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plowshare effect - too tired to think (NM)

Posted By: jmr on 2007-07-10
In Reply to: s/l plowsteer effect - jmr

Subject: plowshare effect - too tired to think (NM)

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effect. To give medication (or something) for its protective effect
Subject: effect. To give medication (or something) for its protective effect


either I am really tired or
Subject: either I am really tired or

In reviewing imaging, he states "X-rays, AP and lateral **flikes**, T10-S1 shows solid arthrodesis. 


Later he is talking about exercises and states " leg exercises including crunches, leg lifts in a supine position, extensor exercise in the prone position, wall slides, and **lunches**.


 


I have listened to these several times, slowed it down, and this is still what I am hearing.   Thanks for any help!


Thanks so much. I am tired right about
Subject: Thanks so much. I am tired right about

now and have 1 more hour to go.
That is it! Tks, getting tired
Subject: That is it! Tks, getting tired


that's it thanks, I am really tired!!!
Subject: that's it thanks, I am really tired!!!

I noticed the sparing was wrong and yes it is the breast. Thanks again--so much...
I know I know, you are probably tired of seeing me
Subject: I know I know, you are probably tired of seeing me

I am so sorry, I promise I will get better with time


Does anyone have any suggestions for these two words?  I have typed them like they sound but can not figure them out.


...pending membranes are clear, no (listable) or spontaneousness (nisstagness) is recognized...


Sorry, the FDF should be FDS... I'm tired.
Subject: Sorry, the FDF should be FDS... I'm tired.


Thanks - tired in Ohio
Subject: Thanks - tired in Ohio


Thanks to you both.. it's late, I'm tired and
Subject: Thanks to you both.. it's late, I'm tired and

Merry Christmas and Happy Hannukah!


Yes, that's it. Thanks. I'm tired today :( nm
Subject: Yes, that's it. Thanks. I'm tired today :( nm

x
been typing all day, tired and cannot think
Subject: been typing all day, tired and cannot think

I know this is stupid and I have typed it a million times but I am so tired right now I can't even think.  He says .... Myospan 500 mg ..... ?  Thanks. 
Sorry meant SVT (a bit tired here)
Subject: Sorry meant SVT (a bit tired here)


Yes Fissure! I'm tired. Thanks!
Subject: Yes Fissure! I'm tired. Thanks!

Why didn't I remember that?  Thanks so much.  It's late and my brain is not working this evening. 
Nevermind, I got it. VVI...duh. just tired. nm
Subject: Nevermind, I got it. VVI...duh. just tired. nm

x
Confused and tired....
Subject: Confused and tired....

Doc says the patient was given a stool ....s/l wax... to complete and return. 


The only thing I have heard of is like stool cards but he is not saying cards.  Any suggestions?


Thanks.


nighthawks??? okay i am really tired.
Subject: nighthawks??? okay i am really tired.

CAT scan was read initially by NIGHTHAWKS??? as what appears to be mid to distal mechanical small bowel obstruction.  Could he mean the night shift?  and referring to them as nighthawks???
help! tired and can't figure this...s/l endricose
Subject: help! tired and can't figure this...s/l endricose

Status post-echo, revealing LVH and mild mitral s/l endricose regurgitation.



 


drug help! Too tired...s/l Tilltize??
Subject: drug help! Too tired...s/l Tilltize??

Hypertension; well controlled with s/l Tilltize MSR, 180 and HCTZ 25 mg. 


Might be semifluorinated alkane, but I'm too tired to
Subject: Might be semifluorinated alkane, but I'm too tired to

s
yep, i am having one of those days too. Getting tired fingers. NM
Subject: yep, i am having one of those days too. Getting tired fingers. NM


Getting tired and really cannot hear him or make out what he is saying but here it goes... S3 S4 s/l
Subject: Getting tired and really cannot hear him or make out what he is saying but here it goes... S3 S4 s/l

(heaves)???, thrills and rubs.
Nevermind, its late and I'm tired..lol...
Subject: Nevermind, its late and I'm tired..lol...

It was PE - pulmonary embolism!!


Ct of abdomen and pelvis...please help, tired and can't think Tx
This is a CT of the abdomen and pelvis. talking about abdomen..No free fluid in the abdomen. No "free incher", no air.  Sounds like 'Free incher"
Oops, should be "believe", too tired and its late...nm
Subject: Oops, should be "believe", too tired and its late...nm

x
sorry that should be making up a word not work. tired.
Subject: sorry that should be making up a word not work. tired.

.
sounds like hypercater -- tired and can't think anymore
Subject: sounds like hypercater -- tired and can't think anymore

Doc says:


Under sterile conditions, Xylocaine with epinephrine 0.5 ml injected subcutaneously.   ....s/l hypercater applied set on 10 for desiccation.  A dermabrasion blade was used to excise the wart ..............


 


Thanks. 


 


Never mind! I'm tired and making no sense! Thanks for the help!
Subject: Never mind! I'm tired and making no sense! Thanks for the help!


Don't you all get tired of cross-examining these people for details? NM
NM
Jeez you're right. I'm tired, time to quit.
Subject: Jeez you're right. I'm tired, time to quit.

Thank you.
Nope but I never get tired of hearing it, (kids don't say it anymore!)
Subject: Nope but I never get tired of hearing it, (kids don't say it anymore!)


s/l tired white blood cell study
Subject: s/l tired white blood cell study

s/l tired white blood cell study. This is in a patient with chronic wound infection. Not used in any context, just dictates will send copy of s/l tired white blood cell study.


OB/GYN s/l sadderdick (for stenotic cervix), on the tip of my tongue, tired, help please
Subject: OB/GYN s/l sadderdick (for stenotic cervix), on the tip of my tongue, tired, help please

I know this and is on the tip of my tongue... Sounds like "sadderdick" placement. Patient is having OB/GYN surgery but has a stenotic cervix. Could somebody help me? Gosh, tired.


 


Thanks!


Neck exam: Negative for a s/l cow's node. Help, I'm tired!!
Subject: Neck exam: Negative for a s/l cow's node. Help, I'm tired!!


I was ready to send to QA. Now I'm just laughing at my dumb self. :) I'm sooo tired...
Subject: I was ready to send to QA. Now I'm just laughing at my dumb self. :) I'm sooo tired...


How about lag effect? nm
Subject: How about lag effect? nm

nm
Effect.
Subject: Effect.

I try to remember that effect is what causes the action, affect is what happened after the action occurred.
Exception in psych with "flat affect".
Dig effect?
Subject: Dig effect?

I have a doc dictation dig (sounds like "dij") effect when reporting EKG results. I am using AAMT guidelines, so would I change this to digoxin effect?

Thanks!
Re: Dig effect
Subject: Re: Dig effect

Thanks so much for your help. I've been transcribing for 5 months and this is the 1st time I've had a doc use this term. Oh, and in my original post, I meant to say "dictating," not "dictation."

Have a happy New Year!
effect.
Subject: effect.

x
effect nm
Subject: effect nm

nm
definitely effect nm
Subject: definitely effect nm

x
affect/effect
Subject: affect/effect

Restless leg/nocturnal cramping – She has previously used quinine.  She reports the symptoms are so infrequent she will just use alternative preparations such as club soda to affect relief. 
mass effect
Subject: mass effect

I have always typed mass effect
Mass effect...nm
Subject: Mass effect...nm


mass effect......
Subject: mass effect......

nm
correct myself...effect
Subject: correct myself...effect

According to Stedman's Neurology, it is indeed mass effect and once I checked my Steadman's Smartype, it was effect also.

Next time I'll look before opening the reply box!
d~
Mass effect
Subject: Mass effect


It's Symogi (effect)
Subject: It's Symogi (effect)


It would be protective effect.
Subject: It would be protective effect.


s/l plowsteer effect
Subject: s/l plowsteer effect

There was a s/l plowsteer effect into the circumflex and ramus branches such that the ostium of these vessels was critically stenosed
Think it is effect == used as a verb. sm
Subject: Think it is effect == used as a verb. sm

Main Entry:2effect
Function:verb


 : to cause to happen  *effect repairs* *effect changes*