does this paragraph sound right and is it punctuated correctly
Posted By: mt3 on 2009-04-21
In Reply to:
Subject: does this paragraph sound right and is it punctuated correctly
There were findings of a posterior horn tear of the medial meniscus, a small chondral injury of the medial tibial plateau, grade 4 out of 4, chondromalacia of the medial femoral condyle, grade 3 out of 4, chondromalacia patella and trochlea notch of the femur, grade 3 out of 4.
The doctor speeds through this paragraph at 75mph..does it make sense and is the punctuation correct? TIA.
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does this sound right and is it punctuated correctly? 2nd ?
Subject: does this sound right and is it punctuated correctly? 2nd ?
The patient is a 42-year-old white female with a torn anterior cruciate ligament, medial meniscus, and anterolateral rotary instability.
Second question is shouldn't this be arthroscopy AND debridement? he doesn't say *and* but that is always how I have heard it. Third question is...is patella tendon graft correct or should it be patellar tendon graft?
I plan on doing an arthroscopy debridement and an anterior cruciate ligament reconstruction using patella tendon graft.
Sorry for all the questions, but he is a speed demon today.
is this punctuated correctly?
Subject: is this punctuated correctly?
Incidentally the patient does have some mild symptoms related to her right ring finger, trigger finger, mild at this time.
The comma after ring finger has me stumped. tia.
Is this punctuated correctly? (urology...sm)
Subject: Is this punctuated correctly? (urology...sm)
Pt with condyloma will certainly need..."anesthetic, fulguration, excision and cystoscopy."
Sorry, but I don't know urology well. Not sure if anesthetic fulguation go together or if this is a series of steps! Thank you!
Have a punctuated this correctly - around the "at which time" part....
Subject: Have a punctuated this correctly - around the "at which time" part....
His last cystoscopy was in July of 2007; at which time, he was found to have a negative cytology as well as a negative cystoscopy.
it would be punctuated this way then...
Subject: it would be punctuated this way then...
with only a comma before mild?...I am confused and it isn't taking much to confuse me after a loooong day.. :-)
Incidentally the patient does have some mild symptoms related to her right ring finger trigger finger, mild at this time.
gait is punctuated by a s/l spoyning component
Subject: gait is punctuated by a s/l spoyning component
gait is punctuated by a s/l spoyning component
Here's the paragraph................
Subject: Here's the paragraph................
"The rest of his past history, review of systems, and social history is otherwise noncontributory, except that he is status post coronary artery bypass graft surgery and has had a pacemaker and is on Coumadin in conjunction with his cerebral vascular disease. He also takes amiodarone, s/l Trazadec, Toprol, Ambien, Cozaar, and Effexor."
The patient is being evaluated by a neurologist for leg and back pain. Thanks.
does this fit at the end of this paragraph? See msg pls.
Subject: does this fit at the end of this paragraph? See msg pls.
Patient is getting back on his medications and will be following up with his psychiatrist Dr. X. They are due within the next few weeks, he says, to recheck his Depakote levels, (Dr. take a drink and says)S/L hemolith normal. (new paragraph)
not sure, here's the paragraph...
Subject: not sure, here's the paragraph...
Neurologic exam/history and physical exam does reveal the patient with parkinsonian features. We are going to go ahead and change him from Sinemet 25/100 mg to Stalevo 100 mg, one in the morning and one at midday, since he really only takes it twice a day. If this does not help, we may try going back to the Sinemet and then trying Azilect for the freezing. I think that may be of great benefit to him, despite the MALB inhibitor.
Here's the rest of the paragraph. I need someone to look at this.
Subject: Here's the rest of the paragraph. I need someone to look at this.
This is listed under the PMH: Do these numbers look right? My question is really the
"FEF 25 to 75 1.66 (65%). " Does this look right? not sure how to type the 75 1.66. ... MD says it like this:
"FEF 25 to 75 one point six six and parentheseses 65%"
Pulmonary – status post pulmonary embolus, status post a prolonged road trip. Coumadin was discontinued in April and MTHFR Heterozygote with an elevated homocysteine level. She has been maintained on Folate. She has also been treated for asthma. Pulmonary function tests in December of 2002 demonstrated a FEV1 of 1.86 (79%), and FVC of 2.41 (83%) an FEV1 of 77% and FEF 25 to 75 1.66 (65%). In March of 2004, a diagnostic polysomnogram demonstrated obesity, hypoventilation; no evidence of obstructive sleep apnea. She has been maintained on 2 liters q.h.s. A repeat study in June of 2005 confirmed that treatment.
if i give you the paragraph for this ....
Subject: if i give you the paragraph for this ....
could you be able to tell if it were a line infection? I will send what they did. thanks
Paragraph numbering
Subject: Paragraph numbering
1.
a.
b.
c.....etc.
When you get all the way through z, how do you number or letter after z? Thanks so much.
Here's the context paragraph...sm
Subject: Here's the context paragraph...sm
Patient recently had a positive culture infection with group B strep. He was treated with some Cipro and he says he is actually voiding better now than he has for some time. He probably has been having a little small "ring" prostatitis going on.
paragraph punctuation help..please...
Subject: paragraph punctuation help..please...
MRI scan indicates status post patellar tendon, bone, and anterior cruciate ligament construction, cystic degeneration of the graft with little remaining low signal fibers is noted, tendon enlargement in the tibial tunnel with cystic erosion through the anterior cortex medially to the patellar tendon, extension into the anterior subcutaneous fat of the proximal right lower leg.
Note the doctor does say construction, not reconstruction can this also be correct? TIA.
I'd just leave it a paragraph at the end. NM
Subject: I'd just leave it a paragraph at the end. NM
I found one paragraph re patients ...sm
Subject: I found one paragraph re patients ...sm
not sure but I found one paragraph thru google about dacron wool........being used on a patient:
Once cooling to -79 C was complete the patient was lifted out of the Silcool bath, the outer, Silcool wetted plastic bag was stripped off and the patient was placed within a polyester cloth bag which was in turn placed inside a standard aluminum neurocan which had been precooled to -90 and packed with dacron
wool. Temperature probes were left externalized to the neurocan for subsequent cooling to -196 C.
I don't really think this is going to help you though but I tried!! 
your paragraph has many grammatical errors
Subject: your paragraph has many grammatical errors
along with punctuation - not sure if you just typed it fast and are aware or not? If you more help, let me know.
Go to format/paragraph and you'll see it. nm
Subject: Go to format/paragraph and you'll see it. nm
Based on the following paragraph written by
Subject: Based on the following paragraph written by
Vanderbilt University in relationship to Troubleshooting PICC problems, in particular; "My patient's arm is red, swollen, and/or painful."
A. How does the arm look in comparison to the arm without a PICC line.
B. If redness is involved, is it a red streak up the arm along the vein tract.
C. If swelling is involved, what is the difference in the girth of the two arms.
Your sound-alike brings to my mind: gorge; as engorged. Definition: gorge, glut; especially: to fill with blood to the point of congestion. Just an educated guess though. Good luck.
This paragraph shows AZT for baby -see message
Subject: This paragraph shows AZT for baby -see message
If an HIV positive woman is taking AZT then it will probably be recommended that her baby is given AZT (usually as a syrup) for the first six weeks of its life starting 8-12 hours after birth. Alternatively, if the mother has taken AZT and 3TC during labour then an effective regime for the baby would be one week of AZT and 3TC.
If only limited AZT is available then one week of AZT can be given to the baby. If only single dose AZT is available then the baby can have this combined with a single dose of NVP, and if no AZT is available then the baby can have a single dose of NVP to help protect it.
Here is the paragraph for the s/l line infection evaluation..
Subject: Here is the paragraph for the s/l line infection evaluation..
Patient here today for a post-op s/l line infection evaluation. She has been doing daily wet to dry dressing changes and today the wound breadown area is less than a cm across and with probing with a Q-tip will not extend any greater than 2 cm in the area. I do not think that this continues to require any packing. I have recommended that she just keep gauze over the area for the drainage. thank you
Stumped - rheumatology. Please see paragraph for context.
Subject: Stumped - rheumatology. Please see paragraph for context.
Patient is a little girl with an area of atrophic and hyperpigmented skin on her forehead (morphea/linear scleroderma en coup de sabra).
"In addition, there is a secondary area which is approximately 2 cm in diameter and 6 cm in length which is hyperpigmented and lateral to the s/l inituary/immisuary, with again subcutaneous atrophy, but without erythema or adherence."
Totally stumped but hate to give up --- Thanks for any help.
does she want you to put in a heading, or include more in prior paragraph
Subject: does she want you to put in a heading, or include more in prior paragraph
nm
Thx! I made it through a whole paragraph of tests, with this being the last one and couldn't get
Subject: Thx! I made it through a whole paragraph of tests, with this being the last one and couldn't get the last one! :) Thx for your help!
s/l linear partial tear also does this paragraph
Subject: s/l linear partial tear also does this paragraph
make sense?
There is a focal tear of the posterior supraspinatus tendon noted. No other tear or retraction evident. There is also S/L linear partial tear of the long head of the biceps tendon noted. Mild degenerative changes to the glenohumeral joint also indicated. TIA.
Just make it the last paragraph in the report. Does it Have to have a title? Maybe Note, Comment,
Subject: Just make it the last paragraph in the report. Does it Have to have a title? Maybe Note, Comment,
s
you could also correctly use mL rather than cc
Subject: you could also correctly use mL rather than cc
x
Would someone please tell me if I am typing the (e.g) correctly?
Subject: Would someone please tell me if I am typing the (e.g) correctly?
- I will see him back in three months to determine his LV systolic function by echocardiogram and then possibly consider other treatment (e.g., DC cardioversion and or pacing versus continued pharmacologic therapy.)
I think if I remember correctly it's....nm
Subject: I think if I remember correctly it's....nm
that would be spelled correctly as
Subject: that would be spelled correctly as
anyone know how to correctly type epi SO4? Thanks!
Subject: anyone know how to correctly type epi SO4? Thanks!
Yes you are hearing correctly.
Subject: Yes you are hearing correctly.
Pulsatile lavage is a new procedure for wound debridement. A wandlike device held close to the tissue surface delivers sterile irrigating solution and concurrently suctions . . .
Am I hearing him correctly?
Subject: Am I hearing him correctly?
I just want to make sure I type what he said correctly... would it be phrased that way? "in range of motion instruments machine" Am I hearing him correctly?
How do you type this correctly?
Subject: How do you type this correctly?
The patient is not taking p.o.'s. TIA!
Patient with diarrhea. Labs: s/l ESR 3 but sound is a bit distorted. Does that sound low for ESR?
Subject: Patient with diarrhea. Labs: s/l ESR 3 but sound is a bit distorted. Does that sound low for ESR?
it IS right Susan...you're doing it correctly
Subject: it IS right Susan...you're doing it correctly
How to correctly write out creatinine ?
Subject: How to correctly write out creatinine ?
"Creatinine one five"
Creatinine 15 or Creatinine 1.5?
I did google, but evidently not correctly. Thanks so much! nm
Subject: I did google, but evidently not correctly. Thanks so much! nm
nm
how to u correctly write TED stockings? TED/T.E.D./t.e.d.??nm
Subject: how to u correctly write TED stockings? TED/T.E.D./t.e.d.??nm
urothelium, said it correctly in another report. tnx to all.
Subject: urothelium, said it correctly in another report. tnx to all.
nmn
Think you want capsulorrhexis, if I remember correctly. nm
Subject: Think you want capsulorrhexis, if I remember correctly. nm
Your thoughts on how to correctly transcribe this.
Subject: Your thoughts on how to correctly transcribe this.
One doc always says "sub 1st metatarsal" (or 2nd, 3rd, etc). Should it be sub 1st metarsal, sub-1st metatarsal, 1st submetatarsal or...?
Hey, Patti, an OP MT here; I think you have the info correctly..sm
Subject: Hey, Patti, an OP MT here; I think you have the info correctly..sm
I would just punctuate a bit differently, like:
Dissection then went to the cephalic aspect of the tumor and a clamp used to delineate it. The tumor was freed of the tissue overlying the innominate vein..... and so on, I think you are doing a good job!
Thank you. do I understand the meaning correctly? sm.
Subject: Thank you. do I understand the meaning correctly? sm.
Bimelic would be more than one of the extremities correct. Monomelic would be only one extremity. It makes sense to me but I don't want to guess.
Thanks so much for your help.
Yes, it's a word and you have it spelled correctly.
Subject: Yes, it's a word and you have it spelled correctly.
didn't post correctly, but I believe it IS pindolol nm
Subject: didn't post correctly, but I believe it IS pindolol nm
Aha, guess it would help to spell correctly when I am researching :-)
Subject: Aha, guess it would help to spell correctly when I am researching :-)
:-)
it was spelled correctly inside the message--sm
Subject: it was spelled correctly inside the message--sm
with the actual definition attached. I am sure she caught that!
HE probably is unaware of how it's correctly written/pronounced. I'd
Subject: HE probably is unaware of how it's correctly written/pronounced. I'd
s
Thought so thanks wish they would dictate the drugs correctly
Subject: Thought so thanks wish they would dictate the drugs correctly
Thanks so much for trying. Positive she is not pronouncing this correctly. She is giving me an eye t
Subject: Thanks so much for trying. Positive she is not pronouncing this correctly. She is giving me an eye twitch... TGIF.
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