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I thought of that, but the doctor is pretty plain speaking

Posted By: could make FIGO of it.. on 2006-04-27
In Reply to: are you sure it's not an FFF sound as in - ER MT

Subject: I thought of that, but the doctor is pretty plain speaking

thanks for your thoughts.. It indeed might be what he means but doesn't say right.. you know how that goes


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Thanks..thought it might be plain 'ole spinatus. I
Subject: Thanks..thought it might be plain 'ole spinatus. I

d
I thought it would be some type of cement, but he's is saying "Prodance" pretty clear, I ju
Subject: I thought it would be some type of cement, but he's is saying "Prodance" pretty clear, I just

can't document that anywhere. It seems to be a packing of some sort as the doc stated "we packed the wound and sutured the soft tissues over this impregnated with the antibiotics"... with whatever this "Prodance" thing is. I did try researching all types of antibiotic-impregnated cements, but no luck there either.
yes! doctor corrected himself and I thought it was part of the sentence. Thanks!
Subject: yes! doctor corrected himself and I thought it was part of the sentence. Thanks!


Thank you. That is what I thought, but this doctor comes up with totally different sounding words.TY
Subject: Thank you. That is what I thought, but this doctor comes up with totally different sounding words.TY


Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an
Subject: Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an

experience is, it lacks credibility especiall when you base it on YOUR experience.  Who are you?  How much experience do you actually have?  What kind of experience do you have?  How many diabetic patients have you encountered in your years of experience?


You can't expect to make a sweeping generalization like "all diabetics have hypertension" and not get called out on it.  Come on!  Know your place.  Arrogance is an unattactive personality trait.


nope, doctor spells it out: T-A-S-A-N. Thought maybe got one of the letters wrong, like P instead of
Subject: nope, doctor spells it out: T-A-S-A-N. Thought maybe got one of the letters wrong, like P instead of


Plain, as in plain-old x-rays.
Subject: Plain, as in plain-old x-rays.

There are times they mention certain planes, but that's not what they are talking about here.
Speaking of QA, here's one for ya'...sm
Subject: Speaking of QA, here's one for ya'...sm

Last line of the report, dictating physician says "I will page Dr. so-and-so and discuss with him."  The title "Dr." was inadvertantly left out (mybad), admittedly an error from typing too fast and didn't catch it.  QA pulled this report and marked it as a "critical error affecting document integrity."  I appealed the ruling arguing that it should be considered merely as a typo as document integrity as it pertains to accurate documentation of patient health care (which is what these documents are for) and proper transcription style had not been affected in any way.  QA board upheld the ruling implying in their reasoning that the doctor could be offended, i.e., his ego could be bruised, by failing to transcribe the title he worked so hard to achieve. 


Your thoughts - typo or critical error affecting document integrity?


Speaking of numbers...
Subject: Speaking of numbers...

What are the rules according to AAMT BOS on spelling out numbers in reports. If doc says...Patient has had headaches for the past two days...do I spell out two or do I put a number 2?

Thanks for your help.
Generally speaking (sm)
Subject: Generally speaking (sm)

affect is a verb and effect is a noun. There are only 2 exceptions - when affect is used in psych reports referring to their general attitude and when effect is used as a verb meaning "to bring about" as in "to effect a change in someone". Try to keep it simple.
speaking of misspelled, LOL nm
Subject: speaking of misspelled, LOL nm

nm
Speaking of presumptive
Subject: Speaking of presumptive

You made an assumption that I made my comment based on my "moral compass."  You are the one being presumptive.  As it so happens, I became an MT because the job I used to have did not allow me to go back to school.  I recently got my second bachelor's in psychology, graduating summa cum laude I might add, and have been accepted to grad school for school psychology at one of the most competitive schools in the state.  So I beg your pardon but the information I gave is not my moral compass.  It comes from the extensive education I have received.  In addition, I have experience working with kids with developmental delays and my best friend growing up had autism.  I assure you if a doctor used that word with some of my friends who have children with disabilities, not only would the doctor get an earful so would the AMA.


Thanks. That has to be it. He has a little speaking dyslexia going on. (nm)
Subject: Thanks. That has to be it. He has a little speaking dyslexia going on. (nm)


Visually speaking, I like q.8h.
Subject: Visually speaking, I like q.8h.


Is he spanish speaking?
Subject: Is he spanish speaking?

the word sin in Spanish means without.


If she is speaking REALLY fast...
Subject: If she is speaking REALLY fast...

she may be saying parenteral nutrition.
Is he speaking really fast??
Subject: Is he speaking really fast??

Follicular maybe
Maybe, if speaking really fast...
Subject: Maybe, if speaking really fast...

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podiatrist speaking PARIOSALIVATOR?
Subject: podiatrist speaking PARIOSALIVATOR?

borders of the right great toenail were freed from their underlying attachments to the nailbed with a  S/L PARIOSALIVATOR.. 


Any help - please? 


Dr speaking fast...am I hearing this right?
Subject: Dr speaking fast...am I hearing this right?

(In review of systems)


NECK: Supple without mass.  ABDOMEN: Soft.  He does have some epigastric discomfort.  No hepatasplenomegaly, S/L mass appreicated, no guarding rebound.


am I hearing this right....if not any ideas?


volar? positionally speaking of course.
Subject: volar? positionally speaking of course.


total guess: trouble speaking? nm
Subject: total guess: trouble speaking? nm


Speaking of Whitney, despite it all, I hope she makes the
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biggest come back ever.  Her voice is phenomenal.  She is one of the very few people (less than 3% in the U.S. and Europe) who have perfected pitch.
Speaking of ears clogged with cerumen, are there
Subject: Speaking of ears clogged with cerumen, are there

any ENT MTs who know if there is another product, other than Debrox, or Cerumenix (which was by RX only, but discontinued) to remove chronic earwax, other than going to the ENT to have them irrigated and removed with a curette?


I can't seem to find any drug on the market; prescription or otherwise, other than those mentioned above, which were of no benefit.


Your help is greatly appreciated.  Thanks.


In PE of the Ears saying TMs are s/l purligurd?
Subject: In PE of the Ears saying TMs are s/l purligurd?

I would think it is herald unless he is speaking of a person with the name Herold, which I doubt.
Subject: I would think it is herald unless he is speaking of a person with the name Herold, which I doubt.


Thanks everyone. This guy is a real trip. Never heard such horrible speaking skills!
Subject: Thanks everyone. This guy is a real trip. Never heard such horrible speaking skills!


If I'm not 'speaking' clearly it is because I've had to listen to this mush mouth, speed talker for the past 8 hours and am only about 3/4 done with my quota.  I've never had so much trouble... even my ESL doctor makes better sense than this guy.


speaking of recurrent thyroid cancer..so in that area the intra-media-sty-num sm
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plain x-ray.
x
plain x-ray
Thank you!
no it is not 5-0 plain
Subject: no it is not 5-0 plain

a
was going to say 3-0 plain nm
Subject: was going to say 3-0 plain nm

x


? 5-0 plain (no msg).
Subject: ? 5-0 plain (no msg).


Plain.
Subject: Plain.

Free from obstructions. Simple.
Plain is it :) nm
Subject: Plain is it :) nm

nm
plain x-ray
Subject: plain x-ray

plain old x-ray
plane/plain x-ray
Hi... what is the proper spelling/term of plane x-ray.... is it plain x-ray or plane x-ray?  Thanks for any help.   -- Vicki
It is plain x-rays.
Subject: It is plain x-rays.


Usually plain x-rays are for example
Subject: Usually plain x-rays are for example

But, there is a such thing as x-rays taken in the frontal plane, for example.  So, I guess it depends on how it is used in a sentence.
0 (zero) plain suture? nm
Subject: 0 (zero) plain suture? nm

.
plain is correct. nm
Subject: plain is correct. nm

x
plain or plane
Subject: plain or plane

for x-ray films?


 


TIA


 


Tina


Thanks but not that one. He is fairly plain..
Subject: Thanks but not that one. He is fairly plain..

Filling in for friend who is sick, easy local doc but he is so country first sounds like Mini second sounds like Amini but definitely mini
Plain film x-ray?
Subject: Plain film x-ray?

What type of study is he dictating?
maybe plain angiograms
Subject: maybe plain angiograms

(like plain films)??
Plain films
Subject: Plain films


plain NuGauze ??? (nm)
Subject: plain NuGauze ??? (nm)


he's definitely saying nichimycosis plain
Subject: he's definitely saying nichimycosis plain

But then he makes up words quite often.  Thanks
s/l wheel of plain lidocaine? TIA nm
Subject: s/l wheel of plain lidocaine? TIA nm

x
plane vs plain xrays
Subject: plane vs plain xrays

I informed him that I need to see a copy of this MRI and we need to obtain some plane x-rays of his left shoulder as well . . .


 


Plane or plain?


not just plain old silver nitrate? nm
Subject: not just plain old silver nitrate? nm