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Thanks for the laugh!! I needed it! n/m

Posted By: No Name This Time on 2008-04-03
In Reply to: OMG this one has me busting a gut -- - I'll have to share it with DH!!!!

Subject: Thanks for the laugh!! I needed it! n/m

x


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Thanks for the laugh! I needed this!
Subject: Thanks for the laugh! I needed this!


Don't laugh if I'm way off
Subject: Don't laugh if I'm way off

She says the patient has tetralogy of Fallot versus s/l "penny" truncus? in his right pulmonary artery arising from the ascending aorta. TIA!


ok, but don't laugh
Subject: ok, but don't laugh

s/l painful and addicted to the chronic wall of the mesocolinc adipose tissue.


I've tried everything but am unable to figure this one out!


Just a laugh
Subject: Just a laugh


Hi fellow MTs,


 


I haven't been on for a while (broken ribs from one of my foster horses - that naughty girl.)  Just checkin' in and thought I would give you guys an ASR funny.


 


Instead of Dr. L*** L******* it -recognized- Dr. Nasal Orifices None.


 


How annoying.



have to laugh at that one.
Subject: have to laugh at that one.

can you tell he was speaking fast? thanks!
Laugh for the day
Subject: Laugh for the day

The patient was admitted with a hot foreign body.


Dang.  It's getting late.


 


Just for a Laugh!
Subject: Just for a Laugh!

Did you ever notice... sometimes solving some these crazy doctor dictations.. is like playing a game of Mad Gab!!! Haha!
Thanks for the laugh
Subject: Thanks for the laugh

Good to know someone understands. I love this website.
I did, too! Feel better already with a laugh!!.nm
Subject: I did, too! Feel better already with a laugh!!.nm

nm
Just to share a laugh
Subject: Just to share a laugh

I just wanted to share an ASR "funny" and hope to give all a little chuckle...


In the meds list:  "Restroom 30 mg at bedtime."  Oh, what all of our creative minds could do with this phrase, dictation and speech recog.


Absolutely I can use a laugh...
Subject: Absolutely I can use a laugh...

After all, when you're working the Saturday night shift, you need some humor to get through the evening!! I'll check it out...
I had to laugh about "anywase" sm
Subject: I had to laugh about "anywase" sm

too.  This is a perfect example of the "cracker  jack" transcription schools, no experience and why you should have a few years experience under your belt before you try and work at home by youself!!!!!!!!!!
You are going to laugh when I tell you..."mood and affect." :) nm
nm
At least I got a good laugh!! Thanks for that - and your time....
Subject: At least I got a good laugh!! Thanks for that - and your time....


Cree Indians! Thanks for the laugh! nm
Subject: Cree Indians! Thanks for the laugh! nm

x
i'm chuckling, too -- want a really good laugh?
Subject: i'm chuckling, too -- want a really good laugh?

Go to the Medquist board, just a little ways down, and find the post regarding DQS spell checker suggestion for forhead.... really funny. 


 


Thanks. I thought we could all use a laugh, even if it was silly and stupid.
Subject: Thanks. I thought we could all use a laugh, even if it was silly and stupid.

m
That's okay - got a belly laugh from picture in my mind!
Subject: That's okay - got a belly laugh from picture in my mind!


point out that they need to check definition, but don't laugh at them
Subject: point out that they need to check definition, but don't laugh at them


Not nice.
Cute! Glad you had a good laugh to break up your shift! :) nm
Subject: Cute! Glad you had a good laugh to break up your shift! :) nm

s
more help needed same md sm
Subject: more help needed same md sm

Given the high incidence of MRSA, he was treated with extended CARO Penicillin of Unasyn
Thanks.Had to take a well needed
Subject: Thanks.Had to take a well needed

break and now done for the night.

I do not have that book but will have to invest. I get a lot of those and very confusing on how to write them.
help needed
Subject: help needed

I got cystoproctography, but does cystoproctoscopy exists as i could not find it in  stedman also,


 


 


thank u


james


Thanks, I needed that
Subject: Thanks, I needed that

:-)
Thanks! Exactly what I needed!!
Subject: Thanks! Exactly what I needed!!


Help needed MRI -
Subject: Help needed MRI -

MRI demonstrates marked narrowing of the patellofemoral joint, with subcortical signal s/l ontuation and marginal osteophytes.
Lab help needed
Subject: Lab help needed

Wet prep revealed 0 WBCs, moderate EPIs, no clue cells, slight trace bacteria, 0 yeast, 0 s/l trich.

Is trich correct - or should it be capped? Thanks.
Lab help needed
Subject: Lab help needed

Will send out LFTs, Epstein-Barr acute panel, and s/l CMV or CMB titer - Thanks
EKG help needed
Subject: EKG help needed

EKG showed normal sinus rhythm with a rate of 67. Normal intervals. Normal axis. No ectopy. There is T-wave flattening in s/l one, and T-wave inversion in aVL.

Does one sound correct? Would it be typed as I or 1? Thank you.
thanks - you don't know how much I needed that!
Subject: thanks - you don't know how much I needed that!


Lab help needed
Subject: Lab help needed

CBC reveals white blood cells of 5.1, hemoglobin 12.5, platelets 217. There were some s/l codes on the differential, so that was sent out.

Thanks.
help needed again....
Subject: help needed again....

Most likely, she will need calcaneal osteotomy and ___(FTL/FDL) tendon transfer to restore the alignment of her right foot  ___ (gentle/trying to stay in) place of this disease to degenerative posterior tibial tendon..............does it make sense..................
Thanks! That's what I needed!
Subject: Thanks! That's what I needed!

I really appreciate your help!
could it be p.r.n. (as needed)
Subject: could it be p.r.n. (as needed)

Thanks
Help is desparately needed.
Subject: Help is desparately needed.

How do you type this?  I never did ob/gyn before.  What does miss mean, and how do I format?  Any help is appreciated.  Thank you.


 


PAST MEDICAL HISTORY


1.      Gynecologic – G3, P2, 1 miss.  She had been followed by Dr. XXXXXXXX   Her last Pap smear was approximately two years ago, as was mammogram.  Menses are on a q 28-30 day cycle, but there are periods where she will skip and have a menses q.o. month.


Derm help needed sm
Subject: Derm help needed sm

Need help with words in bold.  Thank you.


 


SKIN:  Lots of seborrheic keratoses.  He does have an elevated 9 mm papule on left side of the face, which has some vascularization and central core.  It almost looks like acanthokeratosis, but basal cell carcinoma cannot be fully ruled out.  No other suspicious lesions.  He does have some miliary rubra on the back. 


Yes, the final s is not needed..sm
Subject: Yes, the final s is not needed..sm

leiomyoma, singular; leiomyomata, pleural. Leiomyomatas is not a word.


Your opinion needed
Subject: Your opinion needed

My doctor keeps saying psoricytic arthritis. I transcribe for him a lot, but this is what he is saying.


I am thinking he means psoriatic arhtritis. What do you think?


um I don't think they needed "grammar help"...nm
Subject: um I don't think they needed "grammar help"...nm


eye surgery help needed....
Subject: eye surgery help needed....

PREOPERATIVE DIAGNOSIS: Superior and temporal visual field loss due to s/l maglacoius, matiglacious, maniglacius?.

Procedure is bilateral blepharoplasty.

TIA.

Thanks! I just needed another opinion. nm
Subject: Thanks! I just needed another opinion. nm

nm
eye surgery help needed....
Subject: eye surgery help needed....

'PREOPERATIVE DIAGNOSIS: Dense nuclear sclerotic cataract with posterior subcapsular cataract right eye with s/l stroke exfoliation syndrome.'

Anyone know if 'stroke exfoliation syndrome' is correct? TIA.
psychiatry help needed....
Subject: psychiatry help needed....

'We put her on lorazepam for elevated SIWAS.'

Doc spells out SIWAS as above but am thinking it should be CIWAs. Please let me know what you think. TIA.
opinion needed....
Subject: opinion needed....

'Potassium chloride 20 mg p.o. every day'

Doc dictates as stated above but think dosage should read 20 mEq but am not sure if mg is also correct for this med. TIA.
Ortho help needed
Subject: Ortho help needed

Doing a rotator cuff tear repair.  two words 


Procedure: 1) Left shoulder arthroscopy, subacromial decompression with MINIMUMFER?  procedure.


the left upper extremity was prepped and draped in the usual sterile manner utliizing 8 pounds of traction in the ARTHREX?? arm holder?


THANKS


ophthalmology help needed....
Subject: ophthalmology help needed....

'Slit lamp examination demonstrates clear anterior segments with 2+ s/l MS in the right and 3+ s/l MS and 4+ PSC in the left.'


This sentence is part of examination. Thanks.
Opinion needed please
Subject: Opinion needed please

This is a 4-year-old with metabolic-type cardiomyopathy who required "Amikin chest tube treatment".


I see that Amikin is an antibiotic, but do not feel comfortable with the references I have found with chest tube and/or cardiomyopathy. I would appreciate any opinions on this. Thanks!


sm, ortho help needed
Subject: sm, ortho help needed

She also describes some vague weakness in the right upper extremity, such that when she was working the upper extremity _____try, she felt a heaviness.

The first part of the word is garbled, ends in "try". Anyone have a guess what might fit?

Drug help needed
Subject: Drug help needed

The past medical history is HIV, hepatitis C, underlying asthma, and gastroesophageal reflux disease.


The drug sounds like cyclobid 1 tablet b.i.d. It is as clear as anything but can't document it anywhere. He kind of botches drug names up sometimes so wondering if this is the case here.


Thanks!


sportsmom91 needed some help
Subject: sportsmom91 needed some help

because she was helping out on a family practice account.   Thank goodness someone could help her with the answers.   


Word help needed
Subject: Word help needed

CT scan of the chest, abdomen and pelvis shows signs of ________ or tumor


S/L emental caking


Thanks