let''s back up and calm down a bit . . .
Posted By: ks on 2007-10-19
In Reply to: my thoughts exactly. No wax in the nose. Not now, not ever. Maybe sm - nm
Subject: let''s back up and calm down a bit . . .
MT only said patient has sinus problems . .no more than that . . doc probably did an ear exam and found cerumen, but MT did not specify . . IF it is cerumen it COULD be unrelated to the sinus problem, and I certainly did not mean the cerumen was in the nose ! I have gone through the endoscopic procedures in the sinuses as I have many times with removal of earwax impactions, my flareups do occur hand-in-hand . . sorry you all feel so hostile about it . . you all certainly don't need my help.
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CALM DOWN- how do you know
Subject: CALM DOWN- how do you know
Honestly, must you jump to conclusions based on a NAME?!! Perhaps it is not this person's first language but how DARE you judge where they live based on a NAME?
PE: Pt is calm with vaticanesia
Subject: PE: Pt is calm with vaticanesia
Hx of Parkinson disease, mild depression, multiple-systems atrophy, and is 96 years old.
As above, in physical exam he dictates:
The patient is calm with "vaticanesia." (Alternately, he might be saying "batik anesia.") Alert, cooperative, in no acute distress.
I tried One-Look, but I didn't get anything helpful.
There is Calm-X which is used for allergies
Subject: There is Calm-X which is used for allergies
calm positioning?
Subject: calm positioning?
almost sounds like calm positioning. This is right before anesthesia and repositioning. Does that make sense to anyone?
back pain, given dura-back if needed for spasm. nm
Subject: back pain, given dura-back if needed for spasm. nm
s
you should always try to back it up
Subject: you should always try to back it up
:)
Thx for the help. I just keep going back and forth on it. Now I know. nm
Subject: Thx for the help. I just keep going back and forth on it. Now I know. nm
X-ray of back
Subject: X-ray of back
x-ray of back.....
Subject: x-ray of back.....
It sounds like it might be spondylolisthesis, which would be descriptive of the L5-S1 joint; where as anterolisthesis refers to a subluxation of one vertebral body upon another would be stated as "there is anterolisthesis of L5 on S1"
Going to go w ith take-back
Subject: Going to go w ith take-back
cannot figure out what else this could be. Says this very clear. Thanks for those who were looking.
Went back...
Subject: Went back...
and it is clear as day! Geez...guess I just needed to talk it out! Thanks! :)
That was it, Thank you - I think I need to go back to bed!!!
Subject: That was it, Thank you - I think I need to go back to bed!!!
I put 110 to 120. Never had it come back yet....nm
Subject: I put 110 to 120. Never had it come back yet....nm
x
Just got it back from QA -
Subject: Just got it back from QA -
She has a long habit of only drinking...........
Wow! Call me homer simpson. d'oh!
Back strain
The doctor is giving instruction for a back strain. The blank s/l leg umes or rig umes. Thanks for any help!
The sentence is: Rest, ice, _______ for pain not controlled with ibuprofen.
Just wanted to get back and thank you
Subject: Just wanted to get back and thank you
Yuk-he's back. Will probably post something,,,,
Subject: Yuk-he's back. Will probably post something,,,,
nm
I take back the palladium..
Subject: I take back the palladium..
I didn't think about gadolinium, but it is used with MRIs.
I am back again with another question
Subject: I am back again with another question
I have never had so many questions and this is the same doctor I have always worked for. the patient has an actinic keratosis behind the ear along the hairline ove the "occioitent". He is not saying occipital...is it possible he is making this up?
thanks..going back and checking it out
Subject: thanks..going back and checking it out
Just got QA back, just wanted you to know that you were right! Thank you
Subject: Just got QA back, just wanted you to know that you were right! Thank you
x
as I go back and listen
Subject: as I go back and listen
it sounds like "Dilaudid hepta" but I can't make out "hepta". This is an ESL.
Just coming back on
Subject: Just coming back on
to say DUH, tragal pit.
Not thinking clearly today.
Thanks for the help though!
Hello back atcha ................nm
Subject: Hello back atcha ................nm
CC: Back pain
Subject: CC: Back pain
Thanks for taking the time on this . . .
While the CC: is back pain, the subjective describes . . .
This is an 81-year-old female who, for the last month, has had some intermittent pain next to her right shoulder blade. She is right-handed, and she has been doing a lot of gardening and weed whacking. It does not bother her much during the day, but at night when she sits, and then when she is lying in bed at night, she feels what she describes as a muscle spasm with twinges. She also at times has some diffuse pain from her elbow radiating up to her neck when she “overdoes it”, but that has been going on for quite some time, and she does not feel like that has recently changed.
thanks, I thought of that and went back
Subject: thanks, I thought of that and went back
and listened again, but he is definitely saying AS or AZ-vair, or something like that. To complicate matters, I'm having problems with the tape not playing correctly in that spot..it keeps stopping and slowing down,etc. I think the tape is just bad.
no offense, but what do either of these have to do with the low back? nm
Subject: no offense, but what do either of these have to do with the low back? nm
nm
I take that back...it could also be "tack"...sm
Subject: I take that back...it could also be "tack"...sm
there apparently is a sling "Tack" procedure, but could also just be saying bladder tact which is not naming the specific procedure.
Thank you . . . I was just coming back
Subject: Thank you . . . I was just coming back
It is PMR.
Thanks to all for taking the time.
Well, I went back and relistened,
Subject: Well, I went back and relistened,
proud flesh and then changed to pride flesh . . . I had never heard this term, but was able to find proud flesh (still cannot locate pride flesh, but this is a verbatim account and he clearly changes from proud to pride, so I'll give him what he says)
Thanks all!
QA sent it back as IPJ... guess I was way off.
Subject: QA sent it back as IPJ... guess I was way off.
I went back and relistened and thats what he said...
Subject: I went back and relistened and thats what he said...
I searched and searched for this sounding drug. Thank you.
I went back and listened . . .
Subject: I went back and listened . . .
It sounds like "reostis" or "reosis" to sight.  This is an ESL but he's not too hard to understand. Thanks for your help.
you could be right, I am going to back and relisten
Subject: you could be right, I am going to back and relisten
cause it sounds like valve plus ....... valve prolapse she talks really fast sometimes and funs her words together. Thanks
That's it! Went back and listened again. Thx!
Subject: That's it! Went back and listened again. Thx!
nm
it is just that she has low back pain..sm
Subject: it is just that she has low back pain..sm
Since that time, she has had increasing low back pain. She did do the s/l-Ergosco- method. She had no relief. She did have an injection to her SI joint region, which had a terrible reaction. Since that time, she has had low back pain.
yes, if the patient has come back more....s/m
Subject: yes, if the patient has come back more....s/m
Yes if it's not the first visit for this patient with this particular problem. If the patient was recently seen for the same thing, it's a representation......
after all was typed, went back and
Subject: after all was typed, went back and
listened and it was fibroids, he just stumbled. Thank you for your help
Deborah
Heard back from QA on this - sm
Subject: Heard back from QA on this - sm
You were right.
He was saying upper limbs and lower limbs.
Thanks for your input.
Went back and listened again
Subject: Went back and listened again
but he definitely says "4-5" shaver. Thanks for your help though!
Back exam
Subject: Back exam
While transcribing the back exam, the doctor says what sounds like "no rotation or scoliosis noted." I'm not exactly sure if he is saying "rotation," but would that make sense? I've never heard that used in a back exam before.
Went back and listened again sm
Subject: Went back and listened again sm
It definitely starts with an "S" sound but thank you anyway. It s/l "soltus"
That's when you want to email back
Subject: That's when you want to email back
with a simple:
"No."
Hehehe.
take back?? sternotomy.
Subject: take back?? sternotomy.
Pre and postop diagnoses is coagulopathy. The procedure is TAKE BACK? sternotomy. Never heard of this. Thanks.
Pt with low back pain sm
Subject: Pt with low back pain sm
Wondering if it is from his iliac or ileac surgery? Which one would it be/how to tell?
I'm here and I will check and get back to you!
Subject: I'm here and I will check and get back to you!
RPR came back reactive at 1:16, MHA TP of 4+.
Subject: RPR came back reactive at 1:16, MHA TP of 4+.
TX: sent you an email, which came back
Subject: TX: sent you an email, which came back
:) defensive back = DB
Subject: :) defensive back = DB
You should go back and do a little "ahem"
Subject: You should go back and do a little "ahem"
type thing, you know, play stupid and say, gosh QA, I think you might have made an inadvertent typo and turned Misonix aspirator into a Mycelex aspirator by mistake.
I went back and listened . . . sm
Subject: I went back and listened . . . sm
She definitely says "X ford" but who knows, maybe she's having a brain freeze and meant to say XL. I'll flag it. Thank you!!
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