Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

Apparently part of patient's history, but not clear...

Posted By: Thanks. on 2007-12-21
In Reply to: The only ACOA or ACOAA I have heard of is anterior communicating artery aneurysm - MT50

Subject: Apparently part of patient's history, but not clear...

MRI is reviewed confirming the presence of a full-thickness supraspinatus tendon tear with early glenohumeral arthritis. The patient apparently had a long head biceps tendon operation as well, perhaps s/l an or in acoa.

The patient has another orthopaedic surgeon in New York that has done a shoulder procedure (he says this in the HPI) and I can't tell if he's saying "an" or "in" acoa.

Thanks MT50.


Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu


Other related messages found in our database

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


No, it's either UNavailable or available but that part is clear
Subject: No, it's either UNavailable or available but that part is clear


Yes, she does for the most part speak clear English
Subject: Yes, she does for the most part speak clear English

and she did say Diflucan as the child has thrush.

Thanks
the carbo part was pretty clear
Subject: the carbo part was pretty clear

who knows though - it could be gabapentin. Maybe the doctor can't read the patient's handwriting or the patient made up their own name for it. I am just going to flag it, since it's an allergy.
Got a name of a body part or system? Is this a history or an op report? nm
Subject: Got a name of a body part or system? Is this a history or an op report? nm

s
No it was just part of the surgical history, so no content clues available. NM
Subject: No it was just part of the surgical history, so no content clues available. NM


patient history
Subject: patient history

Patient presents with history of ***Lemure*** disease?  s/l Lemirro


Patient with history
of femoropopliteal bypass graft.  Pulses palpable at s/l PTTP????  I am brain dead here.  TIA
Patient has history of anemia..sm
secondary to s/l "naneocrosis".  Any suggestions? 
Patient with history of cocaine use -
Subject: Patient with history of cocaine use -

A "bowl" a day?? TIA!
Elderly patient has history of
Subject: Elderly patient has history of

recurrent falls with ***icular ***ium syndrome.  Can't make out the mumble.  Thanks for any help!
patient has a history of s/l 'skiffy'
Subject: patient has a history of s/l 'skiffy'


patient has a history of being positive
Subject: patient has a history of being positive

for s/l ossa drugs.  Any help with this would be appreciated!


TIA! 


maybe patient's words for "colonoscopy?" If it's clear, I sm
Subject: maybe patient's words for "colonoscopy?" If it's clear, I sm

would put it in quotes and flag it.
Pregnant patient with a history of herpes, which was ...
Subject: Pregnant patient with a history of herpes, which was ...

~ s/l quiasen ~ throughout the pregnancy.  I think I know what it means, but I have no idea how to spell it.
Bet the PA is reading the patient's history sheet. sm
Subject: Bet the PA is reading the patient's history sheet. sm

9 times out of 10 it is  arthroscopy and meniscectomy.


Patient with history of s/l corporal monale. Thanks
Subject: Patient with history of s/l corporal monale. Thanks


Patient condition/medical history??? NM
Subject: Patient condition/medical history??? NM


His baseline is clear. ??clerins is 74. Cancer patient.
Subject: His baseline is clear. ??clerins is 74. Cancer patient.


Patient has IgM-positive s/l rabesia titer. He's usually so clear...
Subject: Patient has IgM-positive s/l rabesia titer. He's usually so clear...

nm
Meant...the patient probably wrote Lantrex, as he's very clear. Oh well.
Subject: Meant...the patient probably wrote Lantrex, as he's very clear. Oh well.

nm

med. help...dr lists like 18 medications for patient with no history given sm for 2 drugs pls.
Subject: med. help...dr lists like 18 medications for patient with no history given sm for 2 drugs pls.

A-mute-er-rone 200 mg daily


Carbetolol 27.5 mg twice a day.


The patient is a new patient being evaluated for pancytopenia.


patient is a 15-year-old girl with history of significant
Subject: patient is a 15-year-old girl with history of significant

s/l Norwood degenerative type disorder. ???
s/l patient denies history of *metachezia* or melena??? nm
Subject: s/l patient denies history of *metachezia* or melena??? nm

nm
No, this patient has a huge past history that varies
Subject: No, this patient has a huge past history that varies


Can you give us some info about the patient, i.e. past history, current complaint, etc?
Subject: Can you give us some info about the patient, i.e. past history, current complaint, etc?


patient pregnant with concomitant hemoglobinopathy denies *tagophasia nor does she have a history-sm
Subject: patient pregnant with concomitant hemoglobinopathy denies *tagophasia nor does she have a history-sm

of bleeding???  Thanks.
s/l Tiazine 2 mg at night. Patient with nack and back pain history
Subject: s/l Tiazine 2 mg at night. Patient with nack and back pain history

thank you
Patient has a history of s/l hyperpotassiumemia. I'm not finding any good hits on google and sm
Subject: Patient has a history of s/l hyperpotassiumemia. I'm not finding any good hits on google and sm

doc is known for making up his own words.
the patient actually is in for shoulder pain. This is just part of the PE and that's all he says
Subject: the patient actually is in for shoulder pain. This is just part of the PE and that's all he says.


patient's do get "constipation" with chemo, so that could be part
Subject: patient's do get "constipation" with chemo, so that could be part


Patient presents with a several year history of pain and this is s/l dedscious referable to the left
Subject: Patient presents with a several year history of pain and this is s/l dedscious referable to the left


That was the whole sentence. It was under the "assessment" part of the note. The patient was
Subject: That was the whole sentence. It was under the "assessment" part of the note. The patient was 48. Thanks for your help. Any other ideas??


Duralith is used to treat the manic stage of bipolar disorder (does the patient have a psych history
Subject: Duralith is used to treat the manic stage of bipolar disorder (does the patient have a psych history?)


The "Impression" part of the dictation reflects diagnoses; a patient can have many.
Subject: The "Impression" part of the dictation reflects diagnoses; a patient can have many.

.
patient had a four part fracture of the greater tuberosity and had a sl/ *semer* prosthesis?? nm
Subject: patient had a four part fracture of the greater tuberosity and had a sl/ *semer* prosthesis?? nm

nm
Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm
Subject: Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm

it out.  It is a foreigner.  He is saying it very fast.  History of abnormal petatrie functioning is what is sounds like to me.  I have no clue. 
history of colorectal history with metastasis to the liver and lymph nodes
Subject: history of colorectal history with metastasis to the liver and lymph nodes


It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(
Subject: It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(


Having a bad day apparently LOL - Thanks!
Subject: Having a bad day apparently LOL - Thanks!

s/l LV hypertrophy, "dopplofeech" is consistent with moderate diastolic disfunction


Apparently?
Subject: Apparently?

nm
could it be apparently?
Subject: could it be apparently?

xx


Apparently
Subject: Apparently

that is a phenomenon from sitting/lying too long. Morning stiffness or morning gel. :-)
Apparently...
Subject: Apparently...

bimelic is 2 limbs, monomelic only 1 limb, tetramelic would be all 4 limbs. :-)
LOL! Apparently so! And it's very scary.
Subject: LOL! Apparently so! And it's very scary.

x
sorry - apparently I'm not awake yet! (nm)
Subject: sorry - apparently I'm not awake yet! (nm)

x
Per FreeDictionary.com apparently both
Subject: Per FreeDictionary.com apparently both

go-round (ground)
n.
An argument; a go-around.
Apparently there are no possessives
Subject: Apparently there are no possessives

Either in signs or diagnoses. Thanks!
Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm
Subject: Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm

s
apparently patients sometimes refer to it as H1c. sm
Subject: apparently patients sometimes refer to it as H1c. sm

Try googling H1c, lots of hits  from (apparently) patients.  Also, wondered if slurring could make "an A1c" sound like your HUNC ? Also found at least one reference to histoplasmosis marker of H1C.


I was wrong - apparently the FDA recognizes it...
Subject: I was wrong - apparently the FDA recognizes it...

http://fda-drugs.legalview.com/legal-issue/laxilose


I just have never heard them dictate that ever....decades