Pulled chart. Definitely Celexa. Good thinking!
Posted By: Amanda on 2007-10-04
In Reply to: Could it be Celexa, the antidepressant? - MT50
Subject: Pulled chart. Definitely Celexa. Good thinking!
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Good thinking!!!
Subject: Good thinking!!!
 Now that made my day!
Thanks, good thinking, but he is definitely
Subject: Thanks, good thinking, but he is definitely
saying "eye" He is a very clear dictator, but I just cannot figure out if it should be "I" or "eye" or maybe "Aye."
That is what I was thinking, good one TxcZech!..nm
Subject: That is what I was thinking, good one TxcZech!..nm
x
Good thinking on your part. sm
Subject: Good thinking on your part. sm
You might want to find a list of osteoporosis medications (as that is one of the conditions you mentioned) and see if one of them has a generic name that sounds like your s/l. When you're a new MT, you need to do a lot of detective work.
Good reasoning - thank you very much for thinking for me. nm :)
Subject: Good reasoning - thank you very much for thinking for me. nm :)
I'm thinking probably thecal sac. Good luck!
Subject: I'm thinking probably thecal sac. Good luck!
x
Good thinking but I just left a blank. nm
Subject: Good thinking but I just left a blank. nm
xx
Wow!!! Good work. I was thinking of GI diseases etc, not nutritional deficiency. Kudo's!!!! nm
Subject: Wow!!! Good work. I was thinking of GI diseases etc, not nutritional deficiency. Kudo's!!!! nm
Trial and error with OneLook finally pulled this one off. nm
Subject: Trial and error with OneLook finally pulled this one off. nm
nm
Could even be dorsal frogleg position, knees pulled way back..nm
Subject: Could even be dorsal frogleg position, knees pulled way back..nm
s
PROMPT CHART??
Subject: PROMPT CHART??
New to doing ER reports and Dr. dictates refer to PROMPT chart for rest of patient's records. Is this correct? Thanks in advance.
Chart Note
Subject: Chart Note
On lab work do I put it in right order (i.e. EKG after white count and hemoglobin) or just do as dictated?
I checked wtih the original chart
Subject: I checked wtih the original chart
that I typed where the doctor stated that he was going to do an FNA and it was on the thyroid. I had already sent my charts, but I copied and pasted another with the work spelled colloid and an explanation and then sent that. Thanks so much.
s/l Labo and McCunning correction chart (sm)
Subject: s/l Labo and McCunning correction chart (sm)
Doc says: "I believe [patient] will probably need to have an epiphysiodesis done. I will have to look at 'Labo and McCunning' Correction Chart to decide when it is most appropriate to that."
Celexa for the first S/L? nm
Subject: Celexa for the first S/L? nm
Celexa
Subject: Celexa
Hang in there! I type for one doctor who says "Venturin" every time, and it throws me. She really means "Voltaren." Finally put a sticky note on my monitor....
Celexa
Subject: Celexa
How about Celexa?
I reviewed each chart in detail as well as completed worksheets Please SM
Subject: I reviewed each chart in detail as well as completed worksheets Please SM
in accordance with 1997 HCFA Guidelines for-new-um documentation. This is a letter sent to a health plan regarding a recent office chart audit. Any help would be appreciated.
Likely face sheet..first page of chart which usually contains known diagnoses. NM
Subject: Likely face sheet..first page of chart which usually contains known diagnoses. NM
Celexa and Lexapro?
Subject: Celexa and Lexapro?
x
I think I got it - citalopram, which is Celexa.
Subject: I think I got it - citalopram, which is Celexa.
That's not how he pronounced it, but it has to be what he means.
citalopram (Celexa)
Subject: citalopram (Celexa)
It is an antidepressant drug
Could it be Celexa, the antidepressant?
Subject: Could it be Celexa, the antidepressant?
Here's a hint: It's Celexa.
Subject: Here's a hint: It's Celexa.
14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?
Subject: 14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?
n/t
s/l "cyberun" Maybe some type of chart record? Dialysis patient sm
Subject: s/l "cyberun" Maybe some type of chart record? Dialysis patient sm
States: "Review of report in ____ suggests..." Again later in dictation: "Although this is not charted in ____. "
Any chance it could be "use Celexa" ?
Subject: Any chance it could be "use Celexa" ?
a drug that sounds like Celexa- but isn't (sm)
Subject: a drug that sounds like Celexa- but isn't (sm)
In current med list, the doctor states what sounds like "Celexa 200 mg daily" Since the doc already listed Celexa 20 mg daily earlier in the list, I would guess that she's not just misreading the 20 mg into 200... But my brain is so stuck on that it sounds like Celexa (even though I know it's not) that I can't hear anything else.
If it helps any, patient has GERD, PTSD, fibromyalgia, carpal tunnel syndrome, glucose intolerance, and hypertension.
citalopram - brand name Celexa
Subject: citalopram - brand name Celexa
xx
? term "cyber" in relation to "computer/electronic chart" documentation. (sm)
Subject: ? term "cyber" in relation to "computer/electronic chart" documentation. (sm)
This is just a guess as I am not "computer savvy" in regards to tech terms.
Celexa (antidepressant) and Lamictal (bipolar)?
Subject: Celexa (antidepressant) and Lamictal (bipolar)?
xx
Celexa? That is an antidepressant, which fits with the neurology scenario nm
Subject: Celexa? That is an antidepressant, which fits with the neurology scenario nm
.
oops - typo inside my prior post...CELEXA...sorry..
Subject: oops - typo inside my prior post...CELEXA...sorry..
*sigh* - sorry for my typo - I meant to type Celexa.....*lol*
Plural or singular? "switch off Celexa because of torsade de pointes that (was/were) causing fal
Subject: Plural or singular? "switch off Celexa because of torsade de pointes that (was/were) causing falls"
NWMNMT:Good grief, good grief, good grief..If this is the case, the doctor should also explain
Subject: NWMNMT:Good grief, good grief, good grief..If this is the case, the doctor should also explain
the meaning in an ADDENDUM.
How do you know what the doctor meant? GOOD GRIEF, are you the know-it-all (hyphens must be put here, as it is used as a noun!) on this board? Get over yourself!
Who understands what it means without an explanation?
The MOST obvious is apparently like I understood it:
5 packs in 1 year.
Maybe the doctor really meant this, 5 packs per year, so essentially a nonsmoker.
GOOD GRIEF, get over yourself!
Glad to help. You give good me a good S/L and info. nm
Subject: Glad to help. You give good me a good S/L and info. nm
Glad to help. You give good such good S/L and info. nm
Subject: Glad to help. You give good such good S/L and info. nm
Good save, Hay! I never heard of this. Have a good one! nm
Subject: Good save, Hay! I never heard of this. Have a good one! nm
s
Might be Angular Deformity correction chart taken from the Angular Deformity
Subject: Might be Angular Deformity correction chart taken from the Angular Deformity
s
still thinking
Subject: still thinking
Turns out that the patient is having very high fevers giving impression of left lower lobe pneumonia. Came across a brand name of a drug used in mouthwash called Advexin. They were talking about oral cancers...but then cross-referenced on http://www.pharma-lexicon.com/ and found (generic Mepron) atovaquone, classified as an anti-infective used in both adults and children who are at risk for PCP with initial doses of 750 mg per 5 mL. Since Hodgkin's lymphoma and bone marrow transplant would put this girl in a severely immunocompromised state, I would bet they are giving her a pretty hefty dose of the stuff. Atovaquone it is.
Thanks for helping me.
Thanks, I was thinking along
Subject: Thanks, I was thinking along
those lines, just wanted a second opinion. :-)
that's actually what I was thinking too - nm
Subject: that's actually what I was thinking too - nm
x
Tks. I kept thinking there is another
Subject: Tks. I kept thinking there is another
Like ...there were lewes....or something. You are probably right, and I finally found it in stedman's and it says *sternal angle* and that seems to fit the way the doctor used it. Thanks again.
that's what i am thinking
Subject: that's what i am thinking
I was thinking along the lines of this from the begining....compression over lower extremities.....just wish I didn't hear otherwise! (I hate Monday's)
That's exactly what I was thinking
Subject: That's exactly what I was thinking
but I have this doc all the time and she's never dictated time like that before, so I just wasn't sure. Thanks to all who replied.
I was thinking that too...I'd have to say it was:
Subject: I was thinking that too...I'd have to say it was:
Past history notable or is notable for ______.
That's what I was thinking..maybe she
Subject: That's what I was thinking..maybe she
just got ahead of herself when dictating it in the assessment..because I definitely didn't hear an itis at the end...just a gingival or gingivo sound.
Thanks 
that is what I am thinking..thanks
Subject: that is what I am thinking..thanks
What was I thinking
Subject: What was I thinking
of course, para anything with twins, triplets, etc. Thanks for fixing my answer!
I'm thinking it's probably
Subject: I'm thinking it's probably
R&M for "routine and microscopic"
That's what I was thinking, too.
Subject: That's what I was thinking, too.
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