being picky, it would be 0.012 (leading zero needed) nm
Posted By: CM on 2006-07-23
In Reply to: I believe - Diana Mejia
Subject: being picky, it would be 0.012 (leading zero needed) nm
nm
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I know, picky picky but - fundal height in PE
Subject: I know, picky picky but - fundal height in PE
When doing the PE, the doctors usually dictate the fundal height along with the vital signs. I was always taught in the hospitals where I worked that fundal height went along with the abdominal exam. Thoughts?
TIA (yes, I probably am having a stroke from working for MQ - ha ha, but I truly mean thanks in advance).  
Here's everything leading up to it...sm
Subject: Here's everything leading up to it...sm
Reviewed CT scan of the thoracic spine which was performed at the hospital on December 28th. He has some small calcified disc herniations at T4-T5, T5-T6, T6-T7, and no change in the position of his dorsal column stimulator (TAT-10).
leading zero
Subject: leading zero
I'm having a brain freeze right now - Alprazolam "0.25" mg - do i need that leading zero or not....TIA
some dictators are quite picky-have one who wants
Subject: some dictators are quite picky-have one who wants
Rats, he just said it again, and he is such a picky dictation person. nm
Subject: Rats, he just said it again, and he is such a picky dictation person. nm
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.”
more help needed same md sm
Subject: more help needed same md sm
Given the high incidence of MRSA, he was treated with extended CARO Penicillin of Unasyn
Thanks.Had to take a well needed
Subject: Thanks.Had to take a well needed
break and now done for the night.
I do not have that book but will have to invest. I get a lot of those and very confusing on how to write them.
help needed
Subject: help needed
I got cystoproctography, but does cystoproctoscopy exists as i could not find it in stedman also,
thank u
james
Thanks, I needed that
Subject: Thanks, I needed that
:-)
Thanks! Exactly what I needed!!
Subject: Thanks! Exactly what I needed!!
Help needed MRI -
Subject: Help needed MRI -
MRI demonstrates marked narrowing of the patellofemoral joint, with subcortical signal s/l ontuation and marginal osteophytes.
Lab help needed
Subject: Lab help needed
Wet prep revealed 0 WBCs, moderate EPIs, no clue cells, slight trace bacteria, 0 yeast, 0 s/l trich.
Is trich correct - or should it be capped? Thanks.
Lab help needed
Subject: Lab help needed
Will send out LFTs, Epstein-Barr acute panel, and s/l CMV or CMB titer - Thanks
EKG help needed
Subject: EKG help needed
EKG showed normal sinus rhythm with a rate of 67. Normal intervals. Normal axis. No ectopy. There is T-wave flattening in s/l one, and T-wave inversion in aVL.
Does one sound correct? Would it be typed as I or 1? Thank you.
thanks - you don't know how much I needed that!
Subject: thanks - you don't know how much I needed that!
Lab help needed
Subject: Lab help needed
CBC reveals white blood cells of 5.1, hemoglobin 12.5, platelets 217. There were some s/l codes on the differential, so that was sent out.
Thanks.
help needed again....
Subject: help needed again....
Most likely, she will need calcaneal osteotomy and ___(FTL/FDL) tendon transfer to restore the alignment of her right foot ___ (gentle/trying to stay in) place of this disease to degenerative posterior tibial tendon..............does it make sense..................
Thanks! That's what I needed!
Subject: Thanks! That's what I needed!
I really appreciate your help!
could it be p.r.n. (as needed)
Subject: could it be p.r.n. (as needed)
Thanks
Help is desparately needed.
Subject: Help is desparately needed.
How do you type this? I never did ob/gyn before. What does miss mean, and how do I format? Any help is appreciated. Thank you.
PAST MEDICAL HISTORY
1. Gynecologic – G3, P2, 1 miss. She had been followed by Dr. XXXXXXXX Her last Pap smear was approximately two years ago, as was mammogram. Menses are on a q 28-30 day cycle, but there are periods where she will skip and have a menses q.o. month.
Derm help needed sm
Subject: Derm help needed sm
Need help with words in bold. Thank you.
SKIN: Lots of seborrheic keratoses. He does have an elevated 9 mm papule on left side of the face, which has some vascularization and central core. It almost looks like acanthokeratosis, but basal cell carcinoma cannot be fully ruled out. No other suspicious lesions. He does have some miliary rubra on the back.
Yes, the final s is not needed..sm
Subject: Yes, the final s is not needed..sm
leiomyoma, singular; leiomyomata, pleural. Leiomyomatas is not a word.
Your opinion needed
Subject: Your opinion needed
My doctor keeps saying psoricytic arthritis. I transcribe for him a lot, but this is what he is saying.
I am thinking he means psoriatic arhtritis. What do you think?
um I don't think they needed "grammar help"...nm
Subject: um I don't think they needed "grammar help"...nm
eye surgery help needed....
Subject: eye surgery help needed....
PREOPERATIVE DIAGNOSIS: Superior and temporal visual field loss due to s/l maglacoius, matiglacious, maniglacius?.
Procedure is bilateral blepharoplasty.
TIA.
Thanks! I just needed another opinion. nm
Subject: Thanks! I just needed another opinion. nm
nm
eye surgery help needed....
Subject: eye surgery help needed....
'PREOPERATIVE DIAGNOSIS: Dense nuclear sclerotic cataract with posterior subcapsular cataract right eye with s/l stroke exfoliation syndrome.'
Anyone know if 'stroke exfoliation syndrome' is correct? TIA.
psychiatry help needed....
Subject: psychiatry help needed....
'We put her on lorazepam for elevated SIWAS.'
Doc spells out SIWAS as above but am thinking it should be CIWAs. Please let me know what you think. TIA.
opinion needed....
Subject: opinion needed....
'Potassium chloride 20 mg p.o. every day'
Doc dictates as stated above but think dosage should read 20 mEq but am not sure if mg is also correct for this med. TIA.
Ortho help needed
Subject: Ortho help needed
Doing a rotator cuff tear repair. two words
Procedure: 1) Left shoulder arthroscopy, subacromial decompression with MINIMUMFER? procedure.
the left upper extremity was prepped and draped in the usual sterile manner utliizing 8 pounds of traction in the ARTHREX?? arm holder?
THANKS
ophthalmology help needed....
Subject: ophthalmology help needed....
'Slit lamp examination demonstrates clear anterior segments with 2+ s/l MS in the right and 3+ s/l MS and 4+ PSC in the left.'
This sentence is part of examination. Thanks.
Opinion needed please
Subject: Opinion needed please
This is a 4-year-old with metabolic-type cardiomyopathy who required "Amikin chest tube treatment".
I see that Amikin is an antibiotic, but do not feel comfortable with the references I have found with chest tube and/or cardiomyopathy. I would appreciate any opinions on this. Thanks!
sm, ortho help needed
Subject: sm, ortho help needed
She also describes some vague weakness in the right upper extremity, such that when she was working the upper extremity _____try, she felt a heaviness.
The first part of the word is garbled, ends in "try". Anyone have a guess what might fit?
Drug help needed
Subject: Drug help needed
The past medical history is HIV, hepatitis C, underlying asthma, and gastroesophageal reflux disease.
The drug sounds like cyclobid 1 tablet b.i.d. It is as clear as anything but can't document it anywhere. He kind of botches drug names up sometimes so wondering if this is the case here.
Thanks!
sportsmom91 needed some help
Subject: sportsmom91 needed some help
because she was helping out on a family practice account. Thank goodness someone could help her with the answers. 
Word help needed
Subject: Word help needed
CT scan of the chest, abdomen and pelvis shows signs of ________ or tumor
S/L emental caking
Thanks
More info needed
Subject: More info needed
What medical problems does the patient have?
Ortho Help Needed
Subject: Ortho Help Needed
....internal fixation of a left tibia fracture following an open Grade II fracture.... *Is this acceptable Grade II?* Should it be grade 2. I've tried googling, but the opinions of my wise peers is more what I am looking for in this instance. 
Help! PE word needed
Subject: Help! PE word needed
Inspection of her left lower extremity reveals _____ (gross one?) throughout her left lower extremity.
Ortho help needed!
Subject: Ortho help needed!
Regarding a spine fusion. My question is with what sounds like "T-Liff"
We talked about doing the procedure only either just with a posterolateral fusion or with a posterolateral fusion and "T-liff".
Any help would be appreciated!
Thx! I really needed a second opinion. nm
Subject: Thx! I really needed a second opinion. nm
Ortho help needed.........sm
Subject: Ortho help needed.........sm
 Has anyone heard of s/l "bi-par-tayed" tibial sesamoid? The "bi-par-tayed" is the one I cannot reference.....
Thanks!
one-to-one attention needed...
Subject: one-to-one attention needed...
Ortho help needed please....sm
Subject: Ortho help needed please....sm
Doctor is dictating findings of MRI of left arm. He finds no nerve root compression, but states that his proximal "bends" ?? appears to be absent or destroyed, although there is no real pannus. I am hearing "bends", but that is not it. THANKS!
Polysomnography help needed (sm)
Subject: Polysomnography help needed (sm)
I don't do this type of report much and the doctor is giving the sleep analysis, saying lights out "094214" and lights on "053739." How is this to be broken up, or is it. I keep thinking "09:42:14 / 05:37:39" but that doesn't make sense to me, or is it just as I have it first typed? Help please. TIA
ortho help needed please......sm
Subject: ortho help needed please......sm
doc is dictating on a 2 year old with forearm and elbow pain. In the exam he states "Exam of the extremity shows him to be tender over the proximal radius with significant pain with (s/l crowning) supination.........i know it's not crowning, but that's the clearest it gets........
Ortho ESL help needed
Subject: Ortho ESL help needed
Patient with shoulder pain. X-rays show s/l a wide spur of the acromion and early glenohumeral arthrosis.
Impression is impingement syndrome.
I don't know if he's actually saying something that sounds like wide, or if he's just stumbling. Thanks for help.
Of COURSE the content was needed. sm
Subject: Of COURSE the content was needed. sm
If you are embarrassed by this type of comment, you should NOT be in this business.
Ortho x-ray help needed........sm
Subject: Ortho x-ray help needed........sm
Doc states "X-ray including AP pelvis shows excellent abundant "callits" on both superior and inferior ramus fractures................
I needed this one today
Subject: I needed this one today
Wonder if it's a doctor I actually went to who referred to carotid ultrasounds as "poopey grams" because to him they're not worth the paper they're written on.
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