tag:blogger.com,1999:blog-73197282771183190022024-03-13T15:32:58.307-04:00Horse On A MattressMedical transcription bloopers, speech recognition bloopers and fails -- when medical language goes badpjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.comBlogger320125tag:blogger.com,1999:blog-7319728277118319002.post-58104010626380281152013-11-26T16:36:00.001-05:002013-11-26T16:36:47.030-05:00Bedside manner needs work<span style="font-family: Verdana, sans-serif;">"Patient name: I hate you." </span><br />
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<img src="data:image/jpeg;base64,/9j/4AAQSkZJRgABAQAAAQABAAD/2wCEAAkGBhISERUUEBQUFRUVGBQXFREQFBIZFBQUFBAVGRYUFhQXGyYeFxokGRUUHy8gIycpLCwsFR4xNTAqNSYrLCkBCQoKDgwOGg8PFywcHBwpKSkpLCkpLCkpLCksKSwpLCksKSkpKSwpLCkpKSkpLCwsLCwpLCwpLCwpLCwpNikpKf/AABEIAQ4AugMBIgACEQEDEQH/xAAbAAEAAgMBAQAAAAAAAAAAAAAABAUCAwYHAf/EAD0QAAIBAgQDBQYFAAkFAAAAAAABAgMRBBIhMQVBUWFxgZGhBhMiMrHBB0JS0fAVIzNTYnKCsuGSosLS8f/EABgBAQADAQAAAAAAAAAAAAAAAAABAgME/8QAIBEBAQACAgIDAQEAAAAAAAAAAAECEQMxITISQVETBP/aAAwDAQACEQMRAD8A9xAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAxqVFFNvZAZAraXEnJ3tZclz8SdSrX71uRLtNljYACUAAAAAAAAAAAAAAAAAAAAAAAABWccqvKox3bv4L/loszmOOYp+/8Aht8CSf1+6K5XUXwm6lYKtN3UtH1tqT8BCzfb66kOniE8t9HJadGyxw0dfAjFOVSQAXZgAAAAAAAAAAAAAAAAAAAAAAADOYqSTqTlJJqUnZ9i0+x0zZyXD6m6aupS27W910K5NMFtDBxypX03XlyJeAtqk72RFwzWyd0uT+aJKwMFmk0IjJNABZQAAAAAAAAAAAAAAAAAAAAAADCpUUVduyAxxMrQk+kZfQ5bhb0spJvo76eSLzHY+MqNXLfSEt+lip4RKMtt+cZJmdvlrjPFWcKebV5b9VdPzJODfxPu1I8Idlu53Rvwt8/h90XitTQASoAAAAAAAAAAAAAAAAAAAAABTcTxan8Mdlz5Nm/i+KatCL33t0IkKaKZX6aYz7UGOxsqd0tneLv0lo/qWfDI36P6ld7SUWkrc2l6ouMDFwVnq/p4mOPbfLWosofy5ng/nfd9zXTkYQxkabd7tvZLfv7DojCxaAjU8cnyaJCZLPT6AAAAAAAAAAAAAAAAAABG4hjVSg5PuS6sknP+2P8AZQf+NesWRldRbGbukSOMc6rk+i+mpOVVWuUWDnr4lzSizKeW18MG1LVruvy7Ub6dPmZe6M4wJ0rtupfy+h9dNGUIH3KXitYOJuwtXWxraMCULIEdYrs6GynWTJUbAAAAAAAAAAAAAAAxlNLdgZFN7WUc2GbX5ZQl5St9y1943svF6L9yPjsLnpyjJ3unotEReky6rlOGw0V+/wBS/wAPBWKinGMZ2i010vdxfQs6FWK5mU8N75iSfJTSI88YupCr4pOzT0Ra1WTa9gwyswvEovS5OliFa5Mu0XHTYzGxrhWu/wBzYpE7V0MxTtsfPfK9vXldmyxIk0at12m0gUp/Et7dSbGaezJVrIHxs+phAAAAAAAADCtKydv5qYSio6q3fK7ZlX+Xy+qEvmXc/sB8zt7Lxl+xrxNP4Xdt9UunPRG+crK7NbpyktXa/JdvUDiMTioxlZRyqN+l3ez5GeF4uo+7cpaNTtfaLvozX7WUFFxlHfKsy+5z8cTBqnGUmrKd2ot2blpfqt9jC7ldOOrHUYjFyss7co3+aLT8ny7j5imnOerUY2zaK92kko9+hRwxCjTcYyzuTTbSaSS6X5kx42LnUv8ALNq0rPRxSs7b23J2jTKVOWjpSdnLLaW8Zb8uVibT4hbTNJ2aV2llfxK/cRViVFLJ8VpZpOzSdlbKr9hoqZVrGTtdPLld0s13d7Dpa3fa4xXFPduTbtdtxitW+19EZ/0xFNJzldpPZWWbqUWMxMZ582lr5J2e36Wt7M1YtQzRcpOLywvHK3dW0s15DaNR00uIpKeZ2tKPy21dtLXJNHiqeXK7qSbTe6tvc4fEcQzRnycpxaj/AIUuuxK4VxBL3ad3b3iklfaUvXTUmVHxdfDFfmTemvxJfL1Vi0p1k7ZHplV2+SS+pzlOurOKlmzRai8rVo/mvfdlvwiN6aer0UZeCtoaSssomzba3elnaSWz2ehIpQsjSk327K9mkkn28ySSoAAAAAAAAxnC6sa4p5lfknryexuAGFWN1p2ejMW29LW6t29DaAOS9t8F8MZra2V+G3pfyOIUNT1viGDVWnKD5rTsfJnlmNw7pzcXpZtGecbYX6fIux9p1hRjddEt3/N2Yya5L1MmqZCsbIzItNm2nIlFZyp3I2ITbu3d2S5bLYsKUL7GmrRs9SUK2UCVw6OvabK9JJZktOa6f8H33Si4yXyy2a5PoE7XOtlbrePZNbLue3kdTwKqpUU1pq9Ojvqjk8NNta6/+S+zOq4DFe7cl+Z38bJN+hrGWfSyABZkAAAAAAAAAAAAAByPtlwO/wDWx/1/ujrjCtSUouMtU1ZoJl08kc76bJbL+bsMnYzB2nJLRpteTIE4cndHPXRKzhO5sViNTqSi9sy593aT4YWNSOai79YPddwi1fZXteLs1s0T8BjIYhe7qWhVXyz69jKqGJcXaSMq2FU/ig7Ps3JVqVUhKlNxmrNfNHqv1LqhThGF4vWjPn/dy5S7rn2hxi6VPFptL5aqWse/qje8A4xzQanTfTWLvy7O5iIZYeLjKz8f3R2nCKdqS7bvzZxuDo7JX00V90v0vqlyfgd3h6eWKXRI2jPNsABLMAAAAAAAAAAAAAAABxPtnw5RqKpHRzWtusd35WKVQVRWdoz/ACvlLsOz9sKN6GZauMl5PT9jhJydrOLMs55bYdNFalKLs9GuphTm4yUotxkua2ZZ08dFpRrxc48pr+0j/wCyNv8AQ/vI3w8o1Y9E1mXfF6oz013+mH4jRr/BXShP9S2b6mFfhVSk80fij2FfiMFKOk4td6+5N4fxCrSWjzw5xe6J3+o1+N+HnGpvv2/RkqhgXB3pycHztrGX+aL0aPkYUq3xUtJc47Py5kugrKz8C3aqVwmLlVWaCUv1QfwPweqOrKPgdP42+i+peGsY5dgAJVAAAAAAAAAAAAAAAAV/HlehNNXvZep5/OTjp5XPRuJwvRqL/DL0V/secSr1E3ZKor90v2Znm1waZuUuq8CM6coPNByUl+aLat48ya5KXzupDscdPQwnCmt63o7mWm20rDe1dS2WtBVF1as/M3PE4So7xcqMu1Xj6EGniovSlBy7XovU2QtfW1+xaBGosY8Mpzd4VKeZfmhNJvwdiwpUJr5mr9c0dfUpqeBjLdLvsTsNhJR2lJW5KUtrd5bFFdRwajZNt+RZEHg6+Dx+xON3PewABAAAAAAAAAAAAAAAACHxeTVGeVXdmrd55pVqrM07xfR6M9I47XcMPVkt1CVu/KzzHC+1dGp8GMWV8q8Vdf6ktV37GXJdNuOWyvs7c5tGqDoRd9W+urv5ltDgOdZ6EoVocnCSfnYjz4TUvZwsZtdxGeLb0jou0m4RX7RT4TZb7cjdSjl0VvAlC0w9JWJEI6mjCR01uWUKaXxOyXV8jSKZVa8LdoW6fcmkXhuVwTjs/wByUaMaAAIAAAAAAAAAAAAAAAAUftpVy4Or/ltp1clY8PxT6fzqe1+3U7YKp22XqeI4mKb058zm5u47P8/VfMLi6lN5qM5U5fqpya87b+JfYP8AEnGQVqqp1l1nHLL/AKo6ehzkejPkqdndGEysb5YzLuO5pfiRQlrVw9WL605QkvWxtl7f4H+7xDfS0Uv9xwsY3Wp9pw6IvOWs/wCUdvU/Eqy/qMMkv1Vp3/7Y/ua8LxqtiZr30m7PZaQXYor6nM0aC3fqdDwmKVpdB87Vpx4x6lwGV6Mey/1ZYlF7L1k4Nc036pF6dk6cGfjKgAJVAAAAAAAAAAAAAAAAct+Ile2DnHrl/wBx4vB6nq34pVWqCs+cdOb3/Y8lkzm5u3ZwdNmTqYxT7zOnPS3ka53voc7obYy6n2lL+fY0uf8A8GXYSFqzw9Vcyyo8RUV1/mxQUpvYmUKqS8y0Q9Y9hVak292737GtEdUcZ+HvEFOm431VtOyz2OzO3D1jg5PagALMwAAAAAAAAAAAAAAAHnf4pTtk31fhpHkeZVUmd/8Aiy26kFd2S9Tzv3jvY5eX2dvD6vtrd6CTaDnrYwUWnuYtiUXzMj7mPjdghIoUmbXpp1NMay00/Y30YXZMHo/4Z1fmV910/T9Nz0E889gI5JpLn+x6GdmHq4uX2AAXZAAAAAD/2Q==" /><br />
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<br />pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-58985612163509818682013-09-01T22:50:00.002-04:002013-09-01T22:50:37.611-04:00<div class="NuanceSpeechRecognizedText">
<br /></div>
<div class="NuanceSpeechRecognizedText" style="page-break-after: avoid;">
<b>MEDICATIONS ON ADMISSION: </b><span style="color: windowtext; mso-bidi-font-family: Arial;">Please</span> <span style="color: windowtext; mso-bidi-font-family: Arial;">refer</span> <span style="color: windowtext; mso-bidi-font-family: Arial;">to</span> <span style="color: windowtext; mso-bidi-font-family: Arial;">her</span> <span style="color: windowtext; mso-bidi-font-family: Arial;">menorah.</span></div>
<div class="NuanceSpeechRecognizedText">
<o:p></o:p></div>
<div class="NuanceSpeechRecognizedText">
<span style="color: windowtext; mso-bidi-font-family: Arial;"><br /></span>
<span style="color: windowtext; mso-bidi-font-family: Arial;"><img src="http://cdn.shopify.com/s/files/1/0027/3402/products/gary_rosenthal_menorah_doctor_a44_medium.jpg?389" /></span><br />
<span style="color: windowtext; mso-bidi-font-family: Arial;"><br /></span>
<span style="color: windowtext; mso-bidi-font-family: Arial;"><br /></span></div>
<div class="NuanceSpeechRecognizedText">
<br />
<br />
<br />
("...refer to her MAR")</div>
pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-86644216029815643952013-09-01T22:45:00.002-04:002013-09-01T22:45:47.398-04:00Who permitted the canines to escape? Who? Who?In an H&P on a patient who fell: "... she tripped on the leash while ambulating the dog."<br />
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Seriously? <i>Ambulating the dog?</i><br />
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<img src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhr3DjFWrIWZl8ca9nug3U4e5boVBC8pnR8o4uJkcBhAIUylAklVkMjftTYhgKjOpIbsAArcpdsZciDkwoWteqk8XxyX7R9GSSZAuzfwMXux3-gLyh5wnf5HjvLgszpfGBueoA4ikN1KJZ_/s200/medical-jargon.jpg" />pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-52773450714068031692013-07-02T22:34:00.000-04:002013-07-02T22:34:11.317-04:00No flies on him!I<span style="font-family: Verdana, sans-serif;">n med list: </span><br />
<ns0:speech ns5:end="223653" ns5:id="SR_306" ns5:jobid="3164245" ns5:start="223043" style="font-family: Verdana, sans-serif; font-size: 12pt;"><br /></ns0:speech>
<ns0:speech ns5:end="223653" ns5:id="SR_306" ns5:jobid="3164245" ns5:start="223043" style="font-family: Verdana, sans-serif; font-size: 12pt;">Terminex</ns0:speech><span style="font-family: Verdana, sans-serif; font-size: 12pt;">
</span><w:sdtpr style="font-family: Verdana, sans-serif; font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="224028" ns5:id="SR_307" ns5:jobid="3164245" ns5:start="223653" style="font-family: Verdana, sans-serif; font-size: 12pt;">1</ns0:speech><span style="font-family: Verdana, sans-serif; font-size: 12pt;"> </span><w:sdtpr style="font-family: Verdana, sans-serif; font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="224403" ns5:id="SR_308" ns5:jobid="3164245" ns5:start="224028" style="font-family: Verdana, sans-serif; font-size: 12pt;">mg</ns0:speech><span style="font-family: Verdana, sans-serif; font-size: 12pt;">
</span><w:sdtpr style="font-family: Verdana, sans-serif; font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="224878" ns5:id="SR_309" ns5:jobid="3164245" ns5:start="224403" style="font-family: Verdana, sans-serif; font-size: 12pt;">daily. </ns0:speech><br />
<ns0:speech ns5:end="224878" ns5:id="SR_309" ns5:jobid="3164245" ns5:start="224403" style="font-family: Verdana, sans-serif; font-size: 12pt;"><br /></ns0:speech>
<ns0:speech ns5:end="224878" ns5:id="SR_309" ns5:jobid="3164245" ns5:start="224403" style="font-family: Verdana, sans-serif; font-size: 12pt;"><img height="320" src="http://www.therage3k.com/r3k/pics/DrinkingRaidIsBad.jpg" width="251" /></ns0:speech><br />
<br />
<br />
(Dictated: "Arimidex 1 mg a day...")pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-2468367614231608112013-06-25T19:15:00.001-04:002013-06-25T19:15:12.170-04:00Sounds efficacious, but the name needs work<span style="font-family: Verdana, sans-serif;">(In med list) "<ns0:speech ns5:end="264229" ns5:id="SR_345" ns5:jobid="3155810" ns5:start="263949" style="font-size: 12pt;">Psych</ns0:speech><span style="font-size: 12pt;">
</span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="264449" ns5:id="SR_346" ns5:jobid="3155810" ns5:start="264229" style="font-size: 12pt;">out</ns0:speech><span style="font-size: 12pt;"> </span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="264619" ns5:id="SR_347" ns5:jobid="3155810" ns5:start="264449" style="font-size: 12pt;">from</ns0:speech><span style="font-size: 12pt;">
</span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="264919" ns5:id="SR_348" ns5:jobid="3155810" ns5:start="264619" style="font-size: 12pt;">40</ns0:speech><span style="font-size: 12pt;"> </span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="265219" ns5:id="SR_349" ns5:jobid="3155810" ns5:start="264919" style="font-size: 12pt;">mg</ns0:speech><span style="font-size: 12pt;">
</span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="265479" ns5:id="SR_350" ns5:jobid="3155810" ns5:start="265219" style="font-size: 12pt;">p.o.</ns0:speech><span style="font-size: 12pt;"> </span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="266691" ns5:id="SR_351" ns5:jobid="3155810" ns5:start="265479" style="font-size: 12pt;">daily."</ns0:speech></span><br />
<span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="266691" ns5:id="SR_351" ns5:jobid="3155810" ns5:start="265479" style="font-size: 12pt;"><br /></ns0:speech></span>
<span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="266691" ns5:id="SR_351" ns5:jobid="3155810" ns5:start="265479" style="font-size: 12pt;"><br /></ns0:speech></span>
<div style="text-align: center;">
<img src="http://www.eccentric-cinema.com/images2003/movie_pix_j-p/psych-out01.jpg" /></div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: left;">
(Dictated: "Citalopram...", pronounced like "sight-all-o-pram". Go figure).</div>
<div style="text-align: left;">
<br /></div>
<div style="text-align: left;">
<br /></div>
pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-78263869751607484022013-06-24T23:23:00.002-04:002013-06-24T23:23:48.496-04:00<span style="font-family: Verdana, sans-serif;">On review of systems: "She d<ns0:speech ns5:end="419086" ns5:id="SR_558" ns5:jobid="3112802" ns5:start="418736" style="font-size: 12pt;">enies</ns0:speech><span style="font-size: 12pt;">
</span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="419476" ns5:id="SR_559" ns5:jobid="3112802" ns5:start="419086" style="font-size: 12pt;">headache,</ns0:speech><span style="font-size: 12pt;"> </span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="420178" ns5:id="SR_560" ns5:jobid="3112802" ns5:start="419478" style="font-size: 12pt;">fever</ns0:speech><span style="font-size: 12pt;">
</span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="420298" ns5:id="SR_561" ns5:jobid="3112802" ns5:start="420178" style="font-size: 12pt;">or</ns0:speech><span style="font-size: 12pt;"> </span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="420728" ns5:id="SR_562" ns5:jobid="3112802" ns5:start="420298" style="font-size: 12pt;">loss</ns0:speech><span style="font-size: 12pt;">
</span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="420788" ns5:id="SR_563" ns5:jobid="3112802" ns5:start="420728" style="font-size: 12pt;">of</ns0:speech><span style="font-size: 12pt;"> </span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="420848" ns5:id="SR_564" ns5:jobid="3112802" ns5:start="420788" style="font-size: 12pt;">the</ns0:speech><span style="font-size: 12pt;">
</span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="422258" ns5:id="SR_565" ns5:jobid="3112802" ns5:start="420848" style="font-size: 12pt;">way."</ns0:speech></span><br />
<span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="422258" ns5:id="SR_565" ns5:jobid="3112802" ns5:start="420848" style="font-size: 12pt;"><br /></ns0:speech></span>
<div style="text-align: right;">
<span style="font-family: Verdana, sans-serif;"><img height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj_ct10XA8hLGr8T8RyNoFUha0xARXXwxIrJiS7w1wo9cF4zOD_Xs2Ak8mFlMzDBZnJM9fThVNQXQh36Uog_e_F5R16QKw_g3p4C1s6hgnvWbmq_PYbcrZJFHVQps1P4OFFyL0axnTpfmE/s200/directions.jpg" width="157" /></span></div>
<span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="422258" ns5:id="SR_565" ns5:jobid="3112802" ns5:start="420848" style="font-size: 12pt;"><br /></ns0:speech></span>
<span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="422258" ns5:id="SR_565" ns5:jobid="3112802" ns5:start="420848" style="font-size: 12pt;"><br /></ns0:speech></span>
<span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="422258" ns5:id="SR_565" ns5:jobid="3112802" ns5:start="420848" style="font-size: 12pt;"><br /></ns0:speech></span>
<ns0:speech ns5:end="422258" ns5:id="SR_565" ns5:jobid="3112802" ns5:start="420848" style="font-size: 12pt;"><span style="font-family: Times, Times New Roman, serif;">(Dictated: "... loss of weight.")</span></ns0:speech>pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-92161948160796615722013-06-24T23:20:00.002-04:002013-06-24T23:20:29.066-04:00Pessimistic Discharge Instructions Dept.<span style="font-family: Verdana, sans-serif;">Discharge instructions: "...N<ns0:speech ns5:end="359379" ns5:id="SR_825" ns5:jobid="3068973" ns5:start="359229">o</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="359739" ns5:id="SR_826" ns5:jobid="3068973" ns5:start="359379">lifting</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="359819" ns5:id="SR_827" ns5:jobid="3068973" ns5:start="359739">or</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="360359" ns5:id="SR_828" ns5:jobid="3068973" ns5:start="359819">bending </ns0:speech><ns0:speech ns5:end="361393" ns5:id="SR_833" ns5:jobid="3068973" ns5:start="361323">or</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="361743" ns5:id="SR_834" ns5:jobid="3068973" ns5:start="361393">anything</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="362023" ns5:id="SR_835" ns5:jobid="3068973" ns5:start="361743">along</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="362273" ns5:id="SR_836" ns5:jobid="3068973" ns5:start="362023">those</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="363055" ns5:id="SR_837" ns5:jobid="3068973" ns5:start="362273">lines</ns0:speech>,
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="363425" ns5:id="SR_838" ns5:jobid="3068973" ns5:start="363055">at least</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="363745" ns5:id="SR_839" ns5:jobid="3068973" ns5:start="363425">until</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="363925" ns5:id="SR_840" ns5:jobid="3068973" ns5:start="363745">this</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="364485" ns5:id="SR_841" ns5:jobid="3068973" ns5:start="363925">improves</ns0:speech>,
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="364665" ns5:id="SR_842" ns5:jobid="3068973" ns5:start="364485">or</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="365165" ns5:id="SR_843" ns5:jobid="3068973" ns5:start="364665">until</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="365815" ns5:id="SR_844" ns5:jobid="3068973" ns5:start="365425">he</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="365925" ns5:id="SR_845" ns5:jobid="3068973" ns5:start="365815">is</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="367529" ns5:id="SR_846" ns5:jobid="3068973" ns5:start="365925">deceased."</ns0:speech></span><br />
<span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="367529" ns5:id="SR_846" ns5:jobid="3068973" ns5:start="365925"><br /></ns0:speech></span>
<span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="367529" ns5:id="SR_846" ns5:jobid="3068973" ns5:start="365925"><br /></ns0:speech></span>
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="367529" ns5:id="SR_846" ns5:jobid="3068973" ns5:start="365925"><img alt="no heavy lifting t-shirts" height="200" src="http://rlv.zcache.com/isapi/designall.dll?rlvnet=1&realview=113094417323825628&design=ee030150-4bee-48c8-9312-63f1bb788a1d&style=kids_basic_dark_tshirt&size=&color=black&pending=false&pdt=zazzle_shirt&max_dim=512" width="200" /></ns0:speech></span><br />
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="367529" ns5:id="SR_846" ns5:jobid="3068973" ns5:start="365925"><br /></ns0:speech></span>
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="367529" ns5:id="SR_846" ns5:jobid="3068973" ns5:start="365925"><br /></ns0:speech></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="367529" ns5:id="SR_846" ns5:jobid="3068973" ns5:start="365925">(Dictated: "Until...released.")</ns0:speech></span><br />
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="367529" ns5:id="SR_846" ns5:jobid="3068973" ns5:start="365925"><br /></ns0:speech></span>
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="367529" ns5:id="SR_846" ns5:jobid="3068973" ns5:start="365925"><br /></ns0:speech></span>pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-84330013209050962762013-06-12T18:02:00.001-04:002013-06-12T18:02:48.511-04:00Aggressive treatment<span style="font-family: Verdana, sans-serif;">In med list: "She attacked 10 mg." </span><br />
<span style="font-family: Verdana, sans-serif;"><br /></span>
<div style="text-align: right;">
<img height="214" src="http://0.s3.envato.com/files/12551055/session17_0170.jpg" width="320" /></div>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Times, Times New Roman, serif;">(Dictated: "Zyrtec 10 mg.")</span><br />
<span style="font-family: Verdana, sans-serif;"><br /></span>pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-69946574758987932932013-05-08T15:21:00.002-04:002013-05-08T15:21:48.313-04:00Kids these days. <span style="font-family: Verdana, sans-serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="132003" ns5:id="SR_300" ns5:jobid="3094762" ns5:start="131623">"PULMONARY EXAM:</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="132103" ns5:id="SR_301" ns5:jobid="3094762" ns5:start="132003">He</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="132403" ns5:id="SR_302" ns5:jobid="3094762" ns5:start="132103">states</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="132493" ns5:id="SR_303" ns5:jobid="3094762" ns5:start="132403">he</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="132743" ns5:id="SR_304" ns5:jobid="3094762" ns5:start="132493">feels</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="132893" ns5:id="SR_305" ns5:jobid="3094762" ns5:start="132743">like</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="132993" ns5:id="SR_306" ns5:jobid="3094762" ns5:start="132893">there</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="133063" ns5:id="SR_307" ns5:jobid="3094762" ns5:start="132993">is</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="133143" ns5:id="SR_308" ns5:jobid="3094762" ns5:start="133063">a</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="133643" ns5:id="SR_309" ns5:jobid="3094762" ns5:start="133143">cat</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="133733" ns5:id="SR_310" ns5:jobid="3094762" ns5:start="133643">in</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="134243" ns5:id="SR_311" ns5:jobid="3094762" ns5:start="133733">his</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="135233" ns5:id="SR_312" ns5:jobid="3094762" ns5:start="134243">son." </ns0:speech></span><br />
<span style="font-family: Verdana, sans-serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="135233" ns5:id="SR_312" ns5:jobid="3094762" ns5:start="134243"><br /></ns0:speech></span>
<span style="font-family: Verdana, sans-serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="135233" ns5:id="SR_312" ns5:jobid="3094762" ns5:start="134243">It happens. You just have to accept it...</ns0:speech></span><br />
<span style="font-family: Verdana, sans-serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="135233" ns5:id="SR_312" ns5:jobid="3094762" ns5:start="134243"><br /></ns0:speech></span>
<span style="font-family: Verdana, sans-serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="135233" ns5:id="SR_312" ns5:jobid="3094762" ns5:start="134243"><br /></ns0:speech></span>
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="135233" ns5:id="SR_312" ns5:jobid="3094762" ns5:start="134243"><img height="320" src="http://winniesworldcomics.com/cat_boy_punk1=.jpg" width="203" /></ns0:speech></span><br />
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="135233" ns5:id="SR_312" ns5:jobid="3094762" ns5:start="134243"><br /></ns0:speech></span>
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="135233" ns5:id="SR_312" ns5:jobid="3094762" ns5:start="134243">(... dictated "catch in his lungs") </ns0:speech></span><br />
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="135233" ns5:id="SR_312" ns5:jobid="3094762" ns5:start="134243"><br /></ns0:speech></span>
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="135233" ns5:id="SR_312" ns5:jobid="3094762" ns5:start="134243"><br /></ns0:speech></span>pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-17332944837871492922013-04-07T20:25:00.003-04:002013-05-08T15:25:10.071-04:00Life? Don't talk to me about life.<span style="font-family: Verdana, sans-serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="115335" ns5:id="SR_182" ns5:jobid="3001471" ns5:start="115175">"He </ns0:speech><ns0:speech ns5:end="115625" ns5:id="SR_183" ns5:jobid="3001471" ns5:start="115335">presents</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="115745" ns5:id="SR_184" ns5:jobid="3001471" ns5:start="115625">for</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="116165" ns5:id="SR_185" ns5:jobid="3001471" ns5:start="115745">evaluation</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="116245" ns5:id="SR_186" ns5:jobid="3001471" ns5:start="116165">of</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="116345" ns5:id="SR_187" ns5:jobid="3001471" ns5:start="116245">his</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="116605" ns5:id="SR_188" ns5:jobid="3001471" ns5:start="116345">life."</ns0:speech></span><br />
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="116605" ns5:id="SR_188" ns5:jobid="3001471" ns5:start="116345"><br /></ns0:speech></span>
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="116605" ns5:id="SR_188" ns5:jobid="3001471" ns5:start="116345"></ns0:speech></span><br />
<ns0:speech ns5:end="116605" ns5:id="SR_188" ns5:jobid="3001471" ns5:start="116345" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img src="http://www.american-buddha.com/ahitch265k2_small.jpg" /></ns0:speech><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"></span><br />
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="116605" ns5:id="SR_188" ns5:jobid="3001471" ns5:start="116345"></ns0:speech></span><br />
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="116605" ns5:id="SR_188" ns5:jobid="3001471" ns5:start="116345"><br /></ns0:speech></span>
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="116605" ns5:id="SR_188" ns5:jobid="3001471" ns5:start="116345">(Dictated: "... with his wife.")</ns0:speech></span><br />
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="116605" ns5:id="SR_188" ns5:jobid="3001471" ns5:start="116345"><a href="http://www.youtube.com/watch?v=CAA67a2-Klk"><br /></a></ns0:speech></span>
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="116605" ns5:id="SR_188" ns5:jobid="3001471" ns5:start="116345">Also, the <a href="http://www.youtube.com/watch?v=CAA67a2-Klk">source for the caption's quote</a>. </ns0:speech></span>pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-3459883395874695752013-04-07T18:07:00.000-04:002013-04-07T20:17:30.122-04:00Well, I just bet you are!<div style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;">
<br /></div>
<span style="font-family: Verdana, sans-serif;">(in list of routine outpatient meds:) </span><br />
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;">"I am delighted." </span><br />
<span style="font-family: Verdana, sans-serif;"><br /></span>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIP9CDPrJlX57-nFFOUABKC5H22dgRC0Wyw3pFOtQ8y0GknVet5UP_-HUpCpGujxObfaiw4b4T6yEHQUCjfLsU7CWL_-3BI_I1XLKL0JjGDS8EZSuNDSAIrJDgnBnr0n4Gp2GGHTFQ3Bo/s1600/high-kitteh.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIP9CDPrJlX57-nFFOUABKC5H22dgRC0Wyw3pFOtQ8y0GknVet5UP_-HUpCpGujxObfaiw4b4T6yEHQUCjfLsU7CWL_-3BI_I1XLKL0JjGDS8EZSuNDSAIrJDgnBnr0n4Gp2GGHTFQ3Bo/s320/high-kitteh.png" width="320" /></a></div>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;"><br /></span><span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Times, Times New Roman, serif;">(...dictated med was "IM Dilaudid 40 mg q.4 h, whoa!)</span><br />
<span style="font-family: Verdana, sans-serif;"><br /></span>
<br />
<br />pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-68420360423644114692013-04-05T19:26:00.002-04:002013-05-08T15:26:00.845-04:00Off-label use?<span style="font-family: Verdana, sans-serif;">[Male patient in his 60s, in for GI issues]</span><br />
<br />
<span style="font-family: Verdana, sans-serif;">"I have <ns0:speech ns5:end="63160" ns5:id="SR_99" ns5:jobid="2927648" ns5:start="62584">performed </ns0:speech><w:sdtpr></w:sdtpr><ns0:speech ns5:end="63922" ns5:id="SR_100" ns5:jobid="2927648" ns5:start="63162">a</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="64982" ns5:id="SR_101" ns5:jobid="2927648" ns5:start="64582">CT scan</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="65082" ns5:id="SR_102" ns5:jobid="2927648" ns5:start="64982">of</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="65082" ns5:id="SR_103" ns5:jobid="2927648" ns5:start="65082">the</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="65322" ns5:id="SR_104" ns5:jobid="2927648" ns5:start="65082">abdomen</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="65352" ns5:id="SR_105" ns5:jobid="2927648" ns5:start="65322">and</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="66022" ns5:id="SR_106" ns5:jobid="2927648" ns5:start="65352">pelvis</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="66767" ns5:id="SR_107" ns5:jobid="2927648" ns5:start="66222">using</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="70590" ns5:id="SR_108" ns5:jobid="2927648" ns5:start="70370">oral</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="71260" ns5:id="SR_109" ns5:jobid="2927648" ns5:start="70590">contraceptive</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="71490" ns5:id="SR_110" ns5:jobid="2927648" ns5:start="71260">per</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="71740" ns5:id="SR_111" ns5:jobid="2927648" ns5:start="71490">the</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="72860" ns5:id="SR_112" ns5:jobid="2927648" ns5:start="72040">NG tube..."</ns0:speech></span><br />
<span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="72860" ns5:id="SR_112" ns5:jobid="2927648" ns5:start="72040"><br /></ns0:speech></span>
<img alt="OCPs" src="http://cdn.zmescience.com/wp-content/uploads/2011/09/birth-control-pill.jpg" title="" /><br />
<span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="72860" ns5:id="SR_112" ns5:jobid="2927648" ns5:start="72040"><br /></ns0:speech></span>
<span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="72860" ns5:id="SR_112" ns5:jobid="2927648" ns5:start="72040"><br /></ns0:speech></span>
<span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="72860" ns5:id="SR_112" ns5:jobid="2927648" ns5:start="72040">(The other question is... how'd he get it down the tube? But never mind).</ns0:speech></span><br />
<span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="72860" ns5:id="SR_112" ns5:jobid="2927648" ns5:start="72040"><br /></ns0:speech></span>
<span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="72860" ns5:id="SR_112" ns5:jobid="2927648" ns5:start="72040" style="font-size: 12pt;"><br /></ns0:speech></span>pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-15696701115057873882013-04-05T18:23:00.000-04:002013-04-05T18:23:44.455-04:00The differential includes fat rolls<br />
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<div style="text-align: justify;">
<span style="font-family: Verdana, sans-serif;"><br /></span></div>
<div style="text-align: justify;">
<span style="font-family: Verdana, sans-serif;">"Assessment: ...<ns0:speech ns5:end="483769" ns5:id="SR_641" ns5:jobid="3049561" ns5:start="483529" style="font-size: 12pt;">Mild</ns0:speech><span style="font-size: 12pt;">
</span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="484159" ns5:id="SR_642" ns5:jobid="3049561" ns5:start="483769" style="font-size: 12pt;">tight</ns0:speech><span style="font-size: 12pt;"> </span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="484759" ns5:id="SR_643" ns5:jobid="3049561" ns5:start="484159" style="font-size: 12pt;">clothing</ns0:speech><span style="font-size: 12pt;">
</span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="484841" ns5:id="SR_644" ns5:jobid="3049561" ns5:start="484759" style="font-size: 12pt;">and</ns0:speech><span style="font-size: 12pt;"> azotemia."</span></span></div>
<span style="font-family: Verdana, sans-serif;"><span style="font-size: 12pt;"><br /></span></span>
<span style="font-family: Verdana, sans-serif;"><span style="font-size: 12pt;"><br /></span></span>
<br />
<div style="text-align: center;">
<img height="320" src="http://www.tiptoptens.com/wp-content/uploads/2012/10/7.-Tight-Clothing-e1349333164116.jpg" width="182" /></div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: left;">
</div>
<div style="text-align: justify;">
<span style="font-family: Times, 'Times New Roman', serif; font-size: 12pt;">Dictated: "... mild hyponatremia.")</span></div>
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<span style="font-family: Times, 'Times New Roman', serif; font-size: 12pt;"><br /></span></div>
<br />
<br />pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-84706563986626218162013-03-18T19:19:00.001-04:002013-03-18T19:22:01.065-04:00Is that where that parting-the-Red Sea thing came from?<br />
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<span style="font-family: Verdana, sans-serif;">(In description of informed consent for upcoming surgery): </span><br />
<span style="font-family: Verdana, sans-serif;"><br /></span>
<br />
<span style="font-family: Verdana, sans-serif;">"... The risks discussed included... deep venous Moses." </span><br />
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<img height="320" src="http://farm5.staticflickr.com/4030/4261884145_e36d5f2241_z.jpg" width="213" /><br />
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;"><br /></span><span style="font-family: Times, Times New Roman, serif;">(...deep venous thrombosis.") </span>pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-56737503211214835702013-03-06T18:45:00.001-05:002013-04-05T18:25:16.947-04:00Someone needs to have a word with Nursing<span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="89658" ns5:id="SR_117" ns5:jobid="3023094" ns5:start="88993">"... her</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="91953" ns5:id="SR_119" ns5:jobid="3023094" ns5:start="91233">mucus</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="92653" ns5:id="SR_120" ns5:jobid="3023094" ns5:start="91953">has</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="93343" ns5:id="SR_121" ns5:jobid="3023094" ns5:start="92653">changed</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="93503" ns5:id="SR_122" ns5:jobid="3023094" ns5:start="93343">to</ns0:speech> <ns0:speech ns5:end="93893" ns5:id="SR_125" ns5:jobid="3023094" ns5:start="93853">a</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="94538" ns5:id="SR_126" ns5:jobid="3023094" ns5:start="93893">yellow</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="95803" ns5:id="SR_127" ns5:jobid="3023094" ns5:start="95267">color</ns0:speech>, <w:sdtpr></w:sdtpr><ns0:speech ns5:end="96833" ns5:id="SR_129" ns5:jobid="3023094" ns5:start="95953">though</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="97093" ns5:id="SR_130" ns5:jobid="3023094" ns5:start="96833">her</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="97313" ns5:id="SR_131" ns5:jobid="3023094" ns5:start="97093">call</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="97533" ns5:id="SR_132" ns5:jobid="3023094" ns5:start="97313">bell</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="97903" ns5:id="SR_133" ns5:jobid="3023094" ns5:start="97533">is not</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="98133" ns5:id="SR_134" ns5:jobid="3023094" ns5:start="97903">very</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="98848" ns5:id="SR_135" ns5:jobid="3023094" ns5:start="98133">productive."</ns0:speech></span><br />
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="98848" ns5:id="SR_135" ns5:jobid="3023094" ns5:start="98133"></ns0:speech></span></div>
<div style="text-align: start;">
<div style="text-align: center;">
<img src="https://encrypted-tbn2.gstatic.com/images?q=tbn:ANd9GcRUqiCEtM6P638sTEIvVqGcNIQnfM3t8DEiD4tN38U8yUE4wCzF" /></div>
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<ns0:speech ns5:end="98848" ns5:id="SR_135" ns5:jobid="3023094" ns5:start="98133"><span style="font-family: Times, Times New Roman, serif;">(...her cough is not very productive...")</span></ns0:speech><br />
<ns0:speech ns5:end="98848" ns5:id="SR_135" ns5:jobid="3023094" ns5:start="98133"><span style="font-family: Times, Times New Roman, serif;"><br /></span></ns0:speech>pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-56741585172716078762013-02-05T20:51:00.001-05:002013-02-05T20:52:18.439-05:00This could be, uh, taken the wrong way<span style="font-family: Verdana, sans-serif;">[in a preop H&P for ortho surgery]: ... "Mrs Patient has a network of friends who will assist with her care after discharge as well as her husband." </span><br />
<span style="font-family: Verdana, sans-serif;"><br /></span>
<img src="https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcSYahhTA1GhCO70nsDlZE_PO2PbP3uXlgYbuQqfCcQITTp6g3DTDg" /><br />
<br />
It's all about the clauses, folks.pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-56240458289528123942013-01-30T17:56:00.000-05:002013-01-30T17:56:42.249-05:00That's gonna be tough to pre-certify<br />
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<span style="font-size: 12pt;"><span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="240869" ns5:id="SR_426" ns5:jobid="2981271" ns5:start="240142"><br /></ns0:speech></span></span>
<img height="400" src="http://www.desivalley.com/wp-content/uploads/2011/07/AlienDesign-6.jpg" width="251" /></div>
<br />
<span style="font-size: 12pt;"><span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="239422" ns5:id="SR_422" ns5:jobid="2981271" ns5:start="238952"><br />"PAST MEDICAL HISTORY:.... Excision</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="239572" ns5:id="SR_423" ns5:jobid="2981271" ns5:start="239422">of</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="239902" ns5:id="SR_424" ns5:jobid="2981271" ns5:start="239572">left</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="240142" ns5:id="SR_425" ns5:jobid="2981271" ns5:start="239902">leg</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="240869" ns5:id="SR_426" ns5:jobid="2981271" ns5:start="240142">aliens."</ns0:speech></span></span><br />
<span style="font-size: 12pt;"><span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="240869" ns5:id="SR_426" ns5:jobid="2981271" ns5:start="240142"><br /></ns0:speech></span></span><span style="font-size: 12pt;"><span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="240869" ns5:id="SR_426" ns5:jobid="2981271" ns5:start="240142"><br /></ns0:speech></span></span>
<span style="font-size: 12pt;"><span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="240869" ns5:id="SR_426" ns5:jobid="2981271" ns5:start="240142">Well, that's no big deal. It's the <i>chest </i>aliens that <a href="http://www.empireonline.com/interviews/interview.asp?IID=1095">have a tendency to excise themselves</a>, if you know what I mean and I think you do. </ns0:speech></span></span><br />
<span style="font-size: 12pt;"><span style="font-family: Verdana, sans-serif;"><ns0:speech ns5:end="240869" ns5:id="SR_426" ns5:jobid="2981271" ns5:start="240142"><br /></ns0:speech></span></span>
<br />
<span style="font-size: 12pt;"><ns0:speech ns5:end="240869" ns5:id="SR_426" ns5:jobid="2981271" ns5:start="240142"><span style="font-family: Times, Times New Roman, serif;">Dictated: "... excision of left ganglion cyst." </span></ns0:speech></span>pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-27982153281670918772013-01-07T16:18:00.002-05:002013-01-07T16:18:46.308-05:00No people skills, but the insurance companies love him<br />
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</div>
<br />
<span style="font-family: Verdana, sans-serif;">"Referring physician: Dr more death."</span><br />
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<img src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgOJMm7badZ8zOn8IcxjcN1gSNCqtjPqPs_zeZGbdzaQ7eSGyuAg9Ld3RueImlf0Cc4KV7tJpJ2Vq_SrAJ15qk7JOEHrMFwxs5VaBkuCPQ7oUv26WEezL5u-H44eDV2_eZnqkMrUITerPo/s320/Dr+death.jpg" /><br />
<span style="font-family: Verdana, sans-serif;"><br /></span>pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-52506690733932699362013-01-06T17:33:00.002-05:002013-04-05T18:26:15.304-04:00Must have been a helluva party!<br />
<div style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;">
<span style="font-family: Verdana, sans-serif;"><br /></span>
<img height="320" src="http://image1.masterfile.com/em_w/04/19/66/400-04196624w.jpg" width="320" /><span style="font-family: Verdana, sans-serif;"><br /></span></div>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;">"The patient states she slept on a wet dance floor last night."</span><br />
<span style="font-family: Verdana, sans-serif;"><br />
</span>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Times, Times New Roman, serif;"><br />
("... she slipped on a wet dance floor..."</span><br />
<br />
<br />
<br />
<span style="font-family: Verdana, sans-serif;">Happy New Year! </span><br />
<br />
<br />pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-33227017020881416282012-12-24T20:40:00.002-05:002012-12-24T20:40:11.780-05:00Happy Holidays from Horse HQ<span style="font-family: Verdana, sans-serif;">and best wishes for a blooper-free New Year! </span><br />
<br />
<br />
<img height="230" src="http://schiller.com.au/uploads/content/blog/xmas-1.jpg" width="400" /><br />
<br />
<br />pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-11489150487153638292012-12-05T22:49:00.001-05:002012-12-05T22:50:48.022-05:00What the Dickens does that mean?<span style="font-family: Verdana, sans-serif;">Hospitalist dictating discharge summary: </span><br />
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;">"<span style="font-size: 12pt;">A </span><ns0:speech ns5:end="252247" ns5:id="SR_363" ns5:jobid="2909217" ns5:start="251997" style="font-size: 12pt;">total</ns0:speech><span style="font-size: 12pt;">
</span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="252317" ns5:id="SR_364" ns5:jobid="2909217" ns5:start="252247" style="font-size: 12pt;">of</ns0:speech><span style="font-size: 12pt;"> </span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="252697" ns5:id="SR_365" ns5:jobid="2909217" ns5:start="252317" style="font-size: 12pt;">48</ns0:speech><span style="font-size: 12pt;">
</span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="252997" ns5:id="SR_366" ns5:jobid="2909217" ns5:start="252697" style="font-size: 12pt;">minutes</ns0:speech><span style="font-size: 12pt;"> </span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="253087" ns5:id="SR_367" ns5:jobid="2909217" ns5:start="252997" style="font-size: 12pt;">was</ns0:speech><span style="font-size: 12pt;">
</span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="253492" ns5:id="SR_368" ns5:jobid="2909217" ns5:start="253087" style="font-size: 12pt;">spent</ns0:speech><span style="font-size: 12pt;"> </span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="253987" ns5:id="SR_369" ns5:jobid="2909217" ns5:start="253721" style="font-size: 12pt;">court</ns0:speech><span style="font-size: 12pt;">
</span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="254279" ns5:id="SR_370" ns5:jobid="2909217" ns5:start="253987" style="font-size: 12pt;">knitting</ns0:speech><span style="font-size: 12pt;"> </span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="254459" ns5:id="SR_371" ns5:jobid="2909217" ns5:start="254279" style="font-size: 12pt;">his</ns0:speech><span style="font-size: 12pt;">
</span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="254919" ns5:id="SR_372" ns5:jobid="2909217" ns5:start="254459" style="font-size: 12pt;">discharge</ns0:speech><span style="font-size: 12pt;"> </span><w:sdtpr style="font-size: 12pt;"></w:sdtpr><ns0:speech ns5:end="255329" ns5:id="SR_373" ns5:jobid="2909217" ns5:start="254919" style="font-size: 12pt;">process</ns0:speech><ns0:speech ns5:end="255629" ns5:id="SR_374" ns5:jobid="2909217" ns5:start="255329" style="font-size: 12pt;">."</ns0:speech></span><br />
<ns0:speech ns5:end="255629" ns5:id="SR_374" ns5:jobid="2909217" ns5:start="255329" style="font-family: Arial, sans-serif; font-size: 12pt;"><br /></ns0:speech>
<ns0:speech ns5:end="255629" ns5:id="SR_374" ns5:jobid="2909217" ns5:start="255329" style="font-family: Arial, sans-serif; font-size: 12pt;"><img src="https://encrypted-tbn2.gstatic.com/images?q=tbn:ANd9GcSQwHTZGpzI7gJHalSf-f8asR-zG0fQrqqOvI992h4FtNjwKAZ7Pg" /></ns0:speech><br />
<ns0:speech ns5:end="255629" ns5:id="SR_374" ns5:jobid="2909217" ns5:start="255329" style="font-family: Arial, sans-serif; font-size: 12pt;"><br /></ns0:speech>
<ns0:speech ns5:end="255629" ns5:id="SR_374" ns5:jobid="2909217" ns5:start="255329" style="font-size: 12pt;"><span style="font-family: Times, Times New Roman, serif;">("..coordinating his discharge..." which, interestingly, rhymes with Lafarge.)</span></ns0:speech>pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-15972023207083739972012-11-26T16:01:00.002-05:002012-11-26T16:03:16.721-05:00Breakfast of champions!<span style="font-family: Verdana, sans-serif;">"Meds include Tranxene 7.5 mg for breakfast." </span><br />
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;"><br /></span>
<img src="http://www.dreamstime.com/bowl-with-pills-thumb11888494.jpg" /><br />
<span style="font-family: Verdana, sans-serif;"><br /></span>
<span style="font-family: Verdana, sans-serif;">Hold the milk! </span><br />
<span style="font-family: Verdana, sans-serif;"><br /></span>
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<span style="font-family: Times, Times New Roman, serif;">(Dictated, "before breakfast...")</span>pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-20737915134343414612012-11-20T16:36:00.001-05:002012-11-20T16:42:28.507-05:00Lab tech's in for a surprise!<span style="font-family: Verdana, sans-serif; font-size: 12pt;">"We will also check a stool for your cineaste." </span><br />
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<span style="font-family: Verdana, sans-serif; font-size: 12pt;">And if they find it? <i>Boo!</i> </span><br />
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<img height="213" src="http://dvdclassik.com/upload/images/1414229_7_736a_le-cineaste-britannique-alfred-hitchcock-lors.jpg" width="320" /></div>
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<span style="font-family: Times, Times New Roman, serif;"><span style="font-size: 12pt;">(Dictated: "stool for </span><i style="font-size: 12pt;">Yersinia"</i><span style="font-size: 12pt;">) </span></span><br />
<span style="font-family: Times, Times New Roman, serif;"><span style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br /></span>
<span style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">I'm taking on, like, <a href="http://en.wikipedia.org/wiki/Cineaste">an educational role</a> here. </span></span>pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-46172660367164948272012-11-20T16:33:00.000-05:002012-11-20T16:43:09.108-05:00Anybody know where his new clothes are?<span style="font-family: Verdana, sans-serif;">"He was imperially treated with Rocephin." </span><br />
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Whoa. Is it that <a href="http://en.wikipedia.org/wiki/Concierge_medicine">concierge medicine</a> we've been hearing about? </span><br />
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<img src="http://hca.gilead.org.il/pics/emperor.jpg" /><br />
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<span style="font-family: Times, Times New Roman, serif;">(dictated: "... empirically treated...")</span>pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0tag:blogger.com,1999:blog-7319728277118319002.post-71054282931158792142012-10-17T21:15:00.001-04:002012-10-17T21:15:37.285-04:00DO NOT WANT <span style="font-family: Verdana, sans-serif;">"<span style="font-family: "Arial","sans-serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><ns0:speech ns5:end="72849" ns5:id="SR_172" ns5:jobid="2857687" ns5:start="72683">I</ns0:speech> <ns0:speech ns5:end="73439" ns5:id="SR_174" ns5:jobid="2857687" ns5:start="72849">ordered</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="73819" ns5:id="SR_175" ns5:jobid="2857687" ns5:start="73439">250</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="74199" ns5:id="SR_176" ns5:jobid="2857687" ns5:start="73819">mg</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="74279" ns5:id="SR_177" ns5:jobid="2857687" ns5:start="74199">of</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="74919" ns5:id="SR_178" ns5:jobid="2857687" ns5:start="74279">Rocephin</ns0:speech> <w:sdtpr></w:sdtpr><ns0:speech ns5:end="75519" ns5:id="SR_179" ns5:jobid="2857687" ns5:start="74919">IM</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="75989" ns5:id="SR_180" ns5:jobid="2857687" ns5:start="75519">and</ns0:speech> 100 <w:sdtpr></w:sdtpr><ns0:speech ns5:end="76869" ns5:id="SR_183" ns5:jobid="2857687" ns5:start="76399">mg</ns0:speech>
<w:sdtpr></w:sdtpr><ns0:speech ns5:end="76989" ns5:id="SR_184" ns5:jobid="2857687" ns5:start="76869">of</ns0:speech> Chlamydia." </span></span><br />
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<img height="400" id="il_fi" src="http://www.city-data.com/forum/members/the-sweet-pickles-bus-831405-albums-do-not-want-pic61294-do-not-want-dog.jpg" style="padding-bottom: 8px; padding-right: 8px; padding-top: 8px;" width="352" /></div>
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pjhttp://www.blogger.com/profile/18247276024229719691noreply@blogger.com0