Thanks for the update... makes your head spin doesn't it!
Posted By: MT50 on 2007-12-03
In Reply to: But there is an update on this sm - Lyndia
Subject: Thanks for the update... makes your head spin doesn't it!
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Makes more sense doesn't it!
Subject: Makes more sense doesn't it!
does anybody think it could be foreign pathology. That makes sense doesn't it? nm
Subject: does anybody think it could be foreign pathology. That makes sense doesn't it? nm
nm
S/L spin-dic-tity
Subject: S/L spin-dic-tity
Doc dictates *Her past medical history is otherwise of note for s/l spin-dic-tity.* TIA!
s/l spin varcitis
Subject: s/l spin varcitis
Just can't find this one...
Vaginal exam. A generous amount of mucous with long s/l spinvarcitus present.
Thanks for the help!
Not looking for drug name...s/l spin varcitis
Subject: Not looking for drug name...s/l spin varcitis
s/l spin varcitis
Vaginal Exam: A generous amount of mucous with long s/l spin varcitus present.
Spin barkite type mucus?
Subject: Spin barkite type mucus?
On speculum exam, the cervix is smooth and pink, without lesions or discharge. The IUD strings are seen curled up in the os about 2 cm long. There is a moderate to large amount of _____ type mucus. The vaginal walls are pink with a small amount of creamy vaginal discharge.
Blank s/l spin or maybe thin barkite
doesn't sound like BUN, she doesn't spell out the letters, it just sounds like "win". sm
Subject: doesn't sound like BUN, she doesn't spell out the letters, it just sounds like "win". sm
Her whole sentence is: Chemistries show a mild increase in the s/l WIN (22) suggestive of mild dehydration and a mild increase in calcium (10.2)
He doesn't give it. He's flying, but doesn't s/l fentanyl.
Subject: He doesn't give it. He's flying, but doesn't s/l fentanyl.
nm
Thanks for the update. nm
Subject: Thanks for the update. nm
xx
But there is an update on this sm
Subject: But there is an update on this sm
The update is this:
Follow up (2 words) is the verb usage. The pt will follow up in the office next week.
Followup (1 word) as in The pt is here for followup.
Follow-up is when it proceeds a noun, like the compound modifier rule. The pt is here for her follow-up appointment.
It was news to me yesterday, but there it is.
There have been a couple of AAMT BOS2 addendums. They want to do away with q.d. and q.4h. now has to have a space after the q. so it is q. 4h. Pain in the neck all of this...
Update
Subject: Update
I flagged this for QA, and they filled in multiple prostatic cystica.
Update on motalakian..
Subject: Update on motalakian..
I found these on further searches:
Tangent screen exam
Automated perimetry exam
Goldmann visual field exam
Humphrey visual field exam
This is not an ESL dictator but I just bet "tularakian" and "motalakian" are some forms of the above visual field testing names that he has said so often that he just runs it all together. The dictation is gone now but I've bookmarked the above, maybe they will help someone else who gets this same strange-sounding garble. Thanks!
Thanks, guess I had better update...nm
Subject: Thanks, guess I had better update...nm
x
Drug Update
Subject: Drug Update
Drug Updates from MPR
sl Anacil update
Subject: sl Anacil update
This is the first item of a plan of a reasonably healthy but obese female as part of a physical. It sounds like either anacil or atacil update or may uptake. Any ideas?
Thanks.
update - found out it was haemolyticus
Subject: update - found out it was haemolyticus
LOL - the attending had trouble figuring it out too so that made me feel a tad better. thanks for all the help.
Thanks for the update and the chance to learn something new! :) nm
Subject: Thanks for the update and the chance to learn something new! :) nm
s
Thanks for the input--time to update anyway ;)
Subject: Thanks for the input--time to update anyway ;)
probably "Adacel" update (tetanus)
Subject: probably "Adacel" update (tetanus)
Update - "tighter" is the word - nm
Subject: Update - "tighter" is the word - nm
..
update on phrase "coolum and strong"
Subject: update on phrase "coolum and strong"
FINALLY figured this one out. The doc got real slow for once and the phrase he uses all the time for ie: pulses are & it s/l coolum and strong???
BUT, alas...he is saying equivalent and strong....yeahhhhhhhhhhhhhh thank's everybody for their previous help on this
Update - QA filled in dose radiation.
Subject: Update - QA filled in dose radiation.
I wish I could relisten now, but I can't!
I hope the QA person adds her initials to the report. Thanks for the update. nm
Subject: I hope the QA person adds her initials to the report. Thanks for the update. nm
x
Don't know if any update automatically. The Sted's you purchase once a year. Spellex offers 1/
Subject: Don't know if any update automatically. The Sted's you purchase once a year. Spellex offers 1/4ly
s
CT head/esl doc
Subject: CT head/esl doc
CT brain showed central s/l "cortical and cerebellar" involutional changes, old infarct in the territory of the anterior s/l "BR" of the left middle cerebral artery.
Not sure on the wording in first one. I am coming up with a blank on the second.
Ha ha! This doc is exactly enough of a bu**head to say this... (sm)
Subject: Ha ha! This doc is exactly enough of a bu**head to say this... (sm)
Thanks! I bet that's it!
CT of the head
Subject: CT of the head
The patient has a history of a remote-appearing lacunar infarct within the left frontal lobe adjacent to the left frontal horn of the left lateral ventricle and mild periventricular white matter chronic small-vessel disease on CT scan of the head without contrast.
I am just concerned with the ..periventricular white matter chronic small-vessel disease
How would you type this? the doctor just says it without any pausing.
ahhhhhhh!
s/l CVC of the head was done???
Subject: s/l CVC of the head was done???
Head. Thank you!
Subject: Head. Thank you!
xx
Help! Head CT. SM
Subject: Help! Head CT. SM
Elderly patient with transient alteration of awareness. It reads:
"Minor periventricular areas of low attenuation without definite evidence of s/l TRANS-UH-TIN-UH-MUL flow CSF to suggest acute hydrocephalus."
HEAD CT
Subject: HEAD CT
I am have troubles filling in the blanks here, can anyone lead me in the right direction?
HEAD CT
Contiguous axial image was obtained from base of the skull to the vertex without (intravenous) IV contrast. Multiple regions of decreased density are seen in the right and left internal capsule. There is no evidence of benign shift, common mass effect or (avastment) of cell _______intervals or cisterns. The cell _____intervals are_________ . Inspections of _________was unremarkable.
HEAD CT
Subject: HEAD CT
IMPRESSION
1. Multiple regions of low density in both sides of internal capsule. (cannot understand this word) represent old white matter infarcts.
head?
Subject: head?
CT of Head.
Subject: CT of Head.
Does this sound right: ...effacement of sulci, ventricles, or cisterns. Inspection of (bone or brain?) windows are unremarkable.
Head laceration still.
Subject: Head laceration still.
Doctor is referring to s/l "Harrow" arterial bleeders being cauterized. Can't find anything on this either?
Head CT scan.
Subject: Head CT scan.
Head CT scan per verbal report from the radiologist is that the patient has very large subdurals bilaterally. The largest component of these are chronic subdurals. Some small, newer, subdurals are also seen. This is causing some effacement of the __________ (s/l girye)
caudad, towards the head end of something
Subject: caudad, towards the head end of something
s
head at spines -7
Subject: head at spines -7
help on MRI of the head results
Subject: help on MRI of the head results
The patient had an MRI with gadolinium of the head. I'm having some trouble understanding the results because this is unfamiliar to me. She is a cancer patient with metastatic melanoma and the MRI was ordered due to severe vomiting and blurry vision. He says the MRI "revealed no definite metastatic disease, significant [s/l hypotense? maybe hypodense or hypertensive?] [s/l mara signal?] of the cervical spine of unclear significance, heterogeneous [s/l coabnormality?], for which in matter of fact these cannot be excluded." That last phrase sounds a little weird too, but I'm pretty sure that's what he says. Any ideas?
from the ipsilateral head
Subject: from the ipsilateral head
nm
Thank you! That is it! It just was not clicking in my head.
Subject: Thank you! That is it! It just was not clicking in my head.
nm
Thanks for the info. Never head them from our FPs. nm
Subject: Thanks for the info. Never head them from our FPs. nm
lol maybe his head is up his butt!
Subject: lol maybe his head is up his butt!
head trauma
Subject: head trauma
The patient had head trauma and a few months later was found to have a s/l flabomorphit adenoma.
This is an Asian dictator who is very difficult to understand. Any help would be appreciated.
I think you two got it. You know its there in your head you just can't extract it!
Subject: I think you two got it. You know its there in your head you just can't extract it!
..
banging head here
Subject: banging head here
That's my DUH for the week! Thanks!
Not unless the patient has his head up his @ss nm
Subject: Not unless the patient has his head up his @ss nm
.
Head exam: See
Subject: Head exam: See
"An s/l OMIRE reservoir is present on the left side of the patient's scalp."
Head injury
Subject: Head injury
S/L copidus calluseium ???
New at this, but could it be "of her head"?
Subject: New at this, but could it be "of her head"?
Of course! Where's my head today! LOL Thanks
Subject: Of course! Where's my head today! LOL Thanks
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