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That doesn't make sense to me

Posted By: mtagain on 2008-10-24
In Reply to: chronic atrial fibrillation s/l accepted? - Jessica

Subject: That doesn't make sense to me

If it is in the plan, could it be chronic atrial fibrillation assessment?  If I had chronic atrial fibrillation, I don't think I could accept it!!  HA.


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probably doesn't make sense to anyone else, but here goes....
Subject: probably doesn't make sense to anyone else, but here goes....

From the time I took medical terminology, I always thought of:

dysphasia=difficulty speaking because of the "s" instead of "g", as in "speech".

dysphagia=difficulty swallowing because of the "g" instead of "s", as in "laryngeal".

Probably sounds weird, but keeps me from having to look it up!


Doesn/t make sense to me.
Subject: Doesn/t make sense to me.


doesn't make sense, but
Subject: doesn't make sense, but

tactile?????
I don't think so. Doesn't make sense. SM
Subject: I don't think so. Doesn't make sense. SM

The initial spike would be immediately postoperative. There is a second spike at approximately 10 days, and then a third spike at three weeks out. As a result, we will keep him on Coumadin for a total of four weeks maintaining an INR between 2.0 and 3.0 for a total of that four weeks.
doesn't make any sense to me either...sm
Subject: doesn't make any sense to me either...sm

I googled, rith this result...

On

Search resultsJob offer spam: Processing payments (Fraud!)
Who sends these job offers and why? If you have been recruited ... NuCardio Pharmaceuticals Ltd. (nucardio.biz) NuCardio Pharmaceuticals Ltd. (nu-cardio.com) ...

Listen again!
freezing doesn't make sense
Subject: freezing doesn't make sense

Are there any other clues in the report as to what the doc is talking about?
flat doesn't make sense
Subject: flat doesn't make sense

I never heard that term used. You can't hear "afebrile" ?
My guess doesn't make much sense here but..
Subject: My guess doesn't make much sense here but..

A doc wouldn't ever say "percussion tenderness" when referring to extremities would they?  I've heard it when referring to abdomen or spine.  I'm totally reaching and would love to hear what they are saying...such a mystery!


I can only think of levoscoliosis but doesn't make sense here
Subject: I can only think of levoscoliosis but doesn't make sense here


no, doesn't make sense....previous does
Subject: no, doesn't make sense....previous does

is this dictator an ESL? 


prior history of left shoulder pain?


previous history of left shoulder pain?


 


The sentence doesn't make sense to me.
Subject: The sentence doesn't make sense to me.


What could he possibly mean? Pain doesn't make sense. Edge maybe?
Subject: What could he possibly mean? Pain doesn't make sense. Edge maybe?

The placenta did not cleave easily and was taken out in toto, but the cleavage PAIN was not smooth.


The only thing I can find close is subtilise meaning to make senses more keen or make one's sense
Subject: The only thing I can find close is subtilise meaning to make senses more keen or make one's senses more acute?


I'm still listening and trying to fit it together to make any suggestions make sense.
Subject: I'm still listening and trying to fit it together to make any suggestions make sense.


I am wondering if it is "tap sense". Does that make sense?
Subject: I am wondering if it is "tap sense". Does that make sense?


That doesn't make it correct, though. I had sm
Subject: That doesn't make it correct, though. I had sm

a doc say "derbis" for "debris" and another say "aspirational pneumonia" instead of "aspiration pneumonia," but that does not make the docs correct. WE must know the difference which is the reason WE need mentoring for years after going to school and need proper references for our field, not Google.

You listed polynephritis Google references which are incorrect. Don't understand your followup.
Doesn't it make you crazy????
Subject: Doesn't it make you crazy????

When a doc spells a word that you know perfectly well how to spell, except their spelling it out confuses you and sends you on a wild goose chase?  AAAARRRRGGGHHHHHH!!!!!!!!!!!! 
Makes more sense doesn't it!
Subject: Makes more sense doesn't it!


does anybody think it could be foreign pathology. That makes sense doesn't it? nm
Subject: does anybody think it could be foreign pathology. That makes sense doesn't it? nm

nm
Make sense?
Subject: Make sense?

pt had a cholecystectomy symptomatic with right upper quadrant pain with elevated liver function studies thereafter.


Is there a better way to say this?


That would make more sense. lol.. you are probably right
Subject: That would make more sense. lol.. you are probably right

nm
make sense?
Subject: make sense?


Certainly, if there is any kind of stricture or lesion that might improve his nutritional status, this certainly could lead to his improved comfort and increased survival.


The pt has dysphagia and has lost weight, so doc is sending him to an ENT physician.


 


 


Does this make sense to anyone out there?
Subject: Does this make sense to anyone out there?

The patient had CAT scan of the head which showed stable chronic small vessel ischemic changes, stable chronic infarction, right ventricular nucleus, posterior (LIVE??) internal capsule.


does not make sense to me...sm
Subject: does not make sense to me...sm

how about *involving* her hind foot? just a thought.
Does this make sense????
Subject: Does this make sense????

He is talking about lab results and he says:


"negative immunofixation s/l tighter"


does "tighter" make sense here?


Does t.o. make sense here?
Subject: Does t.o. make sense here?

Doc gives prescription for Hydroxyzine 25 mg s/l t.o. q. four hours p.r.n. It distinctly sounds like t.o. and not p.o.
Does this make sense? sm
Subject: Does this make sense? sm

It sounds like he is saying: Temperature was flat at the time of discharge. 


I have never heard that before. Would that be right? TIA!


Does this make sense?
Subject: Does this make sense?

I am covering this acct for someone and don't know if this makes sense. 


This patient is returning for followup after a left carotid endarterectomy.


The doctor says:


My impression is that the patient has s/l failed to the left carotid endarterectomy, and the right side has 50-79% stenosis, which is asymptomatic.


Both sides have 50-79% stenosis...............................THANKS FOR ANY HELP!


does this make sense?
Subject: does this make sense?

 Does this makes sense? "draped in the usual sterile manner with a groin towel sewn in with 3-0 nylon."
That would make sense, but
Subject: That would make sense, but

pt already had the colectomy and I don't hear her say "with" takedown.


Does this make sense? (sm)
Subject: Does this make sense? (sm)

He requires assistance to stand and tends to s/l retro pulse.
Does this make sense?
Subject: Does this make sense?

Probably referring to retropulsion. Some patients with Parkinson's do this (involuntary backward walking or pushing backwards).
Does this make sense?
Subject: Does this make sense?

Not sure that he is saying this exactly...


 


BTA of the circumflex was performed with stent in 2 proportions; proximal and mid-circumflex.


 


Thank you!


It would make sense...
Subject: It would make sense...

It would make a lot of sense given that she is elevating her hand. I tried those keywords you gave and still pulling up nothing. However, it really sounds like she is dictating "Carter pillow" but I had never heard of one before so I really wanted to double check. That most likely has to be it but I'm still debating putting a blank. I'll listen a few more times and most likely use that. Thanks so much! :)
does this make sense?
Subject: does this make sense?

On exam, he dictates, "No focal motor or neurological s/l os."   


tia.


does this make sense?
Subject: does this make sense?

The patient had bilateral breath sounds, s/l color transient capnometer and no epigastric sounds. 


s/l color transient ??


does this make sense?
Subject: does this make sense?

There is audible clicking when the humerus is rotated around to the glenoid.   
make sense
Subject: make sense

Yep, this is a common finding.
That could make sense, but
Subject: That could make sense, but

it's not what he is saying, it's either two words before repletion or it is a longer word. I guess I'll just blank it!
can anyone help me make sense of this ?
Subject: can anyone help me make sense of this ?

some s/l vertusion or hematamatic material was in the right fallopian tube. 


I don't think hematamatic is a word, but I am nearly 100% sure that is what is being said


does 26,26,10 make sense?
Subject: does 26,26,10 make sense?

..
Can someone help me make sense of this?
Subject: Can someone help me make sense of this?

This sentence talks of some kind of abuse. It is under SOCIAL HISTORY. It sounds like mountain tls, tlh, or tl8 abuse is noted. What I am hearing makes no sense. Is there someone that can make sense of this for me. Thanks.
make sense?
Subject: make sense?

I agree with the OP. I have docs who dictate "ETOH" maybe that's part of what he is saying. Long shot, but maybe it's mounting ETOH abuse, like it's getting worse? Dunno.
Does this make sense?
Subject: Does this make sense?

Osteophytes are are reported on the sagittal films at the T11 area, though there are no s/l axials through this area.
What would make sense is
Subject: What would make sense is

The knee pain is significant because ...

Did you transpose is and pain, or did the dictator?


Thanks PC that would make sense but....
Subject: Thanks PC that would make sense but....

Sounds nothing like he is saying. Typical probably making up words...I'll mark it and send it too much wasted time on it already.
Does this make sense?
Subject: Does this make sense?

It sounds pretty clear - Pt has dull headache, with 3 episodes of intermittent, severe, sharp pain, left-sided.  Last 3067.  Had left eye twitching. 


I can't figure out what the "last 3067" means??


TIA


Can't make sense out of this! please sm
Subject: Can't make sense out of this! please sm

The patient is status post a motor-vehicle accident.


Doctor dictates: "He was driving forbora a Bar A with bar anticipation."


Please help! Can't figure out where one word starts and one word ends. I know this sounds ignorant but need help! Thanks in advance.


does this make sense to anyone sm
Subject: does this make sense to anyone sm

ap and lateral films reveal cervical femoral neck fracture ???  If so, please explain to me.  tysom


DOes this make sense?
Subject: DOes this make sense?

He has a subtle s/l stride noted at the level of the axilla secondary to hypertrophy of the musculature and weight training
That would make sense!...
Subject: That would make sense!...

Maybe he was trying to make a new word contraction!