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IT IS BUT I DON'T KNOW WHAT EXACTLY SHE IS SAYING! i AM THINKING IT MIGHT BE TYLENOL NM

Posted By: Tracey on 2008-03-25
In Reply to: is this a medication?? - mt-123

Subject: IT IS BUT I DON'T KNOW WHAT EXACTLY SHE IS SAYING! i AM THINKING IT MIGHT BE TYLENOL NM

NM


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I mean PRN Tylenol
Subject: I mean PRN Tylenol

/
Tylenol
Subject: Tylenol

Tylenol 975 mg - is it there? i cannot document it.
Tylenol #3.
Subject: Tylenol #3.


Tylenol No. 3
Subject: Tylenol No. 3

CORRECT way is "Tylenol No.3" as per manufacturer. Look it up in your PDR. I've been correcting that # sign for years now.
Rosie

Tylenol #4 or Tylenol No. 4
Subject: Tylenol #4 or Tylenol No. 4

Can anyone tell me which is the proper way to transcribe Tylenol #4- I seem to be finding it both ways.  Thanks. 
Tylenol No. 4
Subject: Tylenol No. 4

nm
Not on verbatim--it would be PRN tylenol
Subject: Not on verbatim--it would be PRN tylenol

/
Maybe something like Tylenol Junior sm
Subject: Maybe something like Tylenol Junior sm

Or something like that.  Junior because it would be chewable or liquid since she can't swallow.
S/L Tylenol grain 10 q.i.d. ???
Subject: S/L Tylenol grain 10 q.i.d. ???

Medications to include Tylenol grain 10 q.i.d. scheduled for his arthritis, .....


 


Thanks


Tylenol #4 no message
Subject: Tylenol #4 no message

x
I have always typed it as Tylenol No. 4 NM
Subject: I have always typed it as Tylenol No. 4 NM

xx
Since it's verbatim, how about w/o periods? Prn Tylenol. I don't think that looks bad. nm
Subject: Since it's verbatim, how about w/o periods? Prn Tylenol. I don't think that looks bad. nm

x
s/l Tylenol pudding elixir
Subject: s/l Tylenol pudding elixir

Can't find this anywhere - for a patient whose jaw is wired shut.


Tylenol with Codeine elixir ?
Subject: Tylenol with Codeine elixir ?

Could it be Tylenol/Codeine elixir or Tylenol with Codeine elixir ?
pt was started on a program of s/l MSN and Tylenol. sm
Subject: pt was started on a program of s/l MSN and Tylenol. sm

Right knee pain. The patient has had previous injuries and problems with the knee including some arthritis that flared up a few weeks ago and was particularly bothersome for awhile. She got on a program of s/l MSN and Tylenol
Tylenol No. 3 per drug books.
Subject: Tylenol No. 3 per drug books.

x
Infant is receiving Tylenol and s/l Sweetease...nm
Subject: Infant is receiving Tylenol and s/l Sweetease...nm

nm
Tylenol No. 4 because # sign can be confused for quantity. nm
Subject: Tylenol No. 4 because # sign can be confused for quantity. nm

xx
Agree. No plural for Tylenol or Lasix or any other drug. nm
Subject: Agree. No plural for Tylenol or Lasix or any other drug. nm

nope
still thinking
Subject: still thinking

Turns out that the patient is having very high fevers giving impression of left lower lobe pneumonia. Came across a brand name of a drug used in mouthwash called Advexin. They were talking about oral cancers...but then cross-referenced on http://www.pharma-lexicon.com/ and found (generic Mepron) atovaquone, classified as an anti-infective used in both adults and children who are at risk for PCP with initial doses of 750 mg per 5 mL. Since Hodgkin's lymphoma and bone marrow transplant would put this girl in a severely immunocompromised state, I would bet they are giving her a pretty hefty dose of the stuff. Atovaquone it is.

Thanks for helping me.
Thanks, I was thinking along
Subject: Thanks, I was thinking along

those lines, just wanted a second opinion. :-)
that's actually what I was thinking too - nm
Subject: that's actually what I was thinking too - nm

x
Tks. I kept thinking there is another
Subject: Tks. I kept thinking there is another

Like ...there were lewes....or something.  You are probably right, and I finally found it in stedman's and it says *sternal angle* and that seems to fit the way the doctor used it.  Thanks again.
that's what i am thinking
Subject: that's what i am thinking

I was thinking along the lines of this from the begining....compression over lower extremities.....just wish I didn't hear otherwise!  (I hate Monday's)


That's exactly what I was thinking
Subject: That's exactly what I was thinking

but I have this doc all the time and she's never dictated time like that before, so I just wasn't sure.  Thanks to all who replied. 
I was thinking that too...I'd have to say it was:
Subject: I was thinking that too...I'd have to say it was:

Past history notable or is notable for ______.
That's what I was thinking..maybe she
Subject: That's what I was thinking..maybe she

just got ahead of herself when dictating it in the assessment..because I definitely didn't hear an itis at the end...just a gingival or gingivo sound. 


Thanks


that is what I am thinking..thanks
Subject: that is what I am thinking..thanks


What was I thinking
Subject: What was I thinking

of course, para anything with twins, triplets, etc. Thanks for fixing my answer!
I'm thinking it's probably
Subject: I'm thinking it's probably

R&M for "routine and microscopic" 
That's what I was thinking, too.
Subject: That's what I was thinking, too.

.
I am thinking it
Subject: I am thinking it

may be (LIMA) or left internal mammary artery ..... of course you are hearing it.
That's what I was thinking...
Subject: That's what I was thinking...

but was unsure. It's an ESL doctor and she says it twice. It doesn't really sound like there is an F in the pronunciation, though.
that's what I was thinking.
Subject: that's what I was thinking.

That is what I have been doing but I guess I just wanted extra reassurance! Thanks.
I am thinking that is what she must be saying. Thanks. nm
Subject: I am thinking that is what she must be saying. Thanks. nm


I am thinking it might be SM
Subject: I am thinking it might be SM

some kind of rowing exercise...____ rows, but I can't come up with anything better than that.
Thanks, I was thinking that or 0.1. nm
Subject: Thanks, I was thinking that or 0.1. nm

xxx
I was thinking that myself, but just not sure so I sent to QA
Subject: I was thinking that myself, but just not sure so I sent to QA


I was thinking the same, but (sm)
Subject: I was thinking the same, but (sm)

why would he dictate this along with vital signs?  Seems strange ...
I was thinking that too! Thanks!
Subject: I was thinking that too! Thanks!

Thank you for your input!!!
That's what I'm thinking..sm
Subject: That's what I'm thinking..sm

This client requires headings whether or not dictated, so I wanted to make sure I'm correct.

Anyway, I have always typed it under abdomen, but I went looking to make sure, and I did find it in a sample report with it listed under back.

However, I just found a very good article called "Varney's Midwifery" that says it is part of the abdominal exam.

Thanks!
That's what I was thinking.
Subject: That's what I was thinking.

Most of the references I found say that if a patient is unable to consent to surgery, two doctors can sign the consent form on the patient's behalf. I am just not sure if the dictators mean double-doctored or double-documented when they say double doc'd. I do all ops, so it comes up fairly often.
that's what i was thinking too - nm
Subject: that's what i was thinking too - nm


I was thinking that too . . .
Subject: I was thinking that too . . .

He is in rare form today. I think he meant to say compression but it honestly sounds like inspriation. Sigh*** I mightjust sent it through with a flag.
not thinking-- thanks!!
Subject: not thinking-- thanks!!

nm
thanks, that is what I was thinking also. nm
Subject: thanks, that is what I was thinking also. nm

nm
thinking...
Subject: thinking...

The left wrist is inspected showing there to be a visible soft tissue swollen area of the dorsal wrist closer to the radial aspect of the wrist. It is approximately 3 cm in diameter. Mobile tender to palpation and consistent with the ganglion cyst.

I was thinking a comma should go after diameter and before mobile. (where I have a period) What do you think?
I was thinking that too until...
Subject: I was thinking that too until...

...a couple of lines down he said the patient was circumcised. This guy completely rambles. I really didn't know about hair tourniquets until tonight's dictation. (Now If only I could forget the mental image!) Thanks for taking time to answer--this newbie appreciates it.
I was thinking
Subject: I was thinking

false lumen, but that when googled is associated it looks mostly with aorta. Unless you think they could be talking about the abdominal aorta???
that's what I was thinking, but
Subject: that's what I was thinking, but

I'm hearing a "cis" sound in the middle of the word. He also says it again part way down in the report. He says EG junction is 35 cm from the _______ orifice.

Thanks.
Thanks!. That's what I was thinking too.
Subject: Thanks!. That's what I was thinking too.