Thanks. I was listening for him to say thecal, but he didn't, so I was unsure.
Posted By: Good to have a second opinion. Thanks :) on 2008-01-27
In Reply to: sounds fine..portions of a herniated disc can indent the thecal/dural sac - Barb
Subject: Thanks. I was listening for him to say thecal, but he didn't, so I was unsure.
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I tried listening for that, sure didn't sound like it Thank you
Subject: I tried listening for that, sure didn't sound like it Thank you
s
You steered me on the right path...after listening and listening, It is sampling acquisition. LOL
Subject: You steered me on the right path...after listening and listening, It is sampling acquisition. LOL
:
could he be saying thecal? nm.
Subject: could he be saying thecal? nm.
x
thecal? nm
Subject: thecal? nm
x
? sac as in thecal sac
Subject: ? sac as in thecal sac
I think it's thecal.......and S1-S2 is correct!
Subject: I think it's thecal.......and S1-S2 is correct!
cecal is colon related I do believe.....
Thecal sac ectasia is my guess. (sm)
Subject: Thecal sac ectasia is my guess. (sm)
Case 47: Dural Ectasia Associated with Marfan Syndrome1We define dural ectasia as dilatation of the dural sac, with the anteroposterior diameter of the thecal sac at the S1 level greater than that of the thecal ...
radiology.rsnajnls.org/cgi/content/full/223/3/767 - Similar pages
I did Google it, but I didn't know it was a hearing test it didn't pop up. Sorry to bother you
Subject: I did Google it, but I didn't know it was a hearing test it didn't pop up. Sorry to bother you.
I'm thinking probably thecal sac. Good luck!
Subject: I'm thinking probably thecal sac. Good luck!
x
I thought about thecal too but since it was a CT of the abdomen...hmm..hard one unless we could here
Subject: I thought about thecal too but since it was a CT of the abdomen...hmm..hard one unless we could here it...nm
d
sounds fine..portions of a herniated disc can indent the thecal/dural sac
Subject: sounds fine..portions of a herniated disc can indent the thecal/dural sac
No, I didn't mean that as a slam that you didn't research!!!
Subject: No, I didn't mean that as a slam that you didn't research!!!
I just meant that it's checked and verified for you. Shitzoo showed up on Google, too. LOL
Still unsure. Sent to QA:)
Subject: Still unsure. Sent to QA:)
I tried to fit something like vesicles or bubbles in, but it just didn't match what he said...oh well.
Not sure because I am not listening
Subject: Not sure because I am not listening
to what the DR is saying but maybe radiolucent? otherwise I would leave it out if not sure
Unsure
Subject: Unsure
Patient is an 18-year-old gravida 1, para 0 who comes in for her first prenatal appointment.
ASSESSMENT: This is about a 27-week pregnancy with uncertain dating in a _____ (s/l pri nep or pri mep??) with late prenatal care.
After listening again...
Subject: After listening again...
I am sure that is what he is saying. Big Big Thank you.
Unsure
Subject: Unsure
The fact that he has both retinopathy and nephropathy does bouge ill if he continues to have uncontrolled blood sugar readings.
ESL doctor, not sure what he's saying. s/l bouge ill but that really doesn't make sense to me...lol
No, tried listening for that. Thank you!
Subject: No, tried listening for that. Thank you!
nm
After listening again
Subject: After listening again
it does sound closer to your suggestion then anything else I could come up with. I mainly transcribe for this man's partner and only work for him occasionally, so I have learned at least a little how to transcribe mumbles. Thanks for your help.
Unsure
Subject: Unsure
LOWER EXTREMITIES: No edema. No breakdown. The right foot shows an irregularly cut great toenail, but no evidence of infection or tenderness. He continues to have dependent _______________ , more noticeable on the right foot. Pulse is minimal, 0 to 1+.
Blank s/l roo-war
The patient is a diabetic.
After listening again
Subject: After listening again
I am sure you are right. Thanks also for "nasolabial", today is just not my day.
Im just unsure. SBN, SDN ? nm
Subject: Im just unsure. SBN, SDN ? nm
?
I am listening again now and I just
Subject: I am listening again now and I just
cannot hear p.c. It is now sounding like PARIS daily. He is also saying metformin 1000 mg PARIS b.i.d. and Lipitor 10 mg PARIS daily.
This guy is driving me nuts.
Thanks for your help. I just am too unsure, so I will have to send through and see what my QA comes up with.
Thanks so much. After listening again,
Subject: Thanks so much. After listening again,
(she is an ESL), she is not saying the super part.
Unsure of something
Subject: Unsure of something
An ABI was attempted but no pulse could be found around his “ankle.”
ABI means ankle-brachial index? Another way of checking pulse? Just need to understand what is being talked about. Unsure
Unsure
Subject: Unsure
Would it be possible to address with name, title?
so unsure
Subject: so unsure
It is so hard to say. He could be slurring the S in from diagnosis with ac contusion. He does not make sense with any of his sentences. For example exact words ?? contusion foot contusion shin. He ends with shin. I have no clue. I am new at this with a doc with marbles in his mouth and doesn't finish sentences correctly. It is going to be a long night. Three reports from the same doc. :-( Calgon take me away.
thank you both!! (after listening again: Hi-Lo) NM
Subject: thank you both!! (after listening again: Hi-Lo) NM
nm
After listening again I believe that is what he is saying, thanks.
Subject: After listening again I believe that is what he is saying, thanks.
Please help, unsure of a sentence....sm
Subject: Please help, unsure of a sentence....sm
I am having a hard time understanding something a dictator is saying. She is new to me. Would you mind telling me which makes sense. She is a bit quick and I am unsure. I tried looking it up without any success. The sentence is below.
has had years of varicose veins. She has had stripping on the right side and also it appears sclerotic therapy or arteriosclerotic therapy ? s/l sclerotic therapy but not sure.  Thank you.
Really unsure of this word
Subject: Really unsure of this word
The patient was sent to the pain clinic because of cervical neuropathy turned to _____.
s/l rec-noid-itis
Upon listening without headphones...
Subject: Upon listening without headphones...
It sounds like he is saying:
My impression is that she has failed her left carotid endarterectomy...
Does this make sense??
Thanks!
Listening to it again, it sounds more like...
Subject: Listening to it again, it sounds more like...
"the tic was created" Could he be talking about something with the diverticulum? He slurs the sentence...it's driving me nuts.
Angie
looks correct - unsure what the s/l is though nm
Subject: looks correct - unsure what the s/l is though nm
nothing about a scar, still unsure
Subject: nothing about a scar, still unsure
I would flag it if unsure.
Subject: I would flag it if unsure.
after listening again and again ... it is resumes. Thanks nm
Subject: after listening again and again ... it is resumes. Thanks nm
After listening a few more time...
Subject: After listening a few more time...
She had a (______) abdomen, mild pneumonia, and CAT scan nonspecific from freeair or obvious abdominal catastrophe. She was treated with Zosyn antibiotics and surgical consultation, as well as respiratory consultation for ventilatory management.
thanks; in listening to that, i found it - sm
Subject: thanks; in listening to that, i found it - sm
he was stuttering: putem, potem, "putamen"
Unsure of words
Subject: Unsure of words
I need help on a couple of sentences. Not sure if I am hearing correctly.
CT scan of the ________ revealed 2 small calcifications in the middle and lower poles of the right kidney measuring 3 mm with no hydrophrosis. (The blank could be one or two words and it sounds like "other-in-pelva". No idea where to begin looking.
Next one
On digital rectal exam, the prostate is "flat" without firmness nodularity. Also sounds like "flask".
unsure of words
Subject: unsure of words
That's it thanks so much.
Thanks again...tried that but didn't get anything because I didn't know how to spell it. (nm)
Subject: Thanks again...tried that but didn't get anything because I didn't know how to spell it. (nm)
x
listening again it isn't serum, it is urine. Still looking for R&S. Thanks
Subject: listening again it isn't serum, it is urine. Still looking for R&S. Thanks
Try google when you are unsure of a term -sm
Subject: Try google when you are unsure of a term -sm
put in the word as best you can with part of the sentence and see what comes up. I do that when I am unsure of a term and can usually find what I am looking for that way, its a lot faster than posting here, and it teaches you how to reference.
I would think it is lytic then, but if unsure flag it
Subject: I would think it is lytic then, but if unsure flag it
It seems your patient either had a replacement or fracture earlier (is there arthritis in the hx?) I often hear lytic lesions or lytic lines in the areas you mention on patients with arthritis/oseoarthritis. Lysis is the process of destruction of something (in this case, bone), which seems to have been ruled out by these x-rays.
Guess I just won't expand it, still unsure....
Subject: Guess I just won't expand it, still unsure....
because too many times when he uses the term PFC there is no other indication of a joint replacement system having been done or anticipated, so I still have my doubts that that is really what he means by these initials. Thanks for your help.
Now it sounds more like ' lois' - I have been listening to
Subject: Now it sounds more like ' lois' - I have been listening to
Thanks, but not sure, I keep listening to it and now I think she might be saying "seeker needle&#
Subject: Thanks, but not sure, I keep listening to it and now I think she might be saying "seeker needle". nm
xx
Listening to it a different way, that is it. Good call! Many Thanks.
Subject: Listening to it a different way, that is it. Good call! Many Thanks.
nm
So true! I forget to try and think like them when listening.
Subject: So true! I forget to try and think like them when listening.
Maybe that's what he means, but I'm listening now and s/l tracking.
Subject: Maybe that's what he means, but I'm listening now and s/l tracking.
nm
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