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Mar 20 07:55
• pls listen to wav + thanks
• Stood up to go back to bed and *syncofies* + m e d e c n
** • saying syncopies - trying to say has an episode of syncope (which is what I would say if - you can),
• Something subcu... Pls see msg + p g l k l m
** • test dose ?? - nm
**** • I just listened with the voice file sped up, and I could hear "test dose." lol - Thank you!
• s/l toe-ping wrist fracture x-ray + sm
** • tilting - my guess
** • WAG: opening? - mt
• psycho consult, plse sm for context (s/l E-T-O) + mt
** • npo - p i o j g p
** • oh! "psych" consult (NOT psycho) - mt
**** • ETO - emergency treatment order? - ltt
****** • thank you very very much! - mt
• ortho help plse sm + mt
** • just realized, must be cuboid - mt
• med list s/l a-trip-to-flex no dosage given either - nm
** • Trilipix? - FSMT
• another WAV file. I have 3 blanks right together in this. Thanks. + WAV
** • continuous monitoring - mt
**** • Thank you!! - OP
** • sm for what I have now. All I need is the _____ monitoring. + Thanks.Sm
** • restarted with only a small drink by the primary care physician if - d f l l n n
**** • i hear: can be started at primary care clinic's office if ...etc - mt
****** • glad it was clearer for you - d f l l n n
** • be discharged -- recheck monitoring - d f l l n n
• She does have a "tin pannus" that covers her trach. Tried Google and OneLook w/ + i e g l e n
** • skin or thin - perhaps?
** • tympanous??? - guess
**** • tympanous: distended with gas. I am thinking not! - hmmm
****** • it is a sound, not being filled with gas + ??
******** • I simply copied from Dorland's. I guess if you do not like Dorland's that is your choice. - hmm
********** • You simply need to read all the entries to understand. - -
****** • Patient is morbidly obese with abdominal cellulitis and a clogged PEG tube. - i e g l e n
******** • pannus is "hanging flap of tissue" - me
******** • How about a chin pannus? or thin pannus? sm + Txczech
********** • I do hear chin now. Thanks. Going with "chin pannus." - i e g l e n
********** • I am thinking chin pannus too. usually called submandibular pannus or double chin. I can + sm
************ • Thanks, everyone! - i e g l e n
• Medication list. S/l Sigh-no-taz-all 100 mg p.o. twice daily. sm + Thanks.
** • Cilostazol?? - guess
**** • OMG yes. Thank you so much. He was driving me crazy and I tried everything I could think - of. OP
****** • found by going to www.drugs.com and putting *tazol - me again
******** • thanks. I tried RXlist for a s/l but it did not work. I will remember this way now. - Thanks again.
• s/l "size 8 port, fixed tracheostomy" + carrob
** • Disregard -- it is a size 8 Portex tracheostomy! - CARROB
• s/l frying + sm
** • Guessing. trying? - nmt
**** • unfortunately I don't think so. ??? I don't know - OP
• Never heard of blue top before. psm and thanks + sm
** • They use "blue top collection tube" for D-dimer, sm. + i i l e m b
**** • Thanks:) Sometimes it is hard to know how to search archives. I put in (sm) + OP
****** • Try typing blue top in the box, top left. - nmt
******** • That was it. I had too many words, but I wanted to be specific. - nm
** • I believe archives has info on this. - nmt
**** • Guess I should have said I tried archives first...and google. - OP
• medication list: Tylenol _____ - WAV file.
** • 650 mg per rectal every 4 hours as needed???? - a c d a c a
**** • Thanks. - OP
• Does breathing make sense here? Last sentence. + a c d a c a
** • It makes sense to me, too:) - nm
** • When you google it and throw in a bit of context, seems to make + sm
**** • I have got to remember to use the ** in the research. Mine turned up exercise programs. - a c d a c a
****** • Yeah, using ** is a great research tool. You would think as much as it's mentioned here p - eople would remember
** • Makes sense to me. (sm) + anon
**** • Thanks. She stuttered the word and I thought it could be bleeding but that made no sense - a c d a c a
****** • Well, when you throw in that (bleeding), kinda changes your question. - nm
******** • It really sounded more like breathing. Thanks. - a c d a c a
******** • True -- but seems it would most likely be breathing since patient was reintubated. - anon
********** • Thanks all. I sure appreciate this board! - a c d a c a
• Radical excision of the left hemivulva. Risks of surgery have been explained..... + sg
** • try listening for pemphigus - l o m b b d
• general question. I have a doctor who always says mom or dad. In the BOS + a c d a c a
** • I've alwas changed mom, mommy, grandmom, dad, kid, grandkids. - billybob
**** • Great to know. With all these opinions, I am just going to ask my QA. - a c d a c a
** • Although I do follow BOS, I would not change the words that were dictated. - nm
** • I always change it to mother and father, per the BOS. - nm
** • Question is, what does 3rd edition say? They often revise their guidelines. : ) - nm
**** • I only have the 2nd Edition. - a c d a c a
** • No, never. - nm
** • Never have, and like below, never even considered it. - nm
** • I don't. Never even thought to look it up. I won't change now. - nm
**** • There are a few things in the BOS like that I totally disagree with. Seems like you would + a c d a c a
****** • I would ONLY makes those changes if my account SPECIFICALLY said to follow the BOS to the - letter.
******** • So you pick and choose which rules to follow? - NM
********** • Yes, I pick which BOS rules to follow and quite a few to discard. Some of them are just - plain silly.
********** • Mine does state to use the BOS as a general rule but I think we are more verbatim than + a c d a c a
• anastomosis stenosis - do you change that to anastomotic? + a c d a c a
** • No, I don't if it was dictated that way, not that it wouldn't be correct but + sm
**** • Thanks. I didn't, just wanted to double check. - a c d a c a
** • Full sentence please. - nm
**** • It was on a prior report. I just was doing some general question asking this morning on + a c d a c a
• Chest: Rare crackles, no s/l E to A change, rubs, rales or wheeze. - a k b c l d
** • Yes, that's correct. - LiliK
**** • Thank you. - nm
• How does this look? The sentence that starts with yes looks a little funny to me. + thanks!!!
** • Looks good to me. I might put a comma after the "he said" toward the - end. Your choice.
** • Why are you quoting? - nm
**** • Because it is a direct quotation. Am I wrong? - nm
• possible inferior subendocardial *hard* myocardial infarction + sm
** • maybe "old"? nm + sylvester
** • Can you hear "wall"? - LiliK
**** • maybe heart? - nm
**** • No, can only hear hard. - thanks
• Think I'm hearing "somatic," but not sure it makes sense in this sentence. + p g l k l m
** • Yes, please see definition + nm
**** • Thanks for your help! - p g l k l m
• Part of physical examination. S/l Myotideo reflexes are +2 and symmetrical. - nm
** • bilateral tibial - wag
• Is anyone else having a hard time with chemocare.com website this morning? - chell
** • Just tried and it won't load. - b a d a l l
**** • ty for checking :) - chell
****** • Loaded fine just now. + b a d a l l
• SM + nm
** • it's probably the falx - nm
**** • TY! - nm
• MP3 help with ESL doctor... + p g l k l m
** • Think I'm hearing "bone protective effect" - ???
** • "that she resect." - nm
• WAV file, thanks. Can anyone get the blood pressure? + a c d a c a
** • Thanks anyway. I ended up with several more blanks throughout the report. + a c d a c a
• MP3 help with ESL doctor. Not sure I'm on track. + p g l k l m
** • I hear... 1. Birth weight 2514 (grams) and 3. She had chlamydia - h c l o k c
** • NM, have more blanks... will send to QA - p g l k l m
• WAV + h k j p d h
** • please send a copy to dr Arthur (remove placement of) - nm
**** • txc - h k j p d h
• Never heard of this and not really documenting. Anyone familiar? + p g l k l m
** • "test of cure" is common statement, wonder if that is what they meant? - h c l o k c
** • Uploaded MP3 as I have another blank that's part of this... + p g l k l m
**** • Forgot to add that patient has mycosis fungoides. - p g l k l m
****** • I can't "get" it. My sense is that the rx course anticipated is not approved by Medicaid + Margaret
******** • Think I'm hearing "PUVA." - p g l k l m
********** • Thank you for your energetic research! I believe you are correct!!! + Margaret
******** • Thanks for trying for me! - p g l k l m
********** • (the Medicaid regulations, and less so the Medicare regulations, are "capricious," failing + Margaret
************ • (SM above.) Alternatively, "the wheels of the legislative gods grind slowly..." + Margaret
• s/l Rivaeda + ryanN
** • ?Reyetaz - nm
• s/l tinge sutures + ?
** • WAG: "reveals 10 sutures in the right mid lung" - Margaret
**** • thanks - ?
• s/l polysec - drug + ruthy
** • (I tried hard, but could not "get" it. :-( - Mgt
**** • Well, I thought of Prilosec but it doesn't fit the dx. Unless of course the doc isn't + kaz
• derm + MT1
** • Bright red, slightly urticarial-appearing, plaque, diffusely covering - punctuation needed
**** • I don't agree with a comma afer appearing and plaque - respectfully
****** • I too agree with respectfully. - FSMT
******** • I three agree with respectfully. - another.
****** • the subject is plaque and needs to be set off with that comma plus sm + yes it is needed
******** • I'm in agreement with "respectfully" since I (respectfully) fail to see why the subject + kaz
********** • thank you..it is a series you said what I was thinking. - respectfully
********** • I'd say "Red, urticarial plaque, diffusely covering"--have done both legal and MT sm + Win
************ • post deleted - admin
************ • what? you can't change what was disctated that much. - lol
************** • That's not changing a blamed thing! Adding punctuation is for clarity of meaning! - d f l l n n
**************** • what? she left out several key words. that is not alright anywhere. - looking at
**************** • You left out a word that was dictated that did not need to be - a ding where I work. It + was not just SM
**************** • Yes, but Win, with all due respect you ARE changing the meaning quite significantly. + kaz
****************** • except it wasn't blood, it was the color of the plaque - correctomundo
******************** • You're correct - my bad. Altho I still say that a dictated qualifier should + kaz
********************** • I agree. Win was commenting on your example rather than the original. - nm
********************** • a dictated qualifier should not be removed unless demonstrably redundant - agreed
****************** • Oh, I think Win is trying to suggest punctuation for my "if the sentence were" + kaz
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