| LABS:  hemoglobin 13.2, platelets 237, amylose 18 and lipase 5, TSH 0.6, S/L?charcoal slides 168?  Posted By: marie on 2009-04-25In Reply to:
 
 Subject: LABS:  hemoglobin 13.2, platelets 237, amylose 18 and lipase 5, TSH 0.6, S/L?charcoal slides 168?
 
 NM
 
 
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 maybe saying "activated charcoal" really fast?? :-)
 Subject: maybe saying "activated charcoal" really fast?? :-)
 
 
 CharcoCaps: activated charcoal used to treat....
 Subject: CharcoCaps: activated charcoal used to treat....
 
 Gas, Diarrhea, Poisoning from Swallowed Unknown Substance.
 The baby was given activated charcoal and s/l inastilsystine  . . . . .
 Subject: The baby was given activated charcoal and s/l inastilsystine  . . . . .
 
 for an overdose of Tylenol.
 lipase (no message)
 Subject: lipase (no message)
 
 
   lipase normal?  nm
 Subject: lipase normal?  nm
 
 
 Only thing I can think of is lipase, or abnormal ALT
 Subject: Only thing I can think of is lipase, or abnormal ALT
 
 x
 is that supposed to be Lipase and just a typo. NM.
 Subject: is that supposed to be Lipase and just a typo. NM.
 
 x
 Platelets ? ...sm
 Subject: Platelets ? ...sm
 
 
 I am confused on the below.   
 States "platelets, which were (s/l 480 2000 ).   
   
 TIA platelets at 217,000?....2.1 for WBC
 Subject: platelets at 217,000?....2.1 for WBC
 
 
   platelets
 Subject: platelets
 
 Her sister said that the family has a history of s/l cathcy? platelets and she has noticed that she has always bruised easily.  Thank you
 It is done concerning platelets, so therefore
 Subject: It is done concerning platelets, so therefore
 
 it is pertinent to surgical risk.
 CVA as a risk of low platelets?
 Subject: CVA as a risk of low platelets?
 
 Could doc have repeated the word "of" ?
 ESL doc:  Transfuse one "button" of platelets.
 Subject: ESL doc:  Transfuse one "button" of platelets.
 
 
 i can't find in AAMT BOS how to transcribe platelets... yes to 0's or no to 0's
 Subject: i can't find in AAMT BOS how to transcribe platelets... yes to 0's or no to 0's
 
 xx
 I have heard sporadic platelets with AML.  Hope it helps. nm.
 Subject: I have heard sporadic platelets with AML.  Hope it helps. nm.
 
 x
 S/L * Rea * for peripheral smear shows slightly decreased platelets.  No clumps.  Normal white cells
 Subject: S/L * Rea * for peripheral smear shows slightly decreased platelets.  No clumps.  Normal white cells and red cells.
 
 The patient has idiopathic thrombocytopenic purpura.  Thanks again.
 cholesterol level, TSH, amyloid lipase, chemistry panel  and ??TKI panel??
 Subject: cholesterol level, TSH, amyloid lipase, chemistry panel  and ??TKI panel??
 
 NM
 Is it Hemoglobin A1c, or hemoglobin A1c?
 Subject: Is it Hemoglobin A1c, or hemoglobin A1c?
 
 
   Hemoglobin
 Subject: Hemoglobin
 
 I am sorry it is hemoglobin A1c
 hemoglobin
 Subject: hemoglobin
 
 Do you have a lab book?
 Hemoglobin A1C
 Subject: Hemoglobin A1C
 
 Hemoglobin A1c test is used as a standard tool to determine blood sugar control for patients with diabetes.
 No not hemoglobin...sm
 Subject: No not hemoglobin...sm
 
 Ending sounds with __glosis.
 
 
 Maybe hemoglobin?
 Subject: Maybe hemoglobin?
 
 
 A1c hemoglobin
 Subject: A1c hemoglobin
 
 or hemoglobin A1c.  I've typed that many, many times.  It's a test for diabetes
 There is a hemoglobin Q
 Subject: There is a hemoglobin Q
 
 ..
 hemoglobin
 Subject: hemoglobin
 
 I got it.  Thanks anyhow!
 hemoglobin
 Subject: hemoglobin
 
 hemoglobin A1c 7.2%.  Normal is below 7%.
 it's actually hemoglobin AIc with an" I " not a " 1 " even though there is a hemoglob
 Subject: it's actually hemoglobin AIc with an" I " not a " 1 " even though there is a hemoglobin A2
 
 
 s/l    eno objecting hemoglobin
 Subject: s/l    eno objecting hemoglobin
 
 Dr. ____ requested I see this patient regarding a 'eno objecting' hemoglobin.
 probably hematocrit and hemoglobin...
 Subject: probably hematocrit and hemoglobin...
 
 
   Sorry, appears to be hemoglobin...nm
 Subject: Sorry, appears to be hemoglobin...nm
 
 x
 yes. hemoglobin and hematocrit.
 Subject: yes. hemoglobin and hematocrit.
 
 ...
 check hemoglobin A1C and s/l DMP or BMP?
 Subject: check hemoglobin A1C and s/l DMP or BMP?
 
 
 you have it correct!  hemoglobin A1c over 12
 Subject: you have it correct!  hemoglobin A1c over 12
 
 Most people/clients don't want us using the greater than or less than signs < and/or > - it IS client preference so read your CP first but the dictator said hemoglobin A1c over 12 and that's what I'd give the dictator.
 is it morbid hemoglobin?
 Subject: is it morbid hemoglobin?
 
 
 please help with the ff. underline words: 1. Heart: regular without atrophy or murmur. 2. Bowel sound were active throughout GYN.  3. Morbid hemoglobin 10-15. Thank you! 
   Could he be saying H&H (hemoglobin/hematocrit)
 Subject: Could he be saying H&H (hemoglobin/hematocrit)
 
 
 Please Help Hemoglobin dictation
 Subject: Please Help Hemoglobin dictation
 
 
 The phrase sounds like: 
 "Hemoglobin A1C7.2%" Any ideas The hemoglobin A1c test (also called H-b-A-one-c)
 Subject: The hemoglobin A1c test (also called H-b-A-one-c)
 
 x
 possibly anything associated with hemoglobin liberation?
 Subject: possibly anything associated with hemoglobin liberation?
 
 
 probably means HGA1c (hemoglobin A1c) - nm
 Subject: probably means HGA1c (hemoglobin A1c) - nm
 
 
 Does *stat* hemoglobin A1C make sense?
 Subject: Does *stat* hemoglobin A1C make sense?
 
 Doc dictates: Laboratory evaluation: s/l stat hemoglobin A1C 6.5% ... and then goes on to dictate rest of laboratory results.
 upper levels (for hemoglobin or hematocrit) ? nm
 Subject: upper levels (for hemoglobin or hematocrit) ? nm
 
 
 It's hemoglobin A1c & BMP, basic metabolic panel
 Subject: It's hemoglobin A1c & BMP, basic metabolic panel
 
 
   I believe it would be "reduced hemoglobin A with an increased A2 fraction"
 Subject: I believe it would be "reduced hemoglobin A with an increased A2 fraction"
 
 
 white count might be 5.3 thousand? platelets in the thousands (K, i.e thousand?)
 Subject: white count might be 5.3 thousand? platelets in the thousands (K, i.e thousand?)
 
 
 Those are the hemoglobin and hematocrit levels but you wouldn't put those words in there unless
 Subject: Those are the hemoglobin and hematocrit levels but you wouldn't put those words in there unless
 
 s
 hemoglobin is lees than 9 or is becoming trans _____________ dependent.  Thanks. nm
 Subject: hemoglobin is lees than 9 or is becoming trans _____________ dependent.  Thanks. nm
 
 nm
 WBC 9.5, hematocrit 33.7, hemoglobin 10.8. BUN and creatinine 42 and 2.6. Troponin was negative.
 Subject: WBC 9.5, hematocrit 33.7, hemoglobin 10.8. BUN and creatinine 42 and 2.6. Troponin was negative.
 
 
 for low hemoglobin question of oozing or s/l ecliperation? was brought up
 Subject: for low hemoglobin question of oozing or s/l ecliperation? was brought up
 
 
 Blood type and screen is *O positive negative.* Hemoglobin... sm
 Subject: Blood type and screen is *O positive negative.* Hemoglobin... sm
 
 Ok, I'm wondering if I'm missing something here... Should be either O+ or O-, not both as stated or am I totally in the dark here?
   labs
 Subject: labs
 
 BMP could also be BNP.  If the patient has any indication of congestive heart failure, I'd go with BNP.  Perhaps T3 and T4?  ANCA.  Anti-GBM, rather than N?  Cryoglobulins.  , hepatitis B and C.  Don't know urine REM, but urine protein electrophoresis is correct.
 
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