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a knee aspirate would be considered a procedure, at least from my experience.

Posted By: nn on 2009-02-13
In Reply to: dumb questions - dumb moment

Subject: a knee aspirate would be considered a procedure, at least from my experience.




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Knee arthroscopy/meniscectomy procedure (sm)
Subject: Knee arthroscopy/meniscectomy procedure (sm)

There were noted to be grade 2 changes over the patella and grade 3 to 4 changes over the trochlear groove.  __________ (s/l full rate of susector) was made through a medial portal and abrasion chondroplasty was performed over the patella and abrasion arthroplasty performed over the trochlear groove.  


A biter was placed laterally in order to incise the plica and then a _______________ (s/l full rate of susector) was then taken to excise the remainder of the plica.  T


There was noted to be a small degenerative tear posteromedially, which was removed using the ___________ (s/l full rate of susector).


He says this many times, but I can't catch exactly what it is.  Thanks.


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.


aspirate ?
Subject: aspirate ?

nm
aspirate? (nm)
Subject: aspirate? (nm)

x
aspirate
Subject: aspirate

Was the sample aspirated from a joint?
liposuction aspirate
Subject: liposuction aspirate

Wouldn't be the first time an MD used a word that was "no such word".  What could "submatent" mean?  Makes me think this way:  MAT = mesenteric adipose tissue.  Google images will display the typical product of liposuction if you do that search.  Could be that the MD suctioned an area slightly below that tissue, i.e. "submesenteric adipose tissue."  "E-N-T" would be the suffix that implies the product of that aspiration.  If not, then I am just as stumped as you are.   
wouldn't that be *aspirate* ??
Subject: wouldn't that be *aspirate* ??

with "aspirate" sounding like "aspirit."  and yes, aspiration of the knee would be considered a surgical procedure...
The knee is pain significant because she had a total knee replacement. Make sense? nm
Subject: The knee is pain significant because she had a total knee replacement. Make sense? nm

,,
X-ray of the knee shows arthritic change within the knee, but maintained s/l tibiofemoral stasis.
Subject: X-ray of the knee shows arthritic change within the knee, but maintained s/l tibiofemoral stasis.

Thanks :-)
Starting off great today...Rheo Knee prosthetic knee???
Subject: Starting off great today...Rheo Knee prosthetic knee???


I considered that...but I don't think that is what he is saying.
Subject: I considered that...but I don't think that is what he is saying.

I also considered impregnation, but I think the word is something that begins with dos or dose, but I just can't quite grasp it.
It would be considered a lab.
Subject: It would be considered a lab.

x
You should use "was" as the 50 cc is a considered...sm
Subject: You should use "was" as the 50 cc is a considered...sm

a single unit.
Per BOS, IU is considered a "dangerous"
Subject: Per BOS, IU is considered a "dangerous"

abbreviation and should be written units.
q is considered a dangerous
Subject: q is considered a dangerous

abbreviation when standing alone. Unless client wants you to use it, replace with "every."
in my experience
Subject: in my experience

The standard now is to change cc to mL, but out of three accounts I work on, two want cc to stay as cc, and the other wants everything mL.
How much experience do you have?
Subject: How much experience do you have?


My experience
Subject: My experience

I work for a hospital doing transcription and when they switched us from hourly pay to productivity pay, I went from making a little over $14/hour to over $20 an hour!  It's funny, we all thought it was going to be a bad thing to switch and our bosses kept saying we think you all will be happy, wait and see.  They were right!  I do have medical/dental insurance thru them also, it was never based on my productivity whether or not I have insurance or not. 


Knee x-ray: s/l RATTY knee joint erosions? NM
Subject: Knee x-ray: s/l RATTY knee joint erosions? NM


MRI of knee. Semimembranosus s/l pes-dens-a-ri-nus region of the knee.
Subject: MRI of knee. Semimembranosus s/l pes-dens-a-ri-nus region of the knee.

:-)
This is now considered to be a dangerous abbrev. Unless...sm
Subject: This is now considered to be a dangerous abbrev. Unless...sm

otherwise stated by the client, use at bedtime or at hour of sleep.
What is considered term pregnancy?
Subject: What is considered term pregnancy?

I have a dictator that said, "The child was born at term.  Mom was 24 weeks' gestation."  I always thought term was somewhere around 36+ weeks.  He went on to say the birth weight was 6 pounds 13 ounces.  Just from experience, I would think a 24-week gestation infant would not weigh that much.


Anyone in OB care to comment?


DC is considered a dangerous abbreviation
Subject: DC is considered a dangerous abbreviation

per BOS2 and should NOT be used. You use it in the context, not hard to determine if it means discontinue/d or discharge/d.
cc is considered a dangerous abbreviation
Subject: cc is considered a dangerous abbreviation

per BOS, however, if the facility/MTSO, etc. wishes to use cc they trump BOS.
Actually I had considered "adhesion" - but sent a draft - nm
Subject: Actually I had considered "adhesion" - but sent a draft - nm


cc is considered a "dangerous abbreviation"
Subject: cc is considered a "dangerous abbreviation"

x
Not sure what she's saying. Not much experience with GYN exams.
Subject: Not sure what she's saying. Not much experience with GYN exams.


i would think upper 7's without hearing it. anything 10 and under is considered anemic. nm
Subject: i would think upper 7's without hearing it. anything 10 and under is considered anemic. nm

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where I work cc is considered a "dangerous" abbreviation.
Subject: where I work cc is considered a "dangerous" abbreviation.

We are required to use mL for that instead. It also satisfied HIPAA, JACHO, and all the other health-care alphabets. LOL
No, I actually considered promethazine, but I definitely here what sound like "tri." Thanks.
Subject: No, I actually considered promethazine, but I definitely here what sound like "tri." Thanks.


Are "bicarb" and "prep" considered slang? Do you
nm
Aspirin is considered generic, unless coupled with
Subject: Aspirin is considered generic, unless coupled with

brand name, like Bayer Aspirin.
hospital experience tells me otherwise
Subject: hospital experience tells me otherwise

I'm diabetic, have been in the hospital and I don't have high high blood pressure. In fact, I have low blood pressure. You need to stop spouting off things like you are all knowing. Sheesh, what a goomba*!!

*Forget all the rest of the meanings of goomba, this is what a goomba really is: a goon, a goof, a kook, or poser who doesn't physically resemble a goomba from Mario Bros. but acts just like one. You know a true goomba when you see one.
hospital experience tells me otherwise
Subject: hospital experience tells me otherwise

I have yet to see or hear of a diabetic in hospital who does not have hypertension.
Never in my experience unless at start of a sentence. nm
Subject: Never in my experience unless at start of a sentence. nm

s
disc has always been preferred in my experience
Subject: disc has always been preferred in my experience


Unless it is considered gravida 2, para 2, "live births" 2?
Subject: Unless it is considered gravida 2, para 2, "live births" 2?


:-) darlin' - experience doesn't always mean correct
Subject: :-) darlin' - experience doesn't always mean correct


Did you even THINK of Google? Try? Your years of experience are obviously not very broad. nm
Subject: Did you even THINK of Google? Try? Your years of experience are obviously not very broad. nm

x
common sense and 20 years experience :o)
Subject: common sense and 20 years experience :o)

No joke! I'm not sure if the percent issue is documented. I worked for many years in heme/onc and this is the way it is done.
First thought based on my experience is Sulamyd. nm
Subject: First thought based on my experience is Sulamyd. nm


just as an aside...I have 17 years experience typing urology. LOL.
Subject: just as an aside...I have 17 years experience typing urology. LOL.

nm
You are very welcom. I have 19 years of uro experience. I have heard it all. LOL. nm
Subject: You are very welcom. I have 19 years of uro experience. I have heard it all. LOL. nm

nm
From my experience when a tape or dictation skips,
Subject: From my experience when a tape or dictation skips,

I will put a blank or a timestamp for QA.  You really should never guess especially when the audio is broken up like that.  My advice would be send to QA or leave a blank with a comment that the dictation skipped. 
It's considered an acceptable sloppy "docism" to use tendinitis now. Read something
Subject: It's considered an acceptable sloppy "docism" to use tendinitis now. Read something

s
I say "feels" because nursing is considered a single unit in this context. nm
Subject: I say "feels" because nursing is considered a single unit in this context. nm

x
Thanks for trying. My supervisor who is great and has decades of experience couldn't get this on
Subject: Thanks for trying. My supervisor who is great and has decades of experience couldn't get this one.


Thanks for posting the solution to your problem..it is an educational experience for all of us...
Subject: Thanks for posting the solution to your problem..it is an educational experience for all of us...

Really, so many times when people find answers to the questions that they post, they just say...'Never mind, found it,' which leaves a lot of us up in the air as to what the answer was! So thanks for sharing your solution!
Just comes from experience. Every job I've worked has handled it differently.
Subject: Just comes from experience. Every job I've worked has handled it differently.

s
anhedonia: The absence of pleasure or the ability to experience it.
Subject: anhedonia: The absence of pleasure or the ability to experience it.


If you are wondering, I have 18 years of urology experience. Some of what I know would curl your hai
Subject: If you are wondering, I have 18 years of urology experience. Some of what I know would curl your hair. LOL. nm

nm