feel a little silly asking this but here goes, paracentral and paramedian, the same thing?
Posted By: ss on 2008-01-17
In Reply to:
Subject: feel a little silly asking this but here goes, paracentral and paramedian, the same thing?
Doc is doing paracentral translaminar epidural steroid injection but she usually says paramedian and just wondering if this is a different somehow.
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I feel so silly. Thx! Knew it wasn't the nose thing. :)
Subject: I feel so silly. Thx! Knew it wasn't the nose thing. :)
Thnx! Now I feel a bit silly. nm
Subject: Thnx! Now I feel a bit silly. nm
Well I feel silly - he meant exactly the opposite!
Subject: Well I feel silly - he meant exactly the opposite!
I'm sure paucity is correct.
Aaahh, now I get it, sorry could not help, feel silly now, glad your ears are working...nm
Subject: Aaahh, now I get it, sorry could not help, feel silly now, glad your ears are working...nm
nm
Possibly paramedian? nm
Subject: Possibly paramedian? nm
nm
Paramedian arthrotomy. nm
Subject: Paramedian arthrotomy. nm
nm
paramedian is correct.
Subject: paramedian is correct.
x
paracentral?
Subject: paracentral?
Never mind it is paracentral. Thanks.
Subject: Never mind it is paracentral. Thanks.
Paracentral disc herniation perhaps.
Subject: Paracentral disc herniation perhaps.
paracentral disc herniation
Subject: paracentral disc herniation
nm
It's actually paracentral disk extrusion with neural impingement. nm
Subject: It's actually paracentral disk extrusion with neural impingement. nm
This is going to seem silly, probably, but...
Subject: This is going to seem silly, probably, but...
I can't seem to get this one... This demonstrates that he remains in atrial fibrillation 72% of the time. He is asense and V-pacing.
Thanks!
Silly ?
Subject: Silly ?
I feel silly asking this spelling of a non-medical word, s/l rehesitant is the word and I have noone to turn to right now to ask, so any clues? I can pronounce it but cannot spell the darn thing. The patient is resident or rehesitant to surgery.
Thanks!
silly
Subject: silly
Now don't be silly :)
Subject: Now don't be silly :)
Of course! How silly of me! thank you, I really appreciate it
Subject: Of course! How silly of me! thank you, I really appreciate it
Yes, it is Zip, silly me! nm
Subject: Yes, it is Zip, silly me! nm
silly me
Subject: silly me
I just went back and looked at a previous PT note for the patient and there it was.
Sometimes it takes me a minute to catch on :-D
Yes, thats what he is saying..silly me! thanks a lot!
Subject: Yes, thats what he is saying..silly me! thanks a lot!
Of course! Silly me! Thanks!
Subject: Of course! Silly me! Thanks!
ASR! silly
Subject: ASR! silly
ASR tells me that a patient with a postpartum hemorrhage has
uterine acne.
hmm.......
I have a silly question
Subject: I have a silly question
On auscultation is it lung "fields or fills" I know this is such a simple question but I am honestly not sure. Thanks for the help
Here's my silly way of differentiating the two: sm
Subject: Here's my silly way of differentiating the two: sm
principle is belief--associating le with belief (same sound)
principal is main. a as in main.
BTW, "principle diagnosis" is INCORRECT!! That company is way off, unless it's the client that knows no better and is insisting on that spelling.
This is going to sound silly, but..
Subject: This is going to sound silly, but..
I have been transcribing for this doctor for some time now, and I swear he is saying
Hydrochlorothiazide 50 mg S/L in-cake.
He has never used this term before, and I cannot figure out if it is an abbrev. for something or what. He never says intake, and he lists 9 other medications in this reports that does not say this. Any help appreciated..maybe I am just hungry lol
silly blooper
Subject: silly blooper
I know it's early but . . .
In physical exam, doc dictates "Skin was moist and dry" 
Oh silly me, could it be Mega-C was given?
Subject: Oh silly me, could it be Mega-C was given?
Oh silly me, probably brawny edema.
Subject: Oh silly me, probably brawny edema.
silly me catch/patch
Subject: silly me catch/patch
I just realized you asked about CATCH, NOT PATCH!
It's just one of those days!
Anyway, you couldn't pay me enough to have another blood patch, much less 3!
Oops!
silly me it is unloader brace. Thanks anyway.
Subject: silly me it is unloader brace. Thanks anyway.
Thanks. I thought we could all use a laugh, even if it was silly and stupid.
Subject: Thanks. I thought we could all use a laugh, even if it was silly and stupid.
m
Silly me I should have listened further. Doc corrected himself it was dedicated
Subject: Silly me I should have listened further. Doc corrected himself it was dedicated
Oh, brother! ASIS is in my book! Silly me!
Subject: Oh, brother! ASIS is in my book! Silly me!
Like I said: definitely a "bad words" night in more ways than one!
Thanks!
ASR Silly - "mono psychotic twins".
Subject: ASR Silly - "mono psychotic twins".
what's wrong with that picture? 
Since no QA, just do what you feel
Subject: Since no QA, just do what you feel
looks right and then they will let you know if it is right or wrong.
I would probably separate each by stating the problem is blah, blah, blah then paragraph the examination is blah, blah, etc.
I would not capitalize headings since they are office notes.
Make each problem standout somehow.
If they have no samples for you, then do it and let them get back to you.
Good Luck
Thanks so much. I feel much better about this now.
Subject: Thanks so much. I feel much better about this now.
Wow!! Feel sorry for you.
Subject: Wow!! Feel sorry for you.
No one from QA has EVER treated me that way. I have had a few less than desirables, but this one is shocking.
I can stand for the fact that people who have diabetes do not necessarily have hypertension. My father has diabetes and has had two MIs and does not have nor has he been treated for hypertension ever.
Plus, I have done QA and yeah, once in awhile a sound alike may seem way off to you because you may know the dictator so well, BUT I have never had anything come across that was "way off". I have always listened a couple of times to try to figure the word out before flagging it as I am sure 99% of us MTs do. Frankly, I would try to speak to her supervisor in the company if you have that option because if she is treating people that way, the company will lose their good MTs. I left a company of a nasty QA manager (apparently not this bad). I would NOT put up with that. It is abusive pure and simple
I feel like I should know this....
Subject: I feel like I should know this....
This is an ESL. I think she has said this before, but I cannot get a grip on it this time.
She was bleeding so much that she called 911 and the patient was taken to the ER. The ER controlled the bleeding and put a plastic **salizine** tape and sent her to see PCP today. According to her, she is not in pain at all but she was afraid when she took off the dressing it would bleed. Thanks!
Feel better?
Subject: Feel better?
Just trying to help, didn't claim to be perfect. cushingoid/Cushing disease, effect, phenomenon, pituitary basophilism, response, suture, syndrome, etc. according to Stedman's. Just call me "you'd be wrong" then from now on. That won't bother me a bit. I've got broad shoulders! LOL  Hope you have a nice day!
LOL!!! I know how you feel!!! nm
Subject: LOL!!! I know how you feel!!! nm
Thank you so much ;;I feel better now.
Subject: Thank you so much ;;I feel better now.
I looked in BOS under pseudomonas and bacteria, and nothing came up. Thanks for the info. I will make note of it. AHHHHHHHHHH, Mad Marge feels a lot calmer now.
feel? n/m
Subject: feel? n/m
x
I feel like
Subject: I feel like
I feel your pain. SM
I had a few like that. Guess who got fired? It wasn't me.
OMG I feel so dumb........
Subject: OMG I feel so dumb........
he's saying HEART disease, duh!!!!
LOL. that's it. Now I feel stupid!! Thanks :-)
Subject: LOL. that's it. Now I feel stupid!! Thanks :-)
:-)
OB/GYN help. I feel like I should know this, but I can't hear it.
Subject: OB/GYN help. I feel like I should know this, but I can't hear it.
Because of oligomenorrhea, she did start birth control pills and stopped them approximately 1 year ago. At first she had menstrual cycles every 4-6 weeks, but about the last 6 months or so she has been having 2 periods a month. She brings a schedule with her that shows that she had s/l promera or proberus from 06/07/06 to 06/14/06. her times of bleeding were 06/24/06, 07/07/06, 07/25/06, and 08/06/06, and she bleeds about 3-7 days each time. She has no moliminal symptoms and no evidence of ovulatory symptoms.
Thanks for the criticism! I feel much better about it now!
Subject: Thanks for the criticism! I feel much better about it now!
/
Hope you feel better. nm
Subject: Hope you feel better. nm
thanks. Now I feel dumb!
Subject: thanks. Now I feel dumb!
Brain just isn't working today.
I would feel sure orthier way of saying CMP
Subject: I would feel sure orthier way of saying CMP
if it was me I would type CMP.
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