Out in the real world, it is according to
Posted By: lt on 2008-12-10
In Reply to: Confused MT Student - Dana
Subject: Out in the real world, it is according to
how the client prefers. If you are being marked down for not putting them, then I would go ahead and add them if you cannot get an instructor to let you know one way or the other. Sometimes the docs do dictate vital signs separate from the PE, and unless you have been told to move them under the PE heading, then I would leave them as dictated.
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I found Real-Time, Real-time, real-time ultrasound...
Subject: I found Real-Time, Real-time, real-time ultrasound...
nm
world help
Subject: world help
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need world help
Subject: need world help
Cystectomy with an s/l *ileal conduit prostate* for bladder cancer.
in my world ---
Subject: in my world ---
Xeroform gauze, Fluffs (capitalized) and a dry sterile dressing were applied. (I could be wrong, too)...
WW2, World War II?
Subject: WW2, World War II?
I would much rather type The Greatest Generation, but you know... This is the 3rd time I've gotten it in just the past week. Can't remember how to type it! Tks.
I would say World War II
Subject: I would say World War II
nm
What in the world....???
Subject: What in the world....???
I've never heard of that. 
That's the world of an MT!
Subject: That's the world of an MT!
Constantly changing. Just as you think you have something down pat and in your brain, someone tells you a new way! lol
For all I know, this has changed again since January at my last update. :)
Small world...
Subject: Small world...
I used it for fever blisters, too! YUCK!!!!
THAT would rock my world!
Subject: THAT would rock my world!
Are you kidding me? Gas, out of either end of the dictator, would so make my night! I LIVE for that kind of entertainment!
why in the world are you YELLING??
Subject: why in the world are you YELLING??
/
what in the world is that symbol? Should be 0 nm
Subject: what in the world is that symbol? Should be 0 nm
x
How in the world do they expect us to know??
This guy does not finish his sentence.. How am I to know what he means??
Sentence is... Previous career was as a cabinet and working in a mill. A cabinet What? maker, salesman, ???..apparently he was a cabinet.. lol
What in the world is this word??
Subject: What in the world is this word??
He demonstrates full range motion of his neck without pain or _________ ("shesfind") tenderness to palpitation.
Could it be scafley tenderness?
try emedicine dot com (world library)
Subject: try emedicine dot com (world library)
Really, I'm in Nokomis. Small world.
Subject: Really, I'm in Nokomis. Small world.
Mandimt - very small world
Subject: Mandimt - very small world
I am helping with a fundraiser for Denise Amber Lee and one of the ladies I met online during this is bestfriends with a prior co-worker of mine. She is still there, I am the one who left. That is a small world too! = )
And yet it would be wrong in the rest of the world. Go figure.
Subject: And yet it would be wrong in the rest of the world. Go figure.
.
Depending on age of patient,, maybe anxiety about world issues
Subject: Depending on age of patient,, maybe anxiety about world issues
xx
Petioles in the plant world means it's on a stalk. Might be applying it here instead of saying
Subject: Petioles in the plant world means it's on a stalk. Might be applying it here instead of saying
s
try using 1/12,000, not real sure though
Subject: try using 1/12,000, not real sure though
it's real-time NM
Subject: it's real-time NM
Okay, here is my real response
Subject: Okay, here is my real response
What is the basis for any jealousy here? That concept baffles me. You obviously spent a lot of time into the events of today and I would suggest an alternate outlet...like a l-i-f-e. I do not always come here to flame or denigrate others. That you consider me trouble is of no consequence to me. I have no concern for how my posts are perceived and when I post, I'm usually my ADD and dyslexic self with multiple lines of thinking bouncing around in my head at the same time. I do not self check my grammar or spelling. I'm happy with my QA score of greater than 99.5% monthly because when I work, I allow no distractions. Before I was out of high school, I had the skill set I needed that today's poster lacked and that you commented on as a general rule for all newbies.
If you do not understand my point, that is your failing, not mine. Others have repeated my point so I hope it is a bit more clear to you by now. I will not "leave this newbie" alone (not that I now have a vendetta against her/him now) but you hold no power over my actions, just as I have none over yours. I feel no threat from you, do not feel diminished by you and feel sorry that you are so worked up over today's events.
I had no one to ask questions of at all when I entered MT as I came in as the MT supervisor with years of experience in being a records auditor. When I went home and entered the acute care arena, I had more books than I could count, with my favorite being "A Syllabus for the Surgeon's Secretary" (first published in the 50s). I didn't make a lot of money my first year at home but every report was superior to those of the other MTs on the account. I feel today's newbie has no excuse for not being able to find many of the answers to many of the issues that were addressed today other than by posting entire reports for strangers who may only think they are qualified to answer. Asking for QA help on entire reports is a crap shoot. On a forum where no one knows who anyone really is in real life, you can easily get crappy help anot not know the difference. Your mileage may vary.
I hope you find some peace and a healthy outlet for your frustrations.
a real stumper
Subject: a real stumper
Dr. just dictated thoracic *s/l cervingeal *s/l myedia
Any suggestions please? Thanks!
Hmm, I liked the first one better. Think it should be real word. :)
Subject: Hmm, I liked the first one better. Think it should be real word. :)
xx
Medication: S/l Ram a fa real
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Is this a real word? sm
Subject: Is this a real word? sm
She is describing some symptoms possibly consistent with ADHD. We discussed the differential diagnosis and possibly overlap of S/L: subsymptoms between anxiety and ADHD and possibly that these were comorbid disorders.
I cannot find subsymptoms as a legit word..
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Doc say this a lot but isn't a real word.
Subject: Doc say this a lot but isn't a real word.
I transcribe decubitus ulcer(s) when I hear decubiti.
is that a real word though?
Subject: is that a real word though?
I can't find a definition for gammaglobulinemia in Stedman's or online anywhere...pardon my stupidity here, but is it even a real word??? (maybe I'm just bleary eyed and am not seeing it!) Help!
Help please....Is this a real drug or not....
Subject: Help please....Is this a real drug or not....
S/L propoxycet. I was thinking some form Darvocet or Percocet? Thanks lots.
Is oxybutin a real drug?
Subject: Is oxybutin a real drug?
I got a lot of hits on google, but couldn't find anything official.
you found both in a real dictionary?
Subject: you found both in a real dictionary?
x
no, don't dump on yourself - you did REAL good!
Subject: no, don't dump on yourself - you did REAL good!
 Really - you did great - you figured it out on your own. Clostridium difficile!! GREAT...shows me just how resourceful you ARE!!!
         
real definition inside.........sm
Subject: real definition inside.........sm
Definitions of peau d'orange
A dimpled condition of the skin of the breast, resembling the skin of an orange, sometimes found in inflammatory breast cancer.
Thanks. I feel real stupid now. I probably need
Subject: Thanks. I feel real stupid now. I probably need
xx
Is this a real medical term???
Subject: Is this a real medical term???
adenotonsillitis.
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Is he saying albuterol real fast?
Subject: Is he saying albuterol real fast?
nm
Ortho - This is a real mystery s/l -
Subject: Ortho - This is a real mystery s/l -
Knee pain status post skiing injury, open reduction and internal fixation with tibiofemoral bone grafting. Subsequent collapse and valgus deformity.
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Impression: Osteoarthritis.
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Peristolsing??? Is this a real word?
Subject: Peristolsing??? Is this a real word?
Real word, or should I rearrange the sentence to read peristolsis?? "Ureters were peristolsing bilaterally."
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You, manibanana,are a real hoot!
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mesophytic a real word???
Subject: mesophytic a real word???
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This is a real stretch but, how about canthus? sm
Subject: This is a real stretch but, how about canthus? sm
I have a friend with dry eyes who does a lot of computer work. She had collagen plugs put into the tear ducts in the inner corners of her eyes. Her eye doc did it. Like I say, this is a stretch.
Is calcitrate a real word?
Subject: Is calcitrate a real word?
Or is my dictator mispeaking and I should edit it to Caltrate?
If calcitrate is an actual product name, is it generic, brand name, or OTC?
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A real stretch.....Synagis? nm
Subject: A real stretch.....Synagis? nm
nm
This is a real stretch...but could it be commissure? sm
Subject: This is a real stretch...but could it be commissure? sm
(n.) A collection of fibers connecting parts of the brain or spinal marrow; a chiasma.
(n.) A joint, seam, or closure; the place where two bodies, or parts of a body, meet and unite; an interstice, cleft, or juncture.
(n.) The line of junction or cohering face of two carpels, as in the parsnip, caraway, etc.
(n.) The point of union between two parts, as the angles of the lips or eyelids, the mandibles of a bird, etc.
is 'neurospine'a real word?
Subject: is 'neurospine'a real word?
Hi all,
I have need of your collective wisdom today.
I ran into a dictator fond of the word 'neurospine.' Where I am now they frown on slang, so I am trying to find out if this is a real word or a doctor-convenient contraction of some sort.
Thanks in advance for any assistance,
Skye
#3 myomatosis is a real word.
Subject: #3 myomatosis is a real word.
#4 cystadenoma is one word. I don't know about #2 yet.
I found it, it was right the real word is macrosomic thank you
Subject: I found it, it was right the real word is macrosomic thank you
or supraclavicular and axillary (real fast)? nm
Subject: or supraclavicular and axillary (real fast)? nm
nm
Just a real wild shot in the dark and
Subject: Just a real wild shot in the dark and
a real oldie, haven't seen it around since the '70s, used to do them on peds for sugar screening, but could have maybe been short Dexi for Dextrostix. For all I know there are still some places and emergency services, etc. that still use it. Gave it away on that one but ya never know, maybe places still using leftovers from the 70s...
for a straight consult rep and not real letter
Subject: for a straight consult rep and not real letter
but it DOES depend on the client profile/preference like the other poster said.....I get this format all the time in REAL consult reports (not letters) and I just type *Dear Dr. Smith* - I have just seen your patient....blah blah (can usually go under reason for consult or HPI) and then do my headings as dictated.
Good question, though!
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