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The doctors don't pay your salary if you're on a hospital account. Your pay or the pay the

Posted By: service gets comes out of SM on 2006-10-10
In Reply to: Well, they DO, and I give it to them, most accts - being verbatim and they DO pay us....nm

Subject: The doctors don't pay your salary if you're on a hospital account. Your pay or the pay the

the HIM departmental budget.  So basically when you're told to type verbatim, it means YOU get paid less.  And even in the case of working for a private practice, the doctors don't give a hoot whether you expand abbreviations or not just as long as you get what they mean.  They just want a nice coherent report that makes them look like all their education paid off.


I, for one, refuse to jump through hoops for a measly 8 cpl and that is what the services are making us do.




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At our hospital doctors will order a
Subject: At our hospital doctors will order a

x
New hospital account- need help
Subject: New hospital account- need help

This is a new hospital account and I have only worked primarily family practice previously.  Can someone give me an interpretation of this. 


Typed and crossed 5 units, platelets and transfused, same for platelet count of 28.  Would this be 5 units of blood with platelets?  What does transfused same mean? 


 


 


That looks good. I'm going with the hospital account.
Subject: That looks good. I'm going with the hospital account.


This may be just a hospital quirk, but my account
Subject: This may be just a hospital quirk, but my account

nm
yeah, if you're a verbatim account do nitro paste, otherwise
Subject: yeah, if you're a verbatim account do nitro paste, otherwise

spell out to nitroglycerin paste. Doc slang. Don't cha love it!
account specifics for that particular account should state how it is to be typed. nm
Subject: account specifics for that particular account should state how it is to be typed. nm

.
Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an
Subject: Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an

experience is, it lacks credibility especiall when you base it on YOUR experience.  Who are you?  How much experience do you actually have?  What kind of experience do you have?  How many diabetic patients have you encountered in your years of experience?


You can't expect to make a sweeping generalization like "all diabetics have hypertension" and not get called out on it.  Come on!  Know your place.  Arrogance is an unattactive personality trait.


Depends on the account: My verbatim account is VERBATIM and other accounts I put 3100
Subject: Depends on the account: My verbatim account is VERBATIM and other accounts I put 3100


Doctors can say anything they want...LOL
Subject: Doctors can say anything they want...LOL

nm
doctors... anything is possible!
Subject: doctors... anything is possible!


P.S. And yes, there are some doctors
Subject: P.S. And yes, there are some doctors

out there who actually do read their reports and know when something is changed, and those are the doctors that will come back on your supervisor, who comes back on you, because you changed something in their report.
My doctors usually put it in...
Subject: My doctors usually put it in...

GU or abdominal section.   
Like doctors know it all????
Subject: Like doctors know it all????

you know, they do make mistakes. And we do follow the BOS. Get over yourself. So you know Latin or say you do, big deal. We know the rules for use of the word in MT. That's what counts here.
Ya know how doctors
Subject: Ya know how doctors

like to make up words. I'm wondering if he could be saying "Urine was pink, not pyurious." . . . just sort of repeating himself on the no pus thing???
And since when could doctors spell ANYTHING right?...nm
Subject: And since when could doctors spell ANYTHING right?...nm


Most doctors can't spell.
Subject: Most doctors can't spell.


That's probably because most doctors mangle it when they try to say it LOL nm
Subject: That's probably because most doctors mangle it when they try to say it LOL nm

nm
i am constantly getting doctors who will say....
Subject: i am constantly getting doctors who will say....

clearly sonometers....and then QA sends it back as centimeters..  anybody else go through this?
yes I find most doctors still
Subject: yes I find most doctors still

dictate most of these terms with the s. I have hardly ever heard a doctor say Crohn disease. I found it hard to switch over because I was so used to it.
could be metolazone - doctors are always saying
Subject: could be metolazone - doctors are always saying

this one wrong!   Seriously, I don't know what is so difficult about it but they mangle it all the time.
With doctors it could be anything. Just blank
Subject: With doctors it could be anything. Just blank

x
Since when do doctors know how to spell. Did you...sm
Subject: Since when do doctors know how to spell. Did you...sm

ask him what it meant? If you cannot document a word you cannot transcribe it in a report.
Thanks, you would think I would know by now that some doctors pronounce v like w.
Subject: Thanks, you would think I would know by now that some doctors pronounce v like w.


Check with your QA to see if the doctors sm
Subject: Check with your QA to see if the doctors sm

in that hospital are doing their own trial/protocol/study.
Letter to 2 doctors
Subject: Letter to 2 doctors

I am typing a letter to 2 doctors.  How should I put the addresses on the letter?  Do I put both addresses on?  Thanks!
no, doctors spells out word as indicated
Subject: no, doctors spells out word as indicated


Schools do not teach doctors whether or not the
Subject: Schools do not teach doctors whether or not the

x
changing around doctors words
Subject: changing around doctors words

What is considered normal and appropriate..  if the doctor usually says things or an expressoin a certain way and this expression is on my autocorrect is it okay for me to type it in that way (with my autocorrect) if he changes around the sentence but it really means the same thing anyway.  Also, how much is it acceptable to change what he says.


I've had lots of doctors
Subject: I've had lots of doctors

use MVI for multivitamin(s), although I think it really stands for multivitamin infusion/injection.  Don't know if this would fit for your report.
Ah! He probably means what most doctors call sm
Subject: Ah! He probably means what most doctors call sm

....an "acute abdomen series." It is three plain x-rays - one of the abdomen with the patient flat (lying down), one of the abdomen with the patient standing upright, and a third x-ray of the chest to include the diaphragms (also with patient upright) so they can see if there is free air under the diaphragm (which can happen with bowel perforation in cases of diverticulitis, Crohn's, or other bowel diseases).
Doctors and made-up words....
Subject: Doctors and made-up words....

Google search, using "define: emese" brings this up:

"Emese is a feminine Hungarian name that is possibly derived from the Finno-Ugric name eme which means "mother"."

That shows the value of a 20-year education, doesn't it.
Men do have breasts, oftentimes doctors
Subject: Men do have breasts, oftentimes doctors

include their breast exam in a report.
I don't know. Doctors just began using this recently.
Subject: I don't know. Doctors just began using this recently.

nm
yes, it is webspace. Sometimes you go think too hard with these doctors. nm
Subject: yes, it is webspace. Sometimes you go think too hard with these doctors. nm


Byetta is correct - doctors usually can't spell. nm
Subject: Byetta is correct - doctors usually can't spell. nm

x
uterine CA. Some doctors use CA as short for cancer.
Subject: uterine CA. Some doctors use CA as short for cancer.


I've heard two doctors are required to - sm
Subject: I've heard two doctors are required to - sm

give their okay to proceed with the surgery when patient is unable and it is an emergent case with no family members available to give consent. The double doc'd could mean "two doctors" and not "documented."
That's not a word. Most doctors can't spell corrently.
Subject: That's not a word. Most doctors can't spell corrently.


Easy website to find doctors by state
Subject: Easy website to find doctors by state

Anyone know of any links?


Thanks!


Made up word? Doctors don't make up no stinkin werdz.
Subject: Made up word? Doctors don't make up no stinkin werdz.

Don't you hate it when you're just sure a word is made up and you look it up only to find that it IS a real word? The other day a doc said conspicuity and I thought, man, if I was going to play with the word conspicuous, I'd go with conspicuosity. I Googled it and sho nuf, conspicuity is a word.
geeze! These people are doctors and they STILL do not prononce things right..proctotectomy, psh!
Subject: geeze! These people are doctors and they STILL do not prononce things right..proctotectomy, psh!


and I have a hospital that only wants...sm
Subject: and I have a hospital that only wants...sm

T1,N0,M0 with commas and when we did it the BOS way, they came down on all of us.......


give the client/hospital what they would like or demand is the usual and customary way......I do believe...


Hospital course
Subject: Hospital course

An EDG was done and showed several humtakes in the stomach. I have a doctor with an accent and this is what it sounds like he's saying. I am also not sure of the exact definition of EDG. Thank you.
hospital
Subject: hospital

bunky general hospital??????
just a hospital..
Subject: just a hospital..

x
hospital course
Subject: hospital course

admitted to the medical floor, made NPO
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Subject: Please help - Hospital Course

Please help - Hospital Course:  Going through s/l (submission) of admission H&P for details.  Don't know what it can be.
Hospital Course: Please see ----? nm
Subject: Hospital Course: Please see ----? nm


hospital
Subject: hospital

I found Bacharach Institute for Rehabilitation. You can check out this site.
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At our hospital, we are to
Subject: At our hospital, we are to

number even if there is only one thing under impression.  Not correct for an English report, but it's the rule here. 
hospital word
Subject: hospital word

Has anyone ever heard of a score that a hospital has that sounds like prestaneous score?  It sounds like something a hospital is trying to achieve so they stand out over others.  Hope this makes sense.  Again, is s/l prestaneous.