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Feb 8 10:13
• He presents this day with increasing amounts of chest discomfort over the + "productive"
Mon Feb 8 17:57:54 2010 "productive"
last week located primary on the left side, shoulder, and anteriorly without marked "productive" nature. No cough or sputum production per se has been noted.
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Mon Feb 8 18:12:59 2010 billybob
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Mon Feb 8 18:00:17 2010 rlb
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Mon Feb 8 18:07:40 2010 thanks
discomfort. S/l producted nature.
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Mon Feb 8 17:58:33 2010 should be
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• ganglion cyst --------- a cosmetic or acosmetic ? + lara
Mon Feb 8 17:52:15 2010 lara
This is a 45-year-old female with complaints of painful and __________ mass about the radial aspect of her right volar wrist.
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Mon Feb 8 17:57:08 2010 lara
Normal soft tissues were identified proximal and distal to the previous surgical zone, and the avolar wrist ganglion was indeed identified and dissected free circumferentially. Visualization of the _____ was difficult.
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Mon Feb 8 17:57:30 2010 lara
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• sm + WAV
Mon Feb 8 17:47:25 2010 WAV
She has no areas of unhealed skin on either nipple. We did bring Dr. Sx to have a quick look at her and discuss what else can be done for the nipple areola on the left and some rippling she is concerned with on_____. Dr. Sx did once again come in and see her and states that he would like to wait for another additional six weeks and then have her come in and discuss further intervention.
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Mon Feb 8 17:47:52 2010 nm
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• Pt with breast cancer. "PET scan reveals a mass at the 3-o'clock *N+3* position, sm + Looonnngg day
Mon Feb 8 17:39:09 2010 Looonnngg day
approximately 5.2 cm." Cannot seem to document this in any of my books or in any literature online. I'm assuming it's a radiologic term (and I never type Radiology) regarding an axis or something, but not sure I'm on the right track. Would anyone know what this means? Thanks for any ideas!
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Mon Feb 8 17:48:46 2010 billybob
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Mon Feb 8 18:00:02 2010 Thanks a million!
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• motion at the s/l digitus is within normal limits. Does not s/l just digit or digits. + Hmmmm
Mon Feb 8 16:59:46 2010 Hmmmm
Forearm range and motion at the s/l digitus is within normal limits.
She's clear on the "tus" part.
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Mon Feb 8 17:12:10 2010 wg
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Mon Feb 8 17:15:42 2010 Hmmmm
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Mon Feb 8 17:17:30 2010 ?
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Mon Feb 8 17:19:02 2010 Thanks all.
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Mon Feb 8 17:07:25 2010 nn
wrist, so if it is forearm ROM, where would that be, certainly not the digits.
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• Looking for drug. Distinctly hear E Forge. I can only + i h g h c d
Mon Feb 8 16:50:56 2010 i h g h c d
find Exforge, but the patient is a 20-year-old young man. Course it is possible, but the doctor did not say ExForge. He said E forge.
No success googling or drugs dot com.
Thanks for any help.
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Mon Feb 8 17:32:55 2010 iggy
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Mon Feb 8 17:37:44 2010 i h g h c d
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Mon Feb 8 17:02:54 2010 nm
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Mon Feb 8 17:01:52 2010 darlene
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Mon Feb 8 17:00:22 2010 j l f g i m
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Mon Feb 8 17:00:31 2010 j l f g i m
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Mon Feb 8 17:13:34 2010 i h g h c d
Sorry I could not give any other help. That was all I had to go on. It was a review of systems and no other information given. He was in for frequency. But unfortunately, the doc said no past medical history. No hypertension mentioned.
I think I will go with the poster who said they had it once before and it was Eforge. That seems the only answer, as there is just nothing else out there even close.
Thanks again.
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Mon Feb 8 17:39:45 2010 just me
I know the other poster said that was the way HER doctor pronounced Exforge and that's fine as long as SHE is sure of that. But unless you know for sure that is what your doctor is doing, it's safer to flag than put the wrong medication in a patient's chart.
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• intubate the patient. *Open sapian* airway was placed. + what a day
Mon Feb 8 16:42:46 2010 what a day
I elected to fiberoptically intubate the patient. ________ airway was placed. Fiberoptic bronchoscope was then placed through ________ airway and the vocal cords were identified.
Says it at both places. Second time sounds more like *open cillian*.
Patient undergoing fiberoptic intubation by Anesthesia due to problems with intubation in the past.
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Mon Feb 8 16:49:19 2010 Paula
z
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Mon Feb 8 17:19:57 2010 op
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• AP pelvis and AP a/l *and roll up* lateral of the right hip - l b m h n n
Mon Feb 8 16:19:03 2010 l b m h n n
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• prepone (word or not a word?) + rose
Mon Feb 8 16:18:48 2010 rose
I have seen several boards say this is not an English word and some dictionaries have it. Webster's does not.
sentence: The 1-year scan that was supposed to happen in April of 2010 has been preponed.
Help!
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Mon Feb 8 16:23:42 2010 nm
7 dictionaries with English definitions that include the word prepone:
Click on the first link on a line below to go directly to a page where "prepone" is defined.
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Mon Feb 8 16:20:02 2010 Google prepone
prepone definition - Dictionary - MSN Encartapre·pone [ pree pṓn ] (past and past participle pre·poned, present participle pre·pon·ing, 3rd person present singular pre·pones). verb South Asia ...
encarta.msn.com/dictionary_561547868/prepone.html - Cached
languagehat.com: PREPONE.to prepone - example: The Friday meeting has been preponed to Thursday morning. (This word is succinct and useful. It deserves a place in English languages ...
www.languagehat.com/archives/000645.php - Cached - Similar
prepone - WiktionaryNov 22, 2009 ... to prepone (third-person singular simple present prepones, present participle preponing, simple past and past participle preponed) ...
en.wiktionary.org/wiki/prepone - Cached - Similar
Prepone | Definition of Prepone at Dictionary.com:Main Entry: prepone. Part of Speech: v. Definition: to place in front of, to schedule for an earlier time; cf. postpone ...
dictionary.reference.com/browse/prepone - Cached - Similar
A.Word.A.Day --
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• hepatobiliary imaging with Kinevac and s/l pal o tek. . . + nan
Mon Feb 8 16:15:42 2010 nan
Using 6.2 mCi technezium 99m, S/L PAL O TEK and 3 mcg Kinevac infused at one hour,
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Mon Feb 8 16:19:12 2010 nm
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Mon Feb 8 16:25:51 2010 Thank you anyway.
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Mon Feb 8 16:15:59 2010 Nan
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• s/l brownie changes? + sm KK
Mon Feb 8 15:57:27 2010 sm KK
His legs were especially thin. He had some mild lower extremity edema. He had **brownie changes** in the anterior ankles
thanks.
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Mon Feb 8 15:58:11 2010 me
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Mon Feb 8 16:04:12 2010 nm
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• place a guidewire very near the *one one* position. + me
Mon Feb 8 15:55:15 2010 me
The vastus lateralis was incised and the femoral shaft exposed. A 140 degree fixed ankle guide was then used to place a guidewire very near the 1:1 position.
Patient undergoing hip pinning for displaced intertrochanteric fracture.
I'm sure I should know this, but just won't come to me. I've checked archives and googled, but not getting the right phrase to get anything.
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Mon Feb 8 16:15:10 2010 op
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• ultrasound (press?) + ruthay
Mon Feb 8 15:55:07 2010 ruthay
Our ED ultrasound <press> did see what they felt was a stone on exam, a small 1 to 2 mm stone without complete obstruction.
Thank you.
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Mon Feb 8 15:55:35 2010 me
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Mon Feb 8 15:59:55 2010 me
of other words that would be used other than tech or person.
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Mon Feb 8 16:04:09 2010 ruthay
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• He suffered a grade IV intracranial bleed and had the "attentive" complications + NeWbIe
Mon Feb 8 15:50:15 2010 NeWbIe
with respiratory distress and feeding difficulties.
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Mon Feb 8 16:15:32 2010 OlDiE
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Mon Feb 8 15:52:22 2010 ...
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Mon Feb 8 15:52:01 2010 LiliK
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• s/l chronic clot burn + k n a o f j
Mon Feb 8 15:45:53 2010 k n a o f j
Worsening of his left lower extremity pain secondary to his chronic clot *burn.* He is subtherapeutic on his INR.
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Mon Feb 8 15:58:37 2010 perhaps?
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• dx: nasopharyngeal carcinoma + l e c j l l
Mon Feb 8 15:35:41 2010 l e c j l l
On examination, the patient was found to have a granulose soft tissue mass posterior to the left *curani*, which seemed to arise from the roof of the nasopharynx.
s/l cue-rae-n-eye
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Mon Feb 8 15:40:06 2010 ?
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Mon Feb 8 15:41:19 2010 l e c j l l
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• With plans for *Olymptic* chemotherapy and labs. + me
Mon Feb 8 15:18:53 2010 me
FOLLOWUP ARRANGEMENTS
With Dr. xxx with plans for ________ chemotherapy and labs at 1:45 p.m. on February 5, 2010.
Patient with metastatic lung cancer, admitted for malignant pleural effusion. This is a discharge and not many details given. Chemo not mentioned elsewhere in the report.
Thought maybe he might be saying a limited chemotherapy, but sounds more like my s/l.
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Mon Feb 8 15:20:14 2010 g
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Mon Feb 8 15:22:48 2010 op
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• I've never heard this. Eyes, PERRLA, EOMI, s/l BFF. - ?
Mon Feb 8 15:15:52 2010 ?
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Mon Feb 8 15:17:25 2010 nm,
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Mon Feb 8 15:21:42 2010 ?
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Mon Feb 8 15:25:11 2010 guess
about hard to hear! Glad it worked here too!
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• I am taking an MT test for a job and am encouraged to use all references. I think + out of a job
Mon Feb 8 15:03:28 2010 out of a job
there is no correct answer here. What do you think? Grateful for your help and time.
Here is what I'm faced with at the moment. It's multiple choice and I don't see a good choice for an artery in the chest region. Obviously thora = chest -- but those other parts don't seem to mean artery to me.
An artery in the chest region.
thoracoacromial
thoracromial
thoracicoacromial
thoracoromial
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Mon Feb 8 15:19:11 2010 out of a job
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Mon Feb 8 15:24:48 2010 Kay
for the answer, then I am not surprised you are "out of a job."
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Mon Feb 8 15:29:36 2010 :0--/
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Mon Feb 8 15:44:43 2010 Kay
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Mon Feb 8 15:31:04 2010 !
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Mon Feb 8 15:17:07 2010 l a c p e k
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Mon Feb 8 16:59:29 2010 ..
to see how resourceful the MT is to get it done.
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Mon Feb 8 15:35:31 2010 anonymous
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Mon Feb 8 15:53:21 2010 pn
this circumstance.
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Mon Feb 8 15:46:13 2010 en that's cheating!
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Mon Feb 8 15:39:25 2010 differ whatever
some things on their OWN. This could have EASILY been found in a reference, and by looking it up, the OP could have learned something, instead of having it fed to her and allowing her to fudge on a TEST by an EMPLOYER who wants to know HER expertise in this field, not OURS. If you can't discern that simple difference, that's just sad.
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Mon Feb 8 15:48:12 2010 kay
they can get a grasp of the potential MT's skills, not that of someone else spoonfeeding them the answers!
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Mon Feb 8 15:50:46 2010 nm
the questions by the interviewer on the phone and I had to prove to them that it was my knowledge. Pretty good idea too.
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Mon Feb 8 15:16:10 2010 resource
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Mon Feb 8 15:13:19 2010 nm
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Mon Feb 8 15:12:17 2010 billybob
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Mon Feb 8 15:11:06 2010 Questyr
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Mon Feb 8 15:05:16 2010 sigh
for artery? You seriously need to think this through on your own.
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Mon Feb 8 15:06:46 2010 l m o n f k
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Mon Feb 8 15:08:44 2010 nmb
Thoracoacromial Artery - Wheeless' Textbook of OrthopaedicsThoracoacromial Artery. - See: Arteries of the Upper Limb - Discussion: - branch of axillary artery; - pierces the clavipectoral fascia and gives rise to 4 ...
www.wheelessonline.com/ortho/thoracoacromial_artery - Cached - Similar
Thoracoacromial artery | Definition of Thoracoacromial artery
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• In his "hey days" the patient states he would drink quite heavily. + sm
Mon Feb 8 15:03:17 2010 sm
Should that be hyphenated? (hey-days)
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Mon Feb 8 15:14:09 2010 billybob
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Mon Feb 8 15:09:26 2010 OP
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Mon Feb 8 15:05:52 2010 Questyr
of time I would not put heydeys
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Mon Feb 8 15:05:52 2010 dictionary sez
heyday /h'eɪdeɪ/
Synonyms:
noun: zenith, acme, meridian
Someone's heyday is the time when they are most powerful, successful, or popular. N-SING with poss
In its heyday, the studio's boast was that it had more stars than there are in heaven.
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Mon Feb 8 15:04:17 2010 OP
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• Comma help please. Thank you kindly! + Happy Monday.
Mon Feb 8 14:43:31 2010 Happy Monday.
The nursing home staff gives the flu vaccine in September, October and November with good results.
There's no other comma needed -- right??
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Mon Feb 8 14:57:37 2010 Happy Monday
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Mon Feb 8 14:50:38 2010 Questyr
be placed after October. Other than that, it looks okay to me.
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Mon Feb 8 14:54:26 2010 Nighthawk
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Mon Feb 8 14:50:16 2010 nm
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Mon Feb 8 14:48:29 2010 f
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Mon Feb 8 15:15:42 2010 l a c p e k
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Mon Feb 8 14:52:47 2010 Questyr
phrases (one starting with the word "in" the other with the word "with").
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• Death of mother. that goes through there s/l she fall at times fell on her. + Mush mouth doc.
Mon Feb 8 14:42:09 2010 Mush mouth doc.
She has lost some weight, she attributes that to the death and all that goes through there s/l she fall at times fell on her.
Sounds like has a major case of cotton mouth and can barely speak!!!!!
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Mon Feb 8 14:47:14 2010 Mush mouth doc.
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• sm + thanks
Mon Feb 8 14:39:39 2010 thanks
Ultrasound was obtained of his lower back which because of a history of trauma likely this represents a hematoma. He has a 4 x 3 x 6.3 multiseptated predominantly hypoechoic lesion that demonstrates no internal surrounding <belt with> flow. It is likely a cystic structure given the history of trauma may represent a hematoma.
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Mon Feb 8 15:14:16 2010 l a c p e k
Ultrasound was obtained of his lower back, which, because of a history of trauma, likely this represents a hematoma. He has a 4 x 3 x 6.3 multiseptated, predominantly hypoechoic lesion that demonstrates no internal surrounding <belt with> flow. It is likely a cystic structure given the history of trauma may represent a hematoma.
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Mon Feb 8 14:43:20 2010 Punctuation helps
hematoma. Would hyphenate multi-septated and put a comma after it. Then belt with doesn't make sense to me. Again, comma after structure.
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• Revised International Prognostic Index (for cancer) - I'm finding it as + sm
Mon Feb 8 14:21:42 2010 sm
rIPI, RIPI, R-IPI. Anyone know which is correct?
Thanks!
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Mon Feb 8 14:37:02 2010 OP
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Mon Feb 8 14:31:26 2010 billybob
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Mon Feb 8 14:34:09 2010 Questyr
journal articles are using R-IPI
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• meniscal repair question + sm
Mon Feb 8 14:19:26 2010 sm
At this point, the medial and lateral meniscii were debrided back to a stable rim. s/l "They were then prode upon and be intact." A chondroplasty was then performed in all three compartments.
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Mon Feb 8 14:31:06 2010 Questyr
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Mon Feb 8 14:34:19 2010 nm
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• CT brain without contrast shows post craniotomy changes, ______, right tempora + wav
Mon Feb 8 14:18:40 2010 wav
LABORATORY: EKG sinus at 83. No acute ST-T changes. CT brain without contrast shows post craniotomy changes, ______, right temporal and occipital lobes, ventricular dilatation. Chest x-ray: No acute disease. Metabolic panel: Chloride of 113 and bicarb of 21 and the rest of the metabolic panel within normal limits. LFTs: Alkaline phosphatase 117. The rest of the LFTs within normal limits. Urine tox is negative for amph, cocaine, cannabinoid, benzo, methadone, barb, and opiates. Alcohol level 287. CBC is essentially within normal limits. INR is 0.9.
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Mon Feb 8 14:20:17 2010 nm
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Mon Feb 8 14:31:17 2010 nm
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• The scope was "taken" a notch + sm
Mon Feb 8 14:13:21 2010 sm
The scope was "taken" a notch and his ACL was s/l "assigned to pervy." Lateral compartment showed some grade 2-3 changes and a radial tear in the mid body of his lateral meniscus.
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Mon Feb 8 14:39:54 2010 g
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• ENT: tympanic membranes with decreased s/l condolite on the left versus the right. + j l f g i m
Mon Feb 8 14:09:37 2010 j l f g i m
Shows normal tympanic membranes with decreased s/l condolite on the left versus the right.
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Mon Feb 8 14:14:56 2010 nm
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Mon Feb 8 14:15:44 2010 j l f g i m
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• PET CT scan question sm + ESL
Mon Feb 8 13:45:48 2010 ESL
Pet CT scan showed a necrotic mass in the right apex with some *partial rim* of enhanced uptake, SUV 3.1 compared to the previous one, stable.
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Mon Feb 8 14:00:54 2010 nm
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• perspective I suspect she has Aspergillus *growth has colonization*. + sm
Mon Feb 8 13:44:31 2010 sm
Uptake in the colon was noted, she did have a recent negative colonoscopy within the last six months per the patient. I defer any further GI workup to your care. From the pulmonary perspective I suspect she has Aspergillus growth has colonization. The MAI growth may have been suppressed by chronic azithromycin use.
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Mon Feb 8 14:07:25 2010 hmph
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Mon Feb 8 13:48:35 2010 fx
no cap on aspergillus growth
or you could use aspergillus growth with colonization.
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• colostomy with s/l "bes" placement (not saying "bag") + sm
Mon Feb 8 13:42:44 2010 sm
He was found to have a perforated bowel secondary to diverticular disease, requiring colostomy with s/l "bes" placement. The patient subsequently was treated with antibiotics.
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Mon Feb 8 13:46:50 2010 ME
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Mon Feb 8 14:27:57 2010 nm
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• "point" sinus tenderness + ?
Mon Feb 8 13:18:24 2010 ?
Physical exam: Blood pressure is 118/70. His heart rate is 78. The patient has an oxygen saturation of 99% on room air. He appears his stated age. He has a thin body habitus. Head and neck exam is unremarkable. He has no _____ sinus tenderness. He has no erythema of the oral mucosa or nasal mucosa. S1 and S2 are normal, he has a regular cardiac rhythm.
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Mon Feb 8 13:21:29 2010 Txczech
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Mon Feb 8 13:33:23 2010 Thanks
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Mon Feb 8 13:35:28 2010 Txczech
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• Cardiac. normal S1 s/l physchology a split S2, there appears to be a mitral opening s + Mumbler
Mon Feb 8 13:08:54 2010 Mumbler
Breath sounds are clear bilaterally. Cardiac exam shows regular rate and rhythm, normal S1 s/l physchology a split S2, there appears to be a mitral opening snap and a mild flow murmur.
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Mon Feb 8 13:11:30 2010 heart sounds
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Mon Feb 8 14:01:11 2010 fwiw
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Mon Feb 8 14:48:55 2010 fwiw2
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Mon Feb 8 14:53:05 2010 ..
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Mon Feb 8 13:16:48 2010 Mumbler
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• word help - sm + m i d d p a
Mon Feb 8 12:49:15 2010 m i d d p a
Patient being evaluated for tremors.
They present at rest and also during activities. They have not impaired her penmanship and she denies any s/l suppressibility."
doc is esl.
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Mon Feb 8 12:53:07 2010 wab
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Mon Feb 8 13:03:15 2010 m i d d p a
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• please listen wav- i'm not sure about sentence about recovering... + bailev
Mon Feb 8 12:30:49 2010 bailev
She drinks 2 drinks per day. She is not a recovering alcoholic. She has not had _____ therapy.
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Mon Feb 8 12:43:52 2010 nmt
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Mon Feb 8 12:52:05 2010 bailev
BTW, it is a cancer/chemo patient
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Mon Feb 8 12:58:56 2010 nmt
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Mon Feb 8 12:34:55 2010 nmt
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Mon Feb 8 12:34:18 2010 csl
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Mon Feb 8 12:42:18 2010 bailev
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• sm please. Thank you! + tlh
Mon Feb 8 12:21:08 2010 tlh
PHYSICAL EXAMINATION: On examination, with regard to the shoulder, the wound is healed. There is minimal swelling. The patient has no deformity. With regard to the elbow, there is a little bit of ______ (s/l fibro-nee) tissue, although it is starting to granulate over and heal over.
*Do you think he means FIBROUS? Thanks!
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Mon Feb 8 12:33:33 2010 tlh
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Mon Feb 8 12:26:30 2010 billybob
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• This is how he says it- should I keep it as is? + yis
Mon Feb 8 11:42:06 2010 yis
After a long discussion with him regarding his underlying circulation as well as reviewing his waveforms of his ABIs and PVRs with his family over the last year; there has been a change in the tibial vessels.
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Mon Feb 8 11:53:47 2010 mt
After a long discussion with him regarding his underlying circulation, as well as reviewing his waveforms of his ABIs and PVRs with his family, over the last year there has been a change in the tibial vessels.
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Mon Feb 8 14:23:33 2010 Questyr
make sense even though they are put together in a way that creates a sentence. Sometimes doctors get just get "lost" or don't realize they haven't completed a thought. Perhaps, just for instance, he MEANT to say, "After a long discussion with him regarding his underlying circulation as well as reviewing his waveforms of his ABIs and PVRS with his family, IT IS EVIDENT THAT over the last year there has been a change in the tibial vessels." I am not saying that is what I THINK he meant or that you should change it, only that I believe he got "lost" and didn't complete whatever his thought was. If you have the capability to flag this, I would. If not I would give him what he said, putting a comma after family and hoping he will catch his mistake when he signs the report (though I doubt it). BTJMO
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Mon Feb 8 14:33:17 2010 Questyr
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Mon Feb 8 11:58:53 2010 .....
and maybe the change in the tibial vessels happened after the long discussion? who can know what he really meant to say!
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Mon Feb 8 12:40:18 2010 much more
day of the dictation, with the patient and his family, and the change in the tibial vessels, etc.
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Mon Feb 8 11:57:27 2010 me
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Mon Feb 8 11:49:03 2010 me
After a long discussion with him regarding his underlying circulation, as well as reviewing his waveforms of his ABIs and PVRs with his family over the last year, there has been a change in the tibial vessels.
To keep his exact words but add punctuation, that's what I'd do. To make it sound better, you'd have to move some words around.
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Mon Feb 8 11:50:03 2010 me
After a long discussion with him regarding his underlying circulation as well as reviewing with his family his waveforms of his ABIs and PVRs over the last year, there has been a change in the tibial vessels.
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Mon Feb 8 11:47:47 2010 nm
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Mon Feb 8 11:48:11 2010 n c e l o k
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Mon Feb 8 11:48:50 2010 ...
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Mon Feb 8 12:03:52 2010 yis
the one who says to keep it as is with punctuation, or the ones who say to correct it a bit. Is there a risk of misunderstanding this?
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Mon Feb 8 12:30:34 2010 !
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Mon Feb 8 12:29:22 2010 nm
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Mon Feb 8 12:10:50 2010 helper
how your doc worded it and how you punctuate and move things. First off, are you ALLOWED to move things? Many MTs are not.
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Mon Feb 8 12:49:52 2010 yis
i think that is the safest way to go. he did say it after all!
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Mon Feb 8 13:10:19 2010 ?
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• Bipolar disorder.No s/l lucions or s/l blurisons currently. Unsure if hypomanic or no + ESL
Mon Feb 8 11:32:49 2010 ESL
No homicidal or suicidal ideations. No s/l lucions or s/l blurisons currently. Unsure if hypomanic or not.
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Mon Feb 8 11:35:51 2010 Thank you both!
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Mon Feb 8 11:34:40 2010 LiliK
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Mon Feb 8 11:33:54 2010 csl
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cut and paste characters:
α
β
γ
μ
π
²
³
¼
½
¾
¢
°
±
×
÷
≥
≤
©
®
™
•
À Á Â Ã Ä Å à á â ã ä å
È É Ê Ë è é ê ë
Ì Í Î Ï ì í î ï
Ò Ó Ô Õ Ö Ø ò ó ô õ ö ø
Ù Ú Û Ü ù ú û ü
Ç ç Ñ ñ
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