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Please Help Hemoglobin dictation

Posted By: Candy on 2009-03-03
In Reply to:

Subject: Please Help Hemoglobin dictation

The phrase sounds like:


"Hemoglobin A1C7.2%" Any ideas




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Is it Hemoglobin A1c, or hemoglobin A1c?
Subject: Is it Hemoglobin A1c, or hemoglobin A1c?


Hemoglobin
Subject: Hemoglobin

I am sorry it is hemoglobin A1c
hemoglobin
Subject: hemoglobin

Do you have a lab book?
Hemoglobin A1C
Subject: Hemoglobin A1C

Hemoglobin A1c test is used as a standard tool to determine blood sugar control for patients with diabetes.
No not hemoglobin...sm
Subject: No not hemoglobin...sm

Ending sounds with __glosis.


Maybe hemoglobin?
Subject: Maybe hemoglobin?


A1c hemoglobin
Subject: A1c hemoglobin

or hemoglobin A1c.  I've typed that many, many times.  It's a test for diabetes
There is a hemoglobin Q
Subject: There is a hemoglobin Q

 ..
hemoglobin
Subject: hemoglobin

I got it.  Thanks anyhow!
hemoglobin
Subject: hemoglobin

hemoglobin A1c 7.2%.  Normal is below 7%. 
it's actually hemoglobin AIc with an" I " not a " 1 " even though there is a hemoglob
Subject: it's actually hemoglobin AIc with an" I " not a " 1 " even though there is a hemoglobin A2


s/l eno objecting hemoglobin
Subject: s/l eno objecting hemoglobin

Dr. ____ requested I see this patient regarding a 'eno objecting' hemoglobin.
probably hematocrit and hemoglobin...
Subject: probably hematocrit and hemoglobin...


Sorry, appears to be hemoglobin...nm
Subject: Sorry, appears to be hemoglobin...nm

x
yes. hemoglobin and hematocrit.
Subject: yes. hemoglobin and hematocrit.

...
check hemoglobin A1C and s/l DMP or BMP?
Subject: check hemoglobin A1C and s/l DMP or BMP?


you have it correct! hemoglobin A1c over 12
Subject: you have it correct! hemoglobin A1c over 12

Most people/clients don't want us using the greater than or less than signs < and/or > - it IS client preference so read your CP first but the dictator said hemoglobin A1c over 12 and that's what I'd give the dictator. 
is it morbid hemoglobin?
Subject: is it morbid hemoglobin?

please help with the ff. underline words: 1. Heart: regular without atrophy or murmur. 2. Bowel sound were active throughout GYN.  3. Morbid hemoglobin 10-15. Thank you!


 


Could he be saying H&H (hemoglobin/hematocrit)
Subject: Could he be saying H&H (hemoglobin/hematocrit)


The hemoglobin A1c test (also called H-b-A-one-c)
Subject: The hemoglobin A1c test (also called H-b-A-one-c)

x
possibly anything associated with hemoglobin liberation?
Subject: possibly anything associated with hemoglobin liberation?


probably means HGA1c (hemoglobin A1c) - nm
Subject: probably means HGA1c (hemoglobin A1c) - nm


Does *stat* hemoglobin A1C make sense?
Subject: Does *stat* hemoglobin A1C make sense?

Doc dictates: Laboratory evaluation: s/l stat hemoglobin A1C 6.5% ... and then goes on to dictate rest of laboratory results.
upper levels (for hemoglobin or hematocrit) ? nm
Subject: upper levels (for hemoglobin or hematocrit) ? nm


It's hemoglobin A1c & BMP, basic metabolic panel
Subject: It's hemoglobin A1c & BMP, basic metabolic panel


I believe it would be "reduced hemoglobin A with an increased A2 fraction"
Subject: I believe it would be "reduced hemoglobin A with an increased A2 fraction"


Those are the hemoglobin and hematocrit levels but you wouldn't put those words in there unless
Subject: Those are the hemoglobin and hematocrit levels but you wouldn't put those words in there unless

s
hemoglobin is lees than 9 or is becoming trans _____________ dependent. Thanks. nm
Subject: hemoglobin is lees than 9 or is becoming trans _____________ dependent. Thanks. nm

nm
WBC 9.5, hematocrit 33.7, hemoglobin 10.8. BUN and creatinine 42 and 2.6. Troponin was negative.
Subject: WBC 9.5, hematocrit 33.7, hemoglobin 10.8. BUN and creatinine 42 and 2.6. Troponin was negative.


for low hemoglobin question of oozing or s/l ecliperation? was brought up
Subject: for low hemoglobin question of oozing or s/l ecliperation? was brought up


Blood type and screen is *O positive negative.* Hemoglobin... sm
Subject: Blood type and screen is *O positive negative.* Hemoglobin... sm

Ok, I'm wondering if I'm missing something here... Should be either O+ or O-, not both as stated or am I totally in the dark here?
LABS: hemoglobin 13.2, platelets 237, amylose 18 and lipase 5, TSH 0.6, S/L?charcoal slides 168?
Subject: LABS: hemoglobin 13.2, platelets 237, amylose 18 and lipase 5, TSH 0.6, S/L?charcoal slides 168?

NM
EMG/NCV dictation
Subject: EMG/NCV dictation

I am transcribing an EMG report right now, and the MD is foreign, so I am having difficulty hearing some of her words.


Dictated:  Ulnar "inching" (?) studies across the elbows .....


Is "inching" the correct word?  I can't find it in my ref books.


Thanks to whomever is able to help.  Judy Harrison


 


Dictation help...
Subject: Dictation help...

Dictated as: She reports psoriasis, occasional oral orphoras and sicker symptoms.


Are the underlined terms correct.


Thanks


end of dictation
Subject: end of dictation

I know we normally do not type "end of dictation", but would I type the following sentence since it has patient info and a date?

End of dictation on the patient (name) for workers compensation on 6/8/2007.
It would help if we could get the dictation after this.... nm
Subject: It would help if we could get the dictation after this.... nm

x
Help with dictation!!
Subject: Help with dictation!!

On digital rectal examination the prostate is ?flat?/flas? without firm or snug ?valerity?.
Dictation on a patient who is to
Subject: Dictation on a patient who is to

Under recommendations, doc says...number one...s/l ty pen hole or hold. What is the 't' word.
Floridian here- with dictation a G................nm
Subject: Floridian here- with dictation a G................nm


Did dictation get clipped? Maybe this?
Subject: Did dictation get clipped? Maybe this?

Akin osteotomy ?
Have see it in dictation both ways.nm
Subject: Have see it in dictation both ways.nm


Yes, that's it. She actually said it clearer later in dictation.
Subject: Yes, that's it. She actually said it clearer later in dictation.

Thanks!
MAYBE IT IS SRI DICTATION??? ANYONE HEARD OF THAT?
Subject: MAYBE IT IS SRI DICTATION??? ANYONE HEARD OF THAT?


unclear dictation
Subject: unclear dictation

The sentence reads:  One bottle out of four bottles of blood culture came back Staph coag negative positive.  Does that make sense? 
Is there a clearer s/l later in the dictation? nm
Subject: Is there a clearer s/l later in the dictation? nm

s
Psychiatric dictation help please
Subject: Psychiatric dictation help please

Dictator states very clearly "The patient is allergic to erythromycin and tetracillin." What is that???... mixture of tetracycline and a cillin drug??? This is a new one on me HELP!
Thanks for all the help, but none of these are fitting with his dictation.
Subject: Thanks for all the help, but none of these are fitting with his dictation.


Then I believe it is a dictation mistake.
Subject: Then I believe it is a dictation mistake.

Either meant metoprolol or Toprol. They blubbered and mixed them together!
Does the dictation indicate if the patient also has
Subject: Does the dictation indicate if the patient also has

a diagnosis of PCOS?
I think this may be it, but the dictation is very sketchy. Tx.
Subject: I think this may be it, but the dictation is very sketchy. Tx.


cannot hear dictation..
Subject: cannot hear dictation..

what do you do if you cannot hear the dictation.  i mean it is EXTREMELY faint and there is also a lot of background noise.  this doc is always on speaker phone and shuffling papers.  there is no instruction for this in the CP.  any suggestions?  just type what i can hear and leave a bunch of blanks with a QA note?