Earwax buildup in pediatric patient

hello, this sure does s/l "sure step" but can find anywhere. thot it might be something lab wise, but no luck. any ideas out there? tks!! also mother had a case of recurrent preeclampsia requiring her to be on magnesium prior to delivery of her baby. After birth, the infant's *------* step was 14 and the serum glucose at that time only measured 6. He was given 20 mL of formula and after which the *------* step only increased to 15. At that time, due to the hypoglycemia ...

She is doing a newborn checkup. After giving the apgars, it sounds like she is saying "Sure Steps were within normal limits". Help........Thanks in advance! ...

I am doing a cardiology pediatric PE, and the doctor says "The patient has some miling." Any clue???? ...

Lower extremity exam of 4-year-old with cerebral palsy. "Negative Thomas. Negative s/l collie-azi". Thanks for any help ...

dr says "one hour and six hour [s/l SIPSA screens] were normal including CBC and CRP." I have googled this every way I know how and cant come up with anything. SIPSA, Sypsa, SPSA, etc. Any help appreciated. ...

This is a letter from a peds urologist re: a child almost 1 year old. I was able to see_____in our Pediatric Urology Clinic for follow up after her repeat s/l "De-hooks" procedure which was done in August of 2009. Her postoperative ultrasound revealed no significant hydronephrosis and her known right smaller than left kidney. ...

I must have missed something. Today I get an email telling me I have to go through some certification process to work on an account I've been working on for the last several years. Was this mentioned prior to this? Nothing was said on the last conference call about it that I recall. I think this is getting a little ridiculous. First the mandatory conference calls, now this. What's next? Seriously, I'm about ready to quit. Maybe that' ...

A job opening posted for Pediatric Transcriptionist and states must obtain Pediatric Care Specialist certification, company paid training. Does anyone have this? How does one obtain this certification and where? Thanks for any information! ...

doc refers to mom or mother/dad/grandma, etc. I was taught that if it is "the mom" you would not capitalize but if you can substitute a name, then it would be capitalized. The mom denies vomiting, but Mom states the baby..... (would that be correct as far as capitalization goes?) ...

s/l pollen or prollen syndrome with scapular winging ...

We will have the patient seen by anesthesia preop to make sure the pacemaker is properly cared for during the surgical procedure, which requires general anesthesia, and the use of the s/l **bovig** during the surgery. Thanks!! ...

This is a tough one. The patient is a child who is being intubated. Doc says, "Using standard technique and following the dosing guidelines from the s/l Brassler tape, the patient was intubated." So I don't know if this is like a cassette tape that the doc played to reaffirm how to intubate a small child or if the "tape" is actually an instrument or what. Sorry if this is the stupidest question imaginable, but I have absolutely no clue. Hoping someone will kn ...

Has anyone ever applied to Patient First and, if so, how is this company to work for? TIA ...

I am transcribing a pediatric echo and the doctor says C-score or Z-score. I have never heard this before. Is it C-score or Z-score. Thanks for any help in advance. ...

pulling her hair out ...

thinking I should flag? unless I'm missing something... tia ...

???????? Never heard this?????? ...

What is the correct, AAMT guideline way to transcribe when dictator states "Patient says" or "Patient said" or "Patient states" ...

If the client profile makes no mention of patient name (yes or no) being left in the report, account does not specify verbatim, is the ADHI/JCAHO directive to type the patient's name or replace with "the patient?" Just checkin'. Am paranoid about everything with the audits these days. ...

Man, I wish he was my doctor. He seems to really care for his patients. ...

what is correct format when transcribing pt name: 16 1/2 years, 16.5 years, or sixteen and one-half years? Thanks. ...

I swear to all that is holy, this is what this less-than-stellar PA just dictated: "The patient IS a high-risk gestational trophoblastic disease..." I went back and listened thinking I must have heard wrong and she said patient HAS ... Nope. She said IS. This is the same PA who dictated a creatinine of 92 for someone. That sound you hear is me hitting my head on the desk. ...

The sentence is: Relapsing-remitting MS with accumulated disability involving left hemiparesis, clincally stable on Tysabri and S/L JCE negative. I hear the negative part, not sure if he is saying JCE? Thanks for any help! ...

When given a young patient's age, one of my doctors will say "the patient is 9+11 years old." I have never heard a patient's age dictated this way before and I'm just wondering if anyone else has. ...

Has anyone worked for Patient First company? They have several urgent care clinics in eastern US. If so, may I ask your starting pay? Are they a good company to work for? Do they keep a FT position in plenty of work? Thanks ...

Just FYI....I applied to PF about 3-4 months ago. Took the transcription test, thought I did great, never heard a word. Today out of the blue, got a call that I had done great on testing and they would like to offer me a position. I said thanks but no thanks since I'm no longer looking for a job. She told me that they are currently looking for lots of MTs due to opening several new facilities. Just thought I would pass this along to anyone who is interested in jumping on and taking ...

Earwax buildup in pediatric patient - distraction

ear wax - KT16

ear wax - distraction

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