total guess: trouble speaking? nm

• double thickening? - MT Newbie
  • Mucosal or sputum thickening? - Spice
  • total guess: trouble speaking? nm - Txczech
    • None of the above - MT Newbie

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The doctor is saying .... He understands that uric acid can form s/l an nitis for calcium oxalate stones.  TIA.

I can't really understand this one, very fast speaking ESL and any help is greatly appreciated.

S/l *Laboratory results show white blood cell count of *2.1*, hematocrit of 36.2, and *___* at 217. 

Thanks!

Same doctor as previous post.  Also states:

term.  The doc is saying was sounds like "Today she has got a "bogie" swelling at the dorsal aspect of the wrist.  The VR fills it in as Bovie swelling.  I can not confirm either one.  Anyone know this one?

making a decision.......doesn't know which way to go....

patient is also sent for a limited bone scan, to rule out any underlying s/l auscious lesions

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?

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.

the word sin in Spanish means without.

borders of the right great toenail were freed from their underlying attachments to the nailbed with a  S/L PARIOSALIVATOR.. 

Any help - please? 

(In review of systems)

NECK: Supple without mass.  ABDOMEN: Soft.  He does have some epigastric discomfort.  No hepatasplenomegaly, S/L mass appreicated, no guarding rebound.

am I hearing this right....if not any ideas?

any ENT MTs who know if there is another product, other than Debrox, or Cerumenix (which was by RX only, but discontinued) to remove chronic earwax, other than going to the ENT to have them irrigated and removed with a curette?

I can't seem to find any drug on the market; prescription or otherwise, other than those mentioned above, which were of no benefit.

Your help is greatly appreciated.  Thanks.

If I'm not 'speaking' clearly it is because I've had to listen to this mush mouth, speed talker for the past 8 hours and am only about 3/4 done with my quota.  I've never had so much trouble... even my ESL doctor makes better sense than this guy.

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......

Any help clearing this up would be MUCH appreciated!   TIA!