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just a guess, but maybe "an herbal oil" ??

Posted By: vn on 2009-05-28
In Reply to: He will start using a s/l rubber ball and vitamin E cream to soften up the scar. - Just Looking

Subject: just a guess, but maybe "an herbal oil" ??




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Doc atually says "an" before so don't think it would "an a ptotic gait". sm
Subject: Doc atually says "an" before so don't think it would "an a ptotic gait". sm

Speech and motor were normal, although his gait, he has an "____" gait, although he has no stiffness or dystonia or other movement disorders when sitting and speaking with us or on exam when sitting.
Sorry, meant to say "an MI"...same with "an MRI" though...nm
Subject: Sorry, meant to say "an MI"...same with "an MRI" though...nm

nm
herbal ???
Subject: herbal ???


It is "an MRI." M is an ih sound...see above...nm
Subject: It is "an MRI." M is an ih sound...see above...nm

nm
"An" is not always used with a vowel...sm
Subject: "An" is not always used with a vowel...sm

It is used with a vowel "sound."   People really misunderstand the use of "a" and "an."  Just remember, it's the sound, not the vowel.  Ah, uh, eh....
The "an" before the vowel
Subject: The "an" before the vowel

works with other words but here it just does not. Some docs even say "an MI" and the M is not a vowel. Go figure.
Could it be the herbal echinacea? nm
Subject: Could it be the herbal echinacea? nm

s
Pt takes s/l sol-pal-met-o as an herbal med for BPH. Thanks
Subject: Pt takes s/l sol-pal-met-o as an herbal med for BPH. Thanks


Bio Defender (Herbal)
Subject: Bio Defender (Herbal)


could it be, "an avulsion" fracture?
Subject: could it be, "an avulsion" fracture?


Yep, "an echogenic density" (nm)
Subject: Yep, "an echogenic density" (nm)

...
sure they're not saying "an exostosis" ? sm
Subject: sure they're not saying "an exostosis" ? sm

perhaps something like, "an exostosis off the radial and distal wrist?"
"An additional" port was placed.....
Subject: "An additional" port was placed.....


Per AAMT BOS ... "an" (see message)
Subject: Per AAMT BOS ... "an" (see message)

a, an
The indefinite articles are a and an, and the definite article is the.

a chair (may be any chair)
the chair (a specific, or definite, chair)

See: articles
before consonants, h's, u sounds, vowels
Use a before a consonant, a sounded (aspirate) h, or a long u sound. Use an before a vowel or an unsounded h.

a patient
a hemorrhoid
a unit
an indication
an hour
a 1-mile run
a CMT
an 8-hour delay
an MT

HINT: Pronunciation determines whether a word is preceded by a or an; this is most useful with abbreviations and numerals.

how about "an element" of Parkinson.... nm
Subject: how about "an element" of Parkinson.... nm

no m
vitamin/herbal supplement help
Subject: vitamin/herbal supplement help

Patient is taking "essential s/l sheguro complex."  That is all the info I have, I'm not sure what she is taking it for.  This patient takes a variety of vitamins and supplements.  Any ideas? 
herbal supplement s/l cocutane
Subject: herbal supplement s/l cocutane

also referred to as s/l mega or omega s/l cocutane, comes in 100 mg tablets.
herbal supplement s/l cocutane
Subject: herbal supplement s/l cocutane

also referred to as s/l mega or omega s/l cocutane, comes in 100 mg tablets, taken for heart failure
"an adrenergic type of sweating" ??? nm
Subject: "an adrenergic type of sweating" ??? nm


Found it. He was saying "an OpSite" applied...nm
Subject: Found it. He was saying "an OpSite" applied...nm


could he just be stumbling over "an arthritic knee" ?
Subject: could he just be stumbling over "an arthritic knee" ?


an herbal med for seizures that s/l blue verin
Subject: an herbal med for seizures that s/l blue verin


There is one called Lady's Mantle (herbal)
Subject: There is one called Lady's Mantle (herbal)


Sorry, was thinking herbal, Oscillococcinum. Oscillo®.. nm
Subject: Sorry, was thinking herbal, Oscillococcinum. Oscillo®.. nm


WAG at maybe..."an exudative patina" or shiny appearance? nm
Subject: WAG at maybe..."an exudative patina" or shiny appearance? nm

s
certainly not trying to be mean..but it is a unique type of work, and takes "an ear" in additi
Subject: certainly not trying to be mean..but it is a unique type of work, and takes "an ear" in addition to training.


herbal medicine the doctor is pronouncing as "un-die-ah". any ideas? nm
Subject: herbal medicine the doctor is pronouncing as "un-die-ah". any ideas? nm

d
depends on context; herbal product "Hep-Well" IV med "heparin well" nm
Subject: depends on context; herbal product "Hep-Well" IV med "heparin well" nm


Herbal (I think) -- Patient takes (halfa alfa) and garlic.
Subject: Herbal (I think) -- Patient takes (halfa alfa) and garlic.

Never heard anything like this before but clearly sounds like ----- halfa alfa.


 


The dose suggests maybe an herbal, liver, or highB preparation. Still looking. nm
Subject: The dose suggests maybe an herbal, liver, or highB preparation. Still looking. nm

s
http://tramadolplus.com/item/pilex.html (seems to be herbal)
Subject: http://tramadolplus.com/item/pilex.html (seems to be herbal)


Tinkerbell is right, it is an herbal suppository made by Wise Woman Herbals
Subject: Tinkerbell is right, it is an herbal suppository made by Wise Woman Herbals

VAG Pack Suppositories from their web site
Probably herbal supps like gingko or the Alzheimer drugs like Aricept, Exelon, Reminyl,
Subject: Probably herbal supps like gingko or the Alzheimer drugs like Aricept, Exelon, Reminyl,

s
Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm
Subject: Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm

She has a pleural-based lesion in the right lower lobe that appears to be either an algomized effusion or soft tissue. She also has multiple pulmonary nodules bilaterally suggestive of either a metastatic neoplastic disease or granulomatis changes.
I guess it could be intravenous, but I'll turn in a blank rather than guess. Thanks!!!
Subject: I guess it could be intravenous, but I'll turn in a blank rather than guess. Thanks!!!


There is an herbal remedy called Rescue Remedy
Subject: There is an herbal remedy called Rescue Remedy


Avelox is a guess...might not be a good guess, though! nm
Subject: Avelox is a guess...might not be a good guess, though! nm

nm
My only other guess would be "anger burst." Just a guess.
Subject: My only other guess would be "anger burst." Just a guess.

x
I'd guess
Subject: I'd guess

stercoral colitis
My guess
Subject: My guess

maybe he's saying "pyelo" short for pyelonephritis
My guess sm
Subject: My guess sm

My guess would be candida esophagitis. 
just a guess
Subject: just a guess

but i think he is abbreviating -- so i would just put it inside quotes as you have it -- as it could refer to too many different things, if that is what he is doing.
and guess what?
Subject: and guess what?

depending on what lab you work in, all specs and values are different also. i worked in two different labs so I KNOW
Guess
Subject: Guess

I'm guessing the "caphate tethose" is ______ TED hose. The word prior, I don't know.

Without more...this is only a guess.
just a guess here....
Subject: just a guess here....

demonstrated increased L3-4
THAT was my next guess!!! lol nm
Subject: THAT was my next guess!!! lol nm

nm
my best guess...
Subject: my best guess...

maybe Denonvilliers fascia and transversalis fascia.
just a guess
Subject: just a guess

Decadron ?
This is a guess
Subject: This is a guess

I have never had a doc dictate it, but a list I obtained several years back from MT Desk that lists lots of "normal" physical exam phrases lists, under HEENT, flattening of the (left/right) nasolabial fold . . . maybe?
OA would be my guess too. nm
Subject: OA would be my guess too. nm

m
not sure but my guess would be SM
Subject: not sure but my guess would be SM

that the doctor will use a dye or ink of some kind to mark a spot where they remove a polyp or see something, so that they can locate the area more readily on followup.

but thats just a guess. I do rad and pathology and never have done gastroenterology procedure stuff.