I found one paragraph re patients ...sm
Posted By: and dacron wool used thru google.... on 2006-05-24
In Reply to: help please - sm
Subject: I found one paragraph re patients ...sm
not sure but I found one paragraph thru google about dacron wool........being used on a patient:
Once cooling to -79 C was complete the patient was lifted out of the Silcool bath, the outer, Silcool wetted plastic bag was stripped off and the patient was placed within a polyester cloth bag which was in turn placed inside a standard aluminum neurocan which had been precooled to -90 and packed with dacron
wool. Temperature probes were left externalized to the neurocan for subsequent cooling to -196 C.
I don't really think this is going to help you though but I tried!! 
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- help please - sm
- I found one paragraph re patients ...sm - and dacron wool used thru google....
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Found this = Boston Brace or warm-n-form orthosis treatment, patients are able to ...
Subject: Found this = Boston Brace or warm-n-form orthosis treatment, patients are able to ...
x
Here's the paragraph................
Subject: Here's the paragraph................
"The rest of his past history, review of systems, and social history is otherwise noncontributory, except that he is status post coronary artery bypass graft surgery and has had a pacemaker and is on Coumadin in conjunction with his cerebral vascular disease. He also takes amiodarone, s/l Trazadec, Toprol, Ambien, Cozaar, and Effexor."
The patient is being evaluated by a neurologist for leg and back pain. Thanks.
does this fit at the end of this paragraph? See msg pls.
Subject: does this fit at the end of this paragraph? See msg pls.
Patient is getting back on his medications and will be following up with his psychiatrist Dr. X. They are due within the next few weeks, he says, to recheck his Depakote levels, (Dr. take a drink and says)S/L hemolith normal. (new paragraph)
not sure, here's the paragraph...
Subject: not sure, here's the paragraph...
Neurologic exam/history and physical exam does reveal the patient with parkinsonian features. We are going to go ahead and change him from Sinemet 25/100 mg to Stalevo 100 mg, one in the morning and one at midday, since he really only takes it twice a day. If this does not help, we may try going back to the Sinemet and then trying Azilect for the freezing. I think that may be of great benefit to him, despite the MALB inhibitor.
Here's the rest of the paragraph. I need someone to look at this.
Subject: Here's the rest of the paragraph. I need someone to look at this.
This is listed under the PMH: Do these numbers look right? My question is really the
"FEF 25 to 75 1.66 (65%). " Does this look right? not sure how to type the 75 1.66. ... MD says it like this:
"FEF 25 to 75 one point six six and parentheseses 65%"
Pulmonary – status post pulmonary embolus, status post a prolonged road trip. Coumadin was discontinued in April and MTHFR Heterozygote with an elevated homocysteine level. She has been maintained on Folate. She has also been treated for asthma. Pulmonary function tests in December of 2002 demonstrated a FEV1 of 1.86 (79%), and FVC of 2.41 (83%) an FEV1 of 77% and FEF 25 to 75 1.66 (65%). In March of 2004, a diagnostic polysomnogram demonstrated obesity, hypoventilation; no evidence of obstructive sleep apnea. She has been maintained on 2 liters q.h.s. A repeat study in June of 2005 confirmed that treatment.
if i give you the paragraph for this ....
Subject: if i give you the paragraph for this ....
could you be able to tell if it were a line infection? I will send what they did. thanks
Paragraph numbering
Subject: Paragraph numbering
1.
a.
b.
c.....etc.
When you get all the way through z, how do you number or letter after z? Thanks so much.
Here's the context paragraph...sm
Subject: Here's the context paragraph...sm
Patient recently had a positive culture infection with group B strep. He was treated with some Cipro and he says he is actually voiding better now than he has for some time. He probably has been having a little small "ring" prostatitis going on.
paragraph punctuation help..please...
Subject: paragraph punctuation help..please...
MRI scan indicates status post patellar tendon, bone, and anterior cruciate ligament construction, cystic degeneration of the graft with little remaining low signal fibers is noted, tendon enlargement in the tibial tunnel with cystic erosion through the anterior cortex medially to the patellar tendon, extension into the anterior subcutaneous fat of the proximal right lower leg.
Note the doctor does say construction, not reconstruction can this also be correct? TIA.
I'd just leave it a paragraph at the end. NM
Subject: I'd just leave it a paragraph at the end. NM
your paragraph has many grammatical errors
Subject: your paragraph has many grammatical errors
along with punctuation - not sure if you just typed it fast and are aware or not? If you more help, let me know.
Go to format/paragraph and you'll see it. nm
Subject: Go to format/paragraph and you'll see it. nm
Based on the following paragraph written by
Subject: Based on the following paragraph written by
Vanderbilt University in relationship to Troubleshooting PICC problems, in particular; "My patient's arm is red, swollen, and/or painful."
A. How does the arm look in comparison to the arm without a PICC line.
B. If redness is involved, is it a red streak up the arm along the vein tract.
C. If swelling is involved, what is the difference in the girth of the two arms.
Your sound-alike brings to my mind: gorge; as engorged. Definition: gorge, glut; especially: to fill with blood to the point of congestion. Just an educated guess though. Good luck.
This paragraph shows AZT for baby -see message
Subject: This paragraph shows AZT for baby -see message
If an HIV positive woman is taking AZT then it will probably be recommended that her baby is given AZT (usually as a syrup) for the first six weeks of its life starting 8-12 hours after birth. Alternatively, if the mother has taken AZT and 3TC during labour then an effective regime for the baby would be one week of AZT and 3TC.
If only limited AZT is available then one week of AZT can be given to the baby. If only single dose AZT is available then the baby can have this combined with a single dose of NVP, and if no AZT is available then the baby can have a single dose of NVP to help protect it.
Here is the paragraph for the s/l line infection evaluation..
Subject: Here is the paragraph for the s/l line infection evaluation..
Patient here today for a post-op s/l line infection evaluation. She has been doing daily wet to dry dressing changes and today the wound breadown area is less than a cm across and with probing with a Q-tip will not extend any greater than 2 cm in the area. I do not think that this continues to require any packing. I have recommended that she just keep gauze over the area for the drainage. thank you
Stumped - rheumatology. Please see paragraph for context.
Subject: Stumped - rheumatology. Please see paragraph for context.
Patient is a little girl with an area of atrophic and hyperpigmented skin on her forehead (morphea/linear scleroderma en coup de sabra).
"In addition, there is a secondary area which is approximately 2 cm in diameter and 6 cm in length which is hyperpigmented and lateral to the s/l inituary/immisuary, with again subcutaneous atrophy, but without erythema or adherence."
Totally stumped but hate to give up --- Thanks for any help.
does she want you to put in a heading, or include more in prior paragraph
Subject: does she want you to put in a heading, or include more in prior paragraph
nm
Thx! I made it through a whole paragraph of tests, with this being the last one and couldn't get
Subject: Thx! I made it through a whole paragraph of tests, with this being the last one and couldn't get the last one! :) Thx for your help!
does this paragraph sound right and is it punctuated correctly
Subject: does this paragraph sound right and is it punctuated correctly
There were findings of a posterior horn tear of the medial meniscus, a small chondral injury of the medial tibial plateau, grade 4 out of 4, chondromalacia of the medial femoral condyle, grade 3 out of 4, chondromalacia patella and trochlea notch of the femur, grade 3 out of 4.
The doctor speeds through this paragraph at 75mph..does it make sense and is the punctuation correct? TIA.
s/l linear partial tear also does this paragraph
Subject: s/l linear partial tear also does this paragraph
make sense?
There is a focal tear of the posterior supraspinatus tendon noted. No other tear or retraction evident. There is also S/L linear partial tear of the long head of the biceps tendon noted. Mild degenerative changes to the glenohumeral joint also indicated. TIA.
Just make it the last paragraph in the report. Does it Have to have a title? Maybe Note, Comment,
Subject: Just make it the last paragraph in the report. Does it Have to have a title? Maybe Note, Comment,
s
Maybe CoQ10? Sometimes taken by heart patients. nm
Subject: Maybe CoQ10? Sometimes taken by heart patients. nm
s
CD4 count for HIV patients and AIDS...
Subject: CD4 count for HIV patients and AIDS...
x
Experimental drug for MS patients sm
Subject: Experimental drug for MS patients sm
Has anyone heard of an experimental drug called "Revamune" (or s/l it) for MS patient's? It may be through Project Restore through Hopkins???
apparently patients sometimes refer to it as H1c. sm
Subject: apparently patients sometimes refer to it as H1c. sm
Try googling H1c, lots of hits from (apparently) patients. Also, wondered if slurring could make "an A1c" sound like your HUNC ? Also found at least one reference to histoplasmosis marker of H1C.
for cancer patients??? don't do oncology sorry
Subject: for cancer patients??? don't do oncology sorry
Docs often read off patients' handwritten sm
Subject: Docs often read off patients' handwritten sm
drug lists, saw this spelling and probably assumed it was something new. My vote is for Mirapex, but you can flag it to cover yourself.
long shot here but patients are Medi-Vac'd.....???
Subject: long shot here but patients are Medi-Vac'd.....???
Pain scale in leukemia patients
Subject: Pain scale in leukemia patients
Hi,
Is there a pain scale that is commonly referred to for leukemia patients? I'm doing a clinic note on a patient, and in the PE section, I hear something that sounds like ecot 0 (zero). The first thing that pops into my head is Ficat, but I don't think that's what it would be. I often hear doctors mention the pain scale rating right along with the vital signs, and that's where this is dictated. I'm googling and researching this, but I'm not even sure where to look. Any suggestions?
It's definitely rigid and it is a very unpleasant procedure for most patients, despite...
Subject: It's definitely rigid and it is a very unpleasant procedure for most patients, despite...
a local anesthetic.
FAST scan in trauma patients
Subject: FAST scan in trauma patients
Focused Assessment with Sonography for Trauma (FAST) is a limited ultrasound examination directed solely at identifying the presence of free intraperitoneal or pericardial fluid. In the context of traumatic injury, free fluid is usually due to haemorrhage and contributes to the assessment of the circulation.
it would be brownie taste, most oftenly used with chemo patients. nm
Subject: it would be brownie taste, most oftenly used with chemo patients. nm
Kind of 'panel' tests for COPD patients...sm
Subject: Kind of 'panel' tests for COPD patients...sm
Strange Doc is FLYIN thru her tests for COPD patient....' CBC, fasting renal panel, lipid panel, ___ panel (maybe titer but not sure if that applies?) I get the impression its a common 'panel' test. If I didn't know any better I'd say she was saying Italian panel:) Any ideas? Its late and I can't come up with it.
Toradol is a pain medication for cancer patients.
Subject: Toradol is a pain medication for cancer patients.
Not sure if this is what you're looking for. Does it have a dosage?
Patients with non-bulky follicular non-Hodgkin's lymphoma.
Subject: Patients with non-bulky follicular non-Hodgkin's lymphoma.
Also, any mention of his "dentition", many times a cause in elderly patients?? NM
Subject: Also, any mention of his "dentition", many times a cause in elderly patients?? NM
nm
Doses of Megace are given that high to cancer patients and others with cachexia. nm
Subject: Doses of Megace are given that high to cancer patients and others with cachexia. nm
s
Would use telemetry. Cardiac patients often go there before hitting the regular floors. nm
Subject: Would use telemetry. Cardiac patients often go there before hitting the regular floors. nm
s
Lovaza is used for treating patients who have very high triglyceride levels.
Subject: Lovaza is used for treating patients who have very high triglyceride levels.
That could be. I know that some docs make patients sign care contracts. sm
Subject: That could be. I know that some docs make patients sign care contracts. sm
Compliance promise could very well be. Perhaps the patient had been noncompliant with his CPAP and the doc threatened him with something like being hospitalize, dying, etc.
A lot of PCPs make their drug-seeking patients sign what is called a Care Plan. It takes care of the "frequent flyers" to different docs and ED's. They are tailored to each patient. Perhaps Jane Doe can only get 4 pain shots a month. If she uses them all up in a week, then too bad, so sad. She will just have to tough it out. They are on file with all the hospitls here in case the frequent flying drug-seekers trh to hit different emergency departments, etc.
Topiramate is used with other medications to treat certain types of seizures in patients with epilep
Subject: Topiramate is used with other medications to treat certain types of seizures in patients with epilep
patients with epilepsy.
Might be Cinacalcet is used for: Treating an overactive parathyroid in dialysis patients with chroni
Subject: Might be Cinacalcet is used for: Treating an overactive parathyroid in dialysis patients with chronic kidney ?
How about a full sentence? Docs do give patients a "holiday" off a drug to check for other
Subject: How about a full sentence? Docs do give patients a "holiday" off a drug to check for other
s
Geodon is used for treating acute agitation in patients with schizophrenia who require an injectable
Subject: Geodon is used for treating acute agitation in patients with schizophrenia who require an injectable medicine.
Sensipar is used for treating an overactive parathyroid in dialysis patients with chronic kidney dis
Subject: Sensipar is used for treating an overactive parathyroid in dialysis patients with chronic kidney disease.
Vivonex: Enteral nutrition formulas are used as nutritional replacements for patients who are unable
Subject: Vivonex: Enteral nutrition formulas are used as nutritional replacements for patients who are unable to get enough nutrients in their diet
"pan-allergic" can be used to describe patients who simply cannot tolerate virtually any meds
Subject: "pan-allergic" can be used to describe patients who simply cannot tolerate virtually any meds
Agrylin is used for treating patients with high blood platelet levels (thrombocythemia) due to bone
Subject: Agrylin is used for treating patients with high blood platelet levels (thrombocythemia) due to bone marrow problems???
Brief Neuropsychological Cognitive Examination (BNCE) ... evaluate the cognitive status of patients
Subject: Brief Neuropsychological Cognitive Examination (BNCE) ... evaluate the cognitive status of patients with psychiatric disorders or psychiatric manifestations ...
serum gastin level was found to be s/l subtine? and it was found to be very high
Subject: serum gastin level was found to be s/l subtine? and it was found to be very high
In Stedmans I found gap detection. I googled that with interior gap and I actually found something.
Subject: In Stedmans I found gap detection. I googled that with interior gap and I actually found something.
Uporanary since the house is good. That really has me stumped.
Thanks so much for helping.
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