What the heck am I thinking?
Posted By: MT50 on 2008-01-02
In Reply to: bared - MT50
Subject: What the heck am I thinking?
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What the heck...
Subject: What the heck...
I know I should know this, lol. Doc is talking about increasing meds to a dosage, and the word he is using sounds like tertiary or peturtiary......anyone have a clue? TY 
OK, how the heck do you do this one?!?
Subject: OK, how the heck do you do this one?!?
In an ER report I'm doing there is this line....
The patient states, "I don't want an Fing CAT scan, I just want to go home".
Um, how do you transcribe F ing? Not the actual word but Fing. is it Fing f'ing
'f' ing? 
What the heck
Subject: What the heck
is a Promethia test?? Arggg! I hate this $#* account that I'm not familiar with. :) Patient had an ERCP and this S/L Promethia was one of the recommendations.
What the heck happened..LOL. I put...
Subject: What the heck happened..LOL. I put...
How do you type 5Ɖ" 220 lbs or pounds...tia.
I am having heck with this roux-en-y
Subject: I am having heck with this roux-en-y
This one sounds like endo GIA with "Sim" guard and 25 mm "Orville" through the mouth. thanks so much!
trying to think of what the heck tree-eyen could be LOL nm
Subject: trying to think of what the heck tree-eyen could be LOL nm
Thanks, just found that one too, the second is puzzling as heck! sm
Subject: Thanks, just found that one too, the second is puzzling as heck! sm
As you can tell by Asacol, patient also has colitis, which she forgets to mention until later Aaaahh!
what the heck happened there? Should read 14.6 thousand !! nm
Subject: what the heck happened there? Should read 14.6 thousand !! nm
x
Yeah, I saw that. Believe me I googled the heck out of every possible spelling. Marked it for him a
Subject: Yeah, I saw that. Believe me I googled the heck out of every possible spelling. Marked it for him and moved on. Have a good night!
nm
Just for the heck of it, can you hear "lapses in short-term memory"?
Subject: Just for the heck of it, can you hear "lapses in short-term memory"?
x
Simply Read or Red - what the heck is this? Some laboratory test - can't find anything on Google
Subject: Simply Read or Red - what the heck is this? Some laboratory test - can't find anything on Google
x
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  ...
I was thinking that too! Thanks!
Subject: I was thinking that too! Thanks!
Thank you for your input!!!
That's what I'm thinking..sm
Subject: That's what I'm thinking..sm
This client requires headings whether or not dictated, so I wanted to make sure I'm correct.
Anyway, I have always typed it under abdomen, but I went looking to make sure, and I did find it in a sample report with it listed under back.
However, I just found a very good article called "Varney's Midwifery" that says it is part of the abdominal exam.
Thanks!
That's what I was thinking.
Subject: That's what I was thinking.
Most of the references I found say that if a patient is unable to consent to surgery, two doctors can sign the consent form on the patient's behalf. I am just not sure if the dictators mean double-doctored or double-documented when they say double doc'd. I do all ops, so it comes up fairly often.
that's what i was thinking too - nm
Subject: that's what i was thinking too - nm
I was thinking that too . . .
Subject: I was thinking that too . . .
He is in rare form today. I think he meant to say compression but it honestly sounds like inspriation. Sigh*** I mightjust sent it through with a flag.
not thinking-- thanks!!
Subject: not thinking-- thanks!!
nm
thanks, that is what I was thinking also. nm
Subject: thanks, that is what I was thinking also. nm
nm
thinking...
Subject: thinking...
The left wrist is inspected showing there to be a visible soft tissue swollen area of the dorsal wrist closer to the radial aspect of the wrist. It is approximately 3 cm in diameter. Mobile tender to palpation and consistent with the ganglion cyst.
I was thinking a comma should go after diameter and before mobile. (where I have a period) What do you think?
I was thinking that too until...
Subject: I was thinking that too until...
...a couple of lines down he said the patient was circumcised. This guy completely rambles. I really didn't know about hair tourniquets until tonight's dictation. (Now If only I could forget the mental image!) Thanks for taking time to answer--this newbie appreciates it.
I was thinking
Subject: I was thinking
false lumen, but that when googled is associated it looks mostly with aorta. Unless you think they could be talking about the abdominal aorta???
that's what I was thinking, but
Subject: that's what I was thinking, but
I'm hearing a "cis" sound in the middle of the word. He also says it again part way down in the report. He says EG junction is 35 cm from the _______ orifice.
Thanks.
Thanks!. That's what I was thinking too.
Subject: Thanks!. That's what I was thinking too.
That's what I was thinking... : - )
Subject: That's what I was thinking... : - )
was thinking that but SM
Subject: was thinking that but SM
there wasnt any mention of the drug at any other part of the report and the word starts with a K or a C.
That's what I was thinking...
Subject: That's what I was thinking...
But I couldn't find anything that came close to matching what it sounds like she's saying.She has an accent which doesn't help at all.
I'm thinking maybe...
Subject: I'm thinking maybe...
...lateral compartment/unicompartmental
thinking 6-mercaptopurine nm
xx
I'm thinking PTCA
Subject: I'm thinking PTCA
I was thinking the same thing
Subject: I was thinking the same thing
I've never heard of anyone being rushed to the ER to be given chemotherapy before.
I'm thinking in reference to
Subject: I'm thinking in reference to
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