Urgh! I'll keep thinking. sm
Posted By: Mo on 2007-05-17
In Reply to: Mo, good guidance. I actually have the def. of E BY U in message to help. sm - grace
Subject: Urgh! I'll keep thinking. sm
if I can come up with any other ideas, will let you know. Glad you have more info in report body... let us know if/when you figure it out cuz now it's bugging me LOL!!!
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All I can think of is injected in PE with cold/allergies, etc., I'll keep thinking! NM
Subject: All I can think of is injected in PE with cold/allergies, etc., I'll keep thinking! NM
nm
I'll be thinking twice before buying Bug Juice flavored drinks
Subject: I'll be thinking twice before buying Bug Juice flavored drinks
x
cardio now................URGH
Subject: cardio now................URGH
On 10/07/05, off pump quadruple coronary artery bypass grafting (left internal mammary artery emulon reverse saphenous vein graft).
ANy ideas of the emulon?
Thank you - I'll think I'll do that instead of the abbreviations. - NM
Subject: Thank you - I'll think I'll do that instead of the abbreviations. - NM
NM
I'll try to help you, but...
I agree with the other poster. I mean this in the nicest way possible, so please don't take this wrong. A little research could have answered these for you. Here goes anyway...Astelin nasal spray, Scalpacin, ranitidine (you had this one right, googling it would have confirmed it), Feldene, bupropion hydrochloride, and Temovate (this one may not be what you need, google for more info).
If you don't have drug reference books, Quick Look Drug Book is a great book. Also, you can go to www.fda.gov and then click on drugs, and it will take you to the drugs@fda site, which is great because you can enter just 3 letters of the word. Also, if you know what the drug is used to treat, type in that condition in google, and you can often find several drugs listed for that condition. For example, "stop smoking medications" will pull up bupropion hydrochloride.
Good luck!
.
okay I'll go first
Subject: okay I'll go first
I type them, even though they come up on spell check. I have never had a report back with any of those types of words corrected. If the doc says it, I type it and the docs seem to do that a lot these days.
I'll try that, Thank you.
Subject: I'll try that, Thank you.
Thanks ya'll!!
Subject: Thanks ya'll!!
Thanks, I'll do that.
Subject: Thanks, I'll do that.
THANKS -- I'll bet that is it. nm
Subject: THANKS -- I'll bet that is it. nm
x
I'll take it and run with it. Thanks! nm
Subject: I'll take it and run with it. Thanks! nm
s
Thank You - I'll do that - NM
Subject: Thank You - I'll do that - NM
NM
Okay, thanks, I'll try it.
Subject: Okay, thanks, I'll try it.
nm
HA - I'll bet that was it...
Subject: HA - I'll bet that was it...
I had to send it, but that must be it - THANKS!! Future reference. :)
You'll never believe.......
Subject: You'll never believe.......
it turned out to be ASCENDING aortic aneurysm....... would help if he spoke a bit clearer..................
THANKS!
I'll take that, thanks
Subject: I'll take that, thanks
Yes, I'll bet thats what it was; unfortunately...sm
Subject: Yes, I'll bet thats what it was; unfortunately...sm
a already sent the report in with a blank. Thanks though!
I think ya'll are right. Thx.
Subject: I think ya'll are right. Thx.
Thanks - I'll take it and run! nm
Subject: Thanks - I'll take it and run! nm
x
I'll add to this sm
Subject: I'll add to this sm
I was trained to do acute care, but spent 7 yrs doing clinic work. It IS a different ball game. I am frequently surprised by what I remember of my coursework and how often I use it, which is actually quite a lot. Then again, most of what I know is through a lot of time and hard work in this profession.
I took a job earlier that year on an account with 80% ESLs. This was the last major challenge I had waiting for me in this career (heavy ESLs are not everyone's cup of tea). I can do the most difficult and intricate of OP notes, but I wanted to continue to learn and grow. The ESL doctors have taught me a lot and sharpened my ear.
That is the thing about this business. There are many different types of work and many different ways in which it gets accomplished. Some of us have excellent ears and ESLs are fun for us. Some of us need the same set of doctors day in and day out, whereas others of us would be bored stiff with this. Some like acute care, some like clinics and some like both.
The knowledge comes over time. If you are as fortunate as I have been and have access to several excellent, accomplished and fast-answering MTs, you learn more and you learn it more quickly. People like MT50 are invaluable...to me too!
I'll bet you are right! Thank you!
Subject: I'll bet you are right! Thank you!
I looked up Allen-Masters syndrome, and it seems to fit the preoperative diagnosis of pelvic pain. He clearly says Masterson, though, so I'm afraid he'll get a blank for that part.
I'll look that up. Thanks :)
Subject: I'll look that up. Thanks :)
I was searching meds that started with et or at as well. I thought I heard a vowel before the t but could not be sure he was saying "a" then the name of the med or if the med started with a vowel. This doc likes to ramble and add lots of a's, um's and and's.
Thanks for your help :)
That's probably it. I'll look it over.
Subject: That's probably it. I'll look it over.
I'll keep it in-thank you! nm
Subject: I'll keep it in-thank you! nm
thanks!
LOL - I'll let the doc know!
Subject: LOL - I'll let the doc know!
I'll go with that - Thanks!
Subject: I'll go with that - Thanks!
I'll try.
Subject: I'll try.
I'll try to help. What is the body system or section?
Yes, I think I'll go with that. TY!!!
Subject: Yes, I think I'll go with that. TY!!!
I'll try.....
Subject: I'll try.....
Hemostasis with Bovie electrocautery was obtained in satisfactory condition.......mumble, mumble, mumble.....GRRRRR!
Have you? I'll go with it then. TY!
Subject: Have you? I'll go with it then. TY!
I'll bet he's saying
Subject: I'll bet he's saying
plan on treating empirically for his constipation.
still thinking
Subject: still thinking
Turns out that the patient is having very high fevers giving impression of left lower lobe pneumonia. Came across a brand name of a drug used in mouthwash called Advexin. They were talking about oral cancers...but then cross-referenced on http://www.pharma-lexicon.com/ and found (generic Mepron) atovaquone, classified as an anti-infective used in both adults and children who are at risk for PCP with initial doses of 750 mg per 5 mL. Since Hodgkin's lymphoma and bone marrow transplant would put this girl in a severely immunocompromised state, I would bet they are giving her a pretty hefty dose of the stuff. Atovaquone it is.
Thanks for helping me.
Thanks, I was thinking along
Subject: Thanks, I was thinking along
those lines, just wanted a second opinion. :-)
that's actually what I was thinking too - nm
Subject: that's actually what I was thinking too - nm
x
Tks. I kept thinking there is another
Subject: Tks. I kept thinking there is another
Like ...there were lewes....or something. You are probably right, and I finally found it in stedman's and it says *sternal angle* and that seems to fit the way the doctor used it. Thanks again.
that's what i am thinking
Subject: that's what i am thinking
I was thinking along the lines of this from the begining....compression over lower extremities.....just wish I didn't hear otherwise! (I hate Monday's)
That's exactly what I was thinking
Subject: That's exactly what I was thinking
but I have this doc all the time and she's never dictated time like that before, so I just wasn't sure. Thanks to all who replied.
I was thinking that too...I'd have to say it was:
Subject: I was thinking that too...I'd have to say it was:
Past history notable or is notable for ______.
That's what I was thinking..maybe she
Subject: That's what I was thinking..maybe she
just got ahead of herself when dictating it in the assessment..because I definitely didn't hear an itis at the end...just a gingival or gingivo sound.
Thanks
that is what I am thinking..thanks
Subject: that is what I am thinking..thanks
What was I thinking
Subject: What was I thinking
of course, para anything with twins, triplets, etc. Thanks for fixing my answer!
I'm thinking it's probably
Subject: I'm thinking it's probably
R&M for "routine and microscopic"
That's what I was thinking, too.
Subject: That's what I was thinking, too.
.
I am thinking it
Subject: I am thinking it
may be (LIMA) or left internal mammary artery ..... of course you are hearing it.
That's what I was thinking...
Subject: That's what I was thinking...
but was unsure. It's an ESL doctor and she says it twice. It doesn't really sound like there is an F in the pronunciation, though.
that's what I was thinking.
Subject: that's what I was thinking.
That is what I have been doing but I guess I just wanted extra reassurance! Thanks.
I am thinking that is what she must be saying. Thanks. nm
Subject: I am thinking that is what she must be saying. Thanks. nm
I am thinking it might be SM
Subject: I am thinking it might be SM
some kind of rowing exercise...____ rows, but I can't come up with anything better than that.
Thanks, I was thinking that or 0.1. nm
Subject: Thanks, I was thinking that or 0.1. nm
xxx
I was thinking that myself, but just not sure so I sent to QA
Subject: I was thinking that myself, but just not sure so I sent to QA
I was thinking the same, but (sm)
Subject: I was thinking the same, but (sm)
why would he dictate this along with vital signs? Seems strange  ...
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