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social history - denies smoking, alcohol or girls. sm

Posted By: sassee on 2007-09-14
In Reply to:

Subject: social history - denies smoking, alcohol or girls. sm

I can't think of anything else he might be saying, it really sounds like girls.  Do you think this is correct?  I just think it sounds weird.


BTW the only medical history I have for this patient is Ewing sarcoma...




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Social history
Subject: Social history

I forget the proper transcription for this regarding numbers--


Occasional tobacco use, 1-2 half-packs per day.


Should 1-2 be spelled out and is half-pack hyphenated? Thanks a lot!


Past social history
Subject: Past social history

When typing amount of cigarettes, is three-quarters a pack a day correct or would you use numerals?


pack year history of smoking
Subject: pack year history of smoking

Can a 65-year-old have a 75 pack year history of smoking? thought pack years meant how many years they have smoked a pack of cigarettes??
"x" pack year smoking history
Subject: "x" pack year smoking history

How would the above be typed, esp. when it has the number of years included, such as "40 pack year..."  ?? Thanks.
s/l patient denies history of *metachezia* or melena??? nm
Subject: s/l patient denies history of *metachezia* or melena??? nm

nm
patient pregnant with concomitant hemoglobinopathy denies *tagophasia nor does she have a history-sm
Subject: patient pregnant with concomitant hemoglobinopathy denies *tagophasia nor does she have a history-sm

of bleeding???  Thanks.
Would not start the sentence with a number. Would type it as "A 20 pack-year smoking history."
Subject: Would not start the sentence with a number. Would type it as "A 20 pack-year smoking history."


I would type 5-pack/year smoking history..slash stands for 'per'..nm
Subject: I would type 5-pack/year smoking history..slash stands for 'per'..nm

nm
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM


thanks girls! thats it!
Subject: thanks girls! thats it!


Maybe pills? Maybe girls, or his way of saying being
Subject: Maybe pills? Maybe girls, or his way of saying being

s
Ok girls need some word help
Subject: Ok girls need some word help

Need a correct spelling of the word "gaulding", "galding". (?)


We are not sure how this word should be spelled. There are no true definitions of this and we have a doc that uses the word now and then.


Thanks


Girls, please read on....
Subject: Girls, please read on....

Ladies,


Why don't you make the best of Google to find your words? Sooooo many MTs wouldn't be able to type one medical word if it weren't for Google. Well, let me correct this a little bit: They're not MTs but they get hired anyway.


Just trying to help. I feel so sorry for you all. I've been through all of this many years ago and you spend all your valuable time trying to figure what this a-- h--- said! No wonder you're all so tired....tired of looking up words all the time. I feel for you. You all have my admiration. I wouldn't go back to this line of work for nothing!


Monique


 


 


I re-listened and I don't think it is drugs, really s/l girls sm
Subject: I re-listened and I don't think it is drugs, really s/l girls sm

But I am starting to think this doc is just unusual - for example, he says things like "the patient pees a lot" instead of saying the patient has frequent urination...
thanks for the help though :)
Social indiscriminability
Subject: Social indiscriminability

ok I don't think indiscriminability is a word.  discriminability is.  i don't know what to put and I hate blanks
Social indiscriminately ?
Subject: Social indiscriminately ?

dd
Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm
Subject: Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm

it out.  It is a foreigner.  He is saying it very fast.  History of abnormal petatrie functioning is what is sounds like to me.  I have no clue. 
anti-social personality disorder
Subject: anti-social personality disorder

It could be ASPD. They found a link between sexually transmitted diseases in people who have ASPD. Oh, the irony!
Social Security disability determination...sm
Subject: Social Security disability determination...sm

Social Security is a proper name and is always capitalized as such, but disability is not part of an official program name. The other proper name associated with SS is Supplemental Security Income (SSI), which is the proper name of a program administered by Social Security. (Don't ya just love government stuff?) ;)
socially indiscriminate or social indiscrimination? nm
Subject: socially indiscriminate or social indiscrimination? nm

nm
There is an S sound in the word, also not system or social
Subject: There is an S sound in the word, also not system or social


history of colorectal history with metastasis to the liver and lymph nodes
Subject: history of colorectal history with metastasis to the liver and lymph nodes


Upper or lower case: Social Security Disability...
Subject: Upper or lower case: Social Security Disability...

___ is a 50-year-old man who is referred by the ___ for the purpose of the Social Security Disability determination.  Should I capitalize the first letters or type in lower case?  Thanks!
Social work eval s/l full-'scaled' or 'skilled' survey sm
Subject: Social work eval s/l full-'scaled' or 'skilled' survey sm

hx of baby with head injury


Full-scaled survey seems to make the most sense- can anyone verify this?


TIA


He denies any IV or s/l *deo* drug use. Thanks! sm
Subject: He denies any IV or s/l *deo* drug use. Thanks! sm


Denies vertigo?
Subject: Denies vertigo?

I think "denies" would be the middle word I'm missing, but I'm still clueless about the last term. I don't even know how to describe it. Thanks for your help, though.
WOW that's a lot of smoking...nm
Subject: WOW that's a lot of smoking...nm


Maybe saying denies any PND which is postnasal drainage.
Subject: Maybe saying denies any PND which is postnasal drainage.


Help....doc says "He denies any headaches...
Subject: Help....doc says "He denies any headaches...

change in vision, genital "s/l troma"..(not trauma) and does not have morning erections. 
is it for smoking? if so it is Chantix
Subject: is it for smoking? if so it is Chantix


smoking question
Subject: smoking question

Did smoke about three fourths of a pack per day since his late teen years.


Is this the correct way to write or it be written as a fraction?  3/4?


 


quit smoking
Subject: quit smoking

she does not want to quit smoking. She has gone s/l detroit before, and she do not want to quit.  She drinks alchol daily.


detroit does not make  sense here..please help!


we did not do an s/l ep-ler test as she denies any daytime somnolence. nm
Subject: we did not do an s/l ep-ler test as she denies any daytime somnolence. nm

ENT doctor...ep-ler or upward test?  what am I supposed to hear.  Thanks.
s/l GENITOURINARY: Denies >_______urinary habits
Subject: s/l GENITOURINARY: Denies >_______urinary habits

GENITOURINARY:  Denies s/l temulin urinary habits
patient denies s/l accumplates, see message
Subject: patient denies s/l accumplates, see message

The patient denies any fevers, chills, night sweats, weight loss, hemoptysis, pleuritic chest pain, nausea, synovitis, arthralgia, skin rash, s/l accumplates,  headaches or sinus pain.   


This is throwing me for a loop! 


H&P, GU sytem, Patient denies any kps tenderness
Subject: H&P, GU sytem, Patient denies any kps tenderness

ESL doctor dictating the genetourinary system exam on a female. Patient denies any (GPS, KPS??) tenderness. Thank you for your help in advance.! Bad day. Computer hard drive went. Working on old machine. Yikes.
Yep for quitting smoking, there is a starter kit
Subject: Yep for quitting smoking, there is a starter kit


Chantix to stop smoking maybe?
Subject: Chantix to stop smoking maybe?


Smoking cessation drugs
Subject: Smoking cessation drugs

Perhaps your s/l is listed here:


http://www.webmd.com/drugs/condition-11008-Smoking+Cessation.aspx?diseaseid=11008&diseasename=Smoking+Cessation


Lilly


smoking cessation drug
Subject: smoking cessation drug

I have asked him to use nicotine gum rather than using the patch. I have given him a prescription for s/l Combudine to be used as directed.


Couldn't find any drug with this name.. any help? 


s/l ver-in-o-quin for smoking cessation?
Subject: s/l ver-in-o-quin for smoking cessation?

xx
hmmm, sorry, if she is denying, not sure...denies problems 'with' might fit...
Subject: hmmm, sorry, if she is denying, not sure...denies problems 'with' might fit...

perhaps it is not connected to the lap cholecystectomy?

anyone else?
pt with GI issues. Denies S/L melan matakesia weightloss
Subject: pt with GI issues. Denies S/L melan matakesia weightloss


Hematologic: She denies s/l hemalin or easy bruising. thank u
Subject: Hematologic: She denies s/l hemalin or easy bruising. thank u


Denies lateral s/l eye flaps to touch or pinprick
Subject: Denies lateral s/l eye flaps to touch or pinprick

Under neurological....


Denies lateral s/l eye flaps to touch or pinprick


Chantix - new drug for smoking cessation
Subject: Chantix - new drug for smoking cessation

nm
Habitrol - treatment for smoking cessation.
Subject: Habitrol - treatment for smoking cessation.

nm
Has anyone heard of a smoking cessation med s/l lantrex. nm
Subject: Has anyone heard of a smoking cessation med s/l lantrex. nm

nm
Chantix, to quit smoking? dosage...
Subject: Chantix, to quit smoking? dosage...

would be correct.
s/l zopar/ropar/welpar.. i think it's for smoking cessation sm
Subject: s/l zopar/ropar/welpar.. i think it's for smoking cessation sm

We discussed smoking cessation. I explained to him the need to determine what each cigarette is being smoked for and to find alternatives to that. We discussed Chantix. I explained to him that one of the side effects is suicide. When he hears this, he decides he does not want try that medication, but he will try it with over-the-counter aids and his _____ . We will go ahead and get some routine blood work today. We will have him follow up in 2 weeks for a physical exam and to review the blood work.
The doc dictates under ROS, GU: The patient denies issues with polyuria POLYPHASIA, or polydipsia..
Subject: The doc dictates under ROS, GU: The patient denies issues with polyuria POLYPHASIA, or polydipsia..

is this correct?  POLYPHASIA????  Isn't POLYPHAGIA having to do with eating/swallowing?  I can't find anything in google relating to urination or GU system.....


  Thanks in advance!!