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oh, I was thinking syal not seal, sorry (nm)

Posted By: sassee on 2007-11-18
In Reply to: S/L it ends with 'seal/sial'? - Oh dark early in the morn'

Subject: oh, I was thinking syal not seal, sorry (nm)




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Chito-Seal nm
Subject: Chito-Seal nm


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Subject: s/l dry o seal dressing

placed over sutures! 


Thanks!


s/l flow seal
Subject: s/l flow seal


It was Eakin seal. Thanks so much! nm
Subject: It was Eakin seal. Thanks so much! nm


Dura Seal
Subject: Dura Seal


Karaya seal
Subject: Karaya seal


flow seal context
Subject: flow seal context

squirted the nasal cavity with flow seal.
S/L cross seal pleurodesis
Subject: S/L cross seal pleurodesis

Under name of a procedure, "application of cross seal pleurodesis" or "pleuroadhesis" after a thoracotomy, pulmonary decortication and segmentectomy.  I saw that someone asked about this on 11/12, but no one ever really answered the question.
s/l verica-seal surgery?
Subject: s/l verica-seal surgery?

This is just listed in his PSH, so no other info to go by. Tx.
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Subject: s/l clear seal adenoma

bilateral adrenal masses with s/l clear seal or clearasil adenoma of the left adrenal
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Subject: karius seal on ostomy device?

The Karius seal on her ostomy device will not sit appropriately, and it is leaking.


degenerative changes of the acetabular cercele/sir-seal region. Tx.
Subject: degenerative changes of the acetabular cercele/sir-seal region. Tx.


Thora-Seal chest suction/drainage device (nm)
Subject: Thora-Seal chest suction/drainage device (nm)

nm
urology surgery..placing stents in ureters...once the s/l camo-seal anatomy. sm
Subject: urology surgery..placing stents in ureters...once the s/l camo-seal anatomy. sm

using retrograde pyelogram once the s/l camo-seal anatomy was identified.....
Agree with bronchospasm. Barking occurs usually with kids and croup!! seal like cough etc. nm
Subject: Agree with bronchospasm. Barking occurs usually with kids and croup!! seal like cough etc. nm


still thinking
Subject: still thinking

Turns out that the patient is having very high fevers giving impression of left lower lobe pneumonia. Came across a brand name of a drug used in mouthwash called Advexin. They were talking about oral cancers...but then cross-referenced on http://www.pharma-lexicon.com/ and found (generic Mepron) atovaquone, classified as an anti-infective used in both adults and children who are at risk for PCP with initial doses of 750 mg per 5 mL. Since Hodgkin's lymphoma and bone marrow transplant would put this girl in a severely immunocompromised state, I would bet they are giving her a pretty hefty dose of the stuff. Atovaquone it is.

Thanks for helping me.
Thanks, I was thinking along
Subject: Thanks, I was thinking along

those lines, just wanted a second opinion. :-)
that's actually what I was thinking too - nm
Subject: that's actually what I was thinking too - nm

x
Tks. I kept thinking there is another
Subject: Tks. I kept thinking there is another

Like ...there were lewes....or something.  You are probably right, and I finally found it in stedman's and it says *sternal angle* and that seems to fit the way the doctor used it.  Thanks again.
that's what i am thinking
Subject: that's what i am thinking

I was thinking along the lines of this from the begining....compression over lower extremities.....just wish I didn't hear otherwise!  (I hate Monday's)


That's exactly what I was thinking
Subject: That's exactly what I was thinking

but I have this doc all the time and she's never dictated time like that before, so I just wasn't sure.  Thanks to all who replied. 
I was thinking that too...I'd have to say it was:
Subject: I was thinking that too...I'd have to say it was:

Past history notable or is notable for ______.
That's what I was thinking..maybe she
Subject: That's what I was thinking..maybe she

just got ahead of herself when dictating it in the assessment..because I definitely didn't hear an itis at the end...just a gingival or gingivo sound. 


Thanks


that is what I am thinking..thanks
Subject: that is what I am thinking..thanks


What was I thinking
Subject: What was I thinking

of course, para anything with twins, triplets, etc. Thanks for fixing my answer!
I'm thinking it's probably
Subject: I'm thinking it's probably

R&M for "routine and microscopic" 
That's what I was thinking, too.
Subject: That's what I was thinking, too.

.
I am thinking it
Subject: I am thinking it

may be (LIMA) or left internal mammary artery ..... of course you are hearing it.
That's what I was thinking...
Subject: That's what I was thinking...

but was unsure. It's an ESL doctor and she says it twice. It doesn't really sound like there is an F in the pronunciation, though.
that's what I was thinking.
Subject: that's what I was thinking.

That is what I have been doing but I guess I just wanted extra reassurance! Thanks.
I am thinking that is what she must be saying. Thanks. nm
Subject: I am thinking that is what she must be saying. Thanks. nm


I am thinking it might be SM
Subject: I am thinking it might be SM

some kind of rowing exercise...____ rows, but I can't come up with anything better than that.
Thanks, I was thinking that or 0.1. nm
Subject: Thanks, I was thinking that or 0.1. nm

xxx
I was thinking that myself, but just not sure so I sent to QA
Subject: I was thinking that myself, but just not sure so I sent to QA


I was thinking the same, but (sm)
Subject: I was thinking the same, but (sm)

why would he dictate this along with vital signs?  Seems strange ...
I was thinking that too! Thanks!
Subject: I was thinking that too! Thanks!

Thank you for your input!!!
That's what I'm thinking..sm
Subject: That's what I'm thinking..sm

This client requires headings whether or not dictated, so I wanted to make sure I'm correct.

Anyway, I have always typed it under abdomen, but I went looking to make sure, and I did find it in a sample report with it listed under back.

However, I just found a very good article called "Varney's Midwifery" that says it is part of the abdominal exam.

Thanks!
That's what I was thinking.
Subject: That's what I was thinking.

Most of the references I found say that if a patient is unable to consent to surgery, two doctors can sign the consent form on the patient's behalf. I am just not sure if the dictators mean double-doctored or double-documented when they say double doc'd. I do all ops, so it comes up fairly often.
that's what i was thinking too - nm
Subject: that's what i was thinking too - nm


I was thinking that too . . .
Subject: I was thinking that too . . .

He is in rare form today. I think he meant to say compression but it honestly sounds like inspriation. Sigh*** I mightjust sent it through with a flag.
not thinking-- thanks!!
Subject: not thinking-- thanks!!

nm
thanks, that is what I was thinking also. nm
Subject: thanks, that is what I was thinking also. nm

nm
thinking...
Subject: thinking...

The left wrist is inspected showing there to be a visible soft tissue swollen area of the dorsal wrist closer to the radial aspect of the wrist. It is approximately 3 cm in diameter. Mobile tender to palpation and consistent with the ganglion cyst.

I was thinking a comma should go after diameter and before mobile. (where I have a period) What do you think?
I was thinking that too until...
Subject: I was thinking that too until...

...a couple of lines down he said the patient was circumcised. This guy completely rambles. I really didn't know about hair tourniquets until tonight's dictation. (Now If only I could forget the mental image!) Thanks for taking time to answer--this newbie appreciates it.
I was thinking
Subject: I was thinking

false lumen, but that when googled is associated it looks mostly with aorta. Unless you think they could be talking about the abdominal aorta???
that's what I was thinking, but
Subject: that's what I was thinking, but

I'm hearing a "cis" sound in the middle of the word. He also says it again part way down in the report. He says EG junction is 35 cm from the _______ orifice.

Thanks.
Thanks!. That's what I was thinking too.
Subject: Thanks!. That's what I was thinking too.


That's what I was thinking... : - )
Subject: That's what I was thinking... : - )


was thinking that but SM
Subject: was thinking that but SM

there wasnt any mention of the drug at any other part of the report and the word starts with a K or a C.
That's what I was thinking...
Subject: That's what I was thinking...

But I couldn't find anything that came close to matching what it sounds like she's saying.She has an accent which doesn't help at all.
I'm thinking maybe...
Subject: I'm thinking maybe...

...lateral compartment/unicompartmental