ventriculoperitoneal shunt x4 years?
Posted By: nm on 2008-08-21
In Reply to: Status post ...... - Kelley
Subject: ventriculoperitoneal shunt x4 years?
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I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)
Subject: I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)
Now some are saying it's q. 4h.?? UGH, YUCK!! I have also worked on accounts where it had to be "every 4 hours," and we had to spell out p.r.n. (as needed for). At least we got more characters.
First rule: It is all what the "client/account" wants, not always what the BOS says it is. I realize that language and its usage is constantly changing, but I've seen so many BOS and client flip-flops on so many other things in nearly 3 decades that it's laughable. What isn't laughable is when we get penalized for not knowing what they want, even when they, themselves, don't know or are wrong.
Oh, and I still prefer the old no spaces: q.4h., q.4-6h., q.12h., and so on.....
Wow, thank you. Just years, years and more years of experience
Subject: Wow, thank you. Just years, years and more years of experience
and a constant thirst for learning something new everyday. As we all know this can get to be somewhat boring, but learning from what I transcribe as well as from other transcriptionists keeps me going (money is not bad either). It becomes a challenge. But I can't thank you enough for the kind words.
Use to be younger...
VP shunt
Subject: VP shunt
Try this
http://www.codmanjnj.com/PDFs/Bactiseal.pdf
Bactiseal shunt
Subject: Bactiseal shunt
s/l jabode shunt ?
Subject: s/l jabode shunt ?
longshot, but *shunt*? nm
Subject: longshot, but *shunt*? nm
mn
s/l omiah shunt
Subject: s/l omiah shunt
shunt placed in a 2 yo for chemo s/l omia, amiah, omiah ??
This is an ESL and I'm having trouble. TIA.
Portacable shunt?
Child with kidney disease has a "portacable" shunt. Cant find my surgery book at the moment...thx!
Portacaval shunt?
Subject: Portacaval shunt?
Could be portacaval shunt?
What kind of a shunt?
Subject: What kind of a shunt?
Spiralinal shunt?
Patient has a ______ shunt with chronic thrombosis. My references aren't helping any.
s/l Alice's shunt
Subject: s/l Alice's shunt
does anyone know what the proper spelling of this shunt it. It is not Alice at least I don't think. The doctor just lists it in the past surgeries so I really don't have any furher information on the where abouts of it.
Thanks much!
maybe dialysis shunt
Subject: maybe dialysis shunt
Bypass shunt?
Subject: Bypass shunt?
.
there is a shunt muscle...
Subject: there is a shunt muscle...
nm
There is a portacaval shunt. nm
Subject: There is a portacaval shunt. nm
nm
How about shunt assembly? nm
Subject: How about shunt assembly? nm
nm
shunt fraction. nm
Subject: shunt fraction. nm
s/l denver shunt?
Subject: s/l denver shunt?
prior to starting her chemo, both her _____ and her peritoneal drain were functional and draining...
yes, Denver shunt
Subject: yes, Denver shunt
for ascites? or a pleural shunt?
s/l o'myer shunt
Subject: s/l o'myer shunt
Anybody heard of this...o'myer shunt
Sentence: Patient received intrathecal chemo via an 'omyer' shunt.
? pyloric shunt
Subject: ? pyloric shunt
type of shunt
Subject: type of shunt
Consider placing a s/l portal cable shunt for draining of his peritoneal fluid.
s/l Colaman shunt sm
Subject: s/l Colaman shunt sm
Sounds like he is saying Colaman shunt (some type of VP shunt) TIA
shunt city
Subject: shunt city
I am doing this one now and cannot come up with what it could be except shunt ascites. Did you ever get a correct answer?
2 years' time because years is plural. One year's time because it is singular, only one year.
Subject: 2 years' time because years is plural. One year's time because it is singular, only one year.
S/L Sun shunt for carotid endarterectomy
Subject: S/L Sun shunt for carotid endarterectomy
Doctor is using a shunt for cerebral perfusion. S/L she is saying "Sun" shunt, but I cannot verify. Thanks.
Never mind, it's Sundt shunt NM
Subject: Never mind, it's Sundt shunt NM
There is an Omaya shunt (reservoir)
Subject: There is an Omaya shunt (reservoir)
s/l omiah/omya shunt??? thanks!
Subject: s/l omiah/omya shunt??? thanks!
nm
Anon it was NPH shunt. He said it again, but clearer. Thanks again.
Subject: Anon it was NPH shunt. He said it again, but clearer. Thanks again.
Is Sano shunt correct?
Subject: Is Sano shunt correct?
Dictation is on an infant status post "Norwood palliation with Sano shunt" Is Sano shunt correct?
shunt track or tract?
Subject: shunt track or tract?
These 2 always confuse me. I'm leaning towards tract -- am I right?
help! VP shunt revision: s/l Bactroseal tubing (?)nm
Subject: help! VP shunt revision: s/l Bactroseal tubing (?)nm
x
Procedure: s/l papper aspiration of VP shunt. nm
Subject: Procedure: s/l papper aspiration of VP shunt. nm
.
S/L Ghazhur guide for VP shunt placement. Thx. nm
Subject: S/L Ghazhur guide for VP shunt placement. Thx. nm
s
found Norwood Sano shunt
Subject: found Norwood Sano shunt
modification procedure, but please verify; I noticed you had hyperplastic left heart; this procedure is for a hypoplastic left heart.
MTH?? shunt for normal pressure hydrocephalus
Subject: MTH?? shunt for normal pressure hydrocephalus
Several weeks ago, he had removal of fluid from his spinal cord, which dramatically improved his signs of dementia. Since then, he has undergone MTH?? shunt placement.
NPH shunt (normal pressure hydrocephalus) ?
Subject: NPH shunt (normal pressure hydrocephalus) ?
Ex-PRESS mini glaucoma shunt
Subject: Ex-PRESS mini glaucoma shunt
According to the maker's web site, it's Ex-PRESS. Here's the address... http://www.optonol.com/ 
Orthopaedic question.. S/l Shunt wrap to knee. This doc has
Subject: Orthopaedic question.. S/l Shunt wrap to knee. This doc has
said this twice this morning - shunt wrap?? Cannot document it. One was placed to knee for a knee sprain and one was placed to ankle for an ankle sprain. Thanks for any help anyone can give.
Have only seen I&D in about 30 years!!
Subject: Have only seen I&D in about 30 years!!
lab 6 years....12,700 or 12.7
Subject: lab 6 years....12,700 or 12.7
/
2 pks day for 30 years +
Subject: 2 pks day for 30 years +
2 packs a day for 30 years, plus 1 1/2 packs a day for ten years. That makes one pack a day for 75 years. Is that right?
2 and 1/2 years
Subject: 2 and 1/2 years
2 and 1/2 years, two and a half years??? Thanks.
I'd probably do 2-1/2 years. nm
Subject: I'd probably do 2-1/2 years. nm
s
I do 2 1/2 years
Subject: I do 2 1/2 years
e
years' old or years old
Subject: years' old or years old
Can't remember which is correct. The patient is 40 years old or the patient is 40 years'old?
40 years of old doesn't seem right. So I am leaning towards 40 years old. Started new job and my brains have gone out the window.
Thanks.
Is it 9-years-old or 9 years old?
Subject: Is it 9-years-old or 9 years old?
nt
I have been doing this 30+ years and
Subject: I have been doing this 30+ years and
x
Over the course of nearly 20 years,
Subject: Over the course of nearly 20 years,
I have only had 1 account that wanted the acronym in parentheses. Everybody else just wants it expanded to long form in the diagnosis section. I wouldn't say you are necessarily behind the times, it is just that it has never come up for you before now. 
For years I was on - sm
Subject: For years I was on - sm
tetracycline for skin infection/acne issues.
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