couple of possibilities (sm)
Posted By: moon1010 on 2008-11-09
In Reply to: s/l "radio check" for pulmonary hypertension & OSA - shelly
Subject: couple of possibilities (sm)
If you're sure you're hearing "radio" that could be a "short-speak" way of saying radiograph.
Another possibility is RDI (respiratory disturbance index).
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There are a couple of possibilities. Context?
Subject: There are a couple of possibilities. Context?
too many possibilities for AVD to be sure.
Subject: too many possibilities for AVD to be sure.
When in doubt, leave it out. could be aortic valve disease, arteriovenous disease, among others. I would leave it blank.
possibilities
Subject: possibilities
Could also be prothrombin time....
Possibilities...
Subject: Possibilities...
furosemide possibly, and the other one could be CellCept.
possibilities, sm
Subject: possibilities, sm
Some causes for hematemesis:
Peptic ulcer disease is the most common etiology of upper GI bleeding
–Increased risk with NSAID, steroid, or alcohol use; smoking, stress (e.g., ICU and trauma patients), or infections (Helicobacter pylori, CMV, herpes simplex virus)
Nasopharyngeal or oropharyngeal sources of bleeding
Esophageal etiologies
–Esophageal varices (common in alcoholics and cirrhotic patients)
–Erosive esophagitis: Infectious (e.g., Candida, HSV, CMV), corrosive ingestion, or pill-induced
–Esophageal or gastric carcinoma
–Esophageal or gastric polyps
Gastric etiologies
–Gastric ulcer
–Gastritis
–Arteriovenous malformations: Osler-Weber-Rendu syndrome (cutaneous telangectasias, recurrent nosebleeds), idiopathic angiomas, radiation-induced telangectasias, blue rubber bleb nevus syndrome
–Mallory-Weiss tear secondary to repetitive vomiting
–Dieulafoy's lesion: Erosion of the mucosa overlying an artery in the stomach causes necrosis of the arterial wall and resultant hemorrhage
–Gastric varices: Secondary to splenic vein thrombosis
–Benign or malignant tumors
Duodenal etiologies
–Duodenal ulcer
–Erosion of a pancreatic tumor into the duodenum
–Aortoenteric fistula: Must be suspected in any patient with a known aortic graft (e.g., prior AAA repair or occlusive aortic disease)
Systemic etiologies
–Coagulopathies (e.g., hemophilia)
–Thrombocytopenia
–Anticoagulation therapy (e.g., warfarin)
–Hereditary hemorrhagic telangiectasia
–Leukemia
–Connective tissue disease
possibilities, sm
Subject: possibilities, sm
Some causes for hematemesis:
Peptic ulcer disease is the most common etiology of upper GI bleeding
–Increased risk with NSAID, steroid, or alcohol use; smoking, stress (e.g., ICU and trauma patients), or infections (Helicobacter pylori, CMV, herpes simplex virus)
Nasopharyngeal or oropharyngeal sources of bleeding
Esophageal etiologies
–Esophageal varices (common in alcoholics and cirrhotic patients)
–Erosive esophagitis: Infectious (e.g., Candida, HSV, CMV), corrosive ingestion, or pill-induced
–Esophageal or gastric carcinoma
–Esophageal or gastric polyps
Gastric etiologies
–Gastric ulcer
–Gastritis
–Arteriovenous malformations: Osler-Weber-Rendu syndrome (cutaneous telangectasias, recurrent nosebleeds), idiopathic angiomas, radiation-induced telangectasias, blue rubber bleb nevus syndrome
–Mallory-Weiss tear secondary to repetitive vomiting
–Dieulafoy's lesion: Erosion of the mucosa overlying an artery in the stomach causes necrosis of the arterial wall and resultant hemorrhage
–Gastric varices: Secondary to splenic vein thrombosis
–Benign or malignant tumors
Duodenal etiologies
–Duodenal ulcer
–Erosion of a pancreatic tumor into the duodenum
–Aortoenteric fistula: Must be suspected in any patient with a known aortic graft (e.g., prior AAA repair or occlusive aortic disease)
Systemic etiologies
–Coagulopathies (e.g., hemophilia)
–Thrombocytopenia
–Anticoagulation therapy (e.g., warfarin)
–Hereditary hemorrhagic telangiectasia
–Leukemia
–Connective tissue disease
I see two possibilities.
Subject: I see two possibilities.
One possibility is that he is saying extended length of flight
Another possibility is that he is saying extended legs of flight. That is a word that is used to describe a portion of a journey, like the last leg of the trip, etc. So he could mean an extended portion of a journey during which she will be flying.
here is a list of possibilities
Subject: here is a list of possibilities
http://www.rxlist.com/cgi/rxlist.cgi?drug=*cet
possibilities for 1st term (sm)
Subject: possibilities for 1st term (sm)
It's probably simply 'vertebral' or possibly 'vertebral height' - can't think of anything else that would work here and sound like "mediumphyge"
With this many possibilities, a blank is
Subject: With this many possibilities, a blank is
x
too many possibilities, maybe get more info further in report??...sm
Subject: too many possibilities, maybe get more info further in report??...sm
If you could find out what some of the symptoms are, maybe we could be more helpful. Sorry!
perhaps "pericolic abscess," though there are probable other possibilities nm
Subject: perhaps "pericolic abscess," though there are probable other possibilities nm
I'll add Bactrim to the list of possibilities.. nm
Subject: I'll add Bactrim to the list of possibilities.. nm
Found a few possibilities but they would all be vague and would be too much of a guess. Sorry.
Subject: Found a few possibilities but they would all be vague and would be too much of a guess. Sorry.
Do you have a disease or diagnosis we can go by as there are thousands of infusion possibilities
Subject: Do you have a disease or diagnosis we can go by as there are thousands of infusion possibilities
Various possibilities were kept for altered mental status, like _______?, metabolic encephalopathy,
Subject: Various possibilities were kept for altered mental status, like _______?, metabolic encephalopathy,
There are a couple...sm
Subject: There are a couple...sm
Here is a great site with a couple of choices that sound like your term.
http://www.suffolkobgyn.com/medicalTerms#G
a couple T's
Subject: a couple T's
tap water enema
theophylline olmamine enema
tranexamic acid enema
turpentine enema
A couple more....
Subject: A couple more....
he went on to have an aortic valve replacement with a "number tommy five" bioprosthetic valve as well as bypass "sinus tree" vessels
pseudo normal LV filling pressure with "chronkomittent" abnormal relaxation
Patient is New York Heart Association class III in the setting of ischemic cardiomyopathy and "he feels" compensated
beta blockers, carvedilol "a target dose", "aldolsol" inhibitor
THANKS!
I too would like to know a couple of shortcuts..
Subject: I too would like to know a couple of shortcuts..
such as, I end each letter from my doc with "Thank you for the referral of the patient." Sincerely, John R. Brown, MD JEB/trh. I know there must be a way to store this so that all I have to do is strike 1 key to end my letters, but I don't knave a clue how to do this. Anyone have any suggetstions? Thanks
Couple of lab questions... sm
Subject: Couple of lab questions... sm
Can't catch what Mr. Mush-mouth is saying.
Postoperative serial white blood cell count demonstrated a stable white blood cell count at 11,900. s/l *hemansa* hemoglobin stable at 28.9 and 9.4.
a couple of thoughts
Subject: a couple of thoughts
First to address the issue of subcu - Joint Commission created a list several years ago that deals with this wording - and JC trumps BOS. From Joint Commissions List of Dangerous Abbreviations:
Abbreviation: S.C. or S.Q. (for subcutaneous)
Potential Problem: Mistaken as SL for sublingual, or "5 every"
Preferred Term: Write "Sub-Q", "subQ", or "subcutaneously"
As far as what the man was trying to express to you was his opinion that truncated words (partial words used to express a complete word) should be avoided. Trach is not a word. Trachea, tracheostomy, etc., are words. Alk is not a word. Alkaline is a word. There are also lab and other words that are commonly acceptable in their abbreviated form, such as INR, CPAP, MRI, etc.
There are acceptable abbreviations of certain words that are commonplace. For example, lab is widely accepted to represent laboratory. Exam is acceptable to represent examination. HIV is another example.
If you understand the difference between the use of an abbreviation and avoiding the use of truncated words, your work will reflect a much clearer intent of the dictation.
Your company needs to decide which side of the fence it wants to sit on, and it appears there may be some changes in your QA future. If this man is in charge of QA and you want to continue working there, you might want to begin taking note of what he is saying.
a couple of things......SM
Subject: a couple of things......SM
Jehovah's Witness
myoclonic gammopathy? not myoclinic
possibly *gammopathy*
*h* in Jehovah's Witness
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm
The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.
But sometimes there's a clue in what's being tested, blood or urine, and/or the diagnosis.
Also, if you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.
If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!
Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm
The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.
Is there a clue in the dx?
If you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.
If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!
Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
Have a couple of questions, please sm
Subject: Have a couple of questions, please sm
Sorry, filling in for somebody and this doctor is really fast -
1. Patient takes a s/l plepharde of medications.
2. Patient still has constipation despite taking s/l Cerafac.
Thanks!
Here is a site with a list of possibilities... hope it helps. http://www.plastic-surgery.net/dangers
Subject: Here is a site with a list of possibilities... hope it helps. http://www.plastic-surgery.net/dangers-breast-implants.html
Here are a couple of links for you to send them....
Subject: Here are a couple of links for you to send them....
http://72.14.253.104/search?q=cache:_yrLOF4eEkIJ:emcrit.org/pdf/Wound%2520Care%2520Syllabi.pdf+XAP+topical+pediatric&hl=en&ct=clnk&cd=13&gl=us (at bottom of page 8) Hope this helps...When the doc spelled it for me, it was for a laceration repair on a kid. But, if it's a dental block in the ER, they might be using ZAP for topical in the mouth. Was something that was really confusing for me at the time, which is why I tried to get some info on it.
Can we have a couple of lines from the report
Subject: Can we have a couple of lines from the report
so we'll know where he is?
New to ortho and have a couple words.
Subject: New to ortho and have a couple words.
s/l *jo-lie-tandis* pain with hyperflexion. (knee)
Negative s/l *feralmis* test. (wrist)
TIA!
Have heard it used a couple of times
Subject: Have heard it used a couple of times
Just another way to say serial cardiac enzymes, I believe
If he already gave you a couple, then it would be 'all other...' nm
Subject: If he already gave you a couple, then it would be 'all other...' nm
s
Thank You! That's it. He always swallows the first couple of letters when I need them the most.
Subject: Thank You! That's it. He always swallows the first couple of letters when I need them the most.
.
Can't understand a couple of words
Subject: Can't understand a couple of words
If you're transcribing a report about someone with sinusitis, and the doctor says the ___ are red and swollen (and it doesn't sound like nostrils or nares or membranes) what could it be? And in the PLAN if he says ___ fluids, rest, and follow up within 7 to 10 days....what could he be saying. It almost sounds like "Push fluids." Can anyone help? Thanks!
Depends on a couple of things
Subject: Depends on a couple of things
The first point would be the hospital's desires. They may or may not want abbreviations spelled out in a report. Also, usually if it's in a diagnosis somewhere, it almost always has to be spelled out, as most hospitals abide by the joint commission rule of no abbreviations. In a regular physical exam somewhere in the text of the report, most hospitals, clinics, etc., seem to want whatever abbreviations the doc may use, so in that case you would just leave it as it is (although this may differ in correspondence as some places prefer a more formal policy of no abbreviations in letters, so check account specifics).
couple of web sites in case you
Subject: couple of web sites in case you
can use them:
revolutionhealth.com/search
M.D. Anderson Cancer Institute, Houston
pathology.washington
bloodjournal.org
Thanks, she did it with a couple others, so that makes sense
Subject: Thanks, she did it with a couple others, so that makes sense
A couple questions relating to pancreas
Subject: A couple questions relating to pancreas
This is a patient with advanced pancreatic cancer. Here's the part I'm having trouble with. He was admitted to the hospital. "The patient did undergo attempts at [s/l ESRT or "e ester tee"?]. However, the tumor was protruding through the duodenum [s/l ambule] and common bile duct cannot be cannulated. He was determined to be unresectable and underwent a choledochojejunostomy, gastrojejunostomy, and enteroenterostomy for diversion." Whew! Any ideas?
Pulling my hair out - just a couple questions
Subject: Pulling my hair out - just a couple questions
This study is a right ilia-femoral ultrasound.
Is it ilia-femoral or iliac-femoral, and what about the hyphen?
ALSO......
I cannot figure out what he is saying here:
PROCEDURE REPORT: The abdominal aorta and right ilia-femoral (see above..) systems were S/L: insinated or instinated with a Doppler ultrasound transducer.
Thanks for any help!!
A couple questions regarding Cardiology/Hematology
Subject: A couple questions regarding Cardiology/Hematology
He does have some mild jugular venous distention (JVD). He does have a slightly positive patojugular reflex.
He does have a grade 1-2/6 murmur load on the lower left sternal border and apex. The lungs: He continues to have a few fine basaloreals on the posterior lower lobe. The abdomen is somewhat softer today, it is rounded.
A couple of grammar rules are at play here
Subject: A couple of grammar rules are at play here
First of all, both got and gotten are correct forms of the verb get. However, got is a past tense or past participle depending on whether or not the word "has" or "have" is used in front of it. Gotten, however, is past participle and should be used with the word "has" or "have" in front of it.
It has gotten increasingly larger - okay. It gotten increasingly larger - not okay. It got increasingly larger - okay. It has got increasingly larger - okay.
So if your doc says it anyway but "It gotten increasingly larger", he is correct. It's simply a matter of preference. Brits don't generally use the word "gotten", and therefore, a lot of people think it is not a legitimate word, but it is.
Need help with the MR angiogram in mesage, couple of questions and maybe more :) sm
Subject: Need help with the MR angiogram in mesage, couple of questions and maybe more :) sm
the MR angiogram of the posterior circulation intracranially showed a variant circulation with prominent bilateral “fetal” origin of the PCAs and distal basilar and "P1 segmental" hypoplastic were absent.
A couple of questions regarding Cardiology/Hematology
Subject: A couple of questions regarding Cardiology/Hematology
Hi, sure hope this helps. I had that recently. It is he has a slight hepatojuglar reflux sometimes referred to as reflex but more correctly it is reflux. Also it is "He continues to have a few basilar rales in the posterior lobe."
Does he state 20 the first couple of days or does he give any time along with that? SM
Subject: Does he state 20 the first couple of days or does he give any time along with that? SM
If not, I would just type as dictated and maybe put quotations around it if you are certain of what he is saying. HTH
SKIN: She has a couple of dermal nevi, nothing that looks suspicious. A few MILEAM on the nose. nm
Subject: SKIN: She has a couple of dermal nevi, nothing that looks suspicious. A few MILEAM on the nose. nm
gram-negative, lactose-negative rods is correct. I found a couple of interesting websites SM
Subject: gram-negative, lactose-negative rods is correct. I found a couple of interesting websites SM
after doing a google search for gram-negative, lactose-negative rods. Basically testing organisms to see if they ferment lactose (positive) or not (negative).
Also, just FYI, gram-negative is not capitalized.
Probably too late, I'm sure. Better late than never, I guess. 
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