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HER2 FISH, plse see msg.

Posted By: dubdub on 2005-08-06
In Reply to:

Doc says HER2 FISH is positive. Is this the correct way to type this, should it be FSH instead of FISH? I would always hear HER2/neu, now he threw me a curve! Thx


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HER2/neu
Subject: HER2/neu


HER2/neu 3+ is how I do it NM
Subject: HER2/neu 3+ is how I do it NM


HER2/neu.
Subject: HER2/neu.

x
HER2/neu negative..........nm
Subject: HER2/neu negative..........nm


my Onc book has HER2/neu nm
Subject: my Onc book has HER2/neu nm


no no no - it's wrong - it's HER2/neu negative
Subject: no no no - it's wrong - it's HER2/neu negative

PR/ER-positive, HER-negative disease"


 


ER/PR positive (or PR/ER positive) and HER2/neu negative!!!  I've been doing oncology for 15 years now *S*


 



Breast cancer was ER/PR/HER2- Is this correct? TIA nm
Subject: Breast cancer was ER/PR/HER2- Is this correct? TIA nm

x
HER2/neu positive, tumor measured 8cm, _____ (s/l lymph-edger) positiv
Subject: HER2/neu positive, tumor measured 8cm, _____ (s/l lymph-edger) positiv

Sorry for all of these, I have never worked on breast cancer reports before. I am doing overflow from another acct.
HER-2 FISH (i believe)
x
Actually, how about fish oil? nm
Subject: Actually, how about fish oil? nm

s
Fish oil? nm
Subject: Fish oil? nm

//


Probably fish oil
Subject: Probably fish oil

How omega-3 fats reduce heart disease is not known, but they lower blood triglycerides and blood pressure, prevent clotting, are anti-inflammatory, and reduce abnormal heart rhythms.
Thanks for your help. plse see msg
Subject: Thanks for your help. plse see msg

I'm pretty much clueless with regular clinic work. I basically went from school to typing ortho, so there's a lot of things I learned in school that I've never applied, and this is one of them.

At any rate, I learned it was mmHg, but with the doc dictating just mm, it threw me a little bit and I was wondering if I should type it as mm or mmHg, or does it matter...

Sorry I was so vague in my question. I typed it out fast, as the phone was ringing.

Thanks for your reply. :)
Need help with s/l - plse see msg
Subject: Need help with s/l - plse see msg

Patient delivered prematurely and her infant was in the s/l inky - I assume she's giving a short term for incubator but don't know if there's a common abbv. I appreciate any help - thanks!
med s/l ortazipine??? plse sm
Subject: med s/l ortazipine??? plse sm

Patient suffers from depression, hypercholesterolemia, gastroesophageal reflux disease. Is on a med that sounds like ortazipine, ertazipine or something like that. Any ideas? TIA
tele?? plse see msg....
Subject: tele?? plse see msg....

Doc dictates: she had an arrhythmia that led to problems with her blood pressure, which led to problems with her mental status, which led to pulmonary problems, which led to being intubated and she was in the ICU for about a week, four of those days intubated. She was then in tele for another week after that.
Would it be telemetry? This is in a letter and I would rather use the whole form of the word. TIA
s/l umphyilias, plse sm...
Subject: s/l umphyilias, plse sm...

In his umbilicus he has a pit at the base of it with multiple hair follicles within this and some s/l umphylias
(um phy lie as). Any ideas, anybody?!
s/l simulation, plse see msg...
Subject: s/l simulation, plse see msg...

Patient is about to begin radiation treatment and has already undergone simulation. Is simulation correct? TIA
Need help with s/l plse see message
Subject: Need help with s/l plse see message

Patient has ear pain. Has had myringotomy tubes placed in the past.

The right TM was a little dull, with loss of landmarks and either a fluid s/l wave or some fluid related to the eardrum. There was no evidence of a myringotomy tube in the ear canal.

Fluid level? Does that work in this regard? Thanks.
Cytology and FISH procuedure...
Subject: Cytology and FISH procuedure...

TIA!!
There is a fish-tank granuloma.
Subject: There is a fish-tank granuloma.


Guess here... fish oil and borage oil?
Subject: Guess here... fish oil and borage oil?


dialysis Fish line?
Subject: dialysis Fish line?

It is important that the patient does not get a fish line in light of her advanced age.
a tough one having to do with radioisotope...plse sm.
Subject: a tough one having to do with radioisotope...plse sm.

The patient is a candidate for a sentinel node biopsy based on the intermediate thickness melanoma. Despite the negative lymphscintogram, it is certainly reasonable on the day of surgery for her melanoma excision to inject ? radioisotope at the primary site and with the handheld gamma counter, we may still be fortunate enough to identify a sentinel node that we can biopsy.

He kind of mumbles the type of radioisotope to be injected and if anyone has any ideas, I can see if they match up to what he is "trying" to say! Thanks so much.
s/l curl defect? Plse see msg..
Subject: s/l curl defect? Plse see msg..

It appears the patient's wrap is intact but that the hiatal repair has come undone so the wrap has slipped up into her chest. Essentially there are only two things you can do about this; one is to do nothing and live with it and the other is operate, repair the curl defect and put the stomach back in the abdomen where it belongs.

Is curl defect correct? TIA
s/l lytic(?) lesions, plse sm
Subject: s/l lytic(?) lesions, plse sm

Patient has had a colonoscopy with a malignant polyp being found. Patient had a CT scan of her abdomen that showed multiple s/l lytic lesions throughout her bones everywhere.
Thx for any help!
s/l chain slacks??? plse sm
Subject: s/l chain slacks??? plse sm

Under PSH doc lists what sounds like chain slacks on left chest. That is all he says. Any ideas? TIA
Ear surgery: s/l Eagle Fish perforator?
Subject: Ear surgery: s/l Eagle Fish perforator?

x
fluorescence in situ hybridization (FISH)
Subject: fluorescence in situ hybridization (FISH)

x
any genetics whizzes? FISH analysis - sm
Subject: any genetics whizzes? FISH analysis - sm

deletion in the STS gene ... s/l ficalmin gene was intact suggesting cutaneous involvement only. TIA!
listed in med supplements: fish oil s/l boragna. Thanks
Subject: listed in med supplements: fish oil s/l boragna. Thanks


I'm going to replay it, but it sounded just like fish line to me. Thank you!
Subject: I'm going to replay it, but it sounded just like fish line to me. Thank you!

x


Anyone hear of JACK AND FISH STATUS????
Subject: Anyone hear of JACK AND FISH STATUS????

??


fringey encapped deformity?? plse sm
Pt. had ultrasound that showed s/l fringey encapped deformity of the gallbladder. Does this make sense to anyone?? TIA
re port catheter placement, plse sm
Subject: re port catheter placement, plse sm

The patient had port catheter placement. It was not an easy access surgery and it was placed via a left internal jugular approach and even the initial film showed it curling at the
s/l juxta??? juctious??? subclavian vein with the tip either in the superior vena cava or in an azygous branch.

Can't quite make out what he is saying there. Anyone have an idea? TIA.
nets or nests of DCIS, plse see msg...
Subject: nets or nests of DCIS, plse see msg...

Patient had some DCIS in her specimen that went to the edges and the additional medial margin also had a couple s/l nets (nests???) of DCIS in it. Anyone heard this before? TIA
When our fish tank gets nasty, I say they're surviving
Subject: When our fish tank gets nasty, I say they're surviving

f
calcium, s/l emolia/amolia 3, fish oil, vitamin D. Thanks
Subject: calcium, s/l emolia/amolia 3, fish oil, vitamin D. Thanks


oncologists refer to FISH and JAK (usually JAK2) status
Subject: oncologists refer to FISH and JAK (usually JAK2) status


bile reflux versus reflex...sm plse
Subject: bile reflux versus reflex...sm plse

I always thought it was bile reflux pertaining to the gallbladder but he clearly says bile reflex. Which is correct? TIA
s/l bolus dysphagia and funda gland...plse sm
Subject: s/l bolus dysphagia and funda gland...plse sm

s/l funda gland polyps seen on upper endoscopy
Pt. has free regurgitation and solid s/l bolus dysphagia
Thx for any help!
Kniest syndrom. Anyone familiar with symptoms? Plse sm for s/l
Subject: Kniest syndrom. Anyone familiar with symptoms? Plse sm for s/l

Patient is 24-year-old female with a history of Kniest syndrome which includes s/l kin-gin-al osteoarthritis, conductive hearing loss, and myopia.

Thanks!
pt is on "bela-paz", fish oil, and vitamins. had breast cancer that went into the brain. nm T
Subject: pt is on "bela-paz", fish oil, and vitamins. had breast cancer that went into the brain. nm TIA.

k
HOSPITAL COURSE: Fish?? admission history and physical for details
Subject: HOSPITAL COURSE: Fish?? admission history and physical for details


Plse see message. Not familar with radiation terms. Does this look correct?
Subject: Plse see message. Not familar with radiation terms. Does this look correct?

She received a total dose of 45 Gy to the primary tumor area, regional lymphatics at 180 rads per fraction x25 fractions.  Then she received cone down 1800 Gy to the primary tumor.  The total dose was 63 Gy. 
"No change to p-fish." This doctor says this after the list of meds and before allergies. Th
Subject: "No change to p-fish." This doctor says this after the list of meds and before allergies. Thanks!

nm
Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy.
Subject: Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy. Tks


PET SCAN 03/08/08:  Reveals intense hypermetabolism corresponding to the mass in the left mid lung field posteriorly, abutting in the left major fizure predominantly in the superior segment of the left lower lobe.  This same type of metabolism corresponding to the right middle lobe pulmonary nodule previously noted activity in the lower neck anteriorly (06/28/06) has since resolved. 


iodide drops, also radioactive iodide? correct? plse sm
Subject: iodide drops, also radioactive iodide? correct? plse sm

This is for hyperthyroidism and hyperparathyroidism...sounds like he is saying iodide??? Anyone know which is correct? TIA!
and one dimension...in one dimension...plse sm..
Subject: and one dimension...in one dimension...plse sm..

Using ultrasound guidance, a 2 cm diameter in one dimension cystic lesion was identified.

Is this correct or could/should it be "and one dimension?"
Thx....