ostial or even obtuse marginal if it's real bad slur..nm
Posted By: wanderer on 2007-06-08
In Reply to: Cardio...osteo diagonal branch.. cannot find this on internet.. thank you - debbie
Subject: ostial or even obtuse marginal if it's real bad slur..nm
s
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1st obtuse marginal
Subject: 1st obtuse marginal
Hi. Do you folks write 1st obtuse marginal, 2nd diagonal, etc.? TIA.
Could be "ostium of OM" - OM = obtuse marginal
Subject: Could be "ostium of OM" - OM = obtuse marginal
there is obtuse marginal artery. i would go with "artery"
Subject: there is obtuse marginal artery. i would go with "artery"
/
saphenous vein graft to the obtuse marginal? nm
Subject: saphenous vein graft to the obtuse marginal? nm
zzz
I think that is what it is. He tends to slur words! THX!!
Subject: I think that is what it is. He tends to slur words! THX!!
Seems like they slur "continuing down" in that spot a lot.
Subject: Seems like they slur "continuing down" in that spot a lot.
Can you get it to sound like that?
I found Real-Time, Real-time, real-time ultrasound...
Subject: I found Real-Time, Real-time, real-time ultrasound...
nm
Perhaps "native OD (obtuse diagonal)"?
Subject: Perhaps "native OD (obtuse diagonal)"?
did you try ostial cuff? nm
Subject: did you try ostial cuff? nm
x
ostial circumflex (artery)
Subject: ostial circumflex (artery)
ostial (as in ostium=opening) nm
Subject: ostial (as in ostium=opening) nm
sorry - ostial - hate when I turn off my expansion
Subject: sorry - ostial - hate when I turn off my expansion
x
I though something marginal too. Definitely says T though. Thanks!
Subject: I though something marginal too. Definitely says T though. Thanks!
nm
marginal?
Subject: marginal?
xx
Possibly ostial occlusion for first part (???), still checking on second....nm
Subject: Possibly ostial occlusion for first part (???), still checking on second....nm
marginal increment? nm
Subject: marginal increment? nm
s
marginal increments...........
Subject: marginal increments...........
he had significant disease of an ostial diagonal as well as an AV s/l gurve circumflex. thank you
Subject: he had significant disease of an ostial diagonal as well as an AV s/l gurve circumflex. thank you
marginal? mild-to-moderate? nm
Subject: marginal? mild-to-moderate? nm
s
try using 1/12,000, not real sure though
Subject: try using 1/12,000, not real sure though
it's real-time NM
Subject: it's real-time NM
Okay, here is my real response
Subject: Okay, here is my real response
What is the basis for any jealousy here? That concept baffles me. You obviously spent a lot of time into the events of today and I would suggest an alternate outlet...like a l-i-f-e. I do not always come here to flame or denigrate others. That you consider me trouble is of no consequence to me. I have no concern for how my posts are perceived and when I post, I'm usually my ADD and dyslexic self with multiple lines of thinking bouncing around in my head at the same time. I do not self check my grammar or spelling. I'm happy with my QA score of greater than 99.5% monthly because when I work, I allow no distractions. Before I was out of high school, I had the skill set I needed that today's poster lacked and that you commented on as a general rule for all newbies.
If you do not understand my point, that is your failing, not mine. Others have repeated my point so I hope it is a bit more clear to you by now. I will not "leave this newbie" alone (not that I now have a vendetta against her/him now) but you hold no power over my actions, just as I have none over yours. I feel no threat from you, do not feel diminished by you and feel sorry that you are so worked up over today's events.
I had no one to ask questions of at all when I entered MT as I came in as the MT supervisor with years of experience in being a records auditor. When I went home and entered the acute care arena, I had more books than I could count, with my favorite being "A Syllabus for the Surgeon's Secretary" (first published in the 50s). I didn't make a lot of money my first year at home but every report was superior to those of the other MTs on the account. I feel today's newbie has no excuse for not being able to find many of the answers to many of the issues that were addressed today other than by posting entire reports for strangers who may only think they are qualified to answer. Asking for QA help on entire reports is a crap shoot. On a forum where no one knows who anyone really is in real life, you can easily get crappy help anot not know the difference. Your mileage may vary.
I hope you find some peace and a healthy outlet for your frustrations.
a real stumper
Subject: a real stumper
Dr. just dictated thoracic *s/l cervingeal *s/l myedia
Any suggestions please? Thanks!
Hmm, I liked the first one better. Think it should be real word. :)
Subject: Hmm, I liked the first one better. Think it should be real word. :)
xx
Medication: S/l Ram a fa real
Subject: Medication: S/l Ram a fa real
Is this a real word? sm
Subject: Is this a real word? sm
She is describing some symptoms possibly consistent with ADHD. We discussed the differential diagnosis and possibly overlap of S/L: subsymptoms between anxiety and ADHD and possibly that these were comorbid disorders.
I cannot find subsymptoms as a legit word..
Thanks for any help!
Doc say this a lot but isn't a real word.
Subject: Doc say this a lot but isn't a real word.
I transcribe decubitus ulcer(s) when I hear decubiti.
Out in the real world, it is according to
Subject: Out in the real world, it is according to
how the client prefers. If you are being marked down for not putting them, then I would go ahead and add them if you cannot get an instructor to let you know one way or the other. Sometimes the docs do dictate vital signs separate from the PE, and unless you have been told to move them under the PE heading, then I would leave them as dictated.
is that a real word though?
Subject: is that a real word though?
I can't find a definition for gammaglobulinemia in Stedman's or online anywhere...pardon my stupidity here, but is it even a real word??? (maybe I'm just bleary eyed and am not seeing it!) Help!
Help please....Is this a real drug or not....
Subject: Help please....Is this a real drug or not....
S/L propoxycet. I was thinking some form Darvocet or Percocet? Thanks lots.
Is oxybutin a real drug?
Subject: Is oxybutin a real drug?
I got a lot of hits on google, but couldn't find anything official.
you found both in a real dictionary?
Subject: you found both in a real dictionary?
x
no, don't dump on yourself - you did REAL good!
Subject: no, don't dump on yourself - you did REAL good!
 Really - you did great - you figured it out on your own. Clostridium difficile!! GREAT...shows me just how resourceful you ARE!!!
        
real definition inside.........sm
Subject: real definition inside.........sm
Definitions of peau d'orange
A dimpled condition of the skin of the breast, resembling the skin of an orange, sometimes found in inflammatory breast cancer.
Thanks. I feel real stupid now. I probably need
Subject: Thanks. I feel real stupid now. I probably need
xx
Is this a real medical term???
Subject: Is this a real medical term???
adenotonsillitis.
The patient is having adenoids and tonsils removed.
Thanks!
Is he saying albuterol real fast?
Subject: Is he saying albuterol real fast?
nm
Ortho - This is a real mystery s/l -
Subject: Ortho - This is a real mystery s/l -
Knee pain status post skiing injury, open reduction and internal fixation with tibiofemoral bone grafting. Subsequent collapse and valgus deformity.
X-rays showed evidence of s/l mi-___ (then he possibly says joint)arthritis involving predominantly the lateral and patellofemoral compartment. He has hardware in the lateral aspect of his tibia.
Impression: Osteoarthritis.
The s/l is really garbled, but I'm hoping someone can connect it with the context. This will be the only blank in the report, so not a big problem.....I'd just like to know, if possible. Thanks!!
Peristolsing??? Is this a real word?
Subject: Peristolsing??? Is this a real word?
Real word, or should I rearrange the sentence to read peristolsis?? "Ureters were peristolsing bilaterally."
Thanks in advance!
You, manibanana,are a real hoot!
Subject: You, manibanana,are a real hoot!
mesophytic a real word???
Subject: mesophytic a real word???
"The MRI, which I did review, confirms the presence of a 3.3 cm, right, lateral, mid to upper pole renal mass that is mesophytic in nature, extending into the sinus, and is consistent with a renal cell carcinoma."
Now...is mesophytic a real word in this context??? My Stedman's spell checker highlights it as not being a correctly spelled word. I wonder if the doc meant to say something else, or is this used correctly????
Thanks everyone!
This is a real stretch but, how about canthus? sm
Subject: This is a real stretch but, how about canthus? sm
I have a friend with dry eyes who does a lot of computer work. She had collagen plugs put into the tear ducts in the inner corners of her eyes. Her eye doc did it. Like I say, this is a stretch.
Is calcitrate a real word?
Subject: Is calcitrate a real word?
Or is my dictator mispeaking and I should edit it to Caltrate? 
If calcitrate is an actual product name, is it generic, brand name, or OTC?
Thank you!!
A real stretch.....Synagis? nm
Subject: A real stretch.....Synagis? nm
nm
This is a real stretch...but could it be commissure? sm
Subject: This is a real stretch...but could it be commissure? sm
(n.) A collection of fibers connecting parts of the brain or spinal marrow; a chiasma.
(n.) A joint, seam, or closure; the place where two bodies, or parts of a body, meet and unite; an interstice, cleft, or juncture.
(n.) The line of junction or cohering face of two carpels, as in the parsnip, caraway, etc.
(n.) The point of union between two parts, as the angles of the lips or eyelids, the mandibles of a bird, etc.
is 'neurospine'a real word?
Subject: is 'neurospine'a real word?
Hi all,
I have need of your collective wisdom today.
I ran into a dictator fond of the word 'neurospine.' Where I am now they frown on slang, so I am trying to find out if this is a real word or a doctor-convenient contraction of some sort.
Thanks in advance for any assistance,
Skye
#3 myomatosis is a real word.
Subject: #3 myomatosis is a real word.
#4 cystadenoma is one word. I don't know about #2 yet.
I found it, it was right the real word is macrosomic thank you
Subject: I found it, it was right the real word is macrosomic thank you
or supraclavicular and axillary (real fast)? nm
Subject: or supraclavicular and axillary (real fast)? nm
nm
Just a real wild shot in the dark and
Subject: Just a real wild shot in the dark and
a real oldie, haven't seen it around since the '70s, used to do them on peds for sugar screening, but could have maybe been short Dexi for Dextrostix. For all I know there are still some places and emergency services, etc. that still use it. Gave it away on that one but ya never know, maybe places still using leftovers from the 70s...
for a straight consult rep and not real letter
Subject: for a straight consult rep and not real letter
but it DOES depend on the client profile/preference like the other poster said.....I get this format all the time in REAL consult reports (not letters) and I just type *Dear Dr. Smith* - I have just seen your patient....blah blah (can usually go under reason for consult or HPI) and then do my headings as dictated.
Good question, though!
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