Ophthalmology consult, this elderly gentleman has evidence of previous s/l a. phaci...the only
Posted By: Yoyo on 2009-03-31
In Reply to:
Subject: Ophthalmology consult, this elderly gentleman has evidence of previous s/l a. phaci...the only
thing that comes to my mind is phacoemulsification. The doc dictating this is so old and slurs so much that he should probably be retired. Any ideas anyone?
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There is evidence of previous caput costae, left thorax with good bony healings
Subject: There is evidence of previous caput costae, left thorax with good bony healings
neuro consult, neuroconsult, or neural consult?
Subject: neuro consult, neuroconsult, or neural consult?
Confused about which is correct, whether it should be one word or two. Thanks in advance. "Dr. Shanmugam has seen the patient for neuro consult."
Reason for consult: s/l Managed medical consult
Subject: Reason for consult: s/l Managed medical consult
Does this sound right? The report didn't really help me much. The person is there for vent weaning after a fracture.
It is named after a gentleman with the last name of "Waller"
Subject: It is named after a gentleman with the last name of "Waller"
so, I am still thinking not capitalized. 
How do you type 63 plus 3-year-old gentleman?
Subject: How do you type 63 plus 3-year-old gentleman?
He is an ESL doc, I think he means 63-year-3-month old gentleman.
Subject: He is an ESL doc, I think he means 63-year-3-month old gentleman.
How can you be 63 plus 3 years? You would be 66! Thanks for your help!
Set consult since it's a fracture? Or set up consult? NM
Subject: Set consult since it's a fracture? Or set up consult? NM
nm
Elderly patient has history of
Subject: Elderly patient has history of
recurrent falls with ***icular ***ium syndrome. Can't make out the mumble. Thanks for any help!
So is this, like, a colonoscopy? Physcial exam? Pediatric? Elderly? NM
Subject: So is this, like, a colonoscopy? Physcial exam? Pediatric? Elderly? NM
nm
Also, any mention of his "dentition", many times a cause in elderly patients?? NM
Subject: Also, any mention of his "dentition", many times a cause in elderly patients?? NM
nm
would doc say skin with good s/l rigidity??? and turgor for elderly patient?
Subject: would doc say skin with good s/l rigidity??? and turgor for elderly patient?
I found articles pertaining to LH levels done in the elderly to check pituitary hormones etc.
Subject: I found articles pertaining to LH levels done in the elderly to check pituitary hormones etc.
"In women, although
not in all studies (22), a decline in both FSH and LH levels
occurs with age after menopause (19, 23), and decreased
gonadotropins secretion with age is also observed in aged
men (24)..."
I guess it would depend on what you patient is being studied for. It may not be LH at all? Sorry
No previous MI. Tx anyway! nm
Subject: No previous MI. Tx anyway! nm
xx
No evidence of a DVT?
Subject: No evidence of a DVT?
You might not like this one, but I would go by what QA said on the previous report. This way you hav
Subject: You might not like this one, but I would go by what QA said on the previous report. This way you have verification in writing of why you chose to keep it this way in case you are questioned on your choice of interpretation. I know we are looking for common sense but we are transcriptions and as we know that is not even close to always being the case in MD dictations.
could it be part of previous ??
Subject: could it be part of previous ??
could it be the dosing of the med before and you think he is going to the next number in the list? The "million" part is making me question this. Otherwise I have no idea. I hope you find your answer!
a previous post
Subject: a previous post
had this same sentence and it was "early satiety"
It's scintigraphic evidence of....
Subject: It's scintigraphic evidence of....
almost looks like evidence of ascites? WAG here.
Subject: almost looks like evidence of ascites? WAG here.
No evidence of HAVT?
Subject: No evidence of HAVT?
???
PS to clarify my previous post
Subject: PS to clarify my previous post
2 drugs:
s/l Cadawa NHCTC; I think it's for hypertension or hyperlipidemia.
s/l Rocethrin. For lesions? Could also be a pain med.
TIA! 
I took this from a previous post about eponyms... sm
Subject: I took this from a previous post about eponyms... sm
According to BOS
eponyms
"While the use of the possessive form with eponyms remains acceptible, AAMT's preference is generally to drop the possessive form.
Apgar score, Babinski sign, Down syndrome, Gram stain, Hodgkin lymphoma.
Sometimes an awkward construction calls for use of the possessive form. This patient suffers from Hodgkin's."
just a thought..how about no change to previous?
Subject: just a thought..how about no change to previous?
Previous surgery for s/l lat pulley. TIA nm
Subject: Previous surgery for s/l lat pulley. TIA nm
aaaahh, my previous note should be SM!
Subject: aaaahh, my previous note should be SM!
it's a consult
Subject: it's a consult
For GI bleed. Doing the impression, and doc is giving the possibilities.
s/l sep consult
Subject: s/l sep consult
Dr. will do a s/l sep consult for preop clearance
. . . This is for a patient with a hip fracture
Consult
Subject: Consult
 I am working on a consult. In the impression on the last diagnoses, it sounds like the MD is saying "your diagnosis". He is a notorious mumbler... Have any of you heard of this before? Thanks in advance.
GI consult
Subject: GI consult
Could it be C. difficile positive stool or guaiac positive stool?
s/l CDU consult
Subject: s/l CDU consult
This is a header. s/l CDU CONSULT CONSULTANTS: Does this make sense being a OB consult? I've never heard of this but sure sounds like it.
s/l OMS consult
Subject: s/l OMS consult
"Patient has left facial cellulitis, most probably secondary to tooth abscess." What would OMS stand for?
consult please?
Subject: consult please?
I have always done cryo'd but I have always wondered if that is correct!
Thanks!
Where is the evidence linking him to culdoplasty?
Thanks, I know about the Mt. Sinai link and Alexis Moschcowitz. But his only publications were about femoral hernias, rectal prolapse, and thoracoplasty. Where is evidence firmly linking him, or anyone for that matter, to the culdoplasty?
no evidence of "tropication" disease??
Subject: no evidence of "tropication" disease??
The patient had reportedly had an abnormal noninvasive arterial study with evidence of lower extremity trophication disease. Tropication? Any clues?
Thanks!!
There is no evidence of fistula extravasation
Subject: There is no evidence of fistula extravasation
or do you think he means
fistula or extravasation?
fistulous extravasation?
Walks with evidence of intaliga????
Subject: Walks with evidence of intaliga????
anybody please?
s/l centralagraphic evidence of ischemia
Subject: s/l centralagraphic evidence of ischemia
I cannot find this anywhere! Please help.
s/l sin-thee-o-graphic evidence.. thanks
Subject: s/l sin-thee-o-graphic evidence.. thanks
Could be "intrinsic" - but are you sure it is "new" evidence? sm
Subject: Could be "intrinsic" - but are you sure it is "new" evidence? sm
Or "no" evidence? Did they find new masses or lesions?
Just checking - that little word "no" can make a WORLD of difference.
No evidence of right leg (s/l textopathy) or radiculopathy
Subject: No evidence of right leg (s/l textopathy) or radiculopathy
x
Or "no evidence of JVD," perhaps, but we have no context to go on. nm
Subject: Or "no evidence of JVD," perhaps, but we have no context to go on. nm
nm
did the link show up with the previous message?
Subject: did the link show up with the previous message?
Found previous note. It was Sigma...nm
Subject: Found previous note. It was Sigma...nm
nm
Says this patient has previous CVT/CBT..have to expand and not sure what it could be for a PMH term,
Subject: Says this patient has previous CVT/CBT..have to expand and not sure what it could be for a PMH term,
any ideas?
Thanks
Here's a link to a previous MTStars post
Subject: Here's a link to a previous MTStars post
on this same question. Is this an ENT account? The best thing would be see if you can get verification from the account, might be some name they have for their own conconction of Maalox, Benadryl and Xylocaine. I've seen plenty of things misspelled in reports, even standards handed out by an account itself...
no, doesn't make sense....previous does
Subject: no, doesn't make sense....previous does
is this dictator an ESL?
prior history of left shoulder pain?
previous history of left shoulder pain?
Found it in a previous dictation - it is Toronto.
Subject: Found it in a previous dictation - it is Toronto.
OOPS DISREGARD PREVIOUS THIS IS WAY IT IS WRITTEN?
Subject: OOPS DISREGARD PREVIOUS THIS IS WAY IT IS WRITTEN?
A trigger point injection at the right gluteus maximus trigger point was performed using mixture of 2 mL 2% Xylocaine and 1 mL 40 mg per mL Depo-Medrol.
Maybe referring to a stitch from the previous fistula??
Subject: Maybe referring to a stitch from the previous fistula??
x
Agree with previous poster. NEVER GUESS
Subject: Agree with previous poster. NEVER GUESS
x
I was able to locate a previous report which has 1, so I'll go with that
Subject: I was able to locate a previous report which has 1, so I'll go with that
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