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The orthopedic doctor I transcribe for specifically spells it infra medial.

Posted By: Loril on 2007-08-10
In Reply to: inframedial - tibby

Subject: The orthopedic doctor I transcribe for specifically spells it infra medial.

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I agree with Lexiscan except that the doc specifically spells it. What do you think?
Subject: I agree with Lexiscan except that the doc specifically spells it. What do you think?


Found that, which would be my guess but he specifically spells WeTson. nm,
Subject: Found that, which would be my guess but he specifically spells WeTson. nm,


you cannot assume 5-6 unless the doctor specifically
Subject: you cannot assume 5-6 unless the doctor specifically

5 to 6-mm nodule is the "most" correct. We all "know" the MD meant both values are mm but unless each value is specified, you cannot make that assumption.
doctor dictates and spells cellulagia
Subject: doctor dictates and spells cellulagia

I cannot find or verify this anywhere. Is this even a word?
these would be lower case correct? orthopedic department of the medial school.
Subject: these would be lower case correct? orthopedic department of the medial school.

perhaps a trip to the orthopedic department at the medical school would help him find somebody that could advise him regarding this approach.
Doctor spells 'atoologood' pericardium for ASD - can't find anything? Thanks! nm
Subject: Doctor spells 'atoologood' pericardium for ASD - can't find anything? Thanks! nm

nm
Leefromine (sp?) genetic disorder, doctor spells...see more
Subject: Leefromine (sp?) genetic disorder, doctor spells...see more

She is scheduled for a mastectomy in the next week or so. She carries a genetic disorder of Leefromines where she is carrying genetic markers for cancer and she has had a right mastectomy for that reason.
You transcribe what the doctor says. It is not
Subject: You transcribe what the doctor says. It is not

our job to change their words. If you are uncomfortable with it, type it and flag it for your supervisor to look into.

All of a sudden everyone on this board is questioning whether or not we type what the physician or dictator says. That is our job. He is responsible for the content, not us.
nope, doctor spells it out: T-A-S-A-N. Thought maybe got one of the letters wrong, like P instead of
Subject: nope, doctor spells it out: T-A-S-A-N. Thought maybe got one of the letters wrong, like P instead of


Patient with AIDS, doctor spells two meds, Travata and Cysteva. sm
Subject: Patient with AIDS, doctor spells two meds, Travata and Cysteva. sm

I can't document either.  Any help appreciated!  TIA
I used to type for an orthopedic doctor who (sm)
Subject: I used to type for an orthopedic doctor who (sm)

used this word quite frequently. I could never ever document it, but upon asking him directly he told me to spell it as "sorseal" Again, I could never document it, and he was the only doc who used that particular term. If you do find out what it is supposed to be, I would LOVE to know!! :)
orthopedic doctor...s/l en-laid-up shoes. nm
Subject: orthopedic doctor...s/l en-laid-up shoes. nm

thanks
There is significant medial and medial *peripatellar* pain with hyperflexion.
Subject: There is significant medial and medial *peripatellar* pain with hyperflexion.


There is significant medial and medial *peripatellar* pain with hyperflexion.
Subject: There is significant medial and medial *peripatellar* pain with hyperflexion.


There is significant medial and medial s/l peripatellar pain with hyperflexion.
Subject: There is significant medial and medial s/l peripatellar pain with hyperflexion.


Pt required both *anterior medial* and *posterior medial* arthrotomies. tia
Subject: Pt required both *anterior medial* and *posterior medial* arthrotomies. tia


infra-accessory lymph node group
Subject: infra-accessory lymph node group

There are accessory nerve lymph nodes (nodes of the lateral cervical group located along the accessory nerve group). Check out Stedmans Medical Dictionary. I am assuming located below (infra).
Is there such a thing as infra accessory lymph node group?
Subject: Is there such a thing as infra accessory lymph node group?

Please help with below. This is for a neck dissection for melanoma.


"Once the nerve was identified, using countertraction and sharp dissection, the contents of the infra accessory lymph node group and superior accessory group were dissected medially by sharp dissection."


It does not say specifically, but sm..
Subject: It does not say specifically, but sm..

his pmhx is sig for diabetes, cardiac disease and hypertension.


 


Here is the list of meds the pt is on...Aciphex, Zantac, Domperidone which is a Canadian medication for treating the gastrointestinal tract, and also desifaremine.


This is probably specifically related to the
Subject: This is probably specifically related to the

x
not unless your clients specifically ask for such.
Subject: not unless your clients specifically ask for such.

x
Really? Even if the doc specifically says "ccs"
Subject: Really? Even if the doc specifically says "ccs"


he specifically said mri results went to the patient
Subject: he specifically said mri results went to the patient

weird, I know
I don't type enough labs to say specifically, but
Subject: I don't type enough labs to say specifically, but

Stedman's ABREV has URED - unable to read (lab result). Could that be what he's saying? Hope someone can verify one way or another, as I'm sure I'll have it eventually.
That's good, but no, he specifically says cadent at the end... : )
Subject: That's good, but no, he specifically says cadent at the end... : )


Just clostridium difficile....unless doc specifically says colitis. nm
Subject: Just clostridium difficile....unless doc specifically says colitis. nm


Wierd, I can specifically remember being told that:
Subject: Wierd, I can specifically remember being told that:

CVA was cerebrovascular accident

c.v.a. was costovertebral angle.

Been doing that for 25 years. Maybe it was just my original employer hospital's preference. Interesting, isn't it, that you can do something for years and years and never know it was not correct. I won't forget now, that is for sure. hehe
Unless specifically told to expand, leave as GI.
Subject: Unless specifically told to expand, leave as GI.

x
Nevermind, I am going to flag it as he specifically states "inhaler," thanks anyway.
Subject: Nevermind, I am going to flag it as he specifically states "inhaler," thanks anyway.


Does doc state this is specifically for the hypertension or does the patient have other problems thi
Subject: Does doc state this is specifically for the hypertension or does the patient have other problems this can be for?


Sounds good, but I specifically hear "fish." Thanks you two for trying! nm
Subject: Sounds good, but I specifically hear "fish." Thanks you two for trying! nm

nm
Tomby plate? He specifically says T as in Tom.. I have heard of Combi, any ideas?
Subject: Tomby plate? He specifically says T as in Tom.. I have heard of Combi, any ideas?

This is for fixation of trimalleolar ankle fracture.  Any ideas?


What I would do: Since doc spells it, and
Subject: What I would do: Since doc spells it, and

you have exhausted all your references, I'd type it the way he spelled it and then flag it, saying that the doctor spelled it that way. That covers you. Docs are notorious bad spellers, but he might be privy to something so new it's not on the books yet.

Probably says YAZ and then spells --Y-A-Z
Subject: Probably says YAZ and then spells --Y-A-Z

Similar to Yasmin

http://www.berlex.com/html/press/articles/04212006.html
Don't think that's it, he very clearly spells it.
Subject: Don't think that's it, he very clearly spells it.

But thanks anyway, I just left it blank.
Thanks so much. The doc now spells
Subject: Thanks so much. The doc now spells

osacromale?? which is wrong and nothing in my book under os acromiale but Googled it and got it. In all my years, never heard of it. Again, thanks for your help.
Doc spells PAX or TAX, but believe he's saying "P"
Subject: Doc spells PAX or TAX, but believe he's saying "P"


He actucally spells it
Subject: He actucally spells it

but I know that he is spelling it from the way the patient spells it. He often spells medications wrong. I am just going to flag it. Thanks for your help.
99% when a dictator spells anything
Subject: 99% when a dictator spells anything

whenever they spell anything, I look it up because 99% of the time the dictator has spelled whatever they are trying to spell INCORRECTLY....it's a general rule of thumb for most MTs to do this - look up anything a dictator spells.........because we ALL know this about the dictators after 25+ years..........for some of us....in this biz. 
he spells out what sounded like R E M P
Subject: he spells out what sounded like R E M P


He spells it later on as spinoglenoid
Subject: He spells it later on as spinoglenoid

Thanks for the help anyway!!


not having any other --HUT-- problems...he spells it
Subject: not having any other --HUT-- problems...he spells it


Meant to add, doc spells - sm
Subject: Meant to add, doc spells - sm

Meant to say doc says (elsil) LSIL then spells LGSIL. I'm not familiar with GYN terminology and not sure if LSIL and LGSIL are interchangeable and I'm confused as to what she wants.

Thanks for any help.
Med help--Dr. spells it "popinsisole"
Subject: Med help--Dr. spells it "popinsisole"

I can't find anything close in my QLEDR.  This is in a medication list, so I have no clue what it is for and no dosage is given other than 1 tablet once a day.  This is a cardiac patient with multiple cardiac diagnoses.  No other past medical history listed.   Any ideas?  He spells the majority of his medications incorrectly and I have been able to find all except this one. 
He does pronounce it, just spells it.
Subject: He does pronounce it, just spells it.

nm
He does not pronounce it, just spells it.
Subject: He does not pronounce it, just spells it.

nm
no he definetly spells out L A T.
Subject: no he definetly spells out L A T.


doc spells "transulusion" 0.4 mg daily TIA!
Subject: doc spells "transulusion" 0.4 mg daily TIA!

I have no idea what it is used for.  TIA!!


no, doctors spells out word as indicated
Subject: no, doctors spells out word as indicated


doc spells *chmay* arthroplasty.
Subject: doc spells *chmay* arthroplasty.

Cannot even reference that.
correct - if an MD spells anything, RED FLAG...SM
Subject: correct - if an MD spells anything, RED FLAG...SM

if an MD/dictator spells ANYTHING, it's a RED FLAG to look that spelling up because 95 percent of the time they misspelled whatever they were trying to spell.  MDs were not great in grammar and/or spelling (for the most part) - they were great in other areas.  *lol*