Discharge Dx - s/l Listening and failure of knee implants nm
Posted By: Nasuss on 2009-04-07
In Reply to:
Subject: Discharge Dx - s/l Listening and failure of knee implants nm
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You steered me on the right path...after listening and listening, It is sampling acquisition. LOL
Subject: You steered me on the right path...after listening and listening, It is sampling acquisition. LOL
:
breast implants
Subject: breast implants
Plastic doc.... Innomed or Innamed breast implants/??
No chance it could be "silastic implants"
Subject: No chance it could be "silastic implants"
could it? 
intranasal "redium" implants as a child. . TIA nm
Subject: intranasal "redium" implants as a child. . TIA nm
"Aridium" implants - following prostate cancer? TIA
Subject: "Aridium" implants - following prostate cancer? TIA
x
examples on Google of Zimmber IB2 implants
Subject: examples on Google of Zimmber IB2 implants
there are high and low dome patellar implants if you search. Might be looking for a brand name,
Subject: there are high and low dome patellar implants if you search. Might be looking for a brand name,
s
The knee is pain significant because she had a total knee replacement. Make sense? nm
Subject: The knee is pain significant because she had a total knee replacement. Make sense? nm
,,
X-ray of the knee shows arthritic change within the knee, but maintained s/l tibiofemoral stasis.
Subject: X-ray of the knee shows arthritic change within the knee, but maintained s/l tibiofemoral stasis.
Thanks :-)
Starting off great today...Rheo Knee prosthetic knee???
Subject: Starting off great today...Rheo Knee prosthetic knee???
Knee x-ray: s/l RATTY knee joint erosions? NM
Subject: Knee x-ray: s/l RATTY knee joint erosions? NM
MRI of knee. Semimembranosus s/l pes-dens-a-ri-nus region of the knee.
Subject: MRI of knee. Semimembranosus s/l pes-dens-a-ri-nus region of the knee.
:-)
Not sure because I am not listening
Subject: Not sure because I am not listening
to what the DR is saying but maybe radiolucent? otherwise I would leave it out if not sure
After listening again...
Subject: After listening again...
I am sure that is what he is saying. Big Big Thank you.
No, tried listening for that. Thank you!
Subject: No, tried listening for that. Thank you!
nm
After listening again
Subject: After listening again
it does sound closer to your suggestion then anything else I could come up with. I mainly transcribe for this man's partner and only work for him occasionally, so I have learned at least a little how to transcribe mumbles. Thanks for your help.
After listening again
Subject: After listening again
I am sure you are right. Thanks also for "nasolabial", today is just not my day.
I am listening again now and I just
Subject: I am listening again now and I just
cannot hear p.c. It is now sounding like PARIS daily. He is also saying metformin 1000 mg PARIS b.i.d. and Lipitor 10 mg PARIS daily.
This guy is driving me nuts.
Thanks for your help. I just am too unsure, so I will have to send through and see what my QA comes up with.
Thanks so much. After listening again,
Subject: Thanks so much. After listening again,
(she is an ESL), she is not saying the super part.
thank you both!! (after listening again: Hi-Lo) NM
Subject: thank you both!! (after listening again: Hi-Lo) NM
nm
After listening again I believe that is what he is saying, thanks.
Subject: After listening again I believe that is what he is saying, thanks.
S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
Subject: S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
:-)
Upon listening without headphones...
Subject: Upon listening without headphones...
It sounds like he is saying:
My impression is that she has failed her left carotid endarterectomy...
Does this make sense??
Thanks!
Listening to it again, it sounds more like...
Subject: Listening to it again, it sounds more like...
"the tic was created" Could he be talking about something with the diverticulum? He slurs the sentence...it's driving me nuts.
Angie
after listening again and again ... it is resumes. Thanks nm
Subject: after listening again and again ... it is resumes. Thanks nm
After listening a few more time...
Subject: After listening a few more time...
She had a (______) abdomen, mild pneumonia, and CAT scan nonspecific from freeair or obvious abdominal catastrophe. She was treated with Zosyn antibiotics and surgical consultation, as well as respiratory consultation for ventilatory management.
thanks; in listening to that, i found it - sm
Subject: thanks; in listening to that, i found it - sm
he was stuttering: putem, potem, "putamen"
listening again it isn't serum, it is urine. Still looking for R&S. Thanks
Subject: listening again it isn't serum, it is urine. Still looking for R&S. Thanks
I tried listening for that, sure didn't sound like it Thank you
Subject: I tried listening for that, sure didn't sound like it Thank you
s
Now it sounds more like ' lois' - I have been listening to
Subject: Now it sounds more like ' lois' - I have been listening to
Thanks, but not sure, I keep listening to it and now I think she might be saying "seeker needle&#
Subject: Thanks, but not sure, I keep listening to it and now I think she might be saying "seeker needle". nm
xx
Listening to it a different way, that is it. Good call! Many Thanks.
Subject: Listening to it a different way, that is it. Good call! Many Thanks.
nm
So true! I forget to try and think like them when listening.
Subject: So true! I forget to try and think like them when listening.
Maybe that's what he means, but I'm listening now and s/l tracking.
Subject: Maybe that's what he means, but I'm listening now and s/l tracking.
nm
On listening again, I think she might be saying oncocytic toenails
Subject: On listening again, I think she might be saying oncocytic toenails
Thank you both. I'm listening again. He's clear - just don't know how to type it - A1A or
Subject: Thank you both. I'm listening again. He's clear - just don't know how to type it - A1A or A1a. nm
I am listening over and over again and he says craniovascular, it is driving me nuts!
Subject: I am listening over and over again and he says craniovascular, it is driving me nuts!
Thanks. I was listening for him to say thecal, but he didn't, so I was unsure.
Subject: Thanks. I was listening for him to say thecal, but he didn't, so I was unsure.
got it... BI-RADS 1. It helps to know what you listening for. Sorry guys I am a new MT.
Subject: got it... BI-RADS 1. It helps to know what you listening for. Sorry guys I am a new MT.
NM... after listening the billionth time I think it is Mature cataract.
Subject: NM... after listening the billionth time I think it is Mature cataract.
Arcus senilis is correct. Thanks. But it's not cooperate, I tried listening to it before already
Subject: Arcus senilis is correct. Thanks. But it's not cooperate, I tried listening to it before already.
Renal failure...sm
Subject: Renal failure...sm
He subsequently developed a number of problems including pneumonia with ongoing respiratory failure. He developed worsening renal function and eventually progressed to renal failure, allouric.
This patient had multisystem failure and eventually died.
cellutory failure?
Subject: cellutory failure?
The patient is hospitalized for myasthenia gravis, he was intubated for progressive **cell-u-tory** failure. I cannot verify this. Can anyone help please? Thank you
liver failure
Subject: liver failure
tense ascites and caput medusae
Pt has renal failure...nm
Subject: Pt has renal failure...nm
x
Smart failure?
Subject: Smart failure?
PMH: Significant for heart disease, s/l smart failure and some lung disease as well.
heart failure
Subject: heart failure
It could be. If there is failure to progress. sm
Subject: It could be. If there is failure to progress. sm
I had to have an emergency C-section and they ruptured my membrane. They used this crochet hook looking thing. So it could possibly be assisted or even abrupt.
??? renal failure...
Subject: ??? renal failure...
Due to _________ renal failure, a hemodialysis catheter was placed. Sounds like "procetal" Help, please.
Question on liver failure. sm
Subject: Question on liver failure. sm
Patient comes back to see me today following her admission for significant hyperglycemia, dehydration, as well as transinic hepatic failure.
Another sentence is same report: Patient comes back to see me today following her chemoembolization. Is still having some transinic hepatic dysfunction with elevated bilirubin.
hyperchronic renal failure
Subject: hyperchronic renal failure
abdomalise for hyperchronic renal failure with uremia
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