In PE of the Ears saying TMs are s/l purligurd?

• In PE of the Ears saying TMs are s/l purligurd? - PE question
  • Might be saying 'pearly gray' (NM) - Hayseed
    • Yes that is it. Thank you so much - PE question

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any ENT MTs who know if there is another product, other than Debrox, or Cerumenix (which was by RX only, but discontinued) to remove chronic earwax, other than going to the ENT to have them irrigated and removed with a curette?

I can't seem to find any drug on the market; prescription or otherwise, other than those mentioned above, which were of no benefit.

Your help is greatly appreciated.  Thanks.

Last line of the report, dictating physician says "I will page Dr. so-and-so and discuss with him."  The title "Dr." was inadvertantly left out (mybad), admittedly an error from typing too fast and didn't catch it.  QA pulled this report and marked it as a "critical error affecting document integrity."  I appealed the ruling arguing that it should be considered merely as a typo as document integrity as it pertains to accurate documentation of patient health care (which is what these documents are for) and proper transcription style had not been affected in any way.  QA board upheld the ruling implying in their reasoning that the doctor could be offended, i.e., his ego could be bruised, by failing to transcribe the title he worked so hard to achieve. 

Your thoughts - typo or critical error affecting document integrity?

You made an assumption that I made my comment based on my "moral compass."  You are the one being presumptive.  As it so happens, I became an MT because the job I used to have did not allow me to go back to school.  I recently got my second bachelor's in psychology, graduating summa cum laude I might add, and have been accepted to grad school for school psychology at one of the most competitive schools in the state.  So I beg your pardon but the information I gave is not my moral compass.  It comes from the extensive education I have received.  In addition, I have experience working with kids with developmental delays and my best friend growing up had autism.  I assure you if a doctor used that word with some of my friends who have children with disabilities, not only would the doctor get an earful so would the AMA.

the word sin in Spanish means without.

borders of the right great toenail were freed from their underlying attachments to the nailbed with a  S/L PARIOSALIVATOR.. 

Any help - please? 

(In review of systems)

NECK: Supple without mass.  ABDOMEN: Soft.  He does have some epigastric discomfort.  No hepatasplenomegaly, S/L mass appreicated, no guarding rebound.

am I hearing this right....if not any ideas?

If I'm not 'speaking' clearly it is because I've had to listen to this mush mouth, speed talker for the past 8 hours and am only about 3/4 done with my quota.  I've never had so much trouble... even my ESL doctor makes better sense than this guy.

Interestingly the PET scan revealed minimal FDG uptake in the right thyroid bed consistent with the right anterior tracheal lesion, and also minimal uptake in what is believed to be persistent thymic tissue in the "intra-media-stynum", but nowhere else is it noted.  MRI was reviewed as well.  This confirms a 1.4 cm enlarged lymph node on the right side at the level of C3......

dy-no-sar-con-si-pro.  I do not have any context for it as it is just listed in the medications.  He doesn't have any illnesses except hypertension.  This doctor has a tendency to say meds incorrectly.

I have been out of the loop for a while and need help with the usual verbiage used in a review of systems.  Where can I go to find it?  Please help.  Thanks

Hello all...typing for a fast one today!  She is speaking of KD68 androgen.  I cannot make out if it is KD 68 interandrogen or inner androgen.  Any clues? 

Another issue is There is minimal erythema of the incus of the right drum.  However, it doesn't sound like incus...sounds like she is saying enos.  Not stumbling over the dictation, but just doesn't sound like incus.  Thanks!