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You're welcome, Christa. Gyn is tough when you start out. nm

Posted By: Laurel on 2005-10-23
In Reply to: Thank you - Christa3

Subject: You're welcome, Christa. Gyn is tough when you start out. nm

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Possibly they're post BAK interbody fusion system or procedure? This one's tough! nm
Subject: Possibly they're post BAK interbody fusion system or procedure? This one's tough! nm

s
Except that you're not supposed to start a sentence with a numeral
Subject: Except that you're not supposed to start a sentence with a numeral

on most accounts, so "six feet" would be correct.
That is a tough one. I wonder if
Subject: That is a tough one. I wonder if

there could be something about axial loading in there???

Good luck :)
tough one but
Subject: tough one but

This is a quote from the Jounal of Nuclear Medicine Technology...


In the event that there is a significant splanchnic or bowel overlap with the inferior wall, various maneuvers, such as drinking water or milk or eating fatty food, can be tried to alleviate the problem before repeating delayed imaging.


So, sound like * overlap * would be correct.


I got this by googling the words - myocardial perfusion scan splanchnic


this is a tough one! sm
Subject: this is a tough one! sm

Just going to give you wild guesses and maybe it will help - could the word be

self-_____?
cell _____?
____ folate?

I'm not 100% sure but I think it is typed FOLFOX (??)
Man, that's a tough one!
Subject: Man, that's a tough one!

All I can think of is saying GCS fast with something, but then the 96 doesn't make any sense with that, but the 96 could represent glucose, but even then that's not low enough to cause coma, is it? Sorry--just thinking out loud.  Let us know if you figure it out! 


Good luck with that! 


A tough one
Subject: A tough one

Osteopathy report says did deep tissue, manipulation as well as ?? s/l kindricks ?? crunch. Googled for a long time without luck.


Suggestions appreciated!


 


That's a tough one since s/m
Subject: That's a tough one since s/m

he probably didn't type it out. My guess is something with the patella?


Good luck.


Nah, that was a tough one. I don't think
Subject: Nah, that was a tough one. I don't think

I have ever heard that abbreviated before.


hmm I can't think of anything, that is a tough one NM
Subject: hmm I can't think of anything, that is a tough one NM


wow that is a tough one :( nm
Subject: wow that is a tough one :( nm


tough one (sm)
Subject: tough one (sm)

The only thing I can think of that comes close is that instead of spelling out those letters, he might actually be saying "coronary arteries."

If he's speaking distinctly enough, though, that you're sure he's dictating specific letters, then I'm stumped.
are you sure the doc isn't saying "hypertension" - sometimes tough to tell nm
Subject: are you sure the doc isn't saying "hypertension" - sometimes tough to tell nm


Hmm, tough one. The only thing I can think of ..
Subject: Hmm, tough one. The only thing I can think of ..

assuming it's part of the patient's surgical history is toe surgery?? Wild guess.
that's a tough one, got any more of a sentence??..nm
Subject: that's a tough one, got any more of a sentence??..nm

x
Tough to say without hearing it, but
Subject: Tough to say without hearing it, but

Could he be saying the coude catheter was connected to irrigant. And then say something about using K-Y?
Tough to say without hearing it, but
Subject: Tough to say without hearing it, but

Could he be saying: The coude catheter was connected to irrigant. And then say something about using K-Y?
a tough one having to do with radioisotope...plse sm.
Subject: a tough one having to do with radioisotope...plse sm.

The patient is a candidate for a sentinel node biopsy based on the intermediate thickness melanoma. Despite the negative lymphscintogram, it is certainly reasonable on the day of surgery for her melanoma excision to inject ? radioisotope at the primary site and with the handheld gamma counter, we may still be fortunate enough to identify a sentinel node that we can biopsy.

He kind of mumbles the type of radioisotope to be injected and if anyone has any ideas, I can see if they match up to what he is "trying" to say! Thanks so much.
tough one, but angioma or ecchymosis?
Subject: tough one, but angioma or ecchymosis?

just a thought.
True, but there are some terms that are tough to find. sm
Subject: True, but there are some terms that are tough to find. sm

This one is a good example of a term difficult to Google. However, it can very easily and quickly be found in Stedman's. I recommend books first, Google as a last resort.

You may want to help out at the MT Chat board where only hints are given.

Don't forget what it was like when you started out. You probably weren't at home working alone, were more than likely paid hourly and were able to research ad nauseum.

"Do unto others..."
glad I could help - those weird pronunciations are tough sometimes! NM
Subject: glad I could help - those weird pronunciations are tough sometimes! NM


Thanks-a-lot! It was hard to figure out from his tough accent!!
Subject: Thanks-a-lot! It was hard to figure out from his tough accent!!


a tough one--drugs that use "grains" and fractions thereof
Subject: a tough one--drugs that use "grains" and fractions thereof

That's right, go ahead and run off when you see my boring hard question!!


Okay, I've have to say that I never really got the "grain" concept in terms of drug usage and was too lazy to ask my instructors back in the day, and now my lack of knowledge has come back to haunt me.  The doc says this patient is taking "three-fourths of a grain of phenobarbital."  How do I transcribe this? Anyone? 


 


It would start out with
Subject: It would start out with

Resumption of atenolol rather than redemption, right?


TY - I think I need to start this day over. = )
Subject: TY - I think I need to start this day over. = )


Thank you so much. I really did not know where to start looking.
Subject: Thank you so much. I really did not know where to start looking.


Okay, let's start with the first thing. sm
Subject: Okay, let's start with the first thing. sm

Can you hear "1+ swelling?"

For the second, she might have misspeaked. It looks as if she took a stool sample for Hemoccult while doing the rectal exam. I'm thinking she might be saying (or meant to say) "Stool negative for Hemoccult." Then she goes into the urine dip.




I would put C4, C5, C6 quadriplegic just as you had at the start.
Subject: I would put C4, C5, C6 quadriplegic just as you had at the start.


since when did it start being x2 with no space?
Subject: since when did it start being x2 with no space?

I have just started using this as well with my hospital "alert and oriented x4"
Is this a new rule in the AAMT book?
Sorry Strattera (I need to go to bed and start over!)
Subject: Sorry Strattera (I need to go to bed and start over!)


have no idea where to start looking

1) Abdominal discomfort, especially over the epigastrium with some radiation to the upper chest.  Differentials include gastric etiology such as reflux disease, gastritis, (s/l wildair, wild bear, wilder) disease and a remote possibility of cardiac etiology.  


I really can't find anything close to this one.  Can you help?


In your dictionary, start with phal -
Subject: In your dictionary, start with phal -

x
It is great. you can just start typing a name
Subject: It is great. you can just start typing a name

in the search and pause, and a list pops down instantly. How quick is that?

Thank you!
Just start the sentence with "Vicryl 4-0." nm
Subject: Just start the sentence with "Vicryl 4-0." nm

x
Debbie, you don't need to start a new thread sm
Subject: Debbie, you don't need to start a new thread sm

each time you add something to a former post. Just "post quick reply" under the thread you wish to clarify or comment.
debbie-you don't have to start new thread for same
Subject: debbie-you don't have to start new thread for same


medication: start chlor-fal-don 100 mg per day.
Subject: medication: start chlor-fal-don 100 mg per day.

chlor-fal-don 100 mg per day with potassium 20 mEq per day. 
Psych pt on s/l "ditalozam". Definitely a "d" start. nm
Subject: Psych pt on s/l "ditalozam". Definitely a "d" start. nm


Since they start out on the left side,
Subject: Since they start out on the left side,

I don't think this is logical. They start at the rectum, then meet the sigmoid (left colon), next transverse, then right (descending) colon, then cecum last.

But I'd be more comfortable with the term rigid sigmoidoscope than colonoscope. No way can a rigid instrument get all the way around, right?
I am not positive that it is, but I thought it was a start.
Subject: I am not positive that it is, but I thought it was a start.


Never in my experience unless at start of a sentence. nm
Subject: Never in my experience unless at start of a sentence. nm

s
Thank You!! (gives me a good place to start)
Subject: Thank You!! (gives me a good place to start)


Here is the physical for for Head Start
Subject: Here is the physical for for Head Start

It is very short. Lead and HCT or HBG are the things assessed for. I would take a second listen to it and see if you hear lead.

http://www.davis.k12.ut.us/district/earlychildhood/files/F978B88EA5384727A44818C361D9BB48.pdf
Start sentence with "The"
Subject: Start sentence with "The"

x
After a colon (:) you can start with a numeral.
Subject: After a colon (:) you can start with a numeral.

x
LOL! I did not start the 'negative' thingee,
Subject: LOL! I did not start the 'negative' thingee,

I was amazed too, I just commented on it, saying that the right term would be 'opposing opinion', not negative.'
But Patty is back, that's all what matters.
Yes, we are emotional and impulsive, too. That's when the typos come in!

thanks to both....good start and ideas
Subject: thanks to both....good start and ideas


The AAMT BOS is a good place to start, sm
Subject: The AAMT BOS is a good place to start, sm

though it's time consuming to look things up in there but it does have a lot of information in it. (Get the 2nd edition--1st is pretty much obsolete). I'm sure others will come up with some good leads for you, too.

L is pretty clear at start - but thank you for reply
Subject: L is pretty clear at start - but thank you for reply

x
No need to post in a condescending manner. We all had to start somewhere.
Subject: No need to post in a condescending manner. We all had to start somewhere.


You don't have to capitalize it. It is not meant to start with a capital.
Subject: You don't have to capitalize it. It is not meant to start with a capital.

There may be other opinions out there, but since it is supposed to be pH, keep it that way even if it does start the sentence. I like the idea of adding the word THE to the front, though. That works too and solves the problem! Good thinking!!!