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s/l affected grief reaction?

Posted By: CTiff on 2006-04-06
In Reply to:

Subject: s/l affected grief reaction?

CHIEF COMPLAINT:  My sister-in-law is dying, and I need a note for work


ASSESSMENT:  (s/l affected) grief reaction, secondary to the situation.  I have given a note to the patient to allow him to be out of work until Monday, April 10. 


Need help.  THanks.




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impacted grief reaction? sm
Subject: impacted grief reaction? sm

As per Sted's Psych. Or distorted/inhibited/prolonged/traumatic/unresolved are some others.
affective grief reaction
Subject: affective grief reaction

x
NWMNMT:Good grief, good grief, good grief..If this is the case, the doctor should also explain
Subject: NWMNMT:Good grief, good grief, good grief..If this is the case, the doctor should also explain

the meaning in an ADDENDUM.
How do you know what the doctor meant? GOOD GRIEF, are you the know-it-all (hyphens must be put here, as it is used as a noun!) on this board? Get over yourself!

Who understands what it means without an explanation?
The MOST obvious is apparently like I understood it:
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Maybe the doctor really meant this, 5 packs per year, so essentially a nonsmoker.

GOOD GRIEF, get over yourself!
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Subject: Yes, compression garments and/or wrapping of affected area for treatment of lymphedema.

I googled lymphedema wrap.
Oh, good grief, I need a nap!!....Thanks so much..
Subject: Oh, good grief, I need a nap!!....Thanks so much..


Good grief...Thank you...sm
Subject: Good grief...Thank you...sm

Talk about missing the boat on that one !! Sheesh. So obvious but she is such a poor dictator I became so frustrated I totally missed it :) Thank you.
Good grief. Yes! That is it!
Subject: Good grief. Yes! That is it!

Should have slowed the dictation down.  Thank you for your help.
Good grief - I got it
Subject: Good grief - I got it

Dysautonomia.  She better learn how to speak before she becomes more involved with patients.  Argh! 
Good grief....I am sorry. It is 251 seconds..sm
Subject: Good grief....I am sorry. It is 251 seconds..sm

It has been one long nasty week over here. Think I am losing it :-)
hydroclone! good grief! nm
Subject: hydroclone! good grief! nm

xx
third time's the charm...good grief! " 20 mEq K/L " nm
Subject: third time's the charm...good grief! " 20 mEq K/L " nm


Good Grief...can we find something more worthwhile
Subject: Good Grief...can we find something more worthwhile

to argue about?
Got it. It was linear opacity. Good grief!
Subject: Got it. It was linear opacity. Good grief!


Why do you feel the need to change it? Good grief! nm
Subject: Why do you feel the need to change it? Good grief! nm

.
Good grief, I finally found it.
Subject: Good grief, I finally found it.

After a long time searching, I found it - Alport disease.
OB/GYN - s/o sidwell reaction?
Subject: OB/GYN - s/o sidwell reaction?

Ruptured ectopic; needs to have D&C to avoid postop bleeding from s/l "sidwell reaction."  ESL doctor says this phrase a few times but I can't get it for the life of me!  TIA.


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Could it be?
it was serotonergic reaction per QA. nm
Subject: it was serotonergic reaction per QA. nm


s/l aerocipolous reaction....sm
Subject: s/l aerocipolous reaction....sm

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TIA 


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Subject: Spartal reaction?

There is no signs of excessive "spartal" reaction?
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Subject: Bolinger frittle knife? Good grief...

This is getting ridiculous. Did everyone each a bowl of much for breakfast today, or am I just exhausted from a week of nothing but musheaters?


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"The inferior aspect of the mucosa was then lifted off a septal spur on the right side. The ...... was then used to excise a piece of cartilage"....


Help again, please...


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Subject: good grief! It's Prilosec with a heavy NY accent! nm

x
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Subject: Decidual reaction - found it

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Subject: . Allergic reaction to s/l elsparginace.

nm
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Subject: What kind of reaction does this yield? nm

s
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Subject: s/l sertz anergic reaction

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Subject: She has had an allergic reaction to sulfanureas in the past


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Subject: since it is a serious drug reaction, I would leave a blank. (nm)


Hives is the reaction; morphine the drug. .. No, I don't think he wants both. /nm
Subject: Hives is the reaction; morphine the drug. .. No, I don't think he wants both. /nm


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Subject: Maybe an anesthetic reaction? Dulling of sensation? nm

s
skin reaction, itching, using Benadryl as well
Subject: skin reaction, itching, using Benadryl as well

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urticaria (hives) sometimes sign of allergic reaction. sm
Subject: urticaria (hives) sometimes sign of allergic reaction. sm

urticaria


ercti-karci-^



An eruption of itching wheals, usually of systemic origin; it may be due to a state of hypersensitivity to foods or drugs, foci of infection, physical agents (heat, cold, light, friction), or psychic stimuli. Syn: hives (1), urtication (2).


ester-type anesthetics is correct. (these have a higher incidence of allergic reaction)sm
Subject: ester-type anesthetics is correct. (these have a higher incidence of allergic reaction)sm

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sensory stimulation and s/l fifth-ear stimulation produced no reaction from the pt. nm
Subject: sensory stimulation and s/l fifth-ear stimulation produced no reaction from the pt. nm

d
chronic chronic chronic! Good grief.
Subject: chronic chronic chronic! Good grief.