Consult - I think you are right! It just sounds weird....TU
Posted By: bizzyfingers on 2007-04-16
In Reply to: This sounds strange, but could it be--sm - nn
Subject: Consult - I think you are right! It just sounds weird....TU
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OK, this sounds weird
Subject: OK, this sounds weird
Patient is scheduled for an Afro? due to critical limb ischemia 
neuro consult, neuroconsult, or neural consult?
Subject: neuro consult, neuroconsult, or neural consult?
Confused about which is correct, whether it should be one word or two. Thanks in advance. "Dr. Shanmugam has seen the patient for neuro consult."
Reason for consult: s/l Managed medical consult
Subject: Reason for consult: s/l Managed medical consult
Does this sound right? The report didn't really help me much. The person is there for vent weaning after a fracture.
Set consult since it's a fracture? Or set up consult? NM
Subject: Set consult since it's a fracture? Or set up consult? NM
nm
too weird! sm
Subject: too weird! sm
The very next report I got after this one, from a different doc, different place, he says "microfracture" which I think must be what the first one was talking about (she loves the abbreviations). So strange that I've never heard this term, but I get it in 2 consecutive reports!
Yes, weird indeed. When he said it
Subject: Yes, weird indeed. When he said it
I said WHAT?? He is very, very clear too. I will send it in with a blank and see what QA says. Thanks for your help.
That is weird!
Subject: That is weird!
If it's not a verbatim account, I'd use "medications" and "detoxification". I'd think they'd have a hard time picking a fight with those! (Plus, it's more characters!)
Me, too. Looks weird.
Subject: Me, too. Looks weird.
Too weird
Subject: Too weird
my editor and I were just discussing this yesterday. I was always taught to put what is dictated, but she said to always expand it - - now, I am confused.
That is weird
Subject: That is weird
because Desonide is not to be used in the eyes.
it's a consult
Subject: it's a consult
For GI bleed. Doing the impression, and doc is giving the possibilities.
s/l sep consult
Subject: s/l sep consult
Dr. will do a s/l sep consult for preop clearance
. . . This is for a patient with a hip fracture
Consult
Subject: Consult
 I am working on a consult. In the impression on the last diagnoses, it sounds like the MD is saying "your diagnosis". He is a notorious mumbler... Have any of you heard of this before? Thanks in advance.
GI consult
Subject: GI consult
Could it be C. difficile positive stool or guaiac positive stool?
s/l CDU consult
Subject: s/l CDU consult
This is a header. s/l CDU CONSULT CONSULTANTS: Does this make sense being a OB consult? I've never heard of this but sure sounds like it.
s/l OMS consult
Subject: s/l OMS consult
"Patient has left facial cellulitis, most probably secondary to tooth abscess." What would OMS stand for?
consult please?
Subject: consult please?
I have always done cryo'd but I have always wondered if that is correct!
Thanks!
Yes, same here. Looks like it might have stopped though. Weird!
Subject: Yes, same here. Looks like it might have stopped though. Weird!
.
Thanks... It's not in there. Must be a weird one, I guess!
Subject: Thanks... It's not in there. Must be a weird one, I guess!
nm
Weird question?
Subject: Weird question?
I have a personal question to ask and I don't know if this is a problem or not. For the past few weeks my left foot will occasionally get so cold I can't stand it and the rest of my body is fine. This only seems to happen when I am typing. My right foot is my pedal foot. My mother had surgery to remove a blood clot from her arm (she almost lost the arm) many years ago. Is this something that I should be concerned about? Does anyone else ever have this problem?
weird question here :)
Subject: weird question here :)
I am unsure if I have the spelling correct for this word! It is talking about the patient having pink eye. He says he has to clear it out because it is crusty and pusy. I do not kno of any other way to spell pus other thank this. It just looks different. Please let me know. Thanks.
it looks weird to me too...I always change it to...
Subject: it looks weird to me too...I always change it to...
it's not necessarily correct - but I think about pussy cats and so the *eye is crusty and has pus* is what I'd put. 
Weird!! we BOTH started it with DU....
Subject: Weird!! we BOTH started it with DU....
Weird phrase
Just had a doc say: Lungs clear to IPPA. It's a first for me, but Google had hits for it, so I'm sure it's common. But how odd to say during the physical exam that lungs are clear to INSPECTION, palpation, percussion and auscultation.
I think of looking carefully when I hear inspection. So it sounds like he somehow took a peak at her lungs. Was he using a bronchoscope for this physical exam (no way - because he'd have documented that carefully so he could charge for it, LOL).
Now I'm off to check and see what OneLook says about inspection. Oy.
Hey birdlady - what are those weird
Subject: Hey birdlady - what are those weird
Thanks for the laughs. I kept trying to hear 34 weeks, but it was pretty clear he was saying 24 weeks. I ended up flagging it as a discrepancy and sent it in to QA for them to figure out. Thanks for trying, though!
That should be Ƌ.1'...don't know where that weird symbol came from...nm
Subject: That should be Ƌ.1'...don't know where that weird symbol came from...nm
*
"MSM consult" - what is MSM?
Subject: "MSM consult" - what is MSM?
x
Podiatry consult.
Subject: Podiatry consult.
Patient has an ingrown toenail.
ASSESSMENT: This is a 75-year-old female with *s/l* onycocryptosis.
I'm lost, please help!
Could he mean separate consult?
Subject: Could he mean separate consult?
s/l help please - oncology consult
Subject: s/l help please - oncology consult
Tru-Cut needle biopsy of the left breast mass, on 11/16/07, showed invasive ductal carcinoma, Nottingham grade 2, ER/PR positive; ER greater than 90%, PR 70%; HER-2/neu 2+ and __________ test is pending.
The blank sounds like "dean an blick sue-cation"...... anyone??
Doc says it again in the IMPRESSION... only this time is sounds different....
Invasive ductal carcinoma, grade II, ER/PR positive. HER-2/neu is still indeterminate and ____________ test is pending.
This time it sounds like "dean ab lou few ation"....
BU/slurry consult
Subject: BU/slurry consult
This is for a patient with an ORIF surgery for a dislocated hip and fracture. The nurse states a BU was placed. Does anyone know what BU would stand for? And following surgery the patient had a slurry ? consultation. Any ideas on that one?
ID consult question
Subject: ID consult question
Other ros negative for s/l "EMNS" criteria. Very, very poor quality dicktation
I know...lots sounded very weird. :) Thanks. NM
Subject: I know...lots sounded very weird. :) Thanks. NM
d
Yes...looks weird, but verified in my Stedman's. NT
Subject: Yes...looks weird, but verified in my Stedman's. NT
d
Kind of a weird way of putting it but SM
Subject: Kind of a weird way of putting it but SM
To amass something is to collect it or accumulate it. I have amassed a large collection of reference books over the years.
Too weird...when I opened this first time....sm
Subject: Too weird...when I opened this first time....sm
I only had the "subject" sentence and not the last 2 sentences. Am I crazy and somehow I just didn't see them...or is that possible somehow???
I promise, I'm not crazy...But this is a weird one! SM
Subject: I promise, I'm not crazy...But this is a weird one! SM
I know, it sounds crazy... This is a new urology account for me, and the doc is REPEATEDLY saying the following, taken directly from the notes:
(Problem of interstitial cystitis and pelvic pain) -- 'She did not use the Valium vaginal suppositories. She had days when she felt quite well....'
(Problem of IC again) -- 'Prescribed Valium 10 mg vaginal suppositories...'
(Problem IC and pelvic floor tension myalgia) -- She stopped her Valium vaginal suppositories, which she states are at a dose of 10 mg of Valium with 25 mg of amitriptyline and has felt much better since.
I can't find a Valium vaginal suppository anywhere, people! Any of you know about anything like this? I imagine that if you've got a stressed vagina, that would be as good of a cure as any, but I haven't heard of it yet. Any ideas?
It's weird because in his record, it's "hypernephrosis" and .....
Subject: It's weird because in his record, it's "hypernephrosis" and .....
I just had to put abdominal pain. 
Seems weird to do something middle of the night. Maybe 2 q.a.m.? What
Subject: Seems weird to do something middle of the night. Maybe 2 q.a.m.? What
s
That's really weird looking. Should be 2:2:2 solution (try w/o quotes?)
Subject: That's really weird looking. Should be 2:2:2 solution (try w/o quotes?)
x
Dont see it in caps anywhere. Weird. Seems like it should be!! nm
Subject: Dont see it in caps anywhere. Weird. Seems like it should be!! nm
According to my Griffith's 5-minute consult
Subject: According to my Griffith's 5-minute consult
one symptom is listed as purple "striae" on the skin. Since it appears your second word is grouped wiht labs he wants done, some lab tests listed are for urinary cortisol, plasma cortisol, neutrophilia, lymphopenia, hyperglycemia, hyperlipedemia, hypokalemia. Anything there ringing a bell?
GI consult, reason for consultation
Subject: GI consult, reason for consultation
All I know so far is that the patient is being seen in GI consultation and she is combative and age 90+.
REASON FOR CONSULTATION sounds like:
"Aerfo biddy bosdus stil."
I'm thinking
Here for _____ stool.
but still clueless. He is ESL, probably Indian.
No info to tell, just a consult of many things
Subject: No info to tell, just a consult of many things
The consult by the neurologist states that sm
Subject: The consult by the neurologist states that sm
the s/l partodyskinesia may be a slow progress. Also later in the diagnosis, doctor states "s/l Partodyskinesia secondary to anticholanergic drugs". Any help would be appreciated. Thanks :)
Nephrology consult in pregnancy
Subject: Nephrology consult in pregnancy
s/l trochrommina (laboratory testing)
kynephness/hemoccult consult
Subject: kynephness/hemoccult consult
Could you give a little more information? Where there any other symptoms relative to the stool character? Any other positive findings in GI tract (ROS, physical exam or lab)? Diagnosis? What was the exact content surrounding the patient's "consult"ing the Hemoccult card? In a long stretch, an MD might "consult" the Hemoccult card by viewing it directly, but the patient is smearing it with stool and submitting it.
Cardiac consult for nodule
Subject: Cardiac consult for nodule
There was no s/l medius and lefinopaptine? No other hypermetabolic activity in the lung.
It's good to see MTs rebelling about the extremely weird
Subject: It's good to see MTs rebelling about the extremely weird
second edition of the BOS. They should go back to the first edition, but just add the necessary change about type II diabetes changing to type 2 diabetes. Medical record style guides should not completely change every three years. Doctors have never heard of the BOS for goodness sakes.
I agree, maybe it is a weird way of splitting that 70 dosage?
Subject: I agree, maybe it is a weird way of splitting that 70 dosage?
There is femhrt (looks weird, bug in drug index)
Subject: There is femhrt (looks weird, bug in drug index)
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