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So the many docs that I type that say "toprolol" are just adding some flair? nm

Posted By: grace on 2007-06-22
In Reply to: So is it Toprolol XL or Toprol XL. I hear both all the time. - grace

Subject: So the many docs that I type that say "toprolol" are just adding some flair? nm




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docs i type for do use this word
Subject: docs i type for do use this word

/
IAnicteric is correct. Some docs, especially PAs like to say non-icteric. Type it according to
the accounts specific, ie. verbatim or whatever the doc wants, but anicteric is the correct word.

Adj. 1. anicteric - without jaundice; "anicteric hepatitis"
2. anicteric - not affected by jaundice


Doc says switch "Toprolol to atenolol". Is the Toprolol Toprol? nm
Subject: Doc says switch "Toprolol to atenolol". Is the Toprolol Toprol? nm


MRI- flair signal?/FLAIR signal?
Subject: MRI- flair signal?/FLAIR signal?


FLAIR signal
Subject: FLAIR signal

nm
FLAIR - fluid attenuation inversion recovery NM
Subject: FLAIR - fluid attenuation inversion recovery NM

/
Fluid-attenuated inversion recovery sequences or FLAIR nm
Subject: Fluid-attenuated inversion recovery sequences or FLAIR nm

:
just adding that...
Subject: just adding that...

obviously I'm tired when I can even spell "right" the right way and typed write.  I think it's time to punch out for the day!  Thanks again for any help!

Adding on to what I said before
Subject: Adding on to what I said before

Before she said "VFP" she listed "clobetasol and fluocinolone topically".  I thought she was moving on to the next thing, but maybe she was referring to those and saying "the (instead of V) FP's or SP's are .05%"  Anyone know what FP or SP would be, it sounds like she could be saying the prescription dose on those topical medications.  It seems to fit anyway.  Any ideas?


Thank you, he was throwing me by adding a "l" to the end of it. (nm)
Subject: Thank you, he was throwing me by adding a "l" to the end of it. (nm)


thanks, adding to my book!nm
Subject: thanks, adding to my book!nm

x
Yes. Thank you. I try to confirm before adding
Subject: Yes. Thank you. I try to confirm before adding


Adding words?
Subject: Adding words?

Sorry, don't understand what you're getting at. :-)
without adding words, you could sm
Subject: without adding words, you could sm

type it as anterior subluxation, 8 mm.
re: lipids adding (s/l five blade)?? TIA
Subject: re: lipids adding (s/l five blade)?? TIA


tyvm...adding to my reference! =) nm
Subject: tyvm...adding to my reference! =) nm


I solve it by adding "the" first
Subject: I solve it by adding "the" first

xx
I've never heard of "Toprolol XL" and I've been sm
Subject: I've never heard of "Toprolol XL" and I've been sm

doing this a looooooong time.
Thanks for clarifying! I don't remember adding any threads here--sm
Subject: Thanks for clarifying! I don't remember adding any threads here--sm

thought I may have had a neurological event!
4.2 thousand is example. Your adding a 0 makes it 42,000. Big difference.
Subject: 4.2 thousand is example. Your adding a 0 makes it 42,000. Big difference.


Adding apostrophe before year contraction
Hi friends,

Can anybody let me know which one is correct and more acceptable in this context:

Status post lumpectomy, July 17th, 07.

Status post lumpectomy, July 17th, གྷ.

Thank you very much in advance.

I wouldn't go adding words that are not needed.
Subject: I wouldn't go adding words that are not needed.

x
Way back in school, we were told to always put the 0s in to make it clear, just like when adding
Subject: Way back in school, we were told to always put the 0s in to make it clear, just like when adding

s
Consider adding an SSRI (selective serotonin reuptake inhibitor) at..nm
Subject: Consider adding an SSRI (selective serotonin reuptake inhibitor) at..nm

s
There is pneumobilia which is gas in the biliary tree (maybe doc is adding an extra sound?)
Subject: There is pneumobilia which is gas in the biliary tree (maybe doc is adding an extra sound?)


Oh, now she is adding she forgot to mention insomnia and low back pain (scream!) NM
Subject: Oh, now she is adding she forgot to mention insomnia and low back pain (scream!) NM

nm
Yep, it's okay. Docs say that often. nm
Subject: Yep, it's okay. Docs say that often. nm

x
Thanks...sometimes I think these docs should...
Subject: Thanks...sometimes I think these docs should...

type themselves for once and listen to some of the things they say. I bet they would think twice after that...:-)
Some docs
Subject: Some docs

actually dictate ABGs in this manner.  They say a number then slash then another number then slash, etc.  That is how they want it transcribed.  Just make sure your numbers are correct and you are set to go!
should say *my* docs
Subject: should say *my* docs


like the docs who are always ...
Subject: like the docs who are always ...

... putting "metatarsal" in the hand dictations. Plantar may be technically okay, but it seems like if he were more careful he would say palmar.
Our docs
Subject: Our docs

usually say normocephalic.
I have docs that use it
Subject: I have docs that use it

but my account is not crazy weird picky, either.  I haven't heard of it being unacceptable.  If it's worth your time, I'd question QA about it and ask her why she changed it. 
I have docs
Subject: I have docs

who add extra letters to lots of words, if it make them easier to pronounce. Kind of weird, but it happens.
Docs
Subject: Docs

make up lots of words...they make lots of mistakes (ergo malpractice insurance)...they even misspell lots of words. If we have to deal with their ineptness, they can deal with blanks. JMHO. :-)
With some docs..
Subject: With some docs..

that wouldn't be a stretch at all but a very good guess. :-)
It's not the docs I'm concerned about, or QA, when it comes to my...
Subject: It's not the docs I'm concerned about, or QA, when it comes to my...

work as an MT,
You don't add in mg or mcg, etc. unless it's dictated. The docs know
Subject: You don't add in mg or mcg, etc. unless it's dictated. The docs know

s
that's how my derm docs like it - sm
Subject: that's how my derm docs like it - sm

same with T zone.
ONLY if your QA, account, or docs want it to be so. Not everyone
Subject: ONLY if your QA, account, or docs want it to be so. Not everyone

s
The docs are correct. (nm)
Subject: The docs are correct. (nm)

.
the docs are incorrect
Subject: the docs are incorrect

there must be ownership to use an apostrophe. The word Smith does not show ownership to anything.

If the sentance read Dr. Smith's patient, then yes the apostrophe is used.
that's the section m docs usually put it in.
Subject: that's the section m docs usually put it in.


No, it is not. Docs do not always spell
Subject: No, it is not. Docs do not always spell

x
Some of my docs do list..sm
Subject: Some of my docs do list..sm

each artery's findings separately and I number them along the left under each other. Just use your common sense so you end up with a clear report. Good luck. I remember when I first started doing caths and it wasn't easy.
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.
Most docs say "hypertrophy" when they
Subject: Most docs say "hypertrophy" when they

say it out instead of abbreviating. But, when in doubt, use the abbreviation, even if in diagnosis.
With docs like that, the only way to learn
Subject: With docs like that, the only way to learn

them is to do them repeatedly. When you get your QA feedback, make sure you keep it for further reference. I have been doing this for 25 years and there are still docs I can't understand and/or cringe when I get them. Some of them are totally impossible.
My docs always say "give-way"
Subject: My docs always say "give-way"

x
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm

The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.

But sometimes there's a clue in what's being tested, blood or urine, and/or the diagnosis.

Also, if you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.

If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!

Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm

The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.

Is there a clue in the dx?

If you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.

If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!

Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.