WAG I know this is crazy but could he be spelling L-A-R-G-E?

• Knee x-ray help. Dr. Mumbles dictating again! - marel
  • Sorry, I didn't see the sound alike. - pc
  • Any idea of what the word sounds like - pc
  • Patella baja (no r) Dr. repeated large or spelled. - Linda
  • WAG I know this is crazy but could he be spelling L-A-R-G-E? - MTME

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.... sounds like rale or rail packs... for migraines?  Thanks.

Wet prep showed budding yeast and ....s/l hife.... 

Thanks.

I know this is probably stupid BUT.... as a "newbie", I haven't encountered this before.

How do you write disc space height. 

ex:  doc says:  complete loss of disc space height at 5 1

Thanks.

If the patient's fever does not DEPRAVEST on antibiotics, then further assessment such as CT scan of the sinuses and thorax may be needed. 

I cannot find a word that fits, but it sounds clear as DEP-RA-VEST.  Any ideas? 

result can greatly affect the mean, but the median is not as affected.    Any clues?  This is a horrible dictation. 

The company I work for does not want us to use numbers and numbers should never be used at the beginning of a sentence, but does anyone know the AAMT-true style that this should be transcribed?  I know this is a crazy question, but for some reason, I can't seem to categorize it.

Example: 

"School grade: 5th.

I know, it sounds crazy...  This is a new urology account for me, and the doc is REPEATEDLY saying the following, taken directly from the notes:

(Problem of interstitial cystitis and pelvic pain) -- 'She did not use the Valium vaginal suppositories.  She had days when she felt quite well....'

(Problem of IC again) -- 'Prescribed Valium 10 mg vaginal suppositories...' 

(Problem IC and pelvic floor tension myalgia) -- She stopped her Valium vaginal suppositories, which she states are at a dose of 10 mg of Valium with 25 mg of amitriptyline and has felt much better since. 

I can't find a Valium vaginal suppository anywhere, people!  Any of you know about anything like this?  I imagine that if you've got a stressed vagina, that would be as good of a cure as any, but I haven't heard of it yet.  Any ideas? 

It always used to be tendonitis, now the change.

And you say extend/extension so why not distend/distension?

When I first started transcribing again after a hiatus of about 15 years, I had to put "distension" in my AutoCorrect so that it would automatically change it to "distention" until I could get used to it.

two written, with or without a space??  x2 or x 2? I am able to view previous reports typed by other transcriptionists and some of them put it with the space and some without?  Now I am starting to doubt myself.  I was told it was without the space years ago.  Has something changed??  Thanks

s/l:  "Also, given the patient’s financial status, I believe this is of less yield."

Does this make sense to anyone?  I have listened to it a hundred times and it's making me bonkers! 

Help?

Thanks!

Doc says, Her s/l NVOS was running between 53% and 56% which correlated with her mixed venous saturations. 

I had blanked this morning and QA has blanked it as well, and now I have it again this evening.  Would 'prec whatever help.

At that time, it was decided to explore (s/l trileptory) concerning for resection of small bowel. The patient went to surgery on that day for exploratory laparatomy, small bowel resection of primary anastomosis, and was discharged on 03/18/2009.

(they are concerned about a small-bowel obstruction.)

Doctor is describing a patient's finger pain.  He says:

"At her last visit she did have a maintenance interscalene block and reported several months of improvement in pain to a level of 3/10 when used in combination with her other conservative therapies.  These have included Lac-Hydrin applications, paraffin wax applications, and (s/l "co-bayne") and protective (s/l "cutlets") to the left ring finger.  The patient has dystonia and extreme difficulty in bending at the PIP joint from a functional standpoint.  Numeric pain score is an 8/10..."

First word sounds like Cobain or Cobayne, pronounced just like the last name of the late lead singer of Nirvana.  Second word sounds just like cutlets, like veal cutlets.     

I have no idea at all what these two words are, and he repeats them in both the subjective and in the assessment.  Can anyone save me from leaving four blanks? I'm sick and exhausted with a sick four year old at home, and I'm feeling a bit fussy and frustrated and would be SO thankful for the help. 

Thanks! 

I am not sure if I even have this spelled correctly.  It almost sounds like MOUSE without the M!

It is dicated:  There is some abnomal green colored vaginal discharge from the ___ of the cervice.