what was I thinking??? Your right is was spreading!! thanks alot!!!
Posted By: k&r on 2007-03-19
In Reply to: gentle spreading of buttocks? - me
Subject: what was I thinking??? Your right is was spreading!! thanks alot!!!
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gentle spreading of buttocks?
Subject: gentle spreading of buttocks?
nm
splaying component? as in hindfoot splay, spreading apart etc? nm
Subject: splaying component? as in hindfoot splay, spreading apart etc? nm
thanks alot
Subject: thanks alot
Thanks alot!
Subject: Thanks alot!
I'm kind of a newbie - I need to learn to look out for that, even when the doc dictates mg.
Thanks again.
THANKS ALOT
Subject: THANKS ALOT
Thanks alot.
Subject: Thanks alot.
Thanks alot!!
Subject: Thanks alot!!
Thanks alot
Subject: Thanks alot
d
I have a doc who says alot of the same thing as --sm
Subject: I have a doc who says alot of the same thing as --sm
what you have listed, and the sentence reads, "The patient has good distal pulses, good capillary refill. Sensation is intact bilaterally." so perhaps it would be *good distal pulses*? Just a thought. good luck
thank you, that helps alot
Subject: thank you, that helps alot
That definately looks alot better. THANKS!!!
Subject: That definately looks alot better. THANKS!!!
why are you responding to your own question? seems that happens alot on here..very
Subject: why are you responding to your own question? seems that happens alot on here..very
STRANGE
perhaps TSH, P and T sound alot alike.--nm
Subject: perhaps TSH, P and T sound alot alike.--nm
nm
That is it --- thanks alot! Medication on this same report ??onfultracin b.i.d. and V triapine????
Subject: That is it --- thanks alot! Medication on this same report ??onfultracin b.i.d. and V triapine????
i'll listen again, this guy runs words together alot
Subject: i'll listen again, this guy runs words together alot
part of his dictations are clear as a bell, then some of it he talks so fast & almost mumbles thru.. thanks will listen to see if that might be it
Owen silk(s) (sutures). Hear it alot on foot surgery. nm
Subject: Owen silk(s) (sutures). Hear it alot on foot surgery. nm
s
is it barro trauma or barrel trauma...thanks alot
Subject: is it barro trauma or barrel trauma...thanks alot
still thinking
Subject: still thinking
Turns out that the patient is having very high fevers giving impression of left lower lobe pneumonia. Came across a brand name of a drug used in mouthwash called Advexin. They were talking about oral cancers...but then cross-referenced on http://www.pharma-lexicon.com/ and found (generic Mepron) atovaquone, classified as an anti-infective used in both adults and children who are at risk for PCP with initial doses of 750 mg per 5 mL. Since Hodgkin's lymphoma and bone marrow transplant would put this girl in a severely immunocompromised state, I would bet they are giving her a pretty hefty dose of the stuff. Atovaquone it is.
Thanks for helping me.
Thanks, I was thinking along
Subject: Thanks, I was thinking along
those lines, just wanted a second opinion. :-)
that's actually what I was thinking too - nm
Subject: that's actually what I was thinking too - nm
x
Tks. I kept thinking there is another
Subject: Tks. I kept thinking there is another
Like ...there were lewes....or something. You are probably right, and I finally found it in stedman's and it says *sternal angle* and that seems to fit the way the doctor used it. Thanks again.
that's what i am thinking
Subject: that's what i am thinking
I was thinking along the lines of this from the begining....compression over lower extremities.....just wish I didn't hear otherwise! (I hate Monday's)
That's exactly what I was thinking
Subject: That's exactly what I was thinking
but I have this doc all the time and she's never dictated time like that before, so I just wasn't sure. Thanks to all who replied.
I was thinking that too...I'd have to say it was:
Subject: I was thinking that too...I'd have to say it was:
Past history notable or is notable for ______.
That's what I was thinking..maybe she
Subject: That's what I was thinking..maybe she
just got ahead of herself when dictating it in the assessment..because I definitely didn't hear an itis at the end...just a gingival or gingivo sound.
Thanks 
that is what I am thinking..thanks
Subject: that is what I am thinking..thanks
What was I thinking
Subject: What was I thinking
of course, para anything with twins, triplets, etc. Thanks for fixing my answer!
I'm thinking it's probably
Subject: I'm thinking it's probably
R&M for "routine and microscopic"
That's what I was thinking, too.
Subject: That's what I was thinking, too.
.
I am thinking it
Subject: I am thinking it
may be (LIMA) or left internal mammary artery ..... of course you are hearing it.
That's what I was thinking...
Subject: That's what I was thinking...
but was unsure. It's an ESL doctor and she says it twice. It doesn't really sound like there is an F in the pronunciation, though.
that's what I was thinking.
Subject: that's what I was thinking.
That is what I have been doing but I guess I just wanted extra reassurance! Thanks.
I am thinking that is what she must be saying. Thanks. nm
Subject: I am thinking that is what she must be saying. Thanks. nm
I am thinking it might be SM
Subject: I am thinking it might be SM
some kind of rowing exercise...____ rows, but I can't come up with anything better than that.
Thanks, I was thinking that or 0.1. nm
Subject: Thanks, I was thinking that or 0.1. nm
xxx
I was thinking that myself, but just not sure so I sent to QA
Subject: I was thinking that myself, but just not sure so I sent to QA
I was thinking the same, but (sm)
Subject: I was thinking the same, but (sm)
why would he dictate this along with vital signs? Seems strange  ...
I was thinking that too! Thanks!
Subject: I was thinking that too! Thanks!
Thank you for your input!!!
That's what I'm thinking..sm
Subject: That's what I'm thinking..sm
This client requires headings whether or not dictated, so I wanted to make sure I'm correct.
Anyway, I have always typed it under abdomen, but I went looking to make sure, and I did find it in a sample report with it listed under back.
However, I just found a very good article called "Varney's Midwifery" that says it is part of the abdominal exam.
Thanks!
That's what I was thinking.
Subject: That's what I was thinking.
Most of the references I found say that if a patient is unable to consent to surgery, two doctors can sign the consent form on the patient's behalf. I am just not sure if the dictators mean double-doctored or double-documented when they say double doc'd. I do all ops, so it comes up fairly often.
that's what i was thinking too - nm
Subject: that's what i was thinking too - nm
I was thinking that too . . .
Subject: I was thinking that too . . .
He is in rare form today. I think he meant to say compression but it honestly sounds like inspriation. Sigh*** I mightjust sent it through with a flag.
not thinking-- thanks!!
Subject: not thinking-- thanks!!
nm
thanks, that is what I was thinking also. nm
Subject: thanks, that is what I was thinking also. nm
nm
thinking...
Subject: thinking...
The left wrist is inspected showing there to be a visible soft tissue swollen area of the dorsal wrist closer to the radial aspect of the wrist. It is approximately 3 cm in diameter. Mobile tender to palpation and consistent with the ganglion cyst.
I was thinking a comma should go after diameter and before mobile. (where I have a period) What do you think?
I was thinking that too until...
Subject: I was thinking that too until...
...a couple of lines down he said the patient was circumcised. This guy completely rambles. I really didn't know about hair tourniquets until tonight's dictation. (Now If only I could forget the mental image!) Thanks for taking time to answer--this newbie appreciates it.
I was thinking
Subject: I was thinking
false lumen, but that when googled is associated it looks mostly with aorta. Unless you think they could be talking about the abdominal aorta???
that's what I was thinking, but
Subject: that's what I was thinking, but
I'm hearing a "cis" sound in the middle of the word. He also says it again part way down in the report. He says EG junction is 35 cm from the _______ orifice.
Thanks.
Thanks!. That's what I was thinking too.
Subject: Thanks!. That's what I was thinking too.
That's what I was thinking... : - )
Subject: That's what I was thinking... : - )
was thinking that but SM
Subject: was thinking that but SM
there wasnt any mention of the drug at any other part of the report and the word starts with a K or a C.
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