hmmm... what's the text book way?
Posted By: A on 2009-02-09
In Reply to: It is however your client wants. However, - sm
Subject: hmmm... what's the text book way?
I really don't know. It's a school assigned transcript looking for a I guess "Text Book" way of transcribing it. But all she dictates is
Pyscho was consulted. for her 'Hospital Course.' ... So I was confused at to whether leave it or expand.. but as I see what your saying.. because when I expand it those ways.. doesn't really make sense.. maybe they are wanting me to realized that and not expand but "" the report.
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More text
Subject: More text
I have explained to him that it is experimental therapy. There is no guarantee of success. The turbacent toxicities are substantial and these were discussed with the patient.
Need to know how it was used in the text.
Subject: Need to know how it was used in the text.
xx
Sorry, misunderstood the text.
Subject: Sorry, misunderstood the text.
More text would be helpful. sm
Subject: More text would be helpful. sm
If this is ortho, the second term probably should be Brudzinski sign.
a little more info/text might help
Subject: a little more info/text might help
. . of what you are transcriting - is patient pre- or perioperative . . parative not a medical word that I can find . . . a derivative of "parous" possibly?
May be PERIORAL but need more text to be sure...
Subject: May be PERIORAL but need more text to be sure...
Is in on the face (around the mouth in particular)?
aortogram cath see text
Subject: aortogram cath see text
During (Seldinger technique)approach to the infrarenal aorta..."to get full approach for the "UnaFlush or UniFlush" catheter. At first I tried to hear "Omniflush" but at the end of the report, it sounded much more like "UnaFlush or UniFlush." Any clues?
Not enough text to go on, but suspect you're sm
Subject: Not enough text to go on, but suspect you're sm
missing something here. Buccal is an adjective, so if that is indeed the correct term, you need a noun to go with it. What kind of surgery is this?
More text, is it a cancer note, what are we looking at?
Subject: More text, is it a cancer note, what are we looking at?
Full text as dictated (sm)
Subject: Full text as dictated (sm)
Here's the full text as dictated without any edit.
Would appreciate any opinions. Thanks!
"Recently, he went to a massage parlor that was given by a woman and he said he had more than just a massage. He said that she performed a hand job on them. Basically, that was pretty much about it. She masturbated him with her hand and after that, he started to have some discomfort. He denies having any oral, vaginal, or anal sex with this person. He said that after all that, he said he started to get this discomfort."
If you post more text, we can probably figure it out.
Subject: If you post more text, we can probably figure it out.
x
s/l jump to the PDA...see text inside.
Subject: s/l jump to the PDA...see text inside.
It was noted that the radial artery graft to the circumflex and s/l jump to the PDA was totally occluded
hm...any more info? before or after text? is this urine, blood, or? nm
Subject: hm...any more info? before or after text? is this urine, blood, or? nm
text before? after? context? type of report? help us help you... nm
Subject: text before? after? context? type of report? help us help you... nm
Thanks! Saw it in Equip book, but not cardiac book.
Subject: Thanks! Saw it in Equip book, but not cardiac book.
Go figure.
:o}
Stedman's Medical Equipment terms book or the Ortho terms book would help. nm
Subject: Stedman's Medical Equipment terms book or the Ortho terms book would help. nm
x
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. 
Hmmm....ridges? Got me...nm
Subject: Hmmm....ridges? Got me...nm
s
Hmmm..maybe serpiginous SM
Subject: Hmmm..maybe serpiginous SM
Don't know if it fits...sorta sounds like it.
serpiginous
Creeping; denoting an ulcer or other cutaneous lesion that extends with an arciform border; the margin has a wavy or serpent-like border.
hmmm...maybe "pathogenic"...nm
Subject: hmmm...maybe "pathogenic"...nm
nm
Hmmm....autism? nm
Subject: Hmmm....autism? nm
s
hmmm - see reply
Subject: hmmm - see reply
Actually after listening to that one at least 50 times, I could get nothing else from it. A Cobb can be a retractor or elevator. In this case, it was used to scrape vertebrae...I did find micro-Cobb. But it really didn't sound a bit like that. Macoa or Mikoa perhaps, but I tried every spelling I could think of. Oh well...it's a mystery, and the report went to proofing, but it left me curious. Thanks!
Hmmm, I can think of a number of
Subject: Hmmm, I can think of a number of
things, but nothing like your s/l. Usually the doctor will address any occupational exposure such as asbestos or silica, noxious fumes, etc. which may be encountered in a factory or manufacturing environment. Could you maybe tweak your s/l a little?
hmmm...can't tell if he is sayin that or not
Subject: hmmm...can't tell if he is sayin that or not
because it sounds more like 'kite'. I will blank it. Thanks.
Hmmm.would rheumatic fit here?
Subject: Hmmm.would rheumatic fit here?
Hmmm. that looks promising..
Subject: Hmmm. that looks promising..
Here's the complete phrase:
Follow-up appointment for an excision of a fistula and an A and O x 2. (in a 6 month old)
hmmm, was that meant for my post??
Subject: hmmm, was that meant for my post??
Not sure, Harsh attitude meant for me?? I don't see any anon posts either?? All seem to have a name/initial. The written word gets lost in translation, can't possibly know what is really meant, no inflection heard. Glad you asked though. Perhaps it is how you are reading the posts, ya think? My post was meant just like I said, if somebody wants it in a certain way that is the way you do it. You don't argue and trying to "be right" If you go searching to get an okay to do it another way, thid will only create problems for you. You need to think on it.
.
hmmm, could be. Pt had non Hodgkin's lymphoma.
Subject: hmmm, could be. Pt had non Hodgkin's lymphoma.
definitely sounded like a "tica" at the end though. we will see if the QA gives me the heads up.
Hmmm...stretching it with subnormal?? nm
Subject: Hmmm...stretching it with subnormal?? nm
s
Hmmm, I'm still thinking maybe "diastatic". Sorry can't help more. NM
Subject: Hmmm, I'm still thinking maybe "diastatic". Sorry can't help more. NM
.
hmmm don't know answer but is this an offshore.nm
Subject: hmmm don't know answer but is this an offshore.nm
Hmmm. He's not saying "denudations" by any chance? sm
Subject: Hmmm. He's not saying "denudations" by any chance? sm
I'm thinking it might read:
Denudations x3, right second and fifth DIPJ, and right hallux.
I could be way off. I don't know what nucleations could be unless he has his own meaning for the term. Denudations would make sense if the patient had injured his foot (degloving) or if it were ulcers denuding the epithelium.
You can always just leave it and flag it "as dictated." That would cover you.
Wish I could be of more help.
hmmm--good possibility...sm
Subject: hmmm--good possibility...sm
I had to send it back already with blanks and a note to my coordinator for some help. this sounds pretty close, as in the note to the referring physician, he mentioned a urine test for this too. It is hard to believe a one year old baby would have something like this though, but I do appreciate your help. I will let you know when I find out definitely what it is. oh, and I am hopped up on Hershey kisses with caramel, so don't feel bad! LOL. thanks again. I have a feeling this might be it.
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