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Dictator confusing....sm

Posted By: In a daze on 2007-03-07
In Reply to:

Subject: Dictator confusing....sm

I have a dictator that dictated in two different reports.. "No CVA angle tenderness." and the same dictator in another report states "No CV angle tenderness." I am confused as to which is the correct way ?


 





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holiday...is the dictator an Arab dictator? nm
Subject: holiday...is the dictator an Arab dictator? nm

x
type what dictator said, dictator is not incorrect.....
Subject: type what dictator said, dictator is not incorrect.....

.
230 158? Very confusing... nm
Subject: 230 158? Very confusing... nm


this one is confusing !!! LOL
Subject: this one is confusing !!! LOL


You are right, very confusing (sm)
Subject: You are right, very confusing (sm)

Cefadroxil
Brand/Trade Names: Baxan, Duracef, Duricef, Oracefal, Ultracef (a first-generation cephalosporin antibiotic, is used to treat urinary tract infections, skin and skin structure infections, pharyngitis, and tonsillitis)Did not find in my drug index either...

Ultracet is a narcotic-like pain reliever

it's confusing
Subject: it's confusing

maybe it's heme-negative with the "heme" in lower case and the Hemoccult thing as a proper name. Thanks for checking.
yes, right, it's confusing....nm
Subject: yes, right, it's confusing....nm

nm
just to make it more confusing :) ...sm
Subject: just to make it more confusing :) ...sm

The company MedicAlert (1 word) has a trademark emblem/bracelet; that is the most common one used. But, there's an org in Canada, Med-Alert, that supplies medical alert bracelets, and another, 911MedAlert, that I found. If any of that helps! :)
confusing words.....nm
Subject: confusing words.....nm

x
The only help I can give you here (very confusing)
Subject: The only help I can give you here (very confusing)

is that "symmatric" should be "symmetric," a very common term.

Are you taking a test?

extremities (check your spelling)

Also your "Intact relflexy in purse" may be "intact reflexes in pursestrings." Difficult to determine without listening myself.

They usually say "normal sensory examination to light touch" not "a light touch."

OK that was confusing... I will clarify
Subject: OK that was confusing... I will clarify

Always go by your company policy and produces. My company states:

"when the manufacturer uses all capitals, use an initial capital only so as not to give undue attention to the term in a medical report..."
I type -1 to 1.5 as -1-1.5 looks confusing.
Subject: I type -1 to 1.5 as -1-1.5 looks confusing.


nevermind...was confusing this with another lab value
Subject: nevermind...was confusing this with another lab value


EKG help - this always confusing me - "RSR"
Subject: EKG help - this always confusing me - "RSR"

prime pattern - I've seen it as "RSR," as "rSr," and even "rSR" - which is correct?
yeah, I'm with you - this is confusing...
Subject: yeah, I'm with you - this is confusing...

I can't put the haptic as being "captured" and in the "sulcus," just that the optic is "captured" and the "haptic" in the sulcus...I think my brain hurts now.
When is Staphylococcus not capital? This is confusing me.
I always thought Staphyloccocus was capitalized until on my QA I was told different, but can't find the reason and it's been a while since this happened.  Now it bothers me not knowing how to determine whether I'm capitalizing it when its not supposed to be.  Can you help me with this?  Thanks
no problem...meds can be confusing!
Subject: no problem...meds can be confusing!


Please explain your answer, VERY CONFUSING..s/m
Subject: Please explain your answer, VERY CONFUSING..s/m

She did not ask that.
Why don't you answer simply:

The first option is the right one.

Furthermore, if you add an
'and', THEN you have to enter a comma in front of

, as well as z
it's confusing - I was told a long time ago not to use tid, etc.
Subject: it's confusing - I was told a long time ago not to use tid, etc.

even the VR automatically converts those.
Are you also missing words where you have blanks? Confusing post ...
.
is this dictator ESL (foreign dictator)?....
Subject: is this dictator ESL (foreign dictator)?....

if ESL, I would either blank him or give him that Avodart but the other one I haven't a clue and would have to blank there too.  Sorry :(
what is diff between DTaP and dTap...This doc is confusing me!!!
Subject: what is diff between DTaP and dTap...This doc is confusing me!!!

I have been told by other doc he wants it DTaP


This new doc  is being very specific that she wants dTap.


What is difference?  Is it a whole different shot?


 


Thanks


Help - not an ESL dictator.....sm
Subject: Help - not an ESL dictator.....sm

Anglo mushmouth cardiologist is saying:


This 85-year-old white male was admitted and had a posterior s/l *A to E* resection for rectal carcinoma. 


I am not sure he is saying *A to E* and I already googled this to no avail. 


TIA for any light anyone can shed on this....really appreciate it...


Dictator says ...
Subject: Dictator says ...

She has a history of being intolerant of an ACE and s/l RHAB. She says it like a word, so it s/l  Are ab


I pretty sure it's an abbreviation like ACE, but I can't make out the exact letters to even know what to look up to be sure. TIA!


When a dictator says Cor S1 and S2, how...sm
Subject: When a dictator says Cor S1 and S2, how...sm

should that be typed?  Coronary:  S1 and S2?
This must be something the dictator often says. sm
Subject: This must be something the dictator often says. sm

Can "preson" be "perfusion?"

"perfusion to tissues?"

"present 2+ pulses?" (awkward)

What are the sentences before and after? Do you have any other PEs from this dictator?

Is this an orthopedic exam or general PE?


Dictator says...
Subject: Dictator says...

CBC showed WBC of fourteen point six thousand.

What is the correct way to type this number?
is the dictator ESL? perhaps not saying N
Subject: is the dictator ESL? perhaps not saying N


You could be right as the dictator is ESL. Thank you. NM
Subject: You could be right as the dictator is ESL. Thank you. NM


two more for same dictator pls sm
Subject: two more for same dictator pls sm

Patient without evidence of a left atrial s/l apinich thrombus.

The patient underwent s/l durakyto cardioversion.

VERY fast talker. Any ideas?

I bet you that you are right though, it is an ESL dictator
Subject: I bet you that you are right though, it is an ESL dictator

and I think he is just flipping through the chart giving me every med she ever had not realizing they are one in the same. I will flag it anyway. You are awesome thank you!
could the dictator be SM
Subject: could the dictator be SM

stumbling over words and saying something like:

First, today I am giving him Vicodin and Skelaxin.

?? Just guessing. Never heard of first aid being used in that way, but I suppose it could be...?
If dictator says
Subject: If dictator says

"blood pressure was in the 140s 150s". How do I type this?
But if the dictator is saying the "A" it has to be
Subject: But if the dictator is saying the "A" it has to be

x
Dictator says:
Subject: Dictator says:

Abdomen is nondistended. No 'LKF' felt. Then he says 'BJE', the patient's abduction is normal.

What is LKF or is the acronym something different?
What does BJE stand for? He is clearly saying 'BJE', but I am not sure about 'LKF'. I still would like to know what BJE means. Thanks

Could the dictator be saying "CU" as in sm
Subject: Could the dictator be saying "CU" as in sm

"cystourethroscopy?"

Need quick help with this dictator please
Subject: Need quick help with this dictator please

This doctor just said


"Initial white blood count was elevated at 12.7 thousand."


Do I transcribe it like that, or do I put 12,700?


TIA!


Dictator said keep LDL cholesterol less than ...sm
Subject: Dictator said keep LDL cholesterol less than ...sm

70 per ----- guidelines.  He rambled off a bunch of initials and slowing him down only made it worse.  I think the last 3 were CHA.  TIA!
Am I hearing this right. Could the BP be 129/135 (ESL dictator)??? (nm)
Subject: Am I hearing this right. Could the BP be 129/135 (ESL dictator)??? (nm)


Dictator kept saying polynephritis ... sm
Subject: Dictator kept saying polynephritis ... sm

but I couldn't find that.  Did she mean pyelonephritis?  There were a lot of renal references in report.  TIA!
Is the dictator foreign?
Subject: Is the dictator foreign?

I wonder if they're saying Ativan.  Some of my foreign dictators say it as "Ati-won".  Just a thought!
maybe dictator meant to say....nm
Subject: maybe dictator meant to say....nm


could dictator be saying appendectomy?
Subject: could dictator be saying appendectomy?


Without further context, I'd say the dictator was saying sm
Subject: Without further context, I'd say the dictator was saying sm

"gassiness and indigestion" or possibly "gaseous distention" which is verified in the GI Stedman's.



?? Dictator is saying "technique" twice in a row? nm
Subject: ?? Dictator is saying "technique" twice in a row? nm

x
Mumbly dictator...med s/l
Subject: Mumbly dictator...med s/l

The patient has a problem with peripheral neuropathy and the _____ (s/l payomide) was refilled.  A1c is pending.    mumblers today!!
meant dictator
Subject: meant dictator


I agree but dictator might mean...sm
Subject: I agree but dictator might mean...sm

especially if it's an ESL dictator......perhaps if an ESL, he might mean ratio which would be 1 to 1,000,000....1:1,000,000



No, not ESL, just fast dictator sm
Subject: No, not ESL, just fast dictator sm

I thought about "grazed" or "grazing" but, as you said, it really doesn't fit very well in this context.


I really hate to leave a blank because this is an account the MTSO I work for (IC) is trying to get more work from....if that makes sense.


if dictator is ESL, probably *advanced*
Subject: if dictator is ESL, probably *advanced*


Got it ! Bad dictator after many times..sm
Subject: Got it ! Bad dictator after many times..sm

relistening you are right it is heterozygous factor V Leiden.

Thank you all for your help. It is sincerely appreciated.