No dx? No chief complaint? No planned tx? Give us a clue here! nm
Posted By: Can't help this way! on 2006-11-23
In Reply to: s/l banian surgery - e-aji13
Subject: No dx? No chief complaint? No planned tx? Give us a clue here! nm
s
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- s/l banian surgery - e-aji13
- No dx? No chief complaint? No planned tx? Give us a clue here! nm - Can't help this way!
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chief complaint
Subject: chief complaint
H & P~the doctor says chief complaint:?? sounds like a-pen-ded di-ver (crazy, I know)
The patient awakened that morning with right upper quadrant pain, nausea, fever. The patient has colonic cancer? thanks for any help
Chief Complaint
Subject: Chief Complaint
Chief complaint right foot right shin pain. Fell and went to emergency room and had s/l radiax of her ankle,shin, elbow and wrist on the right side. Nothing about her head. :-(
Can you hear Chief Complaint in there? nm
Subject: Can you hear Chief Complaint in there? nm
It's a chief complaint. Just put it in quotes and you're done.
Subject: It's a chief complaint. Just put it in quotes and you're done.
(like you have it)
A little crazy is okay if it's in quotes, LOL.
:oD
QA ended up changing it to "right" in chief complaint
Subject: QA ended up changing it to "right" in chief complaint
any more info? Type of exam, chief complaint, anything at all.
Subject: any more info? Type of exam, chief complaint, anything at all.
dd
Chief complaint: s/l Stiler enalrgement with hyperthyroidism. Help???
Subject: Chief complaint: s/l Stiler enalrgement with hyperthyroidism. Help???
Medically it would fit, could you give patient's chief complaints and diagnoses? nm
Subject: Medically it would fit, could you give patient's chief complaints and diagnoses? nm
nm
can you give more? Diagnosis? Complaint?
Subject: can you give more? Diagnosis? Complaint?
x
Give us the line and context it is used, what is the complaint.
Subject: Give us the line and context it is used, what is the complaint.
Can you give us some info about the patient, i.e. past history, current complaint, etc?
Subject: Can you give us some info about the patient, i.e. past history, current complaint, etc?
Can anyone give me a clue . .
. . . as to what this might be? ESL dictation and I can't seem to make out what he's saying. I THINK I have an idea, but I wanted to run it by some of you ladies (and gentlemen) to see if your ideas are similar.
Sounds like he's saying the following:
Patient doesn't have much cough. Orsh-a-lavasta have a little bit of blood coming out. (This is on a patient with a trach.)
Any ideas?
Give us a clue--where you at in the body and what are they doing?
.
Does her name give you a clue to her ethnicity? Maybe saying she's a native of some
Subject: Does her name give you a clue to her ethnicity? Maybe saying she's a native of some
s
any info prior to P.E. that might give a clue?
Subject: any info prior to P.E. that might give a clue?
Is there a chief complaint or admission dx?
Is patient being fitted for something that might give a clue as to
Subject: Is patient being fitted for something that might give a clue as to
s
How about a full sentence to give us a clue??? nm
Subject: How about a full sentence to give us a clue??? nm
s
I have docs who almost never pronounce any medications well enough to give me a clue. :-)
Subject: I have docs who almost never pronounce any medications well enough to give me a clue. :-)
Nothing in the PMH/surgical history or current meds. to give you a clue? nm
Subject: Nothing in the PMH/surgical history or current meds. to give you a clue? nm
s
what is the name of a third complaint? S/L thirsory complaint Thanks!
Subject: what is the name of a third complaint? S/L thirsory complaint Thanks!
Probably is planned.
Subject: Probably is planned.
x
plan of coagulation? planned? WAG
Subject: plan of coagulation? planned? WAG
Well, it is neurology with a chief
Subject: Well, it is neurology with a chief
complaint of unsteadiness of gait. she has a lot of problems, but he says "past medical history: Medical Illnesses: FBS 110. Would you think that would fall under medical illnesses? I'm pretty sure that is what he is saying, though
what is the patient's condition/complaint? nm
Subject: what is the patient's condition/complaint? nm
maybe "tertiary" complaint (nomsg)
Subject: maybe "tertiary" complaint (nomsg)
x
Word help s/l glener nerve complaint
Subject: Word help s/l glener nerve complaint
He has not had numbness or tingling in his hands, trouble with walking, s/l glener nerve complaint
There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache
Subject: There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache
You hear trialed all the time. Give 'em what they give you! Can't drive yourself friggin'
Subject: You hear trialed all the time. Give 'em what they give you! Can't drive yourself friggin'
s
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??
usually is PT, INR and PTT, but does not seem to fit here?? No clue, sorry!...nm
Subject: usually is PT, INR and PTT, but does not seem to fit here?? No clue, sorry!...nm
x
have no clue?
Subject: have no clue?
dictated as "I strongly recommend that two units of blood be taken off at the time of surgery into a s/l sitreated bag?? and then given back to the patient over the next 6-8 hours as volume is needed"
thanks for explaining that-I had no clue...NM
Subject: thanks for explaining that-I had no clue...NM
,
biggest clue =
Subject: biggest clue =
nm
clue implanted
Subject: clue implanted
She recently had surgery on her left knee for pain, in which she had "s/l a clue" implanted.
No clue. See mssg.
Subject: No clue. See mssg.
Patient has prostate cancer in remission and stage IV mantle cell lymphoma.
s/l morganalamogondy....I don't have a clue
Subject: s/l morganalamogondy....I don't have a clue
the dictator says what sounds like the pt's urine culture was found to have 25-50,000 colonies of morgan-al-a-mo-gondy.....
sorry, have never heard this, no clue...nm
Subject: sorry, have never heard this, no clue...nm
nm
huh? diastolic CHF? no clue....nm
Subject: huh? diastolic CHF? no clue....nm
several blanks, no clue
Subject: several blanks, no clue
..severe stenosis of a large circumflex marginal which was stented by (s/l 2 stent, sty-fer) which are (drac-oluded) stent
Thanks for your help. I have no clue as to what this is. Sent in with a blank. NM
Subject: Thanks for your help. I have no clue as to what this is. Sent in with a blank. NM
ss
No clue what these 2 words could be...
Subject: No clue what these 2 words could be...
DIAGNOSIS: S/L BRIALLY WOUND STATUS POST S/L WOLFULL, LEFT FOREFOOT.
Any ideas??? TIA.
Have no clue what these labs are
Subject: Have no clue what these labs are
HIV RNA PCR was 40,920 on August 14, 2008. Blood cultures showed no growth on August 14, 2008. Histoplasmosis antibody on this was negative. ?? s/l astrogilous fimagatus ?? was negative. ?? s/l astrogilous suavous ?? was negative. ?? s/l astrogilous niger ?? was negative.
I haveno clue...
Subject: I haveno clue...
I listened again and that is the exact wording. Thank you for your help.
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