could he just be stumbling over "an arthritic knee" ?
Posted By: vn on 2009-06-19
In Reply to: eye on arthritic knee? - es
Subject: could he just be stumbling over "an arthritic knee" ?
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X-ray of the knee shows arthritic change within the knee, but maintained s/l tibiofemoral stasis.
Subject: X-ray of the knee shows arthritic change within the knee, but maintained s/l tibiofemoral stasis.
Thanks :-)
eye on arthritic knee?
Subject: eye on arthritic knee?
The patient has a <s/l "eye on"> arthritic knee that has been causing him a lot of pain with walking.
Can't find anything like this, but it sounds like that's what the doctor's saying. I tried "ion" too, but didn't come up with anything from that either.
on and off arthritic knee? nm
Subject: on and off arthritic knee? nm
s/l "simvest' injections for arthritic knee???
Subject: s/l "simvest' injections for arthritic knee???
Doc atually says "an" before so don't think it would "an a ptotic gait". sm
Subject: Doc atually says "an" before so don't think it would "an a ptotic gait". sm
Speech and motor were normal, although his gait, he has an "____" gait, although he has no stiffness or dystonia or other movement disorders when sitting and speaking with us or on exam when sitting.
Sorry, meant to say "an MI"...same with "an MRI" though...nm
Subject: Sorry, meant to say "an MI"...same with "an MRI" though...nm
nm
s/l performantly arthritic?
Subject: s/l performantly arthritic?
pseudo arthritic or pseudoarthritic? Thank you.
Subject: pseudo arthritic or pseudoarthritic? Thank you.
x
arthritic changes of digits word?
Subject: arthritic changes of digits word?
She has classic rheumatoid arthritic changes of the hands and s/l fuseformed shape to the digits with a weak hand grasp and poor opposition of the thumb to the 4th and 5th digits bilaterally.
s/l fuse formed????
arthritic changes of digits word?
Subject: arthritic changes of digits word?
Could it be fusiform?
Seronegative is often used with arthritic terms. nm
Subject: Seronegative is often used with arthritic terms. nm
xx
NEURO EXAM (s/l) dys-teri-arthritic posturing
Subject: NEURO EXAM (s/l) dys-teri-arthritic posturing
No focal weakness and moves spontaneously to pain but does have _______ posturing.
Thank you in advance.
The knee is pain significant because she had a total knee replacement. Make sense? nm
Subject: The knee is pain significant because she had a total knee replacement. Make sense? nm
,,
Starting off great today...Rheo Knee prosthetic knee???
Subject: Starting off great today...Rheo Knee prosthetic knee???
It is "an MRI." M is an ih sound...see above...nm
Subject: It is "an MRI." M is an ih sound...see above...nm
nm
"An" is not always used with a vowel...sm
Subject: "An" is not always used with a vowel...sm
It is used with a vowel "sound." People really misunderstand the use of "a" and "an." Just remember, it's the sound, not the vowel. Ah, uh, eh....
The "an" before the vowel
Subject: The "an" before the vowel
works with other words but here it just does not. Some docs even say "an MI" and the M is not a vowel. Go figure.
People do paraffin dips for arthritic hands and feet all the time. nm
Subject: People do paraffin dips for arthritic hands and feet all the time. nm
s
could it be, "an avulsion" fracture?
Subject: could it be, "an avulsion" fracture?
Yep, "an echogenic density" (nm)
Subject: Yep, "an echogenic density" (nm)
...
sure they're not saying "an exostosis" ? sm
Subject: sure they're not saying "an exostosis" ? sm
perhaps something like, "an exostosis off the radial and distal wrist?"
"An additional" port was placed.....
Subject: "An additional" port was placed.....
Per AAMT BOS ... "an" (see message)
Subject: Per AAMT BOS ... "an" (see message)
a, an
The indefinite articles are a and an, and the definite article is the.
a chair (may be any chair)
the chair (a specific, or definite, chair)
See: articles
before consonants, h's, u sounds, vowels
Use a before a consonant, a sounded (aspirate) h, or a long u sound. Use an before a vowel or an unsounded h.
a patient
a hemorrhoid
a unit
an indication
an hour
a 1-mile run
a CMT
an 8-hour delay
an MT
HINT: Pronunciation determines whether a word is preceded by a or an; this is most useful with abbreviations and numerals.
how about "an element" of Parkinson.... nm
Subject: how about "an element" of Parkinson.... nm
no m
just a guess, but maybe "an herbal oil" ??
Subject: just a guess, but maybe "an herbal oil" ??
"an adrenergic type of sweating" ??? nm
Subject: "an adrenergic type of sweating" ??? nm
Found it. He was saying "an OpSite" applied...nm
Subject: Found it. He was saying "an OpSite" applied...nm
Knee x-ray: s/l RATTY knee joint erosions? NM
Subject: Knee x-ray: s/l RATTY knee joint erosions? NM
MRI of knee. Semimembranosus s/l pes-dens-a-ri-nus region of the knee.
Subject: MRI of knee. Semimembranosus s/l pes-dens-a-ri-nus region of the knee.
:-)
WAG at maybe..."an exudative patina" or shiny appearance? nm
Subject: WAG at maybe..."an exudative patina" or shiny appearance? nm
s
certainly not trying to be mean..but it is a unique type of work, and takes "an ear" in additi
Subject: certainly not trying to be mean..but it is a unique type of work, and takes "an ear" in addition to training.
S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
Subject: S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
:-)
Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm
Subject: Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm
She has a pleural-based lesion in the right lower lobe that appears to be either an algomized effusion or soft tissue. She also has multiple pulmonary nodules bilaterally suggestive of either a metastatic neoplastic disease or granulomatis changes.
could dr be stumbling
over 'subsequently' ?
stumbling...duh, duh....uh...
Subject: stumbling...duh, duh....uh...
I wouldn't be surprised, the way a lot of these guys talk. And they're first language is english!
But really, he said it three times in the report and the "de" part was clear. I put in blanks.
Thanks anyway.!
I think he's just stumbling
Subject: I think he's just stumbling
I think he changed his mind; I think he means visual acuity of 20/40 after proparacaine drops.
Maybe stumbling on" CT" ? nm
Subject: Maybe stumbling on" CT" ? nm
nm
Could it be TSH and the doc is just stumbling.
Subject: Could it be TSH and the doc is just stumbling.
Thanks to all - I think she's stumbling over
Subject: Thanks to all - I think she's stumbling over
finasterides :=(
Not sure though so I'm flagging it. She's got a mouth full of cotton balls.
unless he's stumbling
Subject: unless he's stumbling
nm
stumbling over ED?
Subject: stumbling over ED?
nm
maybe doc is just stumbling, saying...
Subject: maybe doc is just stumbling, saying...
"uh some arthritis" ??
nevermind...I think she is stumbling.
I think she starts to say ecchymosis but puts that word at the end instead. Thanks.
probably just stumbling and means
Subject: probably just stumbling and means
x
unless he is just stumbling on his words
Subject: unless he is just stumbling on his words
He does that constantly while he dictates, so it's difficult to tell if there's really another word or not.
could he just be stumbling and saying "congruent" ? nm
Subject: could he just be stumbling and saying "congruent" ? nm
x
he is stumbling and probably means
Subject: he is stumbling and probably means
I was wondering if that's what she's stumbling over, it could be, thanks. nm
Subject: I was wondering if that's what she's stumbling over, it could be, thanks. nm
x
could he be stumbling over swelling?
Subject: could he be stumbling over swelling?
just a guess
is he/she stumbling trying to say Remeron?
Subject: is he/she stumbling trying to say Remeron?
Could he/she be stumbling over proximal?
Subject: Could he/she be stumbling over proximal?
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