that's what I was thinking too, but it was a weird usage of a word that didn't make sense for

• s/l deful all diuretics . . .. - MSmt
  • defer all diuretics.....nm - NYMT2
  • we will check in the morning 'off all diuretics'..nm - non
  • off of all diuretics? - pc
  • I'd have to think this is "discontinue" nm - Mushroom
    • that's what I was thinking too, but it was a weird usage of a word that didn't make sense for - MSmt

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• This is form one Look Dic:
  
• 
  
• Nowhere is listed that 'proofed' can be used, only 'proofread'. Proof can be used as a noun or as an adejctive, not as a verb.
  
• 
  
• 1. proof -- (make or take a proof of, such as a photographic negative, an etching, or typeset)
  
• 2. proof -- (knead to reach proper lightness; ``proof dough'' )
  
• 3. proofread, proof -- (read for errors; ``I should proofread my manuscripts'' )
  
• 4. proof -- (activate by mixing with water and sometimes sugar or milk; ``proof yeast'' )
  
• 5. proof -- (make resistant (to harm); ``proof the materials against shrinking in the dryer'' )

There has not been any interval change in his exam. 

I am questioning the use of the word interval in this context.  For a time, I thought the doctor was saying integral, but it is clear now that he is not.  Is interval the correct word to use when there have been no changes in the patient's exam from one visit to the next?

Dictated: The foot was prepped, Hibiclensed and draped in usual sterile fashion.

would you recast the sentence? My QA suggested that it should be transcribed "The foot was prepped, Hibiclens and draped in usual sterile fashion."

This doesn't make sense to me because the foot cannot be Hibiclens. I had typed it as dictated per our guidlines on dictator style, and i have .75% off my QA score on it. 

Does anybody have suggestions? How should it be transcribed??

~Trying to learn as fast as I can~  

pt had a cholecystectomy symptomatic with right upper quadrant pain with elevated liver function studies thereafter.

Is there a better way to say this?

Certainly, if there is any kind of stricture or lesion that might improve his nutritional status, this certainly could lead to his improved comfort and increased survival.

The pt has dysphagia and has lost weight, so doc is sending him to an ENT physician.

He is talking about lab results and he says:

"negative immunofixation s/l tighter"

does "tighter" make sense here?

It sounds like he is saying: Temperature was flat at the time of discharge. 

I have never heard that before. Would that be right? TIA!

I am covering this acct for someone and don't know if this makes sense. 

This patient is returning for followup after a left carotid endarterectomy.

The doctor says:

My impression is that the patient has s/l failed to the left carotid endarterectomy, and the right side has 50-79% stenosis, which is asymptomatic.

Both sides have 50-79% stenosis...............................THANKS FOR ANY HELP!

pt already had the colectomy and I don't hear her say "with" takedown.

Not sure that he is saying this exactly...

BTA of the circumflex was performed with stent in 2 proportions; proximal and mid-circumflex.

Thank you!

On exam, he dictates, "No focal motor or neurological s/l os."   

tia.

The patient had bilateral breath sounds, s/l color transient capnometer and no epigastric sounds. 

s/l color transient ??

some s/l vertusion or hematamatic material was in the right fallopian tube. 

I don't think hematamatic is a word, but I am nearly 100% sure that is what is being said

It sounds pretty clear - Pt has dull headache, with 3 episodes of intermittent, severe, sharp pain, left-sided.  Last 3067.  Had left eye twitching. 

I can't figure out what the "last 3067" means??

TIA

The patient is status post a motor-vehicle accident.

Doctor dictates: "He was driving forbora a Bar A with bar anticipation."

Please help! Can't figure out where one word starts and one word ends. I know this sounds ignorant but need help! Thanks in advance.

ap and lateral films reveal cervical femoral neck fracture ???  If so, please explain to me.  tysom

 Patient has pain with supination and dorsum volar flexion and dorsiflexion

Also in the same paragraph X-rays show he has end stage arthritis with DRUJ s/l alsub cystic changes - could he have just been saying and some.

Thanks in advance for any help