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If he is an alcoholic in rehab, technically

Posted By: smn on 2009-05-28
In Reply to: What is correct protocol for this? s/m - penny

Subject: If he is an alcoholic in rehab, technically

he is probably not drinking at the moment, but agree it could have been worded a whole lot clearer.


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Is this an alcoholic drink? Could be
Subject: Is this an alcoholic drink? Could be

dark guinness.
alcoholic *debolich*??? Thanks. nm
Subject: alcoholic *debolich*??? Thanks. nm

nm
some sort of alcoholic drink?
Subject: some sort of alcoholic drink?

In the social history of this consult, the dictator states the patient drinks a glass of wine daily and an occasional s/l Bailey's with her coffee?  No idea what this could be, and my Google search has proved fruitless thus far!
There is an HO alcoholic withdrawal test
Subject: There is an HO alcoholic withdrawal test

@@
pt is alcoholic starting him on folic acid and s/l
Subject: pt is alcoholic starting him on folic acid and s/l

s/l Ziamen.  they are going to watch for withdrawal symptoms and watch for s/l BT?? and given s/l Acuvant prn for withdrawal...I've been on this report for almost an hour
pt is alcoholic starting him on folic acid and s/l
Subject: pt is alcoholic starting him on folic acid and s/l

Try Ativan. it is given for anxiety and panic attacks when coming off ETOH or binge drinking. It is an anxiolytic.
Technically, yes
Subject: Technically, yes

it would be typed as you have it with the commas, but I think the meaning is still clear without them.
Technically...
Subject: Technically...

defervescence (past tense defervesced) means "abatement of fever" but MD's usually use it pertaining to the patient generally getting better or doing better, so I would say OK.
Technically it would not because
Subject: Technically it would not because

our system is not metric and based on units of 10. But apparently not all docs are math geniuses, but it's just the kind of thing some docs will get bent out of shape out of, so some accounts will actually specify you do it as dictated. Grrr.


Technically, DC is one of those
Subject: Technically, DC is one of those

dangerous abbreviations, type out discontinue or discharge whichever is applicable. In this case, discontinued.
alcoholic cirrhosis...lab test s/l serum fraction??
Subject: alcoholic cirrhosis...lab test s/l serum fraction??

Any ideas would be very helpful.  Exact context....For the patient's alcoholic cirrhosis **serum fraction** was 32.  No steroids were given. 
Technically, I don't think it's correct usage, but might be what he's saying. (nm)
Subject: Technically, I don't think it's correct usage, but might be what he's saying. (nm)

x
Technically can mean "medical officer of the day"
Subject: Technically can mean "medical officer of the day"


diaphragm paresis, although technically
Subject: diaphragm paresis, although technically

should be diaphragmatic paralysis.  Maybe doc is like so many other doctors that think just because they have gone through 8 years of medical school that it gives them license to make up words.  Boy, are we grossly underpaid!!
They're both accepted but technically it's BI-RADS. nm
Subject: They're both accepted but technically it's BI-RADS. nm

:)
Technically it would be q.24h, but I spell it out to avoid problems. EOM
Subject: Technically it would be q.24h, but I spell it out to avoid problems. EOM


odontoid technically just means shaped like a tooth
Subject: odontoid technically just means shaped like a tooth

sessamoid could be found in hand or could be skipping and saying rheumatoid.
echocardiogram - A very technically difficult study. Images 'without' or 'out of' axis
Subject: echocardiogram - A very technically difficult study. Images 'without' or 'out of' axis sm

Do either of these make sense?  He cuts off a lot of his words and I've never heard this phrase before.


Images out of axis?  Images without axis?


TIA


rehab d/s...s/l
Subject: rehab d/s...s/l


REhab help pls
Subject: REhab help pls

Recommendations: Physical therapy for pelvic stabilization, sitting with an s/l astoid james belt... Impression si joint dysfuntion in 19 week pregnant female with bilateral hip replacements...
rehab help
Subject: rehab help

Patient uses compensatory strategies for ADLs due to decreased vision but requires tactile and verbal cues for s/l timi-tech.

Thanks!
Rehab score
Subject: Rehab score

FIM score??
that's right .... land rehab nm
Subject: that's right .... land rehab nm

nm
S/L Metta Bench - Rehab DS
Subject: S/L Metta Bench - Rehab DS

For equipment given to patient, doc says:  Patient given "METTA BENCH" and hospital bed, wheelchair.....


also sounds like MATTA, MEDDA, MADDA.


TIA!  


no - he is in rehab for substance abuse...
Subject: no - he is in rehab for substance abuse...

There is nothing about law enforcement or any type of incarceration. Only that he is in in rehab and living at a rehab center.
Any Drug & Alcohol Rehab MTs out there?
Subject: Any Drug & Alcohol Rehab MTs out there?

I just started a job typing for a drug and alcohol rehab center.  I am unfamiliar with a lot of this terminology and was wondering if there was anyone out there who is doing a similar account and would be willing to share their knowledge with me.  Thanks.
Per rehab: In-exsufflator (Coughalator).
Subject: Per rehab: In-exsufflator (Coughalator).


I found a Burke Rehab in NY,
Subject: I found a Burke Rehab in NY,

(but I'm in NC).

http://www.burke.org/
type of score for rehab
Subject: type of score for rehab

Stating the pt had the following functional and "PENS" measure scores: Feeding 5, grooming 2, bathing 1
s/l land rehab measures? sm
Subject: s/l land rehab measures? sm

Doc is going to start her on some s/l land rehab measures for hip arthroscopy and femoroplasty.
plantigrade per Stedman's Ortho/rehab
Subject: plantigrade per Stedman's Ortho/rehab

tt
Stedman's Ortho & Rehab Words
Subject: Stedman's Ortho & Rehab Words

For all of the years I have typed in this for orthopods or any other documents including x-rays, it has always been patellofemoral.  Hope this helps!


For Rehab note....s/l SEBA score??
Subject: For Rehab note....s/l SEBA score??

He was placed on alcohol detox protocol and received tapering dose of Librium based on _____ scores. 


It sounds like SEVA, SEBA or something like that?? Thanks for any help!


Stedman Ortho and Rehab words has it as--sm
Subject: Stedman Ortho and Rehab words has it as--sm

fabere test...not capitalized and no apostrophe s.
Rehab note. He is using a lot of abbreviations. I am not able to document what they mean. *sm*
Subject: Rehab note. He is using a lot of abbreviations. I am not able to document what they mean. *sm*

Please let me  know if I have anything wrong.  Thank you so very much!


MODALITIES:  Transfers are minimum assist.  Balance trunk is  
fair to poor.  Endurance fair to poor.  PT goals are maximum  
assist with TIF.  Maximum assist with bed mobilities.  Progress
toward weeks goals PT is EMO at times of HOA.      


 


           


As to what? Mental health? Rehab? Lab results? nm
Subject: As to what? Mental health? Rehab? Lab results? nm

s
PT/Rehab uses the term scaption frequently..sm
Subject: PT/Rehab uses the term scaption frequently..sm

scaption means abduction (raising the arm away from the body) in the scapular plane. Not a documented word, but worked for a PT and PM&R physiatrist for years who used this terms. Maybe this dictator is botching this word and saying "scapitation" with the same meaning intended??
Help with rehab word s/l busy board
Subject: Help with rehab word s/l busy board

This is from my rehab account - "the patient is modified independent with s/l busy board transfers".

Any ideas?

TIA! This is my last one for today, I promise!
He saw ortho who then put him in a s/l ATSO brace, and he has had no rehab done since. Thanks
Subject: He saw ortho who then put him in a s/l ATSO brace, and he has had no rehab done since. Thanks


Burke is THE rehab facility for Westchester, Putnam,
Subject: Burke is THE rehab facility for Westchester, Putnam,

s
Patient going into drug rehab. Will contact her s/l NA sponsor
Subject: Patient going into drug rehab. Will contact her s/l NA sponsor


Rehab hospital........Lisfranc and metatarsal fractures
Subject: Rehab hospital........Lisfranc and metatarsal fractures

nm
Krackow's point, Sted's. Ortho and Rehab Words. nm
Subject: Krackow's point, Sted's. Ortho and Rehab Words. nm

s
You can try here for state listings of drug & rehab faciilties, see inside.
Subject: You can try here for state listings of drug & rehab faciilties, see inside.

http://www.usdrugrehabcenters.com/drug_rehab_centers/Michigan_drug_rehab_centers/index.html
...'scuse! Sted's Ortho & Rehab Words. I think the 5th edition is the most recent. nm
Subject: ...'scuse! Sted's Ortho & Rehab Words. I think the 5th edition is the most recent. nm

s
os acromiale...Sted's Ortho/Rehab Words. Great book to have! :) nm
Subject: os acromiale...Sted's Ortho/Rehab Words. Great book to have! :) nm

s
According to Stedmans Ortho and Rehab Book, 4th Edition, plantarflexion is ONE word.
Subject: According to Stedmans Ortho and Rehab Book, 4th Edition, plantarflexion is ONE word.


I found Luque plates in Stedmans Ortho and Rehab Book, 4th Edition
Subject: I found Luque plates in Stedmans Ortho and Rehab Book, 4th Edition


I found Services United for Mothers and Adolescents (SUMA) in a listing for adolescent drug rehab.
Subject: I found Services United for Mothers and Adolescents (SUMA) in a listing for adolescent drug rehab.

I don't know if this is what you are looking for, but it was listed in the Health Foundation of Greater Cincinnati.
onelook.com, Tessier's Surgical Words, and Sted's Ortho and Rehab Words. Great stuff! nm
,
Maybe 'pes plano valgus (or planovalgus)?' Sted's Ortho&Rehab Words is invaluable for ortho
Subject: Maybe 'pes plano valgus (or planovalgus)?' Sted's Ortho&Rehab Words is invaluable for ortho stuff! n

n