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doc spells "Mardynia" related to metastatic carcinoid tumor

Posted By: thanks in advance on 2009-06-25
In Reply to:

Subject: doc spells "Mardynia" related to metastatic carcinoid tumor

cannot document Mardynia... any takers??


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In the meantime, I will order some s/l serum markers for carcinoid tumor in case it is carcinoid
Subject: In the meantime, I will order some s/l serum markers for carcinoid tumor in case it is carcinoid

Or is could be serial markers.  Any help is appreciated.  Thank you. 
GIST tumor, gastrointestinal stromal tumor
Subject: GIST tumor, gastrointestinal stromal tumor

I believe. gastrointestinal stromal tumors (GIST) are a rare tumor of the gastrointestinal tract (1-3% of all gastrointestinal malignancies).

GIST is a form of connective tissue cancer, or sarcoma.

A cementoma is a bony tumor. Cementophytes are pieces of bony tumor. NM
Subject: A cementoma is a bony tumor. Cementophytes are pieces of bony tumor. NM

:
negative for metastatic disease
Subject: negative for metastatic disease


MRI, s/l in ofen ocious metastatic focus
Subject: MRI, s/l in ofen ocious metastatic focus

MRI of the brain did show a 6-mm area of restricted diffusion involving the midline aspects of the splenium of the corpus callosum, which was representing an acute to subacute infarct process. Was less likely to be considered for a metastatic focus. Right-sided parietal calvarial 7-mm lesions were also noted, suggestive of an s/l inofenocious metastatic focus.


metastatic breast cancer (as in metastasis) nm
Subject: metastatic breast cancer (as in metastasis) nm


Metastatic colorectal cancer to lung nm
Subject: Metastatic colorectal cancer to lung nm


long shot, but ? microscopic metastatic disease
Subject: long shot, but ? microscopic metastatic disease

x
Recommendation and plan in patient with metastatic melanoma
Subject: Recommendation and plan in patient with metastatic melanoma

To maintain DENSE intensity for neutropenic fever precautions, we have ordered Nuelasta 6 mg subcutaneous injection on 10/18.07. 


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lung cancer PET scan shows extensive metastatic
Subject: lung cancer PET scan shows extensive metastatic

s/l fosi


 


thanks


He says earlier the patient has prostate cancer metastatic to the bone, so I'm thinking it's p
Subject: He says earlier the patient has prostate cancer metastatic to the bone, so I'm thinking it's prob. "has had known"


H nerve tumor, aged nerve tumor???
Subject: H nerve tumor, aged nerve tumor???

S/l H nerve tumor or aged nerve tumor?? 
could the ocious part be osseous? as in osseous metastatic disease
Subject: could the ocious part be osseous? as in osseous metastatic disease

maybe the inofen is inoperable?
What I would do: Since doc spells it, and
Subject: What I would do: Since doc spells it, and

you have exhausted all your references, I'd type it the way he spelled it and then flag it, saying that the doctor spelled it that way. That covers you. Docs are notorious bad spellers, but he might be privy to something so new it's not on the books yet.

Probably says YAZ and then spells --Y-A-Z
Subject: Probably says YAZ and then spells --Y-A-Z

Similar to Yasmin

http://www.berlex.com/html/press/articles/04212006.html
Don't think that's it, he very clearly spells it.
Subject: Don't think that's it, he very clearly spells it.

But thanks anyway, I just left it blank.
Thanks so much. The doc now spells
Subject: Thanks so much. The doc now spells

osacromale?? which is wrong and nothing in my book under os acromiale but Googled it and got it. In all my years, never heard of it. Again, thanks for your help.
Doc spells PAX or TAX, but believe he's saying "P"
Subject: Doc spells PAX or TAX, but believe he's saying "P"


Is it OB-GYN related? That would be ICON...
Subject: Is it OB-GYN related? That would be ICON...

it is a pregnancy test.
Is it ankle related?
Subject: Is it ankle related?

talar tilt test
Aneurysm related
Subject: Aneurysm related

Stumped on a word - here is the sentence.


We discussed again the options of observation versus full open repair versus remote Referral Center for off-label investigational branch vessels _____ versus thoracoabdominal aortic paving with branch vessel reconstruction. 


This is something like femcraft, themcraft.  I have tried to google this but cannot come up with anything.


AC-related therapy?
Subject: AC-related therapy?


This is probably specifically related to the
Subject: This is probably specifically related to the

x
see above, probably not related to extremities nm
Subject: see above, probably not related to extremities nm

x
Help -- hip replacement related.
Subject: Help -- hip replacement related.

The difference in the modulus of elasticity between the metal and the bone can definitely lead to some  s/l furching and mild discomfort.  It has to do with a recent hip replacement.  Any ideas?  


If cardiac related, is probably
Subject: If cardiac related, is probably

amiodarone. It's an antiarrhythmic.
No, but I assume it is related to
Subject: No, but I assume it is related to

nm


He actucally spells it
Subject: He actucally spells it

but I know that he is spelling it from the way the patient spells it. He often spells medications wrong. I am just going to flag it. Thanks for your help.
99% when a dictator spells anything
Subject: 99% when a dictator spells anything

whenever they spell anything, I look it up because 99% of the time the dictator has spelled whatever they are trying to spell INCORRECTLY....it's a general rule of thumb for most MTs to do this - look up anything a dictator spells.........because we ALL know this about the dictators after 25+ years..........for some of us....in this biz. 
he spells out what sounded like R E M P
Subject: he spells out what sounded like R E M P


He spells it later on as spinoglenoid
Subject: He spells it later on as spinoglenoid

Thanks for the help anyway!!


not having any other --HUT-- problems...he spells it
Subject: not having any other --HUT-- problems...he spells it


Meant to add, doc spells - sm
Subject: Meant to add, doc spells - sm

Meant to say doc says (elsil) LSIL then spells LGSIL. I'm not familiar with GYN terminology and not sure if LSIL and LGSIL are interchangeable and I'm confused as to what she wants.

Thanks for any help.
Med help--Dr. spells it "popinsisole"
Subject: Med help--Dr. spells it "popinsisole"

I can't find anything close in my QLEDR.  This is in a medication list, so I have no clue what it is for and no dosage is given other than 1 tablet once a day.  This is a cardiac patient with multiple cardiac diagnoses.  No other past medical history listed.   Any ideas?  He spells the majority of his medications incorrectly and I have been able to find all except this one. 
He does pronounce it, just spells it.
Subject: He does pronounce it, just spells it.

nm
He does not pronounce it, just spells it.
Subject: He does not pronounce it, just spells it.

nm
no he definetly spells out L A T.
Subject: no he definetly spells out L A T.


oxygen related term
Subject: oxygen related term

she is oxygen dependent on 3 liters with a convention.  I have tried lots of words, condension, contention, etc. and nothing seems to relate. 


Thanks for the help!


would not list anything related to hypotension in there
Subject: would not list anything related to hypotension in there

Is the doctor perhaps trying a variation of no suicidal ideation or homicidal ideation as an abbreviation? (suicidal ideation/homicidal) That is what I hear mostly in that context.
Try looking up living-related ureterocystostomy
Subject: Try looking up living-related ureterocystostomy

I found a whole bunch of stuff under that...unfortunately nothing that looks or sounds like that "cliche" thingy there.  Might be a start though. 
related to lung exam - s/l ti-kip-ium
Subject: related to lung exam - s/l ti-kip-ium

She had crackles in the bases of her lungs bilaterally.  No ___ti-kip-ium___.
"mittelschmerz" but not related to bowel. sm
Subject: "mittelschmerz" but not related to bowel. sm

You might be missing a word or have heard an extra one? mittelschmerz is related to ovulation.
Don't think so. It is definitely related to headache. ANy other ideas? nm
Subject: Don't think so. It is definitely related to headache. ANy other ideas? nm


Is that related to the air quality changes? Am I right in what I am hearing?
Subject: Is that related to the air quality changes? Am I right in what I am hearing?


I think it's related to the phrase cam stroke. (sm)
Subject: I think it's related to the phrase cam stroke. (sm)


Noun: cam stroke
The maximum movement available to a pivoted or reciprocating piece by a cam
- throw, stroke
Derived forms: cam strokes

Type of: motion, movement

Intussusception is related to the GI cavity, i.e.
Subject: Intussusception is related to the GI cavity, i.e.

x
vestibular related? - this one is killin me. lol - nm
Subject: vestibular related? - this one is killin me. lol - nm


*ICA* related lumbar radiculopathy
Subject: *ICA* related lumbar radiculopathy

Can't find what ICA stands for other than internal carotid artery.  TIA!!!


another one related to same thumb injury - says
Subject: another one related to same thumb injury - says

...2 interrupted sutures of 4-0 "P3" - never heard of that - pretty clear.


the diagnosis: Mardynia related to....
Subject: the diagnosis: Mardynia related to....

xx
doc spells "transulusion" 0.4 mg daily TIA!
Subject: doc spells "transulusion" 0.4 mg daily TIA!

I have no idea what it is used for.  TIA!!