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Thanks, but definitely hearing hi or hyper

Posted By: shelly on 2008-03-06
In Reply to: diurnal profile? - Naynay

Subject: Thanks, but definitely hearing hi or hyper




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hyper vs hypoparathyroidism, pls sm
Subject: hyper vs hypoparathyroidism, pls sm

We discussed the risks, benefits, and alternatives of proceeding with parathyroidectomy with the risks including but not limited to the possibilities of permanent hyperparathyroidism and possible recurrent laryngeal nerve injury.

Is hyperparathyroidism correct or should it be hypo? TIA
s/l hyper-am-in-emia
Subject: s/l hyper-am-in-emia


with endstage liver disease, cirrhosis with recent hospitalization with s/l hyperaminemia


s/l hyper??? granulation sm.
Subject: s/l hyper??? granulation sm.

Sorry but all I can make out is it begins with an H...full sentence is...

He did have one little area of __ granulation tissue which I cauterized today.

The patient has a ruptured Achilles.tia.
hyper/hypo-ureter
Subject: hyper/hypo-ureter


.....unremarkable workup there except for the presence of 2 continued stones in his kidney. There was no evidence of a s/l "hyper/hypo-ureter".


Not good with urology.  Thanks


s/l hyper-atrophy-air-kalemia
Subject: s/l hyper-atrophy-air-kalemia

Please help. I cannot reference this word.
Hyper vs. hypocoagulable disorder
Subject: Hyper vs. hypocoagulable disorder

I have a doc with a british accent and I can't make out if he is saying "hypocoagulable disorder" or "hypercoagulable disorder". If the patient had DVT or clot I would default to hypercoagulable, but this patient has excessive menstrual bleeding, so I am thinking hypocoagulable. However, when I look it all up on the net, references all seem to be "hypercoagulable" regardless if it's excessive bleeding or clot. Does anyone out there know which it should be? Thanks.
Hyper-CVAD is what i found. nm
Subject: Hyper-CVAD is what i found. nm

:)
s/l hyper coke lesions right kidney
Subject: s/l hyper coke lesions right kidney

I feel like this is something easy and I am just completely missing it.  HELP!
pls see msg for complete sentence for context. s/l hyper-C-vat. sm
Subject: pls see msg for complete sentence for context. s/l hyper-C-vat. sm

It is yet unclear as to whether or not an improved remission; i.e., a complete remission prior to autotransplant is associated with improved outcome, although it appears likely given the data from several studies indicating that an autotransplant after hyperC vat or salvage chemotherapy for those who do not enter complete remission with CHOP-R is associated with a better outcome than those transplanted in partial remission.
At the end of report, he now says hyper, er, um, hypothyroid - so must be Levothroid
Subject: At the end of report, he now says hyper, er, um, hypothyroid - so must be Levothroid


Hypo, hyper, macro, micro
I'm a long-time MT and I still have a problem telling hypo from hyper, hypothyroid from  hyperthyroid,  macro from micro, etc....unless it's very obvious from the content of the dictation which is a lot of times isn't.    Another difficulty is the lab values...it's hard to tell 15 or 50, 20 from 30.  I leave blanks and then I see where QA fills them in.  So, I don't know if my hearing is getting bad or if they or just guessing.  Or, they may have access to othe lab values from previous dictation.  So I'm just wondering if this is a common problem with other MT's. Maybe I need to have my hearing checked.
Thanks CL! I'll double check if it's hypo or hyper. New dictator ...
Subject: Thanks CL! I'll double check if it's hypo or hyper. New dictator ...


Percussion of the chest shows s/l hyper-tymp-a-nism
Subject: Percussion of the chest shows s/l hyper-tymp-a-nism

:-)
in past history, s/l hyper-call liver/level? condition
Subject: in past history, s/l hyper-call liver/level? condition


hyper (fast); hypo (slow); micro (small); macro (large)
Subject: hyper (fast); hypo (slow); micro (small); macro (large)

nm
Yep, You are hearing one over four
Subject: Yep, You are hearing one over four

or 1/4. Could listen to see if there are any pluses in there though.
is it possible you are mis-hearing,
Subject: is it possible you are mis-hearing,

and he/she is saying 'MRCP'?,
ie, mental retardation/cerebral palsy...

?
could I be hearing this right?
Subject: could I be hearing this right?

Patient found to be hypotensive upon entry to the operating room. "Mass trousers" were placed. CPR was resumed.


This patient was in a car accident.  Thank you


Re: could I be hearing this right?
Subject: Re: could I be hearing this right?

MAST trousers (Military and/or Medical Antishock Trousers).
you sure you are not hearing O2 sat 92%?
Subject: you sure you are not hearing O2 sat 92%?

n/m
not sure if I'm hearing this right?
Subject: not sure if I'm hearing this right?

CT scan of the abdomen and pelvis showed a small s/l fat containing umbilical hernia.


s/l fat ?


OB..I do not know if I am hearing this even..
Subject: OB..I do not know if I am hearing this even..

to put it on here...


the cervix was prepped with acetic acid and s/l a few or a-sea-a white changes were noted in multiple areas int the 11:00 region..etc.  thank you


Are you hearing this as boy-yay or boy-ett? nm
Subject: Are you hearing this as boy-yay or boy-ett? nm

s
WAG but could be you be hearing sm
Subject: WAG but could be you be hearing sm

Decadron 8 mg IM?  Commonly given in our office for insect sting reactions etc. along with the other meds mentioned.
not hearing this right please help :)
Subject: not hearing this right please help :)

1. Status post CVA.
2.  Hypertension.
3.  Coronary artery disease.
4.  Obesity
5.  Parasystole S/L a-? relation


Are you hearing
Subject: Are you hearing

flumethasone?
Could you be hearing CVP for DVT there? No
Subject: Could you be hearing CVP for DVT there? No

s
thanks. i'm not hearing the "c" though.
Subject: thanks. i'm not hearing the "c" though.

tia
Thanks to both. Yes, I am hearing that now
Subject: Thanks to both. Yes, I am hearing that now

as it goes, never had this word before, believe or not.
Not sure if I am hearing this right.
Subject: Not sure if I am hearing this right.

she does have some s/l hemi -actric' fracture blisters that are in that area.


???


Wow. I was not sure what I was hearing
Subject: Wow. I was not sure what I was hearing

to begin with and never heard of that before. Thanks so much.
this is what im hearing now... please sm
Subject: this is what im hearing now... please sm

after listening to it a couple of times i think i can clearly hear **shrug shoulder**, tho i dont think "midline" (which is what the MD said) is the right term to use for it.
Now I'm hearing it, but...
Subject: Now I'm hearing it, but...

- nose erythematous mucosa with enlarged turbinates.

Does that make sense?
This is probably something I'm just not hearing right, but need help with s/l
Subject: This is probably something I'm just not hearing right, but need help with s/l

Patient has lupus, asthma, peptic ulcer disease, and depression. Complaining of dizziness,lightheadedness, feeling of about to collapse.

HEENT is negative. s/l dix-ell-pock is negative.

I'm totally stumped and appreciate any help. Thanks!
Are you maybe hearing...
Subject: Are you maybe hearing...

...phonophoresis?
Are you hearing
Subject: Are you hearing

pannus spondyloarthropathy?
Thanks, but just not sure. I am definitely hearing a T in there. Hopefully he will say it again.
Subject: Thanks, but just not sure. I am definitely hearing a T in there. Hopefully he will say it again.


Just go with it if that is what you are hearing. nm
Subject: Just go with it if that is what you are hearing. nm

x
second hearing...
Subject: second hearing...

If this works, she may benefit from ___ or ___(dASO) brace-type orthotic....

Now hearing as USBL or Arizona brace-type orthotic....found USBL in google but not Arizona
Am I hearing this right??? (sm)
Subject: Am I hearing this right??? (sm)

Patient is in for osteoarthritis of the hip. Doctor states- actually rather clearly for her- "Earlier this year he developed a left inguinal adenitis following some deep (s/l dental) cleaning procedure."

Since teeth seem to have nothing to do with your groin, I'm confused... that can't really be right- But I'm also stuck on not being able to hear anything else. :P Ideas?
Could you be hearing ...
Subject: Could you be hearing ...

Under ultrasound guidance, the patient underwent paracentesis of 3500 cc of a nonpurulent ascitic fluid.

A healed right proximal humeral fracture was present.
Not sure if I am hearing right.
Subject: Not sure if I am hearing right.

The following sentence is uclear for me.  This is what I am hearing:


Lungs: No loud wheezes or rhonchi.  Sometimes wheezes sounds like squeezes.  Does that make sense?


Not sure if hearing this right! sm
Subject: Not sure if hearing this right! sm

Patient has ED due to diabetes. He would like to try s/l archotherapy (erectotherapy)??

Anyone heard of this or something that sounds like? Thanks!
Could you be hearing this...
Subject: Could you be hearing this...

or is it definitely LAT?

OATS stands for 'osteochondral autograft transfer system,' and the technique is very similar to mosaicplasty. In the OATS procedure the plugs are usually larger, and therefore only one or two plugs are needed to fill the area of cartilage damage.
Could you be hearing...
Subject: Could you be hearing...

peg and dowel fusion?
Are you maybe hearing "snare"?
nm
Hearing tests
Subject: Hearing tests

There's a Lombard's test, and there's a Schwabach's test.
Where in the ROS "line up" are you hearing this? nm
Subject: Where in the ROS "line up" are you hearing this? nm

x
My ears are hearing a med that s/l...
Subject: My ears are hearing a med that s/l...

dy-no-sar-con-si-pro.  I do not have any context for it as it is just listed in the medications.  He doesn't have any illnesses except hypertension.  This doctor has a tendency to say meds incorrectly.


cannot tell which word I am hearing here...
Subject: cannot tell which word I am hearing here...

He has chronic low back pain, but without limb pain/limping.


 


Thanks.


Any chance your hearing
Subject: Any chance your hearing

asbestosis?