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Sorry, appears to be hemoglobin...nm

Posted By: Beez on 2007-05-31
In Reply to: upper levels (for hemoglobin or hematocrit) ? nm - Txczech

Subject: Sorry, appears to be hemoglobin...nm

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Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.
Subject: Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.


It appears that the (sm)
Subject: It appears that the (sm)

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It appears to be a (sm)
Subject: It appears to be a (sm)

term most often used with laparoscopic procedures.  I found several sites mentioning an intraumbilical incision.  Here is an excerpt from a sample report from another MT site: 


OPERATIVE PROCEDURE: LAPAROSCOPIC BLADDER NECK SUSPENSION

Trocar placement may vary according to the preference of the surgeon. Usually, a 10-mm trocar is placed through an intraumbilical incision and another 10-mm trocar is placed suprapubically, followed by two 5-mm trocars placed laterally. Laparoscopes with different viewing angles are available. The selection of a straight or angled optic is the surgeon's personal choice. We prefer the straight, forward optic.


That appears to be a company...
Subject: That appears to be a company...


Had that one wrong it appears (nm)
Subject: Had that one wrong it appears (nm)

x
Currently appears stable?
Subject: Currently appears stable?

  Where there are no other instructions after that sentence, i.e. ordering a test or medication, the word "stable" comes to my mind.
It appears that the has now ___ s/l defervesced....Is this right?
Subject: It appears that the has now ___ s/l defervesced....Is this right?

x
the patient has what appears to be a "vertig"
Subject: the patient has what appears to be a "vertig"

fracture of the right eighth rib.
Metabolic: Currently appears _________ -sm
Subject: Metabolic: Currently appears _________ -sm

Listed in the impression of consult by nephrology doctor. Here is what is before and after:

4. DIABETES MELLITUS. Continue insulin.
5. METABOLIC: Currently appears s/l "sensible" or "extensible."
6. ANEMIA MANAGEMENT. We will add Epogen. The patient’s hemoglobin and hematocrit are below goal.

However at this time clinically, she appears....
Subject: However at this time clinically, she appears....

too many commas for me
Did you receive my email containing the link? It appears to
Subject: Did you receive my email containing the link? It appears to

So, sorry. I tried to help you. Guess she felt it wasn't noteworthy.
It appears to be a correct term for a type of MRI
Subject: It appears to be a correct term for a type of MRI

T1W High-Resolution Isotropic Volume Examination
This 4 year, 10-month-old child appears her stated age
Subject: This 4 year, 10-month-old child appears her stated age


PAR-Q appears to be some kind of health history per Google. nm
Subject: PAR-Q appears to be some kind of health history per Google. nm

x
rotator cuff s/l intensity appears normal.
Subject: rotator cuff s/l intensity appears normal.


on exam, pt appears alert and s/l "infantating" (end of sentence)
Subject: on exam, pt appears alert and s/l "infantating" (end of sentence)


Is it Hemoglobin A1c, or hemoglobin A1c?
Subject: Is it Hemoglobin A1c, or hemoglobin A1c?


Hemoglobin
Subject: Hemoglobin

I am sorry it is hemoglobin A1c
hemoglobin
Subject: hemoglobin

Do you have a lab book?
Hemoglobin A1C
Subject: Hemoglobin A1C

Hemoglobin A1c test is used as a standard tool to determine blood sugar control for patients with diabetes.
No not hemoglobin...sm
Subject: No not hemoglobin...sm

Ending sounds with __glosis.


Maybe hemoglobin?
Subject: Maybe hemoglobin?


A1c hemoglobin
Subject: A1c hemoglobin

or hemoglobin A1c.  I've typed that many, many times.  It's a test for diabetes
There is a hemoglobin Q
Subject: There is a hemoglobin Q

 ..
hemoglobin
Subject: hemoglobin

I got it.  Thanks anyhow!
hemoglobin
Subject: hemoglobin

hemoglobin A1c 7.2%.  Normal is below 7%. 
I'm sorry, it appears I am a total goober and was hearing heard it all wrong. Thx for your help.
Subject: I'm sorry, it appears I am a total goober and was hearing heard it all wrong. Thx for your help. nm


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Pleural fluid appears to be s/l ex hit ta tive with an LDH of 589.. see message pleez :)
Subject: Pleural fluid appears to be s/l ex hit ta tive with an LDH of 589.. see message pleez :)

ultra-sound guided thoracentesis was performed in the clinic with the removal of 1.6 liters of serosanguineous pleural fluid.  The fluid appears to be "ex hit a tive" with an LDH of 589, protein of 3.6, pH of 7.8, and glucose of 79.  The pleural fluid cytology is pending at the time of dictation. 
it's actually hemoglobin AIc with an" I " not a " 1 " even though there is a hemoglob
Subject: it's actually hemoglobin AIc with an" I " not a " 1 " even though there is a hemoglobin A2


s/l eno objecting hemoglobin
Subject: s/l eno objecting hemoglobin

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probably hematocrit and hemoglobin...
Subject: probably hematocrit and hemoglobin...


yes. hemoglobin and hematocrit.
Subject: yes. hemoglobin and hematocrit.

...
check hemoglobin A1C and s/l DMP or BMP?
Subject: check hemoglobin A1C and s/l DMP or BMP?


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Subject: you have it correct! hemoglobin A1c over 12

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is it morbid hemoglobin?
Subject: is it morbid hemoglobin?

please help with the ff. underline words: 1. Heart: regular without atrophy or murmur. 2. Bowel sound were active throughout GYN.  3. Morbid hemoglobin 10-15. Thank you!


 


Could he be saying H&H (hemoglobin/hematocrit)
Subject: Could he be saying H&H (hemoglobin/hematocrit)


Please Help Hemoglobin dictation
Subject: Please Help Hemoglobin dictation

The phrase sounds like:


"Hemoglobin A1C7.2%" Any ideas


The hemoglobin A1c test (also called H-b-A-one-c)
Subject: The hemoglobin A1c test (also called H-b-A-one-c)

x
possibly anything associated with hemoglobin liberation?
Subject: possibly anything associated with hemoglobin liberation?


probably means HGA1c (hemoglobin A1c) - nm
Subject: probably means HGA1c (hemoglobin A1c) - nm


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Subject: pt with dental pain - on PE, states "...'OROBUCCAL (1 word?) SYMPOSIN' appears to be normal"


Does *stat* hemoglobin A1C make sense?
Subject: Does *stat* hemoglobin A1C make sense?

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upper levels (for hemoglobin or hematocrit) ? nm
Subject: upper levels (for hemoglobin or hematocrit) ? nm


It's hemoglobin A1c & BMP, basic metabolic panel
Subject: It's hemoglobin A1c & BMP, basic metabolic panel


I believe it would be "reduced hemoglobin A with an increased A2 fraction"
Subject: I believe it would be "reduced hemoglobin A with an increased A2 fraction"


Phys. Exam on 2 yr - Heart regular rate. s/l vascularity or back appears intact? r
Subject: Phys. Exam on 2 yr - Heart regular rate. s/l vascularity or back appears intact? r


Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm
Subject: Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm

She has a pleural-based lesion in the right lower lobe that appears to be either an algomized effusion or soft tissue. She also has multiple pulmonary nodules bilaterally suggestive of either a metastatic neoplastic disease or granulomatis changes.
Those are the hemoglobin and hematocrit levels but you wouldn't put those words in there unless
Subject: Those are the hemoglobin and hematocrit levels but you wouldn't put those words in there unless

s
hemoglobin is lees than 9 or is becoming trans _____________ dependent. Thanks. nm
Subject: hemoglobin is lees than 9 or is becoming trans _____________ dependent. Thanks. nm

nm
WBC 9.5, hematocrit 33.7, hemoglobin 10.8. BUN and creatinine 42 and 2.6. Troponin was negative.
Subject: WBC 9.5, hematocrit 33.7, hemoglobin 10.8. BUN and creatinine 42 and 2.6. Troponin was negative.