s/l "cyberun" Maybe some type of chart record? Dialysis patient sm
Posted By: elderberry on 2009-01-14
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Subject: s/l "cyberun" Maybe some type of chart record? Dialysis patient sm
States: "Review of report in ____ suggests..." Again later in dictation: "Although this is not charted in ____. "
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How do I type this particular type of dialysis bath? sm
Subject: How do I type this particular type of dialysis bath? sm
Doc is an ESL and unclear, but it s/l he is saying "...using a 3 K 21/2 bath." I have never had this in a report and after googling, am still as clueless as I was. I cannot find it in AAMT, either. Any help would be appreciated. Thank you!
More likely renal (dialysis) patient...sm
Subject: More likely renal (dialysis) patient...sm
but most likely 1.5, since if it were 15, I would think most would dictate "fifteen" rather than "one five."
?rescue dialysis - is patient a child?
Subject: ?rescue dialysis - is patient a child?
Do you sense that it's a med or some type of dialysis? nm
Subject: Do you sense that it's a med or some type of dialysis? nm
s
Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm
Subject: Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm
No, not a medical record, but it is being put
Subject: No, not a medical record, but it is being put
While I realize it is the OP's responsibility to doublecheck whatever answers received here, and it's fine to be lazy in any other posts on the board, but IMO, it's still a good idea to give correct answers -- spelling, capitalization, and all -- when providing word help. Otherwise, if the OP is also "lazy" it will end up in a medical record the wrong way. Not major in this case, but could be in others ...
Just my opinion, of course.
Record Review: S/L
Subject: Record Review: S/L
'gluteus piriformis intentious fascia lata'
It's weird because in his record, it's "hypernephrosis" and .....
Subject: It's weird because in his record, it's "hypernephrosis" and .....
I just had to put abdominal pain. 
I think MAR is the Medication Administration Record. nm
Subject: I think MAR is the Medication Administration Record. nm
s
Stands for medication administration record
Subject: Stands for medication administration record
PROMPT CHART??
Subject: PROMPT CHART??
New to doing ER reports and Dr. dictates refer to PROMPT chart for rest of patient's records. Is this correct? Thanks in advance.
Chart Note
Subject: Chart Note
On lab work do I put it in right order (i.e. EKG after white count and hemoglobin) or just do as dictated?
should I type patient's with apostrophe? Thanks
Subject: should I type patient's with apostrophe? Thanks
I did communicate with the patient through a friend of the patient’s whose English was marginal
patient was told to F-off. How would you type that?
Subject: patient was told to F-off. How would you type that?
Would that be "F" off/ "F-off" ... Thanks alot...
there is the abbreviation MAR docs dictate for medication administration record, but not sure...sm
Subject: there is the abbreviation MAR docs dictate for medication administration record, but not sure...sm
if that's it? This is usually dictated when they don't want to list the entire medication list so refer to the MAR that is in the chart.
Type and hold. Patient may need transfusion?
Subject: Type and hold. Patient may need transfusion?
x
Could you type the sentence out completely? Also what is the patient being seen for?
Subject: Could you type the sentence out completely? Also what is the patient being seen for?
Patient has a persistent s/l pil-rong type tic.
Subject: Patient has a persistent s/l pil-rong type tic.
nm
what is the correct way to type patient was *medevaced*??? Thanks. nm
Subject: what is the correct way to type patient was *medevaced*??? Thanks. nm
nm
doc reviewing a record. Any ideas? Available for review is a s/l “fair-row” seven page typewritten
I checked wtih the original chart
Subject: I checked wtih the original chart
that I typed where the doctor stated that he was going to do an FNA and it was on the thyroid. I had already sent my charts, but I copied and pasted another with the work spelled colloid and an explanation and then sent that. Thanks so much.
s/l Labo and McCunning correction chart (sm)
Subject: s/l Labo and McCunning correction chart (sm)
Doc says: "I believe [patient] will probably need to have an epiphysiodesis done. I will have to look at 'Labo and McCunning' Correction Chart to decide when it is most appropriate to that."
I would make dg meds a heading, then type Patient is still... under it. nm
Subject: I would make dg meds a heading, then type Patient is still... under it. nm
x
s/l Chanz-type injury. The patient has a fracture...sm
Subject: s/l Chanz-type injury. The patient has a fracture...sm
subluxation of the thoracic spine.
ortho help. The patient had a s/l jersey-type injury with SM
Subject: ortho help. The patient had a s/l jersey-type injury with SM
disruption of the profundus tendon of her left ring finger. TIA
Pulled chart. Definitely Celexa. Good thinking!
Subject: Pulled chart. Definitely Celexa. Good thinking!
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.
Likely face sheet..first page of chart which usually contains known diagnoses. NM
Subject: Likely face sheet..first page of chart which usually contains known diagnoses. NM
Does this patient have cancer? If so, do they state what type? Almost sounds like a new drug
Subject: Does this patient have cancer? If so, do they state what type? Almost sounds like a new drug
therapy? It would help to know the diagnosis. Does the doc state what the diagnosis is?
14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?
Subject: 14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?
n/t
? term "cyber" in relation to "computer/electronic chart" documentation. (sm)
Subject: ? term "cyber" in relation to "computer/electronic chart" documentation. (sm)
This is just a guess as I am not "computer savvy" in regards to tech terms.
Patient with pruritic rash. No known exposures to s/l dosica dendron type plants.
Subject: Patient with pruritic rash. No known exposures to s/l dosica dendron type plants.
Udall........for dialysis .....nm
Subject: Udall........for dialysis .....nm
xx
maybe dialysis shunt
Subject: maybe dialysis shunt
Anyone ever heard of Q-dialysis? sm
Subject: Anyone ever heard of Q-dialysis? sm
If you have, could you please tell me what it is and where I can reference it? I tried Google and came up with nothing concrete.
Thanks for any help.
acute dialysis maybe
Subject: acute dialysis maybe
Q--Dialysis Services
Subject: Q--Dialysis Services
You probably saw this in google already, but there is a Q--Dialysis Service in Alabama for veterans, if that fits? Otherwise, I would still think it is "acute".
help - Ŗ K25 bicarb dialysis"
Subject: help - Ŗ K25 bicarb dialysis"
We will dialyze on a "2 K25" bicarb dialysis.
not sure of the "2 K25"
What's the verb of dialysis?
What is the correct way to type the verb of dialysis? I have a Dr saying "she __ on Monday, Wednesday and Friday." He is talking about dialysis, so would it be "She dialysis on Monday, Wednesday and Friday"? That doesn't make sense to me, but that is what he's saying!
you-tie briding dialysis graft?
Subject: you-tie briding dialysis graft?
This study is for placement of a subcutaneous tunneled right IJ central venous catheter for hemodialysis. The clinical history states: History of rethrombosis of a [s/l you-tie] bridging dialysis graft in the left upper extremity]. Could it be UTI? Thanks.
Ever hear of PDY catheter for dialysis?
Subject: Ever hear of PDY catheter for dialysis?
PDy=peritoneal dialysis catheter...nm
Subject: PDy=peritoneal dialysis catheter...nm
nm
Dialysis hate the terms.
Tessio Catheter is that correct?
Anyone heard of "renocaps" , on dialysis TY
Subject: Anyone heard of "renocaps" , on dialysis TY
status post dialysis?
Subject: status post dialysis?
Agree with sotalol but might that be 80 mg after dialysis?
Subject: Agree with sotalol but might that be 80 mg after dialysis?
Yes it does, dialyzed as in undergoing dialysis.
Subject: Yes it does, dialyzed as in undergoing dialysis.
Kinny catheter for dialysis?
Subject: Kinny catheter for dialysis?
S/l kinny, kenny, possibly kidney; ________ catheter was placed after the patient had a failed AV graft. Thanks for any help!
dialysis treatment instructions?
Subject: dialysis treatment instructions?
I've never transcribed dialysis treatment before. Does anyone know what or how this is supposed to read?
Her dialysis treatment 3 hours via the IJ PermaCath on 2.5 calcium, 2.5 potassium, 30 bicarbonate bath with s/l left flow 450, dialysis (or diastolic?) flow of 600, estimated dry weight 49.5 kg, Epogen as per protocol.
Thanks.
dialysis Fish line?
Subject: dialysis Fish line?
It is important that the patient does not get a fish line in light of her advanced age.
or maybe dialysis PICC line?
Subject: or maybe dialysis PICC line?
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