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s/l hyper-am-in-emia

Posted By: jss on 2008-04-30
In Reply to:

Subject: s/l hyper-am-in-emia


with endstage liver disease, cirrhosis with recent hospitalization with s/l hyperaminemia




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:)
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It is yet unclear as to whether or not an improved remission; i.e., a complete remission prior to autotransplant is associated with improved outcome, although it appears likely given the data from several studies indicating that an autotransplant after hyperC vat or salvage chemotherapy for those who do not enter complete remission with CHOP-R is associated with a better outcome than those transplanted in partial remission.
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Subject: At the end of report, he now says hyper, er, um, hypothyroid - so must be Levothroid


Hypo, hyper, macro, micro
I'm a long-time MT and I still have a problem telling hypo from hyper, hypothyroid from  hyperthyroid,  macro from micro, etc....unless it's very obvious from the content of the dictation which is a lot of times isn't.    Another difficulty is the lab values...it's hard to tell 15 or 50, 20 from 30.  I leave blanks and then I see where QA fills them in.  So, I don't know if my hearing is getting bad or if they or just guessing.  Or, they may have access to othe lab values from previous dictation.  So I'm just wondering if this is a common problem with other MT's. Maybe I need to have my hearing checked.
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Subject: Thanks CL! I'll double check if it's hypo or hyper. New dictator ...


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Subject: Percussion of the chest shows s/l hyper-tymp-a-nism

:-)
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Subject: in past history, s/l hyper-call liver/level? condition


hyper (fast); hypo (slow); micro (small); macro (large)
Subject: hyper (fast); hypo (slow); micro (small); macro (large)

nm