Please help..huge argument in background and hard to hear...sm
Posted By: Help please.... on 2007-02-08
In Reply to:
Subject: Please help..huge argument in background and hard to hear...sm
She doesn’t recall an ____ (s/l inciting) injury.
Thank you. There is a huge argument going on so far straight through two dictations and they are going at it louder and louder !!!. 
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HUGE stretch, but can you hear anything along the lines of Cruveilhier? nm
Subject: HUGE stretch, but can you hear anything along the lines of Cruveilhier? nm
nm
hypothyroidism. Hard to hear those words. nm
Subject: hypothyroidism. Hard to hear those words. nm
Got it - I was trying too hard to hear a medical term and all he's saying is - (nm)
Subject: Got it - I was trying too hard to hear a medical term and all he's saying is - (nm)
nm
That sounds like it is it! He is making it so hard to hear! THANK YOU.
Subject: That sounds like it is it! He is making it so hard to hear! THANK YOU.
I wondered, but couldn't hear "articulating" no matter how hard I tried
Subject: I wondered, but couldn't hear "articulating" no matter how hard I tried
I have that same argument with my spellchecker.
Subject: I have that same argument with my spellchecker.
Couldn't document it in my reference books, only got 800 hits on Google. However, the doctor said it and QA changed it back to brachioplexus from brachial plexus, so I added it to the spellchecker dictionary. It's another one of those undocumentable words that are becoming commonly used.
Here's a backup for my argument ;-)
Subject: Here's a backup for my argument ;-)
I found this on site for patents for heart valves: http://www.freepatentsonline.com/6797002.html
"If extending substantially in the same plane, the post prevents outward bellowing of the valve leaflets, while if extending substantially out of the plane, the post simply functions to connect and modify the shape of opposite sides of the annulus."
I listened over and over again - it may be background
Subject: I listened over and over again - it may be background
Not nice? Well just for the sake of argument:
Subject: Not nice? Well just for the sake of argument:
If it sounds like "parenteral antibiotics" why would you not google that before coming here to ask for help? Honestly I think some people who post here are just plain lazy. I see them asking questions all the time that if they just did a google search of what they think they hear, they would have their answer.
And sorry, I found the question to be funny so I laughed. Sue me. 
s/l ___do-nis (first of word cut off by background nose).
Subject: s/l ___do-nis (first of word cut off by background nose).
protuberant lower abdominal area with ______________ and fluid wave suggestive of the presences of ascites
Canyou give more of the sentence/background? nm
Subject: Canyou give more of the sentence/background? nm
..
Just to clarify, your answer is tampon. Ignore the argument below. SM
Subject: Just to clarify, your answer is tampon. Ignore the argument below. SM
Definition for tampon, according to Doland's Medical Dictionary:
tampon (tam·pon) (tam´pon) [Fr. “stopper, plug”] a pack; a pad or plug made of cotton, sponge, or other material; variously used in surgery to plug the nose, vagina, etc., for the control of hemorrhage or the absorption of secretions.
(emphasis mine)
A tampon is simply a plug which can be used in a body cavity (male or female) to absorb blood, sections, etc.
silhouette; a dark shape seen against a light background
Subject: silhouette; a dark shape seen against a light background
/
Huge thanks to both!!! nm
Subject: Huge thanks to both!!! nm
x
that's right and that's why there is a huge lack
Subject: that's right and that's why there is a huge lack
.
Oh but you are such a huge help on this board and I am so
Subject: Oh but you are such a huge help on this board and I am so
!
just a HUGE GUESS....probably wrong...LOL...nm
Subject: just a HUGE GUESS....probably wrong...LOL...nm
x
I'm not sure...it's in a huge listing of medication
Subject: I'm not sure...it's in a huge listing of medication
Could it be individual as opposed to a huge single lesion? nm
Subject: Could it be individual as opposed to a huge single lesion? nm
s
No, this patient has a huge past history that varies
Subject: No, this patient has a huge past history that varies
If you goggle bihemispheric, there is a huge amount of information on the subject.
Subject: If you goggle bihemispheric, there is a huge amount of information on the subject.
Yes, and hard to say, so hard to find
Subject: Yes, and hard to say, so hard to find
Again, thanks.
He says the consonants hard - he gives a hard P on the par and B on the bow.
Subject: He says the consonants hard - he gives a hard P on the par and B on the bow.
Books are always good. Dorland's is huge and expensive. The Taber's is cheaper and handy. nm
m
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?
Hard to say, I'd just put what doc says. nm
Subject: Hard to say, I'd just put what doc says. nm
x
Hard to say from here, but it could mean sm
Subject: Hard to say from here, but it could mean sm
the polyethylene liner in the hip replacement system.
Thanks. Sometimes it's hard to tell
Subject: Thanks. Sometimes it's hard to tell
with the ESLs because they lack the inflection that might have told me everything, LOL.
I was confused enough that I blanked it, but thanks for helping me attempt to puzzle it out.
This could be a hard one s/l
Subject: This could be a hard one s/l
She has an allergy to s/l long-gate-di-div-u-la??
I appreciate your help
Deborah
Hard to do s/l but ...sm
Subject: Hard to do s/l but ...sm
Patient is here for follow up of a low white blood count and low platelet count. She is still having the headaches, stiffness in the neck and a sore throat, also some chills. Her Lyme test and ___ (s/l haverglosis) test is still pending.
TIA 
it is too hard,
Subject: it is too hard,
it is staying a blank. Thanks for the help!
He may be saying that - hard to tell, as -- sm
Subject: He may be saying that - hard to tell, as -- sm
I hear an "r" sound in there. I'll flag this one, but I'm glad to know they use qualify in that way.
I'd like that to be it, but there's a hard "c" in there. nm
Subject: I'd like that to be it, but there's a hard "c" in there. nm
Without context, hard to tell. SIA is sm
Subject: Without context, hard to tell. SIA is sm
subacute infectious arthritis.
SI--sacroiliac
AC--acromioclavicular
There is a drug Ziac.
We just try too hard. Dumb is what I do best!!! nm
Subject: We just try too hard. Dumb is what I do best!!! nm
Thanks to all of you for your hard work. I appreciate it! nm
Subject: Thanks to all of you for your hard work. I appreciate it! nm
Hard to say without state, but..
Subject: Hard to say without state, but..
here is something I use to help wtih hospital names
http://www.superpages.com/?SRC=promo13
Not really hard to remember when you think...
Subject: Not really hard to remember when you think...
ACE inhibitor stands for Angiotensin-Converting Enzyme
and
Ace is the name of a bandage.
could either be T8 to 11 and L1 or T8 to L1. Hard to say without being able to listen.
Subject: could either be T8 to 11 and L1 or T8 to L1. Hard to say without being able to listen.
x
might be thinking too hard...
Subject: might be thinking too hard...
From the dictionary:
moi·e·ty Pronunciation (moi-t)
n. pl. moi·e·ties
1. A half.
2. A part, portion, or share.
Could be your doc is describing which part of the prosthesis?
It is also hard to figure out ...
Subject: It is also hard to figure out ...
... because they put this patient on 1 baby aspirin a day, which I thought was to thin the blood. I actually ended up asking a doc at the hospital where I work, and he seemed to indicate that there wasn't really any "hypocoagulable workup" -- it was more like "bleeding studies." There is a "hypercoagulable workup" which is extensively discussed on the net, but this patient with the bleeding may be more a candidate for the bleeding studies. However, from what I have read on the net, the tests that are done for a "hypercoagulable workup" are the ones which are being ordered for this patient. Sigh. I'm going to change it to hypercoagulable, and mark it just in case. Thanks for your input.
It's very hard to document,
Subject: It's very hard to document,
but it is bolgerized, after a doctor whose last name is Bolger.
So simple yet so hard. Thank you very much!
Subject: So simple yet so hard. Thank you very much!
Yes! Thank you. I think I'm trying too hard to learn him.
Subject: Yes! Thank you. I think I'm trying too hard to learn him.
nm
Not sure. Hard to tell with the accent. Thanks though!
Subject: Not sure. Hard to tell with the accent. Thanks though!
It's hard to tell. Thanks for the suggestion though!
Subject: It's hard to tell. Thanks for the suggestion though!
That could possibly be it. Hard to say though. Is
Subject: That could possibly be it. Hard to say though. Is
there such a thing as T-cell phataloma or something similar?
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.
old, old, old and typed GI for a while. GI is hard!!! nm
Subject: old, old, old and typed GI for a while. GI is hard!!! nm
breakin' up is hard to do...sm =)
Subject: breakin' up is hard to do...sm =)
DePuy 22 x 17, +12 lateral-offset, S-ROM femoral stem, with a 22F XXL ZT/HA-coated proximal sleeve, with a +9 neck, 44-mm diameter femoral head.
Hard to tell when it is just listed like that.
Subject: Hard to tell when it is just listed like that.
x
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