I promise, I'm not crazy...But this is a weird one! SM
Posted By: New Urology Account on 2007-04-29
In Reply to:
Subject: I promise, I'm not crazy...But this is a weird one! SM
I know, it sounds crazy... This is a new urology account for me, and the doc is REPEATEDLY saying the following, taken directly from the notes:
(Problem of interstitial cystitis and pelvic pain) -- 'She did not use the Valium vaginal suppositories. She had days when she felt quite well....'
(Problem of IC again) -- 'Prescribed Valium 10 mg vaginal suppositories...'
(Problem IC and pelvic floor tension myalgia) -- She stopped her Valium vaginal suppositories, which she states are at a dose of 10 mg of Valium with 25 mg of amitriptyline and has felt much better since.
I can't find a Valium vaginal suppository anywhere, people! Any of you know about anything like this? I imagine that if you've got a stressed vagina, that would be as good of a cure as any, but I haven't heard of it yet. Any ideas? 
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Promise stent?
Subject: Promise stent?
Anyone ever hear of a Promise stent (heart)?
compliance promise?
Subject: compliance promise?
Anyone heard of this before? Doctor says the patient is on a CPAP at home as part of a compliance promise.
sorry about testing ignorance--i'm not a cheater, promise!
Subject: sorry about testing ignorance--i'm not a cheater, promise!
Just found Admin note saying I shouldn't come in while taking tests. I feel so stupid. I was sure it was okay to use all resources, including this place. I did the best I could and then asked the really hard ones here.
too weird! sm
Subject: too weird! sm
The very next report I got after this one, from a different doc, different place, he says "microfracture" which I think must be what the first one was talking about (she loves the abbreviations). So strange that I've never heard this term, but I get it in 2 consecutive reports!
Yes, weird indeed. When he said it
Subject: Yes, weird indeed. When he said it
I said WHAT?? He is very, very clear too. I will send it in with a blank and see what QA says. Thanks for your help.
That is weird!
Subject: That is weird!
If it's not a verbatim account, I'd use "medications" and "detoxification". I'd think they'd have a hard time picking a fight with those! (Plus, it's more characters!)
Me, too. Looks weird.
Subject: Me, too. Looks weird.
Too weird
Subject: Too weird
my editor and I were just discussing this yesterday. I was always taught to put what is dictated, but she said to always expand it - - now, I am confused .
That is weird
Subject: That is weird
because Desonide is not to be used in the eyes.
Yes, same here. Looks like it might have stopped though. Weird!
Subject: Yes, same here. Looks like it might have stopped though. Weird!
.
Thanks... It's not in there. Must be a weird one, I guess!
Subject: Thanks... It's not in there. Must be a weird one, I guess!
nm
Weird question?
Subject: Weird question?
I have a personal question to ask and I don't know if this is a problem or not. For the past few weeks my left foot will occasionally get so cold I can't stand it and the rest of my body is fine. This only seems to happen when I am typing. My right foot is my pedal foot. My mother had surgery to remove a blood clot from her arm (she almost lost the arm) many years ago. Is this something that I should be concerned about? Does anyone else ever have this problem?
weird question here :)
Subject: weird question here :)
I am unsure if I have the spelling correct for this word! It is talking about the patient having pink eye. He says he has to clear it out because it is crusty and pusy. I do not kno of any other way to spell pus other thank this. It just looks different. Please let me know. Thanks.
it looks weird to me too...I always change it to...
Subject: it looks weird to me too...I always change it to...
it's not necessarily correct - but I think about pussy cats and so the *eye is crusty and has pus* is what I'd put. 
Weird!! we BOTH started it with DU....
Subject: Weird!! we BOTH started it with DU....
Weird phrase
Just had a doc say: Lungs clear to IPPA. It's a first for me, but Google had hits for it, so I'm sure it's common. But how odd to say during the physical exam that lungs are clear to INSPECTION, palpation, percussion and auscultation.
I think of looking carefully when I hear inspection. So it sounds like he somehow took a peak at her lungs. Was he using a bronchoscope for this physical exam (no way - because he'd have documented that carefully so he could charge for it, LOL).
Now I'm off to check and see what OneLook says about inspection. Oy.
OK, this sounds weird
Subject: OK, this sounds weird
Patient is scheduled for an Afro? due to critical limb ischemia
Hey birdlady - what are those weird
Subject: Hey birdlady - what are those weird
Thanks for the laughs. I kept trying to hear 34 weeks, but it was pretty clear he was saying 24 weeks. I ended up flagging it as a discrepancy and sent it in to QA for them to figure out. Thanks for trying, though!
That should be Ƌ.1'...don't know where that weird symbol came from...nm
Subject: That should be Ƌ.1'...don't know where that weird symbol came from...nm
*
I know...lots sounded very weird. :) Thanks. NM
Subject: I know...lots sounded very weird. :) Thanks. NM
d
Yes...looks weird, but verified in my Stedman's. NT
Subject: Yes...looks weird, but verified in my Stedman's. NT
d
Kind of a weird way of putting it but SM
Subject: Kind of a weird way of putting it but SM
To amass something is to collect it or accumulate it. I have amassed a large collection of reference books over the years.
Too weird...when I opened this first time....sm
Subject: Too weird...when I opened this first time....sm
I only had the "subject" sentence and not the last 2 sentences. Am I crazy and somehow I just didn't see them...or is that possible somehow???
Consult - I think you are right! It just sounds weird....TU
Subject: Consult - I think you are right! It just sounds weird....TU
It's weird because in his record, it's "hypernephrosis" and .....
Subject: It's weird because in his record, it's "hypernephrosis" and .....
I just had to put abdominal pain. 
Seems weird to do something middle of the night. Maybe 2 q.a.m.? What
Subject: Seems weird to do something middle of the night. Maybe 2 q.a.m.? What
s
That's really weird looking. Should be 2:2:2 solution (try w/o quotes?)
Subject: That's really weird looking. Should be 2:2:2 solution (try w/o quotes?)
x
Dont see it in caps anywhere. Weird. Seems like it should be!! nm
Subject: Dont see it in caps anywhere. Weird. Seems like it should be!! nm
It's good to see MTs rebelling about the extremely weird
Subject: It's good to see MTs rebelling about the extremely weird
second edition of the BOS. They should go back to the first edition, but just add the necessary change about type II diabetes changing to type 2 diabetes. Medical record style guides should not completely change every three years. Doctors have never heard of the BOS for goodness sakes.
I agree, maybe it is a weird way of splitting that 70 dosage?
Subject: I agree, maybe it is a weird way of splitting that 70 dosage?
There is femhrt (looks weird, bug in drug index)
Subject: There is femhrt (looks weird, bug in drug index)
Maybe punctates for punctate lesions? Would be a weird
Subject: Maybe punctates for punctate lesions? Would be a weird
s
glad I could help - those weird pronunciations are tough sometimes! NM
Subject: glad I could help - those weird pronunciations are tough sometimes! NM
Not "tires" easily??? This seems really weird. How clear is the
Subject: Not "tires" easily??? This seems really weird. How clear is the
s
6-monoacetylmorphine :) (with emphases in weird places)
Subject: 6-monoacetylmorphine :) (with emphases in weird places)
not finding other drugs, I finally wiki'd morphine and came up with possibly 6-monoacetylmorphine (metabolized product of heroin?)- will flag it, as not sure, but thanks
I agree it looks weird, but "appropriate for gestational age" is a ... SM
Subject: I agree it looks weird, but "appropriate for gestational age" is a ... SM
a compound modifier for "infant." Weird or not, that's the way it is. My opinion, if the correct way looks too "weird" for you and you don't mind getting pinged by QA, then use no hyphens at all because "gestational- age" definitely should not be hyphenated.
Hey, it's not my initials on the report. I'm just offering my help. It's up to the OP.
this is crazy!
Subject: this is crazy!
There were three other places in the dictation that I could not understand what he was saying.
After I deciphered the 'alert and oriented' (with your gracious help), I went back to the other three. Bingo. It was like a mumble-jumble-decipher puzzle piece placed itself in my head, and I figured out the other three.
I love puzzles.
Thanks again!
Crazy, ain't it?
Subject: Crazy, ain't it?
The actual pronunciation of that word IS "day-breed-MON". I about died when I first heard that. I guess it's French. It sounds so hoity-toity to me. LOL
This is crazy but I need help.
Subject: This is crazy but I need help.
.... sounds like rale or rail packs... for migraines? Thanks.
I know this is crazy but...
Subject: I know this is crazy but...
Wet prep showed budding yeast and ....s/l hife....
Thanks.
Okay, don't think I am crazy here
Subject: Okay, don't think I am crazy here
but there is a Marathon on 07/13/2008 at SeaFair in Seattle and it is for fibromyalgia. It might have something to do with that????? Just my thoughts on the matter.
Thanks - I am not crazy!
Subject: Thanks - I am not crazy!
Thanks!!!
Something weird happened to my post. The first word I had the question on did
Subject: Something weird happened to my post. The first word I had the question on did
not even show up. Sounded like pigsiella? Then he goes on with the hirsutism, etc. BTW I have lines drawn through both my original post and your response.
AAMT prefers you spell it out or subcut (weird)
Subject: AAMT prefers you spell it out or subcut (weird)
nm
Thank you so much, was driving me crazy! :)
Subject: Thank you so much, was driving me crazy! :)
nm
That's it!!! Thanks a lot - I've been going crazy looking for this....
Subject: That's it!!! Thanks a lot - I've been going crazy looking for this....
THank YOu!!! Just started a new job and am going crazy!!!!
Subject: THank YOu!!! Just started a new job and am going crazy!!!!
x
crazy question
Subject: crazy question
I know this is probably stupid BUT.... as a "newbie", I haven't encountered this before.
How do you write disc space height.
ex: doc says: complete loss of disc space height at 5 1
Thanks.
That's not it and this is driving me crazy!!
Subject: That's not it and this is driving me crazy!!
Thanks so much.....was driving me crazy!! nm
Subject: Thanks so much.....was driving me crazy!! nm
nm
Thanks. I thought I was going crazy.
Subject: Thanks. I thought I was going crazy.
nm
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