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Never mind! I'm tired and making no sense! Thanks for the help!

Posted By: MSmt on 2009-03-10
In Reply to: I am somewhat new at this so forgive this dumb question . . - MSmt

Subject: Never mind! I'm tired and making no sense! Thanks for the help!




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sorry that should be making up a word not work. tired.
Subject: sorry that should be making up a word not work. tired.

.
making sense of punctuation...
Subject: making sense of punctuation...

I will type this exactly as said. Any help with punctuation would be greatly appreciated.

The pain is rated as severe it is burning tingling it is constant worse with walking better with rest. TIA.
either I am really tired or
Subject: either I am really tired or

In reviewing imaging, he states "X-rays, AP and lateral **flikes**, T10-S1 shows solid arthrodesis. 


Later he is talking about exercises and states " leg exercises including crunches, leg lifts in a supine position, extensor exercise in the prone position, wall slides, and **lunches**.


 


I have listened to these several times, slowed it down, and this is still what I am hearing.   Thanks for any help!


Thanks so much. I am tired right about
Subject: Thanks so much. I am tired right about

now and have 1 more hour to go.
That is it! Tks, getting tired
Subject: That is it! Tks, getting tired


that's it thanks, I am really tired!!!
Subject: that's it thanks, I am really tired!!!

I noticed the sparing was wrong and yes it is the breast. Thanks again--so much...
I know I know, you are probably tired of seeing me
Subject: I know I know, you are probably tired of seeing me

I am so sorry, I promise I will get better with time


Does anyone have any suggestions for these two words?  I have typed them like they sound but can not figure them out.


...pending membranes are clear, no (listable) or spontaneousness (nisstagness) is recognized...


Sorry, the FDF should be FDS... I'm tired.
Subject: Sorry, the FDF should be FDS... I'm tired.


Thanks - tired in Ohio
Subject: Thanks - tired in Ohio


Thanks to you both.. it's late, I'm tired and
Subject: Thanks to you both.. it's late, I'm tired and

Merry Christmas and Happy Hannukah!


Yes, that's it. Thanks. I'm tired today :( nm
Subject: Yes, that's it. Thanks. I'm tired today :( nm

x
been typing all day, tired and cannot think
Subject: been typing all day, tired and cannot think

I know this is stupid and I have typed it a million times but I am so tired right now I can't even think.  He says .... Myospan 500 mg ..... ?  Thanks. 
Sorry meant SVT (a bit tired here)
Subject: Sorry meant SVT (a bit tired here)


Yes Fissure! I'm tired. Thanks!
Subject: Yes Fissure! I'm tired. Thanks!

Why didn't I remember that?  Thanks so much.  It's late and my brain is not working this evening. 
Nevermind, I got it. VVI...duh. just tired. nm
Subject: Nevermind, I got it. VVI...duh. just tired. nm

x
Confused and tired....
Subject: Confused and tired....

Doc says the patient was given a stool ....s/l wax... to complete and return. 


The only thing I have heard of is like stool cards but he is not saying cards.  Any suggestions?


Thanks.


nighthawks??? okay i am really tired.
Subject: nighthawks??? okay i am really tired.

CAT scan was read initially by NIGHTHAWKS??? as what appears to be mid to distal mechanical small bowel obstruction.  Could he mean the night shift?  and referring to them as nighthawks???
help! tired and can't figure this...s/l endricose
Subject: help! tired and can't figure this...s/l endricose

Status post-echo, revealing LVH and mild mitral s/l endricose regurgitation.



 


drug help! Too tired...s/l Tilltize??
Subject: drug help! Too tired...s/l Tilltize??

Hypertension; well controlled with s/l Tilltize MSR, 180 and HCTZ 25 mg. 


plowshare effect - too tired to think (NM)
Subject: plowshare effect - too tired to think (NM)

x
Might be semifluorinated alkane, but I'm too tired to
Subject: Might be semifluorinated alkane, but I'm too tired to

s
yep, i am having one of those days too. Getting tired fingers. NM
Subject: yep, i am having one of those days too. Getting tired fingers. NM


Getting tired and really cannot hear him or make out what he is saying but here it goes... S3 S4 s/l
Subject: Getting tired and really cannot hear him or make out what he is saying but here it goes... S3 S4 s/l

(heaves)???, thrills and rubs.
Nevermind, its late and I'm tired..lol...
Subject: Nevermind, its late and I'm tired..lol...

It was PE - pulmonary embolism!!


Ct of abdomen and pelvis...please help, tired and can't think Tx
This is a CT of the abdomen and pelvis. talking about abdomen..No free fluid in the abdomen. No "free incher", no air.  Sounds like 'Free incher"
position sense and vibratory sense is intact? Hear that a lot. nm
Subject: position sense and vibratory sense is intact? Hear that a lot. nm


Oops, should be "believe", too tired and its late...nm
Subject: Oops, should be "believe", too tired and its late...nm

x
sounds like hypercater -- tired and can't think anymore
Subject: sounds like hypercater -- tired and can't think anymore

Doc says:


Under sterile conditions, Xylocaine with epinephrine 0.5 ml injected subcutaneously.   ....s/l hypercater applied set on 10 for desiccation.  A dermabrasion blade was used to excise the wart ..............


 


Thanks. 


 


sorry, maybe he's making it up, don't know.
Subject: sorry, maybe he's making it up, don't know.

x
Don't you all get tired of cross-examining these people for details? NM
NM
Jeez you're right. I'm tired, time to quit.
Subject: Jeez you're right. I'm tired, time to quit.

Thank you.
Nope but I never get tired of hearing it, (kids don't say it anymore!)
Subject: Nope but I never get tired of hearing it, (kids don't say it anymore!)


s/l tired white blood cell study
Subject: s/l tired white blood cell study

s/l tired white blood cell study. This is in a patient with chronic wound infection. Not used in any context, just dictates will send copy of s/l tired white blood cell study.


OB/GYN s/l sadderdick (for stenotic cervix), on the tip of my tongue, tired, help please
Subject: OB/GYN s/l sadderdick (for stenotic cervix), on the tip of my tongue, tired, help please

I know this and is on the tip of my tongue... Sounds like "sadderdick" placement. Patient is having OB/GYN surgery but has a stenotic cervix. Could somebody help me? Gosh, tired.


 


Thanks!


Neck exam: Negative for a s/l cow's node. Help, I'm tired!!
Subject: Neck exam: Negative for a s/l cow's node. Help, I'm tired!!


I am wondering if it is "tap sense". Does that make sense?
Subject: I am wondering if it is "tap sense". Does that make sense?


I'll bet he's making a new (sm)
Subject: I'll bet he's making a new (sm)

word here. Waddell's test is an exam used to determine if someone is faking pain. If the patient has exaggerated complaints of pain it is a positive Waddell's.
Sounds like QA is making much ado about nothing.
Subject: Sounds like QA is making much ado about nothing.


thanks that is it, I was making it harder than what it was!!!
Subject: thanks that is it, I was making it harder than what it was!!!


Making progress
Subject: Making progress

He said the first 3 letters again and spelled them:

I, B as in Bictor (meaning V as in Victor), F Laboratory.

So now we have IVF icksee Laboratory.
ESL making me nuts
Subject: ESL making me nuts

I was taught to never change a transcription, even if it's blatantly wrong.  I would leave as dictated and leave a note for the doctor (if you have a place to do it)


making a little progress
Subject: making a little progress

with this one, thanks to your answers... still hearing something like "Pradus" but instead of obturate, was saying on THE RIGHT. definitely NOT piriformis or sure does not sound like it, then goes on to gluteus medius and maximus.
thank you, think doc was making up the word...nm
Subject: thank you, think doc was making up the word...nm

x
know how the docs are... making up as they go sm
Subject: know how the docs are... making up as they go sm

They are two separate ligaments but he is probably putting them together.
2 more (I think doctor is making this up as he goes along!)
Subject: 2 more (I think doctor is making this up as he goes along!)

What is FUV1, used along with FEV1??  Never heard of it and cannot find.  Also he also states FVC as being forced ventiltory capacity, which I know is called forced vital capacity; wonder if I should transcribe a non-word. 
Thanks! He is always making up his own words!!
Subject: Thanks! He is always making up his own words!!


Thanks but no..making sure she is clearly pronouning with an L. nm
Subject: Thanks but no..making sure she is clearly pronouning with an L. nm

x
I am merely making a suggestion
Subject: I am merely making a suggestion

as to what a doctor MAY be dictating. Doctors make mistakes all the time. It is up to the individual MT to check out the validity of any info they ultimately transcribe. That's what I would do. Any MT who transcribes a "suggestion" should not be working as an MT. ;-)
I think he is making this stuff up. sm
Subject: I think he is making this stuff up. sm

I've gone to every medical website I can find. I have "asked the experts" on various medical websites. Even doctors can't find it! Thank you all for trying. If I come up with anything before I'm 99 years old, I'll post it.
I was ready to send to QA. Now I'm just laughing at my dumb self. :) I'm sooo tired...
Subject: I was ready to send to QA. Now I'm just laughing at my dumb self. :) I'm sooo tired...


I was NOT the poster making those comments!
Subject: I was NOT the poster making those comments!

I did not make those comments to those posters. As I said, I was making an observation. I give up!