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has had a physical job involved in the heating and air conditioning industry all of his life

Posted By: Would you CAP the Heating and Air Conditioning Ind on 2005-09-25
In Reply to:

Subject: has had a physical job involved in the heating and air conditioning industry all of his life




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K-pad is used as both a heating pad and/or an ice pack.
Subject: K-pad is used as both a heating pad and/or an ice pack.


You've seen all kind of changes in this industry then! nm
Subject: You've seen all kind of changes in this industry then! nm

xxxx
sounds like heating pad, not sure on your second question?
Subject: sounds like heating pad, not sure on your second question?

x

No wonder our industry is in the dumpster. It is self-defeating, beginning right here. nm
Subject: No wonder our industry is in the dumpster. It is self-defeating, beginning right here. nm

x
Involved?
Subject: Involved?


No, Coccidia isn't involved at all. SM
Subject: No, Coccidia isn't involved at all. SM

He is referring to a fracture of the coccyx. You're looking for coccygeal, meaning of the coccyx.
do you know if Law Enforcement is involved?
Subject: do you know if Law Enforcement is involved?

I've heard of psychiatric "postconviction" services or "pretrial" services...such as, "postconviction psychiatric evaluation by a forensic psychiatrist is a new factor warranting sentence modification"...perhaps that's what they meant (IF the patient is a prisoner/arrested, admitted involuntarily, etc.)
This is a patient involved in a MVA.
Subject: This is a patient involved in a MVA.

The examination says . . . .


She flexes and extends the ankle and knee normall on the right.  The left lower extremity is negative "raw growth."  The knee is nontender.  The ankle shows positive tenderness.


This is a patient involved in a MVA.
Subject: This is a patient involved in a MVA.

The examination says . . . .


She flexes and extends the ankle and knee normally on the right.  The left lower extremity is negative "raw growth."  The knee is nontender.  The ankle shows positive tenderness.


maybe involved field radiation? nm
Subject: maybe involved field radiation? nm


underwent procedures which involved dye infusion
Subject: underwent procedures which involved dye infusion

could be ... underwent procedures which involved dye infusion
Vascular surgery help needed--AV fistula involved
Subject: Vascular surgery help needed--AV fistula involved

Hi,


I've got a vascular surgery that I need help on.  Most of the things I'm pretty sure of, but would like a seconding ear.  TIA


Right wrist "rest"--?? assuming AV fistula. 


ANESTHESIA:  @@Local with monitored anesthesia s/l--montra--garis bolus 20 cc. 


extremity was prepped and draped in a Pfannenstiel fashion.  The patient was given a low grade--?? of Ancef


The artery was then carefully dissected out proximally and distally and little side--?? branches were clipped to help obtain hemostasis ofr the anastomosis.  The


A pot--?? scissor was then used to form a hood.  It had been marked with a marking pen prior to division 


Markable--?? dogs were used to obtain control of the artery proximally and distally. 


Th vein was sewn to the arteries using a 6-0 pulling suture in a circumferential--?? fashuion. 


The wound was enclosed in layers using a 3-0 Vicryl suture in the subcutaneous layer in a running fashion and a 4-0 Vicryl running subventricular--?? closure. 


The patient was brought out and monitored in anesthesia care--?? and taken to the recovery room in stable condition. 


Sponge, needle, and instrument counts were reported to be correct at the end of the case--??.   


 


 


Don't know if there are other diagnoses involved, but this is what the drug index states it is us
Subject: Don't know if there are other diagnoses involved, but this is what the drug index states it is used for:

to treat chronic hives, premenstrual depression, attention deficit hyperactivity disorder in children, and bedwetting.

25 mg would be the proper dosage also.
pt is involved in [s/l nee-uh] and drumming- doc says they are "body-mind aerobic exercises"?
Subject: pt is involved in [s/l nee-uh] and drumming- doc says they are "body-mind aerobic exercises"?


pt. developed progressive renal insuff & underwent s/l pro-sid-ious? which involved dye infusion
Subject: pt. developed progressive renal insuff & underwent s/l pro-sid-ious? which involved dye infusion


Well I don't know for the life of me...
Subject: Well I don't know for the life of me...

what it is...but I can tell you this..if they are giving those out with surgery my son would go schedule one today!  LOL


Sorry..not a clue what it could be


life-flighted?
Subject: life-flighted?

Hi...

Any idea how this should be transcribed.

The patient was life-flighted from XXX.

QA changed to life-Flighted, but that doesn' seem right to me.


Thank you!






life-Flighted does not seem right to me
Subject: life-Flighted does not seem right to me

either. When I google this it comes up life-flighted and Life-Flighted so ??
YOU SAVED MY LIFE. THANK YOU
Subject: YOU SAVED MY LIFE. THANK YOU


life vest?
Subject: life vest?

could he be saying life vest?
Thank you so much, for the life of me I couldn't remember that.
Subject: Thank you so much, for the life of me I couldn't remember that.


ahem - in whose MT life is that acceptable?
Subject: ahem - in whose MT life is that acceptable?


Quality of life test
Subject: Quality of life test

s/l Bouchalla quality of life is 22 out of 50


Thanks for any help!


Hayseed, but you do have a life. You're
Subject: Hayseed, but you do have a life. You're

Just toyin with ya. Think you're great!
This is end of life care and sounds like
Subject: This is end of life care and sounds like

an AND or A&D for possible hospice care.
You're a life saver!!
Subject: You're a life saver!!

xx
Sounds life Cephcaps?
Subject: Sounds life Cephcaps?

Orthopedic surgeon doing back surgery and states "rods in back cinched with s/l cephcaps?"  Anyone ever hear of this?


 


Thanks!


Kelly


never mind... i believe it is life cycle transition. =) NM
Subject: never mind... i believe it is life cycle transition. =) NM

x
ALTE (acute life-threatening event). nm.
Subject: ALTE (acute life-threatening event). nm.

nm
I bought a Stedman's lab book. It's a life saver!
Subject: I bought a Stedman's lab book. It's a life saver!

x
This is not "affecting" her life. correct or would it be effecting? Too early!! Thx.
Subject: This is not "affecting" her life. correct or would it be effecting? Too early!! Thx.


Found it - Trauma and Life Support Center
Subject: Found it - Trauma and Life Support Center

It's a unit at the facility the patient was transferred from.
AHHHH... the life and times of a transcriptionist... good luck!
Subject: AHHHH... the life and times of a transcriptionist... good luck!


MOFT or MLFT paperwork associated with "end-of-life care"
Subject: MOFT or MLFT paperwork associated with "end-of-life care"

I am not absolutely sure about the M (could be N) or O (could be L), but I know it is an accronym as he says:


"discuss end-of-life care and capital M, capital O, capital F, capital T paperwork."


I cannot figure out what kind of form this is or what the accronym stands for. He says it so quick I am not even sure I have the right letters!


Thanks for your help!


Xigris is used for treating life-threatening bacterial blood infections in adults.
Subject: Xigris is used for treating life-threatening bacterial blood infections in adults.


Aztreonam is an antibiotic that fights severe or life-threatening infection caused by bacteria?
Subject: Aztreonam is an antibiotic that fights severe or life-threatening infection caused by bacteria?


Aztreonam is an antibiotic that fights severe or life-threatening infection caused by bacteria?
Subject: Aztreonam is an antibiotic that fights severe or life-threatening infection caused by bacteria?


Pt getting chemo - "Life port to be inserted". Never heard of life port
Subject: Pt getting chemo - "Life port to be inserted". Never heard of life port

NM
Physical exam
Subject: Physical exam

Height: Six feet.


I'm having trouble remembering all my rules on numbers for stats and such. Is this right? Thank you.


On physical exam.. S/L
Subject: On physical exam.. S/L

or maybe slight disks bilaterally?  I'm drawing a blank... HELP PLEASE and THNX!
Physical exam
Subject: Physical exam

The doctor dictated "no jugular venous distension at 30 degrees" under heart of the physical exam. Shouldn't it go under neck? Thank you.
physical exam-GU
Subject: physical exam-GU

obese 9 year old--phallus difficult to examine as the patient has a large sl-paptha- and has a concealed phallus.


re physical exam
Subject: re physical exam

PHYSICAL EXAMINATION: Significant findings for left lower quadrant tenderness. Blood pressure was 124/78, pulse rate of 96, and respiratory rate of 20. Heart: S1 and S2. Lungs: Clear to auscultation bilaterally.


I would type it this way or at least make it present tense.  On my accounts, I am required to categorize these things. 


PHYSICAL EXAMINATION:


Abdomen:  Significant findings for left lower quadrant tenderness. Vital signs:  Blood pressure 124/78, pulse rate 96, respiratory rate 20. Heart: S1 and S2. Lungs: Clear to auscultation bilaterally.


 


GI physical exam
Subject: GI physical exam

In the physical exam, s/l thenar and epithilial wasting.  He is listing liver disease stigmata and I just blanked out on this.  Help!


This is on physical exam
Subject: This is on physical exam

thanks for trying.
physical exam help
Subject: physical exam help

Physical exam, under Extremities, doctor states ___ pulses throughout.


It sounds like temporis pulses. I know of temporal pulses, but would that be throughout the extremities? Thank you!


Physical exam help?
Subject: Physical exam help?

EXAMINATION:  No costovertebral angle tenderness.  Abdomen has normal active bowel sounds in all quadrants.  It is supple.  Extremely tender left upper quadrant and going down not quite into the groin.  Difficult to check the (s/l sternal) border because of increased tenderness but the spleen may be mildly enlarged but no distinct masses felt.  I am unable to check for rebound or guarding because she is so exquisitely tender with even a very light touch.


 


ASSESSMENT:  Acute left upper quadrant pain.


s/l sternal border?  Any help would be great?


physical exam
Subject: physical exam

Probably just means + (the plus sign), as in positive S1, S2...just means he heard 1st and 2nd heart sounds clearly (as opposed to sounds to distant or obscured by extra sounds). If something was dictated before that, I would put a comma and use the plus sign, i.e., PREVIOUS TEXT, + S1, S2. If nothing precedes it, I would type positive S1, S2. If account wants verbatim, give it to them.
It was just a physical exam, and I don't know
Subject: It was just a physical exam, and I don't know

However, I do think it was "cervical or" inguinal adenopathy.  This guy is a real mush mouth.  THANK YOU ALL SO MUCH FOR YOUR HELP!  I am sorry I wasn't clear enough earlier in my first message.  I really do appreciate your help.  This is a great board to come to--everyone is so knowledgeable! 
Need help with physical exam please
Subject: Need help with physical exam please

I am wondering if, in the last sentence, where "drop can arc" is dictated . . . would she be referring to three tests/maneuvers such as Drop Arm, Empty Can, and an Arc test, or is it correct as is?


She has excellent range of motion of the shoulder.  Good grip strength.  Distal pulses and sensation are intact.  She can do a full drop can arc.


TIA


Please help with physical exam (sm)
Subject: Please help with physical exam (sm)

Over the central aspect of the wound there is s/l shelfing of the superior aspect of the skin