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Jun 18 14:11
• Not happy with Express Scribe. What do you use for transcpription or what do you
- recommend?

• Work Comp. keep coming across this in apportionment section
+ sm
** • Not sure, but it s/l the doc is asking you to use a template to + Questyr

• a CT chest on XX/XX/XX, which demonstrated mass-like _________ thicken ...
+ mp3 posted
** • got it - pleural parenchymal - thanks - OP

• Proceed with unsedated "ERM" to look for reflux anal inhibition response (child). nm
- JC
** • Could it be ARM, anorectal manometry? - Maybe?
**** • ^ this - nm
** • oops..should be reflex anal inhibition, but can find nothing close to ERM? tia nm - JC

• hypoxic at this point on supplemental oxygen and on an *H CAP*
+ ?
** • BiPAP or CPAP? - poi
** • flagging - -

• s/l inter sepsular changes in both lung fields
+ sm
** • See if you can hear "COPD who HAD INTERSTITIAL changes" - Questyr
**** • ok - ty

• s/l mat suture
+ sm
** • See message + Questyr
**** • thanks - -

• Aside from glomerulonephritis, he also has a history of high blood pre ...
+ wav
** • Crestor, tamsulosin, ... - billybob

• This is in the background of a several-month history of intermittent j ...
+ wav
** • never mind. Thanks to anyone who tried. - guy

• The patient does not have any infectious features at this time. I t th ...
+ wav
** • never mind. thanks to anyone who tried. - guy

• The patient is a 40-year-old gentleman who we saw for query cellulitis ...
+ wav
** • warranted him of sprain?? - poi
**** • and I think the rest is fine - poi
**** • Thanks a lot. - guy

• Sedation was offered to him, but given the sigmoidoscopy _____, I told ...
+ wav
** • mitigation?? - poi
**** • Thanks a lot. - guy

• COPD, schizophrenia, anemia, _____ ...
+ wav
** • and BPH - poi
**** • Thanks a lot. - guy

• Anyone from Nevada?
+ sm please
** • There is a Chewey in Sparks - poi
** • do you have a city? - b m o p e d

• Multivitamins _____ tablet p.o. daily. ...
+ wav
** • Multivitamins with minerals ? - sea
**** • Thanks a lot. - guy
** • never mind. Thanks to anyone who tried. - guy

• She was working in the past in accounting _____ but presently having j ...
+ wav
** • retail ___? and designing - poi
**** • maybe retail space designing? - poi
****** • Thanks a lot. - guy

• RA drug spelled out entembra. Closest found Actemra. Anyone?
- t
** • I could only find Actemra also. - sea

• total hip replacement anterior approach, sm pls
+ mo
** • see message + Questyr
**** • Thanks Questyr, difficult dictator at the best of times. Appreciate your input - OP

• early pregnancy assessment ultrasound sm pls (s/l ITN/GS)
+ mo
** • flagged - mt

• Excess fat and tissue were removed sharply from the anterior surface o ...
+ wav
** • such that each leaf of the platysma - taco
**** • Thank you, taco - wav

• what is "MCI" listed under past medical history? Totally stumped here.
- nt
** • ah!!! Of course. Thank you. - nt
** • mild cognitive impairment? - taco

• ProFractional erbium laser treatment with s/l Lah-Tease ...
+ k m b h o b
** • Latisse - taco
**** • Glad you found this for me. I did Google latisse but had no results. Thanks again! - k m b h o b

• Is "Bondo" correct for skull repair?
+ thanks
** • Well, Bondo is used as a filler, like for car body work, so it makes sense. - taco
**** • Thanks taco. - thanks

• medication list: sounds like "So ho pella" testosterone implant every 3 months.
+ taco (ino rush)
** • GOT IT! (well, my QA person got it) -- it is SottoPelle (he was pronouncing it badly). - taco
** • btw - this is for a postmenopausal woman with no PMH listed. - taco (in no rush)

• wrist exam s/l oz septic
+ sm
** • asymmetric? - taco
**** • found it - ossific density + op

• On the right side, again the ______ area noted that she has had proble ...
+ wav posted
** • Scaled area.. - wav deleted
**** • Thanks for letting us know. - Questyr

• Echo results, need some help. S/l in the " M O" section
+ sm/
** • M-mode - taco
**** • TY - !

• His additional medications currently include lisinopril, Topamax, ______, budesonide,
+ mp3
** • Does the patient have HIV or at risk for HIV? Might be Truvada. - taco
**** • No mention of it, but thanks for trying - op

• SM
+ d h k h k o
** • NASH cirrhosis - taco
**** • You'd think David Crosby would be the one to get a liver disease named after him. - billybob
****** • haha - good one, bb - t
****** • ;D - Q
**** • YES! + d h k h k o

• Is "access" correct or does he mean "axis"?
+ wav posted
** • axis - nt
**** • Thank you! - wav posted

• orificed-hernia? pls sm
+ abcdefg
** • It would be subcentimeter orifice hernia (no "d") - Questyr
**** • questyr - thanks - abcdefg

• Transcribed as dictated. Does this make sense or should I used "Valsalva'd"?
+ k h n m d b
** • If you did choose to use the back-formation "valsalva'd" just note that you should drop + Questyr
** • are you allowed "while Valsalva performed by Anesthesia"? - nt
**** • I think so. Not told this is verbatim. Sounds much better. Thank you - k h n m d b

• Are commas really needed in medical record before and after"in fact" and "of course"?
+ k h n m d b
** • Yes. (see link, scroll down to Comma Rule #5 and read ALL the way down to + Questyr
**** • Thank you, Questyr - p j l m i g

• Medication that sounds like: fos-fo-low
- Thanks
** • ... - mp3 posted
**** • ... - mp3 deleted

• .. cyproheptadine, _________, gabapentin...
+ wav posted
** • Might be Diprolene - Questyr
**** • Thank you Quetyr - wav posted
** • Hi. Still waiting. I have some time to turn this in. Thank you. - wav posted
**** • ... - wav deleted

• Physician sloughed blister and hemorrhage off toe, thus the lesion bec ...
+ Kelsie
** • "apigmented" is a word and can be used to describe appearance of a lesion - Questyr

• Abdominplasty plans: ....This creates a s/l Coner or Koner aperture.
+ l d p g l l
** • how about "this creates a cone or aperture" ? - taco
**** • That's it, taco. Thanks so much. - l d p g l l
** • ... - wav posted

• Pain medication s/l side-a-vex.
- :)
** • As usual after searching forever after I posted here I found it. Citabax. - :)

• Mitchell modification of a *yungees* urethroplasty
+ CO MT
** • Young-Dees - taco
**** • I looked and looked and looked for that, now it's suddenly showing up. Thanks!!!!! - CO MT

• Pt is status post surgery and is constipated.
+ sm please
** • can you hear "mag citrate"? (magnesium citrate) - taco
**** • I think that is what he's saying. Ty very much. + nm

• There were *opta* like erosion in the proximal esophagus.
+ sm
** • aphthous? - taco
**** • thank you - !

• grade I-II acromioclavicular joint dislocation
- roman or arabic
** • 2 (sm) + k d i e m n
**** • Thanks - op

• Is "declared" corredt? Once the mastectomy skin "declared" itself,
+ b b b j e b
** • yes + sm
**** • Thank you! I am such a lously researc - wav posted now
****** • researcher on Google. Thanks again. - wav posted now
** • ... - wav posted now

• EKG. s/l fasting EKG shows low s/l bank erds
+ t
** • Resting EKG shows.... Also: It's apical akinesis. + sm
**** • Resting EKG shows sloping QRS. - nm
**** • Apologies - more likely they said "apical HYPOkinesis." + sm

• Patient has significant stress stiffness of left knee?
+ Kim
** • listen for "progressive stiffness" - nm

• Avoid startling ____ and scary amusement park rides.
- mp3
** • sstartling, all falls, and scary amusement.... (0R) startling, or falls, and scary - f f b e i p
** • alarm clocks? - f a i c l b
**** • ... - Thanks!

• this is associated with LQTS type 1. Thus, she is _______.
+ mp3
** • ? is she just struggling and repeating "phenotype positive" - ltt
**** • Thanks. She repeated it at the end. Genotype positive and phenotype positive - op

• surgical remedial defect? pls sm
+ abdcdef
** • surgically remediable - maybe - ltt
**** • oops! Thank you. - abdcdefg
**** • thanks - abcdefg

• tests for autonomic insufficiency, s/l taupe test
+ see sentence
** • tilt test - nm

• *S/L Astergan solution - Cervical cold knife conization with endocervical curettage
+ TYIA=)
** • AstrinGyn (see link) + Questyr

• 3. Hypertension. 4. Allergic ____________ 5. Overweight with bod ...
+ mp3 posted
** • allergic rhinitis? - mn

• She was able to make a full fist and her EDC did not sublux. She also had a sm
+ :)
** • look at tendons-ECU (?) - y
**** • look at Elson's test - nm
** • Elson test (S can sound like F sometimes) - nm
** • Allen's test - maybe
** • Phalen's? - POI
**** • No. The only thing I can think she may be trying to say is Allen's test and messing it sm + OP
****** • Thanks for trying but I really think this is going to have to be a blank. - OP

• We also discussed the use of _______________other materials
+ wav
** • BTW...I wonder if you are hearing "BUT felt like" (not THAT felt like) - Questyr
** • ... - wav deleted

• s/l net pit injection
+ sm

• A ____ filament was used, and the patient does not have any sign of neuropathy.
- mp3
** • I'm hearing 5 grain but can't document that anywhere. Sorry, I'm not much help. - sea
**** • gram - ?
****** • Thanks to you both - op

• sensory test for diabetic neuropathy
+ qwerty
** • how about fine grade? - nt
**** • Maybe? I thought of that first, but that's not what I'm hearing. Than ... + qwerty

• This will be _____________ at the time of the scar revision as well.
+ wav
** • I think it is 'corrected.' - wav

• mix and s/l paramix
+ n g h a n i
** • payer mix (I do believe) + sm



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