s/l change doxed respirations with periodic breathing. sm
Posted By: tracy on 2008-08-07
In Reply to:
Subject: s/l change doxed respirations with periodic breathing. sm
In terms of sleep disordered breathing, specifically in the central sleep apnea, there was very minimal evidence of either central sleep apnea or change doxed respirations with periodic breathing. Obviously with tracheostomy and the upper airway circumvented, there was no obstructive component to sleep disordered breathing.
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Kussmaul respirations
Subject: Kussmaul respirations
Could it be periodic? Just a guess.
Subject: Could it be periodic? Just a guess.
periodic movement disorder? Hear that a lot with RLS. nm
Subject: periodic movement disorder? Hear that a lot with RLS. nm
s/l Respirations 16, chest spans ventricle
Subject: s/l Respirations 16, chest spans ventricle
Respirations 16, "chest spans ventricle", lungs sounds were clear??? or "chest transventricle"????
breathing
Subject: breathing
Breathing
Subject: Breathing
Probably diaphragmatic breathing. Common with anxiety attacks.
Lilly
pursed lip breathing
Subject: pursed lip breathing
nm
Name of breathing syndrome
Subject: Name of breathing syndrome
He has a history of HV, as well as _____ and mom was concerned regarding his complexion being pale and weak.
Blank s/l shawbears (It sounds french) I really have no clue!?!
s/l worka breathing
Subject: s/l worka breathing
This is an infant with a URI and the doc says mom is to bring back to ER if she notices s/l worka breathing, increased fever, etc...
what about just work of breathing
Subject: what about just work of breathing
same as saying difficulty breathing, basically having to work at it.
Could it be "focal breathing"?
Subject: Could it be "focal breathing"?
breathing treatments?
Subject: breathing treatments?
apoatropine (?) bromide breathing treatment
and
BiPAP with settings of IPAP 10, EPAP 0-5 (?)
Help with breathing barometers please
Subject: Help with breathing barometers please
New doctor and I have never heard of this term -- cannot find it anywhere even in my big fat purple book! Sounds like anseties barometer. I can hear the barometer part clearly and it is a lung/breathing issue. Any clues? I'm completely stumped here. It doesn't help that my eyes are bugging out because my new glasses are not here yet. :-) Thanks for any help in advance.
S/L percelet breathing
Subject: S/L percelet breathing
The patient has obvious COPD and s/l percelet breathing. TIA.
pursed-lip breathing. nm
Subject: pursed-lip breathing. nm
z
bathematic breathing?
Subject: bathematic breathing?
Is there such a thing as bathematic breathing and how is it spelled? It is used by a psychologist as a way to help the patient relax. Thanks!
Breathing? Breath sounds? nm
Subject: Breathing? Breath sounds? nm
s
Breathing/lung test
Subject: Breathing/lung test
Sounds like the doctor is saying pulsac
__Pulsac__ is 97 percent of room air. Peak flow 210, 255
I found a lot of lung functioning tests on webmd but nothing that matched the sound of this. I must not be close because I'm not bringing anything up on Google either.
s/l unihard breathing treatment?
Subject: s/l unihard breathing treatment?
Dr. is states something that s/l unihard, uniheart breathing treatment, person with asthma
maybe increased work of breathing ? nm
Subject: maybe increased work of breathing ? nm
nm
breathing without stridor or ?sturdor? n/m
Subject: breathing without stridor or ?sturdor? n/m
increased "vocal breathing" and tachypnea? nm
Subject: increased "vocal breathing" and tachypnea? nm
I am stumped also. Tried to make pneumatic out of it, due to breathing etc. but nothing!!! nm
Subject: I am stumped also. Tried to make pneumatic out of it, due to breathing etc. but nothing!!! nm
Heart rate 60, breathing in 14 breaths a minute?
Subject: Heart rate 60, breathing in 14 breaths a minute?
x
is vocal breathing a fancy term for snoring?
Subject: is vocal breathing a fancy term for snoring?
Yes...It's Deep sighing hyperventilation (kussmaul breathing) (sm)
Subject: Yes...It's Deep sighing hyperventilation (kussmaul breathing) (sm)
a symptom of diabetic ketoacidosis (DKA).
s/l Bez or all in change
Subject: s/l Bez or all in change
shows the patient in sinus mechanism 66 beats per minute, normal intervals, normal axis. Voltage criteria for LVH and s/l Bezoiorall is change in comparison to prior EKG dated
Thanks so much to both of you. I will change to 6, 90, and -1. nm
Subject: Thanks so much to both of you. I will change to 6, 90, and -1. nm
I change that to:
Subject: I change that to:
I change elicitable (which to my knowledge has never been a "real word" to "able to be elicited." My doctor dictator thanked me for this once (I was suprised that he noticed). I checked this out with several transcripitionists that I have worked with who have lots of experience and are CMTs and they also edit this word to "able to be elicited."
I'm not CMT and I change that the same way...nm
Subject: I'm not CMT and I change that the same way...nm
 
cc to mL - do you change cc to mL
Subject: cc to mL - do you change cc to mL
according to AAMT or do you type cc
Thanks
Would you change this...
Would you change CT head to say head CT? The doctor says CT head.
Thanx
VR change
Subject: VR change
He should point it out to his supervisor because it is wrong. I don't care what QA says unless they can show me a resource where they got their information and it checks out. I would also point out to the client this fact. If they don't want to have their transcription correct and concise then I don't want their work. Right is right, wrong is wrong. I am really strong on this especially since the "new AAMT" has made all their "changes" and believe their BOS is the bible. It is not. Many of their "rules" are correct. Many of the are not. Research some of their changes and you will see just how over the top they have gone (it seems to be a control issue and they WILL cram it down your throat). I say that we all research on our own and go to reliable trusted sources that have been proven over time to be correct. The "New AAMT" definitely has not proven itself over time and incidentally they are not there for Americans anymore, they are there for the "overseas community." Humbug on them! Anyone know who could take the place of AAMT for American transcriptionits? After all, we are all Americans here and the language is English.
I would change it to this
Subject: I would change it to this
patients blood pressure readings at home daily have been 90 percent plus. Would leave as is or change........looks wrong.
Patient's daily at home blood pressure readings have been 90%+.
they can change...
Subject: they can change...
depends on what the MD hears on auscultation; that being said, it usually is 3/6, 2-3/6...etc... six is the prime as there are standard 6 heart sounds and the first number being how many of the 6 they hear.
When did p.r.n. change to p.R.n. and why?
Subject: When did p.r.n. change to p.R.n. and why?
nm
I would change it to (sm)
Subject: I would change it to (sm)
CPKs as it appears these labs were done multiple times if they are dictating MBs. I hope I'm making sense.
I'd put, CPKs were high but his MBs were normal.
I would change it to
Subject: I would change it to
Mrs. Smith is a patient on whom I performed rhinoplasty. but that is just me.
Just like you have it, why change anything?
Subject: Just like you have it, why change anything?
x
I always change that to *in regard*..sm
Subject: I always change that to *in regard*..sm
as for toward/towards, afterward/afterwards......both are acceptable as you said per the dictionary......so it depends on the MD I'm working for...I have one that is a stickler so I give him afterwards and towards as he says them.
Exactly, that is why I don't understand, QA does the same with H&H, they change it H and H. Nm
Subject: Exactly, that is why I don't understand, QA does the same with H&H, they change it H and H. Nm
x
...or 'otherwise no overall change"..??? nm
Subject: ...or 'otherwise no overall change"..??? nm
s
I would change it to ൜ mEq K/L" sm
Subject: I would change it to ൜ mEq K/L" sm
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I'd change to "mg," as well, but (sm)
Subject: I'd change to "mg," as well, but (sm)
the manufacturer's site would seem to indicate it should be hyphenated, as you originally had it.
http://www.jnj.com/index.jsp?content=product/brands/NEUTRA_PHOS.htm
"Prior" change? nm
Subject: "Prior" change? nm
m
yes, but change it to "are"
Subject: yes, but change it to "are"
nm
it looks weird to me too...I always change it to...
Subject: it looks weird to me too...I always change it to...
it's not necessarily correct - but I think about pussy cats and so the *eye is crusty and has pus* is what I'd put. 
Would you change this sentence?
Subject: Would you change this sentence?
His eye contact was intermittent; most of the time his gaze was fixed on whatever toy he was playing with.
...most of the time his gaze was fixed on whatever toy with which he was playing?
Not a verbatim account.
TIA
No, I wouldn't change it because
Subject: No, I wouldn't change it because
it is a myth that there is a problem with that sentence structure.
Do I change it when he dictates cc? nm
Subject: Do I change it when he dictates cc? nm
!
I would change it since account not
Subject: I would change it since account not
verbatim. LOL "hook up with"
Doctors are so funny.
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