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thanks for the suggestions, but i definitely hear a P sound. =) nm

Posted By: gamt on 2006-08-10
In Reply to: fear of the legal system? nm - Txczech

Subject: thanks for the suggestions, but i definitely hear a P sound. =) nm

x


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no, I definitely hear a p sound at the start and an f sound at the end
Subject: no, I definitely hear a p sound at the start and an f sound at the end

nm
Definitely hear an SK sound...thanks, though!
Subject: Definitely hear an SK sound...thanks, though!

I appreciate you taking the time to answer.  I just went ahead and sent the job through with a blank.  Would still love to know what it is for future reference. 
I definitely hear the "p" sound
Subject: I definitely hear the "p" sound

so I'm going with PL.

Ty both.
I know that wound fit but I only hear the "m" sound :-(
Subject: I know that wound fit but I only hear the "m" sound :-(


no, i dont hear a T sound, but thanks anyway =) nm
Subject: no, i dont hear a T sound, but thanks anyway =) nm

x
I don't think so because I can hear a CL sound at the beginning.
Subject: I don't think so because I can hear a CL sound at the beginning.


That would certainly fit, I would think. I do clearly hear the "tic" sound. nm
Subject: That would certainly fit, I would think. I do clearly hear the "tic" sound. nm

nm
no, but thanks for the help. i can hear a "K" or "C" sound at the beginning. NM
Subject: no, but thanks for the help. i can hear a "K" or "C" sound at the beginning. NM

x
I don't hear fluid - there's an "R" sound nm
Subject: I don't hear fluid - there's an "R" sound nm


Try and see if you can hear eddy sound
Subject: Try and see if you can hear eddy sound

It is listed in my Stedman's Cardio, and I have heard it dictated that way, just a quick thought.
Thank you so much. I hear a very faint "ing" sound - nm
Subject: Thank you so much. I hear a very faint "ing" sound - nm

Don't know what I'm thinking. I type ortho but was not thinking about pain clinic doc doing the same test for some reason! A big "DUH". Thanks so much!!!!
That makes sense but I don't hear a "d" sound nm
Subject: That makes sense but I don't hear a "d" sound nm

Thanks
I'm not sure. I don't hear any "T" sound, but he could be dropping that part.
Subject: I'm not sure. I don't hear any "T" sound, but he could be dropping that part.

After all, he just dropped the "ab" syllable on "abdominal"!
I tried to hear ICU, but doesn't sound anything like it. I'll QA.
Subject: I tried to hear ICU, but doesn't sound anything like it. I'll QA.


I did find that, but I can't hear that. It sound like end out, with emphasis on the "d" in
Subject: I did find that, but I can't hear that. It sound like end out, with emphasis on the "d" in end. nm


Thanks - I am trying to hear that - thought of it also - but it doesn't sound like it - I am sigh
Subject: Thanks - I am trying to hear that - thought of it also - but it doesn't sound like it - I am sighing too - but thank you for trying to help me!


I didn't hear the t sound, but I'll recheck. Thanks!
Subject: I didn't hear the t sound, but I'll recheck. Thanks!

nm
This could be it, but I don't hear an "s" sound on the end. I did find a video on youtube r
Subject: This could be it, but I don't hear an "s" sound on the end. I did find a video on youtube regarding this

Xience stent and there is a definite "s" sound there. This physician speaks very clearly, but maybe he is mispronouncing the word. I sent the report to QA, so I will see what they say. I will come back and post whatever the answer is. Thank you very much for helping.
Do you hear right in there or does it sound pretty close to "hemolite:?
Subject: Do you hear right in there or does it sound pretty close to "hemolite:?


I would have thought that except I clearly hear a "phyte" sound between the dys and the phagia
Subject: I would have thought that except I clearly hear a "phyte" sound between the dys and the phagia.

Thanks so much for the suggestion though!!

Abby :)
Thanks for the suggestions
Subject: Thanks for the suggestions

It was almost midnight last night and my Stedman book lists about 15 "M" signs. I was hoping someone could help narrow the search, and yes, of course, I would look up any definition before using it. I sent it to QA due to the late hour. I'll have more time to devote to it today.
Thanks!
d~
Thank you all for your suggestions . . .
Subject: Thank you all for your suggestions . . .

and it still may be what he is saying, but as you guys mentioned, rather than 'maneuver' it is usually followed by either 'sign' or 'test'. It really sounds like Dover's (or 'there was'), so I am just not sure.

Thanks again for the thoughts.
Tried your suggestions, but they
Subject: Tried your suggestions, but they

did not work.  I wound up for a second losing sound through my headphones.  I'll try again when I have a little time to spare.  It is actually just this one particular doc I have to turn up, so usually it is not really a big deal, but man, is it loud for this guy.  I cannot seem to locate the spellcheck under your second suggestion.  Thanks so much for replying.  I really appreciate it. 
Thanks for the suggestions, but I think
Subject: Thanks for the suggestions, but I think

spirochete got butchered by a false start --

You're right, though . . . pretty disgusting stuff (ewwwww!)

Happy 4th!
A few suggestions...
Subject: A few suggestions...

Angiogenic, angiolupoid, angioma, angiomatoid, angiosarcoma

Hope that helps!
Any suggestions?
Subject: Any suggestions?

The dictator says, "G4, P1, 1-1-3"  What does the 1-1-3 mean and how do I express it?


any other suggestions.
Subject: any other suggestions.

Does anyone have any other suggestions?

EXTREMITIES: Extremities show [hemerisnos] bilaterally.


P*?! Any suggestions?
Subject: P*?! Any suggestions?

nephrolethiasis with status post pyelolethotomy? s/l.


 


Thanks so much for the suggestions
Subject: Thanks so much for the suggestions

I am looking them up and listening again.  I am pretty sure you got it!  Thanks again.
Thanks for all the suggestions, I still don't think I have it.
Subject: Thanks for all the suggestions, I still don't think I have it.

Darnit.  He speaks English very plainly, so unless there is a skip on the tape or something, I have no idea.  I think I'm going to have to leave a blank this time.  There is no mention of this diagnosis anywhere else in the report either.  I wonder if QA will be able to get it. 
Good suggestions, but he says it clearly sm
Subject: Good suggestions, but he says it clearly sm

each time I get him. I sent both of today's reports to QA. I'll let you know what I find out. Thanks!

Thanks for the good suggestions
Subject: Thanks for the good suggestions

It may have been gutters and he was just mumbling it...I already flagged and sent it, but thanks for the help.
Thanks for all the suggestions.. I am leaving it for QA since i am not sure! thanks for help
Subject: Thanks for all the suggestions.. I am leaving it for QA since i am not sure! thanks for help


Any more suggestions besides Thyamex?
Subject: Any more suggestions besides Thyamex?


Most likely vomitus. Thanks for all the suggestions!
Subject: Most likely vomitus. Thanks for all the suggestions!


Thanks for excellent suggestions, sm
Subject: Thanks for excellent suggestions, sm

I'm sure she is saying some version of "mentating" or "orientation" but I will have to send blank, as it is so not clear exactly what it is.


Medication s/l Sirculax...any suggestions? NM
Subject: Medication s/l Sirculax...any suggestions? NM

x
wasn't trying to be rude, just the suggestions--sm
Subject: wasn't trying to be rude, just the suggestions--sm

given had absolutely nothing to do with the low back, which she specifically mentioned in her post. Not all MTs are way off in what they are asking about or looking for and some of these suggestions that have nothing to do with their requests can be very misleading, as well. JMO and again, not meant to be rude.
SL subacute O-DEN infarction??? Any suggestions???
Subject: SL subacute O-DEN infarction??? Any suggestions???

Mr.___ today denies any worst headaches in his life or history of intracranial hemorrhage.  He has had the episode of left side weakness in the past and findings on the MRI suggested for subacute ** infarction.


S/L space difficulty?? any suggestions? thanks!!1
Subject: S/L space difficulty?? any suggestions? thanks!!1

Mr. ___ today denies any worst headaches in his life or history of intracranial hemorrhage.  He has had the episode of left side weakness in the past and findings on the MRI suggested for subacute old infarction.  He denies any new symptoms and today has stated some visual symptoms of blurring but no binocular visual loss, new focal motor weakness, ***difficulty or sensory loss. 


Thank you both. I'm not sure. It sounds like both suggestions at different times.
Subject: Thank you both. I'm not sure. It sounds like both suggestions at different times.


got it!!! C. trachomatis... thanks for your correct suggestions!
Subject: got it!!! C. trachomatis... thanks for your correct suggestions!

tc
None of your suggestions make any sense
Subject: None of your suggestions make any sense

with the word impingement, however. Impingement of a walker, leg brace or artificial knee joint does not make sense if it's a hip, as the sites I found suggest. The sites I found suggest it is another name for a specific part of the femoral head.
that is what I was thinking but wanted to see if anyone else had any other suggestions. Thanks.
Subject: that is what I was thinking but wanted to see if anyone else had any other suggestions. Thanks.


He was s/l "triangly" placed on IV nitroglycerin. Suggestions?
Subject: He was s/l "triangly" placed on IV nitroglycerin. Suggestions?


Thank you both! I will listen to see if I can make either of those suggestions work. nm
.
nope-those are great suggestions though, thanks-heisasuperspeedtalkerinabighurrydrivingmecrazy-nm
Subject: nope-those are great suggestions though, thanks-heisasuperspeedtalkerinabighurrydrivingmecrazy-nm


Temporal bone s/l bitrisis? Any suggestions? nm
Subject: Temporal bone s/l bitrisis? Any suggestions? nm

!
Doc constantly says bipolarism. Cannot document. Any suggestions?
Subject: Doc constantly says bipolarism. Cannot document. Any suggestions?

TIA.
suggestions on how to transcribe 0 negative 3 positive
Subject: suggestions on how to transcribe 0 negative 3 positive

This is dictated in a neuro operative report on a patient with Parkinson disease.  The doctor is doing insertion of bilateral deep brain stimulators:


Macro stimulation using 0 negative 3 positive pulse width of 90, frequency 145 resulted in tingling of the left side at threshold of 2.5.


or would it be easier to understand like this?


Macro stimulation using 0-/3+ pulse width of 90, frequency 145 resulted in tingling on the left side at threshold of 2.5. 


I honestly don't really understand what I'm transcribing here, so maybe a comma should be after the 0-/3+. 


 


 


 


 


hard to tell since her words run together. thanks everyone for all the great suggestions!
Subject: hard to tell since her words run together. thanks everyone for all the great suggestions!