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New doc, new acct, ideas?

Posted By: Pammie on 2009-06-26
In Reply to:

Subject: New doc, new acct, ideas?

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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New acct: SM
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.


verbatim acct help
Subject: verbatim acct help

General surgeon talking about frozen section pathologic exam of squamous cell carcinoma lesion. First frozen section came back with positive margins so he went back to excise a second specimen which he submitted S/L "on fos" with the new margin up. This is a verbatim account and this dictator is on 100% QA (all reports) since he is so SPECIAL. I referenced the other reports in his MD data base and found "en Fos" which would have been put there by QA before the report was signed off to the hospital. I can't find this anywhere and was wondering if anybody has a clue?
my main acct is verbatim,
Subject: my main acct is verbatim,

and we are told we can change sentence structure...however, whether i'm told that or not, i correct to proper English, including tenses, etc. Verbatim is never really absolutely verbatim, no matter what anyone says. You must use common sense. The bottom line is to be careful that you never change the intended meaning.
depends on whether or not it's a verbatim acct
Subject: depends on whether or not it's a verbatim acct


New GI acct. Does anyone have any helpful links? TIA
Subject: New GI acct. Does anyone have any helpful links? TIA


Right.....it depends on the acct.....mine wants the "c"
Subject: Right.....it depends on the acct.....mine wants the "c"

xx
Only if your acct wants it changed. Not KS here, but our docs
Subject: Only if your acct wants it changed. Not KS here, but our docs

s
Thx. I am helping on new acct for holidays, and not doing too well :(
Subject: Thx. I am helping on new acct for holidays, and not doing too well :(


Depends on your acct specs. nm
Subject: Depends on your acct specs. nm

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

just asking


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

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


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


s/l neruo forminal is this correct ? Sorry started a new acct today and unsure if one word or two.
Subject: s/l neruo forminal is this correct ? Sorry started a new acct today and unsure if one word or two.

x


Muffin is correct. My children's hosp. acct uses McMuffin & muffin nm
Subject: Muffin is correct. My children's hosp. acct uses McMuffin & muffin nm

nm
Thanks though. Anyone else have ideas?
Subject: Thanks though. Anyone else have ideas?

Thanks.
for the ideas!
Subject: for the ideas!

.
Other ideas?
Subject: Other ideas?

Was TRYING to hear Seldinger but, no, it's definitely SANDWICH (thinking perhaps it has to do with the approach used for the vein/artery?
any ideas?
Subject: any ideas?

s/l cortex


Diastat cortex AV fisture..


any ideas


Anyone else with ideas? sm
Subject: Anyone else with ideas? sm


any ideas what the s/l is?? sm
Subject: any ideas what the s/l is?? sm

"proximal femoral ____ of the hip prosthesis"  sounds like malliety-


Any ideas of what this could be?
Subject: Any ideas of what this could be?

Psych eval on a boy with ADHD and disorder of central nervous system - this is just under general discussion:


 


He has had no aggression.  His mother still has not noted any abnormal, involuntary movements.  His S/L: AGE today remains 0.


 


Any ideas??  TIA


Hmm, sorry, no ideas here - hopefully someone else can help. nm
Subject: Hmm, sorry, no ideas here - hopefully someone else can help. nm


Does anyone have any ideas what this could be?
Subject: Does anyone have any ideas what this could be?

He talks so fast, and his voice is so low, slowing it down makes it worse!


"Past psychiatric history:  None other than therapy with her, S/L: TRIBES approximately 1 year."


Thanks for any ideas!


So any other ideas??
Subject: So any other ideas??


Some ideas
Subject: Some ideas

traditional esophagectomy, invasive or minimally invasive esophagectomy and also, curative esophagectomy
Some ideas ...
Subject: Some ideas ...

Go to google.com and type in "suntuf." You will get 8900 hits. See if any of those look like a medical word to you.

If not, then you have almost done your due diligence in terms of searching on your own.

Now, open up your reference books (of which you should have several), and pour through them, looking for something that makes sense in the context of the patient's visit and history. If you find nothing, then you have almost completed the due diligence for which you're responsible before you ask for help.

Now, go to Google and type in all of the words you think it sounds like. If none of those come up as medical terms (on reputable sites) that make sense in the patient's history and reason for visit, and sound exactly like what the doctor is saying, you have completed the due diligence you're responsible for in order to post here with your question.

Please, only post your question once. You may follow up to replies on that one post, but do not continue to post the same question as separate threads. If no one answers your question to your liking, it is time to either ask your supervisor or leave a blank. Repeating the same question over and over will not lead to an answer - it will lead to the frustration of people trying to help you.

If this is a term the doctor says repeatedly, you need to ask your supervisor for examples of that doctor's report. In it, you will most likely find exactly what you're looking for, and you will also have samples for further questions you may have.

If not, leave a blank and ask whomever QAs your work for the answer to your blank.

The word help board is not here to type your reports for you. It is here after you have exhausted all other means of finding an answer. Otherwise, it not only appears as if you're taking the help of others for granted, you're expecting someone else to do your work for you.

Good luck finding the words you're looking for. I'm sure we're all curious to hear what the real phrase was, once you are given the answer to your blank. Please keep us updated.

Thanks!
I'm sorry..it's 6 mg not 60 mg...any ideas?
Subject: I'm sorry..it's 6 mg not 60 mg...any ideas?


any more ideas anyone???
Subject: any more ideas anyone???

GI: No ("osatity"), melena, or jaundice.
ideas
Subject: ideas

metoprolol, lisinopril, toprol?
Any ideas what this could be?
Subject: Any ideas what this could be?

Sounds like "Eich-Dooley" "Ike-Dewey"  ?!!  (whatever it is, the patient had recent stents placed --)...  Would appreciate any suggestions at all!  Thanks!


To Ideas?
Subject: To Ideas?

frontotemporal infarct with gel foam hemorrhage?
Just some ideas...
Subject: Just some ideas...

facetious... meaning not very serious drainage OR stretching even further and dare I say a "made up" word such as fascial/facial drainage only with an ous suffix. Lots of docs play with words to make our jobs even more delightful. Just some thoughts. Now walk 10 paces and draw out the reference books. ;-)
s/l end-on or in-on vessel? Ideas?
Subject: s/l end-on or in-on vessel? Ideas?

 


CT of the lungs showed an -- s/l in-on or enon or end-on -- vessel in the left lung. Any ideas? I am stumped!  Thanks! 


Any ideas? S/L vasodectomy
Subject: Any ideas? S/L vasodectomy

This is right on the tip of my brain, but can't seem to find the right spelling.  Thanks in advance.


No ideas here either, they usually say the # of pills
Subject: No ideas here either, they usually say the # of pills

at that point.
any ideas on blank
Subject: any ideas on blank

An MRI of her right knee showed evidence of some subcutaneous edema ____________ her soft tissue intensity within the suprapatellar effusion

blank sounded like quivaling or equivalent, something along those lines.
Any ideas of what this word
Subject: Any ideas of what this word

she may need to s/l asestate referral to a nursing home for assistance.


He used this word twice and they both sound the same, but I just can't think of what this is?!  Your help is always appreciated.


Any ideas? Under ENT exam: sm
Subject: Any ideas? Under ENT exam: sm

"... revealed normal nasal mucosa and normal s/l *seffin* and turbinate and normal gums." Thanks!
Doc doing review. Any ideas? sm
Subject: Doc doing review. Any ideas? sm

Available for review is a s/l “fair-row” seven page typewritten report.
Thanks. Any ideas on 2nd question?
Subject: Thanks. Any ideas on 2nd question?


Any ideas appreciated!
Subject: Any ideas appreciated!

 


The patient is taking Tenormin, Dyazide, potassium,  Niaspan and S/L "E-Carnita". 


 


Past medical history of high blood pressure and hypercholesterolemia. 


Please see message. Any ideas
Subject: Please see message. Any ideas

It appears the marrow is one that is a result of iatrogenetic treatment.  The patient has had prior ??six more capital purine.???
Thank you! Any ideas on the "peritina" one?
Subject: Thank you! Any ideas on the "peritina" one?


medication sl florister? any ideas?tia.nm
Subject: medication sl florister? any ideas?tia.nm


s/l *innero* virus??? Any ideas? TIA!
Subject: s/l *innero* virus??? Any ideas? TIA!


any ideas...sounds like arasipilus
Subject: any ideas...sounds like arasipilus

this is dictated in the physical exam under the heading "skin". 


 


Any help is appreciated. 


Tried to hear it before already, but couldn't. Any more ideas?
Subject: Tried to hear it before already, but couldn't. Any more ideas?


S/l *Bacon * stent. Thanks for any ideas.
Subject: S/l *Bacon * stent. Thanks for any ideas.


Don't think so. It is definitely related to headache. ANy other ideas? nm
Subject: Don't think so. It is definitely related to headache. ANy other ideas? nm


No s/l seeming or seamline tenderness around the hip. Any ideas?
Subject: No s/l seeming or seamline tenderness around the hip. Any ideas?