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I am having a very hard time with this one.

Posted By: Corrie on 2009-05-02
In Reply to:

Subject: I am having a very hard time with this one.

There is so much in this report that I cannot understand. Truly, I'm wondering if this doctor starts speaking in his native language sometimes.


Here's what I've got


Her weight s/l "1 per 1980." Blood pressure controlled 130/80. Color is fair. Throat is s/l "cold." Thyroid tissue on palpation. Lungs clear.


 


I wish I could ask for help on the next sentence too, but I cannot make out one single word in it!!        




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Please help . . . having a hard time hearing
Subject: Please help . . . having a hard time hearing

His left upper extremity is maintained mostly in a _______(s/l ami) position, and he was wearing his resting wrist splint today. 


TIA!


I would flag it. We have a hard enough time --sm
Subject: I would flag it. We have a hard enough time --sm

trying to find medical words and phrases, much less cities and towns. If they cannot spell it, they don't get it. I won't waste my time looking. I am not getting paid for that kind of search...actually not getting paid for ANY kind of search. JMO
it doesn't sound 3-0. sorry if you are having a hard time.
Subject: it doesn't sound 3-0. sorry if you are having a hard time.

s
more help on scoliosis patient, really having a hard time here!
Subject: more help on scoliosis patient, really having a hard time here!

She has a 1.8 mm S/L- celutoe translation at L3-L4 level. 


Radiographs show s/l- a foot 80 degrees right thoracic, 76 lumbar.  ( it really sounds like he is saying foot, he is foreign, and I do not understand where foot would fit in, but Im not familar with typing these notes. 


THANKS SO MUCH!!


Yes, and hard to say, so hard to find
Subject: Yes, and hard to say, so hard to find

Again, thanks.
He says the consonants hard - he gives a hard P on the par and B on the bow.
Subject: He says the consonants hard - he gives a hard P on the par and B on the bow.


what time are we using here in mtStars? US time or India time?
Subject: what time are we using here in mtStars? US time or India time?


is it protime, pro-time, or spelled out prothrombin time? also, where did you find it.. i've look
Subject: is it protime, pro-time, or spelled out prothrombin time? also, where did you find it.. i've looked.

xx
with time are you supposed to put the word hour after the time, i.e. 1600 hours
Subject: with time are you supposed to put the word hour after the time, i.e. 1600 hours

nm
that would be two weeks' time. 's is singular (one week's time) and s' is pleural (two
Subject: that would be two weeks' time. 's is singular (one week's time) and s' is pleural (two weeks' time)

nm
pro time, no hypen, two words, as if your typing prothrombin time
Subject: pro time, no hypen, two words, as if your typing prothrombin time


prothrombin time, partial thromboplastin time
Subject: prothrombin time, partial thromboplastin time


?? PTT is partial thromboplastin time, PT is prothrombin time
Subject: ?? PTT is partial thromboplastin time, PT is prothrombin time

so that didn't answer my question at all -- and in fact was incorrect info
2 years' time or 2 year's time- Which is correct?
I put 2 years' time and was marked off on QA.
One Weeks' Time or One Week's Time
Subject: One Weeks' Time or One Week's Time

Which one is correct?


Thanks! 


fourth time she has used this she is saying on-cora..each time in the..
Subject: fourth time she has used this she is saying on-cora..each time in the..

paragraph she talks about Omega 3 fatty acid maybe she means Omacor, but is saying Oncora instead of Omacor?? any ideas on this one?? thanks
I agree - we all do it from time to time - we try to make something else out of it
Subject: I agree - we all do it from time to time - we try to make something else out of it

nm
PT or Pro time stands for prothrombin time
Subject: PT or Pro time stands for prothrombin time


Three month's time or three months' time? TIA!
Subject: Three month's time or three months' time? TIA!


I found Real-Time, Real-time, real-time ultrasound...
Subject: I found Real-Time, Real-time, real-time ultrasound...

nm
I believe it is one of those words that over time MDs have been using (I get it all the time) see be
Subject: I believe it is one of those words that over time MDs have been using (I get it all the time) see below:

From www.techortho.com

With the biceps tenodesis procedure, the biceps tendon is left attached to the fibular head and is then "tenodesed" to the anterior aspect of the ...

Hard to say, I'd just put what doc says. nm
Subject: Hard to say, I'd just put what doc says. nm

x
Hard to say from here, but it could mean sm
Subject: Hard to say from here, but it could mean sm

the polyethylene liner in the hip replacement system.
Thanks. Sometimes it's hard to tell
Subject: Thanks. Sometimes it's hard to tell

with the ESLs because they lack the inflection that might have told me everything, LOL.

I was confused enough that I blanked it, but thanks for helping me attempt to puzzle it out.
This could be a hard one s/l
Subject: This could be a hard one s/l

She has an allergy to s/l long-gate-di-div-u-la??


I appreciate your help


Deborah


 


Hard to do s/l but ...sm
Subject: Hard to do s/l but ...sm

Patient is here for follow up of a low white blood count and low platelet count.  She is still having the headaches, stiffness in the neck and a sore throat, also some chills.  Her Lyme test and ___ (s/l haverglosis) test is still pending. 


TIA


it is too hard,
Subject: it is too hard,

it is staying a blank.  Thanks for the help!
He may be saying that - hard to tell, as -- sm
Subject: He may be saying that - hard to tell, as -- sm

I hear an "r" sound in there. I'll flag this one, but I'm glad to know they use qualify in that way.
I'd like that to be it, but there's a hard "c" in there. nm
Subject: I'd like that to be it, but there's a hard "c" in there. nm


Without context, hard to tell. SIA is sm
Subject: Without context, hard to tell. SIA is sm

subacute infectious arthritis.

SI--sacroiliac
AC--acromioclavicular

There is a drug Ziac.


We just try too hard. Dumb is what I do best!!! nm
Subject: We just try too hard. Dumb is what I do best!!! nm


Thanks to all of you for your hard work. I appreciate it! nm
Subject: Thanks to all of you for your hard work. I appreciate it! nm


Hard to say without state, but..
Subject: Hard to say without state, but..

here is something I use to help wtih hospital names

http://www.superpages.com/?SRC=promo13
Not really hard to remember when you think...
Subject: Not really hard to remember when you think...

ACE inhibitor stands for Angiotensin-Converting Enzyme


and


Ace is the name of a bandage.


 


could either be T8 to 11 and L1 or T8 to L1. Hard to say without being able to listen.
Subject: could either be T8 to 11 and L1 or T8 to L1. Hard to say without being able to listen.

x
might be thinking too hard...
Subject: might be thinking too hard...

From the dictionary:

moi·e·ty Pronunciation (moi-t)
n. pl. moi·e·ties
1. A half.
2. A part, portion, or share.

Could be your doc is describing which part of the prosthesis?
It is also hard to figure out ...
Subject: It is also hard to figure out ...

... because they put this patient on 1 baby aspirin a day, which I thought was to thin the blood. I actually ended up asking a doc at the hospital where I work, and he seemed to indicate that there wasn't really any "hypocoagulable workup" -- it was more like "bleeding studies." There is a "hypercoagulable workup" which is extensively discussed on the net, but this patient with the bleeding may be more a candidate for the bleeding studies. However, from what I have read on the net, the tests that are done for a "hypercoagulable workup" are the ones which are being ordered for this patient. Sigh. I'm going to change it to hypercoagulable, and mark it just in case. Thanks for your input.
It's very hard to document,
Subject: It's very hard to document,

but it is bolgerized, after a doctor whose last name is Bolger. 
So simple yet so hard. Thank you very much!
Subject: So simple yet so hard. Thank you very much!


Yes! Thank you. I think I'm trying too hard to learn him.
Subject: Yes! Thank you. I think I'm trying too hard to learn him.

nm
Not sure. Hard to tell with the accent. Thanks though!
Subject: Not sure. Hard to tell with the accent. Thanks though!


It's hard to tell. Thanks for the suggestion though!
Subject: It's hard to tell. Thanks for the suggestion though!


That could possibly be it. Hard to say though. Is
Subject: That could possibly be it. Hard to say though. Is

there such a thing as T-cell phataloma or something similar? 
Darn. Hard one. sm
Subject: Darn. Hard one. sm

spicule bone formation? WAG here.


There can be a wrinkle in the callus formation? All I can think of. Sorry.


old, old, old and typed GI for a while. GI is hard!!! nm
Subject: old, old, old and typed GI for a while. GI is hard!!! nm


breakin' up is hard to do...sm =)
Subject: breakin' up is hard to do...sm =)

DePuy 22 x 17, +12 lateral-offset, S-ROM femoral stem, with a 22F XXL ZT/HA-coated proximal sleeve, with a +9 neck, 44-mm diameter femoral head.
Hard to tell when it is just listed like that.
Subject: Hard to tell when it is just listed like that.

x
Definitely a C of hard K sound - NM
Subject: Definitely a C of hard K sound - NM

NM
Is doc hard to understand?
Subject: Is doc hard to understand?


is hard of hearing hypenated? Duh!? Thanks
Subject: is hard of hearing hypenated? Duh!? Thanks

d
sorry, almost hard to do sounds like, he is muffled but s/l...sm
Subject: sorry, almost hard to do sounds like, he is muffled but s/l...sm

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