MEP - neurology - back surgery

Hello, I would like to transcribe from home again. However, I HAVE to get up and walk for a few minutes at least once an hour. You see, I had to have 2 back surgeries in the last 18 months. I've been a transcriptionist for many years and this is my profession. Does anyone have a suggestion what to tell these companies that will hire you to work from home when you have to get up so much? The last company I tried had a "pop-up" box that appeared on my screen if you were up longer than 10 min ...

The patient underwent back surgery which was further complicated with diskitis of L4-L5 resulting in recurrent s/l thrombolotic lopathies. ...

Stupid question, but how would you write this? We placed "6-5-45" screws in the sacrum and placed "7-5-50" screws in L5. 6.5 forty-five and 7.5 fifty? ...

Anyone know what type of surgery this doc is referring to? The patient has chronic low back secondary to s/l searic surgery... Thanks in advance!! ...

This is what i dictated, I bolded things I am questioning/don't know: She was advised that she would benefit from L2-L3, L3-L4, L4-L5 central and bilateral recess decompression L2 to second posterolateral fusion with K 2 mesa and ten ah lee instrumentation system local autograph. Vitoss and infused bone grafting surgery. I am not sure about K2 mesa and ten ...

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

Could anyone help me with a couple of things I'm tring to figure out in this chapter 14 Neurology H&P report ? I am stuck on... She has had an operation to release a tethered cord and also fusion ________ . (sounds like somekind of swan.) She also had medicines revoked potential, which showed abnormal bilateral tibial mass reovke potential in both the normal position and in "Buddha position". (not sure if this is correct or makes sense.) Deep tendon refelexes are equal. _____ ...

I'm about to start transcribing a neurology clinic. Any comments on neurology transcription? Thanks! ...

The patient had an MRI/MRA. Sentence is: The aneurysm remains occluded by the corels/corals/quirls? It is impossible to tell what is going on in the left supraclinoid internal carotid artery because of the presence of the stent and the artifact from it. ...

Anyone ever heard of something that sounds like "tachythemic speech"... Thanks in advance! ...

Tone is normal. No cogwheeling. (Dechinary??) flexions are equal. Thank you ...

Head CT findings show ipsilateral s/l ex-wy-i-co distension of the lateral ventricle ...

neurologist ordered ANA test and line panel. Is "line" panel correct? Not saying liver panel. ...

She says this in two places, once in the subjective and once in the plan. S: The patient was last seen for continued follow up due to her history of myoclonic seizures and BNS for intractable seizure activity on 05/18/10. P: I did discuss with the patient that we should check BNS today, she did decline that at this time. We will recheck this at her next visit in three months and I advised patient if she had any concerns, to contact us sooner, and we would see her sooner ...

Her palate elevates symmetrically upon s/l "fination." TIA! ...

s/l ranson level 3 at the time of admission, level 6 at time of discharge. ...

I'm an MT student and I'm struggling with this dictation. it sounds to me like he says "where he underwent a craniectomy, which removed the left subdural bled." However, the MT grading my papers says that bled and bleed are "the incorrect form of the correct word". I thought those were the only 2 forms of the word?? ...

There was felt to be ______ of hemosiderin throughout the large cyst, suggesting prior hemorrhage. (s/l a profrogram/proforgim). I keep listening and cannot grasp. Cannot hear "component." Am pretty sure of the p sound at the beginning, f in the middle, and the m at the end. Only have about 20 minutes before it is due. TIA for any ideas. ...

Anybody know what this stands for? Searching long time. ...

MENTAL STATUS: The patient is awake, alert and generally very anxious, with pressured and thick speech. She is unable to sit still and is very ______ (doc spells it out twice as "akithetic"). I am sure she is trying to relate a word like "akinetic," because the admitting diagnosis was difficulty with coordination and walking, but she clearly spells this out twice as "akithetic." Has anyone else used this word before? ...

I work for a mental facility. Anyone know the correct spelling of what sounds like "choreaothesis?" The hundreds of previous reports I checked have it as "chorea thesis" but I can't find either in any med books. It apparently is a symptom. Could it be 2 specific conditions instead of 1? Thanks. ...

I am picking up a new clinic and I am hoping those of you who have been doing Neuro/Neurosurg might be able to suggest some of your favorite links for these specialties. I am very excited about the new clinic, but pretty nervous too. There is so much to learn. Any ideas on where I can find the best references in these fields? Thanks in advance.... ...

Neurology report. Says tenderness in the mid anian region (talking about the head/brain and spells anian). Have seen this before and thought it started with an o but now cannot find. TIA ...

Years back, the name of the service was to be capitalized if they said the patient was seen by Podiatry or the patient was seen by Neurology. But if the patient was seen by the neurology service, it was not capitalized. Why am I being counted off for not capitalizing Neurology Service? It just looks stupid with it capitalized. I feel like I'm dealing with people who don't really know what they are doing. Very frustrating. ...

I have been on this report for 2 days now. I have managed to figure most of it out but I am really lost on one paragraph. After she dictates all the information under Physical Examination she goes into another paragraph describing more of the patient's symptoms. Is there supposed to be heading before that paragraph? Also, below is a few sentences from that paragraph that I just cant make out. Any help would be great. Thanks again. Tone is normal no clog whealing. Degenerative reflexes ar ...

Stumped here. :( Surgeon says: Two screws fractured at the level of the bone. They were ____________ and removed in the usual fashion. The blank sounds like "truffened", "troughened", "truffined"? Some sort of removal. I have absolutely no idea. Thanks in advance. :) ...

I need some help with a type of seizure. It sounds like "noncommosive," but the nearest thing I can find by googling is "noncompulsive" and I don't know if that really is an actual type of seizure or just a description of a symptom. ACK! I would dearly love to have a report by this Asian neurologist with no blanks for a change! Anybody have an idea? ...

MEP - neurology - back surgery - KLD

MEP - neurology - mzj

Oh thank you anyway. - KLD

Motor-evoked potentials - found it. - KLD

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