More text, is it a cancer note, what are we looking at?
Posted By: Spice on 2007-05-23
In Reply to: SAD DCR or SADDCR? - OncologyMT
Subject: More text, is it a cancer note, what are we looking at?
Complete Discussion Below:  marks the location of current message within thread
- SAD DCR or SADDCR? - OncologyMT
- More text, is it a cancer note, what are we looking at? - Spice
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
More text
Subject: More text
I have explained to him that it is experimental therapy. There is no guarantee of success. The turbacent toxicities are substantial and these were discussed with the patient.
Need to know how it was used in the text.
Subject: Need to know how it was used in the text.
xx
Sorry, misunderstood the text.
Subject: Sorry, misunderstood the text.
More text would be helpful. sm
Subject: More text would be helpful. sm
If this is ortho, the second term probably should be Brudzinski sign.
a little more info/text might help
Subject: a little more info/text might help
. . of what you are transcriting - is patient pre- or perioperative . . parative not a medical word that I can find . . . a derivative of "parous" possibly?
May be PERIORAL but need more text to be sure...
Subject: May be PERIORAL but need more text to be sure...
Is in on the face (around the mouth in particular)?
aortogram cath see text
Subject: aortogram cath see text
During (Seldinger technique)approach to the infrarenal aorta..."to get full approach for the "UnaFlush or UniFlush" catheter. At first I tried to hear "Omniflush" but at the end of the report, it sounded much more like "UnaFlush or UniFlush." Any clues?
Not enough text to go on, but suspect you're sm
Subject: Not enough text to go on, but suspect you're sm
missing something here. Buccal is an adjective, so if that is indeed the correct term, you need a noun to go with it. What kind of surgery is this?
Full text as dictated (sm)
Subject: Full text as dictated (sm)
Here's the full text as dictated without any edit.
Would appreciate any opinions. Thanks!
"Recently, he went to a massage parlor that was given by a woman and he said he had more than just a massage. He said that she performed a hand job on them. Basically, that was pretty much about it. She masturbated him with her hand and after that, he started to have some discomfort. He denies having any oral, vaginal, or anal sex with this person. He said that after all that, he said he started to get this discomfort."
If you post more text, we can probably figure it out.
Subject: If you post more text, we can probably figure it out.
x
hmmm... what's the text book way?
Subject: hmmm... what's the text book way?
I really don't know. It's a school assigned transcript looking for a I guess "Text Book" way of transcribing it. But all she dictates is
Pyscho was consulted. for her 'Hospital Course.' ... So I was confused at to whether leave it or expand.. but as I see what your saying.. because when I expand it those ways.. doesn't really make sense.. maybe they are wanting me to realized that and not expand but "" the report.
s/l jump to the PDA...see text inside.
Subject: s/l jump to the PDA...see text inside.
It was noted that the radial artery graft to the circumflex and s/l jump to the PDA was totally occluded
From cancer.org: "Sutent isn't the only drug making inroads against kidney cancer. Sorafenib (
Subject: From cancer.org: "Sutent isn't the only drug making inroads against kidney cancer. Sorafenib (Nexavar), ..."
See inside for colon cancer staging per the American Cancer Society.
Subject: See inside for colon cancer staging per the American Cancer Society.
http://www.cancer.org/docroot/CRI/content/CRI_2_4_3X_How_is_colon_and_rectum_cancer_staged.asp
http://www.cancer.gov/ is a great reference (National Cancer Institute)
Subject: http://www.cancer.gov/ is a great reference (National Cancer Institute)
hm...any more info? before or after text? is this urine, blood, or? nm
Subject: hm...any more info? before or after text? is this urine, blood, or? nm
text before? after? context? type of report? help us help you... nm
Subject: text before? after? context? type of report? help us help you... nm
Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych
Subject: Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych
She has pancreatic cancer and a history of breast cancer.
Subject: She has pancreatic cancer and a history of breast cancer.
MD Anderson is a cancer center so if hysterectomy is for cancer, I would go with that one.
Subject: MD Anderson is a cancer center so if hysterectomy is for cancer, I would go with that one.
But never heard of Andy Anderson, so no help there.
noteworthy; note worthy; note-worthy
Subject: noteworthy; note worthy; note-worthy
Just wondering if there is any general rule about transcribing noteworthy.
Also, status post; status-post.
Thank you.
Dermatology: Skin precancer or pre-skin cancer? I have a doc saying pre-skin cancer
Subject: Dermatology: Skin precancer or pre-skin cancer? I have a doc saying pre-skin cancer
Op note ref. SM
Subject: Op note ref. SM
http://www.mtdesk.com/frame.php?frame=resources
ER note
Subject: ER note
? pulse ox 99% on room air which is normal per ______ interpretation.
ER note thanks
Subject: ER note thanks
Thanks, practically sure it was per the ER physician reading. So, will be ready for next time!
At the end of OP note, he says
Subject: At the end of OP note, he says
what sounds like "mick" instrument and needle count.
On another, says "sponge, _____and instrument" and that sounds like "lab". Any clues are appreciated. Thank you!
OP note help please sm...
Subject: OP note help please sm...
mild (s/l-fibulations-) with changes on the surface of the condyle
Of note..... I want
Subject: Of note..... I want
to thank everyone so much for all the help I have received on this website since I have become an MT. Bless everyone of you. I hope one day to help those also asking questions as you all have me.
Op note
Subject: Op note
Dictator says: Local Xylocaine 1% anesthesia 'arfate' cannulated.
What is the 'a' word?
me again - same op note :(
Subject: me again - same op note :(
The wound was irrigated and rough edges were S/L RASSED. 
op note help
Subject: op note help
Using an up-biting basket and a S/L 405 shaver a medial meniscectomy was performed.
TIA!
OP NOTE HELP
Subject: OP NOTE HELP
The iliotibial band was then split inline with the incision and retracted anteriorly and posteriorly with a _____ bow. s/l charming.....
The procedure is a cemented bipolar hemiarthroplasty left hip.
OP NOTE STILL
Subject: OP NOTE STILL
Should have went further in the note...sorry...another blank is
Attention was directed to the proximal femur, which was prepared with a box-cutting chisel, _____ canal finder and a trochanteric router this sounds like "chauney"
ESL help with op note
Subject: ESL help with op note
She says: With forceps and a S/L barpotta knife the lesion was excised. (This is excision of a lid nodule). 
have another on this same note - sm
Subject: have another on this same note - sm
Bilateral elbow rheumatoid arthritis. The left side is more advanced with (s/l)'spectus articulusdamage than appears on the right side
op note help
Subject: op note help
This is an excision of a breast nodule. Two questions:
1. The area was prepped with s/l Cloraprep
2. The needle was grasped with an S/L Alice clamp
See note below
Subject: See note below
This is the context of the report. It sounds just like Waddellian. He says this quite a bit and it stumps me every time....
PSYCHIATRIC: The patient was alert and oriented x3 with a somewhat depressed and scattered mood, being very jumpy and quickly agitated by minimal movements or pressures in various areas such as supporting the leg while doing musculoskeletal motor examination for neurologic examination. The patient definitely showed some ____________________ symptoms through our examination. When the idea of psychiatric help in this manner was brought up in this case, the patient seemed almost excited to know this was a coming event.
op note help
Subject: op note help
This is a partial medial meniscectomy and synovectomy.
large s/l type 1 plica present - is type 1 correct?
This was resected back to a stable configuration using an s/l oslite shaver or 8 inch shaver (he mumbles) ???
op note help
Subject: op note help
This is for an amputation of the left hallux.
Upon induction of IV sedtion a total of 10 ml of 0.5% Marcaine plain was infiltrated in a S/L Mayo block type fashion.
Mayo block???
note, no h on the end.
Subject: note, no h on the end.
x
Op note help
Subject: Op note help
ORIF surgery: Intraoperative s/l FLORA showed excellent alignment of the implants.
Note put above
Subject: Note put above
what does it mean when she dictates "note, put above..." before a sentence? i'm confused.
not 100% sure, but I don't think so--also, another note
Subject: not 100% sure, but I don't think so--also, another note
should your first part of your message say "afferent pupillary defect" ?? instead of papillary
See note
Subject: See note
This is what you are looking for.
http://www.fda.gov/cdrh/pdf/p000040.html
Lilly
Thanks for everyone's help. I sent it in with a note for them to let me know. sm
Subject: Thanks for everyone's help. I sent it in with a note for them to let me know. sm
Hopefully, by boss will get back to me, and I will let you all know. Thanks again!
op note
Subject: op note
s/l groshime single lumen catheter
see note
Subject: see note
first word may be lucencies second word might be bezoar
Thank you! Will make a note of it. nm
Subject: Thank you! Will make a note of it. nm
x
Surgical note. sm
Subject: Surgical note. sm
A tornikot was used for hemostasis. He actually spelled it with a "c" rather than "k", but I can find neither.
He said, "not tourniquet, but tornicot".
clinic note help
Subject: clinic note help
Patient is accompanied by her husband today who is very concerned regarding recent symptoms of numbness and tingling in the lateral aspect of the left and right arm. ***This is been ongoing x 2 to 4 weeks.**** . is this the correct way to transcribe this? The last sentence is the questionable.... thanks for all your help!!
clinic note
Subject: clinic note
thanks for your help, I am a new MT and I am a little confused with some things. thanks again!!!
|
