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that is weird, wonder if he mis-spoke and meant norepinephrine? but suppose you can't guess!

Posted By: ltt on 2007-05-08
In Reply to: s/l NEOSPORIN???? - ss

Subject: that is weird, wonder if he mis-spoke and meant norepinephrine? but suppose you can't guess!




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Thanks... It's not in there. Must be a weird one, I guess!
Subject: Thanks... It's not in there. Must be a weird one, I guess!

nm
yes, again, he spoke clearly the
Subject: yes, again, he spoke clearly the

second time around..............thanks for your reply tho!!


I suppose that's what he said.
Subject: I suppose that's what he said.

I guess the vac part is supposed to be evacuated. I haven't seen this slang typed in a report before, just heard it said. I don't think I'm comfy using the slang version. I'll check into the real term. Thanks for helping.
You don't suppose he could mean
Subject: You don't suppose he could mean

da Vinci surgery do you? 


If he does, that's funny! 


I don't suppose he gives a dosage? that might help....sm
Subject: I don't suppose he gives a dosage? that might help....sm

Its not aspirin is it?
True, but we as MTs are suppose to know
Subject: True, but we as MTs are suppose to know

/


 


I don't suppose it could be Zicam?
Subject: I don't suppose it could be Zicam?

That's what I use.
I suppose it could mean questionable. nm
Subject: I suppose it could mean questionable. nm

x
Thank you - that was suppose to be a number one, but
Subject: Thank you - that was suppose to be a number one, but


Would IVPB be ok to use or is it suppose to be IVP.
Subject: Would IVPB be ok to use or is it suppose to be IVP.

nm
isn't it suppose to be about cardiovascular?
Subject: isn't it suppose to be about cardiovascular?


So I suppose it's Klonopin?
Subject: So I suppose it's Klonopin?


what it is suppose to be...unbelievable...
Subject: what it is suppose to be...unbelievable...

My goodness how they muffle words...it ended up being restless leg syndrome because it was said later on in the report..lol.
Client preference, I suppose, but I do --sm
Subject: Client preference, I suppose, but I do --sm

L5 compression fracture; C5-6 herniated nucleus puposus. I have never used fifth lumbar or lumbar five. Most docs I have had always dictate as L5 or C5-6 and also some do C-spine or L-spine. easier for them, I guess, as well as whoever reads the report.
Don't suppose you could get pituitary out of that?:) All I'm familiar with! nm
Subject: Don't suppose you could get pituitary out of that?:) All I'm familiar with! nm

.
I don't suppose you left out the word
Subject: I don't suppose you left out the word

"early," as in, Early onset (something) disease?

What tests were done? Is the patient being seen in the office or hospital?
ROM could be butchered to s/l gommelin I suppose
Subject: ROM could be butchered to s/l gommelin I suppose


I suppose LinK sent it with a blank.......s/m
Subject: I suppose LinK sent it with a blank.......s/m

as we do not hear from her anymore.
Dear LinK, it would be nice if you could tell us what it was when you get QA back, thanks!
I suppose I should leave a blank
Subject: I suppose I should leave a blank

I suppose I should leave a blank although I am sure she meant Coumadin. Never guess on medications, right?

Thanks for the help.
could be, I suppose, referring to calf vessels
Subject: could be, I suppose, referring to calf vessels


reptilase is an enzyme, suppose doctor
Subject: reptilase is an enzyme, suppose doctor

nm
No, but s/l could be ataxia. Not sure if that is related to cough, but I suppose it could be.
Subject: No, but s/l could be ataxia. Not sure if that is related to cough, but I suppose it could be.


Ya don't suppose he means pearls of wisdom, do ya? :) nm
Subject: Ya don't suppose he means pearls of wisdom, do ya? :) nm

nm
I always use combined forms ie. posterolateral, but would depend on your account i suppose. nm
Subject: I always use combined forms ie. posterolateral, but would depend on your account i suppose. nm


too weird! sm
Subject: too weird! sm

The very next report I got after this one, from a different doc, different place, he says "microfracture" which I think must be what the first one was talking about (she loves the abbreviations). So strange that I've never heard this term, but I get it in 2 consecutive reports!


Yes, weird indeed. When he said it
Subject: Yes, weird indeed. When he said it

I said WHAT?? He is very, very clear too. I will send it in with a blank and see what QA says. Thanks for your help.
That is weird!
Subject: That is weird!

If it's not a verbatim account, I'd use "medications" and "detoxification". I'd think they'd have a hard time picking a fight with those! (Plus, it's more characters!)
Me, too. Looks weird.
Subject: Me, too. Looks weird.


Too weird
Subject: Too weird

my editor and I were just discussing this yesterday.  I was always taught to put what is dictated, but she said to always expand it - - now, I am confused
That is weird
Subject: That is weird

because Desonide is not to be used in the eyes.
Yes, same here. Looks like it might have stopped though. Weird!
Subject: Yes, same here. Looks like it might have stopped though. Weird!

.
Weird question?
Subject: Weird question?

I have a personal question to ask and I don't know if this is a problem or not.  For the past few weeks my left foot will occasionally get so cold I can't stand it and the rest of my body is fine.  This only seems to happen when I am typing.  My right foot is my pedal foot.  My mother had surgery to remove a blood clot from her arm (she almost lost the arm) many years ago.  Is this something that I should be concerned about?  Does anyone else ever have this problem?
weird question here :)
Subject: weird question here :)

I am unsure if I have the spelling correct for this word!  It is talking about the patient having pink eye.  He says he has to clear it out because it is crusty and pusy.    I do not kno of any other way to spell pus other thank this.  It just looks different.  Please let me know.  Thanks.


 


 


it looks weird to me too...I always change it to...
Subject: it looks weird to me too...I always change it to...

it's not necessarily correct - but I think about pussy cats and so the *eye is crusty and has pus* is what I'd put. 
Weird!! we BOTH started it with DU....
Subject: Weird!! we BOTH started it with DU....


Weird phrase
Just had a doc say: Lungs clear to IPPA. It's a first for me, but Google had hits for it, so I'm sure it's common. But how odd to say during the physical exam that lungs are clear to INSPECTION, palpation, percussion and auscultation.

I think of looking carefully when I hear inspection. So it sounds like he somehow took a peak at her lungs. Was he using a bronchoscope for this physical exam (no way - because he'd have documented that carefully so he could charge for it, LOL).

Now I'm off to check and see what OneLook says about inspection. Oy.


OK, this sounds weird
Subject: OK, this sounds weird

Patient is scheduled for an Afro? due to critical limb ischemia 
Hey birdlady - what are those weird
Subject: Hey birdlady - what are those weird

Thanks for the laughs.  I kept trying to hear 34 weeks, but it was pretty clear he was saying 24 weeks.  I ended up flagging it as a discrepancy and sent it in to QA for them to figure out.  Thanks for trying, though!
That should be Ƌ.1'...don't know where that weird symbol came from...nm
Subject: That should be Ƌ.1'...don't know where that weird symbol came from...nm

*
I know...lots sounded very weird. :) Thanks. NM
Subject: I know...lots sounded very weird. :) Thanks. NM

d
Yes...looks weird, but verified in my Stedman's. NT
Subject: Yes...looks weird, but verified in my Stedman's. NT

d
Kind of a weird way of putting it but SM
Subject: Kind of a weird way of putting it but SM

To amass something is to collect it or accumulate it. I have amassed a large collection of reference books over the years.
Too weird...when I opened this first time....sm
Subject: Too weird...when I opened this first time....sm

I only had the "subject" sentence and not the last 2 sentences.  Am I crazy and somehow I just didn't see them...or is that possible somehow???
Consult - I think you are right! It just sounds weird....TU
Subject: Consult - I think you are right! It just sounds weird....TU


I promise, I'm not crazy...But this is a weird one! SM
Subject: I promise, I'm not crazy...But this is a weird one! SM

I know, it sounds crazy...  This is a new urology account for me, and the doc is REPEATEDLY saying the following, taken directly from the notes:


(Problem of interstitial cystitis and pelvic pain) -- 'She did not use the Valium vaginal suppositories.  She had days when she felt quite well....'


(Problem of IC again) -- 'Prescribed Valium 10 mg vaginal suppositories...' 


(Problem IC and pelvic floor tension myalgia) -- She stopped her Valium vaginal suppositories, which she states are at a dose of 10 mg of Valium with 25 mg of amitriptyline and has felt much better since. 


 


I can't find a Valium vaginal suppository anywhere, people!  Any of you know about anything like this?  I imagine that if you've got a stressed vagina, that would be as good of a cure as any, but I haven't heard of it yet.  Any ideas? 


It's weird because in his record, it's "hypernephrosis" and .....
Subject: It's weird because in his record, it's "hypernephrosis" and .....

I just had to put abdominal pain. 
Seems weird to do something middle of the night. Maybe 2 q.a.m.? What
Subject: Seems weird to do something middle of the night. Maybe 2 q.a.m.? What

s
That's really weird looking. Should be 2:2:2 solution (try w/o quotes?)
Subject: That's really weird looking. Should be 2:2:2 solution (try w/o quotes?)

x
Dont see it in caps anywhere. Weird. Seems like it should be!! nm
Subject: Dont see it in caps anywhere. Weird. Seems like it should be!! nm


It's good to see MTs rebelling about the extremely weird
Subject: It's good to see MTs rebelling about the extremely weird

second edition of the BOS. They should go back to the first edition, but just add the necessary change about type II diabetes changing to type 2 diabetes. Medical record style guides should not completely change every three years. Doctors have never heard of the BOS for goodness sakes.
I agree, maybe it is a weird way of splitting that 70 dosage?
Subject: I agree, maybe it is a weird way of splitting that 70 dosage?