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Oh darn! I already sent the report with insheathed...sm

Posted By: NYMT2 on 2009-03-04
In Reply to: It is ensheathed. - pc

Subject: Oh darn! I already sent the report with insheathed...sm

because insheathed was in spell check. Oh well! Next time I will know. Thank You for taking the time to respond :)


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The implant was completely ensheathed or insheathed in the muscle? TIA NM
Subject: The implant was completely ensheathed or insheathed in the muscle? TIA NM

xx
Darn, I bet that's right. Too late now. LOL
Subject: Darn, I bet that's right. Too late now. LOL

Next time, I'll know better. It makes perfect sense.
I am an oldie also. My own darn QA!! sm
Subject: I am an oldie also. My own darn QA!! sm

Glad to help. I take the Monthly Prescribing Ref and it also has good info in it for only $45 a year.
Darn. Hard one. sm
Subject: Darn. Hard one. sm

spicule bone formation? WAG here.


There can be a wrinkle in the callus formation? All I can think of. Sorry.


Darn it!! I put "millimeters of area"
Subject: Darn it!! I put "millimeters of area"

It seemed to make sense since he was evacuating a blood clot and I thought maybe he was estimating the size of the clot.  Thank you for answering... next time I will know.
MTHANDED and LIL, QA had no answer, sent a blank. darn it.
Subject: MTHANDED and LIL, QA had no answer, sent a blank. darn it.

x
Darn!! I also thought it might be a nutrition drink, something -cal. Sorry. nm
Subject: Darn!! I also thought it might be a nutrition drink, something -cal. Sorry. nm


you're pretty darn close, it's "coccygeal" .nm
Subject: you're pretty darn close, it's "coccygeal" .nm


YW, it's hard to figure out those darn bacterial names sometimes :) nm
Subject: YW, it's hard to figure out those darn bacterial names sometimes :) nm


yup! Getting a blank! He talks so darn fast too, and that is not helping. grrrr
Subject: yup! Getting a blank! He talks so darn fast too, and that is not helping. grrrr


PT with OCD..was able to describe a lot "thunning" rituals. (pretty darn clear)
Subject: PT with OCD..was able to describe a lot "thunning" rituals. (pretty darn clear)

Our records indicate that the patient was having rituals that would last 9 to 10 hours a day. She was able to describe a lot of __* rituals, a lot of germ phobia rituals, and high anxiety.
EKG report
Subject: EKG report

"No weeshnoblomotion abnormalities are identified." What is that word?
thanks everyone. One more report and then I am going to bed.
Subject: thanks everyone. One more report and then I am going to bed.


nothing more to add about the report unless
Subject: nothing more to add about the report unless

the patient had an implanted pacemaker which is not eluded to here.  Just a note, adenosine is not capitalized except to start a sentence.


Maybe you will hear something back.


d~


Sorry, same report...
Subject: Sorry, same report...

"CPK and _______ were negative"  s/l intraconals??


 


Still on the pulmonologist's report...


EEG report
Subject: EEG report

Anyone ever heard of an EEG performed on a Nikon Codon machine?  Thanks.
just sent the report on.........nm
Subject: just sent the report on.........nm

x
op report sm
Subject: op report sm

What kind of surgery is it? If he used "lap" laparotomy pads may be the second one. They usually say sponge, needle and instrument counts. Will keep thinking on this one. Type of surgery would help.


You don't say where in the report -- sm
Subject: You don't say where in the report -- sm

this is given, or any other context, so I have to wonder if this isn't a problem list perhaps giving more than one diagnosis/problem here (as in (1) portosystemic shunt and (2) nephrolithiasis)...

Just a thought
ENT report - sm
Subject: ENT report - sm

Does include sinus surgeries, Caldwel-Luc surgery. Is also on Flonase. Patient is actually here regarding Grave's disease. I'm wondering if this is Relpax D, but I'm not able to verify that as a drug. Any suggestions?
ENT OP report help, please...
Subject: ENT OP report help, please...

Vocal cord lesion biopsy -


Peripheral -s/l orb or oral- sinuses were intubated to their apices and were normal.


Specimen was sent -s/l informal- and for pathology.


TIA!


OP report
Subject: OP report

OP report, lumbar spine


Next, fluoroscopy was used to place new screws at the L2-3 segment.  Starting points were identified at the confluence of the midpoint of the transverse process, the **manloid** process, and the pars interarticularis



He really mumbles through this part, so I am just not sure, but I have not heard this term used before. Thanks!


op report help please sm...
Subject: op report help please sm...

FINDINGS:  Epidurogram revealed normal (s/l-cephaloquadet-) contrast flow outlining the right L5 nerve root sleeve in the epidural space with good flow achieved medial to the right L5 pedicle.  The patient did experience some concordant L5 symptoms on the right side during the injection.  Vital signs remained stable throughout. 


 


 


 


 


OP Report
Subject: OP Report

Hi all! I am doing an OP for a lumbar spine surgeon, but this is just for an I&D. He says the area was probed with "sucker tips" and was found to be subfascial. I am not too comfortable with what I am finding online for this. Has anyone heard this before? Thanks!
OP report help, please
Subject: OP report help, please

Patient was premedicated with intravenous s/l Benadryl. 


Would that be right?


report does not say .. but says she is on BC
Subject: report does not say .. but says she is on BC


help with op report
Subject: help with op report

I never do op notes!  The sentence reads:


The S/L RAFFAY between the anterior and middle deltoids was then opened.  TIA!


Doing EMG report sm
Subject: Doing EMG report sm

The patient has focal severe slowing primarily in sensory fibers in the right upper extremity, on multiple restimulation unable to elicit a response to both s/l "Palmar 8" studies. 


 


I can't find this anywhere.  Anybody have any ideas?  Thanks!


I wish I could see the report, but
Subject: I wish I could see the report, but

could she be saying communication, as in an opening has formed between 2 sinuses or something?

It is so frustrating to be given only a tidbit of a report instead of being able to puzzle it out from what is going on with the patient.
Thanks, but as I'm into the report it
Subject: Thanks, but as I'm into the report it

sounds like this is some weird wording for microscopic blood.

I've done thousands of endoscopy reports and GI consults, but I can't think why he'd say "affobiddy positive stool" instead of something about occult blood or microscopic blood.
ER report. Sm please
Subject: ER report. Sm please

The patient has a 4 mm calcification on the pelvis on the right which may represent a s/l flevolith, thus a right ureteral calculus could not be entirely occluded. 


OP report
Subject: OP report

general s/l elam anesthesia. New to OP reports! TIA


Thanks! That's how I did it in the report nm
Subject: Thanks! That's how I did it in the report nm


OP report
Subject: OP report

s/l -fecal lift- at the base of the appendix
C-sec report
Subject: C-sec report

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Subject: PT report

S/l ESTEEM for pain management?
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Subject: report

Does any one know focal tics of sounds like aphitical movements. Thank could use the help.
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" NO BUBBLES ___________ FROM RIGHT TO LEFT SIDE"  s/l caused.  He also said bubble study was done with 9 mL normal saline and "a cc" of air.  Is this written 1 mL? 
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Subject: per report

The only diagnosis is bipolar, duh!
was my last report of the day
Subject: was my last report of the day

and he was getting to me!  my least favorite account, lots of bad dictators
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Subject: MRI report s/m


MRI of the brain shows what looks to be an acute infarct on DWI on the right brainstem area, which were also changes seen on the T2 weighted - s/l anuses - suggesting that this is probably an infarct, which occurred 7-10 days ago.


any ideas cuz I'm pretty sure there are no weighted "anuses" in the brain, at least not identifiable by MRI.


 


op report help
Subject: op report help

Doc states that the the articular surface of the lateral tibial plateau was then s/l stacked as was the weightbearing surface of the lateral femoral condyle.

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It's an EGD report .... sm
Subject: It's an EGD report .... sm

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Subject: GU op report help please

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Subject: GU op report help please

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CXR report...SM
Subject: CXR report...SM

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OB/GYN report...
Subject: OB/GYN report...

x
ORS Report??
Subject: ORS Report??

Hi I am typing an ER report that says this:


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This is it. He said it again later in the report
Subject: This is it. He said it again later in the report

thanks. 
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Subject: H & P Report

On an H & P report after you have typed the plan and then they repeat the vital signs is that a new category and if so what should the heading be, or is is set off in a new paragraph, or is just part of the plan.  I'm a little confused as to how to put it at the end of the report.
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Subject: H & P Report

Depends on your company or facility. My personal preference is to insert VITAL SIGNS into the physical exam portion of the dictation, right after GENERAL APPEARANCE or PHYSICAL EXAM. However, you have to follow the dictates of your employer.