Word help - see message.
Posted By: Dewglo on 2007-01-18
In Reply to:
Subject: Word help - see message.
This one's stumping me after 15 years of experience... medical student dictating a report on social history:
The patient drinks one martini a day. The patient denies tobacco use. The patient denies ___________ (s/l - no kidding - really - "beetle nuts.")
Diagnosis is squamous cell carcinoma of the mouth - ENT tumor board report. Thought it could be something to do with chewing tobacco - something of that nature, definitely not saying "drug abuse."
Any ideas? I did leave a blank, but I'm hoping someone might put my mind back on the right page... beetle nuts? Give me a break. 
Thanks in advance for any ideas.
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Can't think of what word to use. Please see message.
Subject: Can't think of what word to use. Please see message.
He says he will try to give her samples as much as possible to make up for the s/l *underage* (not under age) of what the insurance allows her per month. This isn't a verbatim account, so I can use another word, but I just can't think of what to use.
Word Board won't let me ask this, please see message
Doctor is using what sounds like a varidated sponge to scrub an arm before surgery. What is the sponge??? (TIA)
Cor is another word for heart. see message
Subject: Cor is another word for heart. see message
cor
The muscular organ that maintains the circulation of the blood. C. Adiposum a heart that has undergone fatty degeneration or that has an accumulation of fat around it, also called fat or fatty, heart. C. Arteriosum the left side of the heart, so called because it contains oxygenated (arterial) blood. C. Biloculare a congenital anomaly characterised by failure of formation of the atrial and ventricular septums, the heart having only two chambers, a single atrium and a single ventricle and a common atrioventricular valve. C. Bovinum (L. Ox heart) a greatly enlarged heart due to a hypertrophied left ventricle, also called c. Taurinum and bucardia. C. Dextrum (L. Right heart) the right atrium and ventricle. C. Hirsutum, c. Villosum. C. Mobile (obs.) an abnormally movable heart. C. Pendulum a heart so movable that it seems to be hanging by the great blood vessels. C. Pseudotriloculare biatriatum a congenital cardiac anomaly in which the heart functions as a three chambered heart because of tricuspid atresia, the right ventricle being extremely small or rudimentary and the right atrium greatly dilated. Blood passes from the right to the left atrium and thence disease due to pulmonary hypertension secondary to disease of the lung or its blood vessels, with hypertrophy of the right ventricle.
Is untorsed a word? See sentence in message.
Subject: Is untorsed a word? See sentence in message.
Enlarged right ovarian cyst, measuring approximately 8 cm, untorsed and pink in nature.
Yes, as the first word of a sentence or leading heading, you would capitalize. .. see message
Subject: Yes, as the first word of a sentence or leading heading, you would capitalize. .. see message
The following is taken from the Centers for Disease Control website also... note in the middle of the sentence, gray is not capitalized. :)
Primer on Radiation Measurement
In the aftermath of a radiological emergency the public will see radiation and its potential hazards described in many different and sometimes confusing ways. This primer is intended to help journalists and community leaders understand these terms.
Activity or radioactivity is measured by the number of atoms disintegrating per unit time. A becquerel is 1 disintegration per second. A curie is 37 billion disintegrations per second, which is the number of disintegrations per second in 1 gram of pure radium. A disintegrating atom can emit a beta particle, an alpha particle, a gamma ray, or some combination of all these, so becquerels or curies alone do not provide enough information to assess the risk to a person from a radioactive source.
Disintegrating atoms emit different forms of radiation–—alpha particles, beta particles, gamma rays, or x-rays. As radiation moves through the body, it dislodges electrons from atoms, disrupting molecules. Each time this happens, the radiation loses some energy until it escapes from the body or disappears. The energy deposited indicates the number of molecules disrupted. The energy the radiation deposits in tissue is called the dose, or more correctly, the absorbed dose. The units of measure for absorbed dose are the gray (1 joule per kilogram of tissue) or the rad (1/100 of a gray). The cumulative dose is the total absorbed dose or energy deposited by the body or a region of the body from repeated or prolonged exposures.
Alpha particles, beta particles, gamma rays, and x-rays affect tissue in different ways. Alpha particles disrupt more molecules in a shorter distance than gamma rays. A measure of the biologic risk of the energy deposited is the dose equivalent. The units of dose equivalent are sieverts or rem. Dose equivalent is calculated by multiplying the absorbed dose by a quality factor.
Sometimes a large number of people have been exposed to a source of ionizing radiation. To assess the potential health effects, scientists often multiply the exposure per person by the number of persons and call this the collective dose. Collective dose is expressed as “person-rem” or “person-sieverts.”
Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy.
Subject: Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy. Tks
PET SCAN 03/08/08: Reveals intense hypermetabolism corresponding to the mass in the left mid lung field posteriorly, abutting in the left major fizure predominantly in the superior segment of the left lower lobe. This same type of metabolism corresponding to the right middle lobe pulmonary nodule previously noted activity in the lower neck anteriorly (06/28/06) has since resolved.
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
forgot my message. Please see message
Subject: forgot my message. Please see message
anterior mediastinum
Anterior mediastinum, the narrow region between the pericardium and the sternum containing the thymus or its remnants, some lymph nodes and vessels and branches of the internal thoracic artery.
oops got it I think. no message/see message NM
Subject: oops got it I think. no message/see message NM
Might be stumbling over the word "gross" and repeating the word gross visual fields.
Subject: Might be stumbling over the word "gross" and repeating the word gross visual fields.
one word in Stedman's cardiology and The Surgical Word Book
Subject: one word in Stedman's cardiology and The Surgical Word Book
Help with word; unable to post on word board
Anyone heard of osseous cartilagenous OSCAL benign biopsy?
It's a real word, with cholera being the root word. nm
Subject: It's a real word, with cholera being the root word. nm
s
Can you hear the word "on" before the word inspiration?
Subject: Can you hear the word "on" before the word inspiration?
pan- is a prefix, so it is part of the word, not a separate word
Subject: pan- is a prefix, so it is part of the word, not a separate word
basic grammar here
If you read the first poster's question word for word,sm
Subject: If you read the first poster's question word for word,sm
she was looking for the plural form of decubitus, saying she got stumped by it. I responded very simply to that. I did not feel I needed to correct her use of "pleural" as was not her question and just quickly wanted to help her, and checked my medical references to do so. I pointed out that there are no plural form for decubitus. This is all correct. What is your problem. I was trying to help an MT with correct and verfified medical transcription help, now I know why I stay away from any message boards, always someone who wants a fight. Whatever.
After the word marked, it may souond like the next word begins with a d.
Subject: After the word marked, it may souond like the next word begins with a d.
What is the word before Nare-A. The other word is ballottable.
Subject: What is the word before Nare-A. The other word is ballottable.
word endings word list?
Has anyone seen any kind of lists dealing with word endings? I've often thought I wanted to create one. You know the doctor who dictates "mhmmpfectomy", etc. Surely someone else must have felt this way too?
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If you buy some good dictionaries, you won't need BOS.
Get yourself a good medical dictionary and look up Chlamydia/chlamydia
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The word "chlamydia" is the genus and is only capitalized if it is followed by the name of the family. This per Dorland's Medical Dictionary. If the word "chlamydia" is not followed by the family name, the word is not capitalized.
Please see message.
I do not mind helping people with their questions, but would appreciate if you could give a little more context when asking. Perhaps a sentence or two containing the s/l or word in question or some sort of reference to what type report, body area, etc., would be welcome. It would greatly help me to help you.
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Anyone every hear of 'neurocompromise' or should it be neuro compromise, neurological compromise, or neuro-compromise?
Thanks
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I found this explanation of procedure. May help.
http://www.evlt.com/physicians/laser%20treatment%20for%20varicose%20veins.htm
Please see message.
The first thing you should learn is HOW to ask a question. You can't just jump in with one word or half a phrase or a sound-like and cry for help. You need to give some example of what you are looking for. People on this board do not mind helping you or they would not be here, but a little more information on your part would help us help you. Medical transcription is more than just one word or half a phrase or a sound-like and most times it is necessary to give some indication of what is wrong with the patient or a diagnosis in order to get an answer.
PLEASE SEE MESSAGE
Subject: PLEASE SEE MESSAGE
That should read "9 point something" It didn't come out that way on the board for some reason...
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Renal ultrasound was requested in addition to laboratory studies, a BMP, C3, C4, ANKA anti GBN, Cria gobulance, hepatitis B, C, and HIV. A urine REM and urine protein electrophoresis was also requested.
These are my sound likes. HELP!!!!!!!!!!!!!!!!!!!!!!!
Please see message
Subject: Please see message
Gastrointestinal – she presented with atypical chest pains which responded favorably to PPI. She is symptom free at this time. She did have FRECSAFE in 2001 and is to follow up in 3-5 years for a colonoscopy
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Dorland's Medical Dictionary:
Pexis:
1. Fixation of matter by a tissue.
2. Surgical fixation, usually by suture.
Therefore pexed would be past tense, as in was pexed (or fixed).
See also: http://www.childsdoc.org/spring98/vascular/vasrings.asp
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Here's a page that might help you.
http://davidge2.umaryland.edu/~emig/ekg01.html
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Subject: See message
Here's a page that might help you.
http://davidge2.umaryland.edu/~emig/ekg01.html
That's it. Thanks (no message)
Subject: That's it. Thanks (no message)
Hi! See message
Subject: Hi! See message
When a body is burned, it contracts into a position as if it is fighting, with the arms in a boxing or pugilistic position. Hope this helps!
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px has a swollen right eyelid which is s/l finickal/sinickal. i have no idea what this is. tia!
please see message :-)
Subject: please see message :-)
On 07/11/2005, the patient underwent (1) exploratory laparotomy with biopsy, (2) cholecystectomy, (3) placement of subcutaneous pain pump, (4) central line placement and (5) celiac block.
The patient was admitted on 07/11/2005 and in that morning she underwent the four-mentioned procedures. The patient was deemed to be unreceptable???
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Small amount of tumor was left adhering to the pubic etc?
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I am not sure about this statement during a pulse oximetry reading, but elsewhere they will usually say "per physician reading, per ER physician/doctor reading" etc., or it could be "per pulse oximeter reading or per pulse oximeter." 
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Here is an excerpt from the website listed below (a long address  ):
Intervention: Diagnostic transnasal-transpharyngeal videoendoscopy of the eustachian tube with 30- and 70-degree rigid Hopkins rod endoscopes, 2.5- and 0.8-mm, 0-degree flexible fiber endoscopes performed under local anesthesia in 12 eustachian tubes.
http://otology-neurotology.com/pt/re/otoneuroto/abstract.00129492-200511000-00004.htm;jsessionid=DC3G5ByKzd3Zv6ibCHrKFKO3PBAncKIpu7MECofVA8Q2lthPBr38!-1660146838!-949856145!9001!-1
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These are usually in the differentials for pancreatitis diagnoses:Source is Emedicine.com
Aneurysm, Abdominal
Cholangitis
Cholecystitis and Biliary Colic
Cholelithiasis
Gastroenteritis
Hepatitis
Mesenteric Ischemia
Obstruction, Large Bowel
Obstruction, Small Bowel
Other Problems to be Considered:
Perforated viscus
Acute peritonitis
Choledocholithiasis
Macroamylasemia
Macrolipasemia
Intestinal obstruction
Pancreatic cancer
Malabsorption syndromes/processes
message for Sue and not for CL
Subject: message for Sue and not for CL
see message please
Subject: see message please
This is a pulmonary account. It sounds like she needed to use the "VAS??" every two hours.
Then again under plan "increase use of vest/VAS??" It definitely is related to pulmonary.
thanks so much
See message.
Subject: See message.
Astrin
http://www.ihop-net.org/UniPub/iHOP/gs/95695.html
Plus, the word "insure" should be "ensure"
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O’Leary uterine artery ligation
. This has been used in cases of bleeding during Caesarean sections (n=265 over 30 years (27)). Sutures including 2-3 cm of myometrium are placed 2-3 cm below the uterine incision.
The uterus is grasped by the assistant and elevated upwards and to the opposite side of the uterine artery which will be ligated to expose the vessels coarse through the broad ligament.
- A large atraumatic needle with no. 1 chromic cutgut, O-vicryl or O-Dexon is passed through and into the myometrium from anterior to posterior 2-3 cm medial to the uterine vessels.
- The needle is brought forward through avascular area in the broad ligament lateral to the uterine artery and vein. The suture is tied anteriorly.
- In case of caesarean section, the sutures are placed 2-3 cm below the level of uterine incision under the reflected peritoneal flap which should be displaced downwards with the bladder to avoid ligation of the ureters.
- If caesarean section was not done, peritoneal incision is not indicated and bladder can be simply pushed downwards.
- Uterine artery ligation is haemostatic by reducing the pulse pressure to the uterus as 90% of its blood supply is from the uterine vessels.
- Collateral circulation and recanalization of the uterine vessels will be established within 6-8 weeks.
It has a success rate of 95%
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Pulses +2. No streaking. Blanches with palpitation.
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I copied this from Google.
The flow in a microround tube with diameter was visualized using fluorescent
particles. Such microcapillary tubes are useful devices for the fabrication of ...
link.aip.org/link/?RSINAK/76/106109/1
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Subject: no message...........
x
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X-rays of the left knee shows chronic degenerative changes, and osteopathic disease with no fractures or dislocation. The "en" you hear might be an "and"
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Is it okay to use the word 'regard' as well as 'regards;' are they interchangeable; also, how about 'toward' and 'towards?' I checked Merriam-Webster dictionary online regarding toward/towards and apparently either one can be used, how about regard/regards? Anyone?
TIA!!
I'm sorry-see message
Subject: I'm sorry-see message
I don't know what your word may be other than what the other poster already suggested. But I am in one of those moods today, and when I saw the subject of your post I got a vision in my head that made me laugh. So, just wanted to say thanks for making me laugh on a day that has been filled with stress.
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Subject: no message
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It could be transflap...
but are you sure they are not saying Tram Flap?
This is also a breast reconstruction procedure.
TRAM stands for transverse rectus abdominis myocutaneous (flap).
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