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I wish I could. Doc is mumbling. Hoping for an educated guess.

Posted By: nm on 2007-10-03
In Reply to: can you give a sounds-like? - MT50

Subject: I wish I could. Doc is mumbling. Hoping for an educated guess.

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just an educated guess
Subject: just an educated guess

  supra-orbital
I would say dimple, but that is just an educated guess
Subject: I would say dimple, but that is just an educated guess


What I have been told is I may make an educated guess...sm
Subject: What I have been told is I may make an educated guess...sm

I am by no means telling you not to leave a blank, it all depends on your company.  I have always been told if you know that is what the doctor means, especially if it is verified later in the report, then you may put what you know is correct.  I hate, hate, hate to leave blanks when I know what it is.  If you can, ask QA for verification if nothing else.  Sorry couldn't be more helpful! 
Well, so much for being an educated MT/QA/MTSO. Just go with the flow nm
Subject: Well, so much for being an educated MT/QA/MTSO. Just go with the flow nm

:
help with mumbling please
Subject: help with mumbling please

The patient was given one liter of normal saline and then fluid at "S/L KBL" 75 ml per hour. 
Help, got a doc mumbling here...
Subject: Help, got a doc mumbling here...

I got this so far,


tympanic membranes clear, lungs clear, heartrate regular rhythm, ____ is soft


sounds like he is saying ectlin


Thanks for any help!!


mumbling
Subject: mumbling


I think I can stand just about anything but mumbling! What I can't hear, I really have a problem finding! lol
TY. These may be it - she is mumbling :( NM
Subject: TY. These may be it - she is mumbling :( NM

x
med help s/l finoscalintone? doc is really mumbling it. nm
Subject: med help s/l finoscalintone? doc is really mumbling it. nm


thanks, it could be...he's really mumbling through the part
Subject: thanks, it could be...he's really mumbling through the part


Was hoping someone could come up with an sm
Subject: Was hoping someone could come up with an sm

answer to your question. The only thing I could find about NOL was in the Stedman's abbreviations book which listed NOL as "not on label." I'm wondering if that could mean investigational drugs not yet available to the public. I don't know what else "not on label" could mean. Hopefully someone else does. At least he spells it!! :)

Sorry!

Hoping someone can help with this
Subject: Hoping someone can help with this

His thorax has multiple (s/l row 4) paraspinal muscles, with a tender point at T9 on the left. 


TIA


okay...I was hoping someone else would--sm
Subject: okay...I was hoping someone else would--sm

answer this for you, but here we go. Under tools, go to autocorrect options. In that window, there should be a button called *exceptions*. Click on that. This will open another window. Down at the bottom, there should be a check box with the words *automatically add words to list*. If it is checked, uncheck it. Above that is an open area with the words *Don't capitalize after*... if there are any words in this open area, like your words of well, site, knee, that, health, delete them one by one by highlighting and pressing the delete button next to it. On the top of this window, there should be two other tabs labeled Initial Caps and Other Corrections. go to each tab and do the same thing by unchecking the *automatically add words to list* box and deleting any words that may be in the open area. When finished, click OKAY. close the window. click okay on the autocorrect options window, and that should take care of those words not being capitalized any longer. You may have to do this every time you do a disc clean up, though and delete cookies, etc. As far as the numbers go, I am not exactly sure there is a solution to that problem. if you have any questions, feel free to email me. ks
I'm hoping this is one of the last - thanks!
Subject: I'm hoping this is one of the last - thanks!


Sensation was intact to light touch, temperature sense, and pinprick throughout with S/L: preserved vibration in joint positions sensitive just to lower extremities. 


 


OY-YOY-YOY


 


Make sense?  Thanks.


Thanks! I was hoping you were still on! - nm
Subject: Thanks! I was hoping you were still on! - nm

x
Hoping someone can help with s/l sm
Subject: Hoping someone can help with s/l sm

Patient in today for a s/l sinvus presentation essentially because he has a dental infection and his dentist was out of the office and suggested he contact primary care for antibiotic until he can be seen.

Wondering if I'm simply not hearing something that is usually said for an unscheduled appointment. Appreciate any help.
I was hoping!
Subject: I was hoping!

I was hoping it would be one of the 2 but I can't get either word out of what he is saying.
thanks so much for looking into it - I'm just hoping
Subject: thanks so much for looking into it - I'm just hoping

the "johnny" is his gown or something, and there's not something funky going on with his "johnny!!"  Sometimes this job can put a smile on your face, right!
I finally figured it out... he was mumbling.... sm
Subject: I finally figured it out... he was mumbling.... sm

and was trying to say morphine! TU
No, that's not it. He actually starts spelling b-e-r and then he gets to mumbling.
Subject: No, that's not it. He actually starts spelling b-e-r and then he gets to mumbling.


It sounds like it has "tax" something in it. He has really been mumbling a lot through this d
Subject: It sounds like it has "tax" something in it. He has really been mumbling a lot through this day.


Yeah I was hoping... :-)
Subject: Yeah I was hoping... :-)


Thank you, Patty! I was hoping you'd come through!
Subject: Thank you, Patty! I was hoping you'd come through!


Could they be mumbling a Billroth II anastomosis or a Roux-en-Y
Subject: Could they be mumbling a Billroth II anastomosis or a Roux-en-Y

s
I think he's mumbling "multiple" bulging discs.nm
Subject: I think he's mumbling "multiple" bulging discs.nm

x
Love those mumbling stumbling dictators.
Subject: Love those mumbling stumbling dictators.

Not sure about Rhino tonsil balls either but it does sound funny LOL !!
Probably mumbling a Myoview nuclear scan...nm
Subject: Probably mumbling a Myoview nuclear scan...nm

nm
He could be, he's kind of mumbling which make it harder.
Subject: He could be, he's kind of mumbling which make it harder.


Okay, thanks!! You are right, no way of knowing. Just hoping for a miracle!! nm
Subject: Okay, thanks!! You are right, no way of knowing. Just hoping for a miracle!! nm

x
That's what I did. Was hoping it looked familiar to someone -
Subject: That's what I did. Was hoping it looked familiar to someone -


That's what I thought, just hoping someone could confirm it
Subject: That's what I thought, just hoping someone could confirm it

Thanks!
I am hoping tibula is just a mistype. But
Subject: I am hoping tibula is just a mistype. But

since you are new just wanted to make sure you know it is tibia.
typing med list and thru the mumbling s/l FILLA-DEPEND ER 5 mg. nm
Subject: typing med list and thru the mumbling s/l FILLA-DEPEND ER 5 mg. nm

x
(The above is just correcting typos in post, still hoping for help. :) )
Subject: (The above is just correcting typos in post, still hoping for help. :) )


Dang! I was hoping for a clue. nada. Sorry. sm
Subject: Dang! I was hoping for a clue. nada. Sorry. sm

When you find out what it is, would you please let us know? This has driven me crazy all day!

Thanks.


I listened for that and was hoping maybe there was an abbreviation for it that I have not heard of,
Subject: I listened for that and was hoping maybe there was an abbreviation for it that I have not heard of, but she is not saying Lap-Band. Thank you!

x
Yes - but he's so clear - I was hoping to be able to verify through someone that's heard it-n
Subject: Yes - but he's so clear - I was hoping to be able to verify through someone that's heard it-nm

nm
it's what I ended up using- just hoping for something better for future reference... (because acc
Subject: it's what I ended up using- just hoping for something better for future reference... (because account specifics say docs don't get to make up words) :)


Mumbling PA, medication s/l Ectodate. Patient only had back surgery in his PMH, no other
Subject: Mumbling PA, medication s/l Ectodate. Patient only had back surgery in his PMH, no other

medical problems and the other only other med is Flexeril. I keep thinking some type of NSAID, but I just went thru over 50 of them and nothing came close.
last one (hoping)..s/l towel thin paper tape was used to dress the wound. nm
Subject: last one (hoping)..s/l towel thin paper tape was used to dress the wound. nm

is it really towel thin...or am I hearing a name brand?  nm
s/l bare aspirin. Is doc just mumbling baby aspirin, or is there really such a term? Thanks!
Subject: s/l bare aspirin. Is doc just mumbling baby aspirin, or is there really such a term? Thanks!


I guess it could be intravenous, but I'll turn in a blank rather than guess. Thanks!!!
Subject: I guess it could be intravenous, but I'll turn in a blank rather than guess. Thanks!!!


could they be mumbling "present illness" or current illness
Subject: could they be mumbling "present illness" or current illness


Avelox is a guess...might not be a good guess, though! nm
Subject: Avelox is a guess...might not be a good guess, though! nm

nm
My only other guess would be "anger burst." Just a guess.
Subject: My only other guess would be "anger burst." Just a guess.

x
I'd guess
Subject: I'd guess

stercoral colitis
My guess
Subject: My guess

maybe he's saying "pyelo" short for pyelonephritis
My guess sm
Subject: My guess sm

My guess would be candida esophagitis. 
just a guess
Subject: just a guess

but i think he is abbreviating -- so i would just put it inside quotes as you have it -- as it could refer to too many different things, if that is what he is doing.
and guess what?
Subject: and guess what?

depending on what lab you work in, all specs and values are different also. i worked in two different labs so I KNOW
Guess
Subject: Guess

I'm guessing the "caphate tethose" is ______ TED hose. The word prior, I don't know.

Without more...this is only a guess.