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This one has me totally stumped...

Posted By: Michelle Anderson on 2008-11-21
In Reply to: rhinitis "hematochematosa" - Meagan

Subject: This one has me totally stumped...

It is ringing a very vague bell for me, probably back to an ancient MedTerm class. I would be very interested to hear what it is/was.


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Thnx, was totally stumped there! nm
Subject: Thnx, was totally stumped there! nm


I'm totally stumped on something in a list of allergies
Subject: I'm totally stumped on something in a list of allergies

Adverse reactions to Dyazide, iodine, Librium, [s/l polibar helial IVAR], Reglan.

Thanks for any help.
Totally Stumped!!! Patient has respiratory failure..sm
Subject: Totally Stumped!!! Patient has respiratory failure..sm

and is status post "dragon pack", "drag n pack"???? I can't find anything on this.  Dictator is ESL, so it could be something completely different than what it sounds like.  Thanks if anyone knows what this is!
Probably totally off but here goes,
Subject: Probably totally off but here goes,

FISH [also called fluorescence in situ hybridization]

This is a lab test that measures the amount of a certain gene in cells. It can be used to see if an invasive cancer has too many HER2 (HER TOO) genes. A cancer with too many of these genes is called HER2-positive. If a cancer is HER2-positive, it may respond to Herceptin. (her-SEP-tin) This is a drug that can slow down or stop the growth of cancer with too many HER2 genes.

you totally rock!!!
Subject: you totally rock!!!

x
Thanks for your help.... I totally missed that....
Subject: Thanks for your help.... I totally missed that....


I agree with you totally.
Subject: I agree with you totally.

She is from Canada so may be they do things differently there. Yes, it seems like she knows everything, has an answer for everything, even if it is wrong, as in Lyderm, and there seems to be no stopping her.

I ask a few questions on this board and give some answers, only if I definitely know the answer. I feel it is difficult to do sounds like on this board without hearing the dictation. There is too much guessing going on.
Totally agree, also!
Subject: Totally agree, also!

Should be changed. Medical transcription should not even have strictly verbatim accounts. It's so unprofessional. Most verbatim account contracts I have ever had actually stated verbatim with light editing for grammar/punctuation per the AAMT.
Absolutely not!!! Totally different! sm
Subject: Absolutely not!!! Totally different! sm

Transient means short-lived, fleeting, coming and going.
Trans is a prefix that means 'across' or 'moving around.' Transglobal amnesia is not remembering anything, regardless of time or context.
I totally understand sm
Subject: I totally understand sm

just added another doc to the office I work for. He often says per HPI above and it took me until just now what he meant. I know we I was typing a History & Physical but didn't know what the I was for. I feel really really dumb but at least now I know. LOL
Haha, thank you-was totally
Subject: Haha, thank you-was totally

blank!
It's totally up to the client what they want you to do with it. Looks like
Subject: It's totally up to the client what they want you to do with it. Looks like

s
agree with you totally !
Subject: agree with you totally !


I totally agree
Subject: I totally agree

That is what I was suggestion with all the similar choices, do not just take the first sound alike - way to risky - many choices.
totally guess
Subject: totally guess

archway?
thats totally different that hemerisnos? But sure.
Subject: thats totally different that hemerisnos? But sure.


Ok, I might be totally wrong here, but I think it is...sm
Subject: Ok, I might be totally wrong here, but I think it is...sm

corrected acuity is -1.75 to -2.50 x2, giving her vision of 20/20?  Again this is just a guess. 
totally agree.
Subject: totally agree.

x
When you get stumped like this try...
Subject: When you get stumped like this try...

...asking yourself a few questions that can help.

For example: You're looking at the cervix (visualize with me), there isn't much in the way of structure in the cervix, so your choices are limited. You've got a clue in the dictation--orifice. What is the orifice called? "Os." Sounds like you've got a doc that belches his way through the term, but the only logical choice for this particular term would be os.

Isn't transcription fun?!

thank you. i was really stumped.
Subject: thank you. i was really stumped.

x
stumped...sm
Subject: stumped...sm

If that measurement is correct, 0.45 mm, it sounds to me like the diameter of a WIRE not a plate...without more info, I can't think of anything that would fit here. I suppose 0.45 mm could be the amount of DISTRACTION created if they're using a plate and screws, but again without more info, i don't know...sorry!
really don't think so--I'm stumped
Subject: really don't think so--I'm stumped

I really don't think he is saying that.  Almost sounds like the word "interpretation" except with a "z"...interprezation. 
stumped, please help
Subject: stumped, please help

The doctor says, self - s/l "unreserveratings" are functioning.  She is talking about ADD.  TIA!!
Okay, I'm stumped!! sm, please
Subject: Okay, I'm stumped!! sm, please

Anterior chest wall scar is healing nicely without erythemia or ???? Certainly sounds like he is saying dysuria, but I know he's not.  Any suggestions?
Stumped on this one. sm
Subject: Stumped on this one. sm

All I can think of is some kind of Mycolog paste. Sorry. All I can think of regarding your S/L.


 



MedlinePlus Drug Information: Triamcinolone Topical





You may need to use more paste if the mouth sore is large. ... Mycolog® II containing Triamcinolone Acetonide and Nystatin; Mycolog®-II containing ...
www.nlm.nih.gov/medlineplus/druginfo/medmaster/a601124.html - 28k - Cached - Similar pages


stumped.....
Subject: stumped.....

Ortho doc is dictating impressions and says:  Mild bursitis and tendonitis of the right shoulder ???? ieou ?? syndrome???


He actually says a - e - i - o -u  and then what sounds like syndrome. 


Am I hearing things? 


stumped
Subject: stumped

try barre-lieou syndrome
I am stumped on this one. sm
Subject: I am stumped on this one. sm

Here is an excellent article from emedicine.com.  Look under the synonyms paragraph at the names of instruments etc. May help.


 


I am so sorry. I am a real dink today!!!


 


Here is the link:


 


http://www.emedicine.com/med/topic3284.htm


stumped on this one
Subject: stumped on this one

She is noted to have a 3cm red mass just posterior to the arytenoid cartilage at the esophageal inlet  When she swallows this mass disappears into the esophageal inlet and then about 5 seconds later it protrudes back up behind the arytenoid cartilages.  It gives the appearance of an air filled esophageal mucosal sac.  


 


The patient brought with her a lateral x-ray of the neck which shows the s/l prevacubital space is very widened in the retrolaryngeal region. 


 


Any suggestions?


GYN help i'm stumped
Subject: GYN help i'm stumped

Under list of procedure:  Pitocin induction; Foley bulb induction, and s/l "mesial ripening."  Thanks so much. 


I am stumped. Sorry. nm
Subject: I am stumped. Sorry. nm


stumped
Subject: stumped

Moderate ischemic cardiomyopathy. There is no clinical sign of congestive heart failure (CHF); however, on the pacemaker interrogation, s/l optigal or optimal trend is turning outward. Her weight is also the same as last time. Pacemaker interrogation confirmed the patient indeed had recurrent nonsustained VT and appropriate intrinsic VT not due to pacemaker. The (same s/l) trend was also increasing over the threshold.

I hear 3 syllables. Have been trying to get this for about an hour and can't. Any ideas?
stumped
Subject: stumped

Thanks - but this one has me stumped.  It sounds pretty clear.  Only other thing it could be would be "see MR card" but that does not really make sense either?!  Guess I will have to blank it.


stumped -- can you help?
Subject: stumped -- can you help?

No significant s/l "dopping" appreciated at the fracture site.  Any ideas?


I am So stumped!
Subject: I am So stumped!

This is a case of previous tuberculosis, Myco_____genovincie, mycoscrophilasium??? No clue!  Thanks for any help.
Stumped QA
Subject: Stumped QA

For what's it worth, it stumped QA, too. This was a dictator I usually understand very well and it was the only blank so I really wanted to send it through.

Thanks again.. I'll be back!

L
i think that's it... the first one has me stumped though... NM
Subject: i think that's it... the first one has me stumped though... NM

x
stumped!
Subject: stumped!

Sounds like "fishy" ovarian clips - no clue.  Thanks!
I am stumped on this one...sorry.
Subject: I am stumped on this one...sorry.


stumped :(
Subject: stumped :(

Is there anyone who can help me figure out what Dr. is saying...it sounds like onteric and acephenic membranes are clear??? I've researched it, but cannot find anything.
stumped :(
Subject: stumped :(

I'm pretty sure it is part of HEENT.
stumped!
Subject: stumped!

This doctor refers to CT scan of liver and says "internal attenuation of 19 Humfield units?   Thanks for any help!
I am stumped on this one ??nm
Subject: I am stumped on this one ??nm


Need help with a s/l please - stumped. sm
Subject: Need help with a s/l please - stumped. sm

Patient complains of right lower quadrant pain in the inguinal region.

PE: No tenderness to palpation in the right lower quadrant. There is some tenderness over the right inguinal ligament and in the area over s/l hislobeck's triangle.
Thx PC! That's it. ESL, and I have been stumped on two..thanks again for your help :)
Subject: Thx PC! That's it. ESL, and I have been stumped on two..thanks again for your help :)


stumped
Subject: stumped

No significant carotid disease by "Nasser" criteria??
Sorry. I am stumped. nm
Subject: Sorry. I am stumped. nm


you stumped me.
Subject: you stumped me.

.
I am being totally blond today!
Subject: I am being totally blond today!

I can't seem to come up whether it would be: Patient follows back after last being seen about 8 months ago.  or is it:  Patient follows back after last been seen about 8 months ago
and I totally agree - SHOW ME THE $$....sm
Subject: and I totally agree - SHOW ME THE $$....sm

While I feel I'm an excellent MT, I refuse to get as ANAL as some about this subject disc versus disk....one being from Latin and one being from the Greeks....


We follow a Greek calendar but the Egyptian one was here before that.......


people need to be a little more flexible generally speaking but also with words that are accepted either way, not have a virtual STROKE over it. 


QA here 4 many years, and totally agree!!!
Subject: QA here 4 many years, and totally agree!!!

x