Rough evening. Patient used ____ oxygen. (s/l) de-nel-e-sary
Posted By: Pulling my hair out! on 2006-03-22
In Reply to:
Subject: Rough evening. Patient used ____ oxygen. (s/l) de-nel-e-sary
Thanks in advance. I'm clueless.
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The patient had CP monitoring, had thigh ____,and
Subject: The patient had CP monitoring, had thigh ____,and
recieved 1 g of Ancef prior to surgery.
the patient is S/P lumpectomy / ____ biopsy for breast cancer.
Subject: the patient is S/P lumpectomy / ____ biopsy for breast cancer.
This doc keeps saying what sounds like:
lumpectomy / "center node" biopsy or "sentinel" biopsy?
He is a mush-mouth. Any help appreciated!!!
Yes, I know fraction of inspired oxygen. It was 100%, same as 100% oxygen, right? nm
Subject: Yes, I know fraction of inspired oxygen. It was 100%, same as 100% oxygen, right? nm
.
OBGYN: E5/T10/P200 0.1 cc topically to s/l "emasery or MS sary" nm
Subject: OBGYN: E5/T10/P200 0.1 cc topically to s/l "emasery or MS sary" nm
re: s/l bill rough to
Subject: re: s/l bill rough to
Billroth's II anastomosis and it is a GI procedure
s/l bill rough to or 2 anastomosis
Subject: s/l bill rough to or 2 anastomosis
I know I have had/seen this phrase before, but I cannot find it for the life of me!
it's me again, rough day today! muscle question sm
Subject: it's me again, rough day today! muscle question sm
Doc is very clearly saying "sosis" muscle but I think he means psoas muscle....
MRI revealing lesions at the level of L3 and invading the "sosis" muscle at the same level.
Just making sure before I change it to psoas....
and as well, have a good evening :).......nm
Subject: and as well, have a good evening :).......nm
x
Evening primrose oil (nm)
Subject: Evening primrose oil (nm)
Really? I always changed to every evening. Thanks!
Subject: Really? I always changed to every evening. Thanks!
The BOS says transcribe it every evening. nm
Subject: The BOS says transcribe it every evening. nm
.
Could it possibly be rough (like hoarse) inspiratory sounds???
Subject: Could it possibly be rough (like hoarse) inspiratory sounds???
yep. I just thought it was funny. My morning is off to a rough start. nm
Subject: yep. I just thought it was funny. My morning is off to a rough start. nm
evening recasting needs 4 versus four, right?
Subject: evening recasting needs 4 versus four, right?
x
You're welcome. Have a good evening.
Subject: You're welcome. Have a good evening.
nm
Thanks, that's what I was inclined to do. Have a nice evening.
Subject: Thanks, that's what I was inclined to do. Have a nice evening.
Rough is definitely acceptable - not smoothly done, kind of jagged, coarse. nm
Subject: Rough is definitely acceptable - not smoothly done, kind of jagged, coarse. nm
s
dangerous person NMT is not evening knowing
Subject: dangerous person NMT is not evening knowing
and she IS the one who started it all
she bashes the very company who pays her while she puts them at extraordinary risk
she's dangerous and she doesn't even care -- she's not even made an apology for having done that or even realized what she did other than to cause a stir
she'll never be a quality mt and certainly not a valuable employee with her lack of insight or ethics
policing eight may be *____* C8 or T8????
Subject: policing eight may be *____* C8 or T8????
____ or wheezing? nm
Subject: ____ or wheezing? nm
____ 496 ohms (pacemaker)
Subject: ____ 496 ohms (pacemaker)
The R-wave was measured at 12.6 millivolts. Pacing threshold was 0.7 volts at 0.5 milliseconds, ____ 832 ohms. The second lead was then placed in the right atrium. P-waves measured 1.7. Pacing threshold was 1.1 volts at 0.5 milliseconds, ____ 496 ohms.
This doctor talks so fast I have no idea what he is saying. The two blanks are the same word but I have no clue what it even sounds like.
s/l ____ Morani maneuver. ?..sm
Subject: s/l ____ Morani maneuver. ?..sm
She is a little wobbly on Romberg. Hearing screen unremarkable. S/L ____ Morani maneuver positive to the right.
TIA 
Maybe ____ anginal symptoms? nm
Subject: Maybe ____ anginal symptoms? nm
Your blank might be ____ one half. nm
Subject: Your blank might be ____ one half. nm
s
A/P ____ transfer done at the same time.
Subject: A/P ____ transfer done at the same time.
The patient will necessitate a reverse shoulder arthroplasty with a s/l Laa ___ transfer done at the same time. ?
it's for a letter, Dear ____ (nm)
Subject: it's for a letter, Dear ____ (nm)
bracket ____ mutation
Subject: bracket ____ mutation
S/L bracket 2 mutation?
Thanks! 
oxygen
Subject: oxygen
patient's O2 saturation was 100% on 2 liters of sl-permittative oxygen per nasal cannula
O2 is oxygen.
Subject: O2 is oxygen.
O for oxygen.
Subject: O for oxygen.
nm
s/l ____ strep-reactive arthritis? sm
Subject: s/l ____ strep-reactive arthritis? sm
Patient is a 13-year-old male with a
past medical history of rheumatic
fever and ---- strep-reactive
arthritis?
I am not sure about any of it really
after the rheumatic fever to the
reactive arthritis. The blank, I
don't know if it is a stuture or
not, but sounds like "spin". TIA
To SG re. post below ____ status (psych)
Subject: To SG re. post below ____ status (psych)
Hello again, just read your post on the s/l and that helped me. Here is how some docs break down the different categories of mental status exam--
Mental status exam
-Intellectual functions
A. Sensorium
1. Orientation to ....(person,place, time and situation)
I believe he is stating the word sensorium and I think I would use it because it would apply and that is what it sounds like. Listen for that again later. And here is one link on mental status exam that you could read through (is a powerpoint presentation so just slides, but easy to look at because is concise and brief with just key words) and let me know! Good luck!
http://www.thecolorsoftherainbow.com/MSE.pdf
drawing a ____ = meds S/L wor-phrene
Subject: drawing a ____ = meds S/L wor-phrene
per minute of oxygen??? nm
Subject: per minute of oxygen??? nm
only know oxygen saturation and that does NOT fit
Subject: only know oxygen saturation and that does NOT fit
unless he said while ON oxygen saturation....lol...
Subject: unless he said while ON oxygen saturation....lol...
Low flow oxygen
Subject: Low flow oxygen
s/l gen mask for oxygen
Subject: s/l gen mask for oxygen
oxygen saturation
Subject: oxygen saturation
nevermind he's saying oxygen nm
Subject: nevermind he's saying oxygen nm
Pt with PID will be treated with doxycycline and Flagyl per s/l ____ recommendations. sm
Subject: Pt with PID will be treated with doxycycline and Flagyl per s/l ____ recommendations. sm
Noisy in background and this is a new dictator to me so I'm not familiar with his quirks yet. Can't hear CDC. Can't hear "standard" May end with "vir."
oxygen related term
Subject: oxygen related term
she is oxygen dependent on 3 liters with a convention. I have tried lots of words, condension, contention, etc. and nothing seems to relate.
Thanks for the help!
google blow-by oxygen
Subject: google blow-by oxygen
One thing--O2 is an O, not a zero. O stands for oxygen. sm
Subject: One thing--O2 is an O, not a zero. O stands for oxygen. sm
So, for #3, it would be either 4 liters of O2, or 4 L O2 (depending on your account specifics--check to see if you should subscript the 2). Make sure that is an O, not a 0. As far as typing F for temperature, check your account specifics. If they do want you to insert Fahrenheit, leave a space before it. If it is not dictated, it may be okay to leave it out. Again, account specifics prevail.
Transcribed as home O2 or oxygen or other?
Subject: Transcribed as home O2 or oxygen or other?
Would type as home oxygen. nm
Subject: Would type as home oxygen. nm
x
humidified blow-by oxygen (nm)
Subject: humidified blow-by oxygen (nm)
.
high-flow oxygen? nm
Subject: high-flow oxygen? nm
all I could find would be Lif-O-Gen oxygen equipment
Subject: all I could find would be Lif-O-Gen oxygen equipment
x
5. 15 liters of oxygen per minute?
Subject: 5. 15 liters of oxygen per minute?
I have replayed this multiple times and could swear the RN is saying the patient received 5.15 liters per minute of oxygen but that does not seem reasonable to me. The patient is in ICU for pulmonary hemorrhage and was desatting below 80. Feedback anyone?
WAG - follicular in situ ____ (lesions??) of atopic dermatitis? nm
Subject: WAG - follicular in situ ____ (lesions??) of atopic dermatitis? nm
.
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