help! tired and can't figure this...s/l endricose
Posted By: Rebecca S. on 2006-08-23
In Reply to:
Subject: help! tired and can't figure this...s/l endricose
Status post-echo, revealing LVH and mild mitral s/l endricose regurgitation.
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either I am really tired or
Subject: either I am really tired or
In reviewing imaging, he states "X-rays, AP and lateral **flikes**, T10-S1 shows solid arthrodesis.
Later he is talking about exercises and states " leg exercises including crunches, leg lifts in a supine position, extensor exercise in the prone position, wall slides, and **lunches**.
I have listened to these several times, slowed it down, and this is still what I am hearing. Thanks for any help!
Thanks so much. I am tired right about
Subject: Thanks so much. I am tired right about
now and have 1 more hour to go.
That is it! Tks, getting tired
Subject: That is it! Tks, getting tired
that's it thanks, I am really tired!!!
Subject: that's it thanks, I am really tired!!!
I noticed the sparing was wrong and yes it is the breast. Thanks again--so much...
I know I know, you are probably tired of seeing me
Subject: I know I know, you are probably tired of seeing me
I am so sorry, I promise I will get better with time
Does anyone have any suggestions for these two words? I have typed them like they sound but can not figure them out.
...pending membranes are clear, no (listable) or spontaneousness (nisstagness) is recognized...
Sorry, the FDF should be FDS... I'm tired.
Subject: Sorry, the FDF should be FDS... I'm tired.
Thanks - tired in Ohio
Subject: Thanks - tired in Ohio
Thanks to you both.. it's late, I'm tired and
Subject: Thanks to you both.. it's late, I'm tired and
Merry Christmas and Happy Hannukah!
Yes, that's it. Thanks. I'm tired today :( nm
Subject: Yes, that's it. Thanks. I'm tired today :( nm
x
been typing all day, tired and cannot think
Subject: been typing all day, tired and cannot think
I know this is stupid and I have typed it a million times but I am so tired right now I can't even think. He says .... Myospan 500 mg ..... ? Thanks.
Sorry meant SVT (a bit tired here)
Subject: Sorry meant SVT (a bit tired here)
Yes Fissure! I'm tired. Thanks!
Subject: Yes Fissure! I'm tired. Thanks!
Why didn't I remember that? Thanks so much. It's late and my brain is not working this evening. 
Nevermind, I got it. VVI...duh. just tired. nm
Subject: Nevermind, I got it. VVI...duh. just tired. nm
x
Confused and tired....
Subject: Confused and tired....
Doc says the patient was given a stool ....s/l wax... to complete and return.
The only thing I have heard of is like stool cards but he is not saying cards. Any suggestions?
Thanks.
nighthawks??? okay i am really tired.
Subject: nighthawks??? okay i am really tired.
CAT scan was read initially by NIGHTHAWKS??? as what appears to be mid to distal mechanical small bowel obstruction. Could he mean the night shift? and referring to them as nighthawks???
drug help! Too tired...s/l Tilltize??
Subject: drug help! Too tired...s/l Tilltize??
Hypertension; well controlled with s/l Tilltize MSR, 180 and HCTZ 25 mg.
plowshare effect - too tired to think (NM)
Subject: plowshare effect - too tired to think (NM)
x
Might be semifluorinated alkane, but I'm too tired to
Subject: Might be semifluorinated alkane, but I'm too tired to
s
yep, i am having one of those days too. Getting tired fingers. NM
Subject: yep, i am having one of those days too. Getting tired fingers. NM
Getting tired and really cannot hear him or make out what he is saying but here it goes... S3 S4 s/l
Subject: Getting tired and really cannot hear him or make out what he is saying but here it goes... S3 S4 s/l
(heaves)???, thrills and rubs.
Nevermind, its late and I'm tired..lol...
Subject: Nevermind, its late and I'm tired..lol...
It was PE - pulmonary embolism!!
Ct of abdomen and pelvis...please help, tired and can't think Tx
This is a CT of the abdomen and pelvis. talking about abdomen..No free fluid in the abdomen. No "free incher", no air. Sounds like 'Free incher"
Oops, should be "believe", too tired and its late...nm
Subject: Oops, should be "believe", too tired and its late...nm
x
sorry that should be making up a word not work. tired.
Subject: sorry that should be making up a word not work. tired.
.
sounds like hypercater -- tired and can't think anymore
Subject: sounds like hypercater -- tired and can't think anymore
Doc says:
Under sterile conditions, Xylocaine with epinephrine 0.5 ml injected subcutaneously. ....s/l hypercater applied set on 10 for desiccation. A dermabrasion blade was used to excise the wart ..............
Thanks.
Never mind! I'm tired and making no sense! Thanks for the help!
Subject: Never mind! I'm tired and making no sense! Thanks for the help!
Don't you all get tired of cross-examining these people for details? NM
NM
Jeez you're right. I'm tired, time to quit.
Subject: Jeez you're right. I'm tired, time to quit.
Thank you.
Nope but I never get tired of hearing it, (kids don't say it anymore!)
Subject: Nope but I never get tired of hearing it, (kids don't say it anymore!)
s/l tired white blood cell study
Subject: s/l tired white blood cell study
s/l tired white blood cell study. This is in a patient with chronic wound infection. Not used in any context, just dictates will send copy of s/l tired white blood cell study.
OB/GYN s/l sadderdick (for stenotic cervix), on the tip of my tongue, tired, help please
Subject: OB/GYN s/l sadderdick (for stenotic cervix), on the tip of my tongue, tired, help please
I know this and is on the tip of my tongue... Sounds like "sadderdick" placement. Patient is having OB/GYN surgery but has a stenotic cervix. Could somebody help me? Gosh, tired.
Thanks!
Neck exam: Negative for a s/l cow's node. Help, I'm tired!!
Subject: Neck exam: Negative for a s/l cow's node. Help, I'm tired!!
I was ready to send to QA. Now I'm just laughing at my dumb self. :) I'm sooo tired...
Subject: I was ready to send to QA. Now I'm just laughing at my dumb self. :) I'm sooo tired...
trying to figure it out. sorry nm
Subject: trying to figure it out. sorry nm
s
If you figure out what this is....
Subject: If you figure out what this is....
Please let me know. I've done a lot of duplex ultrasounds over the past 5-6 years but I am very "aural" when it comes to dictation - once I see "increment" and have that in my mind, I can't think of anything else.  Anyway, I would like to know what it is in case I run across it.
Thanks! 
Thanks for trying anyway. I did figure it out though.
Subject: Thanks for trying anyway. I did figure it out though.
I had to copy the entire document into a new document and save it as a new document.
I believe she's saying figure-of-four but .... sm
Subject: I believe she's saying figure-of-four but .... sm
not sure if it fits with context. Can someone help? Here's more:
S: Low back pain. No radiation to lower extremities. No foot drop.
O: SLRs are essentially negative. She has full range of motion with negative (figure-of-four). No tenderness noted to palpation of spine. There are palpable spasms on both the right and left low back region.
A: Musculoskeletal low back pain with spasm.
P: Treat with Skelaxin 800 mg, Lodine 400 mg. Pt could also take Vicodin.
No, sorry. Maybe QA can figure it out. sm
Subject: No, sorry. Maybe QA can figure it out. sm
I've spent too much time on it as it is. I'm overly tired and grumpy anyway from getting up to pee every hour for the last several nights from my own urinary issues. The NP said I'd have relief today. What an a**hole. I'm in so much pain. He insists it could not be a kidney stone yet I'm peeing massive amounts of blood and blood clots. I've had a hyster so I know it's not coming from there. I don't usually wish things on people but I'm so grumpy from lack of sleep and in so much pain right now, I hope he gets one this bad. Curses!
Tried and tried, but cannot figure out what she's saying. Please help..sm
Subject: Tried and tried, but cannot figure out what she's saying. Please help..sm
A 77-year-old - history of diabetes mellitus and hypertension - in a wheelchair. No obvious distress when first presents.
While being x-rayed, she complained of weakness, dizziness and extreme nausea. She became somewhat s/l obtended and her blood pressure rose to 180/102.
Needed more urgent evaluation and was sent to the ER.
DX: DJD and sudden change in mental status with elevation of BP.
can't figure this out, but could doc be saying
Subject: can't figure this out, but could doc be saying
"notable" for something??
sorry, I will figure this out one of these days
Subject: sorry, I will figure this out one of these days
but the previous link works at least!
If anyone can figure this out I will be so grateful!
Subject: If anyone can figure this out I will be so grateful!
She says: Upper extremity, right, and rigidity with bright red ***ek-I-nas-ia**.
This is in PE, and she is usually quick with this section and doesn't explain much, so I have nothing else to go off of. This is a geriatric medicine note. Also, it's pretty much verbatim, so this is what is said.
Thanks!
Help trying to figure out this term..
Subject: Help trying to figure out this term..
Sounds like "tick del-a-ro?" Docs gives an "unsure" spelling of d-o-l-e-r-a-u. Is anyone familiar with this term? Thanks!!!!
I figure cc is used in a syringe sm
Subject: I figure cc is used in a syringe sm
and mL is liquid can be given through a syringe minus the needle orally. You will also see this on the measuring cup on top of cough medicine. cc and mL are measurements equal in quantity. 5 mL = 1 tsp or 5 cc = 1 tsp. I think the dangerous abbreviations are more for handwritten notes as opposed to transcription. JMO.
Need a "sounds like" to help figure it out. nm
Subject: Need a "sounds like" to help figure it out. nm
x
It is also hard to figure out ...
Subject: It is also hard to figure out ...
... because they put this patient on 1 baby aspirin a day, which I thought was to thin the blood. I actually ended up asking a doc at the hospital where I work, and he seemed to indicate that there wasn't really any "hypocoagulable workup" -- it was more like "bleeding studies." There is a "hypercoagulable workup" which is extensively discussed on the net, but this patient with the bleeding may be more a candidate for the bleeding studies. However, from what I have read on the net, the tests that are done for a "hypercoagulable workup" are the ones which are being ordered for this patient. Sigh. I'm going to change it to hypercoagulable, and mark it just in case. Thanks for your input.
Oh, gee, we can't extrapolate from that and figure
Subject: Oh, gee, we can't extrapolate from that and figure
There are typists and there are transcriptionists. Guess you're a typist.
Can anyone figure out what this doctor was saying sm?
Subject: Can anyone figure out what this doctor was saying sm?
I had this one time. It sounded just like this.
The patient has refreybrindriss
It is actually in the dictionary, go figure...
Subject: It is actually in the dictionary, go figure...
a·hold /əˈhoʊld/ Pronunciation Key - Show Spelled Pronunciation[uh-hohld] Pronunciation Key - Show IPA Pronunciation
–noun 1. Informal. a hold or grasp (often fol. by of): He took ahold of my arm. Grab ahold!
–adverb 2. Nautical Archaic. close to the wind and on a single tack: to keep a vessel ahold.
—Idiom3. get ahold of, Informal. hold (def. 51
Sjogren (wow twice in one day - go figure)
Subject: Sjogren (wow twice in one day - go figure)
would you mind to tell us what it was, I could not figure it out...Thanks..nm
Subject: would you mind to tell us what it was, I could not figure it out...Thanks..nm
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