yw...sometimes we try so hard we miss the simple stuff :) nm
Posted By: flybye on 2006-03-09
In Reply to: nasal packing - textype
Subject: yw...sometimes we try so hard we miss the simple stuff :) nm
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So simple yet so hard. Thank you very much!
Subject: So simple yet so hard. Thank you very much!
Not hard to research stuff like that using google.
Subject: Not hard to research stuff like that using google.
Tumors of the Thyroid: Differentiated Carcinoma -- American Head ...
Fine needle aspiration biopsy of the thyroid nodule or enlarged neck node is ... of tumor extending into the larynx or trachea or into the mediastinum. ...
www.ahns.info/clinicalresources/docs/diffthyroid.php - 17k - Cached - Similar pages
Management of ectopic thyroid nodules.
One case has been followed for 4 years with scans revealing a normal thyroid gland with an unchanging ectopic thyroid nodule in the superior mediastinum. ...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8256214&dopt=Abstract - Similar pages
[Thyroid manifestations of sarcoidosis: a case report]
Is it recognition, repetition, "and" simple commands are intact (or is it "of" simple co
Subject: Is it recognition, repetition, "and" simple commands are intact (or is it "of" simple comands". nm
duh.. a new dr., but how could I miss that??
Subject: duh.. a new dr., but how could I miss that??
NM
thanx, miss banana
Subject: thanx, miss banana
that's surely it. thank you. i was so stumped. nothing worse than a 10-minute op note with only one silly blank in it.... once again, thanks. you da best!!!
Yes, I listened again and it was epidural. How could I miss that??! Thanks nm
Subject: Yes, I listened again and it was epidural. How could I miss that??! Thanks nm
nm
Oh my gosh!! sometimes you miss the simplist words. Thanks. nm
Subject: Oh my gosh!! sometimes you miss the simplist words. Thanks. nm
nm
Glad you found it. Brings back memories. Do NOT miss my old derm. dictator. sm
Subject: Glad you found it. Brings back memories. Do NOT miss my old derm. dictator. sm
Because of words like the one you were looking for, and because it seems like she needed a minimum of 10 adjectives to describe every single speck on the skin - "Pt has a small, reddish-brown, raised, oval-shaped, 0.5 cm x 0.5 cm (etc., etc.) spot on the upper left arm..."  (Don't mean to be insensitive to the patients. Just don't miss it is all I'm saying!)
Yes, and hard to say, so hard to find
Subject: Yes, and hard to say, so hard to find
Again, thanks.
He says the consonants hard - he gives a hard P on the par and B on the bow.
Subject: He says the consonants hard - he gives a hard P on the par and B on the bow.
This should be simple...
Subject: This should be simple...
But I can't seem to find documentation to tell me, maybe some of you with more experience can enlighten me?
I have a dictator today, she is saying, "Review of systems: s/l perinegative except for ...." and, "exam is s/l perinormal with EKG done today showing normal sinus rhythm"
Anyone hear of this "peri"normal "peri"negative and is this how to spell it? Can't find anything conclusive on google in any letter combination I can come up with.
Thanks for any help.
Tara
of course something so simple
Subject: of course something so simple
Thank you so much. Flolan......just what it sounded like and I was making it complicated!
simple was it!! thanks so much!
Subject: simple was it!! thanks so much!
I'm sure this is something simple, but here's the s/l - sm
Subject: I'm sure this is something simple, but here's the s/l - sm
Breasts are symmetric. Multiple firm masses surrounding left nipple that are tender to palpation. No nipple discharge. No overlying skin changes or s/l pu day aronge.
Appreciate any ideas!
thanks.. so simple. need more coffee
Subject: thanks.. so simple. need more coffee
I hope this is something simple.
Subject: I hope this is something simple.
I just cannot seem to get a grasp of this guy today. Pt is seen for congestive heart failure. Here are the sentences leading up to my problem:
We will check a BMP today to reevaluate renal function and, if he does have a markedly elevated creatinine, we may not be able to do this (referring to 64-slice CT angiography). I am hopeful that, with ___ and renal protection, we can get by with this. We will also plan on checking a TSH and baseline blood work, including a CBC and BNP for outpatient baseline.
Sounds like mucavest. I then thought of Mucomyst, but would like to know if anyone agrees because it does not make sense to me.
Thanks for any help!
And yet again 3 very simple ways...
Subject: And yet again 3 very simple ways...
ALT L with start numbered list lining them up and ALT L will shut it off.
Or start typing without the numbers, returning as needed and then block listings and ALT L.
Or, type 1, tab and type and when you return for #1 it will give you the number. If it indents, back up to the beginning of one of #1 sentences and SHIFT TAB to move it back the margin.
Probably a very simple question...
Subject: Probably a very simple question...
"On examination today, I did note that he has thickened yellow toenails on both feet. We recommend that he start using ?Clorox? soaks twice weekly as, at this time, oral treatment of this problem is extremely expensive.
I find one reference to this, but did not know how appropriate it would be. He may be saying something more like chloric, but I don't think that is it either. Thanks!
simple-locking
Subject: simple-locking
Ahhh! always so simple.
Subject: Ahhh! always so simple.
Need help with a simple surgery.
Subject: Need help with a simple surgery.
There is a complex closure of one layer of deep s/l *sutures or stuctures using 5-0 chromic gut, and then a superficial running, locking stitch using 5-0 Ethilon. The area is hemostatic. Sterile dressing is applied.
*It actually sounds more like sutures, but would that make sense? Thanks for any help.
simple question please
Subject: simple question please
Hi he says "progesterone cream qhs (small pause) qd"
should it be qhs daily or just daily? I think he might have been correcting himself, but have you ever seen qhs and daily together?
A simple search and I found this--sm
Subject: A simple search and I found this--sm
Breg Knee brace:
Breg Knee Brace TRI-PANEL IMMOBILIZER ACL PCL MCL*NEW
hope this is what you are looking for.
Not something simple like TriCor or Lopid? nm
Subject: Not something simple like TriCor or Lopid? nm
s
May be simple interrupted fashion. nm
Subject: May be simple interrupted fashion. nm
nm
The simple ones alway getcha!
Subject: The simple ones alway getcha!
Thanks everyone, simple English word
Subject: Thanks everyone, simple English word
The sentence was sugar still runs from 90-100. Feel dumb! Got to love the trainees. Still Googled WAG sugar...LOL Will not ever forget that one!
That second part could be a simple as "cyst wall"
Subject: That second part could be a simple as "cyst wall"
if it's pertaining to the same procedure.
Could it be so simple as men's glandular stage 2 cancer.
Subject: Could it be so simple as men's glandular stage 2 cancer.
Glandular tissue is also found in breast tissue and males also do get cancer there, most think about down below when referring to males.
How is male breast cancer staged?
The term "stage" is used to describe the anatomic extent of disease according to standardized rules. The same staging system is used for both male and female breast cancer patients. This standardized language allows clinicians and researchers to accurately describe the extent of disease. The AJCC (American Joint Committee on Cancer) staging system uses three numbers to determine the stage of the disease. T (stands for tumor) describes tumors of increasing size and local tissue destruction. N (stands for nodes) describes whether or not the tumor has metastasized to regional lymph nodes and if so, how extensive those nodal metastases are. M (stands for metastases) describes the presence or absence of systemic metastases. The AJCC staging system for breast cancer allows precise stratification of cases and is too complex to fully describe here (24).In most series, men present with more advanced disease (higher stages) women. It is not known whether this reflects delay in diagnosis, more rapid progression in disease, different breast anatomy resulting in most lesions being subareolar (with easy access to subareolar lymphatic trunks) or other factors.
pretty simple disk herniation
Subject: pretty simple disk herniation
See link, pretty simple but informative
Subject: See link, pretty simple but informative
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1122394
has a normal s/l affact. Help, I can't think of a simple word?!!? sm
Subject: has a normal s/l affact. Help, I can't think of a simple word?!!? sm
Patient is orineted times three and has a normal ______. s/l affact.
My mind is drawing a blank
thank you! it seems the most obvious/simple terms get me more than the complicated ones!
Subject: thank you! it seems the most obvious/simple terms get me more than the complicated ones!
Blah. Simple wrist x-ray, but I have a question. SM
Subject: Blah. Simple wrist x-ray, but I have a question. SM
She says: "Mild to moderate osteoarthritis about the s/l TRI SCAVY joint." Help?
Doc mumbles/stumbles over words, had me going too since it was such a simple answer! LOL nm
Subject: Doc mumbles/stumbles over words, had me going too since it was such a simple answer! LOL nm
That's it - gosh such a complicated word for a simple function.
Subject: That's it - gosh such a complicated word for a simple function.
Thanks
Geez! It's usually that simple too! Doesn't that just drive you crazy?!?!?!
Subject: Geez! It's usually that simple too! Doesn't that just drive you crazy?!?!?!
x
Gee, ya think? You should see some of the stuff
I don't know who they got working there sometimes. So much conflicting stuff it's unreal. I call them on it every time though and send it to my super. It's hard enough without the conflicting feedback.
Example:
Dictator said HPI (for a heading), so I typed it HISTORY OF PRESENT ILLNESS. I get QA feedback that says, "If the dictator dictates the header as HPI, type it in as HPI." So I'm like okey dokey.Next time I get HPI I do just that. Then I get a nasty note. NEVER, EVER abbreviate in the headers, always spell it out. I'm like geeesh!
One told me to type out 2:00 O'clock (for position, i.e., cornea).
CA stuff
Subject: CA stuff
Stage I breast cancer (T1B, sentinel N0, M0, ER positive, PR negative, grade 2, HER2/neu negative).
I would put HER-2 neu, but the rest all looks good.
Might want to try Web MD for stuff like this. nm
Subject: Might want to try Web MD for stuff like this. nm
s
lab stuff
Subject: lab stuff
CPK total was elevated at 483 with an MB s/l fraction or infraction of 26.7
you can use it for stuff like D&C, I&D sm
Subject: you can use it for stuff like D&C, I&D sm
but not in place of a regular and in a normal sentence.
PS Yes, I have been called simple minded but you don't need to explain, nicer people have.
Subject: PS Yes, I have been called simple minded but you don't need to explain, nicer people have.
nm
I feel dumb! I hate when I overlook the simple things!!!!
Subject: I feel dumb! I hate when I overlook the simple things!!!!
Ayr is an OTC brand of this stuff. nm
Subject: Ayr is an OTC brand of this stuff. nm
I really don't think it's the usual stuff, but thanks.
Subject: I really don't think it's the usual stuff, but thanks.
(nm)
prostate stuff
Subject: prostate stuff
Thank you so much!!
prostate stuff
Subject: prostate stuff
flat without firmness
Prostate stuff
Subject: Prostate stuff
I need help!! On digital rectal exam the prostate is (sounds like flat?) without (?firmness and osmalarity??) Please help if you have a clue.
Most lab and rad stuff like that is kept abbreviated, but your
Subject: Most lab and rad stuff like that is kept abbreviated, but your
s
Found this stuff. sm
Subject: Found this stuff. sm
Antepartum fetal surveillance using NST, CST, BPP, or modified BPP
maternal fetal surveillance?
Found this also:
http://quizlet.com/331657/antepartum-fetal-surveillance-flash-cards/
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