does she want you to put in a heading, or include more in prior paragraph
Posted By: n/m on 2008-01-17
In Reply to: Note put above - me
Subject: does she want you to put in a heading, or include more in prior paragraph
nm
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- Note put above - me
- does she want you to put in a heading, or include more in prior paragraph - n/m
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how about typing Past Medical History heading and then typing what he says under the heading nm
Subject: how about typing Past Medical History heading and then typing what he says under the heading nm
xx
Here's the paragraph................
Subject: Here's the paragraph................
"The rest of his past history, review of systems, and social history is otherwise noncontributory, except that he is status post coronary artery bypass graft surgery and has had a pacemaker and is on Coumadin in conjunction with his cerebral vascular disease. He also takes amiodarone, s/l Trazadec, Toprol, Ambien, Cozaar, and Effexor."
The patient is being evaluated by a neurologist for leg and back pain. Thanks.
does this fit at the end of this paragraph? See msg pls.
Subject: does this fit at the end of this paragraph? See msg pls.
Patient is getting back on his medications and will be following up with his psychiatrist Dr. X. They are due within the next few weeks, he says, to recheck his Depakote levels, (Dr. take a drink and says)S/L hemolith normal. (new paragraph)
not sure, here's the paragraph...
Subject: not sure, here's the paragraph...
Neurologic exam/history and physical exam does reveal the patient with parkinsonian features. We are going to go ahead and change him from Sinemet 25/100 mg to Stalevo 100 mg, one in the morning and one at midday, since he really only takes it twice a day. If this does not help, we may try going back to the Sinemet and then trying Azilect for the freezing. I think that may be of great benefit to him, despite the MALB inhibitor.
Here's the rest of the paragraph. I need someone to look at this.
Subject: Here's the rest of the paragraph. I need someone to look at this.
This is listed under the PMH: Do these numbers look right? My question is really the
"FEF 25 to 75 1.66 (65%). " Does this look right? not sure how to type the 75 1.66. ... MD says it like this:
"FEF 25 to 75 one point six six and parentheseses 65%"
Pulmonary – status post pulmonary embolus, status post a prolonged road trip. Coumadin was discontinued in April and MTHFR Heterozygote with an elevated homocysteine level. She has been maintained on Folate. She has also been treated for asthma. Pulmonary function tests in December of 2002 demonstrated a FEV1 of 1.86 (79%), and FVC of 2.41 (83%) an FEV1 of 77% and FEF 25 to 75 1.66 (65%). In March of 2004, a diagnostic polysomnogram demonstrated obesity, hypoventilation; no evidence of obstructive sleep apnea. She has been maintained on 2 liters q.h.s. A repeat study in June of 2005 confirmed that treatment.
if i give you the paragraph for this ....
Subject: if i give you the paragraph for this ....
could you be able to tell if it were a line infection? I will send what they did. thanks
Paragraph numbering
Subject: Paragraph numbering
1.
a.
b.
c.....etc.
When you get all the way through z, how do you number or letter after z? Thanks so much.
Here's the context paragraph...sm
Subject: Here's the context paragraph...sm
Patient recently had a positive culture infection with group B strep. He was treated with some Cipro and he says he is actually voiding better now than he has for some time. He probably has been having a little small "ring" prostatitis going on.
paragraph punctuation help..please...
Subject: paragraph punctuation help..please...
MRI scan indicates status post patellar tendon, bone, and anterior cruciate ligament construction, cystic degeneration of the graft with little remaining low signal fibers is noted, tendon enlargement in the tibial tunnel with cystic erosion through the anterior cortex medially to the patellar tendon, extension into the anterior subcutaneous fat of the proximal right lower leg.
Note the doctor does say construction, not reconstruction can this also be correct? TIA.
I'd just leave it a paragraph at the end. NM
Subject: I'd just leave it a paragraph at the end. NM
You always include the 0 before a
Subject: You always include the 0 before a
decimal point. Too easy to read as 17% versus 0.17% -- quite a difference in value.
I found one paragraph re patients ...sm
Subject: I found one paragraph re patients ...sm
not sure but I found one paragraph thru google about dacron wool........being used on a patient:
Once cooling to -79 C was complete the patient was lifted out of the Silcool bath, the outer, Silcool wetted plastic bag was stripped off and the patient was placed within a polyester cloth bag which was in turn placed inside a standard aluminum neurocan which had been precooled to -90 and packed with dacron
wool. Temperature probes were left externalized to the neurocan for subsequent cooling to -196 C.
I don't really think this is going to help you though but I tried!! 
your paragraph has many grammatical errors
Subject: your paragraph has many grammatical errors
along with punctuation - not sure if you just typed it fast and are aware or not? If you more help, let me know.
Go to format/paragraph and you'll see it. nm
Subject: Go to format/paragraph and you'll see it. nm
Based on the following paragraph written by
Subject: Based on the following paragraph written by
Vanderbilt University in relationship to Troubleshooting PICC problems, in particular; "My patient's arm is red, swollen, and/or painful."
A. How does the arm look in comparison to the arm without a PICC line.
B. If redness is involved, is it a red streak up the arm along the vein tract.
C. If swelling is involved, what is the difference in the girth of the two arms.
Your sound-alike brings to my mind: gorge; as engorged. Definition: gorge, glut; especially: to fill with blood to the point of congestion. Just an educated guess though. Good luck.
sorry, meant to also include...
Subject: sorry, meant to also include...
the only SVC I know of is superior vena cava, so SVT is probably the correct term as nana said.
This paragraph shows AZT for baby -see message
Subject: This paragraph shows AZT for baby -see message
If an HIV positive woman is taking AZT then it will probably be recommended that her baby is given AZT (usually as a syrup) for the first six weeks of its life starting 8-12 hours after birth. Alternatively, if the mother has taken AZT and 3TC during labour then an effective regime for the baby would be one week of AZT and 3TC.
If only limited AZT is available then one week of AZT can be given to the baby. If only single dose AZT is available then the baby can have this combined with a single dose of NVP, and if no AZT is available then the baby can have a single dose of NVP to help protect it.
Here is the paragraph for the s/l line infection evaluation..
Subject: Here is the paragraph for the s/l line infection evaluation..
Patient here today for a post-op s/l line infection evaluation. She has been doing daily wet to dry dressing changes and today the wound breadown area is less than a cm across and with probing with a Q-tip will not extend any greater than 2 cm in the area. I do not think that this continues to require any packing. I have recommended that she just keep gauze over the area for the drainage. thank you
Stumped - rheumatology. Please see paragraph for context.
Subject: Stumped - rheumatology. Please see paragraph for context.
Patient is a little girl with an area of atrophic and hyperpigmented skin on her forehead (morphea/linear scleroderma en coup de sabra).
"In addition, there is a secondary area which is approximately 2 cm in diameter and 6 cm in length which is hyperpigmented and lateral to the s/l inituary/immisuary, with again subcutaneous atrophy, but without erythema or adherence."
Totally stumped but hate to give up --- Thanks for any help.
Thx! I made it through a whole paragraph of tests, with this being the last one and couldn't get
Subject: Thx! I made it through a whole paragraph of tests, with this being the last one and couldn't get the last one! :) Thx for your help!
does this paragraph sound right and is it punctuated correctly
Subject: does this paragraph sound right and is it punctuated correctly
There were findings of a posterior horn tear of the medial meniscus, a small chondral injury of the medial tibial plateau, grade 4 out of 4, chondromalacia of the medial femoral condyle, grade 3 out of 4, chondromalacia patella and trochlea notch of the femur, grade 3 out of 4.
The doctor speeds through this paragraph at 75mph..does it make sense and is the punctuation correct? TIA.
s/l linear partial tear also does this paragraph
Subject: s/l linear partial tear also does this paragraph
make sense?
There is a focal tear of the posterior supraspinatus tendon noted. No other tear or retraction evident. There is also S/L linear partial tear of the long head of the biceps tendon noted. Mild degenerative changes to the glenohumeral joint also indicated. TIA.
H&H is prior.
Subject: H&H is prior.
Prior sentence - Serial Hematocris 42.4 and 40.4. "Endices" were normal. Electrolytes 128.
he had an EGD prior to his etc...
Subject: he had an EGD prior to his etc...
oops, meant to include BOS, pg 83
Subject: oops, meant to include BOS, pg 83
please include more context next time for better help nm
Subject: please include more context next time for better help nm
Is your time given to include the seconds on the end? nm
Subject: Is your time given to include the seconds on the end? nm
s
please include the surrounding context......
Subject: please include the surrounding context......
The likely etiologies of hematemesis include
Subject: The likely etiologies of hematemesis include
peptic ulcer disease versus m*** versus ***losum. Any ideas appreciated. ESL doc is mumbling.
What is the sentence prior to this? Might help. nm
Subject: What is the sentence prior to this? Might help. nm
im not sure i just know that it prior to csect
Subject: im not sure i just know that it prior to csect
What was dictated just prior to that?
Subject: What was dictated just prior to that?
.
depending on what doc says prior to this, could the
Subject: depending on what doc says prior to this, could the
first one be ..."similarly" show marked congestion ??
Better include "cultures" in the blank, too. Let us know what you find out. nm
Subject: Better include "cultures" in the blank, too. Let us know what you find out. nm
x
Quotations should include ONLY the actual words sm
Subject: Quotations should include ONLY the actual words sm
lifted directly from the study/exam/whatever.
Allergies include s/l pair it a deen. nm
Subject: Allergies include s/l pair it a deen. nm
This = xerostomia and tongue soreness. sorry if I do not include.
Subject: This = xerostomia and tongue soreness. sorry if I do not include.
a
medications include s/l vobenzin and artron TIA
Subject: medications include s/l vobenzin and artron TIA
xx
No idea, given as part of med list. Dxs include
Subject: No idea, given as part of med list. Dxs include
myasthenia gravis, respiratory failure, currently intubated.
s/l surgeries include "hylanitive" cysts
Subject: s/l surgeries include "hylanitive" cysts
Just make it the last paragraph in the report. Does it Have to have a title? Maybe Note, Comment,
Subject: Just make it the last paragraph in the report. Does it Have to have a title? Maybe Note, Comment,
s
No there was not any telling info prior to that. ..
Subject: No there was not any telling info prior to that. ..
I sent for QA, so I'll let you all know what it is :) Thank you though!!
Include your email, and I'll send you the page. sm
Subject: Include your email, and I'll send you the page. sm
It's too long to put here.
Meant to include that pt has systemic lupus erythematosus.
Subject: Meant to include that pt has systemic lupus erythematosus.
Cardiovascular problem signs include swelling
Subject: Cardiovascular problem signs include swelling
x
The dictation after just went straight into the impression, so I didn't include it. nm
Subject: The dictation after just went straight into the impression, so I didn't include it. nm
nm
Apparently, charley-horse CAN include bruise, etc.
Subject: Apparently, charley-horse CAN include bruise, etc.
Again, give it a shot with Google. :)
had you read below prior to posting, I had reposted..
Subject: had you read below prior to posting, I had reposted..
that I was incorrect.......sheesh......fast fingers....slow take....
I don't think psoricystic exists - got cut off prior post
Subject: I don't think psoricystic exists - got cut off prior post
I was told NEVER to use a comma prior to the word that..sm
Subject: I was told NEVER to use a comma prior to the word that..sm
and if I leave my grammer checker on, which I do, it always lights up *green* if I do. Just my experience.
Prior post about asking test questions
Subject: Prior post about asking test questions
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