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Thanks ya it can be heard so and fits perfectly

Posted By: Rock on 2008-11-21
In Reply to: could it be for monitoring purposes? - mm

Subject: Thanks ya it can be heard so and fits perfectly

Thanks


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You have to (LOL); "malaise" fits the blank perfectly.
Subject: You have to (LOL); "malaise" fits the blank perfectly.

Great job, FT MT!
Bless your heart. Been looking all nite. Fits perfectly too with pmh. :)
Subject: Bless your heart. Been looking all nite. Fits perfectly too with pmh. :)


that's perfectly okay feel better! nm
Subject: that's perfectly okay feel better! nm


"wise" is actually a suffix and perfectly...sm
Subject: "wise" is actually a suffix and perfectly...sm

acceptable.  Cardiacwise is used all the time.  Hate it, don't do it myself, but it is acceptable.  Every doc I've ever transcibed for has used it.  It's even in the Stedman's spellcheck. 
Yes, sounds perfectly fine to me. -nm
Subject: Yes, sounds perfectly fine to me. -nm

x
As I said, I am perfectly aware of exactly where the perineum is
Subject: As I said, I am perfectly aware of exactly where the perineum is

I misspoke, okay? I usually associate the word with abdominal/pelvic CTs because that is when I usually hear it. I was trying to help, and I didn't expect to be jumped on. I have been doing medical transcription since 1971, so I do have a little experience.


And re "peroneal," I happen to hear that most often when transcribing CTs or MRIs of the knee. Per Wheeless' Textbook of Orthopaedics (below) the peroneal nerve branches off the sciatic nerve and runs almost the entire length of the leg.  And I won't even get into the peroneal arteries and veins (which run from the knee to the ankle), muscles (peroneus longus and brevis), and tendons (which are the only part that is confined only to the ankle area, as mentioned above).


- Anatomy: 
- common peroneal nerve is derived from (L4, L5, S1, S2) as a part of the sciatic nerve
- posterior component, supplies short head of biceps femoris in thigh, crosses posterior to lateral head of gastrocnemius, and becomes subcutaneous behind head of fibula; 
- it penetrates the posterior intermuscular septum, and becomes closely opposed to the periosteum of the proximal fibula; 
- it then divides into superficial & deep peroneal nerves; 
- the nerve also gives off a lateral sural cutaneous brach which joins with the the medial sural cutaneous nerve (from tibial nerve) to form the sural nerve
- superficial peroneal nerve: 
- supplies lateral compartment of leg, first passing between peroneus longus 
 - passes in a straight line from the common peroneal nerve; 
- along the length of the proximal one third of the fibula, the superficial peroneal nerve is on the lateral cortex of the fibula; 
- passes between peroneus longus & peroneus brevis
- superficial sensory nerves: 
- subcutaneous superficial sensory branch lies between peroneus brevis and EDL msucles. 
- superficial peroneal nerve is accompanied by a true vascular axis that is supplied by tibialis anterior artery along its course. 
- about 10-12 cm above the tip of the lateral malleolus, the superficial peroneal nerve pierces the fascia; 
- about 6-7 cm distal to the fibula, the superficial peroneal nerve bifurcates into intermediate and medial dorsal cutaneous nerves; 
- location of cutaneous nerves: (from Huene and Bunnell 1995) 
- branches of the superficial peroneal nerve or the sural nerve may be injured during ORIF of Ankle frx; 
- these nerves are most at risk at the junction of the distal and middle thirds of the lateral border of the fibula; 
- in 22% of legs, braches of either nerve will cross the frx site; 
- in 54% of legs, branches of superficial peroneal will lie within 5 mm of the anterolateral border of the fibula; 
- safest interval is 12 mm posterior to the anterolateral border of the fibula at 10 cm from the fibular tip, and 10 mm posterior to the anterolateral border at 5 cm proximal to the tip


step-off is perfectly fine and in the Sted's. nm
Subject: step-off is perfectly fine and in the Sted's. nm

s
nope, perfectly fine as frontoparietotemporal.
Subject: nope, perfectly fine as frontoparietotemporal.

.
To be perfectly honest, I have never seen it with periods before and I have been transcribing for 34
Subject: To be perfectly honest, I have never seen it with periods before and I have been transcribing for 34 years, but I too still have to learn new things every day. Guess that is what keeps me motivated.


thanks but not sure this fits. nm
Subject: thanks but not sure this fits. nm

xx
Thank you, I think this best fits.
Subject: Thank you, I think this best fits.

x
I don't think that fits
Subject: I don't think that fits

As he actually is saying Nephrocans one can via PEG. I cannot find anywhere.





Thanks much. That fits. nm
Subject: Thanks much. That fits. nm


not sure it fits
Subject: not sure it fits

As far as the s/l, yes it sounds like that, but don't think it fits.  Urine culture: URED e. coli???  Does that make sense??
fits it to a T :)
Subject: fits it to a T :)


Yes, that fits
Subject: Yes, that fits

Thanks
Thanks-that fits!
Subject: Thanks-that fits!

Wow- I learned a few things from that one short paragraph of dictation!  Thanks for your help. 
I believe that fits!
Subject: I believe that fits!

Thanks for the help!
check to see if this fits first, but there is sm
Subject: check to see if this fits first, but there is sm

a Roxanol oral solution which is oral morphine sulfate.
I looked that up but don't really think it fits.
Subject: I looked that up but don't really think it fits.

Thank you anyway though.
Thank you.. Guaiac fits!!
Subject: Thank you.. Guaiac fits!!


Thanks, that's interesting, but I'm not sure it fits here.
Subject: Thanks, that's interesting, but I'm not sure it fits here.

The report went to QA with a blank. I really believe he was saying 'skier,' but I just couldn't document it!
thanks to all...I am checking on both to see what fits. :) nm
Subject: thanks to all...I am checking on both to see what fits. :) nm

d
That sounds like it fits,
Subject: That sounds like it fits,

as the patient has increasing menorrhagia.  Thanks so much!


I do not think that abbreviation fits
Subject: I do not think that abbreviation fits

Squamous cell carcinoma of the lung with metastases, COPD, dyslipidemia, hypertension, history of alcohol of alcoholism in the past, atrial fib-anticoagulated and depression. These are his illnesses and I do not think the abbreviation fits any of these. I think with me being new I should flag it. Thanks MT50 I have bookmarked medilexicon also for further use :)
Boerhaave plz look up and see if this fits nm
Subject: Boerhaave plz look up and see if this fits nm

x
see if cachectic fits
Subject: see if cachectic fits


Probably cigarettes as this fits nm
Subject: Probably cigarettes as this fits nm

nm
Look up GISSI and see if that fits.
Subject: Look up GISSI and see if that fits.


Never heard of it as part of an exam, but have heard of punch biopsy?
Subject: Never heard of it as part of an exam, but have heard of punch biopsy?


Surgicel fits - here is site sm
Subject: Surgicel fits - here is site sm

http://www.jnjgateway.com/home.jhtml?loc=USENG&page=viewContent&contentId=09008b9880e8c980&parentId=09008b9880e8c141
Could be Ximatron -- google and see if fits /nm
Subject: Could be Ximatron -- google and see if fits /nm

.
try kerion...it fits the context
Subject: try kerion...it fits the context

n/m
Thank you! That fits, this forum is such a blessing...
Subject: Thank you! That fits, this forum is such a blessing...

X
Could it be Ansaid? Dose fits nm
Subject: Could it be Ansaid? Dose fits nm

x
Research "blebs" to see if it fits.
Subject: Research "blebs" to see if it fits.


I am going to go with that. Seems to be what fits in the skin appearance. Thanks so much for all o
Subject: I am going to go with that. Seems to be what fits in the skin appearance. Thanks so much for all of your help!


iliopsoas possiblly see if it fits
Subject: iliopsoas possiblly see if it fits


Maybe parasymphyseal but see if a definition fits. nm
Subject: Maybe parasymphyseal but see if a definition fits. nm

s
well insulin NPH 70/30 is correct....not sure how R fits in though nm
Subject: well insulin NPH 70/30 is correct....not sure how R fits in though nm


I bet that's it. It fits, but she botched the pronunciation! Thanks. nm
Subject: I bet that's it. It fits, but she botched the pronunciation! Thanks. nm


Have to agree Neo-Synephrine fits - - sorry.
Subject: Have to agree Neo-Synephrine fits - - sorry.


Do a search of EpiGraft and see if that fits -
Subject: Do a search of EpiGraft and see if that fits -

nm
I think he did mean to say sodium since it fits with what he's talking about
Subject: I think he did mean to say sodium since it fits with what he's talking about

but it definitely sounds like he's saying solu. I may just leave it blank and have him correct it.
XLIF - Google and see if it fits. nm
Subject: XLIF - Google and see if it fits. nm

x
Amrix? Google and see if that fits. nm
Subject: Amrix? Google and see if that fits. nm

x
TY, TY, TY. Yes, it fits. I can't believe it is not in my 2008 QLDEB
Subject: TY, TY, TY. Yes, it fits. I can't believe it is not in my 2008 QLDEB


That dose fits a lot of supplements. What is the dx?
Subject: That dose fits a lot of supplements. What is the dx?


WAG on first, AmphoGel? dose fits. nm
Subject: WAG on first, AmphoGel? dose fits. nm


I saw that, also. Don't think it fits, as pateint is in California. sm
Subject: I saw that, also. Don't think it fits, as pateint is in California. sm

I also believe it was supposed to be "acute".  So why would QA put ""Q-dialysis""?  Who is ultimately responsible for these fill-ins -- the transcriptionist or QA? 
could it be "lesser tubercle" ?? not sure if that fits
Subject: could it be "lesser tubercle" ?? not sure if that fits

here