| It could be. If there is failure to progress. smPosted By: MT and worn out on 2008-09-24In Reply to: s/l "assisted? rupture of membranes" - D W
 
 Subject: It could be. If there is failure to progress. sm
 
 I had to have an emergency C-section and they ruptured my membrane. They used this crochet hook looking thing. So it could possibly be assisted or even abrupt.
 
 
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 diagnosis for operation includes intrauterine pregnancy at term, failure to progress and sm
 Subject: diagnosis for operation includes intrauterine pregnancy at term, failure to progress and sm
 
 
 and fetal s/l "a-sink-qua-sism". progress note
 Subject: progress note
 
 
 On this progress note it sounds like the doctor says "blood pressure 167/82, heart rate is 90, resperate 20, T max is 100.8."        
 Should that be respirations 20, temperature at max 100.8?  thanks progress note
 Subject: progress note
 
 thanks so much for your help you are right!!!
 progress note
 Subject: progress note
 
 thanks for your help!!!
   progress note help please!!!
 Subject: progress note help please!!!
 
 Blood pressure 167/82.  Heart rate is 90, respiratory rate 20, Temperature at max is 100.8.  No JVD lungs and expiratory wheezes.  There are some rales in the right base.  Heart without ** and edema.  **120, **3.4, chloride 94, ** 25, glucose 91, BUN 9, creatinine .6, calcium 8.5, white count is 5.7, hemoglobin 8.9 down from 10 yesterday, platelet count 234,000, 6 lymphs, 10 minus 1 basophiles, 7 bands, 76 segs.~~~~ after heart without--it sounds like a extremity then ssss sound.  the other sounds like Sims 120.  the other sounds like seven and a 3.4.  the other sounds like bacum.  ANY HELP WOULD BE GREATLY APPRECIATED!!!!
 Progress note help
 Subject: Progress note help
 
 Heart:  Without? lower extremity edema.  Sodium 120, potassium 3.4, chloride 94, bicarb 25.
 
 Also, probably should be temperature T-max is 100.8.  No JVD.  Lungs:  End-expiratory wheezes.
 progress note help
 Subject: progress note help
 
 You are wonderful.  I can't thank you enough!!!!!!!!!!
 Making progress
 Subject: Making progress
 
 He said the first 3 letters again and spelled them:
 
 I, B as in Bictor (meaning V as in Victor), F Laboratory.
 
 So now we have IVF icksee Laboratory.
 help with progress note
 Subject: help with progress note
 
 This pat has a cough and post-nasal drip, as well as GERD
 
 Begins s/l *effuncting* nausea and abnormal liver enzymes. This could be a title or description of the nausea, but I can’t find anything.
 
 Then,
 s/l *Cardiovicular*. She reports the nausea has resolved. . . . has post-nasal drip .. .cough is not constant. Reflux is under good control
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 making a little progress
 Subject: making a little progress
 
 with this one, thanks to your answers... still hearing something like "Pradus" but instead of obturate, was saying on THE RIGHT. definitely NOT piriformis or sure does not sound like it, then goes on to gluteus medius and maximus.
 Progress Note headings?
 Subject: Progress Note headings?
 
 I really want to hear Chief Complaint, but I’m sure he starts with Cardio. Thanks anyway.
 Progress Note headings?
 Subject: Progress Note headings?
 
 I can’t hear the “tat” part, but that sure makes sense. I like the cardiovascular, too, except this is talking about GERD - could that be connected to Cardiovascular system?
 Progress Note: Heart without ?, Help please
 Subject: Progress Note: Heart without ?, Help please
 
 
 Heart without _____ (s/l extra absoftness) without edema.   
   
 Also in same report, dictator says: 
 Urine shows 5-10 red cells, occasional white cells, moderate bacteria, negative glucose, negative  
 _____ (s/l glucoside esterase). 
   
 Does anyone know what those 2 blanks might be?  I see “glucosylceramidase assay” in the Stedman’s Lab Words book, but I don’t hear that in the dictation. 
 I would appreciate any help at all. 
 Work under progress on Word Board...
 Subject: Work under progress on Word Board...
 
 
 You may experience posting problems on Word Help Board only for next couple of hours. 
 Sorry for the trouble, 
 MTStars Administration. s/l careic? lesions.  dental progress note
 Subject: s/l careic? lesions.  dental progress note
 
 
   progress note--right lower lobe pneumonia
 Subject: progress note--right lower lobe pneumonia
 
 this is what the doctor is saying--"She has been on half-normal.  Her (saline/sodium) drop will change to normal saline of 50cc an hour."  in the second sentence of this I am not sure if he is saying saline or sodium?  any help?
   Renal failure...sm
 Subject: Renal failure...sm
 
 
 He subsequently developed a number of problems including pneumonia with ongoing respiratory failure. He developed worsening renal function and eventually progressed to renal failure, allouric.  
 This patient had multisystem failure and eventually died. cellutory failure?
 Subject: cellutory failure?
 
 The patient is hospitalized for myasthenia gravis, he was intubated for progressive **cell-u-tory** failure. I cannot verify this. Can anyone help please? Thank you
 liver failure
 Subject: liver failure
 
 tense ascites and caput medusae
 Pt has renal failure...nm
 Subject: Pt has renal failure...nm
 
 x
 Smart failure?
 Subject: Smart failure?
 
 
 PMH:  Significant for heart disease, s/l smart failure and some lung disease as well. heart failure
 Subject: heart failure
 
 
 ??? renal failure...
 Subject: ??? renal failure...
 
 Due to _________ renal failure, a hemodialysis catheter was placed.  Sounds like "procetal"  Help, please.
 Question on liver failure.  sm
 Subject: Question on liver failure.  sm
 
 
 Patient comes back to see me today following her admission for significant hyperglycemia, dehydration, as well as transinic hepatic failure.  
 Another sentence is same report:  Patient comes back to see me today following her chemoembolization. Is still having some transinic hepatic dysfunction with elevated bilirubin.  hyperchronic renal failure
 Subject: hyperchronic renal failure
 
 abdomalise for hyperchronic renal failure with uremia
 concerning congestive heart failure
 Subject: concerning congestive heart failure
 
 The patient was being operated on for a gastric bypass.  She developed congestive heart failure.  The doctor says he "swan-ed" her and "A-lined" her.  I'm not familiar with either of these terms.  How do type these terms?
   Breast implant failure
 Subject: Breast implant failure
 
 Preoperative diagnosis is breast implant failure. The procedure is replacement of s/l bottled beast reconstruction implants. My brain is not working this morning! TIA
 got it now - he is saying 'some' heart failure! DUH on me
 Subject: got it now - he is saying 'some' heart failure! DUH on me
 
 
 Patient has respiratory failure and possible
 Subject: Patient has respiratory failure and possible
 
 Boroffs syndrome
 failure which he attributes/which is attributed to BUN....
 Subject: failure which he attributes/which is attributed to BUN....
 
 
 tech machine failure help please-see more
 Subject: tech machine failure help please-see more
 
 
 When i let off of my foot pedal, the tape continues to play for a little bit, making it so that I have to back up all the time.  Can I fix it or should I pitch it?  Thanks for any input known congestive heart failure
 Subject: known congestive heart failure
 
 
 s/l acute and chronic renal failure?????
 Subject: s/l acute and chronic renal failure?????
 
 
   female has acute liver failure. Thanks.  NM
 Subject: female has acute liver failure. Thanks.  NM
 
 x
 liver failure s/l  asidies and capamenducies.  sm
 Subject: liver failure s/l  asidies and capamenducies.  sm
 
 Patient in end-stage liver failure.  On examination he had massive tense asidies capemendusies.  He also had 2-3+ bipedal pitting edema....
 Could be PhosLo, used for end-stage renal failure.
 Subject: Could be PhosLo, used for end-stage renal failure.
 
 
 heart failure by echo and he has had *DMP* which have been negative
 Subject: heart failure by echo and he has had *DMP* which have been negative
 
 
 RF makes sense for respiratory failure...
 Subject: RF makes sense for respiratory failure...
 
 The SI part could mean several things....seriously ill, strict isolation, and many others.  Is this for like final diagnosis where you need things to be expanded or can you just leave as is?
 May be quinapril for congestive heart failure?
 Subject: May be quinapril for congestive heart failure?
 
 
 CHAD = congestive heart failure, sm
 Subject: CHAD = congestive heart failure, sm
 
 hypertension, age, diabetes
 Totally Stumped!!! Patient has respiratory failure..sm
 Subject: Totally Stumped!!! Patient has respiratory failure..sm
 
 and is status post "dragon pack", "drag n pack"???? I can't find anything on this.  Dictator is ESL, so it could be something completely different than what it sounds like.  Thanks if anyone knows what this is!
 s/l 'morinon' dependent end stage heart failure
 Subject: s/l 'morinon' dependent end stage heart failure
 
 Patient is here for f/up of his 'norinon' dependent end stage heart failure.
 
 Also lists this medication as a dose of 0.5 mcg/kg per minute.  What is it?
 catecholamine-dependent end-stage heart failure? nm
 Subject: catecholamine-dependent end-stage heart failure? nm
 
 
 Milrinone is used for treating congestive heart failure
 Subject: Milrinone is used for treating congestive heart failure
 
 
 s/l Chronic (diastolic congestive heart failure)
 Subject: s/l Chronic (diastolic congestive heart failure)
 
 Does this make sense?  The word in question is the first word of the diagnosis of Chronic diastolic congestive heart failure.  It also sounds like he could be possibly saying Clinic.
 No spine problems. In for CHF/impending resp. failure
 Subject: No spine problems. In for CHF/impending resp. failure
 
 No broken bones or musculoskeletal problems whatsoever.
 
 All I can think of/document would be "flow rate" heart failure.....sm
 Subject: All I can think of/document would be "flow rate" heart failure.....sm
 
 if you think about it, when a patient is severely hypotensive, obviously the flow rate of the blood and return to the heart would be very slow, because of low pressure, and subsequently caused by low pressure; if you listen and it sounds like this, it physiologically would make sense, although I have not come across the exact phrase yet, they always throw new ones at ya!! Hope this is of some help!
   decompensated right heart failure with s/l corpor-menol-lay"
 Subject: decompensated right heart failure with s/l corpor-menol-lay"
 
 
 Discharge Dx - s/l Listening and failure of knee implants nm
 Subject: Discharge Dx - s/l Listening and failure of knee implants nm
 
 .
 in assessment says Esoteric ??? failure, blunt chest trauma
 Subject: in assessment says Esoteric ??? failure, blunt chest trauma
 
 
 advanced inotrope-dependent end-stage heart failure  ? nm
 Subject:  advanced inotrope-dependent end-stage heart failure  ? nm
 
 
 
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