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The patient takes s/l Cymbex for bipolar

Posted By: no name on 2006-07-06
In Reply to:

Subject: The patient takes s/l Cymbex for bipolar

Why cant I figure this out????  First report of the day, not fully awake yet, I guess.


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regarding bipolar patient
Subject: regarding bipolar patient

A/P:


....He feels that his mood is S/L ambi-quiv-a-lence since being back on medications and hopefully his fatigue will disolve as well.  I believe some of his fatique is being associated with his depression and bipolar.


Patient has osteoporosis and also takes - sm
Subject: Patient has osteoporosis and also takes - sm

Fosamax, estradiol, calcium. Thanks.
Usually when a patient takes antihypertensives like Lasix, they will sm
Subject: Usually when a patient takes antihypertensives like Lasix, they will sm

need potassium, too. I'm thinking that maybe what you're hearing is Lasix (comma), then maybe potassium chloride? Don't know about the 3rd.
Patient also takes Lantus s/l soul-uh-tar 20 mg
Subject: Patient also takes Lantus s/l soul-uh-tar 20 mg

x
Herbal (I think) -- Patient takes (halfa alfa) and garlic.
Subject: Herbal (I think) -- Patient takes (halfa alfa) and garlic.

Never heard anything like this before but clearly sounds like ----- halfa alfa.


 


51 yo woman taking the patient takes a multivitamin, alpha lipoic acid, and "VI O TIN" sm
Subject: 51 yo woman taking the patient takes a multivitamin, alpha lipoic acid, and "VI O TIN" sm

Pt with fibromyalgia and osteoarthritis. 


 


 


Duralith is used to treat the manic stage of bipolar disorder (does the patient have a psych history
Subject: Duralith is used to treat the manic stage of bipolar disorder (does the patient have a psych history?)


Pt takes s/l sol-pal-met-o as an herbal med for BPH. Thanks
Subject: Pt takes s/l sol-pal-met-o as an herbal med for BPH. Thanks


in between the takes of the splint? sm
Subject: in between the takes of the splint? sm

status post left ring finger mallet fracture.

The patient does have some swelling in between the s/l takes or tapes of the splint.
Of course you will, just takes time... but you are very welcome.
Subject: Of course you will, just takes time... but you are very welcome.


Maybe just "...and takes a...." since that same med comes in that dose. nm
Subject: Maybe just "...and takes a...." since that same med comes in that dose. nm

nm
Could be bipolar mode. -nm
Subject: Could be bipolar mode. -nm

x
Laid takes an object. sm
Subject: Laid takes an object. sm

If she laid down a box or other object, laid would be correct. However, in the sentence quoted, lay is an intransitive verb, meaning it does not take an object. Therefore, lay is correct. Laid is a transitive verb and must have an object.
Seroquel for anxiety/bipolar comes in 100 mg. nm
Subject: Seroquel for anxiety/bipolar comes in 100 mg. nm

s
Asendin for bipolar disorder
Subject: Asendin for bipolar disorder


Pt. takes s/l Cacerna between meals tia
Subject: Pt. takes s/l Cacerna between meals tia


There is an Elmed bipolar coagulator. nm
Subject: There is an Elmed bipolar coagulator. nm


Binner bipolar cautery?
Subject: Binner bipolar cautery?

ENT surgeon says "Binner bipolar electrocautery" he even spells it but I can't seem to find a direct reference to it anywhere. Anyone heard of it?
Binner bipolar cautery
Subject: Binner bipolar cautery

My neighbor had the surgery for BPD, but I don't know the details.  She knew I was very interested in the details.  Since then she's become more secluded.  I don't know the exact reason, but it's unfortunate.  Hopefully someone else can weigh in on this as well. 


In the meantime, I'll keep looking.


Binner bipolar cautery
Subject: Binner bipolar cautery

is done using Binner bipolar forceps.
Zyprexa Zydis for bipolar etc?
Subject: Zyprexa Zydis for bipolar etc?


bipolar and monopolar cautery? nm
Subject: bipolar and monopolar cautery? nm


Is it valproate sodium? Used for bipolar. nm
Subject: Is it valproate sodium? Used for bipolar. nm


There is a BICAP, some kind of bipolar electrode. nm
Subject: There is a BICAP, some kind of bipolar electrode. nm

xxxx
what about "Pill Cam" - you swallow and it takes pictures. /nm
Subject: what about "Pill Cam" - you swallow and it takes pictures. /nm

.
We took out a s/l gamma rod and replaced it (had a hip bipolar prosthesis).
Subject: We took out a s/l gamma rod and replaced it (had a hip bipolar prosthesis).

Thanks so much!!!!!
drug s/l fen-nix 150 mg, she takes 2 tablets at night. sm
Subject: drug s/l fen-nix 150 mg, she takes 2 tablets at night. sm

doctor has accent, so this could go any way.
I found DSM IV bipolar disorder on the internet.
Subject: I found DSM IV bipolar disorder on the internet.


Gyrus (System) bipolar cautery
Subject: Gyrus (System) bipolar cautery


Celexa (antidepressant) and Lamictal (bipolar)?
Subject: Celexa (antidepressant) and Lamictal (bipolar)?

xx
pt. with uric acid stones, dr says he takes s/l theralith
Subject: pt. with uric acid stones, dr says he takes s/l theralith


*Apolic* Health Clinic? In NJ for bipolar disorder
Subject: *Apolic* Health Clinic? In NJ for bipolar disorder


I fully agree with C.J. it should be 2:1, if it is a minute it takes me 2, if it is 10 minutes it ta
Subject: I fully agree with C.J. it should be 2:1, if it is a minute it takes me 2, if it is 10 minutes it takes 15-20, etc. 1-1/2 hours of dictation should be no more than 3 or 4 hours.


i agree. you have to listen to the dictator for a bit of tme and then speed him up... it takes the
Subject: i agree. you have to listen to the dictator for a bit of tme and then speed him up... it takes the

nm
They prescribed Depakote for bipolar disorder as well as for seizures.
Subject: They prescribed Depakote for bipolar disorder as well as for seizures.

So it's not uncommon for a patient with no history of seizures to be on Depakote for bipolar.
She takes 3 units s/l NovoTiac insulin and it's NOT NovoLog. nm
Subject: She takes 3 units s/l NovoTiac insulin and it's NOT NovoLog. nm

xx
Lying is correct in this case. Laying takes a subject, sm
Subject: Lying is correct in this case. Laying takes a subject, sm

Laying is correct if she is laying an egg or laying a baby down for a nap. If you recline, you are lying. Sounds like a insult, doesn't it, like she isn't telling the truth.
certainly not trying to be mean..but it is a unique type of work, and takes "an ear" in additi
Subject: certainly not trying to be mean..but it is a unique type of work, and takes "an ear" in addition to training.


1 year's time and 3 months' duration. A single unit of something takes 's.
Subject: 1 year's time and 3 months' duration. A single unit of something takes 's.

s
Don't know, it is under list of meds. PMH: Astham, COPD, bronchitis, hypertension, bipolar disord
Subject: Don't know, it is under list of meds. PMH: Astham, COPD, bronchitis, hypertension, bipolar disorder.


BICAP; a form of bipolar electrocoagulation frequently used to arrest gastrointestinal bleeding
Subject: BICAP; a form of bipolar electrocoagulation frequently used to arrest gastrointestinal bleeding


s/l Tree-mex. Pt has morning stiffness and migraines. Pt takes Imitrex and s/l Tree-mex. TIA
Subject: s/l Tree-mex. Pt has morning stiffness and migraines. Pt takes Imitrex and s/l Tree-mex. TIA


doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM


Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.

nm
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.


A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
Subject: A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.

nm
Patient given PPD - sm pls
Subject: Patient given PPD - sm pls

Patient given PPD S/L "agreed" or "read" within the next 72 hours.
Patient does have a UTI but would it
Subject: Patient does have a UTI but would it


same doc. same patient
Subject: same doc. same patient

the lesion was vascular in natureand most likely _____ malformation.


S/L avio-lymphatic


HIV patient. Please sm.
Subject: HIV patient. Please sm.

Doc is dictating a test in relationship to patient's HIV.  He states s/l "firal row"is negative and T-cell count has actually risen since last visit.


Thanks for any/all help! 


do you have a Dx on this patient, and
Subject: do you have a Dx on this patient, and

if not, what is the chief complaint?