starts plan
Posted By: mt mom on 2007-12-12
In Reply to: flonase - mt mom
Subject: starts plan
it starts the plan then says ??? flonase 2 sprays each nostril
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Not sure but comprehensive 65 plan, may be referring to age/healthcare plan?
Subject: Not sure but comprehensive 65 plan, may be referring to age/healthcare plan?
Sorry, tried to help. Have a nice weekend.
Definitely starts with a "C"
Subject: Definitely starts with a "C"
He's definitely saying a work that starts with a "C". He's just stating that the patient has no double vision, blurry vision, trouble hearing, rhinorrhea, or s/l chariza.
Ok,,it starts like this....sm
Subject: Ok,,it starts like this....sm
Radiographs today show no evidence of hardware loosening. There is a
cup with two screws. The femoral component has no changed position from prior radiographic examination.
Thanks for any help!
What starts with a D?
Subject: What starts with a D?
Could it be under ultrasound guidance ... ? I've seen that many times.
no that is not it, it def starts with an 'm'
Subject: no that is not it, it def starts with an 'm'
s/l it starts with M
Subject: s/l it starts with M
. Transfers, from sit to stand, [____] to chair, bed, tub and toilet, were all contact guard
No it starts with....
Subject: No it starts with....
I don't think so. It starts clearly with a P and sounds like Para or Pera with hardware intact.
it definitely starts with a B. NM
Subject: it definitely starts with a B. NM
x
it starts with a d...sm
Subject: it starts with a d...sm
and sounds like decision. I thought incision also, but not sure with x-ray findings and starting with a D. Thank you for your help.
Thanks - I listened again and she CLEARLY starts with an "m"
Subject: Thanks - I listened again and she CLEARLY starts with an "m"
I did the usual Stedman's and googling but I tell ya, this fellow is a grrrrrrr. Thanks anyway. Gonna flag it. Another grrrrrr
sounds like it starts with a B
Subject: sounds like it starts with a B
Chronic would make sense... I dont know
DVT medications - is there one that starts
Subject: DVT medications - is there one that starts
The patient reports she is currently being treated for the DVT with Lovenox, ____ and she started taking the Coumadin about three days ago.
Sounds like a 'b' word, but I am not sure. Thanks.
No, definitely sounds like it starts with an "R". Thanks for the try!
Subject: No, definitely sounds like it starts with an "R". Thanks for the try!
Definitely starts with S, like samarium but a instead of ium
Subject: Definitely starts with S, like samarium but a instead of ium
it definitely starts with a vowel NM
Subject: it definitely starts with a vowel NM
nm
when pH starts a sentence
Subject: when pH starts a sentence
shoud it be pH or PH?? thanks!
I'm not sure, it sounds like it starts with R, thanks for trying. nm
Subject: I'm not sure, it sounds like it starts with R, thanks for trying. nm
xxx
It definitely ends in "tion" and starts with a "p"
Subject: It definitely ends in "tion" and starts with a "p"
No, that's not it. He actually starts spelling b-e-r and then he gets to mumbling.
Subject: No, that's not it. He actually starts spelling b-e-r and then he gets to mumbling.
thanks, good suggestion, but it clearly starts with a P NM
Subject: thanks, good suggestion, but it clearly starts with a P NM
There is no word that even starts with daii
Subject: There is no word that even starts with daii
good try but it sounds like it starts with an A. thanks for your help.
Subject: good try but it sounds like it starts with an A. thanks for your help.
superior labral tear or a ? starts with a 'B'
Subject: superior labral tear or a ? starts with a 'B'
Review of the MR arthrogram shows that she does not have any evidence of a superior labral tear or _____.
not sidenafil. Dose is wrong. Starts at 25 mg etc.
Subject: not sidenafil. Dose is wrong. Starts at 25 mg etc.
Possible she starts to say contralateral, then corrects herself, so should be "equal to ..."?
Subject: Possible she starts to say contralateral, then corrects herself, so should be "equal to ..."? (nm)
*
She definitely starts out with a 'pr' sound. Think I'll flag it. Thanks, though.
Subject: She definitely starts out with a 'pr' sound. Think I'll flag it. Thanks, though.
.
Plan
Subject: Plan
CBC with differential, type and cross for 20 units, electrolytes P3, P4, PT, PTT, EKG, PA and lateral chest pulmonary function test.
I'm just in school for Med Trans. I love this website. I'm always confused when it comes to listing labs. I need help on the above. Thank you so much.
Plan help please!
Subject: Plan help please!
 I am a new, and need some help. after the doctor says plan he lists the medications he has prescribed. He does not number them and I am used to them saying medications and then listing (1, 2, 3) Do they usual do that? Should I leave it like he says it? Example:
PLAN:
Ecotrin 1 p.o. b.i.d. with meals. Keflex 500 mg p.o. q.i.d. for 4 days.. Follow-upl with me within the next 10 days.
thanks!
Plan help please!
Subject: Plan help please!
That all depends on the QA person reviewing the report.
I have been told both are correct and both are wrong, other than if there is only one item (in which case you never number).
I have been audited and smacked down (points) for NOT numbering when the dictator did not number on meds and on diagnoses, etc., even on a verbatim account. I would love if someone could explain why. The client profile for the account says "do not number" if the dictator does not number.
Plan.... UA and CNS or C&S?? thank you
Subject: Plan.... UA and CNS or C&S?? thank you
Do you have to have a plan?
Subject: Do you have to have a plan?
Where I work, if they don't say "plan", they don't get a "plan".
That's what I plan to do.
Subject: That's what I plan to do.
I do not like to guess. Now it says for prostate cancer, so it might be. I will just flag it and put a s/l, just in case. I don't want them to think I didn't try to look it up either.
noooo. it definitely starts with "quan" sound. kwan/quan suh seen.it is very clear. thx
Subject: noooo. it definitely starts with "quan" sound. kwan/quan suh seen.it is very clear. thx
x
Here's another one: Under Assessment/Plan
Subject: Here's another one: Under Assessment/Plan
1. Erythrocytosis – the patient did have a hemoglobin of 17 on blood work one year ago. I asked him to repeat it, but he forgot. We will recheck his CBC with NORRIS REPREEDIN level today and work this up accordingly. He is not symptomatic.
I keep listening over and over to this, and this is all I can make out. Any clue what he might be referring to??? TIA
assessment&plan help!
Subject: assessment&plan help!
If the doctor says assessment and plan together, do I put the header together? I am confused because when he gives the assessment he numbers them 1) 2) then when he gives the plan he numbers them as well but does not say plan any help?
ASSESSMENT:
- Bilaterally arm numbness.
- Nausea.
- Health maintenance recommendations.
PLAN:
- Patient’s critical examination was hyperreflexia suspicious for possible cervical lesion. She will be referred for MRI with cervical spine. Patient may need EMG to further access her numbness.
- Patient will be tried on Nexium, although she does not have any overt symptoms of heartburn. She does have chronic nausea and this may be a sign of stomach reflux. She will be tried on Nexium 40 mg one q.d. Other diagnostic possibilities include slow gastric emptying. The patient does not eat breakfast or lunch and has her largest meal at about 8:00 at night. We discussed the need to consume breakfast and ideally eat 3-5 meals per day, smaller meals to encourage her metabolism. ___ problem health maintenance and in regards to increase her exercise and changing her diet. Patient will be referred to OB/GYN for Pap and pelvic and also will be referred for a screening mammogram. When she follows up to see me we will discuss potential options for colon screening. Patient is to follow-up with me in approximately 1 month time.
assessment and plan
Subject: assessment and plan
I hate when docs do that - mine do it a lot. I think you're good either way but I would put "A&P" as the heading and then just type it the way the doc says it.
Sounds like a plan to me!!
Subject: Sounds like a plan to me!!
Thanks!!
s/l her-plan-jet-ick lesions
Subject: s/l her-plan-jet-ick lesions
s/l her-plan-jet-ick lesions in the mouth and throat
this is a 17 month old with excessive drooling and fever.
that sounds like a plan
Subject: that sounds like a plan
nm
Chest CT showed (s/l lines,but also s/l starts with m) __________ suspicious for osseous metastasis
Subject: Chest CT showed (s/l lines,but also s/l starts with m) __________ suspicious for osseous metastasis
x
Is this directions for something or what? A plan at the end of a scan? nm
Subject: Is this directions for something or what? A plan at the end of a scan? nm
s
In plan he very plainly says says need to rule out
Subject: In plan he very plainly says says need to rule out
Patient fell and injured right ankle. Sentence in question: She is significantly tender in the s/l coronal ligament s/l and the (or in the) right ankle.
Plan: MRI to rule out coronal ligament tear.
This is very clear - just cannot document it anywhere and don't want to flag it as it's very clear - just unsure and hoping for documentation or someone that has heard it.
Where would you begin the PLAN if the dictator does not say so?
Subject: Where would you begin the PLAN if the dictator does not say so?
ASSESSMENT: We discussed options for Jeff. At this point, a month after the injury, an MRI, potential surgical interventions, etc., ultimately doing as well as he is, he is just going to keep it in mind and be careful with his lifting. He drives a forklift, apparently on a regular basis, but we are going to forego further work up at this point. We also got int a discussion of routine health care maintenance. He will plan on complete physical in October, starting this year. I will put a standing order at lab at this point for him, for a UA basic metabolic fasting lipid panel and PSA. We will go from there.
Help with sentence. This is doc's treatment/plan: sm
Subject: Help with sentence. This is doc's treatment/plan: sm
The sentence just doesn't seem right to me. Any input appreciated!
" Examination, evaluation, simple avulsion nail plate, 3rd left lateral aspect nail plate avulsed paronychium performed under anesthesia."
Plan: Check CMP and s/l iris ads
Subject: Plan: Check CMP and s/l iris ads
In plan, doc says check s/l FH LSH. How would this be typed --
Subject: In plan, doc says check s/l FH LSH. How would this be typed --
plan of coagulation? planned? WAG
Subject: plan of coagulation? planned? WAG
ASSESMENT/PLAN COMBINED?
Subject: ASSESMENT/PLAN COMBINED?
WHen doing a SOAP NOTE
Can you Combine Assessment/Plan or are you supposed to seperate?
Even if doctor doesn't dictate a new paragraph? Thanks!
Thanks!!! no he says pila plan but cant find that--see more
Subject: Thanks!!! no he says pila plan but cant find that--see more
he diagnosed condition as blepheritis so that will work. thank you!!!!!
Patient with pneumonia - plan for... s/l R-cat consult??
Subject: Patient with pneumonia - plan for... s/l R-cat consult??
is this under procedures? plan? could you give the whole sentence?
Subject: is this under procedures? plan? could you give the whole sentence?
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