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....pericolovesical, that is, if it's what you heard. Docs put words together all

Posted By: the time. NM on 2007-08-31
In Reply to: Colovesical fistula exists, and peri- and para- are prefixes for just about - anything like anti- and non-, so I'd use it - p

Subject: ....pericolovesical, that is, if it's what you heard. Docs put words together all

s


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Thanks! That's what I thought. Docs like to use big words LOL
Subject: Thanks! That's what I thought. Docs like to use big words LOL

x
I really think docs should use actual words sm
Subject: I really think docs should use actual words sm

Not these made up silly things. I had doctor who said clunky cough, yicky sputum, goopy eyes and goopy nose...and ackME for acne...gwyahnephrine for guaifenesin...metroprolol for metoprolol and the list went on. She was such a good doctor, born in the USA and still had command of the English language that was sadly lacking.
Thanks! Love docs that throw three words in one!
Subject: Thanks! Love docs that throw three words in one!

It was in there like six times so it was making my stomach hurt thinking about sending it to QA!
hate it when docs make up words: gel-ish
Subject: hate it when docs make up words: gel-ish

maybe my brain's just too frozen to wing it.


would it be gellish, gel-ish ??? he's talking about the consistency of myelomeningocele tissue.  i'd rather go with gel-like, but with verbatim i don't feel comfortable ad libbing...


Docs make up words all the time.
Subject: Docs make up words all the time.

x
Yes - I have heard docs say it as carvedil .... sm
Subject: Yes - I have heard docs say it as carvedil .... sm

most of them don't know how to pronounce carvedilol correctly but it carvedilol (Coreg)
I've heard docs
Subject: I've heard docs

do this when they want to make sure you understood the number. He's probably repeating 12 as in 1,2.
Well...my docs always said endometrial thickness, I have never heard endometrious that I can recall.
Subject: Well...my docs always said endometrial thickness, I have never heard endometrious that I can recall. nm

x
pericolovesical fistula
Subject: pericolovesical fistula

Help - I'm at 2nd job, my books are at home and so is my expander.  The internet will not help with this - what am I doing wrong - and thank you for your help!!!!
Tell us what it is you got. BTW, never heard of all words
Subject: Tell us what it is you got. BTW, never heard of all words

starting with non to be hyphenated!D
blepharochalasis? - never heard of those words...nm
Subject: blepharochalasis? - never heard of those words...nm

.
No never heard of decather, could he/she be stumbling over their words?
Subject: No never heard of decather, could he/she be stumbling over their words?


No links but the Stedman's GI & GU Words is great, and you'll need a Pathology/Lab Words book
Subject: No links but the Stedman's GI & GU Words is great, and you'll need a Pathology/Lab Words book or

s
onelook.com, Tessier's Surgical Words, and Sted's Ortho and Rehab Words. Great stuff! nm
,
Never heard of it as part of an exam, but have heard of punch biopsy?
Subject: Never heard of it as part of an exam, but have heard of punch biopsy?


Yep, it's okay. Docs say that often. nm
Subject: Yep, it's okay. Docs say that often. nm

x
Thanks...sometimes I think these docs should...
Subject: Thanks...sometimes I think these docs should...

type themselves for once and listen to some of the things they say. I bet they would think twice after that...:-)
Some docs
Subject: Some docs

actually dictate ABGs in this manner.  They say a number then slash then another number then slash, etc.  That is how they want it transcribed.  Just make sure your numbers are correct and you are set to go!
should say *my* docs
Subject: should say *my* docs


like the docs who are always ...
Subject: like the docs who are always ...

... putting "metatarsal" in the hand dictations. Plantar may be technically okay, but it seems like if he were more careful he would say palmar.
Our docs
Subject: Our docs

usually say normocephalic.
I have docs that use it
Subject: I have docs that use it

but my account is not crazy weird picky, either.  I haven't heard of it being unacceptable.  If it's worth your time, I'd question QA about it and ask her why she changed it. 
I have docs
Subject: I have docs

who add extra letters to lots of words, if it make them easier to pronounce. Kind of weird, but it happens.
Docs
Subject: Docs

make up lots of words...they make lots of mistakes (ergo malpractice insurance)...they even misspell lots of words. If we have to deal with their ineptness, they can deal with blanks. JMHO. :-)
With some docs..
Subject: With some docs..

that wouldn't be a stretch at all but a very good guess. :-)
It's not the docs I'm concerned about, or QA, when it comes to my...
Subject: It's not the docs I'm concerned about, or QA, when it comes to my...

work as an MT,
You don't add in mg or mcg, etc. unless it's dictated. The docs know
Subject: You don't add in mg or mcg, etc. unless it's dictated. The docs know

s
that's how my derm docs like it - sm
Subject: that's how my derm docs like it - sm

same with T zone.
ONLY if your QA, account, or docs want it to be so. Not everyone
Subject: ONLY if your QA, account, or docs want it to be so. Not everyone

s
The docs are correct. (nm)
Subject: The docs are correct. (nm)

.
the docs are incorrect
Subject: the docs are incorrect

there must be ownership to use an apostrophe. The word Smith does not show ownership to anything.

If the sentance read Dr. Smith's patient, then yes the apostrophe is used.
that's the section m docs usually put it in.
Subject: that's the section m docs usually put it in.


No, it is not. Docs do not always spell
Subject: No, it is not. Docs do not always spell

x
Some of my docs do list..sm
Subject: Some of my docs do list..sm

each artery's findings separately and I number them along the left under each other. Just use your common sense so you end up with a clear report. Good luck. I remember when I first started doing caths and it wasn't easy.
know how the docs are... making up as they go sm
Subject: know how the docs are... making up as they go sm

They are two separate ligaments but he is probably putting them together.
Most docs say "hypertrophy" when they
Subject: Most docs say "hypertrophy" when they

say it out instead of abbreviating. But, when in doubt, use the abbreviation, even if in diagnosis.
With docs like that, the only way to learn
Subject: With docs like that, the only way to learn

them is to do them repeatedly. When you get your QA feedback, make sure you keep it for further reference. I have been doing this for 25 years and there are still docs I can't understand and/or cringe when I get them. Some of them are totally impossible.
My docs always say "give-way"
Subject: My docs always say "give-way"

x
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm

The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.

But sometimes there's a clue in what's being tested, blood or urine, and/or the diagnosis.

Also, if you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.

If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!

Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm

The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.

Is there a clue in the dx?

If you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.

If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!

Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
I have found that some docs
Subject: I have found that some docs

will use that abbreviation for lymphadenopathy. Just a suggestion.
Lots of docs
Subject: Lots of docs

say patellar crepitus as patellar is referring to the patella. Just another way to say patella crepitus. :-)
The ortho docs
Subject: The ortho docs

I type for will often say a "toggle" of motion, meaning just a tad. :-)
welcome; got it from my docs that dictate it as i never could figure them all out either, lol. nm
;
No such word. Docs make up their own. This is where the MT comes in. :) nm
Subject: No such word. Docs make up their own. This is where the MT comes in. :) nm

:)
Hmm, some docs say strange things
Subject: Hmm, some docs say strange things

new paragraph, new line, etc. Does dictator say that word you are hearing between paragraphs or headings?
is there anything after this? (some docs say "stop" for end of sentence) nm
Subject: is there anything after this? (some docs say "stop" for end of sentence) nm


I agree, but do you think docs are gonna--sm
Subject: I agree, but do you think docs are gonna--sm

say pyelonephritis or polynephritis. which is easier to say? Docs are not always accurate either. I have had many a doc say polynephiritis.
not all docs use the anterolateral thing--sm
Subject: not all docs use the anterolateral thing--sm

mine use the two words, like anterior lateral, although there is an intralateral too. good luck.
Thanks for trying. This is one of those docs that likes to make up his own.
Subject: Thanks for trying. This is one of those docs that likes to make up his own.

I know there are malleable stays or retractors, but it gets flagged. Hopefully, the next time he will learn to enunciate (wishful thinking LOL).
docs i type for do use this word
Subject: docs i type for do use this word

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