Thank goodness one of us is thinking... sorry Janan
Posted By: MT50 on 2007-11-25
In Reply to: but patient has URI, not UTI, yes? (nm) - Wondering
Subject: Thank goodness one of us is thinking... sorry Janan
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Oh my goodness, thank you
Subject: Oh my goodness, thank you
all so much. I knew that I knew this, but couldn't find it anywhere! I guess I wasn't even close to the correct spelling, or it would have come up somewhere! Long day already!
Thank goodness!!!! LOL
Subject: Thank goodness!!!! LOL
Oh my goodness
Subject: Oh my goodness
... this is too much Years ago I used to work for a microfilming company, where they microfilmed medical records. I was working on MP cards from the late 1980s/early 1990s and came across a doctor named Dr. Slaughter -- I thought no way would this guy be my doctor.
Oh goodness, thank you so much!!! nm
Subject: Oh goodness, thank you so much!!! nm
xx
OM goodness, ty!
Subject: OM goodness, ty!
oh goodness! thanks!
Subject: oh goodness! thanks!
You know i have been working too many hours today when i am that close to a word, but can't figure it out!
Thanks for helping my nonfunctional brain!!! LOL
No problem - thank goodness!
Subject: No problem - thank goodness!
Yep, done for clarity, thank goodness! Now if they'd only
Subject: Yep, done for clarity, thank goodness! Now if they'd only
s
oh my goodness. no message
Subject: oh my goodness. no message
.
Goodness, please don't guess sm
Subject: Goodness, please don't guess sm
This was a guess there was nothing to go on so I have no idea if this is the correct word, you need to look for clues in your text. "smile"
For hydration for goodness sakes
Subject: For hydration for goodness sakes
Patient has nausea and vomiting, and dictator is ESL. I've been doing radiology, so I can't believe I can't find this when it sounds so familiar. Grr.
Medications: s/l Avaflow D5 half-normal saline ...
Yes, I've googled, but I'm not even close.
Oh my goodness. Cut the girl a break.
Subject: Oh my goodness. Cut the girl a break.
She's new. She's already stated that. She's trying to do a good job. I don't think the answer is to kick someone when they are down. She probably has received very resourceful information here as most are willing to help newbies. Give the girl a chance!  She's not asking a s/l or asking the board to take her test for her, she's just feeling a little frustrated. 
thank goodness I asked, yes Gerdy's thanks! nm
Subject: thank goodness I asked, yes Gerdy's thanks! nm
x
Oh my goodness - you are right! 'Or' was the word
Subject: Oh my goodness - you are right! 'Or' was the word
Oh, for Goodness sake - the word is "pussy"
Subject: Oh, for Goodness sake - the word is "pussy"
nm
my goodness we have high horses in our midsts!
Subject: my goodness we have high horses in our midsts!
sheesh! some ego!
oh goodness sakes -- thank you!! *feeling goofy now*
Subject: oh goodness sakes -- thank you!! *feeling goofy now*
xx
It is apresoline..ARGHH! Thanks for all the help, thank goodness I am almost done for the week...nm
Subject: It is apresoline..ARGHH! Thanks for all the help, thank goodness I am almost done for the week...nm
x
that is what I put, thanks, report gone, thank goodness, but NO blanks ESL to boot. x
Subject: that is what I put, thanks, report gone, thank goodness, but NO blanks ESL to boot. x
x
fexofenadine I meant...my goodness, time for more coffee?
Subject: fexofenadine I meant...my goodness, time for more coffee?
SPATH culture? goodness gracious! help pt has sore throat
Subject: SPATH culture? goodness gracious! help pt has sore throat
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???
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