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Personally... Cardiac enzymes: CPK were high, but his MBs were normal.

Posted By: MTISME on 2008-09-23
In Reply to: cardiac enzymes - laurie

Subject: Personally... Cardiac enzymes: CPK were high, but his MBs were normal.




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Maybe serial cardiac enzymes or just serial enzymes? Are they ruling out an MI? nm
Subject: Maybe serial cardiac enzymes or just serial enzymes? Are they ruling out an MI? nm

s
Cardiac enzymes
Subject: Cardiac enzymes

Acute MI rulilng out with s/l zero cardiac enzymes.  Could this be correct or do you think he is saying serum and it just sounds like zero?  TIA
cardiac enzymes
Subject: cardiac enzymes

It is "serial" cardiac enzymes.
cardiac enzymes
Subject: cardiac enzymes

I have a format question.  Not sure how to punctuate this sentence. This is listed under "Laboratory Data"


Cardiac enzymes CPK were high, but his MBs were normal. 


Would it be correct like it is, or would it be "Cardiac enzymes: CPKs were high, but his MBs were normal."


I also don't know if I should edit CPK to CPKs or leave it as is.


cardiac enzymes
Subject: cardiac enzymes

thanks, that's how I had it but wasn't sure. And wasn't sure about editing to CPKs or leaving it as CPK (without the "s"). Thanks again.
cycling cardiac enzymes?
Subject: cycling cardiac enzymes?


This may be all related to hypoxia since the patient was essentially unresponsive with airway obstruction on EMS arrival; however, cannot rule out other causes of syncope or a seizure. As such, we will go ahead s/l cycle his cardiac enzymes and check an echocardiogram. 


Does cycle sound right?


Does cardiac enzymes fit your situation?
Subject: Does cardiac enzymes fit your situation?

Might be helpful to know the patient's diagnoses to know what the right answer is.
is it serial cardiac enzymes?
Subject: is it serial cardiac enzymes?


Or 'serial cardiac enzymes...'? Ruling out for an MI? More context would help! nm
Subject: Or 'serial cardiac enzymes...'? Ruling out for an MI? More context would help! nm

s
Here is a good link to all the cardiac enzymes. Look thru here and listen again and you may be able
Subject: Here is a good link to all the cardiac enzymes. Look thru here and listen again and you may be able

to figure out what he/she is saying.

http://classes.kumc.edu/son/nurs420/unit5/cardiac_enzymes.htm
Might be how they're referring to the first set of the 3 sets of cardiac enzymes to rule out
Subject: Might be how they're referring to the first set of the 3 sets of cardiac enzymes to rule out

s
please help! Past medical history includes s/l spilling? cardiac enzymes. Thanks!
Subject: please help! Past medical history includes s/l spilling? cardiac enzymes. Thanks!


sure...the dictator said he had a normal CT scan and s/l a live to liver enzymes of AST and ALT at..
Subject: sure...the dictator said he had a normal CT scan and s/l a live to liver enzymes of AST and ALT at..

at that time....
for PMH doc says cardiac cath...with report of a normal s/l Propation??? Any ideas?
Subject: for PMH doc says cardiac cath...with report of a normal s/l Propation??? Any ideas?


no dont think so, the two line prior are LFTS normal and Chem-7 was normal
Subject: no dont think so, the two line prior are LFTS normal and Chem-7 was normal


I would use saline since it's the solution he's changing from half-normal to normal, not the
Subject: I would use saline since it's the solution he's changing from half-normal to normal, not the

s
That would be Creon enzymes
Subject: That would be Creon enzymes

that's what my son is on
s/l cipicastle enzymes??
Subject: s/l cipicastle enzymes??

Seen in the ER for chest pain and had a cardiac evaluation and s/l cipicastle enzymes??


 


  


For one and for all, is it high power field or high powered field?? Also the hypen thing...
Subject: For one and for all, is it high power field or high powered field?? Also the hypen thing...

I spent a load of money getting trained for MT and I STILL  am not sure about this.  What do the experienced MTs think??
normal Pap smear in there anywhere? Normal Pap in 2006?nm
Subject: normal Pap smear in there anywhere? Normal Pap in 2006?nm


normal motility? normal motilities? nm
Subject: normal motility? normal motilities? nm


You are probably hearing normal BUS or normal BUSV. sm
Subject: You are probably hearing normal BUS or normal BUSV. sm

BUS                                       Bartholins/Urethra/Skene’s


 


BUSV                                     Bartholins/Urethra/Skene’s/vagina.


 


Here is abbrev link for you.       


 


http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm                         


In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm
Subject: In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm


may be normal values or normal range? nm
Subject: may be normal values or normal range? nm

nm
per high power field OR per high powered field.
Subject: per high power field OR per high powered field.


Personally, I don't see that being the
Subject: Personally, I don't see that being the

word, and if it was the word, I would think it would be fistula, not fisular. Since it came back from QA that way, I guess it has to fly, but personally...nah! Sorry. But to me, fisula is not even a word.
Personally, I would--sm
Subject: Personally, I would--sm

take out the comma between nucleations and right; I would also take out the comma between right and x 3, I would place a comma between fifth and "and". This is really a confusing sentence, as I am not sure if it means "right times 3" or right third, second, and fifth DIP joints. that would make a difference in the punctuation.
Personally, I would use the --sm
Subject: Personally, I would use the --sm

heading of CHIEF COMPLAINT: New patient with arm pain. or new patient, arm pain.
JMO
I personally
Subject: I personally

would do 1/1,000,000
Personally 3+3
Subject: Personally 3+3


I don't have anything personally against them (sm)
Subject: I don't have anything personally against them (sm)

But you're right...I have a lot of CNPs and PA-Cs who are constantly saying the wrong things. For example, the CNP who keeps saying dilution instead of deciliter for the UA, when she does an eye exam she always says the lids were averted instead of everted.  She SPELLS it for me and always sounds like she's disgusted because she keeps spelling it with an A and I keep typing it with an E.  It has always been Everted.  Averted means to look away.  I type these things up for years and years and then someone comes along like her and I start questioning myself, and maybe I'm typing it wrong...it just drives me crazy.
It could go either way, personally most
Subject: It could go either way, personally most

of the time I have heard things similar to this, the distally would go with the sensation.
Personally -
Subject: Personally -

I change it to match the context of the sentence - another x-ray, x-rayed again, etc.

If it is verbatim I would type re-x-ray.
I, personally..
Subject: I, personally..

would type it 4 x 4s-no apostrophe. :-)
I personally would just separate
Subject: I personally would just separate

by a slash 500/500/250/500, but that's just me :)
Grammar help! Myself personally
Subject: Grammar help! Myself personally

Dr. states. "I myself personally use drug-X."


or is it myself, personally?


Or leave out one or the other?


This is a verbatim account.


TIA!!


Personally, I would leave out the myself--sm
Subject: Personally, I would leave out the myself--sm

that would be like saying "I me personally use the drug." verbatim or not, it is not good grammar, but it is your call. JMO.
Personally, I'd change it to, I was able to
Subject: Personally, I'd change it to, I was able to

get in touch with the patient's daughter, as I am my own QA. My doc lets me spritz up his letters all the time.
I personally capitalize it.
Subject: I personally capitalize it.


Hi there! I personally would not hesitate
Subject: Hi there! I personally would not hesitate

to type cruciates, just as he dictated it. JMHO.
It can be spelled either way. Personally, I use
Subject: It can be spelled either way. Personally, I use

CT scan.  Just be sure whichever you choose, you are consistent with the spelling.
Personally I would use DeLee, they say it all
Subject: Personally I would use DeLee, they say it all

x
Personally, I type it as 10.4.
Subject: Personally, I type it as 10.4.


as in he personally has history of.... NM
Subject: as in he personally has history of.... NM


It is however your client wants. Personally,
Subject: It is however your client wants. Personally,

our client does not use slang, so we expand.
I personally always use "disk", but sometimes
Subject: I personally always use "disk", but sometimes

you have to go with the client's preference.  Stedman's has it both ways.  I have always asked what they prefer before starting an account - but that's me.
Personally, I do not use the hyphen because
Subject: Personally, I do not use the hyphen because

"white matter" goes together as it is a part of the brain.
I personally don't use "q" anymore at all, but from
Subject: I personally don't use "q" anymore at all, but from

what I understand it's okay to use it in a non-medication context.
Personally I would capitalize since it is a brand name
Subject: Personally I would capitalize since it is a brand name


Personally, I am a grammar freak--sm
Subject: Personally, I am a grammar freak--sm

AND I was taught through my medical transcription school, to change things like this to make a readable, correct sentence. Verbatim was not acknowledged, as we all know that some docs cannot put a sentence together verbally in the English structural rules. I was taught that a good transcriptionist always changes incorrect things to become correct things...not just *this is what he says, so this is what I give 'em.* attitude. Personally, I would change the sentence to read * A __ cm hardware was tried.* It does not change the meaning of the sentence one iota and sounds much better, at least to me. But that is me and my opinion. My many years of proper English schooling just will not let that sentence pass as is. The hair on the back of my neck stands up when I know it is incorrect. This is just my opinion, and I don't need to be slammed for it. I would really like to know what your employer has to say about it Hayseed, if you ever get a response.
I personally would put "not ill-appearing". nm
Subject: I personally would put "not ill-appearing". nm

x