After this increase in Lithium the patient seemed to have less effective lability.
Posted By: lessMT on 2007-09-17
In Reply to:
Subject: After this increase in Lithium the patient seemed to have less effective lability.
Could that be correct? This is in a discharge summary.
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s/l less defective lability...could that be correct?
Subject: s/l less defective lability...could that be correct?
not sure about "less" but possibly affective lability
Subject: not sure about "less" but possibly affective lability
Without much context, I'm only assuming that you are doing a psych report as I often come across this. Not sure about the less, though.
Lithium maybe?
Subject: Lithium maybe?
Does it sound like he put them together or maybe started saying one drug and continued with another. Lithium would sure fit into the psych drug category. Not sure about the ZY sound.
could it be lithium?
Subject: could it be lithium?
affectively effective????
Subject: affectively effective????
destroy its repletive productive ability. Any clues on this word? He is talking about the hep C virus.
What we do not know is how these protease inhibitors will be properly used to affectively get the most effective viral response with hepatitis C.
replicative - effective
Subject: replicative - effective
what about cost-effective change in his medication
Subject: what about cost-effective change in his medication
Lithium level was 0.5 "he pack to back". nm
Subject: Lithium level was 0.5 "he pack to back". nm
s/l Lithium level was elevated at 1.3 millimers per liter
Subject: s/l Lithium level was elevated at 1.3 millimers per liter
thanks
NEW YORK (Reuters Health) - Topical anesthetic EMLA cream is effective in treating premature ejacula
Subject: NEW YORK (Reuters Health) - Topical anesthetic EMLA cream is effective in treating premature ejaculation...
increase in pancreas?
In recent, increase in pancreas has responded with some improvement. As such, I would suggest that his diarrhea and difficulties are most consistent with pancreatic insufficiency.
Helpppp!
INDICATION: Increase in ? (s/l VAR)
Subject: INDICATION: Increase in ? (s/l VAR)
Dialysis patient with stenosis in access graft. help me help me please
yes, they say bump, as in increase
Subject: yes, they say bump, as in increase
nm
10-degree increase or 10 degree increase? TIA nm
Subject: 10-degree increase or 10 degree increase? TIA nm
Maybe it's "encouraged to increase..."
Subject: Maybe it's "encouraged to increase..."
nm
S/l * pet megate * to increase appetite. TIA!
Subject: S/l * pet megate * to increase appetite. TIA!
could it be titrate (slowly decrease or increase)
Subject: could it be titrate (slowly decrease or increase)
Could the patient have been slowly titrated off of the drug/weaned off
Kim, if you think a mentor would help increase your line count,
Subject: Kim, if you think a mentor would help increase your line count,
.
Maybe found to have changed, more dilation, increase in station, etc. nm
Subject: Maybe found to have changed, more dilation, increase in station, etc. nm
s
There was increase in carrying angle and *recruvardum* of the knees. nm Thanks
Subject: There was increase in carrying angle and *recruvardum* of the knees. nm Thanks
nm
Prostate cancer: 1. This will be the 3rd serial PSA. S/L ?S1? has revealed a slight increase
Subject: Prostate cancer: 1. This will be the 3rd serial PSA. S/L ?S1? has revealed a slight increase
He will increase his fluid intake by a s/l **factor 3**. Pt has acute viral syndrome. TIA
Subject: He will increase his fluid intake by a s/l **factor 3**. Pt has acute viral syndrome. TIA
Hypercholesterolemia. Reduce animal fat and ___________, increase exercise and weight loss.
Subject: Hypercholesterolemia. Reduce animal fat and ___________, increase exercise and weight loss.
The blank sounds like "courage", lol. Thanks for any help.
Pt advised to increase her oral intake of fluids based on S/L ?leuk est? was trace. ?UNC&S? ordered
Subject: Pt advised to increase her oral intake of fluids based on S/L ?leuk est? was trace. ?UNC&S? ordered
NM
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM
Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
nm
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.
A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
Subject: A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
nm
Patient given PPD - sm pls
Subject: Patient given PPD - sm pls
Patient given PPD S/L "agreed" or "read" within the next 72 hours.
Patient does have a UTI but would it
Subject: Patient does have a UTI but would it
same doc. same patient
Subject: same doc. same patient
the lesion was vascular in natureand most likely _____ malformation.
S/L avio-lymphatic
HIV patient. Please sm.
Subject: HIV patient. Please sm.
Doc is dictating a test in relationship to patient's HIV. He states s/l "firal row"is negative and T-cell count has actually risen since last visit.
Thanks for any/all help!
do you have a Dx on this patient, and
Subject: do you have a Dx on this patient, and
if not, what is the chief complaint?
new patient
Subject: new patient
 On a new patient is this how it should be put? the doctor says it with chief complaint~~~~CHIEF COMPLAINT: New patient, arm pain.
OD q.d.? Is it for the patient's eye? nm
Subject: OD q.d.? Is it for the patient's eye? nm
x
cc: the patient
Subject: cc: the patient
then he said, note to the transcriptionist, make sure that a copy of the mri scan results is sent to the patient with this letter.
What is the patient's dx? nm
Subject: What is the patient's dx? nm
Are you sure the patient isn't
Subject: Are you sure the patient isn't
very spiritual, and is hoping for healing through a prayer line? Many churches do have prayer lines and pray for sick people. Usually they don't intend that the person shouldn't seek medical help like it sounds like this patient would be talking about.
How old is this patient?
Subject: How old is this patient?
The patient has a ... (sm)
Subject: The patient has a ... (sm)
. . . distal radius fracture. It s/l the doctor dictates *there is a cast and flink* to right arm. I thought it might be *splint*, but it really does not sound like that. Any idea?
Thanks, Melissa
Patient is p.o.ing well??????
Subject: Patient is p.o.ing well??????
POing??? or just change to eating? It's a 3-month-old baby girl.
What is the patient
Subject: What is the patient
in the hospital for? Main symptoms? Specialist seeing the patient?
Is patient ill otherwise? sm
Subject: Is patient ill otherwise? sm
I know you say it is not positive exudate but if the patient is ill or has upper respiratory symptoms, positive could actually be right.
Doc is saying the patient is this PDI-3 or
Subject: Doc is saying the patient is this PDI-3 or
Peduli-3? Never heard of a patient being that, but I have heard of a resident doctor being a PGY-3 after their name. Otherwise, I have no idea. Sorry.
The patient has both, so you must be...
Subject: The patient has both, so you must be...
correct!!! THANK YOU!!!!!! 
but patient has URI, not UTI, yes? (nm)
Subject: but patient has URI, not UTI, yes? (nm)
nm
Patient with AML,
Subject: Patient with AML,
Sentence reads: We have been watching her counts closely due to the fact that she has blood antibodies and requires s/l "spark of platelets" OR "sparkle platelets". Any ideas? TIA.
Thank you but the patient..sm
Subject: Thank you but the patient..sm
only came in for refill of birth control. She was out of insurance for a time period. No infections or anything.
Thank you for trying though. I do appreciate it. This dictator loves to ramble and sometimes not very clear.
The patient is on s/l T P.
Subject: The patient is on s/l T P.
It is definitely some sort of ventilator.
patient
Subject: patient
It is difficult to say whether his shortness of breath is secondary to coronary artery disease. Ventricular function, underlying pulmonary disease, i.e. s/l a-co-sis, or his weight.
What is patient seen for?
Subject: What is patient seen for?
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