| strong mid eastern accent (sm)Posted By: charlie on 2007-12-10In Reply to:
 
 Subject: strong mid eastern accent (sm)
 
 
 diagnosed with s/l glycogen stewers disease and elevated liver enzymes 
 RE:  Liver Tansplant 
 TIA 
   
 TIA 
 
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 None of the two suggestions match as to what he is saying! The doc has a strong accent and he clearl
 Subject: None of the two suggestions match as to what he is saying! The doc has a strong accent and he clearly says the word ending with "odiets" . I
 
 I have sent it for QA. Thanks for all your help
 Nope, I'm from eastern NC originally, now in Georgia.  sm
 Subject: Nope, I'm from eastern NC originally, now in Georgia.  sm
 
 I took the name Winnie Ruth from Winnie Ruth Judd, the famous trunk murderess and medical transciptionist in Arizona in the 1930s.  She worked for a doctor before she went to prison.
 Usually bounding and strong. Don't know your sounds like. Sorry. nm
 Subject: Usually bounding and strong. Don't know your sounds like. Sorry. nm
 
 b
 Pulses are FULL AND strong
 Subject: Pulses are FULL AND strong
 
 would s/l full-en-strong.
 (s/l) walking strong?? leukemia
 Subject: (s/l) walking strong?? leukemia
 
 Thanks in advance.  If can help ASAP, would appreciate it.
 A strong "GEE" sound.
 Subject: A strong "GEE" sound.
 
 I'm not comfortable with that, but he could be saying it wrong (like that ever happens). Thanks again though.
 Spelling is not a doc's strong point! :) nm
 Subject: Spelling is not a doc's strong point! :) nm
 
 s
 That's it!  Thanks... sounded like a strong V sound
 Subject: That's it!  Thanks... sounded like a strong V sound
 
 
   
 s/l    supris max strong??  graft
 Subject: s/l    supris max strong??  graft
 
 
 Doing a massive rotator cuff tear repair.  Here is the full sentence.  At this point, the  Wright Medical   supris max strong??  graft was then used covering the area of the repair using Vicryl suture medial anterior and then using the lateral double row as the lateral margin of the graft covering the entire area of the repair well. 
 I am assuming it is Wright Medical, so I googled that but I cannot find the supris max strong. 
 Thanks for any help. voice is strong without any s/l validy
 Subject: voice is strong without any s/l validy
 
 She has tight eye closure and her voice is strong without any validy.  Does not sound like valitidy.
 update on phrase "coolum and strong"
 Subject: update on phrase "coolum and strong"
 
 
 FINALLY figured this one out.  The doc got real slow for once and the phrase he uses all the time for ie: pulses are & it s/l coolum and strong??? 
 BUT, alas...he is saying equivalent and strong....yeahhhhhhhhhhhhhh thank's everybody for their previous help on this I don't *think* that's it...it sounds like a very strong E at the start of the word. Thanks th
 Subject: I don't *think* that's it...it sounds like a very strong E at the start of the word. Thanks though!
 
 
 maybe "EOM" strong - extraocular eye movement/motion
 Subject: maybe "EOM" strong - extraocular eye movement/motion
 
 
 Nl perineal body and "levitus" with very strong ____ contractions, 5/5  sm
 Subject: Nl perineal body and "levitus" with very strong ____ contractions, 5/5  sm
 
 
 
 Normal perineal body and "levitus" with very strong ____| QA MARKER: 159 |____ contractions 5/5, not tender and the patient was able to kegal exercises very well upon request. still doing s/l soap-suds-rinse and Benadryl because QDall was not strong enough to stop the itch
 Subject: still doing s/l soap-suds-rinse and Benadryl because QDall was not strong enough to stop the itch
 
 that can't be right...what I am supposed to be hearing.  ??
 yes thank you--really bad accent
 Subject: yes thank you--really bad accent
 
 
 How does the doc accent what they say on this?
 Subject: How does the doc accent what they say on this?
 
 is it WRESler Erow or WRESler eROW?  Maybe it's not wrestler, it could be a different word altogether.
 I'm sure that's it!  She did have an accent - Thanks!  nm
 Subject: I'm sure that's it!  She did have an accent - Thanks!  nm
 
 
 doc has an accent
 Subject: doc has an accent
 
 I should mention the doc has a heavy accent.
 that would be it...doc has accent.  Thanks
 Subject: that would be it...doc has accent.  Thanks
 
 
 ??? does he have an accent?
 Subject: ??? does he have an accent?
 
 could he have said something along the lines of because ________ is the natural flora .....another study needs to be done; or because ______ is the national fluoro ....
 french md with an accent TIA
 Subject: french md with an accent TIA
 
 
 px is from *run my ass* louisiana. im sorry but that's really what i keep hearing!  I think that's just a regional accent.
 Subject: I think that's just a regional accent.
 
 (nm)
 Thanks...with Dr's accent, it probably is Babcock
 Subject: Thanks...with Dr's accent, it probably is Babcock
 
 nm
 cannot catch this one either...doc with accent
 Subject: cannot catch this one either...doc with accent
 
 
 A 22-gauge long spinal needle was inserted directly into the (s/l-THEP)  joint.  It's not hip.  I'm sure of that.  It sounds like it starts with a TH or an F.  This is for a fusion for a spinal fracture.   
   
 THANKS! blase - should have the accent over the e
 Subject: blase - should have the accent over the e
 
 can't make the accent symbol.
 thank you very much he is from New York and has an accent
 Subject: thank you very much he is from New York and has an accent
 
 
 Think you need coude with the accent over the e, but
 Subject: Think you need coude with the accent over the e, but
 
 s
 Can you accent the syllables for us? nm
 Subject: Can you accent the syllables for us? nm
 
 s
 Thanks.  He has a thick accent, so could not be sure. nm
 Subject: Thanks.  He has a thick accent, so could not be sure. nm
 
 
 thick accent
 Subject: thick accent
 
 yeah..but this dictator has a very thick accent and thats exactly what it sounds like.....
 thanks, that is it!  Doc has southern accent!
 Subject: thanks, that is it!  Doc has southern accent!
 
 
 Not sure.  Hard to tell with the accent.  Thanks though!
 Subject: Not sure.  Hard to tell with the accent.  Thanks though!
 
 
 heavy accent?  try this (sm)
 Subject: heavy accent?  try this (sm)
 
 
 there's only one way that makes complete sense.   
 "There is no tenderness to palpation over the cervical, thoracic and lumbar area, but there is no costovertebral angle tenderness." Come to think of it, dictator does have a French accent!
 Subject: Come to think of it, dictator does have a French accent!
 
 I was trying to figure out where the accent was from.  Very nice smooth French accent which is definitely not French Canadian like my in-laws (very choppy).
 He has an accent, but really can't hear "cardiac." Thanks, though!!
 Subject: He has an accent, but really can't hear "cardiac." Thanks, though!!
 
 
   It is hard to say with her accent. That is why I always gets so confused. Thanks so much!
 Subject: It is hard to say with her accent. That is why I always gets so confused. Thanks so much!
 
 x
 dr with accent. drug tota-lac 500 mg p.o. b.i.d.
 Subject: dr with accent. drug tota-lac 500 mg p.o. b.i.d.
 
 says she also used to take Advil, so thinking for headaches or pain?
 I'll go with that.  Thank you.  Hard accent.
 Subject: I'll go with that.  Thank you.  Hard accent.
 
 
 maybe it's a southern accent coming thru?
 Subject: maybe it's a southern accent coming thru?
 
 
 There is a Crede (with accent over E) manuever.
 Subject: There is a Crede (with accent over E) manuever.
 
 x
 Thanks so much.  This doctor has a bit of an accent so even when he tries to spell something I still
 Subject: Thanks so much.  This doctor has a bit of an accent so even when he tries to spell something I still cannot make out what he is saying. nm
 
 nm
 definitely an accent but couldn't tell ya what kind
 Subject: definitely an accent but couldn't tell ya what kind
 
 
 Are you hearing this with an accent? Can you separate it into
 Subject: Are you hearing this with an accent? Can you separate it into
 
 s
 Thank you, accent, sounded like "vasting" ha! ha!
 Subject: Thank you, accent, sounded like "vasting" ha! ha!
 
 xx
 Thick accent - Orthopedics sm
 Subject: Thick accent - Orthopedics sm
 
 
 re:  flat feet 
 He is unable to toe walk on the left especially, with reconstitution of his arch s/l tight foot angles are normal.  TIA! Yeah, just relistened and I think he has a little accent,
 Subject: Yeah, just relistened and I think he has a little accent,
 
 x
 Indian accent - s/l phalangomalacia. sm.
 Subject: Indian accent - s/l phalangomalacia. sm.
 
 
 the entire sentence is : 
 History of stridor, secondary to possible s/l phalangomalacia, improved. 
 Could it be pharyngomalacia? 
 TIA That's it.  It does sound like blurring with his accent. :)
 Subject: That's it.  It does sound like blurring with his accent. :)
 
 
 Oh, I got it--kidney carcinoma--duh! Doctor has an accent!
 Subject: Oh, I got it--kidney carcinoma--duh! Doctor has an accent!
 
 
 Need help with ortho - Doc has a slight British accent.
 Subject: Need help with ortho - Doc has a slight British accent.
 
 The patient returns today three years after her anteroposterior reconstruction for flat back deformity.  No pain.  She is here, however, because she has some prominence in her back that has gotten progressively more pronounced.
 
 On examination, there is s/l right-sided hooks.  I believe this needs to be removed.  I feel she is solid because she has no pain.
 
 Thanks for any help!!
 
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