Straining/versus streaming phenomenon in the heart?

I don't know if anyone else has experienced this but aside from the struggle to decipher and cut apart syllables in our heads to make words from gibberish, has anyone experienced a sensitivity to loud noises or the TV being too loud, even people talking too loudly? I have to tell my son to please lower his voice all the time. Plus I can't stand the TV up too loud for more than a second. Sick of pushing this dung around to form a nice ball. ...

motion without Spurling sign produced or lomeit phenomena described ...

---due to chronic hypoxia. Dictator spelled out very clearly, but I could find no references to this anywhere. Legitimate or not? Missplelled? What is it? Thks ...

on doppler sounds like yin-yand phenomenon in liver???? ...

My HDSM for months now in her emails that are getting fewer and fewer always says she is "still making calls" to us and if we need anything to contact her and she will get back to us right away. Well, 2 weeks ago I needed to talk to her about something so I sent her an email. The silence has been deafening ever since. I imagine she's putting up her Christmas tree, wrapping gifts for her kids, and making fruitcake for her neighbors. I've been patient. ...

recent complaints suggesting s/l "larameets" phenomenon ...

Two words that come up often for questioning. These are strictly used in an orthopedic setting. Stedman's and Dorland's list end point and hand grip HOWEVER the office transcription manager, girl is asking for me to correct this to endpoint and handgrip. She is only basing this on what an old medical transcription company she used to work for had her typing. I would rather base it on the medical reference. The doctors are not even aware this has come up. She is ...

Please help with following. It sounds like sections of the heart "kilae" is marked hypertrophy. Also, myocardial fibers show only a thin shell with a "Day O" vacuolated cytoplasm. ...

"Cardiovascular exam was tachycardiac. No s/l meals or an ST. No murmurs or gallops were appreciated." Any ideas? Thanks! ...

Heart exam, doctor dictates: "Heart: Regular rhythm without murmurs or gallops. 2 clicks heard at the apex" I don't understand the connection between "2" and "clicks" or what punctuation to use?? I'm new to this so any help would be much appreciated!! Thanks!! ...

Posted this yesterday, but wanted to see if anyone else might know... HEART: Regular rhythm without murmurs or gallops. 2 clicks heard at the apex. (or 2: Clicks heard at the apex?) He says "2" like number 2, as if he dictated number 1- which he obviously didn't. Is there such a thing as 2 clicks heard at the apex?? ...

I think she is saying "Heart AP" but I can not figure out what is meant by AP? Any suggestions, I am at a loss. =( ...

Here's a good one. This doc says the nurses in the ER noticed that patient may have had a heart rate of "800." Impossible. I thought possibly he could be saying "a hundred", but I slowed down the dictation and 800 is what he is saying. This is an ESL doc who talks very fast. This is not the first time he has said something incorrect. ...

PLEASE!!!!!!!!!!!! IF YOU ARE ONE OF THE ONES THAT WRITE ON MT STARS SAYING AND COMPLAINING ABOUT HOW MUCH YOU HATE TRANSCRIPTION THEN PLEASE DON’T APPLIY BECAUSE YOU WILL NOT BE A GOOD FIT FOR US! Someone has already critiqued the ad post, but I have to offer up kudos for the comment above. WHINERS NEED NOT APPLY should become part of ALL help-wanted ads! ...

"She had some abnormal rhythms with SVT and s/l "barrency" intermittently. This self resolved." This doc is heavy ESL (but with a deliightful Spanish lilt to her voice) so I'm not sure what "barrency" might be. Variancy? Thanks in advance for any suggestions. ...

Right heart catheterization right atrial pressure of 34. s/l R pressure was 90/36 mmHg. ...

Has anyone heard of "irregular regular irregular" heart rate? I thought it was "regular irregular". ...

Sounds like "RBU 4 to 6-French guide catheter" or maybe "RBU4 6-French guide catheter" Dictates it so fast I can't tell what is going on here. TIA!!! ...

I was searching reports to look up how a doctor dictates and came across..patient has HIV and is on heart medications. Come on, people, ALL transcriptionists should know HIV patients get HAART treatment. Unbelieveable. I would not be surprised if we lose this contrast due to stupid mistakes like that. ...

There is a s/l KEY-ard network noted in the right atrium ...

I should know this, but when typing out a physical exam, is it 2nd heart sound or second heart sound, or 1st heart sound or first heart sound, etc. Thanks for the help. ...

It is with heavy heart that I am giving up my career as a transcriptionist. After 19 years of transcription, with all the changes to the industry, I can no longer make the kind of money I used to make without working multiple jobs and endless hours just to get a decent line count. I have taken a wonderful position in another industry and I am looking forward to my new adventure. First time in many years (longer than I can remember), I will be working Monday through Friday with all the hol ...

dictated" heart regular rate and rhythm, no s/l octopi noted? i dont think she's talking about an octopus!! ...

In the last few weeks Google has this new feature. You type in the name of a drug (generic or brand name) and the first result that comes down is from www.nlm.nih.gov and it looks different than the rest of the links. It has the generic and brand name, a short discription of what it does and how to take it, and includes links for further information. It has a little picture of a pill on it so it is easily seen and recognized. This is so much better than scrolling down through the links to find o ...

Well, there's your problem. (pasta = faster) ...

Does this sentence make any sense: Sections of the heart show *as marked* hypertrophy as the myocardial fibers." ?? Thanks in advance. ...

the doc states in diagnosis 'fabular heart disease' but i cannot confirm the word 'fabular' but can confirm the word 'Fabry disease' which in context would go along with his past medical history and symptoms. Any suggestions as to how to word this, or is there a word such as 'fabular heart disease' and i have just not been able to confirm it? ...

How do you spell the heart sound BREW-EE, and BREW-EEZ, plural, if pluralizing it gets weird? Thanks! ...

Doc says: Infant has a s/l "recto or pecto 6 glabratum deformity." I can find the words "glabrata" and "glabratum" but I have no clue about the other things, or even if I'm hearing them correctly. Please help! ...

Doc wtih a heavy accent dictating: Heart: Regular in rhythm, normal S1 and S2, no gallop, no s/l "exosystolies". ...

Straining/versus streaming phenomenon in the heart? - cindeesue

more info, please-sm - je suis MT

possibly "straightening"? - nm

Maybe string phenomenon? Check out the first hit that - comes up in Google...

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