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never heard of...could be mixing up norvasc and/or micronase...i would flag it (nm)

Posted By: flybye on 2006-02-16
In Reply to: microvasc(Rx) - rudd

Subject: never heard of...could be mixing up norvasc and/or micronase...i would flag it (nm)




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Never heard of that one? Flag it sm
Subject: Never heard of that one? Flag it sm

9 times out of 10 when a doctor spells it, it is wrong. Just my thought :)
Drug help - s/l glyburide micronized (not micronase)
Subject: Drug help - s/l glyburide micronized (not micronase)


Probably mixing it up with another one -
Subject: Probably mixing it up with another one -

Loestrin/FE and Lunelle
Yes it is wrong because of mixing
Subject: Yes it is wrong because of mixing

Latin and English, but I believe he said he was doing VR work, and the program changed the phrase to this abbreviation. Somebody had to have told the program to do that, so it makes one think that is what the client has requested, so I hate to tell somebody the old rules that I follow when it could get them in trouble with their QA person.
mixing test maybe
Subject: mixing test maybe

Could it be a mixing test?....Mixing tests mix your plasma with normal plasma to see if it reaches a normal level of clotting factor
could they be mixing up TPL (total phospholipids) and saying PTL instead??? nm
Subject: could they be mixing up TPL (total phospholipids) and saying PTL instead??? nm


Norvasc?
Subject: Norvasc?


norvasc
Subject: norvasc

Bistolic
Norvasc?
Subject: Norvasc?


Norvasc was right
Subject: Norvasc was right

Just listened again and it was norvasc...thanks!!
Norvasc?
Subject: Norvasc?


could be mixing up Solu-Cortef (hydrocortisone)?
Subject: could be mixing up Solu-Cortef (hydrocortisone)?


amlodipine (Norvasc)
Subject: amlodipine (Norvasc)

xx
First thought is Norvasc? What is it for? sm
Subject: First thought is Norvasc? What is it for? sm

What are the other meds or conditions?
Usually Osler nodes or Janeway lesions, so maybe mixing the two. nm
Subject: Usually Osler nodes or Janeway lesions, so maybe mixing the two. nm

s
...or just leave a blank when they're mixing stuff up. NM
Subject: ...or just leave a blank when they're mixing stuff up. NM

s
amlodipine besylate (same as Norvasc) nm
Subject: amlodipine besylate (same as Norvasc) nm

nm
drug name: S/L ekforge, which is Norvasc and Diovan 5/160 one-half of a pill daily
Subject: drug name: S/L ekforge, which is Norvasc and Diovan 5/160 one-half of a pill daily


Never heard of it as part of an exam, but have heard of punch biopsy?
Subject: Never heard of it as part of an exam, but have heard of punch biopsy?


I'd flag it. You don't know which one
Subject: I'd flag it. You don't know which one


FLAG IT.............................nm
Subject: FLAG IT.............................nm

.
thanks for trying. I'm just going to flag it. nm
Subject: thanks for trying. I'm just going to flag it. nm

x
maybe- might just have to flag this one thank you
Subject: maybe- might just have to flag this one thank you

:-)
I'm just not sure. I'm going to flag. Thanks for your help.
Subject: I'm just not sure. I'm going to flag. Thanks for your help.


what I would do - I'd either flag it or....
Subject: what I would do - I'd either flag it or....


Thank you, I did flag it (NM)
Subject: Thank you, I did flag it (NM)

-
I'm going to flag it...
Subject: I'm going to flag it...

I have a name that I can't understand in the document anyway (person's last name) and I can't find it to verify spelling - so it's got to go to QA anyway, I come back here and post if/when QA gets it in case someoen else ever has it. TY for those that tried looking also.


I'd flag it
Subject: I'd flag it

Doc may have meant take 2 tablets in the morning and said the q just as a habit. I would certainly question having to take Lexapro at 2 a.m. In my opinion, don't guess - flag it.
Thanks. I will have to flag it.
Subject: Thanks. I will have to flag it.

ss

thanks, that might be what he is trying to say but I had to flag it :( nm
Subject: thanks, that might be what he is trying to say but I had to flag it :( nm


Thanks, but I sent it in with a QA flag.
Subject: Thanks, but I sent it in with a QA flag.

 


It wasn't locked.  Sounded like lap or lapped.  Doctor was running words together and even made up a few of his own!  Gotta love it !


@>--^--     Thanks again!!


If it were me, I would flag it
Subject: If it were me, I would flag it

Seems obvious he meant ACL.


I have a doc who says stuff like that all the time...give a list of "this is normal, that is normal" only he says the same thing both times. I don't change it, I just flag it.


I would say if you are not sure, flag it.
Subject: I would say if you are not sure, flag it.


I'm going to flag it, ty anyway! nm
Subject: I'm going to flag it, ty anyway! nm

x
Thx for trying! I am just going to have to flag this one. THx again!
Subject: Thx for trying! I am just going to have to flag this one. THx again!


Thanks for any help.....I will flag
Subject: Thanks for any help.....I will flag


If you are not sure, flag it.
Subject: If you are not sure, flag it.


will flag it for QC. thanks! n/m
Subject: will flag it for QC. thanks! n/m

xx
Thank you, had to flag it because he only said cod. thanks again. nm
Subject: Thank you, had to flag it because he only said cod. thanks again. nm

x
Should I flag this
Subject: Should I flag this

During CBC doctor says "counts of 7.7" Later in the sentence he says white count of 11,900. Would he be referring to RBC and should this be flagged for clarity????? It's unclear to me but then everything he says is. Thanks for your help.
sounds like you'd better flag it to me.
x
Used to flag it and then at the bottom SM
Subject: Used to flag it and then at the bottom SM

of report said something like this:


*doc said "Ureteka" maybe meant Uritex....


 


Thanks, I'll flag
Subject: Thanks, I'll flag

Thanks.  I couldn't find it either and since it is a  medication, better safe than sorry and I will flag it.  Thanks so much for your time
I agree... flag it
Subject: I agree... flag it

/
I'd flag, especially since allegies. nm
Subject: I'd flag, especially since allegies. nm


Absolutely flag it for QA....
Subject: Absolutely flag it for QA....

nm
Thanks...I will flag it just in case
Subject: Thanks...I will flag it just in case

When I got to the exam, she only weighs 111 lbs, so that makes me even more concerned that he just got lazy and just said "5" because he definitely didn't say 0.5 or even .5, it was just 5. I hesitate on questioning things that could be borderline, I always worry about them getting huffy if I dare to suggest they might have said something wrong, especially if what they said was what they meant, but then I think, I work at home in another state and wouldn't know him from a hole in the ground, what's he going to do, come to my house?!?!?
Would you flag this?? I have a doctor
Subject: Would you flag this?? I have a doctor

dictating a medicine of Xanax 20 mg t.i.d.  I'm only an MT, not a pharmacist, but 20 mg sounds awfully high, especially when the doses are usually in the 0.5 to 2 mg range.  I checked and it comes in 0.25 mg up to 2 mg.  I'm just wondering if I should put a QA marker here and ask them to double check or if I should just type what I hear and let it go through.  Has anyone else heard of somebody being on this high of a dose of Xanax before?  Thanks!
Should I flag?? Ortho help
Subject: Should I flag?? Ortho help

Physical examination of the left shoulder reveals active forward elevation to approximately 90 degrees. Actively she could elevate it to approximately 130 degrees with pain.

He uses "active" twice. Isn't that wrong?
thanks - yes it could be, I'll flag it. nm
Subject: thanks - yes it could be, I'll flag it. nm

x
Flag it - Lexapro comes 5/10/20 mg once a day
Subject: Flag it - Lexapro comes 5/10/20 mg once a day

x