labs, dictator says something that s/l "serum acetone small."  Is this right or am I crazy?
Hmm after reading the dictation again, you may be right...sm
Subject: Hmm after reading the dictation again, you may be right...sm

Mohs does make sense, he does say with negative results, and this was done some time after the p63, TTF-1, etc.  THANK YOU for that great point!  My brain is so done today. 


Reading your sentence I would think sm
Subject: Reading your sentence I would think sm

That the EEC is enteropathic E. coli due to the anxiety. 
He may be reading from what the pt wrote
Subject: He may be reading from what the pt wrote

My doctor does that. He reads the drug as it was incorrectly written by the pt or the medical assistant. I have to look at the PMH to figure it out.
hyphens...gait is broad-based?
Subject: hyphens...gait is broad-based?

I am drawing brain farts with hyphens lately.  Just looked at Dr. Grammar.  Still no help.  I know that before a noun, two or more adjectives are hyphenated, as in broad-based gait.  But what about gait is broad-based. ? Are there new rules on hyphenation? Do we always hyphenate heel-to-shin and the like?
Just my opinion, but I would type it neuro-based
Subject: Just my opinion, but I would type it neuro-based


First thought based on my experience is Sulamyd. nm
Subject: First thought based on my experience is Sulamyd. nm


SL "a pager based on silding scale"
Subject: SL "a pager based on silding scale"

Thanks!
interscapular area or inter scapular area or inner scapular?
Subject: interscapular area or inter scapular area or inner scapular?

Physical examination today of the shoulder shows some soreness primarily over the posterior aspect of the shoulder in the *interscapular* area. tia.
cardiology, echo reading
Subject: cardiology, echo reading

The aortic valve appears to be a s/l tri-commish-er valve with fusion of one s/l commish-er and acts as a bicuspid aortic valve.


 


he is pretty clear with both of these, but I cannot verify either one. Thanks!!


How is this being treated or is this an xray reading? nm
Subject: How is this being treated or is this an xray reading? nm

s
Blood Pressure Reading
Subject: Blood Pressure Reading

I had a doctor who did this also, and the person who QA'd my report told me to put it just like you have it except told me to use 120/80 without the "s".
Blood glucose reading, please sm
Subject: Blood glucose reading, please sm

Doc is saying "patient went back on Metaglip and now his sugars are around *100 mg percent*.  I've never heard that, just sugars around 100 or whatever, no "mg percent".  Thanks for any help!
reading that, it sounded rude. sm
Subject: reading that, it sounded rude. sm

I did not mean it that way. Again, just a pet peeve of mine.
short stride and wide based gait
Subject: short stride and wide based gait


Based on the value (5.3) and the fact that it is listed with the electrolytes, could be potassium.
Subject: Based on the value (5.3) and the fact that it is listed with the electrolytes, could be potassium.

But that's not close to "moid."  I think I would leave a blank.
Bet the doctor is reading off the patient's list that sm
Subject: Bet the doctor is reading off the patient's list that sm

the patient wrote him/herself. When they can't tell what it is, they often spell it the way the patient did. I'd leave a blank and make a note with the doctor's spelling if you've already researched the term and found nothing to verify it. I found nothing in my Drake. I never trust a doc's spelling of ANYTHING!!


Bet the PA is reading the patient's history sheet. sm
Subject: Bet the PA is reading the patient's history sheet. sm

9 times out of 10 it is  arthroscopy and meniscectomy.


Is this a follow up to lab work or reading a film, etc.? nm
Subject: Is this a follow up to lab work or reading a film, etc.? nm

s
I always enjoy reading your replies. Thanks for the info also!
Subject: I always enjoy reading your replies. Thanks for the info also!


reading med list says Toprol, B6?, Protonics..is B6
Subject: reading med list says Toprol, B6?, Protonics..is B6

B6 is okay?
He's very clear. I'm thinking he's reading from pt note.
Subject: He's very clear. I'm thinking he's reading from pt note.