Hematology - know your chemotherapy and dosages well, same anatomy. n/m
Posted By: anon on 2008-02-05
In Reply to: Hematology/oncology vs. radiation oncology -- what are the big differences? - keep on learning
Subject: Hematology - know your chemotherapy and dosages well, same anatomy. n/m
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HEMATOLOGY
Subject: HEMATOLOGY
Dictation: Bone marrow analysis was read out as hypercellular marrow with active increased s/l trilinear chematopoesis. 
Thank you
Hematology help
Subject: Hematology help
History of s/l polycitine manevara-have no ideas! TIA
Hem/Onc (hematology and oncology.
Subject: Hem/Onc (hematology and oncology.
x
hematology question
Subject: hematology question
I can't even do a s/l on this one, but it does sound like it starts with an s. The patient does not require any ____ repletion given that his hemoglobin is otherwise stable and way above the recommendations for starting erythropoietin supplementation. Any ideas?? TIA
hematology question
Subject: hematology question
This doctor usually sounds like he is saying LDAH, but sometimes LDH. I don't know that much about hematology oncology, when he is saying labs he will do, which one is the most likely? TIA
Under Hematology Morphology Critique
Subject: Under Hematology Morphology Critique
I found something about this I don't understand. Maybe you can look it up on the internet and find out how to write it. Sorry.
hematology oncolology interview
Subject: hematology oncolology interview
I suddenly got a call for an interview with a hematology/oncology group. Does anyone know of a site that I could quickly go to try and review some of the words, maybe some chemotherapy drugs, etc. I have been working with a urology group and a pain management group for 10 years. I have probably forgotten what little I did know about this specialty. I have been looking, but no luck. Thanks for any help. Mary Lou P.S. Just stumbled across this site. It is awesome!
Could be Hem/Onc as in Hematology/Oncology. Especially if she has cancer. nm
Subject: Could be Hem/Onc as in Hematology/Oncology. Especially if she has cancer. nm
nm
A couple questions regarding Cardiology/Hematology
Subject: A couple questions regarding Cardiology/Hematology
He does have some mild jugular venous distention (JVD). He does have a slightly positive patojugular reflex.
He does have a grade 1-2/6 murmur load on the lower left sternal border and apex. The lungs: He continues to have a few fine basaloreals on the posterior lower lobe. The abdomen is somewhat softer today, it is rounded.
A couple of questions regarding Cardiology/Hematology
Subject: A couple of questions regarding Cardiology/Hematology
Hi, sure hope this helps. I had that recently. It is he has a slight hepatojuglar reflux sometimes referred to as reflex but more correctly it is reflux. Also it is "He continues to have a few basilar rales in the posterior lobe."
mEq (the only way I have ever seen it and have looked also everywhere on dosages)
Subject: mEq (the only way I have ever seen it and have looked also everywhere on dosages)
DOSAGES- how to type out?
Subject: DOSAGES- how to type out?
"He will also add vitamin D to his regimen at 2 to 4,000 units per day."
How should I type this? 2-4,000? 2,000-4,000? 2 to 4,000? I want it to be right.
Need help with how to write dosages (sm)
Subject: Need help with how to write dosages (sm)
Subject: By AAMT rules, need help with period with drug values. (sm) Is this right? 1 gm 0.1 mg 1 mg
I was taught that it was 1.0 mg but doc wants it to be just 1 mg and 1 gm. Help. Thanks.
Does not matter. All dosages are singular.
Subject: Does not matter. All dosages are singular.
All dosages are singular. 10 cc was injected...
Subject: All dosages are singular. 10 cc was injected...
drug dosages listed with no mg
Subject: drug dosages listed with no mg
Is it acceptable to type drug dosages with the number but not the unit of measure. For example Zocor 10 every night. I believe this may be confused with 10 pills instead of mg. What's acceptable on a verbatim account?
Folate dosages....high?
Subject: Folate dosages....high?
Resident says folate 100 mg via PEG and also folate 1 g via peg. That's a lot, isn't it?
Meds and dosages scare me, so when in doubt...
Subject: Meds and dosages scare me, so when in doubt...
I always blank/flag it. 
Trust us. Docs never give dosages with the word sm
Subject: Trust us. Docs never give dosages with the word sm
"chemotherapy." It makes no sense as there are hundreds of medications (where you would hear dosages) that comprise chemotherapy. Would you rather be corrected by people who are not paid to help you, or would you rather your QA catch a blunder like this? Up to you.
That can happen on meds for a.m. and p.m. dosages, but if you are concerned, is it possible to leave
Subject: That can happen on meds for a.m. and p.m. dosages, but if you are concerned, is it possible to leavea a QA note just for the facility?
I agree with Hayseed...meds and dosages scare me, too. However...sm
Subject: I agree with Hayseed...meds and dosages scare me, too. However...sm
You might find assurance in the fact that (according to QuickLook) Lortab is only available with 500 along with the 5, so the 500 might be understood. But, I would flag if you are unsure.
Medication dosages, QA marking wrong both ways!
Subject: Medication dosages, QA marking wrong both ways!
Good afternoon everyone. I'm in need of some second opinions please. When typing medication dosages, I have always transcribed them the same way for the last 12-1/2 years. For example, Lortab 5 mg q.4h. p.r.n. pain.
I have worked for the same company for a little over two years now and have never had QA say anything about this until last month, when I got a QA audit marking it off and changing it to Lortab 5 mg q. 4h. p.r.n. (with a space between the q. and the 4h.) I thought okay, maybe I've been transcribing it incorrectly all lthis time and a new QA person picked up on it. It happens, no big deal.
So, I started transcribing it their way with the space, as in q. 4h. and didn't think anything more about it. Yesterday, I get another audit. This time, I get dinged for typing it the way they wanted it the last audit q. 4h. with the space with a note stating it should be q.4h. with no space (the way I had been typing it).
 Now, I know they have been messing with all of the MTs big time lately, making changes daily from everything to hours, pay, policies, and procedures for vacation, days off, etc. You name it, they've been doing it, and I really think they are trying to either find a reason to fire some of us or drive us to the point of insanity until we quit, but despite the games, I still want to make sure I'm doing my job correctly. If I've been doing something wrong, I would like to correct it ASAP, except now I have no idea which one is correct.
Sorry for the long, drawn out post, but I'm totally confused now and beyond frustrated. Now, I'm questioning myself on everything, and I have no idea which way is correct as far the space or no space with the medication dosages. Thank you for taking the time to read my question and rant. I would appreciate any and all opinions on how you all transcribe this! 
need help w/2 drugs, s/l thermadon and s/l knee-po-tir? They are just in a list no dosages or usage
Subject: need help w/2 drugs, s/l thermadon and s/l knee-po-tir? They are just in a list no dosages or usage
Anatomy help please
Subject: Anatomy help please
Patient is having MRI for MS protocol...s/l doc is saying probits. This patient does have visual changes with his MS, but he clearly is not saying orbits. Any clues at all?
ASR Anatomy (!)
Subject: ASR Anatomy (!)
CT angiogram demonstrated left lower lobe subsegmental French diabetes.
A little anatomy lesson....
Subject: A little anatomy lesson....
The abdominal aorta bifurcates (divides) into the right and left iliac arteries, and the femoral arteries branch off from the iliacs. So when you hear "iliofemoral artery" or anything related, it is almost invariably il-i-o, not il-e-o.
Would x-ray be supraspinatus anatomy?
Subject: Would x-ray be supraspinatus anatomy?
According to Gray's Anatomy...sm
Subject: According to Gray's Anatomy...sm
The "fourchette" is the anterior edge of the perineum. Hope that helps.
Hand anatomy
Subject: Hand anatomy
He is not able to fully flex the left middle finger and the distance between the [s/l pulp] and palm is about 1 inch when he tries to make a fist.
bony anatomy?
Subject: bony anatomy?
could I be hearing this right, "Bony anatomy appears normal."
bony anatomy
Subject: bony anatomy
Yep, bony anatomy is correct.
Eye Anatomy question?
Subject: Eye Anatomy question?
lesion near the s/l "Medial Campus" of the eye on the upper eyelid
Is this spelled correctly?
Thanks,
Abby
do you know what anatomy (knee, hip)? need more info nm
Subject: do you know what anatomy (knee, hip)? need more info nm
Hopefully he dictated the correct anatomy...sm
Subject: Hopefully he dictated the correct anatomy...sm
in the details of the operation!
this is correct according to Grey's Anatomy
Subject: this is correct according to Grey's Anatomy
There are 3 portions that make that complex, and the gastrocnemius and soleus are a band that eventually join together, but have tissue that separate them.
can you give sentence - is this anatomy or ....
Subject: can you give sentence - is this anatomy or ....
instrument ??
It's physes. Something you learn in anatomy class. nm
Subject: It's physes. Something you learn in anatomy class. nm
??
I would use step-offs. Think they want anatomy here and not the name of something. JMHO. nm
Subject: I would use step-offs. Think they want anatomy here and not the name of something. JMHO. nm
s
More context, please? Where in anatomy, type of procedure, etc?
Subject: More context, please? Where in anatomy, type of procedure, etc?
x
cardiac anatomy verified using the s/l siteright
Subject: cardiac anatomy verified using the s/l siteright
Doing a cardiac catheter note. Doctor says he verified anatomy using the s/l siteright. Thanks for your help!
cervical as in neck or as in female anatomy?
Subject: cervical as in neck or as in female anatomy?
hilum/hilar? you need to verify anatomy with a reference
Subject: hilum/hilar? you need to verify anatomy with a reference
x
Leasa - Go to bartleby.com and use Gray's Anatomy reference
Subject: Leasa - Go to bartleby.com and use Gray's Anatomy reference
It's a great reference and it's free.
eustachian tube is an anatomy term; not capitalized.
Subject: eustachian tube is an anatomy term; not capitalized.
nm
Yes as in retraction of the soft parts of the anatomy during expiration.
Subject: Yes as in retraction of the soft parts of the anatomy during expiration.
Sharing anatomy tables/bones link
Subject: Sharing anatomy tables/bones link
I came across this site and thought I'd share.
Found this rather neat anatomy eponym link. sm
Subject: Found this rather neat anatomy eponym link. sm
=====
http://www.dartmouth.edu/~humananatomy/resources/glossary.html
basic human anatomy (thumb has "opponens" musculature) sm
Subject: basic human anatomy (thumb has "opponens" musculature) sm
Opposition is the movement whereby the palmar aspect of the thumb touches the palmar aspect of another finger of the same hand. (When the contact is not by their palmar aspects, the movement is merely apposition.) The converse of opposition is reposition. These movements occur at all the joints of the thumb, although opposition takes place mainly at the carpometacarpal joint.(source--Dartmouth.edu)
http://www.dartmouth.edu/~humananatomy/part_2/chapter_11.html
1.2 mg IN 12 cc of chemotherapy
Subject: 1.2 mg IN 12 cc of chemotherapy
You heard it right. It is "1.2 mg IN 12 cc of chemotherapy."
It basically means the patient received 1.2 mg of a particular chemotherapeutic agent (which would be "specific" to her malignancy and which would be documented in her medical record/chart), mixed in 12 ml of a solvent which could be normal saline/dextrose water/or others, so that that particular chemotherapeutic agent that she is on, can be administered to her in the form of an injection.
chemotherapy
Subject: chemotherapy
Is there a 'inductions amnations chemotherapy???
chemotherapy med
Subject: chemotherapy med
(This is an ESL)
She states "s/l Un-da-su-trol 8 mg I.V. q. day"
This patient is admitted for ALL, chemotherapy
Thanks!
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