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So simple yet so hard. Thank you very much!

Posted By: mh on 2007-09-09
In Reply to: acceptable - angel22

Subject: So simple yet so hard. Thank you very much!




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yw...sometimes we try so hard we miss the simple stuff :) nm
Subject: yw...sometimes we try so hard we miss the simple stuff :) nm


Is it recognition, repetition, "and" simple commands are intact (or is it "of" simple co
Subject: Is it recognition, repetition, "and" simple commands are intact (or is it "of" simple comands". nm


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.


This should be simple...
Subject: This should be simple...

But I can't seem to find documentation to tell me, maybe some of you with more experience can enlighten me?


I have a dictator today, she is saying, "Review of systems: s/l perinegative except for ...." and, "exam is s/l perinormal with EKG done today showing normal sinus rhythm"


Anyone hear of this "peri"normal "peri"negative and is this how to spell it? Can't find anything conclusive on google in any letter combination I can come up with. 


Thanks for any help.


Tara


of course something so simple
Subject: of course something so simple

Thank you so much.  Flolan......just what it sounded like and I was making it complicated!
simple was it!! thanks so much!
Subject: simple was it!! thanks so much!


I'm sure this is something simple, but here's the s/l - sm
Subject: I'm sure this is something simple, but here's the s/l - sm

Breasts are symmetric. Multiple firm masses surrounding left nipple that are tender to palpation. No nipple discharge. No overlying skin changes or s/l pu day aronge.

Appreciate any ideas!
thanks.. so simple. need more coffee
Subject: thanks.. so simple. need more coffee


I hope this is something simple.
Subject: I hope this is something simple.

I just cannot seem to get a grasp of this guy today. Pt is seen for congestive heart failure. Here are the sentences leading up to my problem:


We will check a BMP today to reevaluate renal function and, if he does have a markedly elevated creatinine, we may not be able to do this (referring to 64-slice CT angiography). I am hopeful that, with ___ and renal protection, we can get by with this. We will also plan on checking a TSH and baseline blood work, including a CBC and BNP for outpatient baseline.     


Sounds like mucavest. I then thought of Mucomyst, but would like to know if anyone agrees because it does not make sense to me.


 


Thanks for any help! 


And yet again 3 very simple ways...
Subject: And yet again 3 very simple ways...

ALT L with start numbered list lining them up and ALT L will shut it off.

Or start typing without the numbers, returning as needed and then block listings and ALT L.

Or, type 1, tab and type and when you return for #1 it will give you the number. If it indents, back up to the beginning of one of #1 sentences and SHIFT TAB to move it back the margin.

Probably a very simple question...
Subject: Probably a very simple question...

"On examination today, I did note that he has thickened yellow toenails on both feet. We recommend that he start using ?Clorox? soaks twice weekly as, at this time, oral treatment of this problem is extremely expensive.


I find one reference to this, but did not know how appropriate it would be. He may be saying something more like chloric, but I don't think that is it either. Thanks!


simple-locking
Subject: simple-locking


Ahhh! always so simple.
Subject: Ahhh! always so simple.


Need help with a simple surgery.
Subject: Need help with a simple surgery.

There is a complex closure of one layer of deep s/l *sutures or stuctures using 5-0 chromic gut, and then a superficial running, locking stitch using 5-0 Ethilon. The area is hemostatic. Sterile dressing is applied.

*It actually sounds more like sutures, but would that make sense? Thanks for any help.



simple question please
Subject: simple question please

Hi he says "progesterone cream qhs (small pause) qd"

should it be qhs daily or just daily? I think he might have been correcting himself, but have you ever seen qhs and daily together?
A simple search and I found this--sm
Subject: A simple search and I found this--sm

Breg Knee brace:

Breg Knee Brace TRI-PANEL IMMOBILIZER ACL PCL MCL*NEW

hope this is what you are looking for.
Not something simple like TriCor or Lopid? nm
Subject: Not something simple like TriCor or Lopid? nm

s
May be simple interrupted fashion. nm
Subject: May be simple interrupted fashion. nm

nm
The simple ones alway getcha!
Subject: The simple ones alway getcha!


Thanks everyone, simple English word
Subject: Thanks everyone, simple English word

The sentence was sugar still runs from 90-100. Feel dumb! Got to love the trainees. Still Googled WAG sugar...LOL Will not ever forget that one!
That second part could be a simple as "cyst wall"
Subject: That second part could be a simple as "cyst wall"

if it's pertaining to the same procedure.
Could it be so simple as men's glandular stage 2 cancer.
Subject: Could it be so simple as men's glandular stage 2 cancer.

Glandular tissue is also found in breast tissue and males also do get cancer there, most think about down below when referring to males.


How is male breast cancer staged?
The term "stage" is used to describe the anatomic extent of disease according to standardized rules. The same staging system is used for both male and female breast cancer patients. This standardized language allows clinicians and researchers to accurately describe the extent of disease. The AJCC (American Joint Committee on Cancer) staging system uses three numbers to determine the stage of the disease. T (stands for tumor) describes tumors of increasing size and local tissue destruction. N (stands for nodes) describes whether or not the tumor has metastasized to regional lymph nodes and if so, how extensive those nodal metastases are. M (stands for metastases) describes the presence or absence of systemic metastases. The AJCC staging system for breast cancer allows precise stratification of cases and is too complex to fully describe here (24).In most series, men present with more advanced disease (higher stages) women. It is not known whether this reflects delay in diagnosis, more rapid progression in disease, different breast anatomy resulting in most lesions being subareolar (with easy access to subareolar lymphatic trunks) or other factors.


pretty simple disk herniation
Subject: pretty simple disk herniation


See link, pretty simple but informative
Subject: See link, pretty simple but informative

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1122394
has a normal s/l affact. Help, I can't think of a simple word?!!? sm
Subject: has a normal s/l affact. Help, I can't think of a simple word?!!? sm

Patient is orineted times three and has a normal ______. s/l affact.

My mind is drawing a blank
thank you! it seems the most obvious/simple terms get me more than the complicated ones!
Subject: thank you! it seems the most obvious/simple terms get me more than the complicated ones!


Blah. Simple wrist x-ray, but I have a question. SM
Subject: Blah. Simple wrist x-ray, but I have a question. SM

She says:  "Mild to moderate osteoarthritis about the s/l TRI SCAVY joint."  Help? 


Doc mumbles/stumbles over words, had me going too since it was such a simple answer! LOL nm
Subject: Doc mumbles/stumbles over words, had me going too since it was such a simple answer! LOL nm


That's it - gosh such a complicated word for a simple function.
Subject: That's it - gosh such a complicated word for a simple function.

Thanks
Geez! It's usually that simple too! Doesn't that just drive you crazy?!?!?!
Subject: Geez! It's usually that simple too! Doesn't that just drive you crazy?!?!?!

x
PS Yes, I have been called simple minded but you don't need to explain, nicer people have.
Subject: PS Yes, I have been called simple minded but you don't need to explain, nicer people have.

nm
I feel dumb! I hate when I overlook the simple things!!!!
Subject: I feel dumb! I hate when I overlook the simple things!!!!


I agree - simple mental status exam from my "psychiatric" days.
Subject: I agree - simple mental status exam from my "psychiatric" days.


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


Could it be as simple as hepatorenal syndrome or hypo/hyperventilation syndrome? Does neuro give a
Subject: Could it be as simple as hepatorenal syndrome or hypo/hyperventilation syndrome? Does neuro give a

s
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.