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Plse see message. Not familar with radiation terms. Does this look correct?

Posted By: marie on 2009-02-18
In Reply to:

Subject: Plse see message. Not familar with radiation terms. Does this look correct?

She received a total dose of 45 Gy to the primary tumor area, regional lymphatics at 180 rads per fraction x25 fractions.  Then she received cone down 1800 Gy to the primary tumor.  The total dose was 63 Gy. 


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Need help with s/l plse see message
Subject: Need help with s/l plse see message

Patient has ear pain. Has had myringotomy tubes placed in the past.

The right TM was a little dull, with loss of landmarks and either a fluid s/l wave or some fluid related to the eardrum. There was no evidence of a myringotomy tube in the ear canal.

Fluid level? Does that work in this regard? Thanks.
Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy.
Subject: Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy. Tks


PET SCAN 03/08/08:  Reveals intense hypermetabolism corresponding to the mass in the left mid lung field posteriorly, abutting in the left major fizure predominantly in the superior segment of the left lower lobe.  This same type of metabolism corresponding to the right middle lobe pulmonary nodule previously noted activity in the lower neck anteriorly (06/28/06) has since resolved. 


This IS the place to correct misspelled terms, sm
Subject: This IS the place to correct misspelled terms, sm

otherwise, how is the MT to know? Better to be corrected here than have a bad QA mark or the dictating physician find the mistake. Many of the horrific errors are things the MT should have learned in 6th grade, for goodness' sake.

We're losing our work to offshoring. We've got to clean up our acts so that we can keep our jobs. Here's a place to start.

In one of the posts here, there are 6 grammar errors. Are these errors repeated in the final product?

Congratulations, Becky, on knowing the difference between "awhile" and "a while." You're one of few.


It does s/l phrenic lesions, could that be correct in terms of anatomy, relating to diaphragm?
Subject: It does s/l phrenic lesions, could that be correct in terms of anatomy, relating to diaphragm?


iodide drops, also radioactive iodide? correct? plse sm
Subject: iodide drops, also radioactive iodide? correct? plse sm

This is for hyperthyroidism and hyperparathyroidism...sounds like he is saying iodide??? Anyone know which is correct? TIA!
Two ENT terms.. I get stuck everytime, and I have not heard any feedback on either of these terms-sm
Subject: Two ENT terms.. I get stuck everytime, and I have not heard any feedback on either of these terms-sm

Head thrust demonstrates no catch-up "sicods"

ALSO

"Facutto" step/march testing.

Thanks in advance.
in layman's terms or laman's terms?
Subject: in layman's terms or laman's terms?

Thanks for help!


pardon me? of course they're science terms, but they're also MEDICAL terms...see link
Subject: pardon me? of course they're science terms, but they're also MEDICAL terms...see link

http://www.americanmedicalsystems.com/womens_product_category_objectname_female_vaginal_prolapse_prod.html


Stedman's Medical Equipment terms book or the Ortho terms book would help. nm
Subject: Stedman's Medical Equipment terms book or the Ortho terms book would help. nm

x
yes its correct. see inside message
Subject: yes its correct. see inside message

http://www.chestjournal.org/cgi/reprint/84/2/229.pdf
see message dysergia is correct
Subject: see message dysergia is correct


dys·er·gia
The lack of muscular coordination due to a defect in the efferent nerve impulses.

Could someone help with correct way to type labs. Please see message.
Subject: Could someone help with correct way to type labs. Please see message.

ANA has fluctuated rapidly from 1 to 1280 to 0 depending on the lab in which it is measured.

How would you type this? Thanks so much.
Thanks for your help. plse see msg
Subject: Thanks for your help. plse see msg

I'm pretty much clueless with regular clinic work. I basically went from school to typing ortho, so there's a lot of things I learned in school that I've never applied, and this is one of them.

At any rate, I learned it was mmHg, but with the doc dictating just mm, it threw me a little bit and I was wondering if I should type it as mm or mmHg, or does it matter...

Sorry I was so vague in my question. I typed it out fast, as the phone was ringing.

Thanks for your reply. :)
Need help with s/l - plse see msg
Subject: Need help with s/l - plse see msg

Patient delivered prematurely and her infant was in the s/l inky - I assume she's giving a short term for incubator but don't know if there's a common abbv. I appreciate any help - thanks!
med s/l ortazipine??? plse sm
Subject: med s/l ortazipine??? plse sm

Patient suffers from depression, hypercholesterolemia, gastroesophageal reflux disease. Is on a med that sounds like ortazipine, ertazipine or something like that. Any ideas? TIA
tele?? plse see msg....
Subject: tele?? plse see msg....

Doc dictates: she had an arrhythmia that led to problems with her blood pressure, which led to problems with her mental status, which led to pulmonary problems, which led to being intubated and she was in the ICU for about a week, four of those days intubated. She was then in tele for another week after that.
Would it be telemetry? This is in a letter and I would rather use the whole form of the word. TIA
s/l umphyilias, plse sm...
Subject: s/l umphyilias, plse sm...

In his umbilicus he has a pit at the base of it with multiple hair follicles within this and some s/l umphylias
(um phy lie as). Any ideas, anybody?!
s/l simulation, plse see msg...
Subject: s/l simulation, plse see msg...

Patient is about to begin radiation treatment and has already undergone simulation. Is simulation correct? TIA
HER2 FISH, plse see msg.
Doc says HER2 FISH is positive. Is this the correct way to type this, should it be FSH instead of FISH? I would always hear HER2/neu, now he threw me a curve! Thx
a tough one having to do with radioisotope...plse sm.
Subject: a tough one having to do with radioisotope...plse sm.

The patient is a candidate for a sentinel node biopsy based on the intermediate thickness melanoma. Despite the negative lymphscintogram, it is certainly reasonable on the day of surgery for her melanoma excision to inject ? radioisotope at the primary site and with the handheld gamma counter, we may still be fortunate enough to identify a sentinel node that we can biopsy.

He kind of mumbles the type of radioisotope to be injected and if anyone has any ideas, I can see if they match up to what he is "trying" to say! Thanks so much.
s/l curl defect? Plse see msg..
Subject: s/l curl defect? Plse see msg..

It appears the patient's wrap is intact but that the hiatal repair has come undone so the wrap has slipped up into her chest. Essentially there are only two things you can do about this; one is to do nothing and live with it and the other is operate, repair the curl defect and put the stomach back in the abdomen where it belongs.

Is curl defect correct? TIA
s/l lytic(?) lesions, plse sm
Subject: s/l lytic(?) lesions, plse sm

Patient has had a colonoscopy with a malignant polyp being found. Patient had a CT scan of her abdomen that showed multiple s/l lytic lesions throughout her bones everywhere.
Thx for any help!
s/l chain slacks??? plse sm
Subject: s/l chain slacks??? plse sm

Under PSH doc lists what sounds like chain slacks on left chest. That is all he says. Any ideas? TIA
fringey encapped deformity?? plse sm
Pt. had ultrasound that showed s/l fringey encapped deformity of the gallbladder. Does this make sense to anyone?? TIA
re port catheter placement, plse sm
Subject: re port catheter placement, plse sm

The patient had port catheter placement. It was not an easy access surgery and it was placed via a left internal jugular approach and even the initial film showed it curling at the
s/l juxta??? juctious??? subclavian vein with the tip either in the superior vena cava or in an azygous branch.

Can't quite make out what he is saying there. Anyone have an idea? TIA.
nets or nests of DCIS, plse see msg...
Subject: nets or nests of DCIS, plse see msg...

Patient had some DCIS in her specimen that went to the edges and the additional medial margin also had a couple s/l nets (nests???) of DCIS in it. Anyone heard this before? TIA
bile reflux versus reflex...sm plse
Subject: bile reflux versus reflex...sm plse

I always thought it was bile reflux pertaining to the gallbladder but he clearly says bile reflex. Which is correct? TIA
s/l bolus dysphagia and funda gland...plse sm
Subject: s/l bolus dysphagia and funda gland...plse sm

s/l funda gland polyps seen on upper endoscopy
Pt. has free regurgitation and solid s/l bolus dysphagia
Thx for any help!
Kniest syndrom. Anyone familiar with symptoms? Plse sm for s/l
Subject: Kniest syndrom. Anyone familiar with symptoms? Plse sm for s/l

Patient is 24-year-old female with a history of Kniest syndrome which includes s/l kin-gin-al osteoarthritis, conductive hearing loss, and myopia.

Thanks!
Radiation - see msg
Subject: Radiation - see msg


I have not had any radiation training.  Could someone please verify if this is right?


Patient with squamous cell carcinoma of the left oropharynx:


He received 44 gray in 22 treatment/fractions by the right and left lateral fills of the base of the tongue and then received a concurrent 50 gray in 24 treatment/fractions via AP field into the supraclavicular area followed by an additional 16 gray in 18 treatment/fractions via reduced right and left lateral off-cord fields and right and left posterior neck fields.


Is that "gray" word correct?


radiation
Subject: radiation

strontium may be a fit.
radiation
Subject: radiation

I am wondering if this is an ESL dictator.
radiation therapy
Subject: radiation therapy

because the patient expressed concern over the amount of marrow irradiation from even sl-prelimited sacral radiation.
Radiation treatment help
Subject: Radiation treatment help

s/l "en phos" beam arrangement with 6 MeV electrons prescribed as given. 



Rad (units of radiation) nm
Subject: Rad (units of radiation) nm

.
s/l stro mean radiation
Subject: s/l stro mean radiation

Sentence: The patient is currently receiving 'stro mean' radiation to the pelvis.
Radiation oncology
Subject: Radiation oncology

New account and having some difficulty.  Any clues on "scintegray" and/or


"novalbine" interceptin.


Thanks!


radiation therapy
Subject: radiation therapy

Sounds like cupie-grays or QP-grays?


"


He underwent radiation of 7000 to 7200 QP-grays"


never mind. It was radiation enteritis. Duh on me
Subject: never mind. It was radiation enteritis. Duh on me


Patient having an EGD with radiation esophagitis.
Subject: Patient having an EGD with radiation esophagitis.

The abnormal area of the 7-cm segment is involved with a s/l peukomiliriant membrane, which is confluent and circumferential.


 



 


 


treatment for dry mouth during radiation
Subject: treatment for dry mouth during radiation

S/l FIL or ethiol that she received during her radiation...
brachytherapy is used for radiation therapy
Subject: brachytherapy is used for radiation therapy

total resection and brachytherapy are both possible therapies/options for prostate cancer treatment.


if it's radiation therapy you don't spell them out
Subject: if it's radiation therapy you don't spell them out


maybe involved field radiation? nm
Subject: maybe involved field radiation? nm


external beam radiation ? nm
Subject: external beam radiation ? nm


cerebral radiation necrosis?
Subject: cerebral radiation necrosis?


GOT IT. "a course of" external beam radiation. WOW. I am done for the day now.
Subject: GOT IT. "a course of" external beam radiation. WOW. I am done for the day now.

Thanks to those who were trying to help. I wish these guys would get off the caffeine. LOL
Radiation side effects? sm
Subject: Radiation side effects? sm

This doc is difficult to understand, but I'm pretty sure he's saying this and just want to verify.

Pt had Hodgkin's disease secondary to thyroid cancer.

On physical exam, head is normocephalic but smaller in proportion to the rest of his body. This is not new after his radiation treatments.

Is anyone aware if radiation has this effect? Thanks.
Could it be RT x1? (Radiation therapy times 1)
Subject: Could it be RT x1? (Radiation therapy times 1)

.
Radiation Oncology question. sm
Subject: Radiation Oncology question. sm

The position of the patient was optimized using imaging of the s/l exite spine.  


TIA 


Medication help pls..s/l "lovall for radiation colitis" thanks. nm
Subject: Medication help pls..s/l "lovall for radiation colitis" thanks. nm