Can anyone help me figure out what he is saying? I've listened to it over and over and can not figure it out. Any help would be appreciated. Thanks

One week prior to admission, the patient saw a television program suggesting that Zoloft might have long-term adverse effects. She stopped the medication abruptly. Over the next week she became increasingly nervous, emotionally labile, and suffered from insomnia. Two days prior to admission, she fell in the bathroom. She did not recall specifically how she had landed. Since that time, however, she complained of lower abdominal discomfort. She also noted ecchymoses and "ontromblelychis".

She also noted ecchymoses around her umbilicus. Hope that helps!

Thank you so much! I believe that is what he is saying!!

Hello,
I am presently working on this discharge summary. I would greatly appreciate any tips:) It IS making me crazier.

3. Status post thyroidectomy for ____("fortune") carcinoma.

She had undergone a total thyroidectomy for _____("??") carcinoma.

I have been researching what this type of carcinoma is but I am coming up short.

Greatly appreciate your time,

I am taking the Allied course also, and the preparatory research portion at the end of the chapter should help, it did me. I always find this section after each chapter most helpful, having helped to point me in the right direction countless times. I am still having a hard time "developing an ear" with regard to some dictators, does anyone have any tips that can help?

Yay, there it was! Shame on me for not looking through that portion better. Regarding the developing an ear, you are not alone. I am looking for a better headset solution, maybe with a volume control attached. Too much noise around me at home. Have you finished the course yet?

Thank you so much for your help,

I haven't finished yet, I am on chapter 16. I was doing fine until recently, when I appear to have hit the wall and have taken a nosedive, hopefully a temporary one.

My husband is in the electronics/recording industry and has given me a pair of professional headphones which has helped tremendously over the cheapy pair we received in the school package. The only problem is if the source tape is scratchy or the dictator doesn't enunciate clearly, I am just lost.

There was one chapter where the dictator (I know she was tired) sounded like she had been drinking, she was slurring her words and yawning. Ah, a preview of what's to come.

Hopefully it gets easier on the job, becoming more familiar with the subject matter and context in which the reports are dictated. Anyone have any suggestions of a good place for us fresh-out-of-school newbies to look for a job?

i m from allied too. i m on chapter 12 Obstetrics and Gynecology Assignment # 6...can u help?

can u help?
PROBLEM LIST
 Medistatical ring cancer with ascites.
 ……… disturbance.
 ……. carcinoma.
 Depression.
 Peptic ulcer disease.
 General Arthritis ….........spine
 Osteopenia……..
BRIEF HISTORY
The 92-year-old White female is admitted with abdominal swelling can suspected into abdominal bleeding. The patient had …..follow to my practice. She had undergone ……for carcinoma. Fortunately she had been no abdominal ….of metastatic disease. She was found to have a very ……surgical treatment.
The patient suffered from depression. She has been on long term……50 mg ……she had become quite depressed of ……….
For approximately year and a half she had sufferd from a …disturbance. She had been seen me consultation …….disturbance ….multiple…including the joint disease and………. Parkinson disease.

Did you happen to figure this transcript out for Obstetrics6? I am currently working on it and I cannot figure out for the life of me what it says here:

HOSPITAL COURSE
Patient was seen in consultation by the Gastroenterology service. It was elected to proceed with a CT scan of the abdomen. CT scan showed intraperitoneal free fluid. There was infiltration of the mesentery. There was mesenteric caking, raising the suspicion for a neoplasm. There was diverticula without (s/l "HORRENSIVE") diverticulitis.

Do you happen to know what this one word is?

Thanks!