I think I've got part of it.... sm
Posted By: ChuckM on 2009-03-16
In Reply to: HEENT unintelligilbe - Moti Sehn
Subject: I think I've got part of it.... sm
I'm "hearing" in my head "No lymphadenopathy noted and the trachea is midline," though I can't be 100% certain from your s/l there.
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You've got it right. I've type that for years, as in transforaminal steroid injection.
Subject: You've got it right. I've type that for years, as in transforaminal steroid injection.
nm
Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm
Subject: Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm
s
I've never heard of "Toprolol XL" and I've been sm
Subject: I've never heard of "Toprolol XL" and I've been sm
doing this a looooooong time.
2-part, 3-part, or 4-part possibly - nm
Subject: 2-part, 3-part, or 4-part possibly - nm
thanks so much - I've been looking everywhere....
Subject: thanks so much - I've been looking everywhere....
What about this? I've seen it this way also, 2
Subject: What about this? I've seen it this way also, 2
coutes within a quote; it still makes sense. is so hard to tell though when you're not really hearing inflection in the voice.
"not been dieting or exercising;" "simply too busy."
I think you've got it! :) nm
Subject: I think you've got it! :) nm
s
Don't be - we've all been there. Have a better day. nm
Subject: Don't be - we've all been there. Have a better day. nm
nm
I've had to do this........
Subject: I've had to do this........
Go to the beginning of the sentence at #1, right click, click on decrease indent and this will put you at the left margin. You can then put (a) manually under the beginning of the sentence and space over 2, then starting typing. Hit enter and put in (b). I know when you hit "b" it will move over. Before moving on, go back to "a", right click, bullets and numbering, customize, go to "aligned at" and make it 0.5. This will align everything where you want it. When you start "c", it will be at the left margin but go ahead and finish a,b,c,d, however long. When finished, highlight this, right click, bullets and numbering, find the box starting with "c" and click it. It will line everything up. From then on,when you type #2, it will line itself up. I hope this isn't too confusing.
I've seen it before...
Subject: I've seen it before...
my(o) = the combing form for muscle.
ligamentous = relating to the ligaments.
myoligamentous strain = a strain of the muscles and ligaments.
Not exactly but thanks - you've given me something to think about
Subject: Not exactly but thanks - you've given me something to think about
A word that means "narrowing" but sounds like "graced" or "gracing"....that's a definite possibility.
Thanks!
Now I've got it too!
Subject: Now I've got it too!
Wonder if we are on the same account.
I've never
Subject: I've never
heard of a 270 mg dose of trazodone????? It only comes in dosages that you stated. Sounds a little strange to me.
Same here. Have done it that way wherever I've been, too. nm
Subject: Same here. Have done it that way wherever I've been, too. nm
s
I've got it...he's saying
Subject: I've got it...he's saying
nm
Looks like you've got it!
Subject: Looks like you've got it!
Of course! And I've seen that
Subject: Of course! And I've seen that
somewhere before in the far distant past. Told you I'd feel stupid!
Thanks VERY much.
I've never had a fab PAP, lol. ;-) nm
Subject: I've never had a fab PAP, lol. ;-) nm
x
Okay, I've had it....
Subject: Okay, I've had it....
I'm typing an orthopedic surgeon at the moment..he and his wife (who is also a surgeon) have developed the same MISERABLE, slurring speech pattern (I thought couples began to LOOK alike, not SOUND alike). If someone could help before I am bald from tearing my hair out, I would be extremely greatful. He is dictating a patient who developed an infection from a wound and was taken to the OR twice for "I&D and integator??? plus VAC placement." It is probably something easy, but I am experienced only in radiology. I do very well if I can hear what is being said. A couple of reports ago, his wife dictated a patient who had patysmal blanding...(platysmal banding) and craptional consrapsure (capsular contracture). Sorry bout this long-winded, whining plea, but thank you for letting me vent. Heavy sigh...I feel better now. 
I've Always . . .
Subject: I've Always . . .
Corrected grammar--had a time of it explaining to one clinician why it's "between her and her father" and not "between she . . ."--and only VERY rarely have been asked not to do it.
I think they usually know once the correction is made that what they dictated was incorrect.
Although I'm sure there have been raised eyebrows over my typing the correct "he has DRUNK (not "drank") alcohol since age 16" because to them it sounds (but isn't) wrong.
Past participle, doctor, look it up.
Have fun out there,
Clifton T.
I've been using "C"
Subject: I've been using "C"
for 30 years and nothing has ever been said... so maybe it depends on the company. I've seen it both ways.
I think you've got it!
Subject: I think you've got it!
 Just went back and listened and that is it! THANK YOU SOOOO MUCH! I did try and Google my "pronunciation" and it just came up blank. THANKS FOR YOUR EFFORTS - EVERYONE!
I've got a doc saying
Subject: I've got a doc saying
dyshyperplasia, but I cannot document this word . . . is this just another made up word?
TIA for any help you can offer!
thanks, could've been it! had sent to QA already nm
Subject: thanks, could've been it! had sent to QA already nm
nm
I've always used AAA.
Subject: I've always used AAA.
You know QA, just depends on which way the wind is blowing as to what they change.
Thanks! They've not said that before. NM
Subject: Thanks! They've not said that before. NM
I know you've sent it on..
Subject: I know you've sent it on..
but since he's ESL, could he have been saying, "an Allis clamp"?
you've got it right
Subject: you've got it right
you've got it right...
pansensitive - sensitive to all the antibiotics usually tested for a potential treatment
Thanks, now for part 2...
Subject: Thanks, now for part 2...
Monarc procedure with s/l susquee.
Forgot this in my original post, sorry!
not sure about the first, but the second part may be right
Subject: not sure about the first, but the second part may be right
It is possible he is saying "of five to seven inches" or "site of seven inches" but that still leaves the first part. If it's the first one it sounds like "muce" or "moose" or "meese". For the second one it would end in an "a" sound like "meesa site" It sounds like he's saying "uh" in front of that, like he's thinking. But maybe it's part of the word "ameesa site" or something like that. And then again, maybe it's not even an "m". Could be an "n" or something else. I feel like I'm getting closer. I just wish he didn't have to talk so fast! Actually, you suggested adhesion and I just thought of "adhesive site". It doesn't sound like an "h" really, but would that make sense? "a moderate to severe adhesive site of seven inches with the radiation therapy?" Seven inches! That's really long.
maybe second part of #4
Subject: maybe second part of #4
is pus exudate
I know part of it!
Subject: I know part of it!
Last word is "atraumatically". Have to think about the other one. Anyone else care to guess in the meantime?
That is all part of the job.
Subject: That is all part of the job.
This is the reason we are so skilled in what we do. If we weren't, a monkey could do this job! LOL - I wouldn't let it bother you to the brink of insanity. Take it with stride...There's more to life really.
First part I would think is...
Subject: First part I would think is...
Bilateral inguinal hernia is right greater than left...
Second part I am thinking...
Uh - duh on my part! TY so much!
Subject: Uh - duh on my part! TY so much!
Thanks to both. Duh on my part. I am
Subject: Thanks to both. Duh on my part. I am
having a horrible day.
don't know about your s/l, but other part sm
Subject: don't know about your s/l, but other part sm
I wonder if the other part of the sentence should be "facet degenerative changes" rather than "of said degenerative changes"
This is part of his A/P . . .
Subject: This is part of his A/P . . .
and the only other thing he dictates is the left knee.
i.e.
Diagnosis 1. Possible grushen ligament injury, left knee.
does this help? Ooh wait . .
does this make sense:
cruciate ligament injury
maybe that is what he is saying. = ) Tx
Yes, that is it! Duh on my part. Thank you so much.
Subject: Yes, that is it! Duh on my part. Thank you so much.
Got part of it
Subject: Got part of it
**s/l - Sub-tox skin is curetted using a razor blade, then 3 freeze-thaw cycles at 10 seconds using liquid nitrogen applied.
What part of PE was this in?
Subject: What part of PE was this in?
What part of the physical exam section was this in (what body system)?
got part of it
Subject: got part of it
I've got nosocomial sepsis, but it still sounds like "par" nosocomial sepsis.
That's is part of it...
Subject: That's is part of it...
it s/l he's saying "anti-esamanxiolytic" medication. Can't figure it out!
could the last part...
Subject: could the last part...
be figure-of-eight tension being in good position? Still don't understand the first part though.
what part of H&P?
Subject: what part of H&P?
What system is he dictating it under?
You've very welcome. Glad to help. NM
NM
i've figured it out myself :-)
Subject: i've figured it out myself :-)
That's what I've always typed...
Subject: That's what I've always typed...
Spellcheck is frustrating. I was beginning to think the word didn't exist. Thanks.javascript:editor_insertHTML('text',' ');
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I've been looking all over the place for your S/L's sm
Subject: I've been looking all over the place for your S/L's sm
and not coming up with anything helpful. Could the valve be a Cimino, the head frame an Elekta or Medtronic stereotactic head holder? I'll look a little while longer and see if I can come up with something.
You've been most helpful! :)
Subject: You've been most helpful! :)
nm
Maybe you've "heard" of it too! nm
Subject: Maybe you've "heard" of it too! nm
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