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Can you access file samples? They usually say procedures over

Posted By: and over the same way. NM on 2007-09-05
In Reply to: brachytherapy seed placement question sm - ME

Subject: Can you access file samples? They usually say procedures over

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MTDesk has samples of tracheostomy procedures
Subject: MTDesk has samples of tracheostomy procedures

http://www.mtdesk.com/reports_ent.shtml
(CABG) procedures using the ESTECH Access and Stabilization Systems in conjunction with a surgical r
Subject: (CABG) procedures using the ESTECH Access and Stabilization Systems in conjunction with a surgical robot


No it does not - I went on to another file-then
Subject: No it does not - I went on to another file-then


samples
Subject: samples

http://www.mt-stuff.com/sample_medical_transcription_reports.html


copy/paste into google or you web browser


 


HIV file - terms used
Subject: HIV file - terms used

I'm working on a file about an HIV patient who also has a MAC infection.  Under the "IMPRESSION", the dictation sounds like.  Situation further complicated by disseminated MAC infection which led to s/l INCESNAL obstruction due to severe s/l MACROLIDED lymphadenitis.  Improving s/l TEKEXIA.


Any help anyone could give me with any of those terms would be appreciated.


Thanks


 


Uh...a whole sentence might help us help you. Or where in the file is this? nm
Subject: Uh...a whole sentence might help us help you. Or where in the file is this? nm

s
cardiology samples
Subject: cardiology samples

Here's 2 websites for cardiology samples.

http://www.mt-stuff.com/cardiology.html

http://www.stedmans.com/AtWork/section.cfm/27

Anyone else have cardiology websites to share?
s/l clipple file - sm
Subject: s/l clipple file - sm

Patient with a history of high-arched palate, velopharyngeal dysfunction, and *clipple file* who was recently with a chromosome 22q deletion.


Thanks for any help.


No samples yet in the system, new account. nm
Subject: No samples yet in the system, new account. nm

nm
Do you have any samples of this doc? Not sounding familiar. nm
Subject: Do you have any samples of this doc? Not sounding familiar. nm

s
Listen to the voice file
Subject: Listen to the voice file

I keep all my voice files for at least three months. If I happen to get a QA tif back, I always go back and listen to the voice file and compare. Find out what the policy is on that account. I have found that some accounts expect corrections and others, right or wrong, expect verbatim transcription. I am blessed that the accounts that I edit and transcribe allow me to use good judgment.
Come to find out -- all I had to do was look through my expander file!!!
Subject: Come to find out -- all I had to do was look through my expander file!!!

nm
Looked again at her samples and found it!
Subject: Looked again at her samples and found it!


Starting sentences of a file
Subject: Starting sentences of a file

The patient is a ----and most usual entries as follows


-old accountant


-old active duty military personnel


-old administrator


-old advertising sales specialist


-old administrative assistant


-old African-American


-old airhostess


-old architectural conservator


-old astrophysics


-old assistant


-old attorney


-old aunt


-old auto technician


-old author


 


-old black


-old boy


-old board member


-old bank manager


-old banking person


-old business owner


-old bus driver


-old bartender


-old brought by


-old Caucasian


-old child


-old carpenter


-old construction worker


-old creative director


-old communications director


-old college professor


-old daughter


-old disabled


-old dancer


-old driver


-old emergency room physician


-old Egyptian


-old executive


-old female


-old financial advisor


-old girl


-old gentleman


-old Hispanic


-old Hassidic


-old homemaker


-old heating ventilation and air-conditioning mechanic


-old heavy equipment operator


-old hospitalist


-old industrial electrician


-old internist


-old infant


-old lady


-old laborer


-old left hand dominant


-old male


-old musician


-old medical secretary


-old nurse


-old obese


-old Oriental male


-old patient


-old physical therapist


-old right handed


-old retired


-old retiree


-old recovery room nurse


-old student


-old son


-old semiretired child case worker/nurse


-old technical writer


-old teacher


-old twin daughters


-old white


-old woman


-old well driller


-old young


ƈ months' worth of samples' is right..nm
Subject: ƈ months' worth of samples' is right..nm

nm
I only have 2 samples and the term is on neither. He says...using the s/l free reduction <-maybe> t
Subject: I only have 2 samples and the term is on neither. He says...using the s/l free reduction <-maybe> technique, the colon is somewhat redundant


It'll become repetitious in a short time. Ask for some samples. nm
Subject: It'll become repetitious in a short time. Ask for some samples. nm

s
I believe you're right. The file is a little warbled where she says it, so I'll flag it.
Subject: I believe you're right. The file is a little warbled where she says it, so I'll flag it.


Sounds like "Fuseman" file to remove heel spurs?
Subject: Sounds like "Fuseman" file to remove heel spurs?

x


Can you see samples of how the other MTs handle it? Are these SOAP notes? Can you number the probs
Subject: Can you see samples of how the other MTs handle it? Are these SOAP notes? Can you number the probs

s
between pain and improved where the voice file number and time is.
Subject: between pain and improved where the voice file number and time is.


You need to ask your service for some of the docs samples. Will go a long way to helping you create
Subject: You need to ask your service for some of the docs samples. Will go a long way to helping you create

s
Probably talking about report physicians file with Motor Vehicle Dept - sm
Subject: Probably talking about report physicians file with Motor Vehicle Dept - sm

When patient's have seizure disorder or passing out episodes, etc. most states want physicians to fill out a "Confidential Morbidity Report" (or name similar to that) and send to the DMV letting them know the patient has been diagnosed with condition that can cause loss of control of the vehicle -- did doctor say he counseled patient on not driving until seizures under control for x-amount of months or something like that?


CVT access
Subject: CVT access

Has anyone heard of CVT access?  Chief complaint is "Need for CVT (?) access"
IV access?
Subject: IV access?

nm
I bet he's saying access catheter then!
Subject: I bet he's saying access catheter then!


Yes, the KVO allows easy access
Subject: Yes, the KVO allows easy access

warranted.  In my experience, the KVO rate was used during a transesophageal echocardiogram wherein if the patient needed a bolus of a med, then the line was there to give it.  Saline was given at a KVO rate, but I think it also (slow drip) allowed hydration for the patient while undergoing the procedure.  I believe these drips given at KVO rate can be started a lot of times in the ER to allow venous access. 
Cannot access the site? - sm
Subject: Cannot access the site? - sm

Tried googling http://ssrsurgical.com/index.html but no can find.
Is the MT able to access old records
Subject: Is the MT able to access old records

and saw this was the proper medication? That may be where the MT got it.
procedures
Subject: procedures

bilateral breast augmentation? or bilateral augmentation[s]?


procedures
Subject: procedures

I would recommend going ahead with an arthroscopy, meniscal debridement, and anterior cruciate ligament reconstruction.

my question is would there be a comma after arthroscopy? He clearly says arthroscopy, not arthroscopic.
tia.
? Vascular access resistance
Subject: ? Vascular access resistance

s/l it, though VAR could stand for venoarteriolar reflex, venoarteriolar response, etc.
Can you access old reports to see if it's something used routinely? nm
Subject: Can you access old reports to see if it's something used routinely? nm

s
Can you access any of the old reports to see if he "normally" says something here? nm
Subject: Can you access any of the old reports to see if he "normally" says something here? nm

s
s/l mitrophenov access to the bladder?
Subject: s/l mitrophenov access to the bladder?


apical access guidewire?
Subject: apical access guidewire?

This is a bunionectomy. s/l apical access guidewire
Skin Axis / Access
Subject: Skin Axis / Access

In a mammogram, doc dictates: "At ultrasound, this does correspond to a smooth, oval, hypoechoic, well-defined nodule, which is parallel to the skin axis/access, measuring 14 x 4 x 9 mm. "


Is it "axis" or "access?"  Thanks in advance :-)


s/l CCAP/CAPA Access Med Plus
Subject: s/l CCAP/CAPA Access Med Plus

We have given patient Access MedPlus number to CCAP/CAPA to see if she would qualify for any free services as she has no insurance.  It may also be "CAP/CAPA"


Thanks,


 


Abby


IV access. S/l might be multi-lumen
Subject: IV access. S/l might be multi-lumen


strata procedures
Subject: strata procedures

strata procedures


Doctor has this listed under GI procedures.


Not sure what they are.


i believe this is Stretta procedures.
Subject: i believe this is Stretta procedures.

x


Just found it under procedures
Subject: Just found it under procedures

Thanks again for your help.
surgical procedures
Subject: surgical procedures

There is an instrument, and I think it either a clamp or clamp-like, that is refered to as a Davis & Geck in various procedures I have seen.
yes there are Potts procedures
Subject: yes there are Potts procedures

for cardiovascular, patent ductus, aorta coarctation, etc.  also Potts-Smith procedures and forceps.  Here's a link to Potts shunt for an example.


Procedures... would these be performed by MD or DDS?
Subject: Procedures... would these be performed by MD or DDS?

Cricopharyngeal myotomy and swallowing study.


more content - these are the procedures being done
Subject: more content - these are the procedures being done

OPERATION PERFORMED:
1. Exploratory laparotomy.
2. Mucinous abdominal and pelvic mass resection.
3. Pyloric mass resection.
4. Rectosigmoid colon resection with terminal end colostomy.
5. Cecal and ascending colon resection with primary end-to-end ileal ascending colon anastomosis.
6. Ureterolysis bilateral.
7. Extensive lysis of adhesions.

Found a few procedures - see if these help..... sm
Subject: Found a few procedures - see if these help..... sm

Mustard, Senning, or Rastelli all procedures for D-transposition of great vessels
Non-radiological procedures
Subject: Non-radiological procedures

Are there any imaging procedures that are not radiologic procedures?
Those are all still "radiologic" procedures.
Subject: Those are all still "radiologic" procedures.

x
Here is a great educational site about IV access
Subject: Here is a great educational site about IV access

nm
May be Mediport infusion access device? nm
Subject: May be Mediport infusion access device? nm