s/l Rotanelol. Pain medication. New resident dictating, maybe mispronounced?

I've got a resident dictating and is on the PE. "Blood pressure 110/80 and ___________ was 65 and regular." I know that the blank would be heart rate, but the res says something like "balance" or "bowels"....is there a new term or an old one that has escaped me? TIA ...

I have always thought the numbers less than 10 should be in numeral form if referring to medication. So I thought 1 tablet of Vicodin a day would be the appropraite way to type it or 2 tablets of Vicodin a day. However, I am not sure. Any ideas? ...

s/l "me aze" It is alternated with Vicodin for knee pain. ...

Status post septoplasty. Good outcome. That ear fullness, she has not had any problems with it. She has taken _____ for postsurgical pain and she continues to use her Neti Pot. ...

This is a patient with chronic neck pain who takes hydrocodone 7.5/325 and what sounds like "carcithordal" 325 mg 4 times daily - any ideas ...

Chronic osteoarthritic pain propoxafine ? 8.5, he takes about 120 per month. This is driving me crazy because I just cannot come up with the right word and I know it is probably some type of pain medication. ...

The patient has back pain and goes to a pain specialist to get oxycodone, Lortab, and (s/l saminda or zumindat)??? Thanks in advance! ...

ESL Chinese. Patient has burning foot pain (neuropathic pain), already on Lyrica, gabapentin. "Therefore, today I suggest the patient give a trial of the s/l ma-sev-a-tine or tane". I start the patient on 150 once a day . . . Cannot find this medication. Help greatly appreciated. ...

Has low back pain and spine deformity. He has tried tramadol in the past, and it did not work. I gave him samples of Celebrex and s/l Vymo/Vimo (taken b.i.d.) ...

drugs... where the vowels are mispronounced and the accent is on the wrong syllable because they are sounding it out phonetically as they read it from a chart/list/whatever. For example: alprazolam is pronounced AL pru zo lum or metoprolol or they just stumble over something like levothyroxine.. when the pronunciation is completely off it takes me a while to figure out what they are going for and sometimes I can't because it's not close enough.&n ...

A new ESL dictating a DS. Can't speed him up because he's too "new" (to this country?). He is spelling every other word!!!!!! AND then spells it again - extubated, e-x-t-u-b-a-t-e-d, extubated e for elephant, x for crosses, t for tom, u for umbrella, b for .......... get the picture (sigh)? On top of that, the report is 28 minutes long!!! Should never have gotten out of bed this morning. LOL I do feel bad for him that he doesn't realize he doesn't have to spell every other ...

I have a female resident dictating radiology who tries to break the speed barrier, she sniffs before every sentence, and constantly makes these noises in her throat. She DRIVES ME CRAZY. My rant for the day. ...

Help please:) I work at a residency clinic and was wondering how to sign off a letter if you want to put the resident's initials (the one dictating), the precepting doctor and then your initials. Usually they tell us just to put our initials on a new line, i.e. /mt. For a doctor you would do: DR/mt, but what about the resident? Do you put both sets of initials? Thanks! ...

I have alway been told when in doubt, leave a blank. Resident did not give attending physician's name. There was a doctor's name in the hearder as attending, but I was not sure so I left the attending line blank at the bottom of the report. My boss calls me and tell s me to go on a limb and guess in the future. I do not like those ethics because it leaves me up for problems in the future. Comments welcomed. ...

At the end of his discharge summary, the resident says "thank you very much for your help and your time. I hope you have a nice evening and a nice weekend." Awe. That just made me smile. ...

I'm going completely blank on this one. The patient entered the hospital for chest pain. The doc states: (blank sounds like gel, or jail) He denies any current discomfort but states when it is present it is usually a mild to moderate degree of pressure about the chest. He denies any radiation to the _____, arms, or back. ...

He is referring to premenstrual pain?? ...

Transcribing rheumatology - s/l closterpedic pain, posturopedic pain. Any ideas? Patient recently had shingles, if that helps. ...

Really, shouldn't he be more concerned about the content of the report rather than telling me where to put periods and commas and spaces. You know I just never would have figured that one out without him! ...

The doctor is not including the word mg with doses of medication. Do I just transcribe what I hear or insert it? IE- simvastatin 10, vitamin E 400 b.i.d., metformin 850 b.i.d., ibuprofen 400 p.r.n ...

This is driving me crazy! My main account has several docs that dictate their review of systems and PE out of body system order, like instead of the neck head down, they dictate the abdomen or extremities first. ...

I very seldom vent or complain, but it has just got to me today. This surgeon does such good dictation, EXCEPT when he yawns and continues to dictate. How in the world does he think we can understand him when he does this. It is not a little yawn either. It almost makes me shutter when he does it. I am sorry, I just had to finally vent after listening to him for 10 years. ...

He does this all the time...turns a 1.5-2 min dictation into a 15 minute dictation. I fast forward through it, but I still have to "listen" to the whole file before I can turn in the dictation. This is on top of being a horrible dictator; he whispers, shuffles papers, etc, and has extremely long pauses between words. Gah!!!! Okay, just had to get that out of my system. Thanks! ...

I'm going freaking nuts! I am trying to transcribe a resident's dictation (bad enough), but she's smacking and chewing gum throughout the whole thing. It's so loud that I can hardly make out what she's saying. I don't very often rant and rave, but ... I DON'T GET PAID TO HEAR SOMEONE CHEW GUM!!!! ...

Okay, if you're going to have an RN, FNP, or PA dictate for you, at least make sure they know the terminology! I just suffered through at 10 minute discharge summary on a patient post CVA, and this lady was reading the CT scan and MRI reports of the brain into the record with clearly no idea at all of what she was reading or what it meant or how to pronounce the parts of the brain. Thank goodness I've been around long enough to be able to get and idea and fill in so ...

SO SICK OF DICTATORS EATING HARD CANDY, CHEWING GUM AND EATING CRUNCHY FOOD WHILE DICTATING!!!!!!!!!! NERVE WRACKING AND TIME CONSUMING WHILE WAITING FOR THEM TO MOVE THEIR FOOD AROUND AND SWALLOW!!! NOT TO MENTION THE RATTLING OF CHIP BAGS....HOW UNPROFESSIONAL CAN YOU GET?????????? ...

The doc sneezes twice and I muttered to myself "God bless you." Apparently someone in the office did, too, because then the doc said "thank you." The timing was perfect and it made me laugh. ...

s/l Rotanelol. Pain medication. New resident dictating, maybe mispronounced? - -

ropinirole maybe? - nm - anon

Roxanol? - Just a guess NM

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