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could it be part of previous ??

Posted By: Horski on 2008-07-22
In Reply to: med help please sm - sassee

Subject: could it be part of previous ??

could it be the dosing of the med before and you think he is going to the next number in the list? The "million" part is making me question this. Otherwise I have no idea. I hope you find your answer!


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No previous MI. Tx anyway! nm
Subject: No previous MI. Tx anyway! nm

xx
Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm
Subject: Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm

s
You might not like this one, but I would go by what QA said on the previous report. This way you hav
Subject: You might not like this one, but I would go by what QA said on the previous report. This way you have verification in writing of why you chose to keep it this way in case you are questioned on your choice of interpretation. I know we are looking for common sense but we are transcriptions and as we know that is not even close to always being the case in MD dictations.


a previous post
Subject: a previous post

had this same sentence and it was "early satiety"
PS to clarify my previous post
Subject: PS to clarify my previous post

2 drugs:


s/l Cadawa NHCTC; I think it's for hypertension or hyperlipidemia.


s/l Rocethrin. For lesions? Could also be a pain med.


TIA!


 


I took this from a previous post about eponyms... sm
Subject: I took this from a previous post about eponyms... sm

According to BOS

eponyms

"While the use of the possessive form with eponyms remains acceptible, AAMT's preference is generally to drop the possessive form.

Apgar score, Babinski sign, Down syndrome, Gram stain, Hodgkin lymphoma.

Sometimes an awkward construction calls for use of the possessive form. This patient suffers from Hodgkin's."


just a thought..how about no change to previous?
Subject: just a thought..how about no change to previous?


Previous surgery for s/l lat pulley. TIA nm
Subject: Previous surgery for s/l lat pulley. TIA nm


aaaahh, my previous note should be SM!
Subject: aaaahh, my previous note should be SM!


did the link show up with the previous message?
Subject: did the link show up with the previous message?


Found previous note. It was Sigma...nm
Subject: Found previous note. It was Sigma...nm

nm
Says this patient has previous CVT/CBT..have to expand and not sure what it could be for a PMH term,
Subject: Says this patient has previous CVT/CBT..have to expand and not sure what it could be for a PMH term,

any ideas? 


Thanks


Here's a link to a previous MTStars post
Subject: Here's a link to a previous MTStars post

on this same question.  Is this an ENT account?  The best thing would be see if you can get verification from the account, might be some name they have for their own conconction of Maalox, Benadryl and Xylocaine.  I've seen plenty of things misspelled in reports, even standards handed out by an account itself...
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?


 


Found it in a previous dictation - it is Toronto.
Subject: Found it in a previous dictation - it is Toronto.


OOPS DISREGARD PREVIOUS THIS IS WAY IT IS WRITTEN?
Subject: OOPS DISREGARD PREVIOUS THIS IS WAY IT IS WRITTEN?

A trigger point injection at the right gluteus maximus trigger point was performed using mixture of 2 mL 2% Xylocaine and 1 mL 40 mg per mL Depo-Medrol.
Maybe referring to a stitch from the previous fistula??
Subject: Maybe referring to a stitch from the previous fistula??

x
Agree with previous poster. NEVER GUESS
Subject: Agree with previous poster. NEVER GUESS

x
I was able to locate a previous report which has 1, so I'll go with that
Subject: I was able to locate a previous report which has 1, so I'll go with that


pt with previous respiratory burns on prednisone and now s/l zo air. ?? nm
Subject: pt with previous respiratory burns on prednisone and now s/l zo air. ?? nm


Can you check a sample of doctor's previous
Subject: Can you check a sample of doctor's previous

c
patient with previous cesarean section..sm
Subject: patient with previous cesarean section..sm

preterm premature ruptured membranes, history of cervical prolapse and suspected s/l "cor amniotic"  (but her voice trails off at the end so have no idea what she is saying)
2-part, 3-part, or 4-part possibly - nm
Subject: 2-part, 3-part, or 4-part possibly - nm


previous s/l attisoning syndrome secondary to steroid use
Subject: previous s/l attisoning syndrome secondary to steroid use


elevated liver functions, previous cholecystectomy.
Subject: elevated liver functions, previous cholecystectomy.

CT showed (S/L) ''normobilia''??  (have looked everywhere and cannot find--thanks for any help.)


capitalization rule after the previous word was a number.
Subject: capitalization rule after the previous word was a number.

how to capitalize the first letter of a new sentence if the last word in the previous sentence was a number?
He is referring to restless legs (from previous) but clearly says "skitchy". Ideas?
Subject: He is referring to restless legs (from previous) but clearly says "skitchy". Ideas?


previous s/l "graft trostomy tube placement" along with COPD
Subject: previous s/l "graft trostomy tube placement" along with COPD

previous s/l graft trostomy tube placement" along with COPD
He's saying bowstrung - I located a previous report where another doctor calls it a
Subject: He's saying bowstrung - I located a previous report where another doctor calls it a

nm
Hi - thanks for trying. I was lucky and found a previous report for patient and it is TBSO.
Subject: Hi - thanks for trying. I was lucky and found a previous report for patient and it is TBSO.

nm
Previous surgery includes lateral release of the s/l D&ACL reconstruction as well as shoulder.
Subject: Previous surgery includes lateral release of the s/l D&ACL reconstruction as well as shoulder.


Breast exam - She does have asymmetry in both breasts from previous s/l brain ansatangias. please sm
Subject: Breast exam - She does have asymmetry in both breasts from previous s/l brain ansatangias. please sm

I know that makes no sense at all but that's what it sounds like. This doctor is from Puerto rico. Up until this point, she has been pretty clear. Thanks for any help
Ophthalmology consult, this elderly gentleman has evidence of previous s/l a. phaci...the only
Subject: Ophthalmology consult, this elderly gentleman has evidence of previous s/l a. phaci...the only

thing that comes to my mind is phacoemulsification. The doc dictating this is so old and slurs so much that he should probably be retired. Any ideas anyone?
There is evidence of previous caput costae, left thorax with good bony healings
Subject: There is evidence of previous caput costae, left thorax with good bony healings


Thanks, now for part 2...
Subject: Thanks, now for part 2...

Monarc procedure with s/l susquee.


Forgot this in my original post, sorry!


not sure about the first, but the second part may be right
Subject: not sure about the first, but the second part may be right

It is possible he is saying "of five to seven inches" or "site of seven inches" but that still leaves the first part.  If it's the first one it sounds like "muce" or "moose" or "meese".  For the second one it would end in an "a" sound like "meesa site"  It sounds like he's saying "uh" in front of that, like he's thinking.  But maybe it's part of the word "ameesa site" or something like that.  And then again, maybe it's not even an "m".  Could be an "n" or something else.  I feel like I'm getting closer.  I just wish he didn't have to talk so fast!  Actually, you suggested adhesion and I just thought of "adhesive site".  It doesn't sound like an "h" really, but would that make sense?  "a moderate to severe adhesive site of seven inches with the radiation therapy?"  Seven inches!  That's really long.
maybe second part of #4
Subject: maybe second part of #4

is pus exudate
I know part of it!
Subject: I know part of it!

Last word is "atraumatically". Have to think about the other one. Anyone else care to guess in the meantime?
That is all part of the job.
Subject: That is all part of the job.

This is the reason we are so skilled in what we do.  If we weren't, a monkey could do this job!  LOL - I wouldn't let it bother you to the brink of insanity.  Take it with stride...There's more to life really.


First part I would think is...
Subject: First part I would think is...

Bilateral inguinal hernia is right greater than left...

Second part I am thinking...
Uh - duh on my part! TY so much!
Subject: Uh - duh on my part! TY so much!


Thanks to both. Duh on my part. I am
Subject: Thanks to both. Duh on my part. I am

having a horrible day.
don't know about your s/l, but other part sm
Subject: don't know about your s/l, but other part sm

I wonder if the other part of the sentence should be "facet degenerative changes" rather than "of said degenerative changes"
This is part of his A/P . . .
Subject: This is part of his A/P . . .

and the only other thing he dictates is the left knee.
i.e.
Diagnosis 1. Possible grushen ligament injury, left knee.

does this help? Ooh wait . .
does this make sense:
cruciate ligament injury

maybe that is what he is saying. = ) Tx
Yes, that is it! Duh on my part. Thank you so much.
Subject: Yes, that is it! Duh on my part. Thank you so much.


Got part of it
Subject: Got part of it

**s/l - Sub-tox skin is curetted using a razor blade, then 3 freeze-thaw cycles at 10 seconds using liquid nitrogen applied.
What part of PE was this in?
Subject: What part of PE was this in?

What part of the physical exam section was this in (what body system)?
got part of it
Subject: got part of it

I've got nosocomial sepsis, but it still sounds like "par" nosocomial sepsis.
That's is part of it...
Subject: That's is part of it...

it s/l he's saying "anti-esamanxiolytic" medication.  Can't figure it out!


could the last part...
Subject: could the last part...

be figure-of-eight tension being in good position? Still don't understand the first part though.
what part of H&P?
Subject: what part of H&P?

What system is he dictating it under?