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that's a tough one, got any more of a sentence??..nm

Posted By: typinlikemad on 2008-01-23
In Reply to: anesthesia s/l Hushwa - gordi

Subject: that's a tough one, got any more of a sentence??..nm

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That is a tough one. I wonder if
Subject: That is a tough one. I wonder if

there could be something about axial loading in there???

Good luck :)
tough one but
Subject: tough one but

This is a quote from the Jounal of Nuclear Medicine Technology...


In the event that there is a significant splanchnic or bowel overlap with the inferior wall, various maneuvers, such as drinking water or milk or eating fatty food, can be tried to alleviate the problem before repeating delayed imaging.


So, sound like * overlap * would be correct.


I got this by googling the words - myocardial perfusion scan splanchnic


this is a tough one! sm
Subject: this is a tough one! sm

Just going to give you wild guesses and maybe it will help - could the word be

self-_____?
cell _____?
____ folate?

I'm not 100% sure but I think it is typed FOLFOX (??)
Man, that's a tough one!
Subject: Man, that's a tough one!

All I can think of is saying GCS fast with something, but then the 96 doesn't make any sense with that, but the 96 could represent glucose, but even then that's not low enough to cause coma, is it? Sorry--just thinking out loud.  Let us know if you figure it out! 


Good luck with that! 


A tough one
Subject: A tough one

Osteopathy report says did deep tissue, manipulation as well as ?? s/l kindricks ?? crunch. Googled for a long time without luck.


Suggestions appreciated!


 


That's a tough one since s/m
Subject: That's a tough one since s/m

he probably didn't type it out. My guess is something with the patella?


Good luck.


Nah, that was a tough one. I don't think
Subject: Nah, that was a tough one. I don't think

I have ever heard that abbreviated before.


hmm I can't think of anything, that is a tough one NM
Subject: hmm I can't think of anything, that is a tough one NM


wow that is a tough one :( nm
Subject: wow that is a tough one :( nm


tough one (sm)
Subject: tough one (sm)

The only thing I can think of that comes close is that instead of spelling out those letters, he might actually be saying "coronary arteries."

If he's speaking distinctly enough, though, that you're sure he's dictating specific letters, then I'm stumped.
are you sure the doc isn't saying "hypertension" - sometimes tough to tell nm
Subject: are you sure the doc isn't saying "hypertension" - sometimes tough to tell nm


Hmm, tough one. The only thing I can think of ..
Subject: Hmm, tough one. The only thing I can think of ..

assuming it's part of the patient's surgical history is toe surgery?? Wild guess.
Tough to say without hearing it, but
Subject: Tough to say without hearing it, but

Could he be saying the coude catheter was connected to irrigant. And then say something about using K-Y?
Tough to say without hearing it, but
Subject: Tough to say without hearing it, but

Could he be saying: The coude catheter was connected to irrigant. And then say something about using K-Y?
a tough one having to do with radioisotope...plse sm.
Subject: a tough one having to do with radioisotope...plse sm.

The patient is a candidate for a sentinel node biopsy based on the intermediate thickness melanoma. Despite the negative lymphscintogram, it is certainly reasonable on the day of surgery for her melanoma excision to inject ? radioisotope at the primary site and with the handheld gamma counter, we may still be fortunate enough to identify a sentinel node that we can biopsy.

He kind of mumbles the type of radioisotope to be injected and if anyone has any ideas, I can see if they match up to what he is "trying" to say! Thanks so much.
tough one, but angioma or ecchymosis?
Subject: tough one, but angioma or ecchymosis?

just a thought.
You're welcome, Christa. Gyn is tough when you start out. nm
Subject: You're welcome, Christa. Gyn is tough when you start out. nm

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True, but there are some terms that are tough to find. sm
Subject: True, but there are some terms that are tough to find. sm

This one is a good example of a term difficult to Google. However, it can very easily and quickly be found in Stedman's. I recommend books first, Google as a last resort.

You may want to help out at the MT Chat board where only hints are given.

Don't forget what it was like when you started out. You probably weren't at home working alone, were more than likely paid hourly and were able to research ad nauseum.

"Do unto others..."
glad I could help - those weird pronunciations are tough sometimes! NM
Subject: glad I could help - those weird pronunciations are tough sometimes! NM


Thanks-a-lot! It was hard to figure out from his tough accent!!
Subject: Thanks-a-lot! It was hard to figure out from his tough accent!!


a tough one--drugs that use "grains" and fractions thereof
Subject: a tough one--drugs that use "grains" and fractions thereof

That's right, go ahead and run off when you see my boring hard question!!


Okay, I've have to say that I never really got the "grain" concept in terms of drug usage and was too lazy to ask my instructors back in the day, and now my lack of knowledge has come back to haunt me.  The doc says this patient is taking "three-fourths of a grain of phenobarbital."  How do I transcribe this? Anyone? 


 


Possibly they're post BAK interbody fusion system or procedure? This one's tough! nm
Subject: Possibly they're post BAK interbody fusion system or procedure? This one's tough! nm

s
Can you give the whole sentence or is that the whole sentence.
Subject: Can you give the whole sentence or is that the whole sentence.


Ido not think that this sentence need a comma at all. It is 1 sentence.
Subject: Ido not think that this sentence need a comma at all. It is 1 sentence.

Regarding the 'subafractal' I have no clue, sorry!
Ok, here's the sentence, thanks
Subject: Ok, here's the sentence, thanks


The next day, a cerebral angiogram was obtained, which did not demonstrate any evidence of an intracranial vascular abnormality that might be the cause of her spontaneous subdural hematoma. Specifically, there was no evidence of arteriovenous malformation, "keritoma" or an aneurysm.


Can we have the whole sentence, plz, and maybe what comes before and after it? Thx. nm
Subject: Can we have the whole sentence, plz, and maybe what comes before and after it? Thx. nm

s
What comes before and after this sentence? nm
Subject: What comes before and after this sentence? nm

s
What is the sentence?
Subject: What is the sentence?

How is it being used?  Tourniquet?  What is the sentence?
see sentence please Thanks.
Subject: see sentence please Thanks.

She did hit her head off the bulk work of the ceiling.  She had just lied there. 
what is the next sentence?
Subject: what is the next sentence?

x
Is that the whole sentence? nn
Subject: Is that the whole sentence? nn


here is the sentence
Subject: here is the sentence

Status post ORIF right proximal humerus nonunion with insertion of EBI bone stimulator and DBX injection.


 


Thanks!


what is the sentence?
Subject: what is the sentence?

.
sentence
Subject: sentence

What is the sentence that this word is in?
Here's the sentence. sm
Subject: Here's the sentence. sm

The examination took place on xxx revealing degenerative disk disease at L4-L5 and L5-S1 with bullable bulging disks and at the L5-S1 level, noting spondylotic ridging on the right and left with resultant foraminal narrowing. 


Impression says patient has lumbar spondylosis, degenerative disk disease with resultant neuroforaminal stenosis and right S1 radiculitis/radiculopathy. 


Haven't found anything on the internet, in my wordbooks or dictionaries so far.  Boy, this looking stuff up really eats up time, doesn't it?


 


Here's the sentence
Subject: Here's the sentence

Venous pH was 729 and '020' pH was 725. 
The sentence before.
Subject: The sentence before.

s/l prayer mere flu. She underwent an uncomplicated primary low flat transverse cesarean section. 'Prayer mere flu' was noted. Delivery was through low transverse incision.


how about the whole sentence?
Subject: how about the whole sentence?


That is not it. This is the sentence.
Subject: That is not it. This is the sentence.

He says this as if it is the name of a syndrome.  Not actually this versus that.
help with a sentence
Subject: help with a sentence

s/l  'Pull fitting' the skin through subcutaneous tissue. 


This report is debridement of a foot wound.  Do you have any idea what the 'pull fitting' sounding words may be?


what's the sentence?
Subject: what's the sentence?

Stedman's shows BICAP.
the sentence is
Subject: the sentence is

If the patient's blood pressure is low, then she might need s/l "tendolol".  If the patient's blood pressure is high, then she might benefit from the introduction of benicar/hct. 
Here is the whole sentence........
Subject: Here is the whole sentence........


She did have a negative ANA in September 2005. I think this is worth repeating as she does have a history of ___ fever lymphadenopathy, pleurisy, and fatigue, which could be considered suggestive of lupus in a young female.


I was considering putting lassa in, but wanted to get some other opinions.  Thanks.


can you put it in a sentence?
Subject: can you put it in a sentence?

x
What's the next sentence after this? nm
Subject: What's the next sentence after this? nm

s
is this sentence possible
Subject: is this sentence possible

rational alternatives secute and the potential leads side effects the radiation therapy. 


is this sentence possible
Subject: is this sentence possible

,Yes im editing>>>>>>>>>>>>>> the rational alternatives secute and the potential leads side effects the radiation therapy. 
here you go, the whole sentence :)
Subject: here you go, the whole sentence :)

"I have also recommended a CBC, MSP, and stool for C‑diff, Gram stain, C&S, ova and parasite."
can we get the whole sentence please?
Subject: can we get the whole sentence please?

nn
s/l sentence
Subject: s/l sentence

The needle was exchanged for a _____ steel dilator, for which a 0.035 ____ guide wire was advanced toward the arteriovenous and anastomosis ___.
here is the sentence
Subject: here is the sentence

X-ray of the right ankle revealed a distal fibula fracture. The patient had a saline S/L well in place and was given 100 mcg of Fentanyl IV x 1.