sessile!! Of course! I was thinking it s'd/l the name Cecile (nm)
Posted By: Sheesh! jess gessin on 2008-08-06
In Reply to: could it be sessile papilloma? - Kendra
Subject: sessile!! Of course! I was thinking it s'd/l the name Cecile (nm)
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cecile phataloma?
Subject: cecile phataloma?
There is a break in dictation just before this word as the doc frequently stops the tape and then restarts it, so this may not be the whole word... He states: There is a dark mole on the cheek with cecile phataloma. Any suggestions? Thanks!
nope, definitely not successful - almost sounds like the name cecile
Subject: nope, definitely not successful - almost sounds like the name cecile
Sessile maybe...nm
Subject: Sessile maybe...nm
nm
Thank you. I believe it is sessile! nm
Subject: Thank you. I believe it is sessile! nm
d
sessile polyps
Subject: sessile polyps
I think that's it. Thanks to both of you. My brain is rather dead today !
could it be sessile polyps? nm
Subject: could it be sessile polyps? nm
nm
maybe sessile lesion? nm
Subject: maybe sessile lesion? nm
Could be sessile tumor
Subject: Could be sessile tumor
could it be sessile papilloma?
Subject: could it be sessile papilloma?
sessile polyp
Subject: sessile polyp
nm
can you hear sessile polyps? nm
Subject: can you hear sessile polyps? nm
nm
sessile papilloma makes sense. Thank you all!
Subject: sessile papilloma makes sense. Thank you all!
sessile polyp that was s/l filo tubular? adenoma
Subject: sessile polyp that was s/l filo tubular? adenoma
still thinking
Subject: still thinking
Turns out that the patient is having very high fevers giving impression of left lower lobe pneumonia. Came across a brand name of a drug used in mouthwash called Advexin. They were talking about oral cancers...but then cross-referenced on http://www.pharma-lexicon.com/ and found (generic Mepron) atovaquone, classified as an anti-infective used in both adults and children who are at risk for PCP with initial doses of 750 mg per 5 mL. Since Hodgkin's lymphoma and bone marrow transplant would put this girl in a severely immunocompromised state, I would bet they are giving her a pretty hefty dose of the stuff. Atovaquone it is.
Thanks for helping me.
Thanks, I was thinking along
Subject: Thanks, I was thinking along
those lines, just wanted a second opinion. :-)
that's actually what I was thinking too - nm
Subject: that's actually what I was thinking too - nm
x
Tks. I kept thinking there is another
Subject: Tks. I kept thinking there is another
Like ...there were lewes....or something. You are probably right, and I finally found it in stedman's and it says *sternal angle* and that seems to fit the way the doctor used it. Thanks again.
that's what i am thinking
Subject: that's what i am thinking
I was thinking along the lines of this from the begining....compression over lower extremities.....just wish I didn't hear otherwise! (I hate Monday's)
That's exactly what I was thinking
Subject: That's exactly what I was thinking
but I have this doc all the time and she's never dictated time like that before, so I just wasn't sure. Thanks to all who replied.
I was thinking that too...I'd have to say it was:
Subject: I was thinking that too...I'd have to say it was:
Past history notable or is notable for ______.
That's what I was thinking..maybe she
Subject: That's what I was thinking..maybe she
just got ahead of herself when dictating it in the assessment..because I definitely didn't hear an itis at the end...just a gingival or gingivo sound.
Thanks
that is what I am thinking..thanks
Subject: that is what I am thinking..thanks
What was I thinking
Subject: What was I thinking
of course, para anything with twins, triplets, etc. Thanks for fixing my answer!
I'm thinking it's probably
Subject: I'm thinking it's probably
R&M for "routine and microscopic"
That's what I was thinking, too.
Subject: That's what I was thinking, too.
.
I am thinking it
Subject: I am thinking it
may be (LIMA) or left internal mammary artery ..... of course you are hearing it.
That's what I was thinking...
Subject: That's what I was thinking...
but was unsure. It's an ESL doctor and she says it twice. It doesn't really sound like there is an F in the pronunciation, though.
that's what I was thinking.
Subject: that's what I was thinking.
That is what I have been doing but I guess I just wanted extra reassurance! Thanks.
I am thinking that is what she must be saying. Thanks. nm
Subject: I am thinking that is what she must be saying. Thanks. nm
I am thinking it might be SM
Subject: I am thinking it might be SM
some kind of rowing exercise...____ rows, but I can't come up with anything better than that.
Thanks, I was thinking that or 0.1. nm
Subject: Thanks, I was thinking that or 0.1. nm
xxx
I was thinking that myself, but just not sure so I sent to QA
Subject: I was thinking that myself, but just not sure so I sent to QA
I was thinking the same, but (sm)
Subject: I was thinking the same, but (sm)
why would he dictate this along with vital signs? Seems strange ...
I was thinking that too! Thanks!
Subject: I was thinking that too! Thanks!
Thank you for your input!!!
That's what I'm thinking..sm
Subject: That's what I'm thinking..sm
This client requires headings whether or not dictated, so I wanted to make sure I'm correct.
Anyway, I have always typed it under abdomen, but I went looking to make sure, and I did find it in a sample report with it listed under back.
However, I just found a very good article called "Varney's Midwifery" that says it is part of the abdominal exam.
Thanks!
That's what I was thinking.
Subject: That's what I was thinking.
Most of the references I found say that if a patient is unable to consent to surgery, two doctors can sign the consent form on the patient's behalf. I am just not sure if the dictators mean double-doctored or double-documented when they say double doc'd. I do all ops, so it comes up fairly often.
that's what i was thinking too - nm
Subject: that's what i was thinking too - nm
I was thinking that too . . .
Subject: I was thinking that too . . .
He is in rare form today. I think he meant to say compression but it honestly sounds like inspriation. Sigh*** I mightjust sent it through with a flag.
not thinking-- thanks!!
Subject: not thinking-- thanks!!
nm
thanks, that is what I was thinking also. nm
Subject: thanks, that is what I was thinking also. nm
nm
thinking...
Subject: thinking...
The left wrist is inspected showing there to be a visible soft tissue swollen area of the dorsal wrist closer to the radial aspect of the wrist. It is approximately 3 cm in diameter. Mobile tender to palpation and consistent with the ganglion cyst.
I was thinking a comma should go after diameter and before mobile. (where I have a period) What do you think?
I was thinking that too until...
Subject: I was thinking that too until...
...a couple of lines down he said the patient was circumcised. This guy completely rambles. I really didn't know about hair tourniquets until tonight's dictation. (Now If only I could forget the mental image!) Thanks for taking time to answer--this newbie appreciates it.
I was thinking
Subject: I was thinking
false lumen, but that when googled is associated it looks mostly with aorta. Unless you think they could be talking about the abdominal aorta???
that's what I was thinking, but
Subject: that's what I was thinking, but
I'm hearing a "cis" sound in the middle of the word. He also says it again part way down in the report. He says EG junction is 35 cm from the _______ orifice.
Thanks.
Thanks!. That's what I was thinking too.
Subject: Thanks!. That's what I was thinking too.
That's what I was thinking... : - )
Subject: That's what I was thinking... : - )
was thinking that but SM
Subject: was thinking that but SM
there wasnt any mention of the drug at any other part of the report and the word starts with a K or a C.
That's what I was thinking...
Subject: That's what I was thinking...
But I couldn't find anything that came close to matching what it sounds like she's saying.She has an accent which doesn't help at all.
I'm thinking maybe...
Subject: I'm thinking maybe...
...lateral compartment/unicompartmental
thinking 6-mercaptopurine nm
xx
I'm thinking PTCA
Subject: I'm thinking PTCA
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