Confused

• in HPI s/l midsings - Tracey
  • sorry, it sounds like midsings nm - Tracey
    • got it! MOOD SWINGS. thanks anyway nm - Tracey
      • ROFL! - Michelle Anderson
        • not sure what that means.. but 1st time dictating her. nm - Tracey
    • Rovsing's??? - NM
  • Confused - Michelle Anderson

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I thought I saw my post come up four times, but now I don't see it at all, so I'll ask one more time.  Hopefully this works and I haven't been too annoying! 

Okay, so the patient has bilateral otitis externa "and is having a lot of swelling in the [s/l "D man"] and in the nasal mucosa.  I injected it with Depo-Medrol and Marcaine and put him on Flonase."

I feel like I should be catching this but I'm stumped!  Any ideas?

I was transcribing last night on a woman and the doc said quite clearly, twice, that she was post vasectomy.  Okay, I figured that maybe this female once was a male.  However, by the end of the report I knew that this was not the case.  Anyway, I left a QA marker as I figured what the doc said was incorrect and I did not want to be the one to type that information down.  I checked on the report today and QA had put in vasectomy, just as I thought he said. 

Okay, so my question is:  can women get vasectomies??  I thought it was impossible, but after yesterday my confidence is shaken.  Women don't have the vas for the ectomy.  If I am correct, then why would QA leave something so erroneus in a report?  If it were me I would have left it blank. 

Please, someone correct me if I am totally wrong.   

track (track) (trak)  1. the path along which something moves, or the mark left by its movement.  2. of pus, to follow the path of least resistance through the tissues, e.g., along an intermuscular septum.

tract (tract) (trakt) [L. tractus]  1. a region, principally one of some length.  2. a collection or bundle of nerve fibers having the same origin, function, and termination (tractus [TA]); see also under bundle, fasciculus, and lemniscus.  3. a number of organs, arranged in series, subserving a common function.

This is according to Dorland's online dictionary.  I too get confused but I think it should be track. 

I usually have a hard time trying to figure out which one is best to use and sometimes just have to take a best guess.  Anyone have any "tricks" to figure this out on a case-by-case basis?  Thanks!

Doc says the patient was given a stool ....s/l wax... to complete and return. 

The only thing I have heard of is like stool cards but he is not saying cards.  Any suggestions?

Thanks.

Doc says sponge, lap and needle counts were correct?  Isn't the lap the sponge (laparoscopic sponge)?  Would you transcribe sponge, lap, and needle counts were correct or sponge (lap) and needle counts were correct?  I hate when something so silly trips me up like this!

You can use semicolon. In 2004, 225 pounds; 2005, 242 pounds; 2006, 267 pounds; 2007, 258 pounds; 2008, 255 pounds.

Is this useful?

don't know what exactly you want. 

but yes there are bloody bowel movements....and occult bleeding would be bleeding from somewhere, and in your case for your question would be the bowel...hemoccult-negative stool test would be no blood in the bowels.

Dunno what it is you want though....

etc. Anyone have a good website or way to remember whether to use Roman numerals or just numbers? My tired ol' head would appreciate it! Thanks to you all.