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Thought it had more to do with her sources of information on the patient prior to initial visit. nm

Posted By: Nagged on 2008-04-17
In Reply to: Psych help... storsis reference? sm - Nagged...

Subject: Thought it had more to do with her sources of information on the patient prior to initial visit. nm

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The patient did have a s/l UDM at the last visit that was positive for opiates.
Subject: The patient did have a s/l UDM at the last visit that was positive for opiates.

Is UDM correct?  If so what is spelled out?


patient's prior surgeries---states THA/BA1 or VA1 or ?? What would be assoc with THA
Subject: patient's prior surgeries---states THA/BA1 or VA1 or ?? What would be assoc with THA


Any information on the diagnosis of this patient?
Subject: Any information on the diagnosis of this patient?


The patient s/l dinatine with 50% weightbearing status for six weeks. I thought maybe *sm*
Subject: The patient s/l dinatine with 50% weightbearing status for six weeks. I thought maybe *sm*

did obtain but that does not make sense.  It definitely sounds like "tine" on the end but I have no idea.  The more I listen, the more frustrated I get!  Help is appreciated.
I think it may be just initial cap
Subject: I think it may be just initial cap


This was an office visit. Thanks
Subject: This was an office visit. Thanks


Maybe RV for return visit? nm
Subject: Maybe RV for return visit? nm

s
Office visit H&P- Thanks! nm
Subject: Office visit H&P- Thanks! nm


I'd use it. Just another way of saying first or initial, so this must be a repeat. nm
Subject: I'd use it. Just another way of saying first or initial, so this must be a repeat. nm

s
an initial procedure? Just a WAG. nm
Subject: an initial procedure? Just a WAG. nm


got it - - initial presentation
Subject: got it - - initial presentation


No initial cap for fentanyl. nm
Subject: No initial cap for fentanyl. nm

nm
Just guessing... RV as in return visit?
Subject: Just guessing... RV as in return visit?


Just in for a neurosurgery visit, but other meds not associated.
Subject: Just in for a neurosurgery visit, but other meds not associated.

Doc tends to slur a lot, so I may have to flag it.
I re-read the initial post
Subject: I re-read the initial post

I misunderstood the original question, so you are probably right.
After I posted the initial question...
Subject: After I posted the initial question...

Doc mentions later and says, "I think it's x-a-n-o-x-l"


Anyone heard of xanoxl?


heparin and it is not initial capped either...
Subject: heparin and it is not initial capped either...


WAG, "over initial doses"
Subject: WAG, "over initial doses"


numeric and nylon is not capped initial.....nm
Subject: numeric and nylon is not capped initial.....nm


Her cervix on initial exam was 0 in 50% effaced.
Subject: Her cervix on initial exam was 0 in 50% effaced.

Is this the proper way to transcribe this- 0 in 50%?  It looks akward. 


Context, please! What are you doing - xray, scan, office visit, etc.?
/
visit this link for options regarding suction cannula
Subject: visit this link for options regarding suction cannula

you can visit this link to see and search for options.


I think you were right, ECG 7-14 was abnormal, today's visit is normal in comparison
Subject: I think you were right, ECG 7-14 was abnormal, today's visit is normal in comparison


Boy with fevers and pain (rheum. visit). He does not have any *tempwella* with ... sm
Subject: Boy with fevers and pain (rheum. visit). He does not have any *tempwella* with ... sm

... the fevers or the presumed joint pains. He does not seem to have any morning stiffness.


Thanks.


AAMT BOS prefers us to just initial caps these terms, sm
Subject: AAMT BOS prefers us to just initial caps these terms, sm

so they don't stand out in a report. You'll see many trademarked names in all caps.
Pediatric rheum visit. Med s/l soyametatine/solumetatine 400 mg daily sm
Subject: Pediatric rheum visit. Med s/l soyametatine/solumetatine 400 mg daily sm

I'm not sure what the med is for, but child has PFAPA syndrome. On my s/l, I hear the end better than the beginning, hence the two different beginnings.


Thanks!


I think it is "index" and he means it as the initial procedure since she had follow up procedu
Subject: I think it is "index" and he means it as the initial procedure since she had follow up procedures that included lenthening and so on. Does that make sense?


LOL! I thought it may actually be a drain that s/l "aspirin" as the patient had a drain.
Subject: LOL! I thought it may actually be a drain that s/l "aspirin" as the patient had a drain.


When sis comes to visit she always gets good laughs reading the phobia pages in my Dorland's.
Subject: When sis comes to visit she always gets good laughs reading the phobia pages in my Dorland's.

nm
Drain was removed at this first postop visit- discontinued makes the most sense. Thanks!
Subject: Drain was removed at this first postop visit- discontinued makes the most sense. Thanks!


H&H is prior.
Subject: H&H is prior.

Prior sentence - Serial Hematocris 42.4 and 40.4.  "Endices" were normal.  Electrolytes 128.
he had an EGD prior to his etc...
Subject: he had an EGD prior to his etc...


"The loop memory of each lens is expressed as the difference between the initial overall diameter
Subject: "The loop memory of each lens is expressed as the difference between the initial overall diameter measurement (pretest) and the measurement at each time point; the lower the value, the higher the memory. " Per the Cataract Institute


What is the sentence prior to this? Might help. nm
Subject: What is the sentence prior to this? Might help. nm


im not sure i just know that it prior to csect
Subject: im not sure i just know that it prior to csect


What was dictated just prior to that?
Subject: What was dictated just prior to that?

.
depending on what doc says prior to this, could the
Subject: depending on what doc says prior to this, could the

first one be ..."similarly" show marked congestion ??
No there was not any telling info prior to that. ..
Subject: No there was not any telling info prior to that. ..

I sent for QA, so I'll let you all know what it is :)  Thank you though!!
had you read below prior to posting, I had reposted..
Subject: had you read below prior to posting, I had reposted..

that I was incorrect.......sheesh......fast fingers....slow take....
I don't think psoricystic exists - got cut off prior post
Subject: I don't think psoricystic exists - got cut off prior post


I was told NEVER to use a comma prior to the word that..sm
Subject: I was told NEVER to use a comma prior to the word that..sm

and if I leave my grammer checker on, which I do, it always lights up *green* if I do. Just my experience.
Prior post about asking test questions
Subject: Prior post about asking test questions


any info prior to P.E. that might give a clue?
Subject: any info prior to P.E. that might give a clue?

Is there a chief complaint or admission dx?
It IS menorrhagia, stent placement prior to TAH sm
Subject: It IS menorrhagia, stent placement prior to TAH sm

I feel pretty, I feel pretty and witty and anything, but wise! It is going to be a very long day.
Late, but maybe prior environmental exposure? nm
Subject: Late, but maybe prior environmental exposure? nm

s
Would make sense, especially if had prior surgery. Could be
Subject: Would make sense, especially if had prior surgery. Could be

s
does she want you to put in a heading, or include more in prior paragraph
Subject: does she want you to put in a heading, or include more in prior paragraph

nm
just guessing - prior nasal steroids? nm
Subject: just guessing - prior nasal steroids? nm


No illnesses or prior surgery. NKDA. nm
Subject: No illnesses or prior surgery. NKDA. nm


his Coumadin be held s/l transilay prior to this
Subject: his Coumadin be held s/l transilay prior to this

nt
Can you give the whole sentence so that we can hear the word prior to that one?
Subject: Can you give the whole sentence so that we can hear the word prior to that one?