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thanks, it could be...he's really mumbling through the part

Posted By: Jami on 2009-01-19
In Reply to: Possibly yellow top? - Me

Subject: thanks, it could be...he's really mumbling through the part




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help with mumbling please
Subject: help with mumbling please

The patient was given one liter of normal saline and then fluid at "S/L KBL" 75 ml per hour. 
Help, got a doc mumbling here...
Subject: Help, got a doc mumbling here...

I got this so far,


tympanic membranes clear, lungs clear, heartrate regular rhythm, ____ is soft


sounds like he is saying ectlin


Thanks for any help!!


mumbling
Subject: mumbling


I think I can stand just about anything but mumbling! What I can't hear, I really have a problem finding! lol
TY. These may be it - she is mumbling :( NM
Subject: TY. These may be it - she is mumbling :( NM

x
med help s/l finoscalintone? doc is really mumbling it. nm
Subject: med help s/l finoscalintone? doc is really mumbling it. nm


I finally figured it out... he was mumbling.... sm
Subject: I finally figured it out... he was mumbling.... sm

and was trying to say morphine! TU
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.


It sounds like it has "tax" something in it. He has really been mumbling a lot through this d
Subject: It sounds like it has "tax" something in it. He has really been mumbling a lot through this day.


Could they be mumbling a Billroth II anastomosis or a Roux-en-Y
Subject: Could they be mumbling a Billroth II anastomosis or a Roux-en-Y

s
I think he's mumbling "multiple" bulging discs.nm
Subject: I think he's mumbling "multiple" bulging discs.nm

x
Love those mumbling stumbling dictators.
Subject: Love those mumbling stumbling dictators.

Not sure about Rhino tonsil balls either but it does sound funny LOL !!
I wish I could. Doc is mumbling. Hoping for an educated guess.
Subject: I wish I could. Doc is mumbling. Hoping for an educated guess.

.
Probably mumbling a Myoview nuclear scan...nm
Subject: Probably mumbling a Myoview nuclear scan...nm

nm
He could be, he's kind of mumbling which make it harder.
Subject: He could be, he's kind of mumbling which make it harder.


typing med list and thru the mumbling s/l FILLA-DEPEND ER 5 mg. nm
Subject: typing med list and thru the mumbling s/l FILLA-DEPEND ER 5 mg. nm

x
Mumbling PA, medication s/l Ectodate. Patient only had back surgery in his PMH, no other
Subject: Mumbling PA, medication s/l Ectodate. Patient only had back surgery in his PMH, no other

medical problems and the other only other med is Flexeril. I keep thinking some type of NSAID, but I just went thru over 50 of them and nothing came close.
Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm
Subject: Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm

s
2-part, 3-part, or 4-part possibly - nm
Subject: 2-part, 3-part, or 4-part possibly - nm


s/l bare aspirin. Is doc just mumbling baby aspirin, or is there really such a term? Thanks!
Subject: s/l bare aspirin. Is doc just mumbling baby aspirin, or is there really such a term? Thanks!


could they be mumbling "present illness" or current illness
Subject: could they be mumbling "present illness" or current illness


Thanks, now for part 2...
Subject: Thanks, now for part 2...

Monarc procedure with s/l susquee.


Forgot this in my original post, sorry!


not sure about the first, but the second part may be right
Subject: not sure about the first, but the second part may be right

It is possible he is saying "of five to seven inches" or "site of seven inches" but that still leaves the first part.  If it's the first one it sounds like "muce" or "moose" or "meese".  For the second one it would end in an "a" sound like "meesa site"  It sounds like he's saying "uh" in front of that, like he's thinking.  But maybe it's part of the word "ameesa site" or something like that.  And then again, maybe it's not even an "m".  Could be an "n" or something else.  I feel like I'm getting closer.  I just wish he didn't have to talk so fast!  Actually, you suggested adhesion and I just thought of "adhesive site".  It doesn't sound like an "h" really, but would that make sense?  "a moderate to severe adhesive site of seven inches with the radiation therapy?"  Seven inches!  That's really long.
maybe second part of #4
Subject: maybe second part of #4

is pus exudate
I know part of it!
Subject: I know part of it!

Last word is "atraumatically". Have to think about the other one. Anyone else care to guess in the meantime?
That is all part of the job.
Subject: That is all part of the job.

This is the reason we are so skilled in what we do.  If we weren't, a monkey could do this job!  LOL - I wouldn't let it bother you to the brink of insanity.  Take it with stride...There's more to life really.


First part I would think is...
Subject: First part I would think is...

Bilateral inguinal hernia is right greater than left...

Second part I am thinking...
Uh - duh on my part! TY so much!
Subject: Uh - duh on my part! TY so much!


Thanks to both. Duh on my part. I am
Subject: Thanks to both. Duh on my part. I am

having a horrible day.
don't know about your s/l, but other part sm
Subject: don't know about your s/l, but other part sm

I wonder if the other part of the sentence should be "facet degenerative changes" rather than "of said degenerative changes"
This is part of his A/P . . .
Subject: This is part of his A/P . . .

and the only other thing he dictates is the left knee.
i.e.
Diagnosis 1. Possible grushen ligament injury, left knee.

does this help? Ooh wait . .
does this make sense:
cruciate ligament injury

maybe that is what he is saying. = ) Tx
Yes, that is it! Duh on my part. Thank you so much.
Subject: Yes, that is it! Duh on my part. Thank you so much.


Got part of it
Subject: Got part of it

**s/l - Sub-tox skin is curetted using a razor blade, then 3 freeze-thaw cycles at 10 seconds using liquid nitrogen applied.
What part of PE was this in?
Subject: What part of PE was this in?

What part of the physical exam section was this in (what body system)?
got part of it
Subject: got part of it

I've got nosocomial sepsis, but it still sounds like "par" nosocomial sepsis.
That's is part of it...
Subject: That's is part of it...

it s/l he's saying "anti-esamanxiolytic" medication.  Can't figure it out!


could the last part...
Subject: could the last part...

be figure-of-eight tension being in good position? Still don't understand the first part though.
what part of H&P?
Subject: what part of H&P?

What system is he dictating it under?
It DOES apply here ... it is part of the
Subject: It DOES apply here ... it is part of the

epidermis. I just finished an entire year studying Human Structure and Function.

Read this copy/paste and try the link.

The epidermis starts at the basement membrane and extends up through the stratum corneum. The 4 basic zones of the epidermis are the basal/suprabasal layer, the spinous layer, the granular layer, and the stratum corneum.40

http://www.findarticles.com/p/articles/mi_qa3977/is_200410/ai_n9461227
I wonder if its not part of the sentence before
Subject: I wonder if its not part of the sentence before

x
Is it the same part of the body or different
Subject: Is it the same part of the body or different

subchondral sclerosis can happen in many different joints of the body...
what part of the body is the x-ray of? nm
Subject: what part of the body is the x-ray of? nm

:
I dont know about the first part but.. sm
Subject: I dont know about the first part but.. sm

Second could be incentive spirometry ?
Medicare Part E
Subject: Medicare Part E


What part of the body are we in? nm
Subject: What part of the body are we in? nm


don't know the *sind* part but the other is...nm
Subject: don't know the *sind* part but the other is...nm


What part of the body?
Subject: What part of the body?

x
Medicare Part A or Medicare Part B...nm
Subject: Medicare Part A or Medicare Part B...nm


what body part?
Subject: what body part?


Bladder part
Subject: Bladder part

It has to be vero montanum if it is a part of the bladder.
Last part is probably PR interval....
Subject: Last part is probably PR interval....

not sure what ADP is. :)
first part could be grossly. sm
Subject: first part could be grossly. sm

grossly trabeculated? 


 


-------------------------------------------------


Ultrasonography showed left hydronephrosis and hydroureter. The urinary bladder was distended and the walls were irregular and trabeculated. A micturating cystourethrogram was obtained :-