Anywhere in the report does it state that the patient had an "implant" instead of the sound of
Posted By: MT50 on 2007-11-01
In Reply to: Totally Stumped!!! Patient has respiratory failure..sm - lsm
Subject: Anywhere in the report does it state that the patient had an "implant" instead of the sound of "pack"?
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Seems to be a facility, what state or town is the report in?
Subject: Seems to be a facility, what state or town is the report in?
Personal opinion, but I would only makes this a "header" within a report if the dictator state
Subject: Personal opinion, but I would only makes this a "header" within a report if the dictator states to do so, otherwise I would just type it verbatim in paragraph format.
Does doc state this is specifically for the hypertension or does the patient have other problems thi
Subject: Does doc state this is specifically for the hypertension or does the patient have other problems this can be for?
Does this patient have cancer? If so, do they state what type? Almost sounds like a new drug
Subject: Does this patient have cancer? If so, do they state what type? Almost sounds like a new drug
therapy? It would help to know the diagnosis. Does the doc state what the diagnosis is?
Patient with diarrhea. Labs: s/l ESR 3 but sound is a bit distorted. Does that sound low for ESR?
Subject: Patient with diarrhea. Labs: s/l ESR 3 but sound is a bit distorted. Does that sound low for ESR?
Psych report - said patient was 302'd...sm
Subject: Psych report - said patient was 302'd...sm
Should that be recast, such as patient was admitted as a 302? I've had this doctor about a million times and he has never said 302'd before.
How about "..with report of normal per patient"? nm
Subject: How about "..with report of normal per patient"? nm
nm
Two questions on lung cancer patient report
Subject: Two questions on lung cancer patient report
My questions are in two sentences one after the other. Sometimes he says period but then really continues on with the same sentence, so I'm not sure if the first sentence is really a complete sentence or not, so the sentence before basically said a PET scan revealed an increase in the size of the hypermetabolic subcarinal lymph node, consistent with subcarinal metastases.
1. "Stable [s/l lock laid right] pleural fluid thickening, but the associated hypermetabolism has resolved." This could maybe be "stable likely right pleural," but I'm not sure if that makes sense and I think I'm hearing a "d" at the end.
2. "There was a small right level 2 node that has become [s/l non rye valk] consistent with an evolving inflammatory process."
This is a radiology report. Patient has hist. of multiple myeloma.......
Subject: This is a radiology report. Patient has hist. of multiple myeloma.......
Some carotid artery calcifications in the left carotid area are apparent. Degenerative changes in the thoracic spine and lumbar spine. There is disk space narrowing involving the L2-L3, L3-L4, L4-L5, L5-S1 levels. I do not appreciate any obvious s/l levique changes in the cervical, thoracic or lumbar spine.
Hi - thanks for trying. I was lucky and found a previous report for patient and it is TBSO.
Subject: Hi - thanks for trying. I was lucky and found a previous report for patient and it is TBSO.
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!
Ortho report, patient underwent s/l cementa stabilization due to a pathologic fracture of lumbar spi
Subject: Ortho report, patient underwent s/l cementa stabilization due to a pathologic fracture of lumbar spi
Many drugs sound similar, can u give context of sentence/patient problems? NM
Subject: Many drugs sound similar, can u give context of sentence/patient problems? NM
nm
does it state what it is for?
Subject: does it state what it is for?
Ativan?
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
S/L newmeric state 96%
Subject: S/L newmeric state 96%
VITAL SIGNS: His temperature is 102, pulse is in the low 90’s, respirations 12, ** 92%, blood pressure 149/67. The doctor is giving the vitals I just can't understand the word before 92% sounds like--- newmeric state--or--newmeric at-- I can't find anything to verify that. any help??? thank you
s/l newmeric state 96%
Subject: s/l newmeric state 96%
s/b - pulse is in the low 90s w/o the '
s/l newmeric state 92%
Subject: s/l newmeric state 92%
The answer is...room air sats 92%. The "newm" you are hearing is room, and the "eric" is air.
As in state of mind?
Subject: As in state of mind?
not positive though
Oh well in your OP, you didn't state it that way.
Subject: Oh well in your OP, you didn't state it that way.
cc: Patient Name (Enclosure: MRI results) I guess .
I got it.... in a drowsy state... Duh... NM
Subject: I got it.... in a drowsy state... Duh... NM
.
perioperative state? Did she just have something done now?? nm
Subject: perioperative state? Did she just have something done now?? nm
s
Check your CP, it should state
Subject: Check your CP, it should state
how to write dates. If it's the long form - January, 5, 2008, make sure to use commas to offset it.
I don't know if it is state specific or not,
Subject: I don't know if it is state specific or not,
I transcribe for clinics in Oregon and transcribe it as Workers' Comp as this is the way the state refers to it (Oregon Workers' Compensation Division).
State tests.
Subject: State tests.
Can anyone tell me how hard the tests are to become a CMT and RMT?
That's why the field is in the state it is...no guidelines followed....
Subject: That's why the field is in the state it is...no guidelines followed....
everyone going by their own rules. There is no consistency. And thanks to that we're now pretty much considered non professionals IMO. I say bring on the mandatory licensing/certification to bring the professionalism back to the field!
state? Here is a link with occupations. sm
Subject: state? Here is a link with occupations. sm
http://www.occupationalinfo.org/
State building inspector? sm
Subject: State building inspector? sm
also with that could be state fire martial and building inspector.
put in the comma, do not abbreviate state nm
Subject: put in the comma, do not abbreviate state nm
thank you any idea with the parative state?
Subject: thank you any idea with the parative state?
What area of the country/state are you in?
Subject: What area of the country/state are you in?
functional "monocular" state. nm
Subject: functional "monocular" state. nm
xx
did they state what dermatological condition?
Subject: did they state what dermatological condition?
fasting glucose state
Subject: fasting glucose state
nm
Dorland and Stedman state differently SM
Subject: Dorland and Stedman state differently SM
ostiomeatal (os·tio·me·a·tal) (os”te-o-me-a´təl) [ostium + meatal] pertaining to an opening (ostium) and a meatus, especially in the nasal cavity.
I respect your link, but I can find many words spelled incorrectly on the 'net. One must go with trusted sources.
I made this mistake for years and was never corrected until... well, thats another story!
The 2nd might be postictal state. No idea what lab values
Subject: The 2nd might be postictal state. No idea what lab values
s
Decubitus ulcers would be the proper way to state it but sm
Subject: Decubitus ulcers would be the proper way to state it but sm
Stedman's says just "decubitus" is acceptable.
decubitus (d-kbi-ts)
- The position of the patient in bed; e.g., dorsal decubitus, lateral decubitus. See: decubitus film
- Sometimes used in referring to a
[decubitus ulcer].
[L. decumbo, to lie down]
brain fart.... when you have a city and state
Subject: brain fart.... when you have a city and state
within the body of a report, do you put a comma in between. I feel like my brain just died!
Example... The patient went to a hospital in Orlando Florida. You DO put a comma, right? Do you abbreviate the state?
Gosh I feel stupid!
says risk factors are G2,P2 s/l parative? state with
Subject: says risk factors are G2,P2 s/l parative? state with
a large 10 pound baby. Then she has a THBASO??? 2 years ago
Adirondacks, upper New York state
Subject: Adirondacks, upper New York state
And what State/Town is the hospital in so we might hazard a guess?
Subject: And what State/Town is the hospital in so we might hazard a guess?
??
Easy website to find doctors by state
Subject: Easy website to find doctors by state
Anyone know of any links?
Thanks!
hypovolemia is a state of decreased blood volume
Subject: hypovolemia is a state of decreased blood volume
ectasia (the state of being stretched beyond normal dimensions)
Subject: ectasia (the state of being stretched beyond normal dimensions)
ophthalmology help please... due to his Due to his 'functional immocular' state or 'functio
Subject: ophthalmology help please... due to his Due to his 'functional immocular' state or 'functionally mol
ophthalmology help please... due to his Due to his 'functional immocular' state or 'functionally molocular' (doesn't sound like molecular) state, this patient is in need of corrective eyeglasses with shatter-proof lenses to protect his good eye against any random accidents. Thanks for your help!
Does he state 20 the first couple of days or does he give any time along with that? SM
Subject: Does he state 20 the first couple of days or does he give any time along with that? SM
If not, I would just type as dictated and maybe put quotations around it if you are certain of what he is saying. HTH
Is it grammatically correct to state "is getting worse?"
Subject: Is it grammatically correct to state "is getting worse?"
There is Humboldt State University in California, not Utah (nm)
Subject: There is Humboldt State University in California, not Utah (nm)
xxx
You can try here for state listings of drug & rehab faciilties, see inside.
Subject: You can try here for state listings of drug & rehab faciilties, see inside.
http://www.usdrugrehabcenters.com/drug_rehab_centers/Michigan_drug_rehab_centers/index.html
If pt has liver cancer, possibly cirrhosis-like vasodilated state
Subject: If pt has liver cancer, possibly cirrhosis-like vasodilated state
no, I definitely hear a p sound at the start and an f sound at the end
Subject: no, I definitely hear a p sound at the start and an f sound at the end
nm
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