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crazy observation here, but could he be describing...sm

Posted By: passing thru on 2007-04-05
In Reply to: s/l 1 feesh/pheesh - pulmicort....sm please

Subject: crazy observation here, but could he be describing...sm

the sound of the puffs being administered, instead of staying 1 "puff" b.i.d., he's saying something that sounds like the med being administered?  I know that sounds dumb, but that's what comes to my mind.


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just a quick observation..sm
Subject: just a quick observation..sm

In reading the rest of this note, I have a feeling it is not *hallucis*, but since the rest of the note indicates hallux and foot care, I have a feeling he is saying halluxes, if that is even a word, as in plural hallux. It is a podiatry word, for sure. at least in my opinion. There are many hallux procedures, one of which is Youngwich procedure.
I did type 23 hour observation. Really. See ref again.
Subject: I did type 23 hour observation. Really. See ref again.

Coding and Documentation - March 2001 Family Practice Management



Q: If I admit a patient for "23-hour observation" and then it is necessary to convert that to a regular admission at the 24-hour mark, what code should I ...
www.aafp.org/fpm/20010300/coding.html - 22k - Cached - Similar pages

Yale observation score link (sm)
Subject: Yale observation score link (sm)

http://www.fpnotebook.com/ID50.htm
Found hits for ൟ hour observation". sm
Subject: Found hits for ൟ hour observation". sm

May be saying 23 hour observation before a CXR etc? Just a thought.


 


 


Coding and Documentation - March 2001 Family Practice Management






Q: If I admit a patient for "23-hour observation" and then it is necessary to convert that to a regular admission at the 24-hour mark, what code should I ...
www.aafp.org/fpm/20010300/coding.html - 22k - Cached - Similar pages


 


 


Could be describing the plug (which really
Subject: Could be describing the plug (which really

makes no sense to me). It is literally a plug of mucus, therefore mucus plug.
describing gait would be hyphenated...sm
Subject: describing gait would be hyphenated...sm

gait is broad based


patient has a broad-based gait.........


Sounds to me like he's just describing the shape
Subject: Sounds to me like he's just describing the shape

of the part of the patella that remains (and the rest is missing.
He is probably describing the findings on an MRI scan SM
Subject: He is probably describing the findings on an MRI scan SM

If a patient has had spine surgery, the MRI is more than likely done with contrast.  The contrast causes the MRI to "signal" when the contrast is bright in any area.  That's what it means.
Do you think this is a brand name or describing a condition???nm
Subject: Do you think this is a brand name or describing a condition???nm

s
Looks like a phrase describing dyes. sm
Subject: Looks like a phrase describing dyes. sm

first word looks like roentgenography or roentgenograph (x-ray) contrast media.


 


The sceond is Diatrizoate Meglumine, which is like Cystographin, another contrast dye.


 


Contrast media link for you.


 


http://imaging.mallinckrodt.com/Products/ProductList.asp?DataGroup=2


 


 


Sounds like he is describing the prostate.
Subject: Sounds like he is describing the prostate.


dr is describing postop incisions- sm
Subject: dr is describing postop incisions- sm

She does have some erythema in her perineum and her buttocks.  She is not tender in this area, and there is no s/l screpadence or sucrepadence or induration noted. 


may be rachis or rakish, describing the segment.nm
Subject: may be rachis or rakish, describing the segment.nm

nm
It is possible if doc is just using the word as an adjective describing any associated pain.
Subject: It is possible if doc is just using the word as an adjective describing any associated pain.


end-to-side colostomy, describing the anastomosis? nm
Subject: end-to-side colostomy, describing the anastomosis? nm

s
yes, if describing location in surgery, not for time though. (nm)
Subject: yes, if describing location in surgery, not for time though. (nm)

x
Not sure. It sounds like he's describing the base as "fibromere"
Subject: Not sure. It sounds like he's describing the base as "fibromere"


When describing a rash, it's discrete and not discreet, right? (sm)
Subject: When describing a rash, it's discrete and not discreet, right? (sm)

Just verifying...I haven't typed that term in a long time.  TIA.
He was describing basilic vein, why it was inaccessible.
Subject: He was describing basilic vein, why it was inaccessible.

Thank you very much for the research and information you acquired.
help with word describing facial swelling..
Subject: help with word describing facial swelling..

My doctor dictated that the patient had developed S/L sideral facial swelling?  Does anyone have any ideas?


Thanks in advance!!


So he's probably describing a problem with the tendon itself - appearance is bowstrung?
Subject: So he's probably describing a problem with the tendon itself - appearance is bowstrung?

nm
I believe it is mucous because it is describing the type of cyst. See inside.
Subject: I believe it is mucous because it is describing the type of cyst. See inside.

A mucous retention cyst is a cyst caused by an obstruction of a duct, usually belonging to the parotid gland or a minor salivary gland.


Yeah :) It does really sound like he's describing the pain with this word. nm
Subject: Yeah :) It does really sound like he's describing the pain with this word. nm


Might be describing the skin of the abdominal walls has having scaling, as in a rash.
Subject: Might be describing the skin of the abdominal walls has having scaling, as in a rash.

x
Also when used as a compound modifier describing a noun or pronoun, it is follow-up - sm
Subject: Also when used as a compound modifier describing a noun or pronoun, it is follow-up - sm

For example, follow-up MRI or follow-up examination. I hope this helps you!
grafts are either straight or curved, so perhaps saying, "U-type" (describing the shape)? prob
Subject: grafts are either straight or curved, so perhaps saying, "U-type" (describing the shape)? probably not UTI... nm


has anyone ever hard of the phrase quick tick describing chest pain
Subject: has anyone ever hard of the phrase quick tick describing chest pain

The doctor dictatates the following:   HER QUICK TICK LEFT SIDED CHEST PAIN CONTINUES.
Does it sound like possibly outflow obstruction and hypokinesis is usually in an area describing the
Subject: Does it sound like possibly outflow obstruction and hypokinesis is usually in an area describing the movement, i.e.

apical hypokinesis
left ventricular hypokinesis
segmental
etc.

this is crazy!
Subject: this is crazy!

There were three other places in the dictation that I could not understand what he was saying.

After I deciphered the 'alert and oriented' (with your gracious help), I went back to the other three. Bingo. It was like a mumble-jumble-decipher puzzle piece placed itself in my head, and I figured out the other three.

I love puzzles.

Thanks again!
Crazy, ain't it?
Subject: Crazy, ain't it?

The actual pronunciation of that word IS "day-breed-MON". I about died when I first heard that. I guess it's French. It sounds so hoity-toity to me. LOL


This is crazy but I need help.
Subject: This is crazy but I need help.

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


I know this is crazy but...
Subject: I know this is crazy but...

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


Thanks.


Okay, don't think I am crazy here
Subject: Okay, don't think I am crazy here

but there is a Marathon on 07/13/2008 at SeaFair in Seattle and it is for fibromyalgia.  It might have something to do with that????? Just my thoughts on the matter.   
Thanks - I am not crazy!
Subject: Thanks - I am not crazy!

Thanks!!!
Thank you so much, was driving me crazy! :)
Subject: Thank you so much, was driving me crazy! :)

nm
That's it!!! Thanks a lot - I've been going crazy looking for this....
Subject: That's it!!! Thanks a lot - I've been going crazy looking for this....


THank YOu!!! Just started a new job and am going crazy!!!!
Subject: THank YOu!!! Just started a new job and am going crazy!!!!

x
crazy question
Subject: crazy question

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.


That's not it and this is driving me crazy!!
Subject: That's not it and this is driving me crazy!!


Thanks so much.....was driving me crazy!! nm
Subject: Thanks so much.....was driving me crazy!! nm

nm
Thanks. I thought I was going crazy.
Subject: Thanks. I thought I was going crazy.

nm
That's it!! It was driving me crazy. Thanks so much for your help!!
Subject: That's it!! It was driving me crazy. Thanks so much for your help!!


Going crazy - word help, please
Subject: Going crazy - word help, please

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? 


Sorry. that's s/l (Crazy expander)
Subject: Sorry. that's s/l (Crazy expander)


this doc is driving me crazy! nm
Subject: this doc is driving me crazy! nm

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


This is driving me crazy . . .help please
Subject: This is driving me crazy . . .help please

S/L askute??? result can greatly affect the mean, but the median is not as affected.    Any clues?  This is a horrible dictation. 
Bless you! That was driving me crazy!! :) nm
Subject: Bless you! That was driving me crazy!! :) nm

:)
crazy number question
Subject: crazy number question

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.


Members in family: 5. "     OR


"School Grade:  Fifth.


Members in family:  Five." 


I am thinking the second, but then again, I am not thinking.   :-)   


 


 


 


it helped to know I wasn't crazy!
Subject: it helped to know I wasn't crazy!


It is definitely falx! Thanks. That was driving me crazy!
Subject: It is definitely falx! Thanks. That was driving me crazy!