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Nope, I definitely hear Zank smears

Posted By: Kimberly on 2008-08-06
In Reply to: Maybe just frank smears? nm - Christina RTMT

Subject: Nope, I definitely hear Zank smears




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anybody hear of a zank smear?? see sentence
Subject: anybody hear of a zank smear?? see sentence

 He is unfortunately far beyond our being able to do zank smears, IFAs, PCRs, or cultures off of the primary lesions.  Should we turn up a herpes type 2 lesions, we will at least broach the issue of hepatitis testing, in addition to HIV testing. 


nope, can't hear BTL. :(
Subject: nope, can't hear BTL. :(

Darn this is a tough one. Maybe the doc is just making up their own abbreviation.
nope, i definitely hear hosh or hausch or something like that
Subject: nope, i definitely hear hosh or hausch or something like that


nope, wish I could...but now I hear episodic visual hee tee ooo's ??
Subject: nope, wish I could...but now I hear episodic visual hee tee ooo's ??


Nope...not "left sternal border" I really hear "hard" or "heart". #@!! agh. nm
Subject: Nope...not "left sternal border" I really hear "hard" or "heart". #@!! agh. nm


Pap smears? HUS or HGUS?
Subject: Pap smears? HUS or HGUS?

History of abnormal pap smear (HUS).

HUS or HGUS? This doc is talking so fast I can't make it out. HVUS maybe? Does anyone have any ideas?
? Abnormal Pap smears.
Subject: ? Abnormal Pap smears.


Maybe just frank smears? nm
Subject: Maybe just frank smears? nm

nm
something to do with annual Pap smears? wild guess nm
Subject: something to do with annual Pap smears? wild guess nm


they do acid-fast smears on sputum, etc. Here is link from labcorp.com.
Subject: they do acid-fast smears on sputum, etc. Here is link from labcorp.com.





































Acid-Fast (Mycobacteria) Broth-Based Culture and Smear and Susceptibility
    
Number
182675
CPT
87015; 87116; 87206
Related Information

  • Acid-Fast (Mycobacteria) Antibiotic Susceptibilities
  • Default Test Order for Ambiguous Orders
  • Organism Identification, Mycobacteria
  • Synonyms
    Blood Mycobacteria Culture ; Culture, Acid-Fast (Sputum, Tissue, Urine, and Gastric Contents) ; Culture, Blood, Mycobacteria ; Mycobacteria Culture (Sputum, Tissue, Urine, and Gastric Contents)
    Test Includes
    Mycobacteria culture (AFB) and smear when appropriate; smears are not performed on blood or when there is less than 2 mL of cerebrospinal fluid. Susceptibility testing [test 088161] is performed at an additional charge when Mycobacterium spp is recovered. Culture and identification (additional charges/CPT code[s] may apply). CPT coding for microbiology and virology procedures often cannot be determined before the culture is performed. Requests with only a written order and no test number indicated will be processed according to Default Test Order for Ambiguous Orders .
    Specimen
    First morning sputum (not saliva) (three separate specimens from three separate days are recommended), fasting gastric aspirate, induced sputum, whole blood, tissue, biopsy, bronchial aspirate, urine, skin, cerebrospinal fluid, bone marrow, body fluid, stool. Swabs of exudate from skin sources are acceptable, otherwise, swab specimens should not be submitted. Collect aspirate using sterile, nonbacteriostatic saline or other noninhibitory medium. Do not send syringe. It will be rejected.

    Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
    Subject: Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?


    nope
    Subject: nope

    It's test for tears ducts. It's an ophthalmic term.
    nope
    Subject: nope

    He said it very very clear. I searched for nearly an hour and couldn't find a doggone thing. :)
    nope...nm
    Subject: nope...nm

    :)
    nope, that's not it (i wish it was). nm
    Subject: nope, that's not it (i wish it was). nm

    x
    nope, that's not it....thanks!
    Subject: nope, that's not it....thanks!


    nope..
    Subject: nope..

    Unfortunately doctor just says in past surgical history "appendectomy and "vintage".    he may have to get a blank, but i detest leaving blanks!
    Nope...that's not it:(
    Subject: Nope...that's not it:(


    Nope, that's what he said...
    Subject: Nope, that's what he said...

    "I debrided all the material out of his maxillary sinus using a straight, uncurved, whatever..."   I let hubby listen too (he's got a good ear) and that's what he heard too. 


     


     


    nope............................nm
    Subject: nope............................nm

    .
    nope......................nm
    Subject: nope......................nm

    .
    nope
    Subject: nope

    I would have to disagree with you on that one and haven't seen a company yet accept it that way.  The norm is followup for noun and follow up or follow-up for a verb.  What I'm trying to find is a REAL rule for this somewhere in some book.
    Nope, don't think it was either of those....
    Subject: Nope, don't think it was either of those....

    I just sent it to QA and was gratified to see they had no clue either so the blank got sent on to the client. Guess whatever it was he mangled it beyond recognition LOL. Thanks for the suggestions though!
    nope
    Subject: nope

    all i can hear is "preston to cultures over both lower extremities"  I have been looking online for an hour and can come up wiht nothing!!!!!!!!!!!!!
    Nope.
    Subject: Nope.

    NM
    Nope.
    Subject: Nope.


    Nope :( nm
    Subject: Nope :( nm


    nope, but thanks
    Subject: nope, but thanks

    I really hear the UM part of it. Thanks tho!
    Nope. You are right.
    Subject: Nope. You are right.

    I am just losing my mind. Thanks.
    Nope, sorry already
    Subject: Nope, sorry already

    employed and doing a real report.
    Nope
    Subject: Nope

    The first sound is a "d" or possibly "t".  I guess this is going in with a blank. He just speeds through it.  Oh, well.
    Nope
    Subject: Nope

    If no species is mentioned, it doesn't get the capital letter. I think this information is in BOS, 2nd Edition, in case you forget again.

    Gets capital letter only if species is mentioned.
    nope - it's T2b.............
    Subject: nope - it's T2b.............


    nope. Thanks for trying, tho. nm
    Subject: nope. Thanks for trying, tho. nm

    nm
    Nope
    Subject: Nope


    Nope, again...
    Subject: Nope, again...

    x
    nope that's not it, but thank you very much. sm
    Subject: nope that's not it, but thank you very much. sm

    definitely says Salt-tan.  Pronounces this very distinctly.


     


    nope, still not it lol
    Subject: nope, still not it lol


    Nope SM
    Subject: Nope SM

    The dx is low back pain, no amputations at all.

    Thanks though.
    thanks but nope
    Subject: thanks but nope

    nope, it starts with either a P and a B.  He says it 3 times and I still cannot figure it out.  I may have to call QA for this one. 
    nope, not it but thanks for trying! :)
    Subject: nope, not it but thanks for trying! :)


    Nope, don't think so...
    Subject: Nope, don't think so...

    I was thinking pyridium at first too... but it just doesn't sound like it... hmmm... thanks for the suggestions though!
    nope
    Subject: nope

    went back to listen..certainly s/l coy tocci
    nope... but thanks! :)
    Subject: nope... but thanks! :)


    nope
    Subject: nope

    thought of that but it is definitely Oxycond.
    Nope...
    Subject: Nope...

    No not it, but thank you for trying.
    Nope
    Subject: Nope

    He is clearly saying something like 'bellows and toe'.
    Nope it is
    Subject: Nope it is

    felon.  Definition of felon is:  An extremely painful abscess on the palmar aspect of the fingertips, occurring as the result of infection in the closed space of the terminal phalanx, usually following inoculation into the skin of a pathogenic microorganism.  Called also "whitlow".
    Nope.
    Subject: Nope.

    Sounds more like pre-aPROping. I wouldn't be shocked if he was trying to say something as simple as "poking"...you should hear him try to stumble through a list of meds.
    Nope, only the name, but that is it! Thanks so much!
    Subject: Nope, only the name, but that is it! Thanks so much!

    xx
    Nope
    Subject: Nope

    Thank you for your time.  All I heard was vagosin or vagocin.  If I get a response from QA I will let you know.  Thanks