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Way to go, XanaX!! my head is as foggy as London right now...sm

Posted By: Cyndiee on 2008-11-19
In Reply to: Amphotericin B Triapine ??? - XanaX

Subject: Way to go, XanaX!! my head is as foggy as London right now...sm

started at 6:00 am, double shift!


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Lordy!! All I can think of is Xanax or Xanax XR? nm
Subject: Lordy!! All I can think of is Xanax or Xanax XR? nm


Nevermind! Killian incision finally popped in the old foggy brain.
Subject: Nevermind! Killian incision finally popped in the old foggy brain.

xx
Could it be Xanax 0.5 mg? nm
Subject: Could it be Xanax 0.5 mg? nm

s
Maybe Xanax? nm
Subject: Maybe Xanax? nm

x
Xanax
Subject: Xanax


XanaX
Subject: XanaX

Caspar
Thank you, XanaX
Subject: Thank you, XanaX

This dictator is a notorious word-shortener-upper.  I should have figured it out myself, especially where it went in the report.  Thanks so much!
Thank you, XanaX. Appreciate it.
Subject: Thank you, XanaX. Appreciate it.


Thanks so much XanaX -- I think that's it.
Subject: Thanks so much XanaX -- I think that's it.


Thanks XanaX!
Subject: Thanks XanaX!


So true! XanaX CAN do that!
Subject: So true! XanaX CAN do that!

.
Is Xanax 5 mg b.i.d. a customary dose of this?
Subject: Is Xanax 5 mg b.i.d. a customary dose of this?

Just wondering, I am used to transcribing 0.5 mg or 1 mg, 2 mg at the most but I have a resident saying 5 mg b.i.d.  I'm not a doctor so I don't want to pretend I know better, but would you flag this to be sure it was 5 and not 0.5 if you were me?   Maybe they do prescribe as high as 5 mg and just because I have never typed that high of a dose doesn't mean anything, but I always worry, same as when they dictate mg for something that I'm used to typing mcg.  Any opinions?
s/l cynex, definately not Xanax
Subject: s/l cynex, definately not Xanax

dictator said:  she denied initially how her urine became positive for amphetamines and stated that she does not know how that happened.  She later revealed in a core occuring group that she was taking s/l cy-nex or cinex and that she knew that meth had been placed in the Cinex bottle.  TIA
XanaX is correct please disregard
Subject: XanaX is correct please disregard

newbieD's answer. Using "neuroforamen" is a very common mistake. This is a made-up word. The correct way to transcribe it is "neural foramen."
maybe alprazolol (Xanax) and mirtazepine (Remeron) /nm
Subject: maybe alprazolol (Xanax) and mirtazepine (Remeron) /nm

.
CT head/esl doc
Subject: CT head/esl doc

CT brain showed central s/l "cortical and cerebellar" involutional changes, old infarct in the territory of the anterior s/l "BR" of the left middle cerebral artery.


Not sure on the wording in first one.  I am coming up with a blank on the second.


Ha ha! This doc is exactly enough of a bu**head to say this... (sm)
Subject: Ha ha! This doc is exactly enough of a bu**head to say this... (sm)

Thanks! I bet that's it!
CT of the head
Subject: CT of the head

The patient has a history of a remote-appearing lacunar infarct within the left frontal lobe adjacent to the left frontal horn of the left lateral ventricle and mild periventricular white matter chronic small-vessel disease on CT scan of the head without contrast.


I am just concerned with the ..periventricular white matter chronic small-vessel disease


How would you type this? the doctor just says it without any pausing.


ahhhhhhh!


s/l CVC of the head was done???
Subject: s/l CVC of the head was done???


Head. Thank you!
Subject: Head. Thank you!

xx
Help! Head CT. SM
Subject: Help! Head CT. SM

Elderly patient with transient alteration of awareness.  It reads:


"Minor periventricular areas of low attenuation without definite evidence of s/l TRANS-UH-TIN-UH-MUL flow CSF to suggest acute hydrocephalus."


HEAD CT
Subject: HEAD CT


I am have troubles filling in the blanks here, can anyone lead me in the right direction?


HEAD CT


Contiguous axial image was obtained from base of the skull to the vertex without (intravenous) IV contrast. Multiple regions of decreased density are seen in the right and left internal capsule. There is no evidence of benign shift, common mass effect or (avastment) of cell _______intervals or cisterns. The cell _____intervals are_________ . Inspections of _________was unremarkable.


HEAD CT
Subject: HEAD CT


IMPRESSION


1. Multiple regions of low density in both sides of internal capsule. (cannot understand this word) represent old white matter infarcts.


head?
Subject: head?


CT of Head.
Subject: CT of Head.

Does this sound right: ...effacement of sulci, ventricles, or cisterns. Inspection of (bone or brain?) windows are unremarkable.
Head laceration still.
Subject: Head laceration still.

Doctor is referring to s/l "Harrow" arterial bleeders being cauterized.  Can't find anything on this either?


 


Head CT scan.
Subject: Head CT scan.

Head CT scan per verbal report from the radiologist is that the patient has very large subdurals bilaterally. The largest component of these are chronic subdurals. Some small, newer, subdurals are also seen. This is causing some effacement of the __________ (s/l girye)


 


caudad, towards the head end of something
Subject: caudad, towards the head end of something

s
head at spines -7
Subject: head at spines -7


help on MRI of the head results
Subject: help on MRI of the head results

The patient had an MRI with gadolinium of the head.  I'm having some trouble understanding the results because this is unfamiliar to me.  She is a cancer patient with metastatic melanoma and the MRI was ordered due to severe vomiting and blurry vision.  He says the MRI "revealed no definite metastatic disease, significant [s/l hypotense? maybe hypodense or hypertensive?] [s/l mara signal?] of the cervical spine of unclear significance, heterogeneous [s/l coabnormality?], for which in matter of fact these cannot be excluded."  That last phrase sounds a little weird too, but I'm pretty sure that's what he says.  Any ideas?
from the ipsilateral head
Subject: from the ipsilateral head

nm
Thank you! That is it! It just was not clicking in my head.
Subject: Thank you! That is it! It just was not clicking in my head.

nm
Thanks for the info. Never head them from our FPs. nm
Subject: Thanks for the info. Never head them from our FPs. nm


lol maybe his head is up his butt!
Subject: lol maybe his head is up his butt!


head trauma
Subject: head trauma

The patient had head trauma and a few months later was found to have a s/l flabomorphit adenoma.


This is an Asian dictator who is very difficult to understand.  Any help would be appreciated.


I think you two got it. You know its there in your head you just can't extract it!
Subject: I think you two got it. You know its there in your head you just can't extract it!

..
banging head here
Subject: banging head here

That's my DUH for the week! Thanks!
Not unless the patient has his head up his @ss nm
Subject: Not unless the patient has his head up his @ss nm

.
Head exam: See
Subject: Head exam: See

"An s/l OMIRE reservoir is present on the left side of the patient's scalp."
Head injury
Subject: Head injury

S/L copidus calluseium ???


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Subject: New at this, but could it be "of her head"?


Of course! Where's my head today! LOL Thanks
Subject: Of course! Where's my head today! LOL Thanks


titribation of his head?
Subject: titribation of his head?

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titubation of head?
Subject: titubation of head?

could it be titubation of his head
trauma to the head?
Subject: trauma to the head?


humeral head. nm
Subject: humeral head. nm


Head: S/L no other symmetries are seen
Subject: Head: S/L no other symmetries are seen

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I have head that dictated before.
Subject: I have head that dictated before.

He's probably referring to a weak tendon, with no strength.
here are some examples off the top of my head.
Subject: here are some examples off the top of my head.

CMP (or electrolytes, SMA) - sodium, potassium, chloride, CO2 (or bicarb), BUN, creatinine, glucose, and calcium.

PT, PTT, INR.

Troponin, CK, CK-MB.
Think you just need Trendelenburg position (head down) here. nm
Subject: Think you just need Trendelenburg position (head down) here. nm

s
CT of head shows a lacune?
Subject: CT of head shows a lacune?

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