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The patient had a heart cath taht did not show any s/l "mora" or gradient across teh left vent

Posted By: MSmt on 2009-06-08
In Reply to:

Subject: The patient had a heart cath taht did not show any s/l "mora" or gradient across teh left ventricle.




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Cardiac cath gradient
Subject: Cardiac cath gradient

Patient had a right heart cath done with a normal " A to VO2 gradient"  is that correct or would it be A2VO2, or maybe I'm just hearing it wrong completely?
Heart Cath... sm
Subject: Heart Cath... sm

Catheterization complete at this point which revealed normal coronary arteries with LV systolic function normal and an injection s/l *pression* of 65%.  


 


Could be pressure, but not sure if that is appropriate...


 


Thanks in advance.


You doing a heart cath or something else? Just might be
Subject: You doing a heart cath or something else? Just might be

s
heart cath wire
Subject: heart cath wire

wire is 0.01 fourths of an inch in size.


0.01/4-inch?  0.01 fourths of an inch?  0.01/4 of an inch?


HELP! 


Excuse me. Heart cath question.
Subject: Excuse me. Heart cath question.

e
Yes- I can now hear greater than left then s/l pos 1 plus 1 show benign
Subject: Yes- I can now hear greater than left then s/l pos 1 plus 1 show benign


cardio.. An echo will assess left and right heart function....
Subject: cardio.. An echo will assess left and right heart function....

as well as (a) diastolic parameters (and) LVH. 


It does not sound right with the a in there and I assume it is the word and, and not in.  He does a New York accent and sometimes it is hard to tell.  thank you


X-rays: X-rays of the left hip show cemented hip arthroplasty. sm
Subject: X-rays: X-rays of the left hip show cemented hip arthroplasty. sm

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He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border.
Subject: He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border.

He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border. nm


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Subject: Yes, if the patient has heart damage.

x
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Subject: drug name...s/l carbidilol (patient with heart condition) nm


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Subject: s/l epical drip - patient has renal failure and had heart transplant. (nm)

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Subject: Patient with left arm tendonitis. please sm

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It is listed in the list of medications. Patient has diabetes, hypertension, and heart disease. nm
Subject: It is listed in the list of medications. Patient has diabetes, hypertension, and heart disease. nm


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Subject: Patient with left foot metatarsalgia. Please sm

Plan: Place her into a s/l hase pad. Thanks for any help!
Patient SP GI stromal tumor and left nephrectomy - sm pls :)
Subject: Patient SP GI stromal tumor and left nephrectomy - sm pls :)

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Subject: Chiropractic help- The patient has a posterior left s/l enomena?


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Subject: The answer is: The patient has left eye blindness. What a doozy! nm

.
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Subject: The patient has had a s/l "diameric" membrane transplant on the left.

after having suffered a rupture from tank explosion.  He has mixed deafness and uses hearing aids.


Thanks!


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Subject: Patient complains of s/l Theater sign with left hip pain. Thanks! nm


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Subject: patient has a small COLAZION of her left upper lateral lid.

Anyone have any help?? 
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Subject: Patient presents with a several year history of pain and this is s/l dedscious referable to the left


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Subject: Whis is correct?: Port-A-Cath, port-a-cath or portacath


yes, as in mean gradient
Subject: yes, as in mean gradient

nm
gradient? nm
Subject: gradient? nm


could be 32 mm or 32 mmHg gradient nm
Subject: could be 32 mm or 32 mmHg gradient nm


approximate 15 mm gradient across the...
Subject: approximate 15 mm gradient across the...

aortic valve with pull back... Is pull back spelled just like it sounds?? thank you
recorded gradient? nm
Subject: recorded gradient? nm

xx
Pt with colonoscopy. The patient several pieces of s/l fibilous pieces of stool in the left colon.
Subject: Pt with colonoscopy. The patient several pieces of s/l fibilous pieces of stool in the left colon.

I know that he is referring to hard stool, but for the life of me, I can't remember!!!



 


 


PORT-A-CATH® is on company site, I usually use Port-A-Cath
Subject: PORT-A-CATH® is on company site, I usually use Port-A-Cath


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Subject: found it (serum ascites [albumin] gradient)


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Subject: There is "colloid body osmotic gradient" in urology, which is seen in renal failure??,,,nm

nm
cardiac catheterization, s/l After balloon valvuloplasty, on pull back, there was a 32 hour gradient
Subject: cardiac catheterization, s/l After balloon valvuloplasty, on pull back, there was a 32 hour gradient

is 32 hour gradient correct???  Thanks...
Sorry, have to vent a little
Subject: Sorry, have to vent a little

I cannot believe the literacy levels of the doctors coming out of medical school these days. I have one doc who doesn't know the difference between "calculus" and "calculi." He uses "calculi" every time, even when there is only one stone.


And another - OMG!! - she uses "nephrolithasis" interchangeably with "calculus" - as in, "There is a nephrolithiasis in the right kidney."


DRIVES ME BATTY!!!!       


Thanks - that's why I come here to vent
Subject: Thanks - that's why I come here to vent

It keeps me (relatively) sane. 
Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
Subject: Funny thing, I had this yesterday and left 3 blanks that QA also left blank.

x
pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
Subject: pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom

n
Ś-vent" sheath?? sm

Used in radiofrequency ablation of saphenous vein.  I can hear a "6" but not so sure of the "vent" part.  The "6-vent" sheath was inserted over the guide wire.  Anyone heard of this? 


 


Thanks!


vent asynchrony
Subject: vent asynchrony


S/L ash-er-vent solution
Subject: S/L ash-er-vent solution

We will add an ash-er-vent solution to her Albuterol in hopes that she may have better breathing.


 


Thanks Deborah


Vent setting: 35% s/l T-bar
Subject: Vent setting: 35% s/l T-bar

thanks
could it be vent tube?
Subject: could it be vent tube?


Vent settings?
Subject: Vent settings?


Pulse ox 100% on AC 18/450, 0 of PEEP, 100% FIO2.


Do I have this written correctly?


Small vent
Subject: Small vent

To QA- I understand what verbatim means-you do not need to tell me, and especially not with sarcasm and bossiness.  The word(s) you added were not in the dictation. In other words, what you apparently heard is not what I heard.


Thanks, I feel better.


This should say "six" vent sheath.
don't know why it came out that way in the title.
This should say "six" vent sheath
I think it should say 6 French sheath
Poly-Vent. sm for list.
Subject: Poly-Vent. sm for list.


Guaifenesin and phenylpropanolamine

Pronunciation: gwye FEN e sin/fen ill proe pa NOLE a meen
Brand Names: Ami-Tex LA, Banex-LA, Coldloc-LA, Dayquil Sinus Pressure and Congestion, Despec, Entex LA, Exgest LA, G-Vent, Guaifenex PPA 75, Guaivent, Guiatex LA, Naldecon-EX Pediatric, Nasahist LA, Phentex-LA, Phenylfenesin LA, Poly-Vent, Profen LA, Stamoist LA, Triaminic Expectorant, Vanex-LA

 

---

 

below is a link with a lot of these preps (some of the headings are in Spanish, but the meds are in English etc.

 


 


http://12.42.224.225/Library/HealthGuide/es-us/DrugGuide/SearchResults.asp?letter=G&module_name=DrugGuide


 


 


s/l express-a-vent monitor sm
Subject: s/l express-a-vent monitor sm

patient has atrial fibrillation.  Doc states, we will have an AF s/l ++express a vent++ monitor done.