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Sorry, was thinking herbal, Oscillococcinum. Oscillo®.. nm

Posted By: Txczech on 2009-02-24
In Reply to: There is a homeopathic remedy almost like that. Will look around. Hard to spell. n - Txczech

Subject: Sorry, was thinking herbal, Oscillococcinum. Oscillo®.. nm




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herbal ???
Subject: herbal ???


Could it be the herbal echinacea? nm
Subject: Could it be the herbal echinacea? nm

s
Pt takes s/l sol-pal-met-o as an herbal med for BPH. Thanks
Subject: Pt takes s/l sol-pal-met-o as an herbal med for BPH. Thanks


Bio Defender (Herbal)
Subject: Bio Defender (Herbal)


vitamin/herbal supplement help
Subject: vitamin/herbal supplement help

Patient is taking "essential s/l sheguro complex."  That is all the info I have, I'm not sure what she is taking it for.  This patient takes a variety of vitamins and supplements.  Any ideas? 
just a guess, but maybe "an herbal oil" ??
Subject: just a guess, but maybe "an herbal oil" ??


herbal supplement s/l cocutane
Subject: herbal supplement s/l cocutane

also referred to as s/l mega or omega s/l cocutane, comes in 100 mg tablets.
herbal supplement s/l cocutane
Subject: herbal supplement s/l cocutane

also referred to as s/l mega or omega s/l cocutane, comes in 100 mg tablets, taken for heart failure
an herbal med for seizures that s/l blue verin
Subject: an herbal med for seizures that s/l blue verin


There is one called Lady's Mantle (herbal)
Subject: There is one called Lady's Mantle (herbal)


herbal medicine the doctor is pronouncing as "un-die-ah". any ideas? nm
Subject: herbal medicine the doctor is pronouncing as "un-die-ah". any ideas? nm

d
depends on context; herbal product "Hep-Well" IV med "heparin well" nm
Subject: depends on context; herbal product "Hep-Well" IV med "heparin well" nm


Herbal (I think) -- Patient takes (halfa alfa) and garlic.
Subject: Herbal (I think) -- Patient takes (halfa alfa) and garlic.

Never heard anything like this before but clearly sounds like ----- halfa alfa.


 


The dose suggests maybe an herbal, liver, or highB preparation. Still looking. nm
Subject: The dose suggests maybe an herbal, liver, or highB preparation. Still looking. nm

s
http://tramadolplus.com/item/pilex.html (seems to be herbal)
Subject: http://tramadolplus.com/item/pilex.html (seems to be herbal)


Tinkerbell is right, it is an herbal suppository made by Wise Woman Herbals
Subject: Tinkerbell is right, it is an herbal suppository made by Wise Woman Herbals

VAG Pack Suppositories from their web site
Probably herbal supps like gingko or the Alzheimer drugs like Aricept, Exelon, Reminyl,
Subject: Probably herbal supps like gingko or the Alzheimer drugs like Aricept, Exelon, Reminyl,

s
There is an herbal remedy called Rescue Remedy
Subject: There is an herbal remedy called Rescue Remedy


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.

.
I am thinking it
Subject: I am thinking it

may be (LIMA) or left internal mammary artery ..... of course you are hearing it.
That's what I was thinking...
Subject: That's what I was thinking...

but was unsure. It's an ESL doctor and she says it twice. It doesn't really sound like there is an F in the pronunciation, though.
that's what I was thinking.
Subject: that's what I was thinking.

That is what I have been doing but I guess I just wanted extra reassurance! Thanks.
I am thinking that is what she must be saying. Thanks. nm
Subject: I am thinking that is what she must be saying. Thanks. nm


I am thinking it might be SM
Subject: I am thinking it might be SM

some kind of rowing exercise...____ rows, but I can't come up with anything better than that.
Thanks, I was thinking that or 0.1. nm
Subject: Thanks, I was thinking that or 0.1. nm

xxx
I was thinking that myself, but just not sure so I sent to QA
Subject: I was thinking that myself, but just not sure so I sent to QA


I was thinking the same, but (sm)
Subject: I was thinking the same, but (sm)

why would he dictate this along with vital signs?  Seems strange ...
I was thinking that too! Thanks!
Subject: I was thinking that too! Thanks!

Thank you for your input!!!
That's what I'm thinking..sm
Subject: That's what I'm thinking..sm

This client requires headings whether or not dictated, so I wanted to make sure I'm correct.

Anyway, I have always typed it under abdomen, but I went looking to make sure, and I did find it in a sample report with it listed under back.

However, I just found a very good article called "Varney's Midwifery" that says it is part of the abdominal exam.

Thanks!
That's what I was thinking.
Subject: That's what I was thinking.

Most of the references I found say that if a patient is unable to consent to surgery, two doctors can sign the consent form on the patient's behalf. I am just not sure if the dictators mean double-doctored or double-documented when they say double doc'd. I do all ops, so it comes up fairly often.
that's what i was thinking too - nm
Subject: that's what i was thinking too - nm


I was thinking that too . . .
Subject: I was thinking that too . . .

He is in rare form today. I think he meant to say compression but it honestly sounds like inspriation. Sigh*** I mightjust sent it through with a flag.
not thinking-- thanks!!
Subject: not thinking-- thanks!!

nm
thanks, that is what I was thinking also. nm
Subject: thanks, that is what I was thinking also. nm

nm
thinking...
Subject: thinking...

The left wrist is inspected showing there to be a visible soft tissue swollen area of the dorsal wrist closer to the radial aspect of the wrist. It is approximately 3 cm in diameter. Mobile tender to palpation and consistent with the ganglion cyst.

I was thinking a comma should go after diameter and before mobile. (where I have a period) What do you think?
I was thinking that too until...
Subject: I was thinking that too until...

...a couple of lines down he said the patient was circumcised. This guy completely rambles. I really didn't know about hair tourniquets until tonight's dictation. (Now If only I could forget the mental image!) Thanks for taking time to answer--this newbie appreciates it.
I was thinking
Subject: I was thinking

false lumen, but that when googled is associated it looks mostly with aorta. Unless you think they could be talking about the abdominal aorta???
that's what I was thinking, but
Subject: that's what I was thinking, but

I'm hearing a "cis" sound in the middle of the word. He also says it again part way down in the report. He says EG junction is 35 cm from the _______ orifice.

Thanks.
Thanks!. That's what I was thinking too.
Subject: Thanks!. That's what I was thinking too.


That's what I was thinking... : - )
Subject: That's what I was thinking... : - )