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Meant...the patient probably wrote Lantrex, as he's very clear. Oh well.

Posted By: :} nm on 2007-12-11
In Reply to: Probably what he means, or what the patient wrote. Why, oh why, do they do this! - Thanks for helping..nm

Subject: Meant...the patient probably wrote Lantrex, as he's very clear. Oh well.

nm



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He's probably looking at what the patient wrote..
Subject: He's probably looking at what the patient wrote..


Probably what he means, or what the patient wrote. Why, oh why, do they do this!
Subject: Probably what he means, or what the patient wrote. Why, oh why, do they do this!

nm
I believe that's what he meant. I've never heard it said as vagal, but he's clear.
Subject: I believe that's what he meant. I've never heard it said as vagal, but he's clear.


maybe patient's words for "colonoscopy?" If it's clear, I sm
Subject: maybe patient's words for "colonoscopy?" If it's clear, I sm

would put it in quotes and flag it.
Has anyone heard of a smoking cessation med s/l lantrex. nm
Subject: Has anyone heard of a smoking cessation med s/l lantrex. nm

nm
His baseline is clear. ??clerins is 74. Cancer patient.
Subject: His baseline is clear. ??clerins is 74. Cancer patient.


Patient has IgM-positive s/l rabesia titer. He's usually so clear...
Subject: Patient has IgM-positive s/l rabesia titer. He's usually so clear...

nm
Apparently part of patient's history, but not clear...
Subject: Apparently part of patient's history, but not clear...

MRI is reviewed confirming the presence of a full-thickness supraspinatus tendon tear with early glenohumeral arthritis. The patient apparently had a long head biceps tendon operation as well, perhaps s/l an or in acoa.

The patient has another orthopaedic surgeon in New York that has done a shoulder procedure (he says this in the HPI) and I can't tell if he's saying "an" or "in" acoa.

Thanks MT50.
Thank you! wrote it down. nm
Subject: Thank you! wrote it down. nm

x
Tks! I wrote it down. n/m
Subject: Tks! I wrote it down. n/m

x
Thought so too from what you wrote, but that is all I could come up with.
Subject: Thought so too from what you wrote, but that is all I could come up with.


He may be reading from what the pt wrote
Subject: He may be reading from what the pt wrote

My doctor does that. He reads the drug as it was incorrectly written by the pt or the medical assistant. I have to look at the PMH to figure it out.
I almost wrote that too but there's an "ic" there, so must be Celtic. nm
Subject: I almost wrote that too but there's an "ic" there, so must be Celtic. nm


Thanks for the info, wrote it into my Stedman.
Subject: Thanks for the info, wrote it into my Stedman.


I wrote the entire sentence for baling.
Subject: I wrote the entire sentence for baling.

Mitral valve appears morphologically normal with mild s/l baling or belling of the posterior leaflets.


Thanks again


Deborah


wow! didn't catch that until you wrote, Debra. thanks much - corrected it. - n/m
Subject: wow! didn't catch that until you wrote, Debra. thanks much - corrected it. - n/m


I wrote SM, meaning the rest of the sentence was in the body.... :-)
Subject: I wrote SM, meaning the rest of the sentence was in the body.... :-)

:-)
It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(
Subject: It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(


wow i agreed septicemia, sorry, i wrote bacteremia, the fingers have their own brain
Subject: wow i agreed septicemia, sorry, i wrote bacteremia, the fingers have their own brain


I wrote for 1-gram Rocephin IV, digoxin load at 0.5 mg IV and **renal distopin 2 mg IV
Subject: I wrote for 1-gram Rocephin IV, digoxin load at 0.5 mg IV and **renal distopin 2 mg IV


Glad we got it. Glad I could read what I wrote!! nm
Subject: Glad we got it. Glad I could read what I wrote!! nm


doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM


Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.

nm
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.


just to be clear...
Subject: just to be clear...

I just want to be sure about whether since she specified it is left side only that extensor hallucis "is" and not extensor hallucis "are". If she said bilateral then it would read extensor hallucis are 4+/5 -- am I getting that part correct? TIA
To be clear?
Subject: To be clear?

Hallucis IS.......halluces ARE. You will know when she is talking about a different side or bilateral. Don't over-think your dictator, okay? I'm thinking you may be new (I hope) and these things will become more clear as you go.

I know you're trying to get it perfect, but she knows what she's doing with the foot/feet. :)
it is very clear
Subject: it is very clear

She keeps referring to white matter abnormalities with signal loss and T2 prolongation through the entire report, so I am thinking leuko (white) something....no idea
I wish...but it's very clear. Thanks
Subject: I wish...but it's very clear. Thanks


Just to be clear
Subject: Just to be clear

My "duh" in the other post was for ME, not you. Didn't want any misunderstanding. Thanks for your help!
Clear? Nm
Subject: Clear? Nm

nm
Yes, it is clear. Thank you!
Subject: Yes, it is clear. Thank you!

x
I think if it's not clear
Subject: I think if it's not clear

I would leave a blank, although it is probably hypocoagulable (my Stedman's oncology book has this word) and we used it in the lab, such as defective clotting with factor deficiences such as hemophilia, von Willebrand (which heavy menstrual flow can be a sign), low platelet count, ITP, liver disorders that affect vitamin K production, etc.  But it's really hard to say without knowing more about this patient because, if I can explain this right, there are conditions or situations that can cause hypercoagulable states that then use up all the clotting factors, etc., and then cause bleeding.  So really need to know more on what the patient's other symptoms, family history, etc. to be sure on something like this when you can't hear for sure, I think anyway.  Sorry for the long essay here, used to be one of my areas of interest a long time ago.  Once worked up a lady who had heavy, heavy vaginal bleeding after childbirth, was in really bad DIC, docs had a heck of a time saving her.  You can google on some of this if you're interested.
not clear
Subject: not clear

it is urine drug screen and delirium tremens but 17a not clear
tks... really not sure... the K is VERY clear.
Subject: tks... really not sure... the K is VERY clear.

could be s/l Akiva maybe, but it definitely is not a V at the beginning. Unless the doc is reading it wrong from paper... not sure.

Thanks for the input!
THANK YOU SO MUCH! That is it! It is so clear now...THANKS AGAIN!
Subject: THANK YOU SO MUCH! That is it! It is so clear now...THANKS AGAIN!

nm
Everything else she said was so clear but I bet that is it! Thanks! nm
Subject: Everything else she said was so clear but I bet that is it! Thanks! nm


What is T1T? He is clear. thanks
Subject: What is T1T? He is clear. thanks


There is no evidence for ureteral obstruction. He may be a candidate for a minimal invasive therapy such as T1T or even laser prostatectomy.


I think the OP could have been a little more clear sm
Subject: I think the OP could have been a little more clear sm

in what they were asking, like perhaps given the whole sentence.  I assumed they were asking about a possessive but it could also be seen as asking about a pleural. 


doc is very clear. sm
Subject: doc is very clear. sm

he is spelling it out exactly like this "vobenzin", or could be "zobenzim"; and, "artron".  Definitely not Benzig and artane.  No mention of Parkinson's disease which Artane is used for, and doc is clearly not saying Artane.  I went to rxlist on Internet and nothing came up either!


to be more clear - s/m
Subject: to be more clear - s/m

i'm not questioning whether to hypen or use the word "and". What I'm questioning is can you use 2 different measurement systems for the same measurement - isn't the 3/8 referring to an inch? how do you have 157 cm and 3/8 of an inch?
it's very clear...
Subject: it's very clear...

He definitely says Levoryl (now that I know how to spell it).  :)  When I do a google search on Levoryl, there are only two pages that come up.  I can't find it in RxList.com.  Is it an old drug that doesn't exist anymore?
clear
Subject: clear

dd
Clear?
Subject: Clear?

Could it be "skin is clear?"
if its clear then why you asking?
Subject: if its clear then why you asking?

I love it when people ask and then argue.
No, he's being very clear.
Subject: No, he's being very clear.

That's why it has me so stumped.  The previous line says it was an enlarged lesion on his buttock that was excised and felt to be a "fiddle" lymphoma.
I don't think so. He's very clear.
Subject: I don't think so. He's very clear.

I've never heard of a soupy tendon though.
loud and clear????

in phy. exam.


he starts to dictate HEENT, but only gets as far as HE then says what sounds like "loud and clear"... Extremities is the very next word.


HE loud and clear. Extremities: ....


Is he saying the head is clear and the ears are loud????   hellllpppp!


No it is clear "mock"
Subject: No it is clear "mock"


no, it was really clear, just a word I never
Subject: no, it was really clear, just a word I never

heard before, as above either allendized, alandized, possibly something like slandized ?? thanks though :)
Could be a shroud, too, if it's not that clear. nm
Subject: Could be a shroud, too, if it's not that clear. nm

s
not clear enough post to help......nm
Subject: not clear enough post to help......nm

/