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ROFL at what this MD just dictated...sm

Posted By: Under ROS on 2005-10-04
In Reply to:

NEUROLOGIC:  He does have diminished memory.  I did start him on Aricept for this last year, but he has forgotten to take it. 


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ROFL - do folks eat it vertically??? *ROFL..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!!
and if you toss them a beer every now and then, they'll fall asleep a whole lot faster!
ROFL!

ROFL
//
ROFL here, too. nm :)
:)
ROFL
"I Shot The Seriffff"...went up in pitch on the end like someone was squeezing where he wished they wouldn't. HAHAHAHAHA Hadn't laughed like that in awhile.
ROFL
x
ROFL!!!!!
x
ROFL!!!!! nm
x
ROFL!!!!!
.
ROFL....................
     
ROFL!
aa
ROFL
On the other hand, we all probably need a lot less penile bladder in our diets.

Thanks for making my morning!
ROFL!!!

ROFL! I'm with ya there!
My sis is a flight attendant and loves to spontaneously fly into town for a day THEN call me to see if I can a)pick her up from the airport or b)hang out with her for the day.

And she always does this during the week.

My hubby always tells me, "treat it like a real job"...as if it was a FAKE job. LOL...
ROFL!
I forgot about that aspect of it! We were told in Cincinnati that we should wear anything we want as long as didn't offend the sensitivities of our coworkers. LOL!
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
type as dictated

The word lesbian, unless used in a derrogatory manner, is simply stating the patient's sexual orientation, which could be quite relevant in a psych report.  It's the same as describing a patient as a heterosexual female.  Not intended to "label" someone, simply stating a fact.  I see no problem with typing it as dictated. 


I transcribe just what is dictated.
x
I do think, if the doctor dictated this
you should put it in the report.
transcribe as dictated...(sm)
Transcribe as dictated: "Patent shotty veins." This is perfectly acceptable as is and does not require rewording.
dictated / typed
Doctor says "jiddo, jiddo, jiddo" - what does this mean"  Why.... 0-0-0 - OMG. The things we put up with for no money.
Dictated Minute
There is/was a transcription service called Alert and Oriented that pays by the dictated/recorded minute.  You might try doing a search on that company to see if any MTs posted their experiences being paid by time using this method.
$2 per dictated minute would be around
$40 per hour. Very nice....
But they are not dictated when the IC has to work.
They are alerting the potential contractor to when the work is available. If the contractor does not wish to work when the contractee requires the work done, the the contractor should not seek that position.

Now if the contractor accepted the position and signed a contract committing to working those hours, and the company attempted to force a change in the agreed upon hours to make the contractor work a different schedule, that would be a violation.
My dictated funny for the day
Dictated: He lives with his third wife. First wife was a widow, second wife divorced.
Okay HIGH FIVE!! ROFL
x
rofl. MD just came in and i asked, here's what he said
the pt has a "sort of meandering gait"   LOL
ME TOO! ROFL That's why I suggested it!!
Mom's know best, huh?! :)


ROFL! I tried something similar.
I told my boys that they'd have to hug each other, apologize and tell each other three nice things if they were mean to each other.  They're such twerps that it didn't work.  They'd bearhug each other as hard as they could, sneer sorry, and say something like, "Your breath no longer smells like a camel's backside."  I give up.
ROFL! Thanks for the memory.
It was horrible at my last job.  The supervisor told us to never, ever touch the thermostat.  She'd sit in her office with a heating vent and get too hot, so she'd turn the heat down.  My cubicle was by the windows in the winter with subzero temperatures.  I was so cold that I had on my winter coat, gloves and a blanket.  Then in the summertime, it was too hot with the sun reflecting through the windows.  I used to climb up on my desk and change the thermostat anyway.  I loved ticking that woman off because she was such a shrew.  She was firing any employee who had more than 10 years of service because they were making too much money.  She could hire college grads with more technical skills at lower wages.  So much for not discriminating against people for their age.  The things she wrote them up for were asinine.
...and someone who does not use commas. ROFL! nm.
nm.
NAILS??????? ROFL

ROFL! Thanks for the chuckle.
I needed it today.
naw...you must be joking *ROFL....SM

Of course more than just gay people have AIDS/HIV........sheesh -


I was specifically talking about the GAY community going to Mexico in the early 1980s.........nobody else.


 


This is Hilarious, ROFL. Sm.

This is rofl, for real


 


http://www.youtube.com/watch?v=dMH0bHeiRNg%20


"neener"? *rofl*...............n/m

Thanks for making my day..ROFL! nm.
X
ROFL!! Then he says "he's been set up!"
and if by chance there's any argument, of course it's my fault for not EXPLAINING these steps to him that of course, any normal person would know without even being told. I am saying this jokingly, but I swear, it's so true.
ROFL. Silly man.
af
ROFL ASR keeps me laughing

I get lots of funnies too