glad I could help - those weird pronunciations are tough sometimes! NM
Posted By: sassee on 2007-11-05
In Reply to: Thats it! - Shooshie
Subject: glad I could help - those weird pronunciations are tough sometimes! NM
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That is a tough one. I wonder if
Subject: That is a tough one. I wonder if
there could be something about axial loading in there???
Good luck :)
tough one but
Subject: tough one but
This is a quote from the Jounal of Nuclear Medicine Technology...
In the event that there is a significant splanchnic or bowel overlap with the inferior wall, various maneuvers, such as drinking water or milk or eating fatty food, can be tried to alleviate the problem before repeating delayed imaging.
So, sound like * overlap * would be correct.
I got this by googling the words - myocardial perfusion scan splanchnic
this is a tough one! sm
Subject: this is a tough one! sm
Just going to give you wild guesses and maybe it will help - could the word be
self-_____?
cell _____?
____ folate?
I'm not 100% sure but I think it is typed FOLFOX (??)
Man, that's a tough one!
Subject: Man, that's a tough one!
All I can think of is saying GCS fast with something, but then the 96 doesn't make any sense with that, but the 96 could represent glucose, but even then that's not low enough to cause coma, is it? Sorry--just thinking out loud. Let us know if you figure it out!
Good luck with that! 
A tough one
Subject: A tough one
  Osteopathy report says did deep tissue, manipulation as well as ?? s/l kindricks ?? crunch. Googled for a long time without luck.
Suggestions appreciated!
That's a tough one since s/m
Subject: That's a tough one since s/m
he probably didn't type it out. My guess is something with the patella?
Good luck.
Nah, that was a tough one. I don't think
Subject: Nah, that was a tough one. I don't think
I have ever heard that abbreviated before.
hmm I can't think of anything, that is a tough one NM
Subject: hmm I can't think of anything, that is a tough one NM
wow that is a tough one :( nm
Subject: wow that is a tough one :( nm
tough one (sm)
Subject: tough one (sm)
The only thing I can think of that comes close is that instead of spelling out those letters, he might actually be saying "coronary arteries."
If he's speaking distinctly enough, though, that you're sure he's dictating specific letters, then I'm stumped.
are you sure the doc isn't saying "hypertension" - sometimes tough to tell nm
Subject: are you sure the doc isn't saying "hypertension" - sometimes tough to tell nm
Hmm, tough one. The only thing I can think of ..
Subject: Hmm, tough one. The only thing I can think of ..
assuming it's part of the patient's surgical history is toe surgery?? Wild guess.
that's a tough one, got any more of a sentence??..nm
Subject: that's a tough one, got any more of a sentence??..nm
x
Tough to say without hearing it, but
Subject: Tough to say without hearing it, but
Could he be saying the coude catheter was connected to irrigant. And then say something about using K-Y?
Tough to say without hearing it, but
Subject: Tough to say without hearing it, but
Could he be saying: The coude catheter was connected to irrigant. And then say something about using K-Y?
a tough one having to do with radioisotope...plse sm.
Subject: a tough one having to do with radioisotope...plse sm.
The patient is a candidate for a sentinel node biopsy based on the intermediate thickness melanoma. Despite the negative lymphscintogram, it is certainly reasonable on the day of surgery for her melanoma excision to inject ? radioisotope at the primary site and with the handheld gamma counter, we may still be fortunate enough to identify a sentinel node that we can biopsy.
He kind of mumbles the type of radioisotope to be injected and if anyone has any ideas, I can see if they match up to what he is "trying" to say! Thanks so much.
tough one, but angioma or ecchymosis?
Subject: tough one, but angioma or ecchymosis?
just a thought.
You're welcome, Christa. Gyn is tough when you start out. nm
Subject: You're welcome, Christa. Gyn is tough when you start out. nm
x
True, but there are some terms that are tough to find. sm
Subject: True, but there are some terms that are tough to find. sm
This one is a good example of a term difficult to Google. However, it can very easily and quickly be found in Stedman's. I recommend books first, Google as a last resort.
You may want to help out at the MT Chat board where only hints are given.
Don't forget what it was like when you started out. You probably weren't at home working alone, were more than likely paid hourly and were able to research ad nauseum.
"Do unto others..."
Thanks-a-lot! It was hard to figure out from his tough accent!!
Subject: Thanks-a-lot! It was hard to figure out from his tough accent!!
a tough one--drugs that use "grains" and fractions thereof
Subject: a tough one--drugs that use "grains" and fractions thereof
That's right, go ahead and run off when you see my boring hard question!!
Okay, I've have to say that I never really got the "grain" concept in terms of drug usage and was too lazy to ask my instructors back in the day, and now my lack of knowledge has come back to haunt me. The doc says this patient is taking "three-fourths of a grain of phenobarbital." How do I transcribe this? Anyone?
too weird! sm
Subject: too weird! sm
The very next report I got after this one, from a different doc, different place, he says "microfracture" which I think must be what the first one was talking about (she loves the abbreviations). So strange that I've never heard this term, but I get it in 2 consecutive reports!
Yes, weird indeed. When he said it
Subject: Yes, weird indeed. When he said it
I said WHAT?? He is very, very clear too. I will send it in with a blank and see what QA says. Thanks for your help.
That is weird!
Subject: That is weird!
If it's not a verbatim account, I'd use "medications" and "detoxification". I'd think they'd have a hard time picking a fight with those! (Plus, it's more characters!)
Me, too. Looks weird.
Subject: Me, too. Looks weird.
Too weird
Subject: Too weird
my editor and I were just discussing this yesterday. I was always taught to put what is dictated, but she said to always expand it - - now, I am confused .
That is weird
Subject: That is weird
because Desonide is not to be used in the eyes.
Yes, same here. Looks like it might have stopped though. Weird!
Subject: Yes, same here. Looks like it might have stopped though. Weird!
.
Thanks... It's not in there. Must be a weird one, I guess!
Subject: Thanks... It's not in there. Must be a weird one, I guess!
nm
Weird question?
Subject: Weird question?
I have a personal question to ask and I don't know if this is a problem or not. For the past few weeks my left foot will occasionally get so cold I can't stand it and the rest of my body is fine. This only seems to happen when I am typing. My right foot is my pedal foot. My mother had surgery to remove a blood clot from her arm (she almost lost the arm) many years ago. Is this something that I should be concerned about? Does anyone else ever have this problem?
weird question here :)
Subject: weird question here :)
I am unsure if I have the spelling correct for this word! It is talking about the patient having pink eye. He says he has to clear it out because it is crusty and pusy. I do not kno of any other way to spell pus other thank this. It just looks different. Please let me know. Thanks.
it looks weird to me too...I always change it to...
Subject: it looks weird to me too...I always change it to...
it's not necessarily correct - but I think about pussy cats and so the *eye is crusty and has pus* is what I'd put. 
Weird!! we BOTH started it with DU....
Subject: Weird!! we BOTH started it with DU....
Weird phrase
Just had a doc say: Lungs clear to IPPA. It's a first for me, but Google had hits for it, so I'm sure it's common. But how odd to say during the physical exam that lungs are clear to INSPECTION, palpation, percussion and auscultation.
I think of looking carefully when I hear inspection. So it sounds like he somehow took a peak at her lungs. Was he using a bronchoscope for this physical exam (no way - because he'd have documented that carefully so he could charge for it, LOL).
Now I'm off to check and see what OneLook says about inspection. Oy.
OK, this sounds weird
Subject: OK, this sounds weird
Patient is scheduled for an Afro? due to critical limb ischemia
Hey birdlady - what are those weird
Subject: Hey birdlady - what are those weird
Thanks for the laughs. I kept trying to hear 34 weeks, but it was pretty clear he was saying 24 weeks. I ended up flagging it as a discrepancy and sent it in to QA for them to figure out. Thanks for trying, though!
That should be Ƌ.1'...don't know where that weird symbol came from...nm
Subject: That should be Ƌ.1'...don't know where that weird symbol came from...nm
*
Possibly they're post BAK interbody fusion system or procedure? This one's tough! nm
Subject: Possibly they're post BAK interbody fusion system or procedure? This one's tough! nm
s
I know...lots sounded very weird. :) Thanks. NM
Subject: I know...lots sounded very weird. :) Thanks. NM
d
Yes...looks weird, but verified in my Stedman's. NT
Subject: Yes...looks weird, but verified in my Stedman's. NT
d
Kind of a weird way of putting it but SM
Subject: Kind of a weird way of putting it but SM
To amass something is to collect it or accumulate it. I have amassed a large collection of reference books over the years.
Too weird...when I opened this first time....sm
Subject: Too weird...when I opened this first time....sm
I only had the "subject" sentence and not the last 2 sentences. Am I crazy and somehow I just didn't see them...or is that possible somehow???
Consult - I think you are right! It just sounds weird....TU
Subject: Consult - I think you are right! It just sounds weird....TU
I promise, I'm not crazy...But this is a weird one! SM
Subject: I promise, I'm not crazy...But this is a weird one! SM
I know, it sounds crazy... This is a new urology account for me, and the doc is REPEATEDLY saying the following, taken directly from the notes:
(Problem of interstitial cystitis and pelvic pain) -- 'She did not use the Valium vaginal suppositories. She had days when she felt quite well....'
(Problem of IC again) -- 'Prescribed Valium 10 mg vaginal suppositories...'
(Problem IC and pelvic floor tension myalgia) -- She stopped her Valium vaginal suppositories, which she states are at a dose of 10 mg of Valium with 25 mg of amitriptyline and has felt much better since.
I can't find a Valium vaginal suppository anywhere, people! Any of you know about anything like this? I imagine that if you've got a stressed vagina, that would be as good of a cure as any, but I haven't heard of it yet. Any ideas?
It's weird because in his record, it's "hypernephrosis" and .....
Subject: It's weird because in his record, it's "hypernephrosis" and .....
I just had to put abdominal pain.
Seems weird to do something middle of the night. Maybe 2 q.a.m.? What
Subject: Seems weird to do something middle of the night. Maybe 2 q.a.m.? What
s
That's really weird looking. Should be 2:2:2 solution (try w/o quotes?)
Subject: That's really weird looking. Should be 2:2:2 solution (try w/o quotes?)
x
Dont see it in caps anywhere. Weird. Seems like it should be!! nm
Subject: Dont see it in caps anywhere. Weird. Seems like it should be!! nm
It's good to see MTs rebelling about the extremely weird
Subject: It's good to see MTs rebelling about the extremely weird
second edition of the BOS. They should go back to the first edition, but just add the necessary change about type II diabetes changing to type 2 diabetes. Medical record style guides should not completely change every three years. Doctors have never heard of the BOS for goodness sakes.
I agree, maybe it is a weird way of splitting that 70 dosage?
Subject: I agree, maybe it is a weird way of splitting that 70 dosage?
There is femhrt (looks weird, bug in drug index)
Subject: There is femhrt (looks weird, bug in drug index)
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