I have never heard "p" with regard to
Posted By: cancer staging. (NM) on 2008-11-25
In Reply to: cancer staging question - megan
Subject: I have never heard "p" with regard to
x
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I always change that to *in regard*..sm
Subject: I always change that to *in regard*..sm
as for toward/towards, afterward/afterwards......both are acceptable as you said per the dictionary......so it depends on the MD I'm working for...I have one that is a stickler so I give him afterwards and towards as he says them.
This is in regard to the patient's
Subject: This is in regard to the patient's
orientation and part of his total overall mental status exam. They will always assess if the patient is oriented to person, place, time and situation. So the unclear word would be related to oriented, orientation, or more specific to your example to time, and the patient's perception of current reality and time (some patients who are disoriented do not know common knowledge everyday things and think the current president is maybe Clinton or Daddy Bush. So again, try to pick up on anything to do with orientation or time and date.
In regard with what you said about MTs being responsible
Subject: In regard with what you said about MTs being responsible
for content, yes we are in some ways. However the examples you give of a physician's dictation - a new MT may not know that 100 mg of Synthroid is not a correct dosage, the MT types what is said and it is the DOCTOR who approves what is in the transcribed report. None of us know everything, the only thing we can do is accurately transcribe the dictation the dictation, not edit what we think should or should not be included.
Is it in regard to varicose veins?
Subject: Is it in regard to varicose veins?
What is it about?
I'll do a search with that in mind. Unfortunately, he doesn't say anything more in that regard
Subject: I'll do a search with that in mind. Unfortunately, he doesn't say anything more in that regard. sm
Before the s/l sentence, he says:
He can toe-and-heel walk. Tandem walking is somewhat off. Reflexes are diminished in the upper extremities, 1+ or trace at knees and at ankles. His motor power is generally full throughout upper and lower extremities. The right hand intrinsic muscles seem to be significantly affected and were about 3+/5. There is some atrophy of his first web space, which may be related also to significant subluxation of the thumb. The light touch sensation is generally okay.
His past surgical history is stent placement in 2004, status post cervical laminectomy/fusion.
Doctor is placing on Neurontin to see if he gets response regarding the paresthesias he's experiencing.
If this gives anyone a clue, I appreciate it a lot.
Never heard of it as part of an exam, but have heard of punch biopsy?
Subject: Never heard of it as part of an exam, but have heard of punch biopsy?
I have heard of
Subject: I have heard of
Allis clamp and Allis forceps, but I don't believe I have heard of an Allis catheter. I'll see what I can find.
Wow, have not heard of that one but, here are
Subject: Wow, have not heard of that one but, here are
Might help when searching.
Trace'alternant, trace' discontinu, and trace' paroxystique.
i never heard of that before.....sorry....nm
Subject: i never heard of that before.....sorry....nm
x
Have not heard this one before.
Subject: Have not heard this one before.
The incisions associated with replacement of the stimulator, in the thoracic incision and the left buttock incision where the generator is, are somewhat tender. There is no overlying skin reaction. There is no warmth, no ? food ?collection.
Could food collection be correct? I have never heard this doctor say this, and he is a mumbler. Thank you!
Has anyone heard of
Subject: Has anyone heard of
This patient is obese, and has been working with exercise and Captain Printzell. ???
TIA
yes - heard that before - sm
Subject: yes - heard that before - sm
They are saying "plus" for + or positive S1, S2.
sorry, heard.. nm
Subject: sorry, heard.. nm
x
never heard of this nm
Subject: never heard of this nm
ss
Anybody heard of this...
Subject: Anybody heard of this...
List of meds Effexor, Prilosec and s/l quine zime q. 10.
Both syllables with long i sound.
Thanks in advance!
Thanks...never heard it...; )
Subject: Thanks...never heard it...; )
xx
Never heard this
Subject: Never heard this
Dictated is, The patient is 13 plus 4 years old. Is there a situation where this would be more appropriate than saying 17 years old? What is the reasoning?
Thanks in advance!
anyone ever heard of
Subject: anyone ever heard of
rhinolaryngopharyngoscopy? - I can find each of these separate but cannot find a reference for this one.
Thanks
not saying SEM best heard at etc? nm
Subject: not saying SEM best heard at etc? nm
I have heard of E to A
Subject: I have heard of E to A
but not E to E, but there is always something new out there. I believe the TO is correct, not the -.
Has anyone ever heard of S/L lev-e-um
Subject: Has anyone ever heard of S/L lev-e-um
The doctor has dianosed him with cough secondary to postnasal drip. Trial of Flonase and S/L Lev-e-um was given.
anyone heard of ,,
Subject: anyone heard of ,,
nm
Has anyone heard of ..
Subject: Has anyone heard of ..
This was for a a right iliac crest bone biopsy harvesting.
I have usually heard it like so sm
Subject: I have usually heard it like so sm
Flat T waves, but I guess your dictator may be saying Flat T's to shorten it and taking out the "waves" portion.
Has anyone ever heard of a med that
Subject: Has anyone ever heard of a med that
this is just in the med list, no real history on the patient. I've tried all of my resources, but I cannot seem to come up with anything. Sounds like the same way a doc would dictate Combivent, but it is not that. I wonder if someone has a link for looking up drugs by the dosage??? long shot, but trying here... Thanks in advance.
I never heard that either! Thanks!
Subject: I never heard that either! Thanks!
This site, and this particular section, has been the most helpful thing out there!
Never heard of Xap before but you could be right.
Subject: Never heard of Xap before but you could be right.
I can't find one single thing on either spelling. I'm going to check with my QA and will let you know what she says.
Now those are two I have not heard. sm
Subject: Now those are two I have not heard. sm
usually hear homidical ideation etc. I would just give them to him if that is indeed what he is saying. Don't sweat it. These residents will sometimes make you nuts. Just regard is as a docism!!
Wow! Never heard of that.!! Thanks. nm
Subject: Wow! Never heard of that.!! Thanks. nm
also has anyone heard of q.a.c.?
Subject: also has anyone heard of q.a.c.?
He was started on Starlix which he has been taking s/l q.a.c. for the last six months.
Thanks
Deborah
Have not heard this before and
Subject: Have not heard this before and
hoping someone here can help.
The wound is then dressed with a s/l Combi-Dress coverlet.
TIA for any help with this!
Heard of
Subject: Heard of
posse vasculitis?
anyone heard this one? sm
Subject: anyone heard this one? sm
Sclerea are aninteric and *aninjected*
Dr. spells out *aninjected*, but I'm not finding it documented anywhere. Is this even a word? 
Thank you very much - I had never heard that before! sm
Subject: Thank you very much - I had never heard that before! sm
I did a Google search too (I always research before posting here) but didn't find anything that seemed to fit. Thanks again.
Thanks! Have you heard of a
Subject: Thanks! Have you heard of a
PArson's cocktail for interstitial cystitis? LAst one for the night!
anyone heard this?
Subject: anyone heard this?
Has anyone ever heard of Lasegg's or something similar to that. Dictated: "SLR positive at 70 degrees; Lasegg's negative."
heard of this?
Subject: heard of this?
Maybe diskitis?
I never heard of it - so THANKS!!
Subject: I never heard of it - so THANKS!!
Anybody ever heard of ....
Subject: Anybody ever heard of ....
Gram negative s/l LEAD-PROOF rods?? Do my ears deceive me or what?
Never heard that one either - now I know! nm
Subject: Never heard that one either - now I know! nm
x
THANKS SO MUCH :) I heard it right away
Subject: THANKS SO MUCH :) I heard it right away
sure, why not? I have heard it before. nm
Subject: sure, why not? I have heard it before. nm
.
Never heard of it, but there was a TV
Subject: Never heard of it, but there was a TV
show in the 50s. Did you laugh when you heard Howdy Doody? LOL
No or heard
Subject: No or heard
No sound before the “str” sound. Almost sounds like he’s saying struc ... He runs his words together and fast. I slowed it down to 20& and still didn’t get more definitive sounds. Thanks
Heard it before...
Subject: Heard it before...
Thanks for trying. Heard it before or read it before, but now my head drained of any mental capacity and I cannot think anymore (Friday syndrome). Appreciate the help though!
Has anyone ever heard of this being...sm
Subject: Has anyone ever heard of this being...sm
dictated. No specific studies mentioned just dictating a regular exam.
"There is normal blood flow into all four quadrants of her lung. "
I am not sure if this is normal or physician made a "mistake." 
I have never heard of it being dictated like this before.
Have heard of this...
Subject: Have heard of this...
no QRS heard
Subject: no QRS heard
OH!!! Thank you so much! Never heard of it!
Subject: OH!!! Thank you so much! Never heard of it!
I even have an ophthalmology book. Gee, I should have looked there, because there it is right in front of me. I was checking Stedman's abbreviations instead.
Thank you so much...
~Laurie
Ever heard of 3B ALL?
Subject: Ever heard of 3B ALL?
It is for a picu note for a child with "3B ALL" I can of course get teh ALL, but I cannot find a reference for the 3B and am not quite sure it is "3B" Thanks
thanks, never heard it before!
Subject: thanks, never heard it before!
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