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maybe s/l rulamid when she says later in dictation w/dose 10 mg daily

Posted By: PoodleLady on 2008-11-06
In Reply to: Pt w/multiple myeloma on s/l hulamid - PoodleLady

Subject: maybe s/l rulamid when she says later in dictation w/dose 10 mg daily




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Omacor. Adult dose is 2 grams daily sm
Subject: Omacor. Adult dose is 2 grams daily sm

as Per Monthly Prescribing Reference.  September 2006 issue.
There are three sliding-scale insulin regimens - mild dose, moderate dose, and high dose.
Subject: There are three sliding-scale insulin regimens - mild dose, moderate dose, and high dose.

So mild is correct.
Trileptal 150 b.i.d.; s/l "Vantz" as tolerated; Cymbalta 30 mg daily; verapamil 24 mg daily.
Subject: Trileptal 150 b.i.d.; s/l "Vantz" as tolerated; Cymbalta 30 mg daily; verapamil 24 mg daily.

Pt with chronic headache, chronic back pain, factor V Leiden.

Depression, Not Otherwise Specified.

Other/Unknown Substance Intoxication Delirium, Resolved.

Opioid Dependence.

Episodic Sedative Hypnotic Abuse.

s/l luvensa 4 capsules daily and s/l Exforge 10/160 mg one daily
Subject: s/l luvensa 4 capsules daily and s/l Exforge 10/160 mg one daily


patient received a single dose of radioactive iodine. The dose in S/L milliequaries? is unknown?
Subject: patient received a single dose of radioactive iodine. The dose in S/L milliequaries? is unknown?

NM
daily versus q. daily?
I always thought q. daily was wrong, but have received back corrections from QA with q. daily after I had changed it to daily.  This is not a verbatim account.  Am I wrong? 
q.daily versus daily
Subject: q.daily versus daily

You are definitely right.  Q.daily and q.day, q.d. are not accepted by the AAMT Book of Style.  You are to put daily.
guessing "two more dose" protocol, or even "tumor dose" protocol. sm
Subject: guessing "two more dose" protocol, or even "tumor dose" protocol. sm

If either one ties in with the patient's history, etc.


(s/l) do-par-a-mid 50 mg daily --- Sorry, doc does not tell me what it is for. nm
Subject: (s/l) do-par-a-mid 50 mg daily --- Sorry, doc does not tell me what it is for. nm

nm
Did he mean three 20 mg daily? sm
Subject: Did he mean three 20 mg daily? sm

I guess I'm asking if he said it exactly as you put it, "320 daily." That could be taken in different ways, especially if he didn't specifically say mg.
2 pag daily?
Subject: 2 pag daily?

i'm listening to a list of medications, and it sounds like the heavily accented doctor is saying "Claritin 10 mg 2 pag once daily."


any ideas on what she might mean by "2 pag?"


 


thanks!


EMG/NCV dictation
Subject: EMG/NCV dictation

I am transcribing an EMG report right now, and the MD is foreign, so I am having difficulty hearing some of her words.


Dictated:  Ulnar "inching" (?) studies across the elbows .....


Is "inching" the correct word?  I can't find it in my ref books.


Thanks to whomever is able to help.  Judy Harrison


 


Dictation help...
Subject: Dictation help...

Dictated as: She reports psoriasis, occasional oral orphoras and sicker symptoms.


Are the underlined terms correct.


Thanks


end of dictation
Subject: end of dictation

I know we normally do not type "end of dictation", but would I type the following sentence since it has patient info and a date?

End of dictation on the patient (name) for workers compensation on 6/8/2007.
It would help if we could get the dictation after this.... nm
Subject: It would help if we could get the dictation after this.... nm

x
Help with dictation!!
Subject: Help with dictation!!

On digital rectal examination the prostate is ?flat?/flas? without firm or snug ?valerity?.
maybe he meant 15 mg daily
Subject: maybe he meant 15 mg daily

http://www.rxlist.com/cgi/generic/ketor_ids.htm

See the Indications and Dosaging Page also and flag your QA/client as necessary to verify his dosing.

Is it an orthopedic note?
hem/onc help please-- s/l cirtyline 100 mg daily
Subject: hem/onc help please-- s/l cirtyline 100 mg daily

pt with dx of myelodysplastic syndrome


 


Thanks for the help!


s/l JEXON 8.6 mg via PEG daily
Subject: s/l JEXON 8.6 mg via PEG daily


S/L zetalopram 40 daily (not sure what it is for)
Subject: S/L zetalopram 40 daily (not sure what it is for)


tamoxifen AFA 81 mg daily.
Subject: tamoxifen AFA 81 mg daily.

This is in regards to treatment of a woman with breast cancer.  I cannot decipher if the doctor is saying tamoxifen AFA 81 mg daily or something else. According to my references the usual dose of tamoxifen is 25 mg daily so possibly the doctor is saying "due to tamoxifen AFA but then what medication would sound like AFA?  Please help! 
s/l fenfoxidine 180 mg daily
Subject: s/l fenfoxidine 180 mg daily

I'm having major brain farts today.  I can't reference this.  Is this correct? 
CoQ10, 150 mg daily
Subject: CoQ10, 150 mg daily

How would y'all type this?   I put the comma in there for lack of a better idea.  Thanks...
exforge 5/160 one daily.
Subject: exforge 5/160 one daily.

exforge 5/160 one daily.    Cannot confirm a medication named anything close to Ex-Forge??
When a dictator says q.daily you are to put
Subject: When a dictator says q.daily you are to put

daily. Putting q.daily is redundant and like saying every daily. It should only be daily. You were right. Your QA person was incorrect.
s/l Bismo 60 mg daily
Subject: s/l Bismo 60 mg daily

Patient admitted for chest pain, but rules out for cardiac etiology.  No other info, just lists meds, including s/l bismo or bismuth 60 mg daily.  The dosage does not seem to fit bismuth.
it is 650 mg 3 times daily
Subject: it is 650 mg 3 times daily


Dictation on a patient who is to
Subject: Dictation on a patient who is to

Under recommendations, doc says...number one...s/l ty pen hole or hold. What is the 't' word.
Floridian here- with dictation a G................nm
Subject: Floridian here- with dictation a G................nm


Did dictation get clipped? Maybe this?
Subject: Did dictation get clipped? Maybe this?

Akin osteotomy ?
Have see it in dictation both ways.nm
Subject: Have see it in dictation both ways.nm


Yes, that's it. She actually said it clearer later in dictation.
Subject: Yes, that's it. She actually said it clearer later in dictation.

Thanks!
MAYBE IT IS SRI DICTATION??? ANYONE HEARD OF THAT?
Subject: MAYBE IT IS SRI DICTATION??? ANYONE HEARD OF THAT?


unclear dictation
Subject: unclear dictation

The sentence reads:  One bottle out of four bottles of blood culture came back Staph coag negative positive.  Does that make sense? 
Is there a clearer s/l later in the dictation? nm
Subject: Is there a clearer s/l later in the dictation? nm

s
Psychiatric dictation help please
Subject: Psychiatric dictation help please

Dictator states very clearly "The patient is allergic to erythromycin and tetracillin." What is that???... mixture of tetracycline and a cillin drug??? This is a new one on me HELP!
Thanks for all the help, but none of these are fitting with his dictation.
Subject: Thanks for all the help, but none of these are fitting with his dictation.


Then I believe it is a dictation mistake.
Subject: Then I believe it is a dictation mistake.

Either meant metoprolol or Toprol. They blubbered and mixed them together!
Does the dictation indicate if the patient also has
Subject: Does the dictation indicate if the patient also has

a diagnosis of PCOS?
I think this may be it, but the dictation is very sketchy. Tx.
Subject: I think this may be it, but the dictation is very sketchy. Tx.


cannot hear dictation..
Subject: cannot hear dictation..

what do you do if you cannot hear the dictation.  i mean it is EXTREMELY faint and there is also a lot of background noise.  this doc is always on speaker phone and shuffling papers.  there is no instruction for this in the CP.  any suggestions?  just type what i can hear and leave a bunch of blanks with a QA note?
Hmm after reading the dictation again, you may be right...sm
Subject: Hmm after reading the dictation again, you may be right...sm

Mohs does make sense, he does say with negative results, and this was done some time after the p63, TTF-1, etc.  THANK YOU for that great point!  My brain is so done today. 


Dealing with ESL dictation
Subject: Dealing with ESL dictation

Just looking for some advice on dealing with a heavy load of ESL dictators, all different accents.  I've been an MT for 10 years and haven't dealt with quite this many before.  I'm not the leave a blank type of gal, so I'm wondering if there's a secret. 


Do you have more of the surrounding dictation? NM
Subject: Do you have more of the surrounding dictation? NM


No, sorry. That is all I can think of without hearing the dictation.
Subject: No, sorry. That is all I can think of without hearing the dictation.


Please Help Hemoglobin dictation
Subject: Please Help Hemoglobin dictation

The phrase sounds like:


"Hemoglobin A1C7.2%" Any ideas


(s/l) lidopine bis-a-late 10 mg daily
Subject: (s/l) lidopine bis-a-late 10 mg daily

Doesn't give diagnoses.
? lidopine bis-a-late 10 mg daily
Subject: ? lidopine bis-a-late 10 mg daily

Not sure how other post got wrong info in name.  Ignore it.


Furonedine 0.3 mg daily. (med list) TIA
Subject: Furonedine 0.3 mg daily. (med list) TIA


doc spells "transulusion" 0.4 mg daily TIA!
Subject: doc spells "transulusion" 0.4 mg daily TIA!

I have no idea what it is used for.  TIA!!


s/l bipane urea daily
Subject: s/l bipane urea daily

nm