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doc spells this as reason 4 consult....Candidabap?

Posted By: word help on 2007-12-09
In Reply to:

Subject: doc spells this as reason 4 consult....Candidabap?




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Reason for consult: s/l Managed medical consult
Subject: Reason for consult: s/l Managed medical consult

Does this sound right?  The report didn't really help me much.  The person is there for vent weaning after a fracture. 
GI consult, reason for consultation
Subject: GI consult, reason for consultation

All I know so far is that the patient is being seen in GI consultation and she is combative and age 90+.

REASON FOR CONSULTATION sounds like:
"Aerfo biddy bosdus stil."

I'm thinking

Here for _____ stool.

but still clueless. He is ESL, probably Indian.
psych consult, frequent crying spells, s/l "inerga", anhedonia. (thank you!)
Subject: psych consult, frequent crying spells, s/l "inerga", anhedonia. (thank you!)


neuro consult, neuroconsult, or neural consult?
Subject: neuro consult, neuroconsult, or neural consult?

Confused about which is correct, whether it should be one word or two. Thanks in advance. "Dr. Shanmugam has seen the patient for neuro consult."
Set consult since it's a fracture? Or set up consult? NM
Subject: Set consult since it's a fracture? Or set up consult? NM

nm
reason I said that.....sm
Subject: reason I said that.....sm

In Spanish, there is no *v* - and Spanish-speaking folks could  possibly say affansed for advanced....though I could be wrong.


in Havana, Cuba the license plates actually say HABANA


Your welcome :) P.S. The only reason I know this is because SM
Subject: Your welcome :) P.S. The only reason I know this is because SM

I do hem/onc all day long and the docs do that a lot (give the generic names)...so I have had to learn a few generic/brand names...Sigh. Just call me Dr. Sassee. LOL

You have a good day too :)
The only reason...
Subject: The only reason...

I would be hesitant to number them is because of the coding issue. If I'm not mistaken, each diagnosis is coded for insurance rasons, proper billing, etc.
and the reason it's on the dangerous...sm
Subject: and the reason it's on the dangerous...sm

abbreviation list is because h.s. (hour of sleep) is confused with half-strength.  *S*
No reason to answer like that.
Subject: No reason to answer like that.

A little rude don't ya think?
Yes, I have drug books, in fact, just got new pharmceutical book from Saunders, 2007. I just could not find it. Sorry I did not look hard enough.

We come onto this board for HELP not to get yelled at or made a fool of. Thanks for nothing.

the only reason I asked about the INR is because....
Subject: the only reason I asked about the INR is because....

usually he says laboratory data and he did not on this report.  He talked about the ECG then just said INR 3.0.  The doctor says type as dictated, so I did not feel it went under ECG thats why I wanted to make sure about the lab, not unless it would appropriately fit under ECG??  Thanks
For me, if that what is said, that is what is typed (within reason).
Subject: For me, if that what is said, that is what is typed (within reason).


Unless it's in their specs (for some reason)...
Subject: Unless it's in their specs (for some reason)...

gram-negative is with a lowercase "g"
Hey, the only reason I had a clue on that one is that - sm
Subject: Hey, the only reason I had a clue on that one is that - sm

...there are Kastenbauers in my family tree. :-) So, your s/l rang a bell.
it's a consult
Subject: it's a consult

For GI bleed. Doing the impression, and doc is giving the possibilities.
s/l sep consult
Subject: s/l sep consult

Dr. will do a s/l sep consult for preop clearance


. . . This is for a patient with a hip fracture 


Consult
Subject: Consult

I am working on a consult.  In the impression on the last diagnoses, it sounds like the MD is saying "your diagnosis".  He is a notorious mumbler... Have any of you heard of this before?  Thanks in advance.


GI consult
Subject: GI consult

Could it be C. difficile positive stool or guaiac positive stool?
s/l CDU consult
Subject: s/l CDU consult

This is a header.  s/l CDU CONSULT CONSULTANTS:  Does this make sense being a OB consult?  I've never heard of this but sure sounds like it.
s/l OMS consult
Subject: s/l OMS consult

"Patient has left facial cellulitis, most probably secondary to tooth abscess." What would OMS stand for?
consult please?
Subject: consult please?

I have always done cryo'd but I have always wondered if that is correct!


Thanks!


links not working for some reason. Just SM
Subject: links not working for some reason. Just SM

passthru
Found Potts ligature in Sted's Equip. sm
Tue Jan 20 09:08:52 2004

from Sted's online--

ligature (lig-choor)

A thread, wire, fillet, or the like, tied tightly around a blood vessel, the pedicle of a tumor, or other structure to constrict it.
In orthodontics, a wire or other material used to secure an orthodontic attachment or tooth to an archwire.
[L. ligatura, a band or tie, fr. ligo, to tie]


For some reason I can't find this..what is the difference between
Subject: For some reason I can't find this..what is the difference between

cheloid and keloid??  I know it's scarring but does the spelling matter?  THanks.
Thanks - I did check Google but for some reason
Subject: Thanks - I did check Google but for some reason

only saw one or two and so wasn't sure.
FlyBye seems to be the voice of reason....sm
Subject: FlyBye seems to be the voice of reason....sm

Thanks Flybye!  Your posts are simply some of the best on these boards consistently!!  And you confirmed that I am NOT wrong (nor are most of the other posters) so thank you!! 
agree with you, but for a different reason on the ST issue
Subject: agree with you, but for a different reason on the ST issue

crashing. On the other hand, BOS says non is a word that in most cases does not need a hypen, so it does vary in many instances. Non can be combined with the word being used. Noncommental is an example, but there is no hyphenated statement following it.
A good reason to stay away from that doc! nm
Subject: A good reason to stay away from that doc! nm

.
The accounts that I ASR are verbatim, therefore, I put exactly what they say (within reason) and if
Subject: The accounts that I ASR are verbatim, therefore, I put exactly what they say (within reason) and if a serious question arises I stick in a QA mark with the appropriate question.


Yes, he is saying four five not forty five. The reason it confuses me
Subject: Yes, he is saying four five not forty five. The reason it confuses me

is because he is not saying 4.5. just four five. Why can't he say the point??? he said it before. YIKES. Is that so hard. LOL Thanks again for your help.
I can't see your entire message for some reason. sm
Subject: I can't see your entire message for some reason. sm

Were you asking if doc may be saying fluticason? If so, he's definitely not saying that.

Entire sentence:

He would very much like to stay off insulin if at all possible. If this is not keeping him under control, may add a s/l glitisone/glutisone type drug.

Thanks for your help.
Fahrenheit...Is there any reason why this word..
Subject: Fahrenheit...Is there any reason why this word..

should be typed with a capital 'F' if it is not at the beginning of a sentence? I am QA'ing and keep seeing this from a particular MT. Just want to make sure.
Thanks so much. That is it. For some reason at 5 something AM all I could hear was pixa?? nm
Subject: Thanks so much. That is it. For some reason at 5 something AM all I could hear was pixa?? nm

nm
Not today. I'm struggling for some reason, so I really do appreciate your help.
Subject: Not today. I'm struggling for some reason, so I really do appreciate your help.


"MSM consult" - what is MSM?
Subject: "MSM consult" - what is MSM?

x
Podiatry consult.
Subject: Podiatry consult.

Patient has an ingrown toenail.


ASSESSMENT: This is a 75-year-old female with *s/l* onycocryptosis.


I'm lost, please help!


Could he mean separate consult?
Subject: Could he mean separate consult?


s/l help please - oncology consult
Subject: s/l help please - oncology consult

Tru-Cut needle biopsy of the left breast mass, on 11/16/07, showed invasive ductal carcinoma, Nottingham grade 2, ER/PR positive; ER greater than 90%, PR 70%; HER-2/neu 2+ and __________ test is pending.
The blank sounds like "dean an blick sue-cation"...... anyone??


Doc says it again in the IMPRESSION... only this time is sounds different....

Invasive ductal carcinoma, grade II, ER/PR positive. HER-2/neu is still indeterminate and ____________ test is pending.
This time it sounds like "dean ab lou few ation"....
BU/slurry consult
Subject: BU/slurry consult

This is for a patient with an ORIF surgery for a dislocated hip and fracture. The nurse states a BU was placed.  Does anyone know what BU would stand for?  And following surgery the patient had a slurry ? consultation.  Any ideas on that one? 
ID consult question
Subject: ID consult question

Other ros negative for  s/l  "EMNS" criteria.  Very, very poor quality dicktation
This is the reason we advise you to buy reference books! nm
Subject: This is the reason we advise you to buy reference books! nm

x
Yes I am glad mine are grown for more than one reason.
Subject: Yes I am glad mine are grown for more than one reason.


As I explained to her today, there is no reason for her to be on Zetia instead of please sm
Subject: As I explained to her today, there is no reason for her to be on Zetia instead of please sm

**chloroform** agents. Does this make sense???

oxaliplatin - docs like to say platinum for some reason - no um.
Subject: oxaliplatin - docs like to say platinum for some reason - no um.


Consult - I think you are right! It just sounds weird....TU
Subject: Consult - I think you are right! It just sounds weird....TU


According to my Griffith's 5-minute consult
Subject: According to my Griffith's 5-minute consult

one symptom is listed as purple "striae" on the skin. Since it appears your second word is grouped wiht labs he wants done, some lab tests listed are for urinary cortisol, plasma cortisol, neutrophilia, lymphopenia, hyperglycemia, hyperlipedemia, hypokalemia. Anything there ringing a bell?
No info to tell, just a consult of many things
Subject: No info to tell, just a consult of many things


The consult by the neurologist states that sm
Subject: The consult by the neurologist states that sm

the s/l partodyskinesia may be a slow progress. Also later in the diagnosis, doctor states "s/l Partodyskinesia secondary to anticholanergic drugs".  Any help would be appreciated.  Thanks :)


Nephrology consult in pregnancy
Subject: Nephrology consult in pregnancy

s/l trochrommina (laboratory testing)
kynephness/hemoccult consult
Subject: kynephness/hemoccult consult

Could you give a little more information?  Where there any other symptoms relative to the stool character?  Any other positive findings in GI tract (ROS, physical exam or lab)?  Diagnosis?  What was the exact content surrounding the patient's "consult"ing the Hemoccult card?  In a long stretch, an MD might "consult" the Hemoccult card by viewing it directly, but the patient is smearing it with stool and submitting it. 
Cardiac consult for nodule
Subject: Cardiac consult for nodule

There was no s/l medius and lefinopaptine? No other hypermetabolic activity in the lung.


Is there any good reason posters cannot come back to thank for being helped?
Subject: Is there any good reason posters cannot come back to thank for being helped?