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Thanks .......it is friday and anxious to finish....do not have thinking cap on!

Posted By: mt33 on 2008-01-18
In Reply to: esotropia? - MT50

Subject: Thanks .......it is friday and anxious to finish....do not have thinking cap on!




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Alzheimers patient S/L anxious seizures? Thanks!
Subject: Alzheimers patient S/L anxious seizures? Thanks!

dd
Pt has some internalizing with anxious, depressed, and somatic complaints on the "ocka bock"
Subject: Pt has some internalizing with anxious, depressed, and somatic complaints on the "ocka bock"


thanks but did not have to finish the report...
Subject: thanks but did not have to finish the report...

It was not a 'do not transcribe' worktype for me.
Finish-American?
Subject: Finish-American?

I swear this doctor had too many pain meds.  He says and spells FINISH American.  Never heard of it!
to be from Finland: Finish ? (nm)
Subject: to be from Finland: Finish ? (nm)


can you tell what he meant? Maybe "will soon finish"
Subject: can you tell what he meant? Maybe "will soon finish"


I think it could be! Thank you! I don't have to finish this up until tomorrow, so I'll inves
Subject: I think it could be! Thank you! I don't have to finish this up until tomorrow, so I'll investigate it then!

x
Welcome. don't know if that helps finish the sentence on your report or not.
Subject: Welcome. don't know if that helps finish the sentence on your report or not.


wow! must be Friday and Everybody is testy. sorry. nm
Subject: wow! must be Friday and Everybody is testy. sorry. nm

nm
Thank you- Happy Friday :) nm
Subject: Thank you- Happy Friday :) nm

x
You are a Friday angel... thank you!
Subject: You are a Friday angel... thank you!


Maybe Friday the 13th is her LUCKY day! sm
Subject: Maybe Friday the 13th is her LUCKY day! sm

She sounds cute.
Bless you! Happy Friday! :)
Subject: Bless you! Happy Friday! :)


LOL...He is being incoherent which he never is and I am jumpy could it be because it is Friday!
Subject: LOL...He is being incoherent which he never is and I am jumpy could it be because it is Friday!


Sounds like something for us old folks to do on Friday night!!!
Subject: Sounds like something for us old folks to do on Friday night!!!


No def says Coumadin!! I have listened too many times LOL WHY ON FRIDAY!!!!
Subject: No def says Coumadin!! I have listened too many times LOL WHY ON FRIDAY!!!!

I THINK I SHOULD FLAG!
Patient is [trepidous] about going on Friday for her impending mastectomy...
Subject: Patient is [trepidous] about going on Friday for her impending mastectomy...

... just can't seem to find what the right form of trepidation really is. Any good sites that will conjugate verbs like that?
sorry, so positive. too early today and it is Friday. Going to be a long day. NM
Subject: sorry, so positive. too early today and it is Friday. Going to be a long day. NM


Just a little humor for a Friday morning. Urologist, Dr. Stone.nm
Subject: Just a little humor for a Friday morning. Urologist, Dr. Stone.nm


I type "every Monday/Wednesday/Friday."
Subject: I type "every Monday/Wednesday/Friday."

x
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.