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my thoughts exactly. No wax in the nose. Not now, not ever. Maybe sm

Posted By: nm on 2007-10-19
In Reply to: This is totally bogus. There is no connection between ....sm - oldtimer

Subject: my thoughts exactly. No wax in the nose. Not now, not ever. Maybe sm

sinusitis can CAUSE cerumen impaction in the ears but NOT in the nose.


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yep, means no sinful thoughts or fearful/punishment thoughts.
Subject: yep, means no sinful thoughts or fearful/punishment thoughts.


vibrissa - nose hair; vibrissae - nose hairs. nm
Subject: vibrissa - nose hair; vibrissae - nose hairs. nm

s
my first thoughts as well....sm
Subject: my first thoughts as well....sm

but I thought it was strange as they have never said this phrase before.  Sending to QA and see what they think - will keep you posted. 
same thoughts
Subject: same thoughts

I looked up those same definitions. I actually had typed adverse.
Ahhhhh!
Thanks, I will listen again.
My thoughts....
Subject: My thoughts....

That's what I kept finding in doing my research, but like I said that guy needs to speak clearer English......but I guess that would be too easy.  Ha-ha!


Thanks for verifying what I had put down.  I will get this some day, but I am new and just learning.  Thanks for bearing with me.


my thoughts exactly! :)
Subject: my thoughts exactly! :)


My thoughts on this
Subject: My thoughts on this

Diagnoses #1 and #2 sound like they might be both referring to the left knee. #3 sounds like a new thought process to me. My guess on this would be contingent on how the dictation sounded. Is the dictator pausing between 1 and 2? Numbering 1 and 2? If he isn't, my thought would be this:

1. Left knee lateral meniscus tear; osteochondral defect.
2. Right knee degenerative joint disease.
You're welcome and my thoughts
Subject: You're welcome and my thoughts

exactly.  Some people just have to be huffy I guess.  Hang in there. 
a couple of thoughts
Subject: a couple of thoughts

First to address the issue of subcu - Joint Commission created a list several years ago that deals with this wording - and JC trumps BOS.  From Joint Commissions List of Dangerous Abbreviations:


Abbreviation: S.C. or S.Q. (for subcutaneous)


Potential Problem:  Mistaken as SL for sublingual, or "5 every"


Preferred Term:  Write "Sub-Q", "subQ", or "subcutaneously"


As far as what the man was trying to express to you was his opinion that truncated words (partial words used to express a complete word) should be avoided.  Trach is not a word.  Trachea, tracheostomy, etc., are words.  Alk is not a word.  Alkaline is a word.  There are also lab and other words that are commonly acceptable in their abbreviated form, such as INR, CPAP, MRI, etc.


There are acceptable abbreviations of certain words that are commonplace.  For example, lab is widely accepted to represent laboratory.  Exam is acceptable to represent examination.  HIV is another example.


If you understand the difference between the use of an abbreviation and avoiding the use of truncated words, your work will reflect a much clearer intent of the dictation.


Your company needs to decide which side of the fence it wants to sit on, and it appears there may be some changes in your QA future.  If this man is in charge of QA and you want to continue working there, you might want to begin taking note of what he is saying.


anybody have any thoughts on the traction ??
Subject: anybody have any thoughts on the traction ??

s/l kleinharts traction
Rudd, you and your family will be in my thoughts. sm
Subject: Rudd, you and your family will be in my thoughts. sm

I hope your step-son is back soon, safe and sound. Keep us informed. Thinking good thoughts for you.
Is it two different dx or thoughts, i.e. appendiceal, cystocele...
Subject: Is it two different dx or thoughts, i.e. appendiceal, cystocele...


Your thoughts on how to correctly transcribe this.
Subject: Your thoughts on how to correctly transcribe this.

One doc always says "sub 1st metatarsal" (or 2nd, 3rd, etc).  Should it be sub 1st metarsal, sub-1st metatarsal, 1st submetatarsal or...?
two thoughts; unsure how helpful, but,
Subject: two thoughts; unsure how helpful, but,

This is 1 of many definitions from an "URBAN" dictionary: MACK

mack is a flexible word as a verb; it can be used in pretty much any situation and its meaning will be understood.
Thus, in your case, maybe the dictator chose the word mack as slang for height?.....because 23.5 cm is equal to 9.25 inches. I used this as an example, as I believe you were referring to dietary in a Parkinson patient?....Wish I could assist more.
Exactly my thoughts. If it's not a word, I don't type it, but phenagle it.
Subject: Exactly my thoughts. If it's not a word, I don't type it, but phenagle it.

.
Patient with thoughts of self destruction without s/l suicidality
Subject: Patient with thoughts of self destruction without s/l suicidality


Thank you, both. Janette, sounds highly likely! Much appreciated. Any thoughts on "Me-TOK-a"?
Subject: Thank you, both. Janette, sounds highly likely! Much appreciated. Any thoughts on "Me-TOK-a"? Still


i would not use a comma. the "and" is the connection for two complete thoughts or statements.
Subject: i would not use a comma. the "and" is the connection for two complete thoughts or statements.


Thank you so much, you are right on the nose...sm
Subject: Thank you so much, you are right on the nose...sm

Thank you so much. Covering a new acct for somebody. Dictator has a thick accent and I could not figure her out. Thanks again.
nose hair
Subject: nose hair

 


Looking for the word that means nose hair - s/l brisseye or bruceyeye


Thank you very much


Nose hairs
Subject: Nose hairs

 


Lovely! Thank you so much.


Think ear, nose, throat (ENT)
Subject: Think ear, nose, throat (ENT)

Could be saying "a NAR septum." 
Nose phlegm - nm
Subject: Nose phlegm - nm

nm
Should be on finger to nose.....nm
Subject: Should be on finger to nose.....nm


Hem Onc nose bleed help
Subject: Hem Onc nose bleed help

This s/l 2 hour nose bleeds and instructions on how to use should he not respond to other local measures.


 


s/l 2 hour  or   2R 


 


Thanx!


nose bleeds
Subject: nose bleeds

Maybe a type of packing?
nose drops
Subject: nose drops

Ocean "nose drops." Ocean is brand name and capitalized.
nose surgery
Subject: nose surgery

swivel knife?
nose was patent?
Subject: nose was patent?

I know I have seen this before.. for some reason I am stuck. 


Nose is s/l patent anteriorly without mucal purulence of polyps. 


Thanks!!


ummm...my nose?
Subject: ummm...my nose?

Doctor has a cold and is all stuffed up?
Wouldn't be TM-that's ear. He's doing nose. Probably crinis?
Subject: Wouldn't be TM-that's ear. He's doing nose. Probably crinis?

x
I thought Caldwell-Luc had to do with the nose.
Subject: I thought Caldwell-Luc had to do with the nose.

nm
nose packing s/l Tempin
Subject: nose packing s/l Tempin


I mean, the nose could be fasciculating, but that would be creepy...LOL
Subject: I mean, the nose could be fasciculating, but that would be creepy...LOL

nm
Is this after a procedure's been done or to treat something still on the nose? nm
Subject: Is this after a procedure's been done or to treat something still on the nose? nm

s
Ears, Nose & Throat
Subject: Ears, Nose & Throat

Hello all...typing for a fast one today!  She is speaking of KD68 androgen.  I cannot make out if it is KD 68 interandrogen or inner androgen.  Any clues? 


Another issue is There is minimal erythema of the incus of the right drum.  However, it doesn't sound like incus...sounds like she is saying enos.  Not stumbling over the dictation, but just doesn't sound like incus.  Thanks!


Runny nose or rhinorrhea
Subject: Runny nose or rhinorrhea

I don't think the person's nose is actually "running."
Sorry, meant tongue not nose. nm
Subject: Sorry, meant tongue not nose. nm

!
is there s/l cudinalar cartilage in the nose?
Subject: is there s/l cudinalar cartilage in the nose?


cerumen in his NOSE? don't think so. Try again chickie. nm
Subject: cerumen in his NOSE? don't think so. Try again chickie. nm

.
true they can but not cerumen IN the nose.
Subject: true they can but not cerumen IN the nose.

,
nose, throat, and monk?
Subject: nose, throat, and monk?

I have never heard of this term, anyone else?

The idea of nose, throat, and monk were neck is supple, (_) no bruiting.
s/l ears, nose, monk
Subject: s/l ears, nose, monk

Just guessing, but could be: ears, nose and throat unremarkable (not monk; listen again.) Neck is supple without bruits. (not bruiting).
Nose has erythematous mucosa?
Subject: Nose has erythematous mucosa?


Nose medial ___ region
Subject: Nose medial ___ region

Sounds like camphor, any ideas?
Nose part.. s/l caliomelon?
Subject: Nose part.. s/l caliomelon?

I need some help with finding a part of the nose.... It sounds like caliomelon/kaliomealon/calyomelon?? I have been searching for it at least 30 minutes and would really appreciate some help.  Heres the word in context: This lesion extends across the ??_____ into both nares...


Thank you!!!


Epistaxis, nose bleeds??? NM
Subject: Epistaxis, nose bleeds??? NM

nm
nose was packed with Midergel?
Subject: nose was packed with Midergel?


Ears, Nose, Throat
Subject: Ears, Nose, Throat

Patient had an excisional biopsy of salivary gland.  Pathology indicates low-grade s/l nucu derm mine carcinoma...any ideas? 
s/l prominent "stapedius" on the right nose
Subject: s/l prominent "stapedius" on the right nose

Is there a stapedius on the nose?  Or anything that sounds like that?


Thanks,


Abby


s/l ___do-nis (first of word cut off by background nose).
Subject: s/l ___do-nis (first of word cut off by background nose).

protuberant lower abdominal area with ______________ and fluid wave suggestive of the presences of ascites