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Still confused - so is it hold and call, or hold, on call?

Posted By: Closet MT on 2007-03-24
In Reply to: Yes - sportsmom91

Subject: Still confused - so is it hold and call, or hold, on call?

Thanks, but my physician mumbles it so fast that I cannot make out if it is "hold and call" or "hold, on call."


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Maybe 'hold, on call' to hold the patient in the office for the on call xray? nm
Subject: Maybe 'hold, on call' to hold the patient in the office for the on call xray? nm

s
hold and call
Subject: hold and call

Is there something like "hold and call" for any test like an x-ray or CAT scan, that needs to be done urgently on a patient before the patient leaves the office?
Thank you...my brain must be on hold today...sm
Subject: Thank you...my brain must be on hold today...sm

Thank you. It is CNS. I went back and relistened. I am losing it here today,too many hours trying to help catch up, the brain must be slowing down, lol. Your help is much appreciated.
OMG! I no longer know anything! ?ring to hold the
Subject: OMG! I no longer know anything! ?ring to hold the

He said the pupil was not dilated enough during a cataract surgery, so he used a ? ring was used to hold the pupil open.  I have done hundreds, if not thousands of report for this ophthalmologist, but my whole day has been like this! 
Won't it scroll if you hold the arrow key? (sm)
Subject: Won't it scroll if you hold the arrow key? (sm)

or maybe I don't understand your question...?
Type and hold. Patient may need transfusion?
Subject: Type and hold. Patient may need transfusion?

x
When I hold my nose, tilt my head back and sm
Subject: When I hold my nose, tilt my head back and sm

say your s/l really fast it "sounds" like drug-eluting stent..? lol worth a try anyway, couldn't find anything else.
Outpatient hold admission versus inpatient
Subject: Outpatient hold admission versus inpatient

Please read this with a little grain of salt, since I don't have enough info to be sure in this case, but this has happened to me before. Most hospitals and most insurance companies have a "24 hour hold bed" policy of some sort. The patient is considered an outpatient, (and charged the lesser "hold bed" charge) even though admitted to the hospital, for the first 24 hours, or 23 hours and 59 minutes. Maybe this doc is saying that the EKG was done at that time in the admission - hour #23, minute #____. Again, use caution, and if this is the case, the doctor sure SHOULD have said "at 23 hours X minutes after" admission or clarified it somehow. But this is just food for thought, since I have had docs dictate using the number of hours since the patient was admitted, though I'm happy to say they the docs always made it known that that's the way they were counting down the hold bed time.

Perhaps guards as in bumps to pad or hold the patient during surgery.
Subject: Perhaps guards as in bumps to pad or hold the patient during surgery.


in call
Subject: in call

It's en caul. 


http://www.google.com/search?hl=en&q=en+caul+delivery


 


s/l poh-tee-call-us
Subject: s/l poh-tee-call-us

"... with a gaze to the left."


Any ideas? 


I'd call that slang and
Subject: I'd call that slang and

I'd probably change it to "... and he received approximately 40 stitches" unless I was on verbatim.

thanks for your help. will call. he needs antibiotics.
Subject: thanks for your help. will call. he needs antibiotics.

i have always had to take meds for 10 days or so before getting an abscessed tooth pulled...geeze. the pus prob spread to his gums....thanks again,
PS -Did you think to call a pharmacy? sm
Subject: PS -Did you think to call a pharmacy? sm

This is what I did when something like this comes up. I know they want you to use the slightest amount possible, and usually never prescribe more than a small tube at a time. This is a very huge amount. I find pharmacists usually are very helpful if you don't ask them more than a few times a year. I would rather do this than say "a pound," just picture it in your head - that's a lot.
s/l soft call? sm
Subject: s/l soft call? sm

We are going to have this patient go into a thumb spica cast. At this time, this patient does have the 1st metacarpal fracture s/l soft call so we will see him back again in two weeks.


yes. they call it a pacer....
Subject: yes. they call it a pacer....

nm
Good call!
Subject: Good call!

Physician's assistant is dictating, and I bet he just mis-read it as 5-HIP instead of 5-HTP. He says it loud and clear, "Five hip".
soft call?
Subject: soft call?

This patient presents to us with a left distal radius fracture. This was a "soft call" as he had no changes on the x-ray however did have some soreness right over the growth plate so he was treated with a splint.
Code call?
Subject: Code call?

He was admitted to the ICU with acute hypoxia after an s/l MSENT was called . . .
wow - looks like it might be too close to call!
Subject: wow - looks like it might be too close to call!


good call - that's probably it.
Subject: good call - that's probably it.


Ah! He probably means what most doctors call sm
Subject: Ah! He probably means what most doctors call sm

....an "acute abdomen series." It is three plain x-rays - one of the abdomen with the patient flat (lying down), one of the abdomen with the patient standing upright, and a third x-ray of the chest to include the diaphragms (also with patient upright) so they can see if there is free air under the diaphragm (which can happen with bowel perforation in cases of diverticulitis, Crohn's, or other bowel diseases).
good call dhd, I did not think about context. Duh
Subject: good call dhd, I did not think about context. Duh


Listening to it a different way, that is it. Good call! Many Thanks.
Subject: Listening to it a different way, that is it. Good call! Many Thanks.

nm
Please keep in mind, some cos call for et cetera. Thanks.
Subject: Please keep in mind, some cos call for et cetera. Thanks.

.
Good call. Will listen again. Thanks! nm
Subject: Good call. Will listen again. Thanks! nm

xx
Good call, Tanya!
Subject: Good call, Tanya!

clivus /cli·vus/ (kli´vus) [L.] a bony surface in the posterior cranial fossa sloping upward from the foramen magnum to the dorsum sellae.
Good call and the other word is probably..
Subject: Good call and the other word is probably..

Santyl
but i WILL call you Pro-Exclamation Mark! nm
Subject: but i WILL call you Pro-Exclamation Mark! nm

nm
Should I Make a call To the Bullpen?
Subject: Should I Make a call To the Bullpen?


From a physical exam of a formerly premature infant, now 3 months old.


Abdomen: Soft, nontender, nondistended. Normal bowel sounds, (no pitcher present?).


You call that "rude?" Get a backbone! This board is to help those who sm
Subject: You call that "rude?" Get a backbone! This board is to help those who sm

need it, and "spelt" is simply not correct.  If you can't stand to be corrected, you're in the wrong business!
I would call it subtherapeutic Dilantin level.
Subject: I would call it subtherapeutic Dilantin level.

x
Call me crazy, but I thought decimals were only for
Subject: Call me crazy, but I thought decimals were only for

the metric system, which pounds are not.  So, it would be 175-1/2 pounds.  I can't find it in BOS either and I've looked up everything I can think of to support my theory. 
Missed 'with', good call! Thx. nm
Subject: Missed 'with', good call! Thx. nm

,,
Might be specific to that hospital. Maybe find on their website? Or call QA? nm
Subject: Might be specific to that hospital. Maybe find on their website? Or call QA? nm

s
when a baby will not feed they call it oral aversion sm
Subject: when a baby will not feed they call it oral aversion sm


Strategies for Treating Children with Severe Oral Aversion





Therapists who treat children with oral aversion often become frustrated, ... With severe oral aversion and defensiveness, it is important for therapists ...
www.childrenshosp-richmond.org/professionals/articles/strategies_for_treating.htm - 24k - Cached - Similar pages


Oral aversion definition - Medical Dictionary definitions of ...





Oral aversion: Reluctance or refusal to feed or eat. A familiar example of oral aversion is a baby's refusal to breastfeed. ...
www.medterms.com/script/main/art.asp?articlekey=23918 - 30k - Cached - Similar pages

Good call! It's interesting to research these archaic terms.
Subject: Good call! It's interesting to research these archaic terms.


Nope, Portadisk. I can't find anything, either. I guess I'll call. Thx.
Subject: Nope, Portadisk. I can't find anything, either. I guess I'll call. Thx.


She would be an excellent candidate for an epidural and would recommend a s/l call approach SM
Subject: She would be an excellent candidate for an epidural and would recommend a s/l call approach SM

since she does have bilateral discogenic-type low back pain, multilevel.
in past history, s/l hyper-call liver/level? condition
Subject: in past history, s/l hyper-call liver/level? condition


FWIW, our nurses call Gebauer's ethyl chloride spray Freezy Spray
Subject: FWIW, our nurses call Gebauer's ethyl chloride spray Freezy Spray

it's a spray-on topical anesthetic - maybe you could google ethyl chloride and see if any brand name pops out.  Good luck!
confused
Subject: confused

Are you saying that I should expand ST to Electrocardiographic wave segment> or are you agreeing with me that there is no expansion for ST?

Okay, now I'm really confused
Subject: Okay, now I'm really confused

I thought I saw my post come up four times, but now I don't see it at all, so I'll ask one more time.  Hopefully this works and I haven't been too annoying! 


Okay, so the patient has bilateral otitis externa "and is having a lot of swelling in the [s/l "D man"] and in the nasal mucosa.  I injected it with Depo-Medrol and Marcaine and put him on Flonase."


I feel like I should be catching this but I'm stumped!  Any ideas?


Confused.

I was transcribing last night on a woman and the doc said quite clearly, twice, that she was post vasectomy.  Okay, I figured that maybe this female once was a male.  However, by the end of the report I knew that this was not the case.  Anyway, I left a QA marker as I figured what the doc said was incorrect and I did not want to be the one to type that information down.  I checked on the report today and QA had put in vasectomy, just as I thought he said. 


Okay, so my question is:  can women get vasectomies??  I thought it was impossible, but after yesterday my confidence is shaken.  Women don't have the vas for the ectomy.  If I am correct, then why would QA leave something so erroneus in a report?  If it were me I would have left it blank. 


Please, someone correct me if I am totally wrong.   


thanks a lot..... it confused me for a while there. nm
Subject: thanks a lot..... it confused me for a while there. nm


not sure, please SM... so confused!..
Subject: not sure, please SM... so confused!..

thanks... not sure... he continually says what actually sounds like .... "lungs sr"... i have been doing MT for 11+ years and this is now really frustrating me!!!!!!! TY
No. I am not sure. I am actually confused on this one LOL..
Subject: No. I am not sure. I am actually confused on this one LOL..

x
Still confused though.
Subject: Still confused though.

fabere is Flexion, ABduction, External Rotation and extension.

The doc is saying s/l Faber, so I do not know which one to go. So frustrating.
I get confused too sm
Subject: I get confused too sm

track (track) (trak)  1. the path along which something moves, or the mark left by its movement.  2. of pus, to follow the path of least resistance through the tissues, e.g., along an intermuscular septum.


tract (tract) (trakt) [L. tractus]  1. a region, principally one of some length.  2. a collection or bundle of nerve fibers having the same origin, function, and termination (tractus [TA]); see also under bundle, fasciculus, and lemniscus.  3. a number of organs, arranged in series, subserving a common function.


This is according to Dorland's online dictionary.  I too get confused but I think it should be track. 


confused
Subject: confused

patient needs a s/l lap cholie?
Thank you so much, I was getting confused.
Subject: Thank you so much, I was getting confused.

nm