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tough one (sm)

Posted By: moon1010 on 2008-09-30
In Reply to: See message please : ) - tracy

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.


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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


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

x
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.

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Subject: tough one, but angioma or ecchymosis?

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

x
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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

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