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As dictated, we may start urine replacement at 0.5 cc/mL for output greater than.....

Posted By: mL/mL just doesn't look right to me. on 2006-05-01
In Reply to: What do you have that is expressed in cc/mL?? That - doesn't make sense. nm

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intake and output
i type a lot of this for pediatrics/geriatric patients. It means the amount of fluid/food they take in versus urine/stool output.
Line rate based on output
If you are making 6 cpl, then you are putting out the minimum amount of lines per hour.
Same as See Message, with good quality output... sm
...except for those periods when I just can't get into the groove, and then I go back and review.

Good question, JJ. In general, I punctuate and review as I go and regard looking back as a sign of inefficiency and that I need to concentrate better.

Regarding use of expanders, as mentioned, my experience is that they cut down a bunch on typos used extensively.

BTW, JJ is my short form for "has had." :)
greater than
xx
greater than..sm
I usually remember it like this: This arrow < is the same as the capital letter "L" (kinda)which means less than. I know, it's a stretch, but it works for me....
Greater than.
Start reading from left, where it's wide open, means greater and where two lines are meeting at a narrow end means less than, common sense.
Greater Georgelandia.
http://www.motherjones.com/commentary/fiore/2006/01/greater.html
brain freeze. > what does this arrow mean? greater than? less than?

Only if that is coupled with a line definition of greater than 55 char.
.
This is true! We have a Dr. Urine
He is married too.
drug and urine test
Hi everyone.  Need help . Someone told me that Ephedra shows up in urine and blood tests as an illegal drug.  Took those tests today.  I take Ephedra twice a week to help with weight loss.  Will it really show up, does anyone know?
Albumin Urine Test
Found on Google:

Do not get toilet paper, pubic hair, stool (feces), menstrual blood, or other foreign matter in the urine sample.

Microalbumin Urine Test
Found on Google:

What affects the test?

Having menstrual bleeding or vaginal discharge, which may temporarily affect the urine sample.


my cat's spraying problem was a ton of bacteria in the urine
He was a feral that I adopted and he'd been spayed, etc., but he wouldn't stop spraying. I really thought I was going to have to have him put down. The RECEPTIONIST at the vet's office says, "So, have you had his urine checked?" which was about the only thing we HADN'T done - once he got that truckload of antibiotics under his *belt* he stopped spraying - that was two years ago and he has not sprayed one time since. By the way, if you have never tried "Anti Icky Poo" it is the best odor remover I have ever used and NOTHING else touches cat spray/urine like this product (I don't work for the company, honest) - the vet will even give you a needle to squirt it under the carpet with - it works enzymatically (is that a word?) and there won't be a trace of odor left. The odor won't come back either.

Anyway, just an idea. I hope you can figure it out because there is nothing worse than cat spray in the house....eeewhew!!
The doctor just said ^^ The patient was given a bolus of urine. ^^
Don't we just love our jobs !!
doc said the patient was dehydrated, so was given a bolus of URINE n/m

OH me


 


I hate to use mare's urine - think of the poor horse! but
it's the only thing that works for me. I have tried the *natural* stuff and ended up with either a bad tummy ache or nothing at all. It's the night sweats that I can't handle. Every night waking up drenched, unable to sleep. The doc convinced me it was a quality of life issue and basically, I wasn't having any, so I'm back on the very lowest dose. I hate it because of the horses and it doesn't cut out the hot flashes completely, but it helps.

The drug companies are too worried about men not being able to keep a hard on to explore the comfort of women. This research crap they are always handing us is just that, crap. They are looking for the big bucks. period.
You need to get the smell/urine enzymes out of the carpet and furniture - sm
The dog will just continue to go back to where he peeed (?) again and again because he smells his scent. I don't think neuturing him will make a difference in that respect. You need to go buy Nature's Miracle Odor & Stain remover. It's pricey but it does the job....I learned this by working at PetsMart years ago and by personal experience. You have to soak whatever it is the dog peeed on though and let it air dry, takes a couple days. You will have to decide on how to "contain" him until the smell is gone, either in a smaller area of the house, outside, whatever. You might want to seriously try training him to go outside. He never learned that he should NOT go inside so that behavior of him going wherever he wants in the house is going to be difficult if not impossible to change. You may want to call a professional legit dog trainer in the area and get their thoughts and suggestions. You are going to have a hard time modifying the dogs behavior, but with a LOT of persistance and consistency you can prevail. Good luck.
Was with Hospice. He might live a few days w/o making urine depending on what
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Replacement

Since I pick up and deliver I need to find replacements locally and my accounts do not realy like to go with anyone else.  If it is less than 3 days they ask that they hold it until I come back, when that is 4 docs it gets a little rushed when I return.  Finally took 3 work days off this summer with a weekend and they said that they would rather wait a day or two for the dictation than get someone else they did not know.   But I do have some back up if it is a week or so but that hasn't been in the past five years.   If I get sick, again they are very considerate and wait for the work.  Have had these 4 accounts for 5 to 15 years so we have a history and they are happy with my work.   So usually if you have been doing their dictation for a while they will work with you for a few days or illness.  I mean, they take vacations and time off and we don't get paid.   Like I have said many times, my accounts are really pretty good to me and but I provide a very good service and some extras and so we treat each other pretty equal.


Patti


**replacement**

Not a word help question: Would menstrual blood mixed with urine cause increased microalbumin? (pl
My 21-YO daughter has type 2 DM, but it is very well controlled by diet alone.  She just had some lab tests done (blood and urine), and they called to let us know her urine microalbumin was slightly elevated.  However, she was on her period when they did the urine test, and she said there was definitely blood mixed in with her urine because of this.  Does anyone know if this would affect the microalbumin result?  They want her to start taking a small dose of lisinopril, but she doesn't want to and wants to wait 6 months for the next test.  Her hemoglobin A1c and other values were "perfect" according to the nurse who called, but we are waiting for the actual results to come via mail. 
I need a sample hip replacement...thanks nm
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I had a knee replacement....SM
five years ago. Worst experience of my life. I took narcotic pain meds for about two months, then switched to Advil and Aleve. It takes quite a while for all the pain to go away. Miserable surgery.
Star's replacement...
I like Gayle King (Oprah's BFF), so I hope this rumor's true.  Rosie, Gayle, and Joy should make a nice combo.  I may actually start watching The View again! 
Training your replacement isn't your job. Period. nm
s
how do you use DA 127D c phone replacement?
I thought I was buying a regular old clunky c phone. I can't get the foot pedal to respond or find out how to play out loud. Help please.
Menopause and hormone replacement. sm

I am 3 years from my last period and have refrained from taking hormones because of a family history of breast and uterine cancer in my mother.  I have not felt well for some time and have been diagnosed with fibromyalgia.  My GYN thinks that bio-identical hormones would make me feel more myself but I have been reluctant to take them.  For those of you taking hormones..do they make you feel a lot better?  Thanks for any advice.


hormone replacement therapy
I have been on Premarin 1.25 mg since my 20's (surgical induced menopause) and on 0.9 mg for the past few years, am 53 and have absolutely no menopausal symptoms and no side effects of any kind. It is worth it.
Not sure how you feel about hormone replacement, sm

but it might be something to consider.  I went through menopause relatively early, and I had horrible hot flashes, night sweats, mood swings, etc.  I remember once I received an email from my boss asking me to spend the day working on my secondary account, and I sat here crying, knowing that what she really meant was that I wasn't good enough to work on my primary account.  Looking back, it is funny, but it was not so funny then.  I felt like I was going crazy.   


I finally broke down and saw an OB/GYN.  She is an advocate of natural hormone replacement, but gave me a book to read about it and in the meantime gave me estrogen patches and progesterone pills, and it was a godsend.  I got through the tough times, and now I take nothing.


It sounds like you have a lot going on, and if you could get rid of the menopausal symptoms, maybe you could see things a bit more clearly and address those issues as well.  It is tough to uproot your life and move away from friends and family.  My heart goes out to you.


Good luck to you.  It will get better. 


replacement covers for earphones
Does anyone know where I can get replacement covers for my earphones?  I am using a Pearlcorder microcassette machine and they are small?
C-phone foot pedal replacement
Thanks...I had made a crude connection myself with electrical tape years ago for a higher volume without the headset, but it didn't work too well. The one from Radio Shack may work much better. I'm sure the sound recorder would have shortcut keys for fast-forward and rewind, but I'm not sure where to find sound recorder on Windows Professional. I'll try to find it now and make a shortcut on the desktop. Thanks again!
MT work after total knee replacement
I'm having a left total knee replacement next week and was just wondering if any one out there has had this done and if so, in what time frame did you return to transcription.  thanks.
I got a replacement spring at my hardware store .... sm
take your remaining spring as a sample for the gauge ... i had to buy one a foot long, irrc, and cut it with scissors but I think it cost under $2. you might call around to save time ... I used an "old time" amazing local hardware store but I suspect my local Ace hardware would have something too .. (but doubt home depot or Lowes would) ...

There are several reasons I have half a dozen "dead" keyboards in my shed ... and this is one ... I think later models weren't made with this "feature" (the spring under tension poppping out and impossible to find feature, that is) ;-)
Prince looked good for having a hip replacement...LOL...nm
nm
sorry, that first line should read AFTER a knee replacement. nm
x
Not sure when Abby & Luca reunited, but I think Carrie had a hip replacement.

Luka is a poor replacement for my main man George Clooney.
Maybe it's the scripts he is given.  He just doesn't have the star quality and charm that George had but who could follow George Clooney?  Not Luka.  Of course I gave up watching ER awhile ago when it became Bizaarro World with B actors so maybe Luka has changed?
Does hormone replacement (specifically low dose Prempro) cause you to gain weight? nm
nm
and think, the Dr. may have dictated that
At least you ARE concerned about it. Many wouldn't be. Hang in there!
Has she ever actually dictated a sm
report in the format that she is required to do.  I do forms for a cardiologist in this manner, but when I first started working for him, he actually dictated the letters.  I think all physicians need to include certain things for a new patient, and then can do follow-up letters without including past medical history, allergies, etc.  I wonder if she has any colleagues that would be willing to share samples of their reports, but that specialize in the same field.
ROFL at what this MD just dictated...sm
NEUROLOGIC:  He does have diminished memory.  I did start him on Aricept for this last year, but he has forgotten to take it. 
They pay per minute dictated. Sux.
Especially when they assign the work. It's not fun when all your work is less than 1 minute, two line reports, ESL docs, etc.
dictated, not read
I'd take it as a compliment.
If the docs dictated like that, they would never get anything done, lol
nn
H&Ps dictated by a very thorough dictator. nm

Doesn't have to be dictated...but he does
xx
Exams Dictated But Not Done
I transcribe for a local multispecialty clinic and have seen many of my own reports. It just gripes my butt when the doctor dictates a standard physical exam and I know for a fact that he/she hasn't even touched me. Did not check my heart, lungs, abdomen, neuro, extremities, etc. The only things that are legit are the vital signs. It's like if I come in for a sore throat he looks at my throat but nothing else. My fibromyalgia clinic NP only talks to me - no exam at all - yet she dictates an exam, review of systems (that we didn't even talk about). She will say conjunctivae and lids are clear; PERLA, etc., and she hasn't even gotten within 6 feet of my eyes. This just doesn't seem right. And when you have labs or other tests, they NEVER call you back with the results. My PCP never suggests any preventive testing - I have to ask for it myself. I know they're not all like that but my eyes are opened much wider than they used to be. It's all about getting it done in under 15 minutes and on to the patient in the next room. 
I always leave these as dictated.

Let's say you're Asian and have a doc who seems to possibily have a bit of an ''attitude'' about your ethnicity.  In perusing your own medical records, you see that this doc uses the term Oriental instead of Asian.  There's some confirmation that your suspicions were correct, allowing you to make a more informed decision about your medical care and who you want providing it.  Especially true with the word Negro, IMO, which I haven't heard in quite some time but have actually had dictated and left as is, even if I had the leeway to change it.


IOW, I think it's a patient's right to know if a doc is using words like that, so I don't change them.


Doctor who dictated during the PE sm
I had a doc I used to do who treated a lot of brain injuries and strokes. He always dictated during the interview and PE. He would say, in front of the patient...the pt is completely obtunded...the pt is befuddled...the pt is extremely obese, just enormous...the pt's mom is once again out of touch with the pt's needs...and so it went.

The noise was sometimes out of hand, he was a grumbling gravely dictator and that IS all part of the job. It is the thought of being his patient and having him be so brutally honest, well it smacked of unprofessional behavior.

I had a podiatrist who was "too busy" to dictate the day of service, so he would dictate on Sundays. One weekend, he dictated 8 reports...from the bathroom...in the span of about 20 minutes. I got to hear the toilet flush no fewer than 6 times in 5 dictated reports. He kept pausing to concentrate and it wasn't on the report he was dictating!

If the noise is too bad, it gets a blank. I don't care what they say and I don't care where they are when the dictate, but please don't make me know that you have the crap$ while you are on the phone with me. Plainly, I don't want to know.
I would type it as dictated. nm
nm