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I went ahead and flagged it even though

Posted By: hmmm on 2006-02-17
In Reply to: I'd flag it. You don't know which one - they actually messed up. nm

Subject: I went ahead and flagged it even though

he never again mentions the left tonsil.  Even at the end of the dictation when he says the plan is to rule out a right peritonsillar abscess.  Same thing he said in chief complaint, except there he said "left".  Oh well....I flagged it and I'll let QA make the change.


Thanks for the advice.




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That may be it, went ahead and flagged it though thank you
Subject: That may be it, went ahead and flagged it though thank you

x
It might have been but I went ahead and put it through.
Subject: It might have been but I went ahead and put it through.

I've asked for feed back and hope I get it. thanks for your help.
TY - I got a little ahead of
Subject: TY - I got a little ahead of

it was not tpyed that way in the real doc. = )
I would go ahead and put Elder Abuse...
Subject: I would go ahead and put Elder Abuse...

a lot of states have this to report elderly people who are being abused by family, etc.
That's a possibility, but I'm not sure. I had to go ahead and send. Thanks!
Subject: That's a possibility, but I'm not sure. I had to go ahead and send. Thanks!


I went ahead and sent it with a blank. It was STAT. Thanks-
Subject: I went ahead and sent it with a blank. It was STAT. Thanks-

nm
and it isn't epidermidis....thanks anyway ahead of time :)
Subject: and it isn't epidermidis....thanks anyway ahead of time :)


and it isn't epidermidis....thanks anyway ahead of time :)
Subject: and it isn't epidermidis....thanks anyway ahead of time :)


Just go ahead and leave a blank. With
Subject: Just go ahead and leave a blank. With

foreign accents sometimes it is only a guess and not worth guessing wrong.
that's a Coumadin dosage, not INR, wonder if the doc is getting ahead...sm
Subject: that's a Coumadin dosage, not INR, wonder if the doc is getting ahead...sm

of himself about doing an INR level to make sure the Coumadin is therapeutic, not too much and not to little.  The INR level should be between 2-3 for most labs.  Sounds like he meant to say Coumadin, and may later on in the dictation talk about getting an INR level.  Hope this helps! 
yeah - I was thinking that myself, but I could never confirm it. I just went ahead and sent it to
Subject: yeah - I was thinking that myself, but I could never confirm it. I just went ahead and sent it to

QA, but thank you for your help.


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. 
oops - fingers got ahead of me -- s/b "diseases"
Subject: oops - fingers got ahead of me -- s/b "diseases"


Does it sound like he is saying "constitutional" instead of correction ahead?
Subject: Does it sound like he is saying "constitutional" instead of correction ahead?


No I'm actually not rude...but go ahead and keep telling yourself that if it makes you feel bette
Subject: No I'm actually not rude...but go ahead and keep telling yourself that if it makes you feel better.

Why don't you go read through your posts, they don't sound very friendly to me.
Neuroforaminal versus neural foraminal (warning: rant ahead)
Subject: Neuroforaminal versus neural foraminal (warning: rant ahead)

I know this has been discussed before, but I have never typed anything except "neural foraminal," and when I first started with this particular account, all the templates had "neural foraminal stenosis" as one of the headings on the spine CTs and MRIs.


Now the "billing and coding specialist" who is in charge of the account (and who is obviously not a trained transcriptionist - she typed "flebolith" on one report I saw), has changed all the templates to "neuroforaminal," and when I just changed them back, she sent me a nasty little note saying "Don't change the templates."


Well, you should have seen the sorry state the templates were in when I started here. I have spent hours of my OWN time (I am paid by the line) not only cleaning up the templates but also standardizing the naming of the templates so that they can be found easily using the wild card notation.


I am tempted to send an email back saying, "Okay, I'll leave them that way, but 'neuroforaminal' is incorrect" but I am leaving this account as soon as they have my replacement trained.


In fact, I just sent it. I'm leaving, got nothing to lose, and actually have more work than I can comfortably handle right now. I really wish she would tell me she didn't need me any more.


Oh, I just got her reply: "Actually, no it is not [incorrect].  That is how it was always spelled before we hired ____________ [MTSO] and that is how all of the rads wanted it spelled."


So be it.


flagged it for QA nm
Subject: flagged it for QA nm

x
Thanks for looking, I flagged for QA. nm
Subject: Thanks for looking, I flagged for QA. nm

nm
Flagged for QA, thanks for looking.
Subject: Flagged for QA, thanks for looking.


I flagged this one.
Subject: I flagged this one.


ty for trying, I flagged out :)
Subject: ty for trying, I flagged out :)


She said it twice so I am sure. I flagged it. nm
Subject: She said it twice so I am sure. I flagged it. nm

.
Thanks for the help. I flagged it. NM
Subject: Thanks for the help. I flagged it. NM

x
I definitely would have flagged it, too. Not sure why
Subject: I definitely would have flagged it, too. Not sure why

they chose to keep the text as it was - maybe thinking that "technically" he is not a drinker right now because he is in rehab - doesn't make much sense to me.
I flagged this one but will let you know - thank you - nm
Subject: I flagged this one but will let you know - thank you - nm


Thanks...I did think of that too...that's one of the reasons I flagged it.
Subject: Thanks...I did think of that too...that's one of the reasons I flagged it.

/
Thanks for the help...I had to send it, so flagged it.
Subject: Thanks for the help...I had to send it, so flagged it.

WAG!  Funny!  
I flagged it for my QA, so I'll see what she says. Thank you for all the help!
Subject: I flagged it for my QA, so I'll see what she says. Thank you for all the help!


possibly, but I flagged it. tx!
Subject: possibly, but I flagged it. tx!

x
It didn't s/l that either, so I flagged it! thank you anyways!
Subject: It didn't s/l that either, so I flagged it! thank you anyways!

xx
Thanks. I had to turn it in flagged.
Subject: Thanks. I had to turn it in flagged.

But I'll save the word for next time.
No wasn't Lamisil. I flagged it. Thanks though. nm
Subject: No wasn't Lamisil. I flagged it. Thanks though. nm

nm
oh - good suggestion. I already sent and flagged it.
Subject: oh - good suggestion. I already sent and flagged it.

that may have been it.

thanks!


I finally flagged it and turned it in sm
Subject: I finally flagged it and turned it in sm

Hopefully next time he says it he will either say it more plainly, spell it, or whatever. I will post it when he does.


Thanks very much to everyone for their help! 


Thank you both. I left a blank and flagged.
Subject: Thank you both. I left a blank and flagged.


I feel sure that is it but I had to send it in. I flagged it. Thanks nm
Subject: I feel sure that is it but I had to send it in. I flagged it. Thanks nm

!
thanks guys I flagged it and sent it in already. I could not find it anywhere, however I will not
Subject: thanks guys I flagged it and sent it in already. I could not find it anywhere, however I will not forget it now!


I think it is leaflet, I flagged it, just in case, thanks.
Subject: I think it is leaflet, I flagged it, just in case, thanks.

xx
I flagged it, because I think he made a mistake.
Subject: I flagged it, because I think he made a mistake.

I think he meant McMurray, but he was clear in NOT saying that.  Thanks anyways and I really appreciate that list!  Great resource!
I flagged it... almost sounded like medial borders, but not really...sm
Subject: I flagged it... almost sounded like medial borders, but not really...sm

first week on the job so I'm still on full editing, which helps.
I just could not hear purulent, suppurative, etc. I flagged it. Thx! nm
Subject: I just could not hear purulent, suppurative, etc. I flagged it. Thx! nm

..
Thanks so much for looking. I searched everywhere. She was loud and clear so therefore I flagged it
Subject: Thanks so much for looking. I searched everywhere. She was loud and clear so therefore I flagged it as it was a stat and had to move along.

I thank you for your time.
Thanks for trying...I flagged it. Says cure-all pretty clear
Subject: Thanks for trying...I flagged it. Says cure-all pretty clear


No, in fact he spelled it, but I just flagged and questioned it. Thx. nm
Subject: No, in fact he spelled it, but I just flagged and questioned it. Thx. nm


Thanks for trying. Its a mumbler lady neurosurgeon, so it gets flagged. Too long of a day!
Subject: Thanks for trying. Its a mumbler lady neurosurgeon, so it gets flagged. Too long of a day!


Yes! that could be it. I already sent it in and flagged it, but I'll make note of this for futur
Subject: Yes! that could be it. I already sent it in and flagged it, but I'll make note of this for future. This doc doesn't finish words completely so driving me crazy.


Thanks everyone. I ended up going with edematous paretic, but flagged for review just in case...
Subject: Thanks everyone. I ended up going with edematous paretic, but flagged for review just in case...

nm