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No clue from the tx to the hand? Would think "in basement" (of house)?? nm

Posted By: psg thru on 2005-11-20
In Reply to: S/L "basement" - mq_mt

Subject: No clue from the tx to the hand? Would think "in basement" (of house)?? nm

s


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s/l *mild basement crackles*
Subject: s/l *mild basement crackles*

Lungs reveal a few rhonchi and _____ crackles, but no other aventitious sounds. 
Basement membrane is on a cellular level. Don't think would fit here. nm
Subject: Basement membrane is on a cellular level. Don't think would fit here. nm

s
Oh, and you need to check the anatomy of the hand. Do a google search for "bones of the hand"
Subject: Oh, and you need to check the anatomy of the hand. Do a google search for "bones of the hand".

Try this site, you can click on the bones of the hand and it will tell you what the bone is called.


http://www.gwc.maricopa.edu/class/bio201/hand/anhand.htm


The trapezoid bone is a bone in the distal row of the carpus; it articulates with the second metacarpal.


The scaphoid bone is the largest bone of the proximal row of the carpus on the radial side, articulating with radius, lunate, capitate, trapzium, and trapezoid.


Please know what you are talking about before you try to be condescending.


House bur
Subject: House bur

House
House-Brackman
Subject: House-Brackman


We always used DEXA when I was in-house nm
Subject: We always used DEXA when I was in-house nm

nm
House-Brackmann scale
Subject: House-Brackmann scale

nm
Sliding scale in-house ?
Subject: Sliding scale in-house ?

Assuming of course that this is an inpatient. 
probably is isthmusectomy. Those two procedures go hand in hand.
Subject: probably is isthmusectomy. Those two procedures go hand in hand.

x
Hand surgery, lead hand?
Subject: Hand surgery, lead hand?

The hand was placed in a lead hand?  Attention directed to, in sequence, the lacerations over the DIP joints and pulps of the index, long and ring fingers.  Thanks


there gonna have to come to my house and make me change that lol nm
Subject: there gonna have to come to my house and make me change that lol nm


"In-Fast"
Subject: "In-Fast"

is a trade name . he may  be saying "dash" to use as a hyphen


 


maybe "in airway"??
Subject: maybe "in airway"??

x
will check an "in-helm" INR. ??
Subject: will check an "in-helm" INR. ??

Not sure this is what I'm hearing.  The patient has an enterocutaneous fistula.  Says "need for daily wound care discussed.  Will check an "in-helm" INR. 


Clues??


Not "romare"..."in room air".
Subject: Not "romare"..."in room air".

You'll hear it this time!


maybe "in florid relapse" NM
Subject: maybe "in florid relapse" NM


"In regards to" is not correct grammar. SM
Subject: "In regards to" is not correct grammar. SM

If we are going to be grammar experts, we must know that it should be in regard or as regards. 
the second one is probably "in formalin" for pathology nm
Subject: the second one is probably "in formalin" for pathology nm

xx
Second one, could it be "in origin" instead of epichondral?
Subject: Second one, could it be "in origin" instead of epichondral?


"in short order"
Subject: "in short order"


confused...when to use "in" and "at"
I have had no problems using these before but my new Editor has started to confuse me, when do i use "at" and when do I use "in"...for example...the patient was seen "in/at" the clinic....appointment with the oncology department "in/at" soandso hospital...thanks
Thanks. I definitely hear the "In-testum"
Subject: Thanks. I definitely hear the "In-testum"

though so I'll flag it. It almost sounds like the word cuts off in the dictation.
just a guess, but how about "in excess"?
Subject: just a guess, but how about "in excess"?


I think it's "in-stent" - as in restenosis
Subject: I think it's "in-stent" - as in restenosis


meaning "in sinus rhythm." nm
Subject: meaning "in sinus rhythm." nm


Never mind - he was saying "in brackets" GRRRR!
Subject: Never mind - he was saying "in brackets" GRRRR!


Could the phrase be, "in formalin" instead of "informally" nm
Subject: Could the phrase be, "in formalin" instead of "informally" nm

nm
maybe "in portion"...poor English use, but a WAG. sm
Subject: maybe "in portion"...poor English use, but a WAG. sm

The "in" portion of the study as opposed to the "out" portion. Maybe he was talking slowly because he was...thinking..while...talking.... I've done that myself.
"breaking in to"--"in" and "to" just happen to be beside one another
Subject: "breaking in to"--"in" and "to" just happen to be beside one another

Into or In to?
"Into is a preposition that has many definitions, but they all generally relate to direction.
On the other hand, in by itself can be an adverb, preposition, or adjective (and to by itself is a preposition or an adverb). Sometimes in and to just end up next to each other.

Maybe examples will help!
He walked into the room.
(Which direction was he going? Into the room.)

We broke in to the room.
('Broke in' is a phrasal verb. What did you break in to? The room.)

(Fogarty, Grammar Girl's Quick and Dirty Tips 34-35).
Or, could it be "in and out" suture technique. Just don't know/can't find
Subject: Or, could it be "in and out" suture technique. Just don't know/can't find


stone "in gradu" formation...
Subject: stone "in gradu" formation...

That is the complete sentence if that helps any?
taking insulin "in excess" maybe
Subject: taking insulin "in excess" maybe


"in knee-chest" position, maybe??
Subject: "in knee-chest" position, maybe??


probably being redundant and saying "in the dorsal supine position." nm
m
?"In vitro or in vivo" allergy testing
Subject: ?"In vitro or in vivo" allergy testing

s/l "in vitro or in vivo" allergy testing should be considered. Foreign doctor.
basal cell "in vivo" carcinoma ???
Subject: basal cell "in vivo" carcinoma ???

nm
duh - never mind. He's saying "in the right lower extremity" Argh!
Subject: duh - never mind. He's saying "in the right lower extremity" Argh!


seen "in" the clnic and dept "at" the hospital.
Subject: seen "in" the clnic and dept "at" the hospital.

x
Kidney transplant pt now with documented s/l "In stem eee" just had MI
Subject: Kidney transplant pt now with documented s/l "In stem eee" just had MI

x
Rest of sentence may help, but thinking "in lace-up shoes" n
Subject: Rest of sentence may help, but thinking "in lace-up shoes" n


"In the hospital, patient had _______ privileges that she used to continue smoking."
Subject: "In the hospital, patient had _______ privileges that she used to continue smoking."

S/l "papule" privileges???  Which is obviously not right, but those are the sounds, anyway...
I agree, I think if you add "in" in front of opposition, the sentence reads just fine.
Subject: I agree, I think if you add "in" in front of opposition, the sentence reads just fine.


another clue =
Subject: another clue =

"recent" for admission...

Alrighty then
no clue sm
Subject: no clue sm

I have a few doc who do a witch hazel clindamycin combination but never heard witch's brew.  Sorry and good luck!
No clue
Subject: No clue

medication sounds like "Zoaxethine".   Long day!  Thank you.
No clue!
Subject: No clue!

As you know, she is a 48-year-old female who reports that approximately two years ago, while in the Dominican Republic, she began to experience severe lower abdominal bloating and pain.  She was evaluated at a clinic and was felt to have an s/l ill-ee-it and was treated symptomatically. 
A clue.
Subject: A clue.

He just dictated this line:

"The patient was hospitalized for the 10-day portion of the study."

So it must be 10/15, for 10 days in the hospital, and 15 days outpatient. So inpatient would make perfect sense, and I feel better.

Thanks.


Thanks! should have known, but no clue
Subject: Thanks! should have known, but no clue


no clue!
Subject: no clue!

lung cancer metastatic to the brain. he had an 'LVAT" procedure??
no clue

She has a sore throat and CP.  She apparently makes facial expression to the (s/l defect)??? with tears in her eyes following this.  This seems to happen frequently.  She tends to clear her throat. 


The patient apparently cannot talk and her mother is explaining how she acts.  Anyone know what the doc might be saying?  Do you need more info?    Probably not, you all are good. 


no clue...
Subject: no clue...

DIAGNOSES:
1. DIABETES MELLITUS
2. PERIPHERAL NEUROPATHY
3. s/l product CALLUS
4. ULCER FORMATION

Also after s/l product callus the s/l ulcer formation might go after cullus as s/l and also formation??