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Thank you both. I'm listening again. He's clear - just don't know how to type it - A1A or

Posted By: Thanks. on 2008-02-20
In Reply to: Rheumatology s/l see message - Thank you

Subject: Thank you both. I'm listening again. He's clear - just don't know how to type it - A1A or A1a. nm




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You steered me on the right path...after listening and listening, It is sampling acquisition. LOL
Subject: You steered me on the right path...after listening and listening, It is sampling acquisition. LOL

:
perhaps "carcinoma of clear cell type" nm
Subject: perhaps "carcinoma of clear cell type" nm


I thought it would be some type of cement, but he's is saying "Prodance" pretty clear, I ju
Subject: I thought it would be some type of cement, but he's is saying "Prodance" pretty clear, I just

can't document that anywhere. It seems to be a packing of some sort as the doc stated "we packed the wound and sutured the soft tissues over this impregnated with the antibiotics"... with whatever this "Prodance" thing is. I did try researching all types of antibiotic-impregnated cements, but no luck there either.
It might be patent. It means open or clear. I used to type radiology and used the term all the time
Subject: It might be patent. It means open or clear. I used to type radiology and used the term all the time.


It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(
Subject: It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(


Not sure because I am not listening
Subject: Not sure because I am not listening

to what the DR is saying but maybe radiolucent? otherwise I would leave it out if not sure
After listening again...
Subject: After listening again...

I am sure that is what he is saying. Big Big Thank you.
No, tried listening for that. Thank you!
Subject: No, tried listening for that. Thank you!

nm
After listening again
Subject: After listening again

it does sound closer to your suggestion then anything else I could come up with. I mainly transcribe for this man's partner and only work for him occasionally, so I have learned at least a little how to transcribe mumbles. Thanks for your help.
After listening again
Subject: After listening again

I am sure you are right. Thanks also for "nasolabial", today is just not my day.
I am listening again now and I just
Subject: I am listening again now and I just

cannot hear p.c. It is now sounding like PARIS daily. He is also saying metformin 1000 mg PARIS b.i.d. and Lipitor 10 mg PARIS daily.
This guy is driving me nuts.

Thanks for your help. I just am too unsure, so I will have to send through and see what my QA comes up with.
Thanks so much. After listening again,
Subject: Thanks so much. After listening again,

(she is an ESL), she is not saying the super part.
thank you both!! (after listening again: Hi-Lo) NM
Subject: thank you both!! (after listening again: Hi-Lo) NM

nm
After listening again I believe that is what he is saying, thanks.
Subject: After listening again I believe that is what he is saying, thanks.


Upon listening without headphones...
Subject: Upon listening without headphones...

It sounds like he is saying:


My impression is that she has failed her left carotid endarterectomy...


Does this make sense??


Thanks!


Listening to it again, it sounds more like...
Subject: Listening to it again, it sounds more like...

"the tic was created"  Could he be talking about something with the diverticulum?  He slurs the sentence...it's driving me nuts.


Angie


after listening again and again ... it is resumes. Thanks nm
Subject: after listening again and again ... it is resumes. Thanks nm


After listening a few more time...
Subject: After listening a few more time...

She had a (______) abdomen, mild pneumonia, and CAT scan nonspecific from freeair or obvious abdominal catastrophe. She was treated with Zosyn antibiotics and surgical consultation, as well as respiratory consultation for ventilatory management.

thanks; in listening to that, i found it - sm
Subject: thanks; in listening to that, i found it - sm

he was stuttering: putem, potem, "putamen"


listening again it isn't serum, it is urine. Still looking for R&S. Thanks
Subject: listening again it isn't serum, it is urine. Still looking for R&S. Thanks


I tried listening for that, sure didn't sound like it Thank you
Subject: I tried listening for that, sure didn't sound like it Thank you

s
Now it sounds more like ' lois' - I have been listening to
Subject: Now it sounds more like ' lois' - I have been listening to


Thanks, but not sure, I keep listening to it and now I think she might be saying "seeker needle&#
Subject: Thanks, but not sure, I keep listening to it and now I think she might be saying "seeker needle". nm

xx
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
So true! I forget to try and think like them when listening.
Subject: So true! I forget to try and think like them when listening.


Maybe that's what he means, but I'm listening now and s/l tracking.
Subject: Maybe that's what he means, but I'm listening now and s/l tracking.

nm
On listening again, I think she might be saying oncocytic toenails
Subject: On listening again, I think she might be saying oncocytic toenails


I am listening over and over again and he says craniovascular, it is driving me nuts!
Subject: I am listening over and over again and he says craniovascular, it is driving me nuts!


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.


got it... BI-RADS 1. It helps to know what you listening for. Sorry guys I am a new MT.
Subject: got it... BI-RADS 1. It helps to know what you listening for. Sorry guys I am a new MT.


NM... after listening the billionth time I think it is Mature cataract.
Subject: NM... after listening the billionth time I think it is Mature cataract.


Arcus senilis is correct. Thanks. But it's not cooperate, I tried listening to it before already
Subject: Arcus senilis is correct. Thanks. But it's not cooperate, I tried listening to it before already.


Discharge Dx - s/l Listening and failure of knee implants nm
Subject: Discharge Dx - s/l Listening and failure of knee implants nm

.
I'm listening again (and again - sigh) would attachment make sense here. Proximal attachment sm
Subject: I'm listening again (and again - sigh) would attachment make sense here. Proximal attachment sm

to the common flexor origin. Any input?

I'm still listening and trying to fit it together to make any suggestions make sense.
Subject: I'm still listening and trying to fit it together to make any suggestions make sense.


Listening again, it almost s/l folded portion/fulton portion. nm
Subject: Listening again, it almost s/l folded portion/fulton portion. nm


same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.
Subject: same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.

nm
Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm
Subject: Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm


which is preferred ~ diabetes mellitus type II or type 2?
Subject: which is preferred ~ diabetes mellitus type II or type 2?


I get confused, how do you type out grade, class, type SM
Subject: I get confused, how do you type out grade, class, type SM

I forget which ones  use Roman and which do not.  TIA


just to be clear...
Subject: just to be clear...

I just want to be sure about whether since she specified it is left side only that extensor hallucis "is" and not extensor hallucis "are". If she said bilateral then it would read extensor hallucis are 4+/5 -- am I getting that part correct? TIA
To be clear?
Subject: To be clear?

Hallucis IS.......halluces ARE. You will know when she is talking about a different side or bilateral. Don't over-think your dictator, okay? I'm thinking you may be new (I hope) and these things will become more clear as you go.

I know you're trying to get it perfect, but she knows what she's doing with the foot/feet. :)
it is very clear
Subject: it is very clear

She keeps referring to white matter abnormalities with signal loss and T2 prolongation through the entire report, so I am thinking leuko (white) something....no idea
I wish...but it's very clear. Thanks
Subject: I wish...but it's very clear. Thanks


Just to be clear
Subject: Just to be clear

My "duh" in the other post was for ME, not you. Didn't want any misunderstanding. Thanks for your help!
Clear? Nm
Subject: Clear? Nm

nm
Yes, it is clear. Thank you!
Subject: Yes, it is clear. Thank you!

x
I think if it's not clear
Subject: I think if it's not clear

I would leave a blank, although it is probably hypocoagulable (my Stedman's oncology book has this word) and we used it in the lab, such as defective clotting with factor deficiences such as hemophilia, von Willebrand (which heavy menstrual flow can be a sign), low platelet count, ITP, liver disorders that affect vitamin K production, etc.  But it's really hard to say without knowing more about this patient because, if I can explain this right, there are conditions or situations that can cause hypercoagulable states that then use up all the clotting factors, etc., and then cause bleeding.  So really need to know more on what the patient's other symptoms, family history, etc. to be sure on something like this when you can't hear for sure, I think anyway.  Sorry for the long essay here, used to be one of my areas of interest a long time ago.  Once worked up a lady who had heavy, heavy vaginal bleeding after childbirth, was in really bad DIC, docs had a heck of a time saving her.  You can google on some of this if you're interested.
not clear
Subject: not clear

it is urine drug screen and delirium tremens but 17a not clear
tks... really not sure... the K is VERY clear.
Subject: tks... really not sure... the K is VERY clear.

could be s/l Akiva maybe, but it definitely is not a V at the beginning. Unless the doc is reading it wrong from paper... not sure.

Thanks for the input!
THANK YOU SO MUCH! That is it! It is so clear now...THANKS AGAIN!
Subject: THANK YOU SO MUCH! That is it! It is so clear now...THANKS AGAIN!

nm