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yeah - I was thinking that myself, but I could never confirm it. I just went ahead and sent it to

Posted By: hardatwork on 2005-09-27
In Reply to: Could be a Lexsell, but I can only find rongeurs under that brand name so far. nm - passing thru

Subject: yeah - I was thinking that myself, but I could never confirm it. I just went ahead and sent it to

QA, but thank you for your help.




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I'm really thinking he messed up *ski,* but can't confirm. Thanks though. nm
Subject: I'm really thinking he messed up *ski,* but can't confirm. Thanks though. nm

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Subject: yeah I was thinking viscous lidocaine too

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It might have been but I went ahead and put it through.
Subject: It might have been but I went ahead and put it through.

I've asked for feed back and hope I get it. thanks for your help.
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Subject: TY - I got a little ahead of

it was not tpyed that way in the real doc. = )
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Subject: I went ahead and flagged it even though

he never again mentions the left tonsil.  Even at the end of the dictation when he says the plan is to rule out a right peritonsillar abscess.  Same thing he said in chief complaint, except there he said "left".  Oh well....I flagged it and I'll let QA make the change.


Thanks for the advice.


That may be it, went ahead and flagged it though thank you
Subject: That may be it, went ahead and flagged it though thank you

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I would go ahead and put Elder Abuse...
Subject: I would go ahead and put Elder Abuse...

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That's a possibility, but I'm not sure. I had to go ahead and send. Thanks!
Subject: That's a possibility, but I'm not sure. I had to go ahead and send. Thanks!


I went ahead and sent it with a blank. It was STAT. Thanks-
Subject: I went ahead and sent it with a blank. It was STAT. Thanks-

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Subject: and it isn't epidermidis....thanks anyway ahead of time :)


and it isn't epidermidis....thanks anyway ahead of time :)
Subject: and it isn't epidermidis....thanks anyway ahead of time :)


Just go ahead and leave a blank. With
Subject: Just go ahead and leave a blank. With

foreign accents sometimes it is only a guess and not worth guessing wrong.
that's a Coumadin dosage, not INR, wonder if the doc is getting ahead...sm
Subject: that's a Coumadin dosage, not INR, wonder if the doc is getting ahead...sm

of himself about doing an INR level to make sure the Coumadin is therapeutic, not too much and not to little.  The INR level should be between 2-3 for most labs.  Sounds like he meant to say Coumadin, and may later on in the dictation talk about getting an INR level.  Hope this helps! 
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Subject: Hehehe, I guess I was a step ahead of that

I'm sorry,  Since I already have suprascript and subscript up on my tool bar, my instructions were what to do for O(subscript)2 so all you have to do is type O2 (normal script) and it changes automatically.  I don't like having to highlight the 2 and go up there and click the subscript button every time.  I would rather type O2 and let Word change it for me.    I try to get Word to do as much for me as possible.  I do this for cm squared, cm cubed, H2(subscript)0, etc. 
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Subject: oops - fingers got ahead of me -- s/b "diseases"


Does it sound like he is saying "constitutional" instead of correction ahead?
Subject: Does it sound like he is saying "constitutional" instead of correction ahead?


No I'm actually not rude...but go ahead and keep telling yourself that if it makes you feel bette
Subject: No I'm actually not rude...but go ahead and keep telling yourself that if it makes you feel better.

Why don't you go read through your posts, they don't sound very friendly to me.
Neuroforaminal versus neural foraminal (warning: rant ahead)
Subject: Neuroforaminal versus neural foraminal (warning: rant ahead)

I know this has been discussed before, but I have never typed anything except "neural foraminal," and when I first started with this particular account, all the templates had "neural foraminal stenosis" as one of the headings on the spine CTs and MRIs.


Now the "billing and coding specialist" who is in charge of the account (and who is obviously not a trained transcriptionist - she typed "flebolith" on one report I saw), has changed all the templates to "neuroforaminal," and when I just changed them back, she sent me a nasty little note saying "Don't change the templates."


Well, you should have seen the sorry state the templates were in when I started here. I have spent hours of my OWN time (I am paid by the line) not only cleaning up the templates but also standardizing the naming of the templates so that they can be found easily using the wild card notation.


I am tempted to send an email back saying, "Okay, I'll leave them that way, but 'neuroforaminal' is incorrect" but I am leaving this account as soon as they have my replacement trained.


In fact, I just sent it. I'm leaving, got nothing to lose, and actually have more work than I can comfortably handle right now. I really wish she would tell me she didn't need me any more.


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So be it.


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Subject: Please confirm...

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Subject: Cannot confirm either, but has ICD-9-CM - nm

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Subject: I would confirm (sm)

exactly what she is referring to before making the decision to transcribe bilateral.  She may mean bimalleolar (ankle) edema.  If that were the case, bilateral ankle edema is very different than bimalleolar edema, which would mean 1 foot versus 2.  If you can leave it blank and get a response back, that is the best idea.
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Subject: thanks - I saw that on google but could not confirm NM


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Subject: Thanks! I just needed to confirm that (n/m)

--
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Subject: I have been told Gilsbaugh but never able to confirm. NM


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Subject: that is what I thought but just wanted to confirm - thanks! nm


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nm
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Subject: Thanks! Thought so, but helps to have someone else confirm


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Subject: I can't confirm Sappey line on a search. Can anyone else? nm

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Subject: No idea. Can you get a copy of an old report to confirm what he's saying? nm

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Subject: I think I've heard it most often as aortogram, but I can't confirm. nm

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Subject: Thank you. I found many different ways, so I wanted to confirm.

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