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Typing patient with lymphoma.. Please see message. Thanks.

Posted By: mh on 2007-07-15
In Reply to:

Subject: Typing patient with lymphoma.. Please see message. Thanks.

Some patients if they have a lot of disease tend to have a lot of lymphoma in their peripheral blood, and that’s considered like kind of an extra s/l narital site but yours was negative.




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patient denies s/l accumplates, see message
Subject: patient denies s/l accumplates, see message

The patient denies any fevers, chills, night sweats, weight loss, hemoptysis, pleuritic chest pain, nausea, synovitis, arthralgia, skin rash, s/l accumplates,  headaches or sinus pain.   


This is throwing me for a loop! 


No, that doesn't work for this patient see message
Subject: No, that doesn't work for this patient see message

the other meds this patient is on are Lasix, Synthroid, Prilosex and asthma medications...no mentions at all of anything to do with Parkinson's.  .  Very clear speaking doctor, I am really getting a "Peripexol" sound no R sound after the P..


how about typing Past Medical History heading and then typing what he says under the heading nm
Subject: how about typing Past Medical History heading and then typing what he says under the heading nm

xx
Lymphoma
Subject: Lymphoma

Doc dictates "differential diagnosis includes not only lymphoma or typical __________ disease."  Sounds like cabriculous. Any ideas? 


Thank you. 


Lymphoma
Subject: Lymphoma

Wow, there's another "D" out there. Perhaps I should change my ID to avoid confusion; I've been posting as such for a while. I hope you found the answer to the word/phase in question.
RE: B-Cell lymphoma....
Subject: RE: B-Cell lymphoma....

doc says 'B-cell lymphoma involving the vertebral body of D5.' Is D5 correct as that is what he is saying. working on discharge summary. TIA
S/L trinda, its for lymphoma
z
Fiddle lymphoma
Subject: Fiddle lymphoma

The doctor says fiddle lymphoma twice, and I can't find anything to make sense of it. 
hmmm, could be. Pt had non Hodgkin's lymphoma.
Subject: hmmm, could be. Pt had non Hodgkin's lymphoma.

definitely sounded like a "tica" at the end though.   we will see if the QA gives me the heads up.
I found a Lennert ('s) lymphoma.
Subject: I found a Lennert ('s) lymphoma.

Maybe it's that kind of cell.
Lymphoma lesion type???
Subject: Lymphoma lesion type???

Diagnosis was made of  non-cleaved, non-Hodgkin’s lymphoma (SNC lymphoma) with a staging laparotomy with extensive involvement in many sites, treated with CHOP x 16 cycles.  He was restage in January of this year and a _________lesion was seen.  Lymphoma versus pseudocyst.  Now admitted for further chemotherapy with DHAP.


 Word sounds like anpandacardic or pandcardic - an clues?


Try 'nonbulky' Hodgkin's lymphoma
Subject: Try 'nonbulky' Hodgkin's lymphoma


NK-cell non-Hodgkin's lymphoma? nm
Subject: NK-cell non-Hodgkin's lymphoma? nm


star cell lymphoma??
Subject: star cell lymphoma??

Anyone heard of star cell lymphoma?
star cell lymphoma??
anyone heard of star cell lymphoma??
small cell lymphoma? nm
Subject: small cell lymphoma? nm

x
positive biopsy for lymphoma sm
Subject: positive biopsy for lymphoma sm

sounds like something-Burke cells? please help
Evaluation for possibility of lymphoma
Subject: Evaluation for possibility of lymphoma


His peripheral blood lymphocyte analysis revealed no s/l coronal populations.


 


yes, RICE, non-Hodgkin's lymphoma, and Cytoxan
Subject: yes, RICE, non-Hodgkin's lymphoma, and Cytoxan


...otherwise. CHOP protocol is used for lymphoma, not leukemia. nm
Subject: ...otherwise. CHOP protocol is used for lymphoma, not leukemia. nm

s
mantle cell lymphoma question
Subject: mantle cell lymphoma question

Dr. says what sounds like "stage IV E mantle cell lymphoma" and I have researched and can't find anything.  Help please!
Good catch on the MALT lymphoma, sassee.
Subject: Good catch on the MALT lymphoma, sassee.

I'll bet you are right. 
mantle cell lymphoma...chemotherapy 6 cycles with s/l cha-bar. nm
Subject: mantle cell lymphoma...chemotherapy 6 cycles with s/l cha-bar. nm

d
Patients with non-bulky follicular non-Hodgkin's lymphoma.
Subject: Patients with non-bulky follicular non-Hodgkin's lymphoma.


S/l teso-resbiso lymphoma treated to remission. nm
Subject: S/l teso-resbiso lymphoma treated to remission. nm


another guess - could the artron be Intron? for hepatitis, leukemia, lymphoma, melanoma....etc. nm
Subject: another guess - could the artron be Intron? for hepatitis, leukemia, lymphoma, melanoma....etc. nm


Somehow my message went down to the white count message below, please see that message. (nm)
Subject: Somehow my message went down to the white count message below, please see that message. (nm)

x
Would someone look at this and tell me if I am typing this right? TIA
Subject: Would someone look at this and tell me if I am typing this right? TIA

 


Adenosine ECG stress test


Baseline pre-Adenosine EKG reveals A sensed V pace versus V pacing


That is the way I have been typing.
Subject: That is the way I have been typing.

It just seems that they never dictate it as Hodgkin disease and it starts to make one wonder.
When I have come across that in typing
Subject: When I have come across that in typing

they dictate ex-fix as slang/abbreviation for external fixator. I have had that come up even with a brand name associated, but it was not as you posted above. I would assume it is slang.
especially like typing your instead of
Subject: especially like typing your instead of

you are.oops.
Thank you! How about typing 1st, 2nd, 3rd, or first, second or third?
Subject: Thank you! How about typing 1st, 2nd, 3rd, or first, second or third?


Would someone please tell me if I am typing the (e.g) correctly?
Subject: Would someone please tell me if I am typing the (e.g) correctly?


  1. I will see him back in three months to determine his LV systolic function by echocardiogram and then possibly consider other treatment (e.g.,  DC cardioversion and or pacing versus continued pharmacologic therapy.)

typing the staging
Subject: typing the staging

T1c-T2a NX MX

tumor staging is in the back of the stedman's oncology book
Been typing rad for yrs and have never used roman..
Subject: Been typing rad for yrs and have never used roman..

numerals.  Always arabic. 


However, you will see a variation on the typing of BIRADS depending on who you are typing it for.  The copyright lists it as BI-RADS, federal guidlines are supposed to dictate how it is typed but have worked for numerous centers that type it anywhere from BIRADS to BI-RADS to BiRADS.  Categories however should always be arabic (1, 2, 3, 4, 5 and 0)


I would say what you are typing is correct.
Subject: I would say what you are typing is correct.

Here is a definition that I found for isotype...

isotype. An immunoglobulin heavy or light chain class or subclass characterized by antigenic determinants (isotypic markers) in the constant region. Every normal individual expresses all of the isotypes of its species.

Pool would reflect that - to me...I could be wrong, but I, myself, would go with that you typed....Sorry I could not be more precise...
We WERE typing at the same time! I always
Subject: We WERE typing at the same time! I always

check to make sure there are no answers before I send one.
Typing a C-section OP sm
Subject: Typing a C-section OP sm

This incision was extended bilaterally using s/l Danish scissors. 
verbatim typing
Subject: verbatim typing

It would actually be "sub cu" with a space between the two, so I just learned in the last year since doing transcription for a bit over 20 years...lol..guess what it really comes down to is whatever QA thinks it should be,...but of course...she knows better than you...yeah right...NOT
Thanks. I have been typing it Aciphex
Subject: Thanks. I have been typing it Aciphex

for many years and no one has ever said anything. You always learn something new here. I will make a note of this.
Maybe not, been typing it for years though. nm
Subject: Maybe not, been typing it for years though. nm


been typing all day, tired and cannot think
Subject: been typing all day, tired and cannot think

I know this is stupid and I have typed it a million times but I am so tired right now I can't even think.  He says .... Myospan 500 mg ..... ?  Thanks. 
Typing numbers -
Subject: Typing numbers -

If they say "I wrote him for 38 Tylox"  I always put #38.  I think it is much more clear.  In some cases, someone could think it was a dosage amount.


XX


Think it is a docism. I myself have been typing it for so sm
Subject: Think it is a docism. I myself have been typing it for so sm

long I can't even remember!!  Did 4 years in a railroad hospital with lots and lots injuries, etc  All our ortho docs used it.
I'm typing rheumatology....
Subject: I'm typing rheumatology....

and this sentence is all I have to go by:

She was also given an intermittent course of s/l za-fax-in by her gastroenterologist.

He's very clear. There's a "z" sound at the beginning and a very clear "fax" in there. I've tried spelling zo-fax-en, zi-fax-in, etc., and even spelling with "x" at the beginning.

Thanks for your help.

mother typing?
Subject: mother typing?

Dr. states:  Patient has good understanding of English but his mothertying is Spanish.  Anyone ever heard of this?
What exactly are you typing, and if we could have the whole sentence, thanks...
Subject: What exactly are you typing, and if we could have the whole sentence, thanks...


I think we were typing that at the same time! thanks! :)
Subject: I think we were typing that at the same time! thanks! :)


2 nil incision? typing ?
Subject: 2 nil incision? typing ?

 


A launch "2 nil" incision was fashioned along the anterior portion of the common bile duct


&


 


A "#10 JP drain" was placed in the Morrison's pouch.


 


How do I type the #10 JP drain? and things like A 2 O self-suture?


typing numbers like 3rd, 4th
Subject: typing numbers like 3rd, 4th

When typing >>>>>The first, second and third portions>>> do you spell it out or do you put it as 1st, 2nd and 3rd portions of the stomach?
That's what I ended up typing. Thanks!!! nm
Subject: That's what I ended up typing. Thanks!!! nm