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My best guess is that dictator means conchitis, but is -itis-ing the bullosa

Posted By: instead. nm on 2006-02-01
In Reply to: There is a small concha bullosa of the....sm - hellpp please

Subject: My best guess is that dictator means conchitis, but is -itis-ing the bullosa

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I believe dictator means
Subject: I believe dictator means

cisplatin and nevelbine.
Dictator probably means Bonine, sm
Subject: Dictator probably means Bonine, sm

which is an OTC for vertigo and motion sickness.

Good pickup, CAMT!!


I think the dictator is stumbling and means
Subject: I think the dictator is stumbling and means


is it possible dictator means Benefiber, just saying it wrong . . .
Subject: is it possible dictator means Benefiber, just saying it wrong . . .

unless they are prescribing pet food - Beneful with Fiber ! sorry, just trying to add some levity to a long day.
Thanks for you backup. Not ESL and actually great dictator. Just missing this one I guess. THx!
Subject: Thanks for you backup. Not ESL and actually great dictator. Just missing this one I guess. THx!


Wild guess here...Could the dictator be referring to two separate medications, i.e. "she had been
Subject: Wild guess here...Could the dictator be referring to two separate medications, i.e. "she had been given a refill for her birth control pills and Cefprozil (antibiotic?).


Can't make out anything with more of an -itis ending? nm
Subject: Can't make out anything with more of an -itis ending? nm

s
concha bullos is not same..itis for inflammation..sm
Subject: concha bullos is not same..itis for inflammation..sm

did not give content because he just says "mild left concha bullitis". He uses concha bullosa throughout dictations all the time also, but this is second or third time with this term and bullitis is not something even on Google or Stedman's site.


concha bullosa nm
Subject: concha bullosa nm

xx
concha bullosa nm
Subject: concha bullosa nm

x
There is a small concha bullosa of the....sm
Subject: There is a small concha bullosa of the....sm

There is a small concha bullosa of the right middle turbinate with a small fluid collection suggesting concha ________.
Could be a made up word for concha bullosa?
Subject: Could be a made up word for concha bullosa?

x
holiday...is the dictator an Arab dictator? nm
Subject: holiday...is the dictator an Arab dictator? nm

x
type what dictator said, dictator is not incorrect.....
Subject: type what dictator said, dictator is not incorrect.....

.
Better ask your QA. Some "verbatim" means "not really verbatim," some means "strictl
Subject: Better ask your QA. Some "verbatim" means "not really verbatim," some means "strictly verbatim." nm

x
Para means near. Parathoracic means near the thoracic muscles. nm
Subject: Para means near. Parathoracic means near the thoracic muscles. nm

x
without any context, maybe concha bullosa? next time give context. thanks!
Subject: without any context, maybe concha bullosa? next time give context. thanks!


is this dictator ESL (foreign dictator)?....
Subject: is this dictator ESL (foreign dictator)?....

if ESL, I would either blank him or give him that Avodart but the other one I haven't a clue and would have to blank there too.  Sorry :(
I guess it could be intravenous, but I'll turn in a blank rather than guess. Thanks!!!
Subject: I guess it could be intravenous, but I'll turn in a blank rather than guess. Thanks!!!


Avelox is a guess...might not be a good guess, though! nm
Subject: Avelox is a guess...might not be a good guess, though! nm

nm
My only other guess would be "anger burst." Just a guess.
Subject: My only other guess would be "anger burst." Just a guess.

x
Help - not an ESL dictator.....sm
Subject: Help - not an ESL dictator.....sm

Anglo mushmouth cardiologist is saying:


This 85-year-old white male was admitted and had a posterior s/l *A to E* resection for rectal carcinoma. 


I am not sure he is saying *A to E* and I already googled this to no avail. 


TIA for any light anyone can shed on this....really appreciate it...


Dictator says ...
Subject: Dictator says ...

She has a history of being intolerant of an ACE and s/l RHAB. She says it like a word, so it s/l  Are ab


I pretty sure it's an abbreviation like ACE, but I can't make out the exact letters to even know what to look up to be sure. TIA!


When a dictator says Cor S1 and S2, how...sm
Subject: When a dictator says Cor S1 and S2, how...sm

should that be typed?  Coronary:  S1 and S2?
This must be something the dictator often says. sm
Subject: This must be something the dictator often says. sm

Can "preson" be "perfusion?"

"perfusion to tissues?"

"present 2+ pulses?" (awkward)

What are the sentences before and after? Do you have any other PEs from this dictator?

Is this an orthopedic exam or general PE?


Dictator says...
Subject: Dictator says...

CBC showed WBC of fourteen point six thousand.

What is the correct way to type this number?
is the dictator ESL? perhaps not saying N
Subject: is the dictator ESL? perhaps not saying N


You could be right as the dictator is ESL. Thank you. NM
Subject: You could be right as the dictator is ESL. Thank you. NM


two more for same dictator pls sm
Subject: two more for same dictator pls sm

Patient without evidence of a left atrial s/l apinich thrombus.

The patient underwent s/l durakyto cardioversion.

VERY fast talker. Any ideas?

I bet you that you are right though, it is an ESL dictator
Subject: I bet you that you are right though, it is an ESL dictator

and I think he is just flipping through the chart giving me every med she ever had not realizing they are one in the same. I will flag it anyway. You are awesome thank you!
could the dictator be SM
Subject: could the dictator be SM

stumbling over words and saying something like:

First, today I am giving him Vicodin and Skelaxin.

?? Just guessing. Never heard of first aid being used in that way, but I suppose it could be...?
If dictator says
Subject: If dictator says

"blood pressure was in the 140s 150s". How do I type this?
But if the dictator is saying the "A" it has to be
Subject: But if the dictator is saying the "A" it has to be

x
Dictator says:
Subject: Dictator says:

Abdomen is nondistended. No 'LKF' felt. Then he says 'BJE', the patient's abduction is normal.

What is LKF or is the acronym something different?
What does BJE stand for? He is clearly saying 'BJE', but I am not sure about 'LKF'. I still would like to know what BJE means. Thanks

Could the dictator be saying "CU" as in sm
Subject: Could the dictator be saying "CU" as in sm

"cystourethroscopy?"

Need quick help with this dictator please
Subject: Need quick help with this dictator please

This doctor just said


"Initial white blood count was elevated at 12.7 thousand."


Do I transcribe it like that, or do I put 12,700?


TIA!


Dictator said keep LDL cholesterol less than ...sm
Subject: Dictator said keep LDL cholesterol less than ...sm

70 per ----- guidelines.  He rambled off a bunch of initials and slowing him down only made it worse.  I think the last 3 were CHA.  TIA!
Am I hearing this right. Could the BP be 129/135 (ESL dictator)??? (nm)
Subject: Am I hearing this right. Could the BP be 129/135 (ESL dictator)??? (nm)


Dictator kept saying polynephritis ... sm
Subject: Dictator kept saying polynephritis ... sm

but I couldn't find that.  Did she mean pyelonephritis?  There were a lot of renal references in report.  TIA!
Is the dictator foreign?
Subject: Is the dictator foreign?

I wonder if they're saying Ativan.  Some of my foreign dictators say it as "Ati-won".  Just a thought!
maybe dictator meant to say....nm
Subject: maybe dictator meant to say....nm


could dictator be saying appendectomy?
Subject: could dictator be saying appendectomy?


Without further context, I'd say the dictator was saying sm
Subject: Without further context, I'd say the dictator was saying sm

"gassiness and indigestion" or possibly "gaseous distention" which is verified in the GI Stedman's.



?? Dictator is saying "technique" twice in a row? nm
Subject: ?? Dictator is saying "technique" twice in a row? nm

x
Mumbly dictator...med s/l
Subject: Mumbly dictator...med s/l

The patient has a problem with peripheral neuropathy and the _____ (s/l payomide) was refilled.  A1c is pending.    mumblers today!!
Dictator confusing....sm
Subject: Dictator confusing....sm

I have a dictator that dictated in two different reports.. "No CVA angle tenderness." and the same dictator in another report states "No CV angle tenderness." I am confused as to which is the correct way ?


 



meant dictator
Subject: meant dictator


I agree but dictator might mean...sm
Subject: I agree but dictator might mean...sm

especially if it's an ESL dictator......perhaps if an ESL, he might mean ratio which would be 1 to 1,000,000....1:1,000,000



No, not ESL, just fast dictator sm
Subject: No, not ESL, just fast dictator sm

I thought about "grazed" or "grazing" but, as you said, it really doesn't fit very well in this context.


I really hate to leave a blank because this is an account the MTSO I work for (IC) is trying to get more work from....if that makes sense.


if dictator is ESL, probably *advanced*
Subject: if dictator is ESL, probably *advanced*


Got it ! Bad dictator after many times..sm
Subject: Got it ! Bad dictator after many times..sm

relistening you are right it is heterozygous factor V Leiden.

Thank you all for your help. It is sincerely appreciated.