Tough to say without hearing it, but
Posted By: AnnuderMT on 2009-05-07
In Reply to: Thanks - MT
Subject: Tough to say without hearing it, but
Could he be saying the coude catheter was connected to irrigant. And then say something about using K-Y?
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Tough to say without hearing it, but
Subject: Tough to say without hearing it, but
Could he be saying: The coude catheter was connected to irrigant. And then say something about using K-Y?
That is a tough one. I wonder if
Subject: That is a tough one. I wonder if
there could be something about axial loading in there???
Good luck :)
tough one but
Subject: tough one but
This is a quote from the Jounal of Nuclear Medicine Technology...
In the event that there is a significant splanchnic or bowel overlap with the inferior wall, various maneuvers, such as drinking water or milk or eating fatty food, can be tried to alleviate the problem before repeating delayed imaging.
So, sound like * overlap * would be correct.
I got this by googling the words - myocardial perfusion scan splanchnic
this is a tough one! sm
Subject: this is a tough one! sm
Just going to give you wild guesses and maybe it will help - could the word be
self-_____?
cell _____?
____ folate?
I'm not 100% sure but I think it is typed FOLFOX (??)
Man, that's a tough one!
Subject: Man, that's a tough one!
All I can think of is saying GCS fast with something, but then the 96 doesn't make any sense with that, but the 96 could represent glucose, but even then that's not low enough to cause coma, is it? Sorry--just thinking out loud. Let us know if you figure it out!
Good luck with that! 
A tough one
Subject: A tough one
  Osteopathy report says did deep tissue, manipulation as well as ?? s/l kindricks ?? crunch. Googled for a long time without luck.
Suggestions appreciated!
That's a tough one since s/m
Subject: That's a tough one since s/m
he probably didn't type it out. My guess is something with the patella?
Good luck.
Nah, that was a tough one. I don't think
Subject: Nah, that was a tough one. I don't think
I have ever heard that abbreviated before.
hmm I can't think of anything, that is a tough one NM
Subject: hmm I can't think of anything, that is a tough one NM
wow that is a tough one :( nm
Subject: wow that is a tough one :( nm
tough one (sm)
Subject: tough one (sm)
The only thing I can think of that comes close is that instead of spelling out those letters, he might actually be saying "coronary arteries."
If he's speaking distinctly enough, though, that you're sure he's dictating specific letters, then I'm stumped.
are you sure the doc isn't saying "hypertension" - sometimes tough to tell nm
Subject: are you sure the doc isn't saying "hypertension" - sometimes tough to tell nm
Hmm, tough one. The only thing I can think of ..
Subject: Hmm, tough one. The only thing I can think of ..
assuming it's part of the patient's surgical history is toe surgery?? Wild guess.
that's a tough one, got any more of a sentence??..nm
Subject: that's a tough one, got any more of a sentence??..nm
x
a tough one having to do with radioisotope...plse sm.
Subject: a tough one having to do with radioisotope...plse sm.
The patient is a candidate for a sentinel node biopsy based on the intermediate thickness melanoma. Despite the negative lymphscintogram, it is certainly reasonable on the day of surgery for her melanoma excision to inject ? radioisotope at the primary site and with the handheld gamma counter, we may still be fortunate enough to identify a sentinel node that we can biopsy.
He kind of mumbles the type of radioisotope to be injected and if anyone has any ideas, I can see if they match up to what he is "trying" to say! Thanks so much.
tough one, but angioma or ecchymosis?
Subject: tough one, but angioma or ecchymosis?
just a thought.
You're welcome, Christa. Gyn is tough when you start out. nm
Subject: You're welcome, Christa. Gyn is tough when you start out. nm
x
True, but there are some terms that are tough to find. sm
Subject: True, but there are some terms that are tough to find. sm
This one is a good example of a term difficult to Google. However, it can very easily and quickly be found in Stedman's. I recommend books first, Google as a last resort.
You may want to help out at the MT Chat board where only hints are given.
Don't forget what it was like when you started out. You probably weren't at home working alone, were more than likely paid hourly and were able to research ad nauseum.
"Do unto others..."
glad I could help - those weird pronunciations are tough sometimes! NM
Subject: glad I could help - those weird pronunciations are tough sometimes! NM
Thanks-a-lot! It was hard to figure out from his tough accent!!
Subject: Thanks-a-lot! It was hard to figure out from his tough accent!!
a tough one--drugs that use "grains" and fractions thereof
Subject: a tough one--drugs that use "grains" and fractions thereof
That's right, go ahead and run off when you see my boring hard question!!
Okay, I've have to say that I never really got the "grain" concept in terms of drug usage and was too lazy to ask my instructors back in the day, and now my lack of knowledge has come back to haunt me. The doc says this patient is taking "three-fourths of a grain of phenobarbital." How do I transcribe this? Anyone?
Possibly they're post BAK interbody fusion system or procedure? This one's tough! nm
Subject: Possibly they're post BAK interbody fusion system or procedure? This one's tough! nm
s
Yep, You are hearing one over four
Subject: Yep, You are hearing one over four
or 1/4. Could listen to see if there are any pluses in there though.
is it possible you are mis-hearing,
Subject: is it possible you are mis-hearing,
and he/she is saying 'MRCP'?,
ie, mental retardation/cerebral palsy...
?
could I be hearing this right?
Subject: could I be hearing this right?
Patient found to be hypotensive upon entry to the operating room. "Mass trousers" were placed. CPR was resumed.
This patient was in a car accident. Thank you
Re: could I be hearing this right?
Subject: Re: could I be hearing this right?
MAST trousers (Military and/or Medical Antishock Trousers).
you sure you are not hearing O2 sat 92%?
Subject: you sure you are not hearing O2 sat 92%?
n/m
not sure if I'm hearing this right?
Subject: not sure if I'm hearing this right?
CT scan of the abdomen and pelvis showed a small s/l fat containing umbilical hernia.
s/l fat ?
OB..I do not know if I am hearing this even..
Subject: OB..I do not know if I am hearing this even..
to put it on here...
the cervix was prepped with acetic acid and s/l a few or a-sea-a white changes were noted in multiple areas int the 11:00 region..etc. thank you
Are you hearing this as boy-yay or boy-ett? nm
Subject: Are you hearing this as boy-yay or boy-ett? nm
s
WAG but could be you be hearing sm
Subject: WAG but could be you be hearing sm
Decadron 8 mg IM? Commonly given in our office for insect sting reactions etc. along with the other meds mentioned.
not hearing this right please help :)
Subject: not hearing this right please help :)
1. Status post CVA.
2. Hypertension.
3. Coronary artery disease.
4. Obesity
5. Parasystole S/L a-? relation
Are you hearing
Subject: Are you hearing
flumethasone?
Could you be hearing CVP for DVT there? No
Subject: Could you be hearing CVP for DVT there? No
s
thanks. i'm not hearing the "c" though.
Subject: thanks. i'm not hearing the "c" though.
tia
Thanks to both. Yes, I am hearing that now
Subject: Thanks to both. Yes, I am hearing that now
as it goes, never had this word before, believe or not.
Not sure if I am hearing this right.
Subject: Not sure if I am hearing this right.
she does have some s/l hemi -actric' fracture blisters that are in that area.
???
Wow. I was not sure what I was hearing
Subject: Wow. I was not sure what I was hearing
to begin with and never heard of that before. Thanks so much.
this is what im hearing now... please sm
Subject: this is what im hearing now... please sm
after listening to it a couple of times i think i can clearly hear **shrug shoulder**, tho i dont think "midline" (which is what the MD said) is the right term to use for it.
Now I'm hearing it, but...
Subject: Now I'm hearing it, but...
- nose erythematous mucosa with enlarged turbinates.
Does that make sense?
This is probably something I'm just not hearing right, but need help with s/l
Subject: This is probably something I'm just not hearing right, but need help with s/l
Patient has lupus, asthma, peptic ulcer disease, and depression. Complaining of dizziness,lightheadedness, feeling of about to collapse.
HEENT is negative. s/l dix-ell-pock is negative.
I'm totally stumped and appreciate any help. Thanks!
Are you maybe hearing...
Subject: Are you maybe hearing...
...phonophoresis?
Are you hearing
Subject: Are you hearing
pannus spondyloarthropathy?
Thanks, but just not sure. I am definitely hearing a T in there. Hopefully he will say it again.
Subject: Thanks, but just not sure. I am definitely hearing a T in there. Hopefully he will say it again.
Just go with it if that is what you are hearing. nm
Subject: Just go with it if that is what you are hearing. nm
x
second hearing...
Subject: second hearing...
If this works, she may benefit from ___ or ___(dASO) brace-type orthotic....
Now hearing as USBL or Arizona brace-type orthotic....found USBL in google but not Arizona
Am I hearing this right??? (sm)
Subject: Am I hearing this right??? (sm)
Patient is in for osteoarthritis of the hip. Doctor states- actually rather clearly for her- "Earlier this year he developed a left inguinal adenitis following some deep (s/l dental) cleaning procedure."
Since teeth seem to have nothing to do with your groin, I'm confused... that can't really be right- But I'm also stuck on not being able to hear anything else. :P Ideas?
Could you be hearing ...
Subject: Could you be hearing ...
Under ultrasound guidance, the patient underwent paracentesis of 3500 cc of a nonpurulent ascitic fluid.
A healed right proximal humeral fracture was present.
Not sure if I am hearing right.
Subject: Not sure if I am hearing right.
The following sentence is uclear for me. This is what I am hearing:
Lungs: No loud wheezes or rhonchi. Sometimes wheezes sounds like squeezes. Does that make sense?
Not sure if hearing this right! sm
Subject: Not sure if hearing this right! sm
Patient has ED due to diabetes. He would like to try s/l archotherapy (erectotherapy)??
Anyone heard of this or something that sounds like? Thanks!
Could you be hearing this...
Subject: Could you be hearing this...
or is it definitely LAT?
OATS stands for 'osteochondral autograft transfer system,' and the technique is very similar to mosaicplasty. In the OATS procedure the plugs are usually larger, and therefore only one or two plugs are needed to fill the area of cartilage damage.
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