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This doc always dictates under vitals--can't ever make out - jld

Posted: Mar 24, 2012

It's a terrible s/l but really is best I can do with how fast she dictates. Always, always, indistinguishable and run together this way.

Vital Signs: Blood pressure 168/102, pulse 95. Respiratory rate is 16, oxygen saturation 100% on room air, *s/l "wushterpizhil"*, and temperature is 98.4.

All I can think of is weight something... - sm

[ In Reply To ..]
...and this is a total guess. Weight is stable.

Weight is stable? - maybe?

[ In Reply To ..]
Those docs that think it's a speed race to dictate this stuff make me nuts. They need to be forced to listen to someone else doing that and see if THEY can figure out what the heck they're saying.

Got another one--definitely something normal. - jld

[ In Reply To ..]
Got another by same physician and this time "normal" is very clear at end of that phrase and not sure if I hear the w sound at beginning this time.

Vital signs: Blood pressure 157/90. He was initially tachycardic on arrival at 122, respiratory rate of 18, oxygen saturation 98% on room air *s/l "turshin normal" or "witurshin normal"*. Temperature is 97Â°F.

Would it be normal for a doc to say after the saturation "which is interpreted as normal" every time whether 100% or in the 90s or whatever? It always sounds pretty much the same with this doc no matter what the numbers are. Thanks.

Me again, this time all I can think of is something exertion. - sm

[ In Reply To ..]
Maybe something like with exertion normal, as in oxygen saturation at rest and with exertion? Again, just a guess. I really hope you figure this one out. It would be driving me nuts, too!

Thx. Will Go Back & Try Listen Again When I Have Time--nm - jld

[ In Reply To ..]
.

what about "excursion normal" - hawkmt

[ In Reply To ..]
as in: lung excursions, since the doc is dictating about O2 saturation, etc.

I was thinking of that, too--sm - jld

[ In Reply To ..]
I'm doing another one today. This one sounds more like, "which appears normal," or "She appears normal." However, I keep listening over and over and trying to hear something like you're saing hat makes more sense there, and I think if anything, she's probably saying, "Chest excursion normal." I'm torn between going ahead and putting it or leaving a blank again. However, I'm afraid if I leave a blank, they're probably going to just fill in something like "which appears normal," which I don't think is right (I think I even got a sample of hers one time tha had that, but I still don't think it's right. I think it does have to do with excursion. Have almost talked myslf into putting it.

GEEZ! Lots of typos but actually think it's just not typing everything I hit - jld

[ In Reply To ..]
Slow 'puter--time for a new one.

Oxygen saturation is normal - on room air

[ In Reply To ..]
Or some variation on that would be my guess

what kind of doc? - sm

[ In Reply To ..]
Different docs comment on different things. What kind of doc is it? What is the pt being seen for?

Clinical Medicine/ED--She says this every time. - jld

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Today's patient is abdominal pain, but it wouldn't matter if it was headache or anything else. She's always going to say this after the saturation.

vitals - fedup

[ In Reply To ..]
I have one that always says, "which is normal" after giving sats.

I wouldn't be surprised... - jld

[ In Reply To ..]
...if we work for the same company and are talking about the same doctor (if yours is a female). It does sound very much like she's simply saying something like that, but I'm still not convinced that it's not something along the lines of "Chest excursion normal."

THANKS ALL! :-) - jld

[ In Reply To ..]
I'll let y'all know if I ever get a clear one. I've pretty much convinced myself that it's "Chest excursion normal."

maybe - Kimi

[ In Reply To ..]
Maybe she is saying "which is normal."

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