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Darn!! I also thought it might be a nutrition drink, something -cal. Sorry. nm

Posted By: Txczech on 2009-01-30
In Reply to: Thanks. I had this several months - sm

Subject: Darn!! I also thought it might be a nutrition drink, something -cal. Sorry. nm




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Have a lovely holiday for yourself, eat, drink, nap...ahhh, just the thought of it, huh?
Subject: Have a lovely holiday for yourself, eat, drink, nap...ahhh, just the thought of it, huh?


Hey I get that when I drink too many Corona's!
Subject: Hey I get that when I drink too many Corona's!

lol, couldn't resist.
Could it be instead of a pill once a day, a drink once a day.
Subject: Could it be instead of a pill once a day, a drink once a day.

Medifast comes in a shake that can be taken in conjunction with a diet?
Is this an alcoholic drink? Could be
Subject: Is this an alcoholic drink? Could be

dark guinness.
oops should say "Which she will drink..etc. nm
Subject: oops should say "Which she will drink..etc. nm

x
They drive ya to drink! Glad that's over with! :) nm
Subject: They drive ya to drink! Glad that's over with! :) nm

s
some sort of alcoholic drink?
Subject: some sort of alcoholic drink?

In the social history of this consult, the dictator states the patient drinks a glass of wine daily and an occasional s/l Bailey's with her coffee?  No idea what this could be, and my Google search has proved fruitless thus far!
Darn, I bet that's right. Too late now. LOL
Subject: Darn, I bet that's right. Too late now. LOL

Next time, I'll know better. It makes perfect sense.
I am an oldie also. My own darn QA!! sm
Subject: I am an oldie also. My own darn QA!! sm

Glad to help. I take the Monthly Prescribing Ref and it also has good info in it for only $45 a year.
Darn. Hard one. sm
Subject: Darn. Hard one. sm

spicule bone formation? WAG here.


There can be a wrinkle in the callus formation? All I can think of. Sorry.


s/l nutrition
Subject: s/l nutrition

Physical Examination: Average built and _____ s/l "nutrition"
Darn it!! I put "millimeters of area"
Subject: Darn it!! I put "millimeters of area"

It seemed to make sense since he was evacuating a blood clot and I thought maybe he was estimating the size of the clot.  Thank you for answering... next time I will know.
Oh darn! I already sent the report with insheathed...sm
Subject: Oh darn! I already sent the report with insheathed...sm

because insheathed was in spell check. Oh well! Next time I will know. Thank You for taking the time to respond :)
Nutrition support
Subject: Nutrition support

A patient who is 65 years old is cachectic and weak would benefit from nutritional support so is started on (   ?   ) one can a day.  It sounds like Pulmicare. 


tendon nutrition? sm
Subject: tendon nutrition? sm

possibility of a tendon rupture if there is chronic inflammation around the tendon or even if there is "tendon nutrition" from the screw.
MTHANDED and LIL, QA had no answer, sent a blank. darn it.
Subject: MTHANDED and LIL, QA had no answer, sent a blank. darn it.

x
maybe FEN for fluid, electrolytes, nutrition....
Subject: maybe FEN for fluid, electrolytes, nutrition....

then giving electrolyte values.
nutrition support s/l -magic cup-
Subject: nutrition support s/l -magic cup-

Adult female patient, malnourished.  On discharge med list:  1.  ProCel 1 packet daily.  2.  s/l -magic cup- 1 p.o. nightly.  It sounds pretty clear but just can't find this!   TIA!!


PatPey, thanks for that nutrition site!
Subject: PatPey, thanks for that nutrition site!

That little tip of yours has already proven tremendously helpful for me!  Thanks!    
Maybe bowels AND nutrition running together? nm
Subject: Maybe bowels AND nutrition running together? nm

s
FLUIDS, ELECTROLYTES AND NUTRITION:
Subject: FLUIDS, ELECTROLYTES AND NUTRITION:

x
Fluids, electrolytes, nutrition
Subject: Fluids, electrolytes, nutrition


To quaff applies to beverages - a drink taken with great gusto and speed. Not
Subject: To quaff applies to beverages - a drink taken with great gusto and speed. Not

s
you're pretty darn close, it's "coccygeal" .nm
Subject: you're pretty darn close, it's "coccygeal" .nm


YW, it's hard to figure out those darn bacterial names sometimes :) nm
Subject: YW, it's hard to figure out those darn bacterial names sometimes :) nm


FEN..just a guess: fluid, electrolytes and nutrition?
Subject: FEN..just a guess: fluid, electrolytes and nutrition?


yup! Getting a blank! He talks so darn fast too, and that is not helping. grrrr
Subject: yup! Getting a blank! He talks so darn fast too, and that is not helping. grrrr


PT with OCD..was able to describe a lot "thunning" rituals. (pretty darn clear)
Subject: PT with OCD..was able to describe a lot "thunning" rituals. (pretty darn clear)

Our records indicate that the patient was having rituals that would last 9 to 10 hours a day. She was able to describe a lot of __* rituals, a lot of germ phobia rituals, and high anxiety.
maybe Vitaneed, sm for link to enteral nutrition formulas
Subject: maybe Vitaneed, sm for link to enteral nutrition formulas

http://www.drugs.com/cons/vitaneed.html
Vivonex: Enteral nutrition formulas are used as nutritional replacements for patients who are unable
Subject: Vivonex: Enteral nutrition formulas are used as nutritional replacements for patients who are unable to get enough nutrients in their diet


it is not ESL and I thought of warts but thought the same thing and it does not sound like a "t&#
Subject: it is not ESL and I thought of warts but thought the same thing and it does not sound like a "t"


I second your thought Dee. :) nm
nm
that is what I thought but. . .
Subject: that is what I thought but. . .

She says it twice in the report and pronounces it like it rhymes with cube or tube and sound like she says pube, so that is what made me think it was short for pubic.  Here is the other sentence: 


He had a high (pube) on the left and an elevate ASIS on the left in a sheer pattern.


 


 


That is what I thought, but. .sm
Subject: That is what I thought, but. .sm

I have to blank it since he is not saying the whole word including in the diagnosis.  He just say pila or pyelo.
Thank you. That is what I thought it was.
Subject: Thank you. That is what I thought it was.

x
Just thought I would
Subject: Just thought I would

glycopyrrolate (gly·co·pyr·ro·late) (gli”ko-pir´o-lât) [USP] a synthetic quaternary anticholinergic used as an antispasmodic to help treat peptic ulcer and other gastrointestinal disorders, a preanesthetic antisialagogue to decrease salivation and respiratory secretions, and an antiarrhythmic to counteract vagal inhibitory reflexes during induction of anesthesia and surgery; administered orally, intramuscularly, or intravenously. Called also glycopyrronium bromide.


that's what i thought. thank you.
Subject: that's what i thought. thank you.

x
my first thought was /sm
Subject: my first thought was /sm

"midline raphe" -- but looking it up, usually refers to area around mandible/jaw, so not sure if it would fit or not.


Thanks a ton. Thats what I thought too
Subject: Thanks a ton. Thats what I thought too


I thought that first too, but I don't...
Subject: I thought that first too, but I don't...

think that's it, but thanks!
i just had a thought....
Subject: i just had a thought....

that pic COULD be worse......he could be smiling... wouldn't that be totally freaky!!!


Exactly what I thought......nm
Subject: Exactly what I thought......nm


That's what I thought....Thank you!!
Subject: That's what I thought....Thank you!!

/
This is just a thought, but I have a doc who says--sm
Subject: This is just a thought, but I have a doc who says--sm

mag scan, for magnified scan. probably not it, but trying to help out. good luck.
At first I thought it was someone having a bad day...
Subject: At first I thought it was someone having a bad day...

then I saw the rest of the questions later on.  Won't happen again from me!
thought so
Subject: thought so

Just common sense, but I think this is an offshore MT anyway - hence the MD's name in the post.
thought of something
Subject: thought of something

could he be saying "formalized" meaning formalized studies/tests. Just a shot in the dark
I just had a thought of perhaps maybe
Subject: I just had a thought of perhaps maybe

it could be "appropriate" flouride was also administered? Just a thought. Probably way off base.
1st thought
Subject: 1st thought

That's what I thought to, but it sounds like localized. The doctor does stumble over this one and then i hear localized.
Ahhhhhh!!!
on second thought
Subject: on second thought

forget it - i dont need this aggravation. I'll figure it out myself.
I thought that, too, but not 100% sure.
Subject: I thought that, too, but not 100% sure.