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just guessing - prior nasal steroids? nm

Posted By: sassee on 2008-05-13
In Reply to: Please sm. Thanks - Barbara

Subject: just guessing - prior nasal steroids? nm




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Thanks - he's getting steroids
Subject: Thanks - he's getting steroids

x
Merocel nasal packing and MeroGel nasal dressing
Subject: Merocel nasal packing and MeroGel nasal dressing

nm
Sounds like steroids to me too....nm
Subject: Sounds like steroids to me too....nm

xx
s/l sesto steroids
Subject: s/l sesto steroids

Patient with lower GI bleed, rheumatoid arthritis, HTN. Patient steroid depend, 5 mg of prednisone daily, so will put on s/l sesto steroids

Also GI bleed likely to be lower gastrointestinal s/l epichondral or upper gastrointestinal. Patient had hip replacement in October.

This MD is a nightmare. Thanks.
Could the first one be stress dose steroids?
Subject: Could the first one be stress dose steroids?


Possibility of using a long-acting preparation with some inhaled steroids would be s/l forpeasmal.
Subject: Possibility of using a long-acting preparation with some inhaled steroids would be s/l forpeasmal.

I have no clue.  Thanks.  x


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...


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 ??
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!!
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


any info prior to P.E. that might give a clue?
Subject: any info prior to P.E. that might give a clue?

Is there a chief complaint or admission dx?
It IS menorrhagia, stent placement prior to TAH sm
Subject: It IS menorrhagia, stent placement prior to TAH sm

I feel pretty, I feel pretty and witty and anything, but wise! It is going to be a very long day.
Late, but maybe prior environmental exposure? nm
Subject: Late, but maybe prior environmental exposure? nm

s
Would make sense, especially if had prior surgery. Could be
Subject: Would make sense, especially if had prior surgery. Could be

s
does she want you to put in a heading, or include more in prior paragraph
Subject: does she want you to put in a heading, or include more in prior paragraph

nm
No illnesses or prior surgery. NKDA. nm
Subject: No illnesses or prior surgery. NKDA. nm


his Coumadin be held s/l transilay prior to this
Subject: his Coumadin be held s/l transilay prior to this

nt
Can you give the whole sentence so that we can hear the word prior to that one?
Subject: Can you give the whole sentence so that we can hear the word prior to that one?


..who did last inguinal hernia? Meaning the prior surgeon? nm
Subject: ..who did last inguinal hernia? Meaning the prior surgeon? nm

s
patient's prior surgeries---states THA/BA1 or VA1 or ?? What would be assoc with THA
Subject: patient's prior surgeries---states THA/BA1 or VA1 or ?? What would be assoc with THA


oops - typo inside my prior post...CELEXA...sorry..
Subject: oops - typo inside my prior post...CELEXA...sorry..

*sigh* - sorry for my typo - I meant to type Celexa.....*lol*
That's great info - I did the prior post on no commas - see inside
Subject: That's great info - I did the prior post on no commas - see inside

and had done oncology for almost 10 years for a nationally known cancer center, but they were specific on NO commas, so it may be an account-specific rule (plus maybe cuts down on keystroke counting?)
Thought it had more to do with her sources of information on the patient prior to initial visit. nm
Subject: Thought it had more to do with her sources of information on the patient prior to initial visit. nm

x
Pt with multiple myeloma, have a "coronoscopy" performed prior to stem cell transplantation,
Subject: Pt with multiple myeloma, have a "coronoscopy" performed prior to stem cell transplantation,

score was 100%. 
no dont think so, the two line prior are LFTS normal and Chem-7 was normal
Subject: no dont think so, the two line prior are LFTS normal and Chem-7 was normal


not sure, guessing only but there is a
Subject: not sure, guessing only but there is a


just guessing
Subject: just guessing

erythema and edematous??
guessing here, but from your S/L it sm
Subject: guessing here, but from your S/L it sm

sounds a lot like mycelial, or fungus.  Found this def.


 


mycelium, pl. mycelia


mU-sTclT-m, -^



The mass of hyphae making up a colony of fungi.


Origin



[G. mykTs, fungus, + hTlos, nail, wart, excrescence on animal or plant]


aerial mycelium


nonseptate mycelium


septate mycelium


I'm guessing that's LTA.....nm
Subject: I'm guessing that's LTA.....nm

nm
guessing a little bit here
Subject: guessing a little bit here

eczematous exfoliated right palm and interstitial folds (or possibly intertriginous folds)
guessing too,
Subject: guessing too,

but with the struts and distraction, i wonder if it is half-pin cluster....
guessing...... to see if?
Subject: guessing...... to see if?


More guessing sm
Subject: More guessing sm

How about Heart sounds normal.  Extremities without cyanosis or edema. 
just guessing, sm.
Subject: just guessing, sm.

 Is it possibly "trabecular" instead of tristem pedicle?   Also wondered if bearing (no s) is the correct term, i.e. the weightbearing load is metal on metal.


Just Guessing Here...
Subject: Just Guessing Here...

Shouldn't it be POWER versus pallor, and could it be "muscle power and tone are adequate?"     Just a guess...
Just guessing here, but
Subject: Just guessing here, but

#1 might be pyloroplasty with the possible need for "a Nissen" (fundoplication).


I googled gastric emptying study and found "T1/2" with the number of minutes following:  "T1/2 of 54 minutes"


guessing K-Dur NM
Subject: guessing K-Dur NM

x
just guessing SM
Subject: just guessing SM

congenital lateral insertion of the patellar tendon?
Guessing...
Subject: Guessing...

Oxandrin or Oxandrolone?
guessing but what about - s/m
Subject: guessing but what about - s/m

NovaSure device
If I were guessing, I would say she was
Subject: If I were guessing, I would say she was

intubated for oxygenation
just guessing
Subject: just guessing

right upper lobe and apex?
Second guessing yourself
Subject: Second guessing yourself

is second nature in this business.
;-)
Hmm...a. atrophica is short for acne atrophica. Maybe that can help. Got a prior note to
Subject: Hmm...a. atrophica is short for acne atrophica. Maybe that can help. Got a prior note to

s