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the doctor says.. I believe the most s/l coscient explanation is indeed alcohol use. thank you

Posted By: Deborah on 2007-10-07
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Subject: the doctor says.. I believe the most s/l coscient explanation is indeed alcohol use. thank you




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I do appreciate your explanation...thanks..nm
Subject: I do appreciate your explanation...thanks..nm

x
Further explanation sm
Subject: Further explanation sm

Someone gave this explanation a few days ago and it is more helpful.  mucus = noun mucous = adjective Mucus is stuff that is secreted by the mucous membranes. For example: Bronchoscopy revealed thick mucus. We used suction irrigation to lavage out 2 or 3 large mucous plugs from the left bronchial tree. 

A little more explanation
Subject: A little more explanation

Sorry, I wanted to post that really quickly but was on the phone.  Anyway, I live in Hawaii and on the island where Kawaihae Harbor is and we say pretty much every vowel you see.  So it would be more Ka-why-high.  Kauai on the other hand is usually pronounced Ka-why-E (kind of a slurred version of how it should really be pronounced). 
Thanks for the explanation
Subject: Thanks for the explanation


Further explanation
Subject: Further explanation

The patient suffers from mild cognitive impairment.  He was unable to guess his birth day, but made a couple of guess.  The doctor said that several of the guesses were right.  I found it amusing, because I have yet to hear of some one with more than one birthday.
Thank you - excellent explanation of it.
Subject: Thank you - excellent explanation of it.

I have the Stedman book but couldn't find it. It also didn't help the doc didn't pronounce it anything like labelled red cells - I found it on numerous searches.

Thank you so much for your explanation.
Sorta an explanation
Subject: Sorta an explanation

I was told after my 3rd miscarriage that I was RH negative. This is what I remember from that, there may be more to it that I don't remember, please keep that in mind.

Since I am type O-, and my husband was B+ due to the RH factor my body saw it as a foreign object and rejected it. Thay gave me a shot to prevent this. I cannot donate blood b/o the RH thing and cannot receive anything other than O- blood.

I thought this only had to do with O blood types though. Was your husband a type O?
sure does...it's Ficat stage IV! sm for explanation :)
Subject: sure does...it's Ficat stage IV! sm for explanation :)

Radiographic staging of AVN was first proposed by Ficat and Arlet in the 1960s and later amended in the 1970s. This 4-staged system delineates the natural history of AVN from normal radiographs (stage I) to cystic changes and sclerosis (stage II) to subchondral collapse or femoral head flattening (stage III) to finally joint space narrowing (stage IV). However, this system does not differentiate certain phases in disease progression (eg, subchondral vs femoral head collapse), nor does it quantify the size and extent of the lesion.
you're explanation is backwards...sm
Subject: you're explanation is backwards...sm

There are after effects of an earthquake, not after affects.
The earthquake affected our electrical power.
okay need help & explanation of cancer abbrevs. pls. sm
Subject: okay need help & explanation of cancer abbrevs. pls. sm

I rarely have to type cancer info, and when I do I do remember to subscript certain numbers....but I am running into them more often and I want to understand and know what I am typing instead of just assuming it looks right.  Can you please type the below findings correctly for me to have as a reference...and also if anyone has a link or can copy and past definitions for each category so I know what I'm talking about that would be awesome.  Thanks!


 


history of urothelial bladder cancer stage PT 4a N0 Mx for which he underwent a radical cystectomy and prostatectomy in June of 2006.  At that time he was also found to incidentally have a PT 2a N0 Mx prostate cancer Gleasons 3+3


I agree with the explanation rc gave.
Subject: I agree with the explanation rc gave.

I have never seen L5-S1 expanded. However, the MTSOs that we use ask us to clarify format questions every now and then. I would have to say ask for clarification.
MAST trousers. See first entry for explanation.
Subject: MAST trousers. See first entry for explanation.

EMT City - Protocols Changing




... system EMS providers within the city), will be outside EMT protocols, but will continue on in the rest of the state. Medical Anti Shock Trousers (MAST) went ...
www.emtcity.com/cgi-bin/yabb2/YaBB. cgi?board=bls;action=display;num=1103961920 - 57k - Supplemental Result - Cached - Similar pages

[PDF] NY State-Wide EMT/AEMT BLS Protocols




File Format: PDF/Adobe Acrobat - View as HTML
Medical Anti-Shock Trousers. SA – 97-04. Secondary Confirmation OF ETT. SA – 02-01. AED for Pediatric patients. SA – 02-02 ...
www.cif.rochester.edu/~mert/ training/protocols/emtblsprotocols.pdf - Supplemental Result - Similar pages

[PDF] PULSE by Topic.xls




File Format: PDF/Adobe Acrobat - View as HTML
Suction tubing and MAST trousers. January. 1995. 52. Suction tubing ... CO Poisioning & EMT Protocols. December. 1995. 63. CO Poisioning( 3 min ) ...
www.trinityworkplacelearning.com/ fire/downloads/topicemu.pdf - Similar pages


Ommaya port. Google for "Ommaya reservoir" for an explanation.
Subject: Ommaya port. Google for "Ommaya reservoir" for an explanation.


alcohol use
Subject: alcohol use

Is the correct abbreviation ATOH?


 


TIA


 


Tina


alcohol
Subject: alcohol

ETOH.
ER Trauma MVA. Does anyone know what alcohol KZP is? sm
Subject: ER Trauma MVA. Does anyone know what alcohol KZP is? sm

Second diagnosis is: ALCOHOL ABUSE. The patient will be resuscitated overnight and started on alcohol s/l "KZP" in the a.m.
ALCOHOL TOPIAN?
Subject: ALCOHOL TOPIAN?

I was doing my research for a couple last words on a report.  The doctor strongly suggested he abstain from alcohol s/l topian and try to elicit the cooperation of his family.


she is given s/l LIGHTERDERM patches for her chronic pain.


I need to get these back today.


All help would be appreciated.  Thank you so much.


 


 


Would a pt with alcohol withdrawal be placed on a
Subject: Would a pt with alcohol withdrawal be placed on a

s/l Librium taper?
pt with alcohol withdrawal
Subject: pt with alcohol withdrawal

This was presumed secondary to s/l Bowmars depression __________due to alcohol use.


There was no evidence of ___________ITTPT____or DIC_____.


 


Thanks


 


 


Perhaps ethyl alcohol? -nm
Subject: Perhaps ethyl alcohol? -nm


alcohol insults
Subject: alcohol insults

ok I got further in the report and found new information.  they were exposed to alcohol as a fetus...so it must be insults-of alcohol.  this makes sense, thank you.


alcohol protocol
Subject: alcohol protocol

doc is saying "Concerning the patient’s alcohol use, the patient will be put on a s/l Was/Weiss/Wise protocol with Ativan for high Was/Weiss/Wise score."
alcohol vs. beer
Subject: alcohol vs. beer

Is beer no longer considered alcohol??  This amused me...


SUBSTANCE:  Tobacco abuse.  She denies any alcohol.  She drinks beer.  She states 1-2 beers about three times per week.  Has done so for four or five years now.  Denies any illicit drug use.


She didn't even hesitate between those statements... haha.


alcohol level of 108?

the doctor dictates he has an alcohol level of 108 but that makes no sense to me and I can't reference that anywhere.  Should I flag it? Thanks.


iodine and alcohol prep
Subject: iodine and alcohol prep

Iodine and Alcohol prep is the first thing I can think of.
Drug s/l at one or at 1 for alcohol withdrawal. It is not B1. Thanks!
Subject: Drug s/l at one or at 1 for alcohol withdrawal. It is not B1. Thanks!


Campral comes in 333 mg for alcohol abuse. nm
Subject: Campral comes in 333 mg for alcohol abuse. nm


Any Drug & Alcohol Rehab MTs out there?
Subject: Any Drug & Alcohol Rehab MTs out there?

I just started a job typing for a drug and alcohol rehab center.  I am unfamiliar with a lot of this terminology and was wondering if there was anyone out there who is doing a similar account and would be willing to share their knowledge with me.  Thanks.
maybe ethanol alcohol? that's redundant tho
Subject: maybe ethanol alcohol? that's redundant tho

x
blood alcohol levels SM
Subject: blood alcohol levels SM

Doc dictates alcohol level is 190.  Would this be 1.9?  TIA
blood alcohol level
Subject: blood alcohol level

If someone is reported on arrival at a drug and alcohol rehab center as having a blood alcohol of 332 would that be transcribed as 0.332?  That still seems high to me. 


Help! Is it binging or bingeing on alcohol? Thanx
Subject: Help! Is it binging or bingeing on alcohol? Thanx

..
Occasional ETOH - is that slang for alcohol use? nm
Subject: Occasional ETOH - is that slang for alcohol use? nm

..
sounds like "bio de form" and alcohol sm
Subject: sounds like "bio de form" and alcohol sm

Following a sterile prep with s/l bio de form and alcohol, we have done an injection through a superolateral approach without complications using one factory provided Supartz syringe and a sterile needle.
Looks fine to me. Alcohol seems a little high, what is the presentation?
Subject: Looks fine to me. Alcohol seems a little high, what is the presentation?


pt with alcohol withdrawl getting thiamine, multivitamins, and s/l rolly bag
Subject: pt with alcohol withdrawl getting thiamine, multivitamins, and s/l rolly bag


shoo or ashoos alcohol and tobacco products?
Subject: shoo or ashoos alcohol and tobacco products?

....she is very religious and she s/l "ah-shoos" or "shoos" all alcohol and tobacco products. sounds like "shoes" you wear. Could this be shoos like shooing away? Thank you.
Found CAGE screening for alcohol abuse. Thanks. nm
Subject: Found CAGE screening for alcohol abuse. Thanks. nm


It does sound like that, but this patient is listed as drinking no alcohol!
Subject: It does sound like that, but this patient is listed as drinking no alcohol!


On labs. Pt to have "UDS: DTI7a" Patient with alcohol detox. nm
Subject: On labs. Pt to have "UDS: DTI7a" Patient with alcohol detox. nm


social history - denies smoking, alcohol or girls. sm
Subject: social history - denies smoking, alcohol or girls. sm

I can't think of anything else he might be saying, it really sounds like girls.  Do you think this is correct?  I just think it sounds weird.


BTW the only medical history I have for this patient is Ewing sarcoma...


CIWAClinical Institute Withdrawal Assessment for Alcohol (CIWA) nm
Subject: CIWAClinical Institute Withdrawal Assessment for Alcohol (CIWA) nm


she began using alcohol, OxyContin, Red Devils, and "secrets" all this year.
Subject: she began using alcohol, OxyContin, Red Devils, and "secrets" all this year.


Patient on alcohol detox treated with s/l Comparin 373 mg three times a day. I have no idea. TIA
Subject: Patient on alcohol detox treated with s/l Comparin 373 mg three times a day. I have no idea. TIA


Ativan for prevention of alcohol withdrawal & s/l Warren key corsical syndrome?
Subject: Ativan for prevention of alcohol withdrawal & s/l Warren key corsical syndrome?


true...but both neck stiffness and nystagmus can be signs of alcohol poisoning...nm
Subject: true...but both neck stiffness and nystagmus can be signs of alcohol poisoning...nm


Poison Control protocol/medications for drug/alcohol overdose
Subject: Poison Control protocol/medications for drug/alcohol overdose

I have a dictation that is cuttting out badly.  Is anyone familiar with the emergency room procedure for drug/alcohol overdose.  The RN starts out saying activated charocoal was used followed by oral  - all I can catch is that the medication ends in cystine or IV fedalcystine?  Any ideas? 
Pink coctail for heartburn (Pepto Bismol)? All I find is related to alcohol.
Subject: Pink coctail for heartburn (Pepto Bismol)? All I find is related to alcohol.


Could it be alcohol abuse, cocaine abuse????
Subject: Could it be alcohol abuse, cocaine abuse????


ESL doctor - please help!!
Subject: ESL doctor - please help!!

Dictator says this word twice, but it sounds different each time and I don't think either is correct...


This patient recently got a diagnosis of Soft Tissue Rheumatism:  He says:


She has a history of pelvic and scapular s/l tills, polyarthralgias, tight hamstrings and stated she has lost weight. 


And in the other spot it sounds like he is saying pelvic and scapular tilts.  Any ideas?  Thanks!


 


Doctor's Name
Subject: Doctor's Name

I use MedWeb all the time. It is a great site! Check it out.