Advice for transcribing lens
Posted By: prescriptions. on 2009-03-10
In Reply to:
Subject: Advice for transcribing lens
I am new and have an ophthalmology account. I am not having much trouble with the terms, but I'm unsure how to punctuate and/or format the lens prescriptions. Does anyone know of a good website that explains this or provides examples? Thanks!
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I am transcribing
Subject: I am transcribing
That is a very good point. I will type it the way she dictates. Thanks for the help.
no, maybe not - maybe they're transcribing ESL doc
Subject: no, maybe not - maybe they're transcribing ESL doc
are you transcribing or coding?
Subject: are you transcribing or coding?
If you are transcribing, the correct way is:
V code: Parent-child conflict.
Unless you are a certified coder, it would be wise to avoid inserting the actual code into the transcription as the MD/psychologist did not dictate it. The codes can change from year to year and you could enter the wrong code depending on the date of the service and which coding resource you are using.
I am transcribing a report
Subject: I am transcribing a report
on a child. The doctor is stating that she gave s/l 2 to 1 neb? Is this what I am hearing? TIA
I have been transcribing "supertherapeutic." (sm)
Subject: I have been transcribing "supertherapeutic." (sm)
super = excess, above, but often the same usage as "supra." (Stedman's).
Are you by chance transcribing a dictation of Dr. A. S?
Subject: Are you by chance transcribing a dictation of Dr. A. S?
help transcribing measurement STAT
Subject: help transcribing measurement STAT
I know that I know this somewhere in my head, but I can't think of it to save my life
How do I transcribe "twelve one-hundreths of an inch"?
TIA!!
IOL (intraocular lens)
Subject: IOL (intraocular lens)
Lens sets?
Subject: Lens sets?
This is in regards to a patient with diabetes - the doctor states he needs "lens sets", "lead sets" for his Accucheck machine. It is something sets-help!
Lewicky would be a lens (IOL) nm
Subject: Lewicky would be a lens (IOL) nm
.
Thank you so much! I now realize I have at times been transcribing wrong. nm
Subject: Thank you so much! I now realize I have at times been transcribing wrong. nm
!
I never heard strandy until I started transcribing sm
Subject: I never heard strandy until I started transcribing sm
for one of my current radiologists. He says "strandy" plain as day, so that's what I put. Grates on my nerves, but he's the radiologist.
When transcribing "Sister so-and-so, when dictator refers
Subject: When transcribing "Sister so-and-so, when dictator refers
to patient as "sister" throughout report, is "sister" capitalized or not? Neither way looks correct to me.
To be perfectly honest, I have never seen it with periods before and I have been transcribing for 34
Subject: To be perfectly honest, I have never seen it with periods before and I have been transcribing for 34 years, but I too still have to learn new things every day. Guess that is what keeps me motivated.
There is a Lister lens manipulator.
Subject: There is a Lister lens manipulator.
x
There is a Lester lens manipulator
Subject: There is a Lester lens manipulator
It's often seen in contact lens solutions, too. nm
Subject: It's often seen in contact lens solutions, too. nm
s
Possibly red lens testing (nm)
Subject: Possibly red lens testing (nm)
nm
A 70-degree lens with an (Alberans)
Subject: A 70-degree lens with an (Alberans)
Dictates: A 70-degree lens with an (Alberans?) is used to pass the wire into the right ureter....please help in report now!
"anisometropia" ?? (different lens prescriptions for each
Subject: "anisometropia" ?? (different lens prescriptions for each
eye)
Thanks for the advice!
Subject: Thanks for the advice!
I just hate sending in a blank but sometimes there is no choice. 
Need advice
Subject: Need advice
Has anyone ever had a dictator who said "He was unable to take p.o.s?" As in he couldn't take anything by mouth. I have one dictator who says this rather often, and I'm not sure how to transcribe it. If he just said, "He was unable to take anything p.o", that would be different. But he says p.o.(s). Any advice would be greatly appreciated!
TIA!!
Any more advice?
Subject: Any more advice?
I have been an MT for many years (mostly in office - recently with Heartland), but I am quite new to this site and still getting the hang of it. I just lost my current job to overseas, so I absolutely refuse to help anyone that takes jobs away from American MTs. However, I would like to help answer questions if I am able. Other than what you previously listed, are there any other ways of telling if the questions are posted by actual American MTs in need of help? Does anyone give the overseas people wrong answers? Do you catch flack for answering them by mistake? I would have unknowingly answered this one if nobody said anything. I appreciate your help!
thanks for the advice! nm
Subject: thanks for the advice! nm
thx 4 ur advice
Subject: thx 4 ur advice
im on training
thx 4 d advice
Subject: thx 4 d advice
m stil studying
Advice?
Subject: Advice?
I am currently transcribing from micro cassettes and transporting tapes back and forth. I am looking into upgrading to digital and sending dictation via internet. Is there anyone already doing this that could offer advice? i.e. How does it work? What equipment is needed? (I'm assuming I need to purchase a new foot pedal?) Any special software needed? What is the sound quality like? Any pros vs. cons? Also, can you recommend certain equipment and where to purchase? Any advice you could offer would be greatly appreciated. Thanks!
Lorrie
transcribing about NIDDM. Sounds like sulfanuria and glybizone.
Subject: transcribing about NIDDM. Sounds like sulfanuria and glybizone.
I've come across a dictation that is talking about NIDDM. It sounds like he's saying "he was initially of sulfanuria and switched insulin in Puerto Rico". The other part is "He has never been on metformin or glybizone." Any suggestions??
The lens was centered with an eye wall manipulator.
Subject: The lens was centered with an eye wall manipulator.
In eight years of transcribing ortho, I've never heard this term...
Subject: In eight years of transcribing ortho, I've never heard this term...
Impression:
1. Left de Quervain tendinitis.
2. Left carpal tunnel syndrome.
Will get EMGs. The patient has evidence of s/l palmarthrorheumatosis. He runs it together, so it may be palm (or palmar) arthrorheumatosis.
Any help is appreciated. :)
a word of advice - sm
In the spine, there are bones (vertebrae) and intervertebral discs. The discs keep the vertebrae from touching one another, thus providing a "cushion" for the bones. When the disc which is between the spinal bones ruptures it is called a herniated nucleus pulposus. It could be a disc protrusion or a disc extrusion, which is not be a complete herniation but a partial disruption of the disc.
Therefore, the answer to your question would not be "distal" as the other poster suggested, but rather discal herniation or a herniated disc or nucleus pulposus.
A suggestion would be for you to get an atlas of the spine and read about the components which make up the human spine, canal and cord. That way you would have a better understanding of what you are transcribing and also the correct terminology.
Milton's advice
Subject: Milton's advice
No, Newbie, Milton is not trying to start anything. He is trying to save your very naive tuchas from trouble down the road. You may be a smary-pants, but you sure have a lot to learn, my friend.
"good advice"
Subject: "good advice"
Thanks guys ! :)
You know I meant advice LOL !!!
Subject: You know I meant advice LOL !!!
x
slang advice please
Subject: slang advice please
Dictator says: I recommended to her to hook up with a gastroenterologist. (Sounds like a date! )
Should I leave this as is, or change to something like "I recommended to her to see a gastroenterologist? Not a verbatim account. Just looking for opinions, I am leaning towards changing it.
Need advice on how to type this
Subject: Need advice on how to type this
Dictated -
Peak flows today: 230, 240 and 290. Should they be separated by / ? Thanks.
Need advice on how to type this: sm
Subject: Need advice on how to type this: sm
Range of motion of the left knee is approximately +5 degrees to 2+15 degrees. Would this be correct, or 2 +15 degrees, or 2+ 15 degrees.
Thanks for your help!
Word of advice
Subject: Word of advice
Fix the grammatical errors. QA's job is to correct blanks that are pertinent to the report. Leaving something like that to QA to fix will only leave a red flag.
thank you; good advice
Subject: thank you; good advice
Yep, there's a Lister and a Lester lens manipulator! I hate it when that happens!
Subject: Yep, there's a Lister and a Lester lens manipulator! I hate it when that happens!
x
Also found Rhein forceps for lens insertion
Subject: Also found Rhein forceps for lens insertion
Correction: Cytotec (ulcer med).It's the lateness of the hour. Thought I was transcribing alone.
Subject: Correction: Cytotec (ulcer med).It's the lateness of the hour. Thought I was transcribing alone.
x
Transcribing ESL. He is pretty clear, but does 15 cc fluid restriction sound a little severe??? (nm)
Subject: Transcribing ESL. He is pretty clear, but does 15 cc fluid restriction sound a little severe??? (nm)
x
You're getting some very good advice here. sm
Subject: You're getting some very good advice here. sm
I've been using PRD for years and it allows me to use symbols as part of the shortcuts which really helps a lot. Because there can be the same abbreviation for different phrases, I will add a single hyphen for cardio, 2 hyphens for ortho, etc. Also, if the phrase needs to be hyphenated to precede a noun, such as in "up-to-date information," the short form here for a hyphenated "up to date" would be "-utd." When it doesn't need to be hyphenated, it would be "utd." This comes in handy for the phrase "too numerous to count." (You get the idea.)
This is really a personalized thing. My short forms may be a mystery for another MT.
For personal names that crop up a lot that I don't want to type out each time, I'll use the last name with either a hyphen after it or a "1." For instance, "George Washington, MD," I'd use "wash1." For "George Washington, PA-C" I'd use wash-.
Your "rrr" also could be "r3." My "alert and oriented x3" is "ao3."
Whatever floats your boat! Have fun!
Thanks for your advice; it's greatly appreciated.
Subject: Thanks for your advice; it's greatly appreciated.
.
Advice - 'mickey button'?
Subject: Advice - 'mickey button'?
Just out of curiosity, how do you type 'mickey button'? As it sounds, as it sounds but capitalized, the apparently patented way of MIC-KEY button (as on the product's website), or yet another way? I keep seeing this typed all different ways and was wondering if there's some universally preferred method of which I'm not aware.
TIA 
extracapsular cataract extraction with intraocular lens implantation
Subject: extracapsular cataract extraction with intraocular lens implantation
s/l? Raking of the nucleus with persistent of tone.
Pale avascular bleb, temporal lens extraction
Subject: Pale avascular bleb, temporal lens extraction
Anterior chamber, lens 'in vitrea' is normal.
Subject: Anterior chamber, lens 'in vitrea' is normal.
This sounds like lens 'in vitrea' is normal or lens 'invitrous' normal.
Please look at sentence and give advice on punctuation. Thanks.
Subject: Please look at sentence and give advice on punctuation. Thanks.
The patient does not eat or drink orally, but instead receives gastrostomy tube feedings, apparently usually between 5 p.m. and 5 a.m., which according to the caregiver, he has been tolerating well.
advice about hyphenating *two and a half years ago* please
Subject: advice about hyphenating *two and a half years ago* please
I have tried looking this up on grammar sites and couldn't find anything. I am always wondering if I should hyphenate * two-and-a-half years ago* or if the jury is out on that. Same as *for the past three-and-a-half years...*
Thanks
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