more detail...
Posted By: annabanana on 2007-07-18
In Reply to: ENT surgery, Parson's window? - annabanana
Subject: more detail...
Sorry, I should have mentioned this is an endoscopic sinus surgery, and the surgeon is creating a s/l Parson's window. Thanks!
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Oops, more detail
Subject: Oops, more detail
Went back to my note and duh, there was more context in the last reference. Maybe should go to bed:
"... with PEG placement, currently under the care of speech therapy"
So I guess she actually ran good things together! 
Thanks again!
SG
procedure and detail
Subject: procedure and detail
s/ phofatomy
stainless steel crown and oposite.
Can you explain this in a little more detail? nm
Subject: Can you explain this in a little more detail? nm
s
I reviewed each chart in detail as well as completed worksheets Please SM
Subject: I reviewed each chart in detail as well as completed worksheets Please SM
in accordance with 1997 HCFA Guidelines for-new-um documentation. This is a letter sent to a health plan regarding a recent office chart audit. Any help would be appreciated.
Can find the abbreviation ANL everywhere on Occupational Therapy sites and they go into great detail
Subject: Can find the abbreviation ANL everywhere on Occupational Therapy sites and they go into great detail about what it entails, but nothing states exactly what the abbreviation stands for... see below
from www.activehomerehab.com
Functional Retraining Programs: Based on functional problems identified in the in-home ANL assessment, the occupational therapist will teach the client and their caregivers, strategies to increase independence with functional tasks such as dressing, bathing and meal preparation. Homemaking retraining programs may also be warranted in which education and training are provided regarding pacing, work simplification, proper body mechanics and use of assistive devices (if necessary), to facilitate return to pre-accident homemaking activities
Lots of Detail for Lots of Help!
Subject: Lots of Detail for Lots of Help!
Okay, I'm transcribing a SOAP note and this word that I'm trying to figure out is under the ASSESSMENT AND PLAN part. She says the word three times and I am now thinking she is saying something like "number next or number next is." What do you think?
(Normonaxis) Anemia may be caused from a recent epistaxis. He will start an iron pill daily over the counter called Fergon. Next visit we will check a hemoglobin, iron studies. (Normonax) He was in for right shoulder pain in the past. This was resolved. (Normonax) Recent qualm was treated with doxycycline.
Also, I was told to transcribe this using a straight SOAP format, but the doctor dictates things like "Review of Systems" and "Exam." I didn't think those headings or subheadings were in a SOAP format. She never dictates "Subjective" or "Objective," only "Assessment And Plan" as one heading towards the end of the report. Any advice?
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