Doesn't fit but TY anyway. I'll just flat it. NM
Posted By: hi on 2008-10-13
In Reply to: Per Stedman's there is a - sm
Subject: Doesn't fit but TY anyway. I'll just flat it. NM
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flat doesn't make sense
Subject: flat doesn't make sense
I never heard that term used. You can't hear "afebrile" ?
I tried to hear ICU, but doesn't sound anything like it. I'll QA.
Subject: I tried to hear ICU, but doesn't sound anything like it. I'll QA.
I'll do a search with that in mind. Unfortunately, he doesn't say anything more in that regard
Subject: I'll do a search with that in mind. Unfortunately, he doesn't say anything more in that regard. sm
Before the s/l sentence, he says:
He can toe-and-heel walk. Tandem walking is somewhat off. Reflexes are diminished in the upper extremities, 1+ or trace at knees and at ankles. His motor power is generally full throughout upper and lower extremities. The right hand intrinsic muscles seem to be significantly affected and were about 3+/5. There is some atrophy of his first web space, which may be related also to significant subluxation of the thumb. The light touch sensation is generally okay.
His past surgical history is stent placement in 2004, status post cervical laminectomy/fusion.
Doctor is placing on Neurontin to see if he gets response regarding the paresthesias he's experiencing.
If this gives anyone a clue, I appreciate it a lot.
Doesn't sound like it. Definitely sounds like inedema. I'll have to flag it for him. Thanks
Subject: Doesn't sound like it. Definitely sounds like inedema. I'll have to flag it for him. Thanks!
He is a mush-mouth in general.
doesn't sound like BUN, she doesn't spell out the letters, it just sounds like "win". sm
Subject: doesn't sound like BUN, she doesn't spell out the letters, it just sounds like "win". sm
Her whole sentence is: Chemistries show a mild increase in the s/l WIN (22) suggestive of mild dehydration and a mild increase in calcium (10.2)
He doesn't give it. He's flying, but doesn't s/l fentanyl.
Subject: He doesn't give it. He's flying, but doesn't s/l fentanyl.
nm
flat? nm
x
Could he be saying flat?
Subject: Could he be saying flat?
somewhat flat in affect? sm
Subject: somewhat flat in affect? sm
many patients with prolonged pain syndromes are depressed and have flat affects.
Flat Affect
Subject: Flat Affect
It's not mood, that was first thought. I think he's making something up, he does that frequently, drives me crazy! Thanks, anyway.
slightly flat
Subject: slightly flat
flat affect? nm
Subject: flat affect? nm
flat disks bilaterally
Subject: flat disks bilaterally
x
Could it be just as you said 'somewhat flat affect" - sm
Subject: Could it be just as you said 'somewhat flat affect" - sm
this is talking about mood, usually in a mental status exam.
somewhat flat affect is correct.
Subject: somewhat flat affect is correct.
.
don't know but flat effect is also a cognitive....nm
Subject: don't know but flat effect is also a cognitive....nm
Pes Planus (flat footed)?
Subject: Pes Planus (flat footed)?
flat foot fusion?? sm
Subject: flat foot fusion?? sm
DIAGNOSIS: Left hallux valgus and flat foot.
STATUS: Post s/l flat foot or flapless fusion and Akin osteotomy with calcaneal bone graft on 12/17/08.
Got it . . . flat Kiwi cup vacuum
Subject: Got it . . . flat Kiwi cup vacuum
flat without firm nodularity ??? (nm)
Subject: flat without firm nodularity ??? (nm)
I think there are flat and "fluted" drains
Subject: I think there are flat and "fluted" drains
flat affect, mood congruent.......nm
Subject: flat affect, mood congruent.......nm
nm
I would guess flat feet, but that isn't very close to your s/l, sorry.
Subject: I would guess flat feet, but that isn't very close to your s/l, sorry.
A penis is flaccid, a prostate is flat. nm
Subject: A penis is flaccid, a prostate is flat. nm
nm
Maybe AFOF - anterior fontanel open and flat...?
Subject: Maybe AFOF - anterior fontanel open and flat...?
x
FRS is a brand name of screw in the Sted's. Is it said more than once? Could even be flat head,
Subject: FRS is a brand name of screw in the Sted's. Is it said more than once? Could even be flat head,
s
yes, I think it's like a flat piece of disk sticking out like a shelf
Subject: yes, I think it's like a flat piece of disk sticking out like a shelf
x
Put under GENERAL looking at face and commenting on findings, flat affect. nm Ta
Subject: Put under GENERAL looking at face and commenting on findings, flat affect. nm Ta
.
During a tonsillectomy states tonsils removed using s/l a flat bovie?? Thanks
Subject: During a tonsillectomy states tonsils removed using s/l a flat bovie?? Thanks
Thank you - I'll think I'll do that instead of the abbreviations. - NM
Subject: Thank you - I'll think I'll do that instead of the abbreviations. - NM
NM
infant exam? AFOF is anterior fontanelle open and flat. sm
Subject: infant exam? AFOF is anterior fontanelle open and flat. sm
Found it in my old Neil M. Davis abbrev book.
The galea is a flat, thin, fibrous membrane covering the crown of the head.
Subject: The galea is a flat, thin, fibrous membrane covering the crown of the head.
S/L Luke? Pt has flat affect, Luke congruent?
Subject: S/L Luke? Pt has flat affect, Luke congruent?
I'm coming up blank on this one.
sorry - typo - flat affect.....AFFECT *lol*...nm
Subject: sorry - typo - flat affect.....AFFECT *lol*...nm
S/l, but doesn't fit (sm)
Subject: S/l, but doesn't fit (sm)
Nobody's laughing :) This wouldn't exactly fit, but Kleinert-Kutz is in my ortho book, but it's a bone cutter/rongeur/rasp/forceps, etc. Could you make that fit?
Probably doesn't fit but...sm
Subject: Probably doesn't fit but...sm
Hill-Sachs defect or dislocation Doesn't make sense, but this came to my mind.
Doesn't say anything about
Subject: Doesn't say anything about
drugs. Diagnoses are Major depressive disorder, single, mild, with previous history of psychotic features and suicidality; nonrecurrent since the visit of 6/23/06. PCRP with mother improving a great deal since last visit and semi-concurrent with mother’s declining health status. Rule out learning disorder not of reading type.
Thanks - it doesn't say anything, so...
Subject: Thanks - it doesn't say anything, so...
I know we need to defer to the BOS, which is MQ's basic style, so I put 3. Funny how it really didn't occur to me until today, seeing it as "3" in ASR.
Thanks.
No it doesn't...
Subject: No it doesn't...
as they are 3 different procedures that have nothing to do with each other. I would separate them as above. I guess you could have a D&C at the same time as an appy but not 3.
Doesn't mean
Subject: Doesn't mean
that it's not a "made up" word.
No.........it doesn't. Maybe this guy
Subject: No.........it doesn't. Maybe this guy
is mealy mouthed. Thanks for the help!
Thanks!! Maybe my book is too old, doesn't have it. nm
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Doesn't sound like any of those.
Subject: Doesn't sound like any of those.
He's got me stumped.
just because it doesn't matter to YOU
Subject: just because it doesn't matter to YOU
and google is NOT the authority on when to use which word. You can find errors all over the internet and I don't consider google a research tool unless it takes me to a manufacturer web site so I can find a copyrighted spelling.
A good dictionary and solid reference materials are needed. Additionally, the OP did not say the client wanted it one way or another so your bringing that into the equation makes you look as though you are trying to justify what you do, and I really do not care what you do. You are only trying to deflect the direction of the discussion to one in which you _win_ and you try to make me _lose_. The people here who lose are the ones who still don't know the CORRECT usage of the 2 words.
I stand my ground. The OP still does not know definitively how to use these 2 words based on this thread. And you can huff and puff and try to blow my house down but you still don't _win_.
Thanks for trying but doesn't sound like that....
Subject: Thanks for trying but doesn't sound like that....
.. I think I'll have to just flag it. It could be Uterus, bowel loops are normal.
It doesn't sound like either of these. Thank you both!
Subject: It doesn't sound like either of these. Thank you both!
nm
probably saying *doesn't bode well*.....nm
Subject: probably saying *doesn't bode well*.....nm
Capital F but not L?? That doesn't seem right
Subject: Capital F but not L?? That doesn't seem right
xx
doesn't sound like it, but...
Subject: doesn't sound like it, but...
ZYPREXA® Zydis® (olanzapine)
Orally Disintegrating Tablets
so maybe ODT?
http://insidezyprexa.com/about/efficacy/prescribing_zydis.jsp
Retzius doesn't seem right
Subject: Retzius doesn't seem right
Retzius is hard to find because it refers you all over the place, but appears to be some kind of cell column and has something to do with the cochlea. It's quite a stretch from what it sounds like--"the trex-i-vuss or drex-i-vuss
I wonder if he doesn't mean Veress
Subject: I wonder if he doesn't mean Veress
the old standby needle
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