hmmm... doesn't quite sount like it, but thanks for the suggestion.
Posted By: bonjeanjo on 2008-02-25
In Reply to: tibiofibular? nm - Txczech
Subject: hmmm... doesn't quite sount like it, but thanks for the suggestion.
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doesn't sound like BUN, she doesn't spell out the letters, it just sounds like "win". sm
Subject: doesn't sound like BUN, she doesn't spell out the letters, it just sounds like "win". sm
Her whole sentence is: Chemistries show a mild increase in the s/l WIN (22) suggestive of mild dehydration and a mild increase in calcium (10.2)
He doesn't give it. He's flying, but doesn't s/l fentanyl.
Subject: He doesn't give it. He's flying, but doesn't s/l fentanyl.
nm
Thanks so much. Your suggestion of -sm
Subject: Thanks so much. Your suggestion of -sm
of "stable" seemed like that might be right. Slowing it way down, I can clearly hear "currently appears acceptable." You steered my thoughts in the right direction. Thank you again.
my suggestion would be to
Subject: my suggestion would be to
research docusate, research Dulcosate, compare against patient report. Choose most appropriate. HTH
that may be it...thanks for the suggestion
Subject: that may be it...thanks for the suggestion
suggestion
Subject: suggestion
I don't really have any suggestions for your missing words, but I do have a few general suggestions.
Are the terms in parenthesis the ones you don't know? If they are, put s/l in front of it (s/l= sounds like), and then do your best to type what you are hearing phonetically. Sometimes it also helps people figure out the missing words if you can share as much about the physical condition of the patient that you know.
Good luck with your training!
Thanks for the suggestion. sm
Subject: Thanks for the suggestion. sm
It was really unclear.
It may have been trapezius, but I looked at it from every angle I could, thinking he may have been saying TM - for teres minor --
So I finally gave up and did the safe thing...QA!
Thanks.
my suggestion.
Subject: my suggestion.
The patient had something in his eye. The eye was numbed with ophthalmic phenacaine, and also, the eye was stained with fluorescein and checked with blue light.
Thanks for your suggestion
Subject: Thanks for your suggestion
I think that is what he means but is clearly spelling with a P. Guess this is one for QA. Too bad for me that he mentions it several times in the report.
Thanks for the suggestion!
Subject: Thanks for the suggestion!
You are probably right and the doctor is misprouncing the word. I still hear a K and X sound so I shall leave a blank just in case being that I do not have a firm diagnosis to match it up with. Thanks for your help!
suggestion
Subject: suggestion
Maybe meant to say "equal to the contralateral side" and accidentally started to say contralateral and then backtracked?
just a suggestion sm
Subject: just a suggestion sm
the only thing I can come up with is tibial guide (as in tibial cutting guide used for knee arthroplasty) ???
Thanks for the suggestion!
Subject: Thanks for the suggestion!
I appreciate the help!! I still can not find the normal range for leukocytes or lymphocytes. Thanks though!
Abby
Just a suggestion - sm
Subject: Just a suggestion - sm
This could very possibly be the word "metaphor." Suggest listening again and looking it up to see if it fits.
Thanks for the suggestion!
Subject: Thanks for the suggestion!
Thank you !
Abby
Thanks for the suggestion!
Subject: Thanks for the suggestion!
I really appreciate. I have been banging my head against the wall trying to figure this one out. It sounds like the "five hood" could be one word. Anyway, thanks again!
Abby
I don't think so...but thanks for the suggestion :) nm
Subject: I don't think so...but thanks for the suggestion :) nm
One suggestion
Subject: One suggestion
I would not put a comma after supination because the phrase following is not an independent clause.
Thank you for the suggestion.
Subject: Thank you for the suggestion.
Thanks for the suggestion. It has too much of an "ee" sound. I appreciate the help though.
Abby :)
My suggestion on this . . . sm
Subject: My suggestion on this . . . sm
""The superficial femoral artery was then dissected free with the dissection preceding more proximally,exposing the profunda and the common femoral artery with dissecting it using sharp dissection to completely expose it so that an umbilical tape could be passed around the SFA.""
Here's the way I would do this:
""The superficial femoral artery was then dissected free with the dissection proceeding more proximally, exposing the profunda and the common femoral artery, dissecting it using sharp dissection to completely expose it so that an umbilical tape could be passed around the SFA.""
** I took out the word ""with"" because it sounds awkward and the word ""preceding"" I believe should be ""proceeding"", and then with the 2 commas.
I hope this helps!
Thanks very much for the suggestion
Subject: Thanks very much for the suggestion
I think this mystery word has an M in it. Thank you though :)
Abby
Here's a suggestion..
Subject: Here's a suggestion..
chronic EDC or ethanol derived calories--meaning chronic alcoholism. ??
That's not it, but thanks for the suggestion! nm
Subject: That's not it, but thanks for the suggestion! nm
This is just a suggestion..
Subject: This is just a suggestion..
I would change the units of insulin to 10 and 20 instead of using ten and twenty. Maybe doc is saying this instead... He has been taking 10 units of Lantus. Since then sugar levels were 90 to 100.
Thank you for the suggestion...
Subject: Thank you for the suggestion...
I listened again and it doesn't sound like gritty. I think it's "cri". I found a couple reports with this same procedure and that word used. I also found the first one, which is "transcervically". Thank you for the suggestion though! :)
Thanks for the suggestion...
Subject: Thanks for the suggestion...
It's actually transcervically. I found an old report with the same type of procedure and she says the same things. I listened again and realized that's what it was. Thank you for the suggestion! :)
Hmmm...could be. Probably is.
Subject: Hmmm...could be. Probably is.
Lactic acid level was 1.1
hmmm...a.c.? nm
Subject: hmmm...a.c.? nm
s
hmmm, not sure, but thanks for trying!
Subject: hmmm, not sure, but thanks for trying!
:)
Hmmm.
Subject: Hmmm.
The only other meds I can think of that sound anywhere near that are Meclomen and Motrin.
Hmmm...
Subject: Hmmm...
I googled and there is a HTAB LA for bronchospasms.
hmmm - can't think of anything :( NM
Subject: hmmm - can't think of anything :( NM
Hmmm.... maybe
Subject: Hmmm.... maybe
Maybe inguinal hernia, TRUS (transrectal ultrasonography) or TRUSP (transrectal ultrasonography of the prostate) ??
Hmmm -- I am not sure ..... sm
Subject: Hmmm -- I am not sure ..... sm
I am familiar with Venturi, grommet, Paparella. I can't find anything close to sounding like "dutcher".
hmmm, if it is EGD, then the
Subject: hmmm, if it is EGD, then the
whole word is esophagogastroduodenoscopy (scope of the esophagus, stomach, and duodenum). Do ya think that's it?
Hmmm
Subject: Hmmm
I think this must be it. The patient is a 72 yo in the ER with diarrhea so I have no clues as to her past medical history. Ugggh, hate it when docs spell also.
Thanks to both of you.
hmmm
Subject: hmmm
Thank you for you honesty and encouragement.
hmmm
Subject: hmmm
Not saying Valcyte by any chance?
hmmm
Subject: hmmm
nope he isnt ESL, but he does shmoosh his words together sometimes. I will relisten to it and see if that it what he says. Thanks.
hmmm
Subject: hmmm
Did you mean: levoxyl ?
I guess I'll just leave Levoxyl alone.
Thanks :)
Hmmm
Subject: Hmmm
PENT ICCP
could it be anti-CCP?
P(ENT I)CCP
But that would still leave the P to be determined. I also would like to know if he spelled PENT or if he said it.
hmmm...
Subject: hmmm...
That makes sense b/c of the renal failure... i'm thinking the doc is misspeaking... i clearly hear the PLEX part... i think i'll be leaving that one blank ;)
Thanks!! :)
hmmm....sm
Subject: hmmm....sm
I can only come up with some wild guesses at the moment, such as:
get formolent = ___ for a minute
OR
get formolent = get 4 ____
as in "the wound bed was allowed to ___ for a minute to control some bleeding" or "the wound bed was allowed to get 4 ____ to control some bleeding"
I wish I could be more help...
hmmm...
Subject: hmmm...
Could he/she be saying: Appendectomy, "apparently" 3 D&Cs, tonsillectomy. It doesn't really make sense with the parentheses, makes it sound like the patient had 3 D&Cs at the time of the appendectomy.
hmmm...
Subject: hmmm...
The only thing that comes to mind is that he is possibly saying "OC", meaning oral contraceptive. I'd have to blank him if that's not what he says. 
I will listen again with your suggestion. Thanks! nm
x
Just a suggestion...and I'm not being snide
Subject: Just a suggestion...and I'm not being snide
but a good reference book to have for abbreviations is Stedman's Abbreviations, Acronyms & Symbols. Also there is a website
www.medilexicon.com
You can type in an abbreviation and get the expansion.
I would agree with mac's suggestion...sm
Subject: I would agree with mac's suggestion...sm
since there was a severe reaction to it, do not take a chance on a guess. leave it blank and do not use other people's suggestions just because the may SOUND like what you are looking for. JMO.
I did put a bland with the suggestion of
Subject: I did put a bland with the suggestion of
good suggestion...thanks! nm
Subject: good suggestion...thanks! nm
z
I appreciate the suggestion. I checked this out first (sm)`
Subject: I appreciate the suggestion. I checked this out first (sm)`
It does not s/l Combivent and there is no indication that the patient has asthma or COPD. Thanks for trying!
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