I'm thinking more along the lines of dysergia or dyssynergia- SM
Posted By: rmb on 2008-05-05
In Reply to: Agree with abdominal pain - sm - ER MT
Subject: I'm thinking more along the lines of dysergia or dyssynergia- SM
Those are the closest words to what he says (even though I clearly hear a 'T' sound), but I have no idea if those would go with a diganosis of cryptococcal meningitis. It really sounds like he is saying de-ser-ti-a, but he is ESL.
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I was thinking along those same lines,
Subject: I was thinking along those same lines,
x
A better guess! I was thinking along other lines. nm
Subject: A better guess! I was thinking along other lines. nm
s
that is kind of along the lines I was thinking sm
Subject: that is kind of along the lines I was thinking sm
congeal
harden
set
coagulate
jell
clot
solidify
???
chest x-ray shows Kerley B lines or Kerleys B lines
Subject: chest x-ray shows Kerley B lines or Kerleys B lines
Kerley B lines or curley B lines? NM
Subject: Kerley B lines or curley B lines? NM
dd
see message dysergia is correct
Subject: see message dysergia is correct
dys·er·gia
The lack of muscular coordination due to a defect in the efferent nerve impulses.
same here....almost everything has lines through it
Subject: same here....almost everything has lines through it
s/l lines
Subject: s/l lines
"He is here because he states his heart rate is irregular. He felt a little bit of wooziness from it due to the lightheadedness. We checked the hemoglobin which has dropped a little bit since the last visit to 12.8. MCV is 89. Normal platelets. Patient had s/l lines in the summer. An antibiotic was called in for 21 days. Patient states it did not bother his stomach but it made his heart beat a little bit harder."
Anybody know what this word might be/mean?
Kerley A, B, and also C lines.
Subject: Kerley A, B, and also C lines.
Sand lines? sm
Subject: Sand lines? sm
We're not on the beach. We're here to support and try to help one another in our quest to be good transcriptionists. End of story. I bet the administrator e-mailed her and told her she is not supposed to ask test questions and does not need you tattling. It doesn't matter where I stand, I just don't believe in being a squeaky wheel to get attention and be a brown-noser! I may be wrong, but I don't believe we make gains that way. Take care....
Gilula lines
Subject: Gilula lines
Can't believe I found it.
Can we have a couple of lines from the report
Subject: Can we have a couple of lines from the report
so we'll know where he is?
about the joint line/lines
Subject: about the joint line/lines
This Dr. is dictating about someone's knee and it just threw me trying to figure out if there was one joint line or more in a knee!
Moss lines in the foot?
Subject: Moss lines in the foot?
TIA.
what is meant by padding lines?
Subject: what is meant by padding lines?
TIA..
Kerley B lines is correct
Subject: Kerley B lines is correct
n/m
Guilui lines on xrays of wrist? nm tia
Subject: Guilui lines on xrays of wrist? nm tia
nm
The forceps are fine. Trying to think along the lines of external
Subject: The forceps are fine. Trying to think along the lines of external
s
WAG-could it possibly be hair distributional lines?
Subject: WAG-could it possibly be hair distributional lines?
Possibly Mees lines (nails) nm
Subject: Possibly Mees lines (nails) nm
nm
monitors or monitoring lines--agree with Txczech.
Subject: monitors or monitoring lines--agree with Txczech.
x
Maybe chicken scratched, with fine lines crosshatched all
Subject: Maybe chicken scratched, with fine lines crosshatched all
s
HUGE stretch, but can you hear anything along the lines of Cruveilhier? nm
Subject: HUGE stretch, but can you hear anything along the lines of Cruveilhier? nm
nm
Wild guess--something along the lines of callus or callosity?? Which toe, where? (nm)
Subject: Wild guess--something along the lines of callus or callosity?? Which toe, where? (nm)
x
Hmmm...after the 3rd post here, all the posts have lines through them, like they've been crossed
Subject: Hmmm...after the 3rd post here, all the posts have lines through them, like they've been crossed
x
It is mediolateral joint. If you are referring to two joints, it would be lines, otherwise, line.
Subject: It is mediolateral joint. If you are referring to two joints, it would be lines, otherwise, line.
I think culture and sensitivity is right.
it may be based on how they are counting lines...are they taking out your spaces and returns/stuff l
Subject: it may be based on how they are counting lines...are they taking out your spaces and returns/stuff like that? nm
d
Chest CT showed (s/l lines,but also s/l starts with m) __________ suspicious for osseous metastasis
Subject: Chest CT showed (s/l lines,but also s/l starts with m) __________ suspicious for osseous metastasis
x
still thinking
Subject: still thinking
Turns out that the patient is having very high fevers giving impression of left lower lobe pneumonia. Came across a brand name of a drug used in mouthwash called Advexin. They were talking about oral cancers...but then cross-referenced on http://www.pharma-lexicon.com/ and found (generic Mepron) atovaquone, classified as an anti-infective used in both adults and children who are at risk for PCP with initial doses of 750 mg per 5 mL. Since Hodgkin's lymphoma and bone marrow transplant would put this girl in a severely immunocompromised state, I would bet they are giving her a pretty hefty dose of the stuff. Atovaquone it is.
Thanks for helping me.
Thanks, I was thinking along
Subject: Thanks, I was thinking along
those lines, just wanted a second opinion. :-)
that's actually what I was thinking too - nm
Subject: that's actually what I was thinking too - nm
x
Tks. I kept thinking there is another
Subject: Tks. I kept thinking there is another
Like ...there were lewes....or something. You are probably right, and I finally found it in stedman's and it says *sternal angle* and that seems to fit the way the doctor used it. Thanks again.
that's what i am thinking
Subject: that's what i am thinking
I was thinking along the lines of this from the begining....compression over lower extremities.....just wish I didn't hear otherwise! (I hate Monday's)
That's exactly what I was thinking
Subject: That's exactly what I was thinking
but I have this doc all the time and she's never dictated time like that before, so I just wasn't sure. Thanks to all who replied.
I was thinking that too...I'd have to say it was:
Subject: I was thinking that too...I'd have to say it was:
Past history notable or is notable for ______.
That's what I was thinking..maybe she
Subject: That's what I was thinking..maybe she
just got ahead of herself when dictating it in the assessment..because I definitely didn't hear an itis at the end...just a gingival or gingivo sound.
Thanks 
that is what I am thinking..thanks
Subject: that is what I am thinking..thanks
What was I thinking
Subject: What was I thinking
of course, para anything with twins, triplets, etc. Thanks for fixing my answer!
I'm thinking it's probably
Subject: I'm thinking it's probably
R&M for "routine and microscopic"
That's what I was thinking, too.
Subject: That's what I was thinking, too.
.
I am thinking it
Subject: I am thinking it
may be (LIMA) or left internal mammary artery ..... of course you are hearing it.
That's what I was thinking...
Subject: That's what I was thinking...
but was unsure. It's an ESL doctor and she says it twice. It doesn't really sound like there is an F in the pronunciation, though.
that's what I was thinking.
Subject: that's what I was thinking.
That is what I have been doing but I guess I just wanted extra reassurance! Thanks.
I am thinking that is what she must be saying. Thanks. nm
Subject: I am thinking that is what she must be saying. Thanks. nm
I am thinking it might be SM
Subject: I am thinking it might be SM
some kind of rowing exercise...____ rows, but I can't come up with anything better than that.
Thanks, I was thinking that or 0.1. nm
Subject: Thanks, I was thinking that or 0.1. nm
xxx
I was thinking that myself, but just not sure so I sent to QA
Subject: I was thinking that myself, but just not sure so I sent to QA
I was thinking the same, but (sm)
Subject: I was thinking the same, but (sm)
why would he dictate this along with vital signs? Seems strange ...
I was thinking that too! Thanks!
Subject: I was thinking that too! Thanks!
Thank you for your input!!!
That's what I'm thinking..sm
Subject: That's what I'm thinking..sm
This client requires headings whether or not dictated, so I wanted to make sure I'm correct.
Anyway, I have always typed it under abdomen, but I went looking to make sure, and I did find it in a sample report with it listed under back.
However, I just found a very good article called "Varney's Midwifery" that says it is part of the abdominal exam.
Thanks!
That's what I was thinking.
Subject: That's what I was thinking.
Most of the references I found say that if a patient is unable to consent to surgery, two doctors can sign the consent form on the patient's behalf. I am just not sure if the dictators mean double-doctored or double-documented when they say double doc'd. I do all ops, so it comes up fairly often.
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