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New acct: SM

Posted By: sk on 2009-01-14
In Reply to:

Subject: New acct: SM

Okay, been away from transcribing general practice for while.  Dictator is running a marathon here.  I have a couple of questions.


 


Patient is s/l attentionly and alert plus and cooperative. 


for the life of me I am not hearing what I want to hear...awake, alert, oriented times three.  etc. 


 


Also, in PE:  Lymphatic system s/l neither anterior and posterior cervical chain.




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Does this sentence make sense to any of you?  This is a disability and he it sounds like he is saying jaw?  but why would that be under cardiorespiratory?


CARDIO-RESPIRATORY: He has no signs of cardiac abnormalities, no claudication, no chest pain, or numbness of the jaw. 


Could it be something else?  Please give it a try! 


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Subject: my main acct is verbatim,

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Subject: pin ... does your acct require you to adhere to dangerous

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Subject: Depend if the doctor says it and it is a verbatim acct.

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Subject: depends, is it verbatim acct? If not, change it to


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Subject: I would, but I'm a rebel. Check acct. specs re verbatim. n/m


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