speaking of recurrent thyroid cancer..so in that area the intra-media-sty-num sm
Posted By: minmin on 2007-05-05
In Reply to:
Subject: speaking of recurrent thyroid cancer..so in that area the intra-media-sty-num sm
Interestingly the PET scan revealed minimal FDG uptake in the right thyroid bed consistent with the right anterior tracheal lesion, and also minimal uptake in what is believed to be persistent thymic tissue in the "intra-media-stynum", but nowhere else is it noted. MRI was reviewed as well. This confirms a 1.4 cm enlarged lymph node on the right side at the level of C3......
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question about thyroid cancer
Subject: question about thyroid cancer
If the FNA shows thyroid cancer then a left thyroid lobectomy and a ?ectomy would need to be performed. I think he is saying isthmusectomy but I am not sure. Any suggestions?
Drug given for thyroid cancer - daily Nuvexar?
Subject: Drug given for thyroid cancer - daily Nuvexar?
.
he could not identify the cell type lesion, although this suggests s/l men-ga-lary thyroid cancer.
Subject: he could not identify the cell type lesion, although this suggests s/l men-ga-lary thyroid cancer.
nm
of shooting pain into the left radial wrist and thumb area and over the intercuginous area of the-sm
Subject: of shooting pain into the left radial wrist and thumb area and over the intercuginous area of the-sm
first and second digit of the left hand. Thanks.
recurrent pain?
Subject: recurrent pain?
DL branc -recurrent croup
Subject: DL branc -recurrent croup
Pt with recurrent episodic croup "PLAN: s/l "DL branc," rule out anatomical narrowing. Did briefly discuss reflux, but I would like to do a s/l "DL branc" beforehand to make sure there is not an anatomic issue.
The only DL branc that I could find had to do with TB, but this is a pediatric pt with no previous hx of TB etc. 
recurrent breast abscess
Subject: recurrent breast abscess
Recurrent laryngeal carcinoma
Subject: Recurrent laryngeal carcinoma
I plan to treat him with a combination of Erbitrux and chemotherapy. I have explained to him that it is experimental therapy. There is no guarantee of success. The turbacent toxicities are substantial and these were discussed with the patient. The patient wishes to proceed and will see me back next week.
This patient has recurrent laryngeal carcinoma. - Thanks so much for helping.
I think it might be that, as she has recurrent rectocele but I am flagging it
Subject: I think it might be that, as she has recurrent rectocele but I am flagging it
for QA anyway. Don't want to put in the wrong thing. Thanks for all your help!!
possibly recurrent atelectasis???
Subject: possibly recurrent atelectasis???
nm
that's all I could think of as well..but isn't that the chest area and not the neck area? nm
Subject: that's all I could think of as well..but isn't that the chest area and not the neck area? nm
d
Neonatal circ with recurrent adhesions
Subject: Neonatal circ with recurrent adhesions
This has to be circumcision, right? But he is saying the patient can get beneath the foreskin clean, but blah, blah. But if he was circumcised, he would not have foreskin, right? Or with the adhesions, would there still be some there? I'm confused! TIA
Recurrent ***losis secondary to MRSA.
Subject: Recurrent ***losis secondary to MRSA.
The patient takes tetracycline to treat these areas on her buttocks. TIA!!!
Patient has recurrent gastric outlet obstruction and ...
Subject: Patient has recurrent gastric outlet obstruction and ...
megagastrium. Cannot find this anywhere! Did he make it up? TIA!!
She has a history of recurrent silarities and lymphedema. Definitely not abnormalities. please sm
Subject: She has a history of recurrent silarities and lymphedema. Definitely not abnormalities. please sm
Doc is from Puerto Rico and has a heavy accent.
From cancer.org: "Sutent isn't the only drug making inroads against kidney cancer. Sorafenib (
Subject: From cancer.org: "Sutent isn't the only drug making inroads against kidney cancer. Sorafenib (Nexavar), ..."
See inside for colon cancer staging per the American Cancer Society.
Subject: See inside for colon cancer staging per the American Cancer Society.
http://www.cancer.org/docroot/CRI/content/CRI_2_4_3X_How_is_colon_and_rectum_cancer_staged.asp
http://www.cancer.gov/ is a great reference (National Cancer Institute)
Subject: http://www.cancer.gov/ is a great reference (National Cancer Institute)
intra eye injections.
Subject: intra eye injections.
Patient with macular degeneration has been undergoing monthly >>intra eye injections<.
I cannot find any info on intra eye injections. Any clues?
intra-articular
Subject: intra-articular
intra as in intrahepatic
Subject: intra as in intrahepatic
Intra-abdominal
Subject: Intra-abdominal
http://www.mercksource.com/pp/us/cns/cns_hl_dorlands_split.jsp?pg=/ppdocs/us/common/dorlands/dorland/four/000054393.htm
or intra-articular....(nm)
Subject: or intra-articular....(nm)
hx of recurrent UTI - The patient was encouraged not to use a condom Foley and continue 'SIMC.
Subject: hx of recurrent UTI - The patient was encouraged not to use a condom Foley and continue 'SIMC.'
I think "... intra- and extrabiliary..." would be correct.
Subject: I think "... intra- and extrabiliary..." would be correct.
?!
Intra-articular or Intraarticular?
Subject: Intra-articular or Intraarticular?
Which one should I use?
Intra-articular or intraarticular?
intra-articular per Dorland's
Subject: intra-articular per Dorland's
:)
Although my spellcheck takes it as one word.
probably intra meniscal portal-not
Subject: probably intra meniscal portal-not
inframeniscal portal. INTRA not INFRA
Intra or inter articular?
Subject: Intra or inter articular?
Having trouble with this one. I have put interarticular and have been corrected to intraarticular and now my QA changed intraarticular to interarticular? Talk about confusing. HELP. Thanks
intra-articular _____??
Subject: intra-articular _____??
I do believe this would be something we can correct with intra-articular (s/l) huts or touch or tuts or hutch, but may require some type of extra-articular osteotomy based on the findings of the long-alignment films.
I'm auditing, so I'm the third set of ears to listen to this and not figure it out... help???
intra-articular cuts?
Subject: intra-articular cuts?
haha!! i listened again and heard CUTS plain as day!
interrenal? or intra-anal?
Subject: interrenal? or intra-anal?
Speaking of QA, here's one for ya'...sm
Subject: Speaking of QA, here's one for ya'...sm
Last line of the report, dictating physician says "I will page Dr. so-and-so and discuss with him." The title "Dr." was inadvertantly left out (mybad), admittedly an error from typing too fast and didn't catch it. QA pulled this report and marked it as a "critical error affecting document integrity." I appealed the ruling arguing that it should be considered merely as a typo as document integrity as it pertains to accurate documentation of patient health care (which is what these documents are for) and proper transcription style had not been affected in any way. QA board upheld the ruling implying in their reasoning that the doctor could be offended, i.e., his ego could be bruised, by failing to transcribe the title he worked so hard to achieve.
Your thoughts - typo or critical error affecting document integrity?
Otitis Media
Subject: Otitis Media
You heard it right. It's "ears." Infection obviously spread to the ear.
See the link and the text from the link below:
http://www.nidcd.nih.gov/health/hearing/otitism.asp
What is otitis media?
Otitis media is an infection or inflammation of the middle ear. This inflammation often begins when infections that cause sore throats, colds, or other respiratory or breathing problems spread to the middle ear. These can be viral or bacterial infections.
Otitis media
Subject: Otitis media
She has progressed into a __________ s/l foam-a-nit otitis media.
The pt was already treated for a serous otitis media, which got worse. She has tinnitus and pain in her ear.
otitis media
Subject: otitis media
I think it is fulminant.
s/l serisotitis media
Subject: s/l serisotitis media
Sounds like doc says ser i so titis media????
sometimes they say media otitis....SM
Subject: sometimes they say media otitis....SM
instead of otitis media......
I'd flag it.........
otitis media
Subject: otitis media
Pediotic
UAD Otic
Masporin Otic
Rx-Otic
A/B Otic
all are brand names, capitalized
recurrent bilateral effusions and it was *kylus** and they thought it was due to thoracic duct injur
Subject: recurrent bilateral effusions and it was *kylus** and they thought it was due to thoracic duct injur
Intra- or extrahepatic biliary dilatation
Subject: Intra- or extrahepatic biliary dilatation
too late?
intra-aortic balloon pump
Subject: intra-aortic balloon pump
not sure if doc is saying something before the intra-aortic kind of s/l balute or blue or he could be trying to say balloon. Not really sure what to make of this. Thanks so much....
She has pancreatic cancer and a history of breast cancer.
Subject: She has pancreatic cancer and a history of breast cancer.
MD Anderson is a cancer center so if hysterectomy is for cancer, I would go with that one.
Subject: MD Anderson is a cancer center so if hysterectomy is for cancer, I would go with that one.
But never heard of Andy Anderson, so no help there.
Speaking of numbers...
Subject: Speaking of numbers...
What are the rules according to AAMT BOS on spelling out numbers in reports. If doc says...Patient has had headaches for the past two days...do I spell out two or do I put a number 2?
Thanks for your help.
Generally speaking (sm)
Subject: Generally speaking (sm)
affect is a verb and effect is a noun. There are only 2 exceptions - when affect is used in psych reports referring to their general attitude and when effect is used as a verb meaning "to bring about" as in "to effect a change in someone". Try to keep it simple.
speaking of misspelled, LOL nm
Subject: speaking of misspelled, LOL nm
nm
Speaking of presumptive
Subject: Speaking of presumptive
You made an assumption that I made my comment based on my "moral compass." You are the one being presumptive. As it so happens, I became an MT because the job I used to have did not allow me to go back to school. I recently got my second bachelor's in psychology, graduating summa cum laude I might add, and have been accepted to grad school for school psychology at one of the most competitive schools in the state. So I beg your pardon but the information I gave is not my moral compass. It comes from the extensive education I have received. In addition, I have experience working with kids with developmental delays and my best friend growing up had autism. I assure you if a doctor used that word with some of my friends who have children with disabilities, not only would the doctor get an earful so would the AMA.
Thanks. That has to be it. He has a little speaking dyslexia going on. (nm)
Subject: Thanks. That has to be it. He has a little speaking dyslexia going on. (nm)
Visually speaking, I like q.8h.
Subject: Visually speaking, I like q.8h.
Is he spanish speaking?
Subject: Is he spanish speaking?
the word sin in Spanish means without.
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