Hi Sandy5,
I'm afraid you may have one of those "stumpers" that exists in medical
transcriptionland. This will be difficult to confirm as you're
offering us a "soundalike," but I'd like to offer a few possibilities.
It could be a preparation named for the Holden Comprehensive Cancer
Center at the University of Iowa, although I haven't been able to
confirm this. It might be something they've developed primarily for
chemotherapy patients who have mucositis. You might send them
an e-mail or call them toll-free here:
http://www.uihealthcare.com/contact/index.
http://www.vh.org/Patients/IHB/Cancer/Chemotherapy/MouthCare.html
http://www.cancersupportivecare.com/drug.html
Further, I'd also check if you have a "Dr. Holden" in your area.
Quite often doctors and dentists develop their own concoctions and
slap their name on the preparation for convenience. Here's an example
with Dr. Faughnan's mouthwash, though, I don't think any of these are
technically "for sale" items. http://www.faughnan.com/medref/gi.html.
"Chronic non-microbial mucositis (aphthous ulcers, apthae, canker
sores)Aphthasol (amlexanox) may accelerate healing (NSAID). Based on
some early work in cold sores, consider low-dose aspirin 1 qd from
onset symptoms.
Dental recipe:
Triamcinolone acetonide 0.1% aqueous suspension. Disp 200 ml. 5 ml
rinse for 10-15 seconds and spit, 1/2 hour after meals and hs.
To prepare triamcinolone: 5 ml of 70% ethanol to a 5 ml vial of
triamcinolone acetonide 40 mg/ml injectable, QS to 200 ml with sterile
water.
"Faughnan’s" Mouthwash, swish and spit q4h prn. Don't swallow.
Best 1/2 to 1 hour before meals. May omit triamcinolone and use dental
recipe for severe cases.
30 ml viscous lidocaine
30 ml benadryl elixir
40 ml maalox
triamcinolone 40mg/ml 1 ml"
Locally, we have a preparation called a "green lizard" which happens
to be a GI cocktail; however, I doubt you'll find it in any of your
references. I think it contains mint Maalox, maybe some lidocaine
and who knows what else.
You might also call your editor {if you work for a service}, the
physician dictating the report, or local pharmacies to see if they've
heard of this mixture.
Less likely possibilities but similar soundalikes:
1. "hold and spew" {though I doubt a doc would use this phrase but you
never know!}
2. "brew" sounds very similar to "sprue" which often requires an oral prep
A couple other options:
Without breaching confidentiality, could you post the entire sentence
here for any other possible clues? Does this question pertain to your
previous one regarding aphthous ulcers?
You could also post your question on either of these medical
transcription bulletin boards {I think you need to register before
posting to either}:
http://www.mtchat.com/cgi-bin/ultimatebb.cgi
http://www.mtdaily.com
Please let us know if we can help you further.
Good luck,
V |
