Thanks!. That's what I was thinking too.
Posted By: MTmom on 2009-03-31  
In Reply to: I'd go with "foamy" - Marian
  
Subject: Thanks!. That's what I was thinking too. 
   
 
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still thinking 
Subject: still thinking 
  Turns out that the patient is having very high fevers giving impression of left lower lobe pneumonia.  Came across a brand name of a drug used in mouthwash called Advexin.  They were talking about oral cancers...but then cross-referenced on http://www.pharma-lexicon.com/ and found (generic Mepron) atovaquone, classified as an anti-infective used in both adults and children who are at risk for PCP with initial doses of 750 mg per 5 mL.  Since Hodgkin's lymphoma and bone marrow transplant would put this girl in a severely immunocompromised state, I would bet they are giving her a pretty hefty dose of the stuff.  Atovaquone it is.   
 
Thanks for helping me.     
	 
	
Thanks, I was thinking along 
Subject: Thanks, I was thinking along  
  those lines, just wanted a second opinion.  :-)
	 
	
that's actually what I was thinking too - nm 
Subject: that's actually what I was thinking too - nm 
  x
	 
	
Tks.  I kept thinking there is another 
Subject: Tks.  I kept thinking there is another 
  Like ...there were lewes....or something.  You are probably right, and I finally found it in stedman's and it says *sternal angle* and that seems to fit the way the doctor used it.  Thanks again.
	 
	
that's what i am thinking 
Subject: that's what i am thinking 
 
 I was thinking along the lines of this from the begining....compression over lower extremities.....just wish I didn't hear otherwise!  (I hate Monday's) 
	 
	
That's exactly what I was thinking 
Subject: That's exactly what I was thinking 
  but I have this doc all the time and she's never dictated time like that before, so I just wasn't sure.  Thanks to all who replied.  
	 
	
I was thinking that too...I'd have to say it was: 
Subject: I was thinking that too...I'd have to say it was: 
  Past history notable or is notable for ______.
	 
	
That's what I was thinking..maybe she 
Subject: That's what I was thinking..maybe she  
 
 just got ahead of herself when dictating it in the assessment..because I definitely didn't hear an itis at the end...just a gingival or gingivo sound.    
Thanks   
	 
	
that is what I am thinking..thanks 
Subject: that is what I am thinking..thanks 
  
	 
	
What was I thinking 
Subject: What was I thinking 
  of course, para anything with twins, triplets, etc.  Thanks for fixing my answer!
	 
	
I'm thinking it's probably 
Subject: I'm thinking it's probably 
  R&M for "routine and microscopic"   
	 
	
That's what I was thinking, too. 
Subject: That's what I was thinking, too. 
  .
	 
	
I am thinking it 
Subject: I am thinking it  
  may be (LIMA) or left internal mammary artery ..... of course you are hearing it.
	 
	
That's what I was thinking... 
Subject: That's what I was thinking... 
  but was unsure.  It's an ESL doctor and she says it twice.  It doesn't really sound like there is an F in the pronunciation, though. 
	 
	
that's what I was thinking. 
Subject: that's what I was thinking. 
  That is what I have been doing but I guess I just wanted extra reassurance! Thanks.
	 
	
I am thinking that is what she must be saying.  Thanks.  nm 
Subject: I am thinking that is what she must be saying.  Thanks.  nm 
  
	 
	
I am thinking it might be SM 
Subject: I am thinking it might be SM 
  some kind of rowing exercise...____ rows, but I can't come up with anything better than that. 
	 
	
Thanks, I was thinking that or 0.1. nm 
Subject: Thanks, I was thinking that or 0.1. nm 
  xxx
	 
	
I was thinking that myself, but just not sure so I sent to QA 
Subject: I was thinking that myself, but just not sure so I sent to QA 
   
	 
	
I was thinking the same, but (sm) 
Subject: I was thinking the same, but (sm) 
  why would he dictate this along with vital signs?  Seems strange  ...
	 
	
I was thinking that too!  Thanks! 
Subject: I was thinking that too!  Thanks! 
  Thank you for your input!!!
	 
	
That's what I'm thinking..sm 
Subject: That's what I'm thinking..sm 
  This client requires headings whether or not dictated, so I wanted to make sure I'm correct.   
 
Anyway, I have always typed it under abdomen, but I went looking to make sure, and I did find it in a sample report with it listed under back. 
 
However, I just found a very good article called "Varney's Midwifery" that says it is part of the abdominal exam. 
 
Thanks!
	 
	
That's what I was thinking. 
Subject: That's what I was thinking. 
  Most of the references I found say that if a patient is unable to consent to surgery, two doctors can sign the consent form on the patient's behalf.  I am just not sure if the dictators mean double-doctored or double-documented when they say double doc'd.  I do all ops, so it comes up fairly often.
	 
	
that's what i was thinking too - nm 
Subject: that's what i was thinking too - nm 
  
	 
	
I was thinking that too . . .  
Subject: I was thinking that too . . .  
  He is in rare form today.   I think he meant to say compression but it honestly sounds like inspriation.  Sigh*** I mightjust sent it through with a flag. 
	 
	
not thinking-- thanks!! 
Subject: not thinking-- thanks!! 
  nm
	 
	
thanks, that is what I was thinking also.  nm 
Subject: thanks, that is what I was thinking also.  nm 
  nm
	 
	
thinking... 
Subject: thinking... 
  The left wrist is inspected showing there to be a visible soft tissue swollen area of the dorsal wrist closer to the radial aspect of the wrist.  It is approximately 3 cm in diameter.  Mobile tender to palpation and consistent with the ganglion cyst. 
 
I was thinking a comma should go after diameter and before mobile. (where I have a period) What do you think?
	 
	
I was thinking that too until... 
Subject: I was thinking that too until... 
  ...a couple of lines down he said the patient was circumcised. This guy completely rambles. I really didn't know about hair tourniquets until tonight's dictation. (Now If only I could forget the mental image!) Thanks for taking time to answer--this newbie appreciates it.
	 
	
I was thinking 
Subject: I was thinking 
  false lumen, but that when googled is associated it looks mostly with aorta.  Unless you think they could be talking about the abdominal aorta???  
	 
	
that's what I was thinking, but 
Subject: that's what I was thinking, but 
  I'm hearing a "cis" sound in the middle of the word.  He also says it again part way down in the report.  He says EG junction is 35 cm from the _______ orifice. 
 
Thanks.
	 
	
That's what I was thinking... : - ) 
Subject: That's what I was thinking... : - ) 
  
	 
	
was thinking that but SM 
Subject: was thinking that but SM 
  there wasnt any mention of the drug at any other part of the report and the word starts with a K or a C.
	 
	
That's what I was thinking... 
Subject: That's what I was thinking... 
  But I couldn't find anything that came close to matching what it sounds like she's saying.She has an accent which doesn't help at all.
	 
	
I'm thinking maybe... 
Subject: I'm thinking maybe... 
  ...lateral compartment/unicompartmental
	 
	
thinking 6-mercaptopurine  nm 
xx
	 
	
I'm thinking PTCA 
Subject: I'm thinking PTCA 
  
	 
	
I was thinking the same thing 
Subject: I was thinking the same thing 
  I've never heard of anyone being rushed to the ER to be given chemotherapy before.
	 
	
I'm thinking in reference to 
Subject: I'm thinking in reference to  
  
	 
	
More context would help.   I'm thinking it is sm 
Subject: More context would help.   I'm thinking it is sm 
  "a soft cast or appliance" because the patient may have been placed in a soft cast or appliance (splint/brace) until the orthopedic doc saw him.   
	 
	
I'm thinking urticaric ... nm 
Subject: I'm thinking urticaric ... nm 
  nm 
	 
	
Big help, right!  That's funny.  I'm thinking...sm 
Subject: Big help, right!  That's funny.  I'm thinking...sm 
  is he possibly saying "cystoscopy"  instead of  something endoscopy?
	 
	
Sorry. I keep thinking that with that 400 mg dose sm 
Subject: Sorry. I keep thinking that with that 400 mg dose sm 
 
 it might be an antibiotic for UTI etc?  Here is a list of some antibiotics in that dosage. Good luck. All I can offer for this one!!  
   
http://www.uphs.upenn.edu/bugdrug/antibiotic_manual/antibiotic%20costs.htm 
	 
	
Figured it out... was thinking too much... 
Subject: Figured it out... was thinking too much...  
  Was "a layer of" roll gauze and Coban.   
	 
	
I was thinking Gilbert's too..nm 
Subject: I was thinking Gilbert's too..nm 
  
	 
	
Not an ENT MT, but I'm thinking maybe wholly 
Subject: Not an ENT MT, but I'm thinking maybe wholly 
  xx
	 
	
I'm thinking "pulses" also 
Subject: I'm thinking "pulses" also 
  2+ pulses or positive pulses ??  Have you slowed dictation way down and listened again?
	 
	
might be thinking too hard... 
Subject: might be thinking too hard... 
  From the dictionary: 
 
moi·e·ty Pronunciation (moi-t) 
n. pl. moi·e·ties 
1. A half. 
2. A part, portion, or share. 
 
Could be your doc is describing which part of the prosthesis?
	 
	
Is there something before "braw?"  I'm thinking sm 
Subject: Is there something before "braw?"  I'm thinking sm 
  it might be a probe of some kind.
	 
	
Good thinking!!! 
Subject: Good thinking!!! 
 
   Now that made my day! 
	 
	
I was thinking it could be PE, but PA was very clear 
Subject: I was thinking it could be PE, but PA was very clear 
   
	 
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