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Making progress

Posted By: Misha on 2007-07-25
In Reply to: IBF ixy procedure? - Misha

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.


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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
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!!!!!!!!!!
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
Edit/Delete Message
It could be. If there is failure to progress. sm
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.
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?
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".


sorry, maybe he's making it up, don't know.
Subject: sorry, maybe he's making it up, don't know.

x
I'll bet he's making a new (sm)
Subject: I'll bet he's making a new (sm)

word here. Waddell's test is an exam used to determine if someone is faking pain. If the patient has exaggerated complaints of pain it is a positive Waddell's.
Sounds like QA is making much ado about nothing.
Subject: Sounds like QA is making much ado about nothing.


thanks that is it, I was making it harder than what it was!!!
Subject: thanks that is it, I was making it harder than what it was!!!


ESL making me nuts
Subject: ESL making me nuts

I was taught to never change a transcription, even if it's blatantly wrong.  I would leave as dictated and leave a note for the doctor (if you have a place to do it)


thank you, think doc was making up the word...nm
Subject: thank you, think doc was making up the word...nm

x
know how the docs are... making up as they go sm
Subject: know how the docs are... making up as they go sm

They are two separate ligaments but he is probably putting them together.
2 more (I think doctor is making this up as he goes along!)
Subject: 2 more (I think doctor is making this up as he goes along!)

What is FUV1, used along with FEV1??  Never heard of it and cannot find.  Also he also states FVC as being forced ventiltory capacity, which I know is called forced vital capacity; wonder if I should transcribe a non-word. 
Thanks! He is always making up his own words!!
Subject: Thanks! He is always making up his own words!!


Thanks but no..making sure she is clearly pronouning with an L. nm
Subject: Thanks but no..making sure she is clearly pronouning with an L. nm

x
I am merely making a suggestion
Subject: I am merely making a suggestion

as to what a doctor MAY be dictating. Doctors make mistakes all the time. It is up to the individual MT to check out the validity of any info they ultimately transcribe. That's what I would do. Any MT who transcribes a "suggestion" should not be working as an MT. ;-)
I think he is making this stuff up. sm
Subject: I think he is making this stuff up. sm

I've gone to every medical website I can find. I have "asked the experts" on various medical websites. Even doctors can't find it! Thank you all for trying. If I come up with anything before I'm 99 years old, I'll post it.
I was NOT the poster making those comments!
Subject: I was NOT the poster making those comments!

I did not make those comments to those posters. As I said, I was making an observation. I give up!
I would go with follicular. Doc is just making up his own word.
Subject: I would go with follicular. Doc is just making up his own word.

x
Sometimes said as ETT tube, making that last "T" redundant and
Subject: Sometimes said as ETT tube, making that last "T" redundant and

s
menomenorrhagia? Is there really such a word, or is the doc making up one?
Subject: menomenorrhagia? Is there really such a word, or is the doc making up one?


That's probably it. Who knows for sure? They get so creative making up new terms. Thanks again
Subject: That's probably it. Who knows for sure? They get so creative making up new terms. Thanks again!


Thx..Thx..THx :) ESL is making me work 4 my money :)
Subject: Thx..Thx..THx :) ESL is making me work 4 my money :)


making sense of punctuation...
Subject: making sense of punctuation...

I will type this exactly as said. Any help with punctuation would be greatly appreciated.

The pain is rated as severe it is burning tingling it is constant worse with walking better with rest. TIA.
You also need a 0 before .1 making it 0.1. open decimels are a big no no. nm,
Subject: You also need a 0 before .1 making it 0.1. open decimels are a big no no. nm,

x
is the dictator making up a word as an sm
Subject: is the dictator making up a word as an sm

adjective for anomaly?
there is a "Waddell" sign, maybe he is making up a word?
Subject: there is a "Waddell" sign, maybe he is making up a word?

Sorry, I am not of more help.
sorry that should be making up a word not work. tired.
Subject: sorry that should be making up a word not work. tired.

.
I figured out he's saying troches. I don't think he's making up chloratropate.
Subject: I figured out he's saying troches. I don't think he's making up chloratropate.


Meant to say I think he is making up the other word - chloratropate
Subject: Meant to say I think he is making up the other word - chloratropate


That sounds like it is it! He is making it so hard to hear! THANK YOU.
Subject: That sounds like it is it! He is making it so hard to hear! THANK YOU.


Never mind! I'm tired and making no sense! Thanks for the help!
Subject: Never mind! I'm tired and making no sense! Thanks for the help!


Another case of a doc making up a word; however, I did get 500+ hits on google for SM
Subject: Another case of a doc making up a word; however, I did get 500+ hits on google for SM

syndactylization and I think in this case, I would go ahead and give your doc her made up word.  It's your call, though.
Two words are making me crazy... Willing to grovel for help! (See message)
Subject: Two words are making me crazy... Willing to grovel for help! (See message)

Doctor is describing a patient's finger pain.  He says:


"At her last visit she did have a maintenance interscalene block and reported several months of improvement in pain to a level of 3/10 when used in combination with her other conservative therapies.  These have included Lac-Hydrin applications, paraffin wax applications, and (s/l "co-bayne") and protective (s/l "cutlets") to the left ring finger.  The patient has dystonia and extreme difficulty in bending at the PIP joint from a functional standpoint.  Numeric pain score is an 8/10..."


First word sounds like Cobain or Cobayne, pronounced just like the last name of the late lead singer of Nirvana.  Second word sounds just like cutlets, like veal cutlets.     


I have no idea at all what these two words are, and he repeats them in both the subjective and in the assessment.  Can anyone save me from leaving four blanks? I'm sick and exhausted with a sick four year old at home, and I'm feeling a bit fussy and frustrated and would be SO thankful for the help. 


Thanks! 


Let me go back and relisten, but he is making a "K" sound in there, I really despise this guy.
Subject: Let me go back and relisten, but he is making a "K" sound in there, I really despise this guy. LOL


He's making the whole resp. tract 1 word. Give him what he wants! nm
Subject: He's making the whole resp. tract 1 word. Give him what he wants! nm

s
it almost sounds like the doc is making up his own word...what is the rest of the sentence? nm
Subject: it almost sounds like the doc is making up his own word...what is the rest of the sentence? nm


making up a work trying to say acromionization but there is no such word blank it, i would nm
Subject: making up a work trying to say acromionization but there is no such word blank it, i would nm

.
I agree about him making it up. This clinic doesn't want blanks
Subject: I agree about him making it up. This clinic doesn't want blanks

nm
I think he's making up a word for the part that was actually incarcerated. Give
Subject: I think he's making up a word for the part that was actually incarcerated. Give

s