can you give location of procedure - thinking maybe
Posted By: vn on 2009-06-17
In Reply to: O to T fashion to avoid s/l aglavian. sm - Ohio MT
Subject: can you give location of procedure - thinking maybe
"aglavian" is "subclavian"
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can you give more info - location in body?
Subject: can you give more info - location in body?
Can you give more info? I'm thinking your s/l PES is something else.
Subject: Can you give more info? I'm thinking your s/l PES is something else.
Thinking along this line, too, with a procedure date of 1/10. nm
Subject: Thinking along this line, too, with a procedure date of 1/10. nm
s
On what? An exam? During a procedure? Please give us more of the sentence. nm
Subject: On what? An exam? During a procedure? Please give us more of the sentence. nm
s
Would you like to give us the whole sentence or type of procedure?
Subject: Would you like to give us the whole sentence or type of procedure?
What kind of procedure? Please give the sentence right before this one.
Subject: What kind of procedure? Please give the sentence right before this one.
Do you have the location? (nm)
Subject: Do you have the location? (nm)
nm
its location..
Subject: its location..
it's is a contraction for "it is."
location of the graft
Subject: location of the graft
Yes, the location of the graft is a radiocephalic
Any ideas???
Where? It sounds like a location.
Subject: Where? It sounds like a location.
No "excentral" location identified ??
Subject: No "excentral" location identified ??
The patient has thickened skin on the posterior neck.
...The skin continues to reveal woody changes. No "excentral" location was identified.
TIA !
Location of thymectomy scar. sm
Subject: Location of thymectomy scar. sm
Under physical exam, my doc says "There is a healed right upper parasternal surcigal scar." The patient had a thymectomy. I'm supposed to put this under one of the usual headings for a PE, should it be Neck or Thorax? (The dcotor usually dictates the heading, but did not this time.) Thanks for any help!
If he is taking about the location of the mass,
Subject: If he is taking about the location of the mass,
could he be saying inferior?
we might sorta need more of a sentence/location/
Subject: we might sorta need more of a sentence/location/
or content??
Maybe a high outlet, meaning the location? nm
Subject: Maybe a high outlet, meaning the location? nm
s
yes, if describing location in surgery, not for time though. (nm)
Subject: yes, if describing location in surgery, not for time though. (nm)
x
maybe calcar, which isn't a type of screw, but a location (nm)
Subject: maybe calcar, which isn't a type of screw, but a location (nm)
xx
maybe the right ankle, through an anteromedial location, was injected ? nm
Subject: maybe the right ankle, through an anteromedial location, was injected ? nm
may be intraparietal, referring to the location in the brain
Subject: may be intraparietal, referring to the location in the brain
where the seizure is occurring? Just a guess.
Sounds possibly like the location of the biopsy or lesion.
Subject: Sounds possibly like the location of the biopsy or lesion.
Any info on that?
You hear trialed all the time. Give 'em what they give you! Can't drive yourself friggin'
Subject: You hear trialed all the time. Give 'em what they give you! Can't drive yourself friggin'
s
s/l rucey procedure -- wondering if it is Ruiz procedure ...
Subject: s/l rucey procedure -- wondering if it is Ruiz procedure ...
The sentence reads "I advised the patient to undergo so-called s/l rucey procedure (i.e., bone graft repair of the nonunion)." This is an orthopaedic doctor dictating. TIA.
Gold's procedure or Gould's procedure..ortho? nm
Subject: Gold's procedure or Gould's procedure..ortho? nm
v
SIMES procedure or SIMS procedure maybe?
Subject: SIMES procedure or SIMS procedure maybe?
Has anyone every heard of the Simes or Sims procedure? I never heard of it and I am having a hard time trying to verify. Perhaps I am not spelling it correctly?
Thanks! 
Does it give the dosage? Could you give more of the sentence? nm
Subject: Does it give the dosage? Could you give more of the sentence? nm
d
nerve preservation procedure or nerve sparing procedure?
Subject: nerve preservation procedure or nerve sparing procedure?
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.
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