Thanks- I was having a mental blank!

• Vital sign progression in dying patient - mary
  • Thanks- I was having a mental blank! - mary
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"The patient did have difficulty following the procedure.  She had some mental _____ and whether or not this is related to anesthesia or to her severe blood loss is not quite clear but she is doing very well now.  She is pretty sharp.  She is accompanied by her caregiver and seems to ask the appropriate questions."    

It sounds something like it ends in "tion"

While his IQ testing was improved, his Mini-Mental Status Score dropped by three points on the basis of the “3MSR”, although it was higher today. 

Pt with Alzheimer's. 

Laboratory studies.

dictates:  COK is 1 (pause) 6.  CMB is 3.6.  Huh?

I've honestly never heard it abbreviated like that, but I did google *MRCP cerebral palsy* and that's what came up. Given the symptom of hypotonia, it definitely makes me think of cerebral palsy. Was there any sort of mental status testing done (just as a check)?

Here's the context: He smiles much of the time; he is cooperative.  Symptom status revealed that he knew that George Bush was the current president and that Bill Clinton preceded him.  He denies hearing any voices..... 

Symptom sounds similar to System, Simple, etc., for this example.  Any input?

This doc is famous for saying the wrong thing because he dictates while surfing the net.  Actiq is something prescribed in that clinic all the time, and he always mispronounces it "Ak-tik" rather than "Ak-teek" as it should be pronounced, so I bet he said that while thinking something else.  I know that's not right, so I will just leave it blank.  I really wish this guy would pay attention, though! 

(I don't know how many times I have been transcribing and he's hemming and hawing and I hear clicking in the background and then hear, "Hello!  You've got mail!" and I think to myself... "This guy is a neurosurgeon... And he has AOL? Hello?" Ha ha!)

Thanks for trying to help, all! I appreciate your time! 

I just can't figure it out.  Each response is a great one but it's just not what he's saying--and I know what he's saying isn't correct!

"Extremities revealed no cyanosis or edema, there are slightly decreased peripheral pulses and dorsalis pedis.  There is good capillary refill and _______ to cultures over both lower extremities.  The patient stayed in the hospital for 16 days."

I hate it when I can't figure out a word!  Again, thanks for the responses, this is a great group!

If there is a edited part of a dictation. Like a name for instance.. lets says Mrs. "Edited Part" standardly how to do acknowledge it??

Mrs. ______ Or Mrs. (BLANK)  or Mrs. (Blank) ...

or any of your ideas??

we at least need a s/l, or maybe you could just give up.