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I transcribe it step-offs. nm

Posted By: oldtimer on 2008-02-27
In Reply to: Ankle pain, strain, etc. - Siren

Subject: I transcribe it step-offs. nm

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step-offs I think
Subject: step-offs I think


No step-offs. You will hear that a lot with fractures etc.sm
Subject: No step-offs. You will hear that a lot with fractures etc.sm

as per my old Stedman's Ortho and me, old ortho person here, before so many  hyphens etc. so I have to look things up to get things right for you guys.
I would use step-offs. Think they want anatomy here and not the name of something. JMHO. nm
Subject: I would use step-offs. Think they want anatomy here and not the name of something. JMHO. nm

s
cardio s/l clad offs??
Subject: cardio s/l clad offs??

There were "clad offs" to the right coronary artery - cardiac catheterization. 
IBD First Step
Subject: IBD First Step

Helps to diagnose patients with inflammatory bowel disease.

More info can be researched: www.prometheus-labs.com (Product Listing)

(IBD FIRST STEP)
s/l New Step
Subject: s/l New Step

She has been doing aquatherapy, treadmill and ______(s/l newstep) with very little decrease in her discomfort.
To take it a step further...
Subject: To take it a step further...

When you transcribe a CT or MRI, the radiologist may say "axial plane," "sagittal plane," or "coronal plane." That refers to the angle of the x-rays in relationship to the body (see illustration).
It looks like 21 mg for Step 1 (sm)
Subject: It looks like 21 mg for Step 1 (sm)

so this could be the dosage if the patient is just beginning the regimen.
step-off fxs would be correct
Subject: step-off fxs would be correct


That is it! I had to step away before I heard it.
Subject: That is it! I had to step away before I heard it.


What's the definition of a step off?
Subject: What's the definition of a step off?

 
Step-Down Unit
Subject: Step-Down Unit

 
s/l sacota step test
Subject: s/l sacota step test

help?
s/l veress step needle?
Subject: s/l veress step needle?

sounds like veress step needle?  Anyone got a clue?


step-stair test ??
Subject: step-stair test ??


yes she did...small step forward, I guess. nm
Subject: yes she did...small step forward, I guess. nm

nm
Never mind, found step-off fracture. nm
Subject: Never mind, found step-off fracture. nm

!
step-off is perfectly fine and in the Sted's. nm
Subject: step-off is perfectly fine and in the Sted's. nm

s
Patient was injured while doing a s/l step class.
Subject: Patient was injured while doing a s/l step class.

nm
Hehehe, I guess I was a step ahead of that
Subject: Hehehe, I guess I was a step ahead of that

I'm sorry,  Since I already have suprascript and subscript up on my tool bar, my instructions were what to do for O(subscript)2 so all you have to do is type O2 (normal script) and it changes automatically.  I don't like having to highlight the 2 and go up there and click the subscript button every time.  I would rather type O2 and let Word change it for me.    I try to get Word to do as much for me as possible.  I do this for cm squared, cm cubed, H2(subscript)0, etc. 
there's a "stair-step" that relates to ventilation.
Subject: there's a "stair-step" that relates to ventilation.


Step class, Jane Fonda once had a video of this....
Subject: Step class, Jane Fonda once had a video of this....


Fukuda step or stepping test. Google
Subject: Fukuda step or stepping test. Google

search will bring up lots. I remember this one because I rarely encounter it so wrote it in my little reminder notebook.
Spacuda step test? Vestibular eval
Subject: Spacuda step test? Vestibular eval

S/L spacuda step testing.  Football player with concussion after helmet-to-helmet hit, now complaining of dizziness and headaches. 


The sentence is:


"His *Spacuda?* step testing was intact."


She is doing dynamic balance testing on him.


Thanks! 


Type of endoscopy for bladder outlet obstruction...s/l Step...nm
Subject: Type of endoscopy for bladder outlet obstruction...s/l Step...nm


Pt with irritable bowel, tests includes s/l "IBA first step". Anybody heard of this? TIA. nm
Subject: Pt with irritable bowel, tests includes s/l "IBA first step". Anybody heard of this? TIA. nm

nm
Fukuda marching step test for symptoms of Meniere's, vertigo
Subject: Fukuda marching step test for symptoms of Meniere's, vertigo


Does this make sense...If her symptoms return "short order" then the next step would be surger
Subject: Does this make sense...If her symptoms return "short order" then the next step would be surgery.


Facuto step test?? ENT consult report? Any ideas on Fucato, ficato, facotto? Help! Thanks! nm
Subject: Facuto step test?? ENT consult report? Any ideas on Fucato, ficato, facotto? Help! Thanks! nm


how do you transcribe this??
Subject: how do you transcribe this??

Doctor says * cardiac-wise the patient is doing well *    OR  * GI-wise he has had, blah blah blah blah...


I personally do not like the phrase * dash wise *   The only way around it, seems to me, is to add a bunch more words like * as far as his cardiac condition is concerned * which does not sound like the dictator.


What do you do? 


I would transcribe it as pus-like...nm
Subject: I would transcribe it as pus-like...nm

nm
I transcribe it like so..
Subject: I transcribe it like so..

Last, First, M.D.  But, I why?  I just do.  I have never had a complaint.  But, I'll transcribe Last, Reverend First (pastor), or Last, Sister First (nun). 


need to know the right way to transcribe....
Subject: need to know the right way to transcribe....

the doctor says---discharge medications and patient is still on---  Do I type it like this?  DISCHARGE MEDICATION AND PATIENT IS STILL ON:  or do I leave all caps and headings out and start a new paragraph?
Thank you-Is that how I transcribe it
Subject: Thank you-Is that how I transcribe it

too?
Tib-fib, how to transcribe it? Thanks. NM
Subject: Tib-fib, how to transcribe it? Thanks. NM


That's how I transcribe it
Subject: That's how I transcribe it


How would you transcribe this?
Subject: How would you transcribe this?

I'm doing a report on a hip arthroplasty, and the doctor says the Secur-Fit shell was driven into place in approximately 4520 parameter based off the sciatic notch.


Is that 45 x 20 or 45-20 or just as I have it above?  I'm stumped!


How would you transcribe this?
Subject: How would you transcribe this?


 I have a doctor who keeps saying axillosubclavian brachiocephalic vein as if this is one vein he is referring to, but I think it has to be two, so how would you transcribe it when he lists the procedures performed as:


1. Right axillosubclavian brachiocephalic vein mechanical venous thrombectomy using the Trellis-8 device.


2.  Right axillosubclavian brachiocephalic vein balloon angioplasty using a 10 mm x 4-cm long balloon followed by 6 mm x 4-cm long balloon followed by 7 mm x 4-cm long balloon.


3. Supervision and interpretation of fluoroscopy for performance of right axillosubclavian brachiocephalic vein mechanical thrombectomy, thrombolytic therapy and balloon angioplasty.


He doesn't pause between the words axillosubclavian and brachiocephalic vein.  Should there be a dash between the two or the word and?


 


how would you transcribe this
Subject: how would you transcribe this

8 instances of property damage level 1, 27 episodes of major noncompliance,
I transcribe it as
Subject: I transcribe it as

bilateral eye, bilateral knee replacement.
Transcribe 5.3
Subject: Transcribe 5.3

nm
Here is how I always transcribe it (sm)
Subject: Here is how I always transcribe it (sm)

Gram stain and gram-negative/gram-positive. 
I would transcribe it exactly as you have it. nm
Subject: I would transcribe it exactly as you have it. nm

.
If that is what he says, that is what you transcribe.
Subject: If that is what he says, that is what you transcribe.

x
How would you transcribe this? (SM)
Subject: How would you transcribe this? (SM)

"Sublingual nitroglycerin 0.4 mg "q.5's" p.r.n. for chest pain."

Is it okay to leave as is?


Yes, transcribe as 4.0 (sm)
Subject: Yes, transcribe as 4.0 (sm)

If dictated as "four point oh," you would transcribe as 4.0.

The zero after the decimal indicates the precision of the measurement. In lab values, you would need to transcribe as dictated in order to avoid "changing" the measure.

If you transcribed it as 4, the reader would wonder what you left off. A zero in other locations might be optional or up to the preference of the facility, but not this one.






how do you transcribe this?
Subject: how do you transcribe this?

We will need some ongoing p.r.n.'s of the MSIR.
gotten - when a doc says this, what do YOU transcribe?
Subject: gotten - when a doc says this, what do YOU transcribe?


That is how I transcribe it too.
Subject: That is how I transcribe it too.

We try not to use all caps even if the manufacturer uses all caps.
How do I transcribe this?
Subject: How do I transcribe this?

The patient will return in four weeks/weeks' time.
How would you transcribe this?
Subject: How would you transcribe this?

"The patietn is a 59-year-old who presented yesterday with shortness of breath and a hypertensive urgency of 120 over approximately 120 blood pressure."


Would the last part be "120/approximately 120 blood pressure" or just spell everything out like I have it?


TIA!