If you post more text, we can probably figure it out.
Posted By: nm on 2008-10-29
In Reply to: knee surg: s/l tamajent canal - AJ
Subject: If you post more text, we can probably figure it out.
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More text
Subject: More text
I have explained to him that it is experimental therapy. There is no guarantee of success. The turbacent toxicities are substantial and these were discussed with the patient.
Need to know how it was used in the text.
Subject: Need to know how it was used in the text.
xx
Sorry, misunderstood the text.
Subject: Sorry, misunderstood the text.
More text would be helpful. sm
Subject: More text would be helpful. sm
If this is ortho, the second term probably should be Brudzinski sign.
a little more info/text might help
Subject: a little more info/text might help
. . of what you are transcriting - is patient pre- or perioperative . . parative not a medical word that I can find . . . a derivative of "parous" possibly?
May be PERIORAL but need more text to be sure...
Subject: May be PERIORAL but need more text to be sure...
Is in on the face (around the mouth in particular)?
aortogram cath see text
Subject: aortogram cath see text
During (Seldinger technique)approach to the infrarenal aorta..."to get full approach for the "UnaFlush or UniFlush" catheter. At first I tried to hear "Omniflush" but at the end of the report, it sounded much more like "UnaFlush or UniFlush." Any clues?
Not enough text to go on, but suspect you're sm
Subject: Not enough text to go on, but suspect you're sm
missing something here. Buccal is an adjective, so if that is indeed the correct term, you need a noun to go with it. What kind of surgery is this?
More text, is it a cancer note, what are we looking at?
Subject: More text, is it a cancer note, what are we looking at?
Full text as dictated (sm)
Subject: Full text as dictated (sm)
Here's the full text as dictated without any edit.
Would appreciate any opinions. Thanks!
"Recently, he went to a massage parlor that was given by a woman and he said he had more than just a massage. He said that she performed a hand job on them. Basically, that was pretty much about it. She masturbated him with her hand and after that, he started to have some discomfort. He denies having any oral, vaginal, or anal sex with this person. He said that after all that, he said he started to get this discomfort."
hmmm... what's the text book way?
Subject: hmmm... what's the text book way?
I really don't know. It's a school assigned transcript looking for a I guess "Text Book" way of transcribing it. But all she dictates is
Pyscho was consulted. for her 'Hospital Course.' ... So I was confused at to whether leave it or expand.. but as I see what your saying.. because when I expand it those ways.. doesn't really make sense.. maybe they are wanting me to realized that and not expand but "" the report.
s/l jump to the PDA...see text inside.
Subject: s/l jump to the PDA...see text inside.
It was noted that the radial artery graft to the circumflex and s/l jump to the PDA was totally occluded
hm...any more info? before or after text? is this urine, blood, or? nm
Subject: hm...any more info? before or after text? is this urine, blood, or? nm
text before? after? context? type of report? help us help you... nm
Subject: text before? after? context? type of report? help us help you... nm
On a similar note, I copied and pasted a URL/Link & sent with my post, but it was absent from post.
Subject: On a similar note, I copied and pasted a URL/Link & sent with my post, but it was absent from post.
x
ADMIN, can you post a perm msg to post LOTS of context when asking about WORDS?
Subject: ADMIN, can you post a perm msg to post LOTS of context when asking about WORDS?
thanks
OP's post inside post says not Harrington rods
Subject: OP's post inside post says not Harrington rods
x
Wait...! apparently my post did not post
Subject: Wait...! apparently my post did not post
I would do 60%. I have several doctors that will say 60 (as in ) 6-0. Clarifying the numbers so you don't put 16. They do 50, 5-0 so you don't put 15 because they sound close. It just sounds like sixty-six-zero. Put what you feel is right but I would be from experienc it is 60%
trying to figure it out. sorry nm
Subject: trying to figure it out. sorry nm
s
If you figure out what this is....
Subject: If you figure out what this is....
Please let me know. I've done a lot of duplex ultrasounds over the past 5-6 years but I am very "aural" when it comes to dictation - once I see "increment" and have that in my mind, I can't think of anything else.  Anyway, I would like to know what it is in case I run across it.
Thanks! 
Thanks for trying anyway. I did figure it out though.
Subject: Thanks for trying anyway. I did figure it out though.
I had to copy the entire document into a new document and save it as a new document.
I believe she's saying figure-of-four but .... sm
Subject: I believe she's saying figure-of-four but .... sm
not sure if it fits with context. Can someone help? Here's more:
S: Low back pain. No radiation to lower extremities. No foot drop.
O: SLRs are essentially negative. She has full range of motion with negative (figure-of-four). No tenderness noted to palpation of spine. There are palpable spasms on both the right and left low back region.
A: Musculoskeletal low back pain with spasm.
P: Treat with Skelaxin 800 mg, Lodine 400 mg. Pt could also take Vicodin.
No, sorry. Maybe QA can figure it out. sm
Subject: No, sorry. Maybe QA can figure it out. sm
I've spent too much time on it as it is. I'm overly tired and grumpy anyway from getting up to pee every hour for the last several nights from my own urinary issues. The NP said I'd have relief today. What an a**hole. I'm in so much pain. He insists it could not be a kidney stone yet I'm peeing massive amounts of blood and blood clots. I've had a hyster so I know it's not coming from there. I don't usually wish things on people but I'm so grumpy from lack of sleep and in so much pain right now, I hope he gets one this bad. Curses! 
Tried and tried, but cannot figure out what she's saying. Please help..sm
Subject: Tried and tried, but cannot figure out what she's saying. Please help..sm
A 77-year-old - history of diabetes mellitus and hypertension - in a wheelchair. No obvious distress when first presents.
While being x-rayed, she complained of weakness, dizziness and extreme nausea. She became somewhat s/l obtended and her blood pressure rose to 180/102.
Needed more urgent evaluation and was sent to the ER.
DX: DJD and sudden change in mental status with elevation of BP.
can't figure this out, but could doc be saying
Subject: can't figure this out, but could doc be saying
"notable" for something??
sorry, I will figure this out one of these days
Subject: sorry, I will figure this out one of these days
but the previous link works at least!
If anyone can figure this out I will be so grateful!
Subject: If anyone can figure this out I will be so grateful!
She says: Upper extremity, right, and rigidity with bright red ***ek-I-nas-ia**.
This is in PE, and she is usually quick with this section and doesn't explain much, so I have nothing else to go off of. This is a geriatric medicine note. Also, it's pretty much verbatim, so this is what is said.
Thanks!
Help trying to figure out this term..
Subject: Help trying to figure out this term..
Sounds like "tick del-a-ro?" Docs gives an "unsure" spelling of d-o-l-e-r-a-u. Is anyone familiar with this term? Thanks!!!!
I figure cc is used in a syringe sm
Subject: I figure cc is used in a syringe sm
and mL is liquid can be given through a syringe minus the needle orally. You will also see this on the measuring cup on top of cough medicine. cc and mL are measurements equal in quantity. 5 mL = 1 tsp or 5 cc = 1 tsp. I think the dangerous abbreviations are more for handwritten notes as opposed to transcription. JMO.
Need a "sounds like" to help figure it out. nm
Subject: Need a "sounds like" to help figure it out. nm
x
It is also hard to figure out ...
Subject: It is also hard to figure out ...
... because they put this patient on 1 baby aspirin a day, which I thought was to thin the blood. I actually ended up asking a doc at the hospital where I work, and he seemed to indicate that there wasn't really any "hypocoagulable workup" -- it was more like "bleeding studies." There is a "hypercoagulable workup" which is extensively discussed on the net, but this patient with the bleeding may be more a candidate for the bleeding studies. However, from what I have read on the net, the tests that are done for a "hypercoagulable workup" are the ones which are being ordered for this patient. Sigh. I'm going to change it to hypercoagulable, and mark it just in case. Thanks for your input.
Oh, gee, we can't extrapolate from that and figure
Subject: Oh, gee, we can't extrapolate from that and figure
There are typists and there are transcriptionists. Guess you're a typist.
Can anyone figure out what this doctor was saying sm?
Subject: Can anyone figure out what this doctor was saying sm?
I had this one time. It sounded just like this.
The patient has refreybrindriss
It is actually in the dictionary, go figure...
Subject: It is actually in the dictionary, go figure...
a·hold /əˈhoʊld/ Pronunciation Key - Show Spelled Pronunciation[uh-hohld] Pronunciation Key - Show IPA Pronunciation
–noun 1. Informal. a hold or grasp (often fol. by of): He took ahold of my arm. Grab ahold!
–adverb 2. Nautical Archaic. close to the wind and on a single tack: to keep a vessel ahold.
—Idiom3. get ahold of, Informal. hold (def. 51
Sjogren (wow twice in one day - go figure)
Subject: Sjogren (wow twice in one day - go figure)
would you mind to tell us what it was, I could not figure it out...Thanks..nm
Subject: would you mind to tell us what it was, I could not figure it out...Thanks..nm
x
S/l help needed. Can't figure it out.
Subject: S/l help needed. Can't figure it out.
Seen for preop pain medicine consult. The patient has some s/l per-jita or prah-jeeta concerns regarding the use of benzodiazepines and Versed.
ESL doc and I cannot figure this word out. sm
Subject: ESL doc and I cannot figure this word out. sm
2 day echocardiograph done which was reported to have normal ___ systolic function.
Yes I am a new MT.
Thanks in advance!!!
i got the first one - gliosis... cant figure out the second one... NM
Subject: i got the first one - gliosis... cant figure out the second one... NM
x
CT SCAN help - cannot figure out what Dr is saying
Subject: CT SCAN help - cannot figure out what Dr is saying
Reveals abnormal hypermetabolism in the lymph nodes in the neck, more right than left including ??factitious learning of the thyroid??, in the anterior mediastinum as well large expansile right rib lesion. Bone scan reveals uptake in the right lateral 7th and 8th ribs.
thanks for the info, was trying to figure that one out too. (nm)
Subject: thanks for the info, was trying to figure that one out too. (nm)
Yes, you are absolutely right! How did you figure that out??
Subject: Yes, you are absolutely right! How did you figure that out??
figure skatinng
Subject: figure skatinng
lower back paind due to s/l fitsakting right figure skatinng
great thank you, now all I have to figure out is
Subject: great thank you, now all I have to figure out is
if there is such a thing as stable fluid... :-) thank you for your help.
Huh? I can't figure out what he meant to say. NM
Subject: Huh? I can't figure out what he meant to say. NM
a medication i can't figure out!
Subject: a medication i can't figure out!
Hi,
My doc says the medication is pronounced "Zenolac" and then spells "Zenolix" neither of these is correct. i can't figure out what he might mean...any thoughts?
Th patient has polycystic kidney disease, hypertension, acid reflux and pain...Thanks!!!
I couldn't figure that out either...characters and????...nm
,
welcome; got it from my docs that dictate it as i never could figure them all out either, lol. nm
;
help! tired and can't figure this...s/l endricose
Subject: help! tired and can't figure this...s/l endricose
Status post-echo, revealing LVH and mild mitral s/l endricose regurgitation.
Was able to figure out it was 'calf pains'.. nm
Subject: Was able to figure out it was 'calf pains'.. nm
Does anybody know how they figure pack years?
I've always wondered this...When they say pt has a 40-pack-year hx of smoking, how do they compute that? Anybody know? Just curious.
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