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Correction: That should say median rothay of tongue. Thanks.

Posted By: NLE on 2009-01-06
In Reply to: Patient has a lesion on medial s/l rothay of the tongue. nm - NLE

Subject: Correction: That should say median rothay of tongue. Thanks.




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Patient has a lesion on medial s/l rothay of the tongue. nm
Subject: Patient has a lesion on medial s/l rothay of the tongue. nm


tongue is correct for describing the shape of the lesion. You'll hear a tongue of
Subject: tongue is correct for describing the shape of the lesion. You'll hear a tongue of

s
could it be median nerve
Subject: could it be median nerve

instead of radian.
Yes: median sternotomy ... Cox-Maze
Subject: Yes: median sternotomy ... Cox-Maze

.
median or ulnar nerve? nm
Subject: median or ulnar nerve? nm


Typing an op...median sternoscopy?
Subject: Typing an op...median sternoscopy?

can't find anything!!!  TYTYTY
median nerve distribution
Subject: median nerve distribution

:)
Patient with epicondylitis, median neuropathy. SM
Subject: Patient with epicondylitis, median neuropathy. SM

I am going to put her in for therapy, s/l steroid phoresis, and s/l fluid-o therapy to the elbow.
It's median sensory evoked potential....
Subject: It's median sensory evoked potential....

This test is dedicated to testing the median nerve.
median branch of calcaneal nerve? nm
Subject: median branch of calcaneal nerve? nm

 

Pt. with lumbar median branch radiofrequency ablation.
Subject: Pt. with lumbar median branch radiofrequency ablation.

radiofrequency needles were then inserted under fluoroscopic control down to the area of the
s/l mamillopapillary ligament at all 3 sites. The doc is pretty clear when he pronounces it, but I can't document it anywhere, not even in Dorland's.
my post was deleted - I had radial and median nerve -
Subject: my post was deleted - I had radial and median nerve -

nm
Median sternotomy created using s/l Realtrak retractor of the left anterior chest wall.


s/l drug re tongue
Subject: s/l drug re tongue

Advair (all the inhalers tend to cause fungus on tongue)
The word is on the tip of my tongue...
Subject: The word is on the tip of my tongue...

...not contrite?  contra...contra...you know...contradictive.  Still can't think of the word...Sorry! 


Mother tongue.
Subject: Mother tongue.

That would make sense.  Thanks!!!
deviation of the tongue
Subject: deviation of the tongue

I don't have a clue what this doctor is saying.  The patient has a history of ____ malformation with subsequent surgery.  Since surgery, she has had a tongue that deviates to the left.  It was crooked due to muscle atropy and ____.


The blanks sound like "guillare malformation."  It actually sounds like the doctor is saying G-R-E malformation.  At one point the G has a hard sound, but when he says it again he uses a soft G sound (like J).


Thanks for any help.


Tongue of tissue
Subject: Tongue of tissue

Anyone ever heard of a "tongue" of intestinalized tissue.  Pnt has Barret's and is having an EGD and twice I heard what sounds like "tongue" of tissue.


Sentences are -


1.  Preop diagnosis - Tongue of intestinalized tissue extending from the GE junction.


2.  On withdrawing the scope the patient's GE junction was regular with a tongue of pink tissue extending less than 2 cm.


I can't find it.  Thanks.


s/l hypercherphy tongue
Subject: s/l hypercherphy tongue

Posterior pharynx reveals a slightly hypercherphy tongue, enlarged uvula.


 


maybe hypertrophy?


hypertrophied tongue?
Subject: hypertrophied tongue?


thanks for the correction; new to this
Subject: thanks for the correction; new to this


He's probably saying correction....
Subject: He's probably saying correction....

can't be flat AND obese.
correction...LOL
Subject: correction...LOL

it is Dobbhoff...LOL
Thanks for the correction -
Subject: Thanks for the correction -

Found quite a lot with this spelling. Thanks.
correction
Subject: correction

Whoops! Meant low dose med...


Correction!
Subject: Correction!

Not all words would get the extra t. I think it depends on the vowels that precede the t. Getting, not geting. Sitting, not siting. Beating, for example, is an exception. My bad.
thanks for the correction. nm
Subject: thanks for the correction. nm


My correction
Subject: My correction

Read to quickly.


Here is the link:


http://www.jnjgateway.com/home.jhtml?loc=USENG&page=viewContent&contentId=09008b988103b84a&parentId=09008b988103b84a


Lilly


Correction
Subject: Correction

Actually we are in some cases responsible for the content.  It is the opinion of a nurse friend of mine that we shouldn't be since we are not in the chain of responsibility.  However, when a doctor dictates Synthroid 100 mg do you type what he says?  What if the BP is 210/100 and he says hypotension.  We don't type that if we don't want a poor audit and in some people's cases, poor audits equal pay cuts.  So yes we are responsible for pertinent medical content.  In my opinion if a doctor says something rude or ignorant, leave a blank and let him type it or rethink what he said.
FYI - Correction...actually [SM]
Subject: FYI - Correction...actually [SM]

I put risomelic in the note, but when I did a spell-check the spelling was rhizomelic (facial dysmorphism).
correction
Subject: correction

Sorry the complete DIAGNOSIS is RIGHT THUMB CMC JOINT OSTEOARTHRITIS
Thanks for the correction
Subject: Thanks for the correction


Correction
Subject: Correction

Actually, it's bi-temporal wasting.


Monique


Correction - sm
Subject: Correction - sm

When I listened again, I believe the s/l should be sis-ken.
Could it be Boniva once a month? instead of tongue?
Subject: Could it be Boniva once a month? instead of tongue?

x
Sorry, meant tongue not nose. nm
Subject: Sorry, meant tongue not nose. nm

!
Nevermind - he's chewing his tongue - but all he's saying is --
Subject: Nevermind - he's chewing his tongue - but all he's saying is --

nm
I would think maybe a tongue-tied pronunciation of
Subject: I would think maybe a tongue-tied pronunciation of

vasectomy.
Patient has a sore on her tongue...sm
Subject: Patient has a sore on her tongue...sm

consistent with s/l herpenula. Not saying herpes.
There is geographic muositis of the tongue.
Subject: There is geographic muositis of the tongue.

x
There is geographic mucositis of the tongue.
Subject: There is geographic mucositis of the tongue.

x
it could be calcium - with a slip of tongue??
Subject: it could be calcium - with a slip of tongue??


s/l "the tongue of a sheeto" that was.....
Subject: s/l "the tongue of a sheeto" that was.....

irritating that area.  (This patient has swelling and an ulcer.  Patient thinks that the "the tongue of a sheeto" was irritating that area and she thinks that is what caused the initial blistered area??????)


Any suggestions?


Thanks,


Abby


Correction - hyperostoses
Subject: Correction - hyperostoses

It's been a long night and it isn't over yet.
which she feels ARE associated with...my only correction.
Subject: which she feels ARE associated with...my only correction.

nm
Correction - it is A and D Ointment
Subject: Correction - it is A and D Ointment


Correction: Rheumatoid saying..."a.m. gel?"
Subject: Correction: Rheumatoid saying..."a.m. gel?"


Right testicle? Sounds like doc was tripping on tongue sm
Subject: Right testicle? Sounds like doc was tripping on tongue sm

because the way you have the sentence, he is being redundant.

Sorta, the right testicle on the right. I mean imagine, the right testicle is on the left?

I really do think the his train of thought was derailed.
This = xerostomia and tongue soreness. sorry if I do not include.
Subject: This = xerostomia and tongue soreness. sorry if I do not include.

a
Tongue-tied doc today--humulin N 15 mg s/m
Subject: Tongue-tied doc today--humulin N 15 mg s/m

I've been typing one of my usual docs today, and apparently she's having a bad RX Monday or something.  The latest one s/l Humulin N insulin 15 mg at bedtime.  The bummer for me is that I won't take a chance on a med, so look up stuff I already know.  I hate having to leave QA Markers on those I'm not 100% sure about, but I'd rather waste my time making sure (for the huge bucks I get) than to get it wrong.


Thanks!


Medication - "Cellpar" - Dissolves under tongue
Subject: Medication - "Cellpar" - Dissolves under tongue

Thanks