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tinnitus? hard to know without more info

Posted By: ltt on 2007-08-16
In Reply to: There was no history of s/l kinitis? or weakness. nm - mm

Subject: tinnitus? hard to know without more info




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There is a clomipramine....but hard to be sure with not much info.
Subject: There is a clomipramine....but hard to be sure with not much info.

x
Maybe PhosLo? Hard to tell with so little info. nm
Subject: Maybe PhosLo? Hard to tell with so little info. nm

x
Maybe tinnitus? nm
Subject: Maybe tinnitus? nm


tinnitus?
Subject: tinnitus?


no tinnitus? Just a guess. nm
Subject: no tinnitus? Just a guess. nm


Pamelor used for tinnitus?
Subject: Pamelor used for tinnitus?

Patient was prescribed Lyrica and it caused ringing in her ears. Diagnosis is lumbar spondylosis with improvement. Plan is to take s/l Pamelor 25 mg.

Would that be prescribed for tinnitus? Thanks.
s/l alimented tinnitus
Subject: s/l alimented tinnitus

s/l alimented tinnitus with slight otalgia.
Found it. It is prescribed for tinnitus. nm
Subject: Found it. It is prescribed for tinnitus. nm

nm
tinnitus, dizziness or vertigo?
Subject: tinnitus, dizziness or vertigo?


Maybe, tinnitus, dizziness or vertigo.
Subject: Maybe, tinnitus, dizziness or vertigo.


Only symptoms are low back pain which is improved, and the tinnitus -
Subject: Only symptoms are low back pain which is improved, and the tinnitus -

The back pain has resolved. The patient feels that the Lyrica (prescribed from another doctor) has caused the ringing, so this doc prescribed the s/l Pamelor. Very short report so no other info. Thanks.
Yes, and hard to say, so hard to find
Subject: Yes, and hard to say, so hard to find

Again, thanks.
He says the consonants hard - he gives a hard P on the par and B on the bow.
Subject: He says the consonants hard - he gives a hard P on the par and B on the bow.


No fever, chills, loss of vision, tinnitus, ???photoria??, epistaxis or dysphasia.
Subject: No fever, chills, loss of vision, tinnitus, ???photoria??, epistaxis or dysphasia.


Hard to say, I'd just put what doc says. nm
Subject: Hard to say, I'd just put what doc says. nm

x
Hard to say from here, but it could mean sm
Subject: Hard to say from here, but it could mean sm

the polyethylene liner in the hip replacement system.
Thanks. Sometimes it's hard to tell
Subject: Thanks. Sometimes it's hard to tell

with the ESLs because they lack the inflection that might have told me everything, LOL.

I was confused enough that I blanked it, but thanks for helping me attempt to puzzle it out.
This could be a hard one s/l
Subject: This could be a hard one s/l

She has an allergy to s/l long-gate-di-div-u-la??


I appreciate your help


Deborah


 


Hard to do s/l but ...sm
Subject: Hard to do s/l but ...sm

Patient is here for follow up of a low white blood count and low platelet count.  She is still having the headaches, stiffness in the neck and a sore throat, also some chills.  Her Lyme test and ___ (s/l haverglosis) test is still pending. 


TIA


it is too hard,
Subject: it is too hard,

it is staying a blank.  Thanks for the help!
He may be saying that - hard to tell, as -- sm
Subject: He may be saying that - hard to tell, as -- sm

I hear an "r" sound in there. I'll flag this one, but I'm glad to know they use qualify in that way.
I'd like that to be it, but there's a hard "c" in there. nm
Subject: I'd like that to be it, but there's a hard "c" in there. nm


Without context, hard to tell. SIA is sm
Subject: Without context, hard to tell. SIA is sm

subacute infectious arthritis.

SI--sacroiliac
AC--acromioclavicular

There is a drug Ziac.


We just try too hard. Dumb is what I do best!!! nm
Subject: We just try too hard. Dumb is what I do best!!! nm


Thanks to all of you for your hard work. I appreciate it! nm
Subject: Thanks to all of you for your hard work. I appreciate it! nm


Hard to say without state, but..
Subject: Hard to say without state, but..

here is something I use to help wtih hospital names

http://www.superpages.com/?SRC=promo13
Not really hard to remember when you think...
Subject: Not really hard to remember when you think...

ACE inhibitor stands for Angiotensin-Converting Enzyme


and


Ace is the name of a bandage.


 


could either be T8 to 11 and L1 or T8 to L1. Hard to say without being able to listen.
Subject: could either be T8 to 11 and L1 or T8 to L1. Hard to say without being able to listen.

x
might be thinking too hard...
Subject: might be thinking too hard...

From the dictionary:

moi·e·ty Pronunciation (moi-t)
n. pl. moi·e·ties
1. A half.
2. A part, portion, or share.

Could be your doc is describing which part of the prosthesis?
It is also hard to figure out ...
Subject: It is also hard to figure out ...

... because they put this patient on 1 baby aspirin a day, which I thought was to thin the blood. I actually ended up asking a doc at the hospital where I work, and he seemed to indicate that there wasn't really any "hypocoagulable workup" -- it was more like "bleeding studies." There is a "hypercoagulable workup" which is extensively discussed on the net, but this patient with the bleeding may be more a candidate for the bleeding studies. However, from what I have read on the net, the tests that are done for a "hypercoagulable workup" are the ones which are being ordered for this patient. Sigh. I'm going to change it to hypercoagulable, and mark it just in case. Thanks for your input.
It's very hard to document,
Subject: It's very hard to document,

but it is bolgerized, after a doctor whose last name is Bolger. 
So simple yet so hard. Thank you very much!
Subject: So simple yet so hard. Thank you very much!


Yes! Thank you. I think I'm trying too hard to learn him.
Subject: Yes! Thank you. I think I'm trying too hard to learn him.

nm
Not sure. Hard to tell with the accent. Thanks though!
Subject: Not sure. Hard to tell with the accent. Thanks though!


It's hard to tell. Thanks for the suggestion though!
Subject: It's hard to tell. Thanks for the suggestion though!


That could possibly be it. Hard to say though. Is
Subject: That could possibly be it. Hard to say though. Is

there such a thing as T-cell phataloma or something similar? 
Darn. Hard one. sm
Subject: Darn. Hard one. sm

spicule bone formation? WAG here.


There can be a wrinkle in the callus formation? All I can think of. Sorry.


old, old, old and typed GI for a while. GI is hard!!! nm
Subject: old, old, old and typed GI for a while. GI is hard!!! nm


breakin' up is hard to do...sm =)
Subject: breakin' up is hard to do...sm =)

DePuy 22 x 17, +12 lateral-offset, S-ROM femoral stem, with a 22F XXL ZT/HA-coated proximal sleeve, with a +9 neck, 44-mm diameter femoral head.
Hard to tell when it is just listed like that.
Subject: Hard to tell when it is just listed like that.

x
Definitely a C of hard K sound - NM
Subject: Definitely a C of hard K sound - NM

NM
I am having a very hard time with this one.
Subject: I am having a very hard time with this one.

There is so much in this report that I cannot understand. Truly, I'm wondering if this doctor starts speaking in his native language sometimes.


Here's what I've got


Her weight s/l "1 per 1980." Blood pressure controlled 130/80. Color is fair. Throat is s/l "cold." Thyroid tissue on palpation. Lungs clear.


 


I wish I could ask for help on the next sentence too, but I cannot make out one single word in it!!        


Is doc hard to understand?
Subject: Is doc hard to understand?


is hard of hearing hypenated? Duh!? Thanks
Subject: is hard of hearing hypenated? Duh!? Thanks

d
sorry, almost hard to do sounds like, he is muffled but s/l...sm
Subject: sorry, almost hard to do sounds like, he is muffled but s/l...sm

s/l right uvinal catheter or s/l huminal catheter ? Tried to do a sounds like search but empty.
Hard to lend a *seconding* ear when we
Subject: Hard to lend a *seconding* ear when we

can't hear it.  It looks like you need a set of reference books and a good Q/A person.  I can spot many places in the report that are nowhere close to being right, but I'm not going to type it for you. 
No, there's definitely a hard c in there; spell check came up with--SM
Subject: No, there's definitely a hard c in there; spell check came up with--SM

pellicular, but that doesn't quite make sense to me. (thin skin or film)
Blank and send to QA - hard to tell when we can't
Subject: Blank and send to QA - hard to tell when we can't

NM
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
Please help . . . having a hard time hearing
Subject: Please help . . . having a hard time hearing

His left upper extremity is maintained mostly in a _______(s/l ami) position, and he was wearing his resting wrist splint today. 


TIA!


I would flag it. We have a hard enough time --sm
Subject: I would flag it. We have a hard enough time --sm

trying to find medical words and phrases, much less cities and towns. If they cannot spell it, they don't get it. I won't waste my time looking. I am not getting paid for that kind of search...actually not getting paid for ANY kind of search. JMO