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was just going to suggest D5W shot as well

Posted By: moon1010 on 2008-10-06
In Reply to: Might be this for pain of arthritis. sm - Txczech

Subject: was just going to suggest D5W shot as well




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You are welcome...........suggest...sm
Subject: You are welcome...........suggest...sm

What I do is I put the little feet up on the keyboard - underneath the keyboard on the underside of keyboard are 2 little feet - to have the keyboard now on a little slant (a regular microsoft keyboard) and I try to remind myself to not strike the spacebar as hard as I used to with my right thumb (am right-hand dominant). 


Hope you feel better soon in those hands (my hands feel like the hands of a REAL old person inside them from pounding on some keyboard for pretty much my entire life, piano first for 14 years, then a typewriter, then 5 years I worked in kitchens pounding it out on butcher blocks with knives, then back to MT work commencing in 1980 - so yeah, my hands, while they look young, feel inside like the hands of someone in their 80s!!). 


well then suggest the BOS *S*....NM
Subject: well then suggest the BOS *S*....NM


They suggest q. 4 (space)h. (nm)
Subject: They suggest q. 4 (space)h. (nm)

x
I would suggest maybe *sensations*? just a thought. nm
Subject: I would suggest maybe *sensations*? just a thought. nm

nm
Yes, it shows. Suggest helping yourself out sm
Subject: Yes, it shows. Suggest helping yourself out sm

by investing in some MT reference materials. It's much easier (and much, much faster) to look things up that way, and learn as you are researching. Also suggest your getting someone to mentor you 1 on 1. This job is tough enough!!

Are you the same Rebecca who was a surgical tech for 8 years?


I hear ya, there! For starters, may I suggest sm
Subject: I hear ya, there! For starters, may I suggest sm

your first investing in the big Dorland's medical dictionary with definitions (or Stedman's big one--though I've always preferred the Dorland's). That will hold you for quite a while. As a matter of fact, when I started out, that was pretty much the only reference book we had.

Also, a good drug book would help you immensely--suggest Drake & Drake. Since we have the Internet, you can use that, but the book is more helpful.

After you get going, you'll be able to see what specialties you transcribe the most and then can get the word books specific to that specialty. Like I said, though, the big illustrated dictionary will carry you through for a long time.

If you do ops, I highly recommend Stedman's Med/Surg Equipment Words. This is great when looking up instruments, etc. For example, if you needed to look up a certain catheter, you would have 21 pages of alphabetized catheters listed from which to select. Beats jumping around the Internet, chancing the spellings.

The Stedman's Path/Lab book would be another good investment down the road. Those terms are sometimes very difficult to locate and there are lots of helpful tables in the back of the book.

Little by little you can build up your reference library.

BTW, when you get your reference books, you can look up terms by going to the noun. Earlier you had questioned Mallory-Weiss tear. You would find that in the list under "tear."

Good luck to you in your career!

or we suggest taking a basic medical.....sm
Subject: or we suggest taking a basic medical.....sm

The most basic medical terminology course (my first course 27 years ago) teaches all about the *o* use as a connecting letter for words in medical terminology.  If you haven't even learned that yet, how is it exactly that you are an MT?  *very curious*


 



This is very close so I'll suggest it with a marker.
Subject: This is very close so I'll suggest it with a marker.


Good idea. May be suggest to the Administrator. NM
Subject: Good idea. May be suggest to the Administrator. NM


Could it be gout? Anything in lab to suggest excessive uric acid?
Subject: Could it be gout? Anything in lab to suggest excessive uric acid?


If a child or juvenile, would suggest growth to be correct
Subject: If a child or juvenile, would suggest growth to be correct

There are articles about the growth of visual fields.
She does not have an extensive history of travel to suggest “ham et ic” infection. sm
Subject: She does not have an extensive history of travel to suggest “ham et ic” infection. sm

presents for evaluation of chronic cough with peripheral eosinophilia and abnormal CT of the chest, per report (thickening of the bronchial wall).  The constellation of findings is suspicious for chronic eosinophilic pneumonia or allergic bronchopulmonary aspergillosis.  However, the patient does not have a prior history of asthma and per report, the chest x-ray or chest CT did not show any pulmonary infiltrates.  She does not have an extensive history of travel to suggest “ham et ic” infection.  However, she traveled through Brazil many years ago.  The IgE levels are elevated but not the point to suggest allergic bronchopulmonary aspergillosis. 


 


Was going to suggest same for both, but with addition of the word "thin" before nonpurulent.
Subject: Was going to suggest same for both, but with addition of the word "thin" before nonpurulent.


On fluoroscein staining there was no evidence of s/l streaming to suggest puncture.
Subject: On fluoroscein staining there was no evidence of s/l streaming to suggest puncture.

I know I should know this, but it has been a long day to say the least.  Thanks!!!!
sentence... His ECG does suggest multis criteria for the LVH in the left axis. thank you
Subject: sentence... His ECG does suggest multis criteria for the LVH in the left axis. thank you


No evidence of cramping abdominal pain that would suggest a s/l hydraged obstruction. Help??
Subject: No evidence of cramping abdominal pain that would suggest a s/l hydraged obstruction. Help??


Ok, one more shot at this....sm
Subject: Ok, one more shot at this....sm

could it be..joint space narrowing, or JSN of the medial compartment of the knee??? (I hope, I hope, I hope) let me know what cha think,
is there any way you can get 20 mg/ml shot
Subject: is there any way you can get 20 mg/ml shot

derms use Kenalog or similar injections, typical concentration is 20 mg/ml
just a shot..sm
Subject: just a shot..sm

"At that juncture she would, despite her young age, be a candidate for supportive care only."


Another shot...
Subject: Another shot...

chelation agent?
Here's a shot...
Subject: Here's a shot...

mucociliary papilla--mucociliary referring to mucus and ciliary in the airways and papilla referring to protuberances or elevations. Makes sense to me in your context. :-)
Another shot...
Subject: Another shot...

venous saphenous ??
picture. she has no clinical picture to suggest
Subject: picture. she has no clinical picture to suggest

any evidence of ongoing diverticulitis.

in other words, she has no complaints, signs, or symptoms that would suggest that disease process.
Shot in the dark
Subject: Shot in the dark

Could it be patent foramen ovale?  Just a thougt...
Long shot...
Subject: Long shot...

Maybe it is Tazorac cream.  It is used for psoriasis and acne. 
it's a long shot from your s/l, but -- sm
Subject: it's a long shot from your s/l, but -- sm

"component of inadequate nutritional intake" might fit -- as albumin can be low in malnutrition.
That was too obvious - I should be shot!!! Thanks for your help .
Subject: That was too obvious - I should be shot!!! Thanks for your help .


Long shot, but...
Subject: Long shot, but...

this sounds like it's psych work, so it could be Pokemon.  They're little creatures created by Nintendo, I think.  Google Pokemon and see if that fits.
Long shot...
Subject: Long shot...

I found Hyserp which I also saw as hydroserp.  Any way the other could be Lopressor? 
this might be a long shot...
Subject: this might be a long shot...

Caduet for HTN.

Rocephin antibiotic.
A long shot, maybe not. Could it be, sm
Subject: A long shot, maybe not. Could it be, sm

"did not want to do anticoagulation at this point."
This is a long shot but
Subject: This is a long shot but

I was able to find "floor" of acetabulum and obturator "groove". Perhaps doc is saying "floor and groove"? Hope this helps. Good luck!
Shot in the dark...
Subject: Shot in the dark...

Could they be saying small villus?
this is a loooonnnnggg shot, but could it be--sm
Subject: this is a loooonnnnggg shot, but could it be--sm

*parents* or *relatives*?? good luck!!
long shot, but could be --sm
Subject: long shot, but could be --sm

pterygium?
long shot perhaps
Subject: long shot perhaps

phlebitis? Is this an ESL?
This is a long shot...sm
Subject: This is a long shot...sm

but the first thought that went through my head when I read your sentence was *hepatic*. I did a search and there is such a thing as hepatic leg swelling--your sound alike may even by HP meaning hepatitis. Just a thought.
This is a long shot, but try --sm
Subject: This is a long shot, but try --sm

He appears to have *absence of* crepitation of the joint.
Long shot
Subject: Long shot

Here's a list of meds I found used for intravesical instillation: Adriamycin, doxorubicin, epirubicin, mitomycin C, valrubicin, pirarubicin and gemcitabine gemzar. Don't know if you can hear any of those, but good luck to you and let us know if you find out for sure what it is.
long shot
Subject: long shot

nonsteroidal?
a long shot, i do not even know what she is saying...but
Subject: a long shot, i do not even know what she is saying...but

HEENT:  Pupils equal, round, reactive to light; accomodation, s/l like something beginning with an m ________ are intact. 
Long shot but...
Subject: Long shot but...

Could they be saying anterior?
long shot
Subject: long shot

This may be a long shot, but here we go! It sounds like
Heaves shows rubs, lung field. Any thoughts?

A long shot but......
Subject: A long shot but......

There is a single-stitch aponeurotic tuck technique used for the eyelids, ptosis, etc. Could that possibly be it? A long shot but possibly.
This might be a long shot...(sm)
Subject: This might be a long shot...(sm)

Imitrex and nortriptyline are both used to treat migraines.
Shot in the dark
Subject: Shot in the dark

Could there be a "lobar" or "bronchial" in that somewhere?
a shot of some kind...
Subject: a shot of some kind...

IMMUNIZATION HISTORY:
1. Flu shot in October 2007.
2. The "manu" shot in October of 2006.

Sounds like "the man-u shot" ??? or "de-man-u shot"


any ideas? Thanks!



pneumo shot
Subject: pneumo shot


shot in the dark, but could it be
Subject: shot in the dark, but could it be

subconjunctival hemorrhage?
Okay - long shot here.....
Subject: Okay - long shot here.....

Review of systems -


Denies any "correction ahead?". Denies any frequent headaches.


I am a newbie, but this just sounds weird....could it be right. It sure doesnt sound like "congestion" or "concussion".......i am at a loss, thinking about flagging it and moving on, just thought I would post it here for ideas.


long shot--sm
Subject: long shot--sm

levator scapulae palpation??