WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm
Posted By: ? on 2009-05-16
In Reply to: Diastasis recti enerdendration? - Pugmom
Subject: WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm
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Diskal herniation or distal herniation (rule out HNP). Thanks (nm)
dd
Ashoff pinwheel? handwriting?
Subject: Ashoff pinwheel? handwriting?
His handwriting specimen and s/l Ashoff’s pinwheel showed a rhythmical fast low-amplitude tremor.
Thanks for any help.
Distal herniation
distal herniation
Is it L5/S1 or L5-S1 disk herniation?
Subject: Is it L5/S1 or L5-S1 disk herniation?
Is it written with a slash or dash???
Thanks!
"hunkle" herniation?
Subject: "hunkle" herniation?
Here is the sentence...sounds like she says "hunkle" herniation???
An MRI done on September 11th showed a 6.2 cm, necrotic mass in the right temporal lobe with a 12 mm shift and moderate, right "hunkle" herniation
Paracentral disc herniation perhaps.
Subject: Paracentral disc herniation perhaps.
paracentral disc herniation
Subject: paracentral disc herniation
nm
pretty simple disk herniation
Subject: pretty simple disk herniation
sounds like right ***parameanial*** disc herniation
Subject: sounds like right ***parameanial*** disc herniation
could be "to prevent" future herniation
Subject: could be "to prevent" future herniation
thoracic or cervical disc herniation
Subject: thoracic or cervical disc herniation
nm
I think your doc has been reading
Subject: I think your doc has been reading
too much Harry Potter. I think there are Lamentors in there.
No wait, those are Dementors.
Never mind.
reading of an x-ray sm
Subject: reading of an x-ray sm
His zygomatic frontal and zygomatic temporal bones ? are all intact
I bet it is reading! nm
Subject: I bet it is reading! nm
,,
I would go with "and."
Subject: I would go with "and."
Either the way you have it or use "and"
Subject: Either the way you have it or use "and"
x
I don't think the "and" is necessary -
Subject: I don't think the "and" is necessary -
those are the upper sacroiliac joints.
Yes, use the "and." SIJ is different from
Subject: Yes, use the "and." SIJ is different from
x
He is reading from a list sm
Subject: He is reading from a list sm
that the patient wrote so I feel sure that is it. Thanks!
I believe you are reading it wrong sm
Subject: I believe you are reading it wrong sm
There is a comma between tics and the next item so tics and spasm are separate items.
Reading the article below it seems to dB
Subject: Reading the article below it seems to dB
The relationships among visual acuity (log MAR), diagnostic category, age, the magnitude of a relative afferent pupillary defect (RAPD) in log units, photopic foveal thresholds to white and colored light (dB), and the mean deviation on the Humphrey visual field (dB) were studied in patients with various optic neuropathies. All acuity and dB values were expressed as interocular differences, the majority of cases having normal acuity in the fellow eye. In multiple regression analyses, acuity and RAPD were alternately chosen as the dependent or response variable with all remaining variables serving as the predictors or independent variables. The main finding was that the only significant predictor of a RAPD was the interocular mean deviation difference on the Humphrey field and the only significant predictor of acuity was the foveal threshold to white light. Redundant and insignificant variables were therefore identified with multiple regression analysis. Subsidiary findings include: (a) although diagnostic group was not a significant predictor in the above, simple linear regression line slopes relating RAPD magnitude to the Humphrey mean deviation were significantly different between optic neuritis and compression categories; (b) for a given level of acuity, foveal thresholds were substantially worse in these cases with neuronal damage than in strabismic amblyopia, refractive error, or corneal damage; and (c) sensitivity losses for red vs. blue light were similar...
Perhaps he is reading what the patient
Subject: Perhaps he is reading what the patient
incorrectly wrote down in place of Maxalt. That's not so uncommon. I'd leave a blank.
Can a lab reading be "small"??
Subject: Can a lab reading be "small"??
Patient is having high blood sugar and in her labs, dictator says something that s/l "serum acetone small." Is this right or am I crazy?
Hmm after reading the dictation again, you may be right...sm
Subject: Hmm after reading the dictation again, you may be right...sm
Mohs does make sense, he does say with negative results, and this was done some time after the p63, TTF-1, etc. THANK YOU for that great point! My brain is so done today.
Reading your sentence I would think sm
Subject: Reading your sentence I would think sm
That the EEC is enteropathic E. coli due to the anxiety.
He may be reading from what the pt wrote
Subject: He may be reading from what the pt wrote
My doctor does that. He reads the drug as it was incorrectly written by the pt or the medical assistant. I have to look at the PMH to figure it out.
Could doc being saying "and as well as" paraspinal...? sm :)
I took out my huge A&P book(from a prenursing course), and could not find muscles with a similar sound. The muscles I found near the thoracic vertebrae were trapezius, levator scapulae, supraspinatus and infraspinatus.
Could it be "and Tisseel"
Subject: Could it be "and Tisseel"
nm
may be "and diphteroid" nm
Subject: may be "and diphteroid" nm
nm
probably "and cardia"
Subject: probably "and cardia"
The cardia (or esophagogastric junction[1][2] or gastroesophageal junction[3][4][5][6]) is the anatomical term for the junction orifice of the stomach and the esophagus. At the cardia, the mucosa of the esophagus transitions into gastric mucosa.
could this be "involving" instead of "and ..."
Subject: could this be "involving" instead of "and ..."
multiple fractures involving the second toe. (ESL?)
That's it! "And" sounded like "N". Thank you very much!
Subject: That's it! "And" sounded like "N". Thank you very much!
I would make it 1 with an "and" between
Subject: I would make it 1 with an "and" between
x
If he said "and" then no, I would not hyphenate it.
Subject: If he said "and" then no, I would not hyphenate it.
x
cardiology, echo reading
Subject: cardiology, echo reading
The aortic valve appears to be a s/l tri-commish-er valve with fusion of one s/l commish-er and acts as a bicuspid aortic valve.
he is pretty clear with both of these, but I cannot verify either one. Thanks!!
How is this being treated or is this an xray reading? nm
Subject: How is this being treated or is this an xray reading? nm
s
Blood Pressure Reading
Subject: Blood Pressure Reading
I had a doctor who did this also, and the person who QA'd my report told me to put it just like you have it except told me to use 120/80 without the "s".
Blood glucose reading, please sm
Subject: Blood glucose reading, please sm
Doc is saying "patient went back on Metaglip and now his sugars are around *100 mg percent*. I've never heard that, just sugars around 100 or whatever, no "mg percent". Thanks for any help!
reading that, it sounded rude. sm
Subject: reading that, it sounded rude. sm
I did not mean it that way. Again, just a pet peeve of mine.
I wonder if it could be Protonix "and Lomotil"? nm
Subject: I wonder if it could be Protonix "and Lomotil"? nm
any chance?
I would guess "marking pen" and maybe "and um" or something else after.
Subject: I would guess "marking pen" and maybe "and um" or something else after.
"and TMs" (tympanic membranes) nm
Subject: "and TMs" (tympanic membranes) nm
"as well as" does not equal "and"
Subject: "as well as" does not equal "and"
i.e., the phrase isn't a conjunction and doesn't get treated the same way in a sentence. So your first choice is correct. I find that a lot of docs dictate w, x, y as well as z. I always change this to w, x and y as well as z.
Good catch.
"as well as" does not equal "and"
Subject: "as well as" does not equal "and"
i.e., the phrase isn't a conjunction and doesn't get treated the same way in a sentence. So your first choice is correct. I find that a lot of docs dictate "w, x, y as well as z." I always change this to w, x and y as well as z.
Good catch.
possibly "and conical"?
Subject: possibly "and conical"?
maybe saying urticaria "and" dermatitis ??
Subject: maybe saying urticaria "and" dermatitis ??
Bet the doctor is reading off the patient's list that sm
Subject: Bet the doctor is reading off the patient's list that sm
the patient wrote him/herself. When they can't tell what it is, they often spell it the way the patient did. I'd leave a blank and make a note with the doctor's spelling if you've already researched the term and found nothing to verify it. I found nothing in my Drake. I never trust a doc's spelling of ANYTHING!!
Bet the PA is reading the patient's history sheet. sm
Subject: Bet the PA is reading the patient's history sheet. sm
9 times out of 10 it is arthroscopy and meniscectomy.
Is this a follow up to lab work or reading a film, etc.? nm
Subject: Is this a follow up to lab work or reading a film, etc.? nm
s
I always enjoy reading your replies. Thanks for the info also!
Subject: I always enjoy reading your replies. Thanks for the info also!
reading med list says Toprol, B6?, Protonics..is B6
Subject: reading med list says Toprol, B6?, Protonics..is B6
B6 is okay?
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