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not an ESL, but tape was very fuzzy when he dictated this word

Posted By: debbie on 2007-03-09
In Reply to: long shot perhaps - ER MT

Subject: not an ESL, but tape was very fuzzy when he dictated this word




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maybe cloth tape as opposed to paper tape ?
Subject: maybe cloth tape as opposed to paper tape ?


patient has Graves hyperthyroidism..he is listing lab values & one the recording because fuzzy..sm
Subject: patient has Graves hyperthyroidism..he is listing lab values & one the recording because fuzzy..sm

Lab tests done at your office on 08/01/07 indicated a free T4 of 4.36 (0.8 to 1.9), T3 was 390 (72 to 170), and a TSH of less than 0.01.  A WBC count was slightly low at 3.5 (3.9 to 11.3), hemoglobin was 12.5, hematocrit 37.6, _____ of 77 (80 to 102). 


The blank sounds like LEV-IN AND CBU of 77.


??? any thoughts on what lab value this could be based on the normal range of 80 to 102?  thanks.


It also states to "precede by # or No. if the word 'number' is dictated. sm
Subject: It also states to "precede by # or No. if the word 'number' is dictated. sm

"Keep in mind that 'French' is linked to diameter size and is not the eponymic name of an instrument. Thus, it is a 15-French catheter, not a French catheter, size 15."
Just as you have it if that's what was dictated. If "one fourth" was dictated, sm
Subject: Just as you have it if that's what was dictated. If "one fourth" was dictated, sm

it would be 1/4 pill or one fourth of a pill.


Def an 'N' dictated - Diabetes unsure of - no PMH dictated
Subject: Def an 'N' dictated - Diabetes unsure of - no PMH dictated


We type it as dictated, if dictated
Subject: We type it as dictated, if dictated

c spine we transcribe C-spine, if cervical then cervical spine.
s/l mo-le-en/an tape?
Subject: s/l mo-le-en/an tape?

re: ankle sprain...
tape
Subject: tape

moleskin tape?  There is also moleskin traction tape for casts/traction/frames etc.
Tape
Subject: Tape

I know Mersilene tape comes in 5 mm width, but not sure if it comes in 2.5 mm width, but check it out on Google and see if that is it.
Cordran tape maybe? nm.
Subject: Cordran tape maybe? nm.

x
cloth tape?
Subject: cloth tape?


Try cloth tape.
Subject: Try cloth tape.

nm
tape laceration
Subject: tape laceration

Yes, people on longterm prednisone can have their skin tear right off from removing tape.
Tape laceration-- sm
Subject: Tape laceration-- sm

Says that: she has a tape laceration on the underside of her upper arm, otherwise the skin is doing reasonably well.


Thanks!


Glow 'N Tell tape?
Subject: Glow 'N Tell tape?


not a med, but paper tape? NM
Subject: not a med, but paper tape? NM

I have typed allergy to this before.
When the tape cuts out...
Subject: When the tape cuts out...

Patient had wide resection of melanoma performed on his foot.


Dictator says in physical examination section:


Foot incision clean, healing nicely.  No abnormal pigmentation or evidence of re OR rec___?????


The tape cuts out, but I'm hoping this may be a pretty common thing when talking about wound healing... I'm pretty sure it starts with an R, and maybe an Re and then the tape cuts out and then it maybe ends with a ch.  ???


Thank you in advance - sorry so long


s/l telfin tape?
Subject: s/l telfin tape?

Craniotomy wound dressed with telfin tape?  Help?


 


Telfa and tape! Thank you!
Subject: Telfa and tape! Thank you!


Telfa tape perhaps.
Subject: Telfa tape perhaps.


s/l diaplastic tape
Subject: s/l diaplastic tape

Please help.
s/l diaplastic tape
Subject: s/l diaplastic tape

It goes like this...In general, the patient is allergic to diaplastic tape
teet tape
Subject: teet tape

The patient is allergic to s/l teet tape and adhesives.  Thank you!
RE: Cloth tape - yes!
Subject: RE: Cloth tape - yes!

I just had this in a string of drug allergies & was baffled until I read your posts - thanks!!
I listened further on the tape -
Subject: I listened further on the tape -

She says it again, only it is MUCH clearer, and this is what she is saying. It's apparently one of her normal statements, so I've macroed it. Thanks.
Retract-O-Tape
Subject: Retract-O-Tape

I found Retract-O-Tape, but this doc is doing a CABG and says "piggily wiggily Retract-O-Tape. Anyone heard of this?
Buddy Tape
Subject: Buddy Tape

How would you write buddy tape?  buddy tape, buddy-tape, Buddy Tape, Buddy-Tape?  TIA.
buddy tape
Subject: buddy tape

just a generic term.  one toe becomes a "buddy" with the other by being taped together...
Sorry. Maybe saying some OpSite placed? as in tape? sm
Subject: Sorry. Maybe saying some OpSite placed? as in tape? sm

OpSite transparent dressing etc. See link.


 


http://www.woundcareshop.com/opsitebysmithandnephew.aspx?gclid=CL-tpOef1ZgCFRwpawodIXLe0w


Sorry. Maybe saying some OpSite placed? as in tape? sm
Subject: Sorry. Maybe saying some OpSite placed? as in tape? sm

OpSite transparent dressing etc. See link.


 


http://www.woundcareshop.com/opsitebysmithandnephew.aspx?gclid=CL-tpOef1ZgCFRwpawodIXLe0w


Mulligan tape...she said it again, clearly this time...nm
Subject: Mulligan tape...she said it again, clearly this time...nm


When the tape cuts out and you can't hear anything, sm
Subject: When the tape cuts out and you can't hear anything, sm

its a BLANK! Never assume what they're going to say or how much was cut off. Flag it and leave a blank.

bunny or buddy tape?
Subject: bunny or buddy tape?

Injury to finger. Doc instructed him to s/l bunny or buddy tape for added support.
surgical tape that s/l **opson***. TIA! NM
Subject: surgical tape that s/l **opson***. TIA! NM

x
(s/l 200 sided tape) was placed in the rectum
Subject: (s/l 200 sided tape) was placed in the rectum

This is for a D&C and i can't understand the first few words of this sentence.
Glow N Tell radiopaque tape? Nm
Subject: Glow N Tell radiopaque tape? Nm

nm
Could they be mushing up "sterile dressing" tape? nm
Subject: Could they be mushing up "sterile dressing" tape? nm

s
Help - tension free vaginal tape
Subject: Help - tension free vaginal tape

Space aurexius?  Sentence is....


The vagina appears atrophic, however, bleeding is brisk and indeed on entering the retroperitoneal space on the left side we get a fairly brisk bleed as though a vein from the space aurexius had actually been severed.  HELP....anyone?


buddy tape (taping two fingers together)
Subject: buddy tape (taping two fingers together)


my guess would be Telfa and paper tape
Subject: my guess would be Telfa and paper tape


From my experience when a tape or dictation skips,
Subject: From my experience when a tape or dictation skips,

I will put a blank or a timestamp for QA.  You really should never guess especially when the audio is broken up like that.  My advice would be send to QA or leave a blank with a comment that the dictation skipped. 
tape does tear some fragile skin areas....nm
Subject: tape does tear some fragile skin areas....nm


no, it was not mentioned before, but I replayed tape and I am pretty sure that is correct; thanks!
Subject: no, it was not mentioned before, but I replayed tape and I am pretty sure that is correct; thanks!


Guessing--Stedman's lists Glow 'N Tell tape. nm
Subject: Guessing--Stedman's lists Glow 'N Tell tape. nm

x
transobturator tape for one. Without context, it's a wild guess.
Subject: transobturator tape for one. Without context, it's a wild guess.

x
Talking about psoriasis, s/l "gut tape" lesions. nm
Subject: Talking about psoriasis, s/l "gut tape" lesions. nm

.
Solix tension-free vaginal tape? nm
Subject: Solix tension-free vaginal tape? nm


No idea, but 3M does make paper tape and towel drapes?
Subject: No idea, but 3M does make paper tape and towel drapes?


last one (hoping)..s/l towel thin paper tape was used to dress the wound. nm
Subject: last one (hoping)..s/l towel thin paper tape was used to dress the wound. nm

is it really towel thin...or am I hearing a name brand?  nm
Poor quality tape. Osteolysis in the region of the medial *TELCAR* and trochanter.?? Mind is a blan
Subject: Poor quality tape. Osteolysis in the region of the medial *TELCAR* and trochanter.?? Mind is a blan


for PA- DICTATED BY PA's name...nm
Subject: for PA- DICTATED BY PA's name...nm

x