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Did you even THINK of Google? Try? Your years of experience are obviously not very broad. nm

Posted By: . on 2007-05-25
In Reply to: CPT code 11012 - ss

Subject: Did you even THINK of Google? Try? Your years of experience are obviously not very broad. nm

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common sense and 20 years experience :o)
Subject: common sense and 20 years experience :o)

No joke! I'm not sure if the percent issue is documented. I worked for many years in heme/onc and this is the way it is done.
just as an aside...I have 17 years experience typing urology. LOL.
Subject: just as an aside...I have 17 years experience typing urology. LOL.

nm
You are very welcom. I have 19 years of uro experience. I have heard it all. LOL. nm
Subject: You are very welcom. I have 19 years of uro experience. I have heard it all. LOL. nm

nm
If you are wondering, I have 18 years of urology experience. Some of what I know would curl your hai
Subject: If you are wondering, I have 18 years of urology experience. Some of what I know would curl your hair. LOL. nm

nm
Wow, thank you. Just years, years and more years of experience
Subject: Wow, thank you. Just years, years and more years of experience

and a constant thirst for learning something new everyday. As we all know this can get to be somewhat boring, but learning from what I transcribe as well as from other transcriptionists keeps me going (money is not bad either). It becomes a challenge. But I can't thank you enough for the kind words.

Use to be younger...
Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an
Subject: Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an

experience is, it lacks credibility especiall when you base it on YOUR experience.  Who are you?  How much experience do you actually have?  What kind of experience do you have?  How many diabetic patients have you encountered in your years of experience?


You can't expect to make a sweeping generalization like "all diabetics have hypertension" and not get called out on it.  Come on!  Know your place.  Arrogance is an unattactive personality trait.


I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)
Subject: I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)

Now some are saying it's q. 4h.??  UGH, YUCK!!  I have also worked on accounts where it had to be "every 4 hours," and we had to spell out p.r.n. (as needed for).  At least we got more characters. 


First rule:  It is all what the "client/account" wants, not always what the BOS says it is.  I realize that language and its usage is constantly changing, but I've seen so many BOS and client flip-flops on so many other things in nearly 3 decades that it's laughable.  What isn't laughable is when we get penalized for not knowing what they want, even when they, themselves, don't know or are wrong.


Oh, and I still prefer the old no spaces:  q.4h., q.4-6h., q.12h., and so on.....


S/L Harrington broad placement (sm)
Subject: S/L Harrington broad placement (sm)

Patient had a lumbar fusion with s/l Harrington broad placement. TIA!
got it! broad spectrum was the blank
Subject: got it! broad spectrum was the blank


broad math abilities?
Subject: broad math abilities?

her broad math abilites were assessed using the WJ-III.


 


Ok, is broad correct?


yes, broad math abilities..sm
Subject: yes, broad math abilities..sm

http://209.85.165.104/search?q=cache:mbKQJqMxBFwJ:www.concordspedpac.org/WJ-III-subtests.htm+WJ+III+broad+math+abilities&hl=en&ct=clnk&cd=3&gl=us
s/l *epidural bar and broad line * pls sm
Subject: s/l *epidural bar and broad line * pls sm

The canal was narrowed to 7 mm, and the disc osteophyte complex extended 4 mm into the canal.  At C6-7 there was moderate disc space narrowing with broad-based disc osteophyte complex, mild anterior s/l *epidural bar and broad line *central stenosis, a filling defect in the right neural foramen possibly representing a lateral disc protrusion, which would impact the exiting C7 nerve root, and a filling defect extending 7 mm in length x 4 mm.  It was uncertain whether this represented disc or disc osteophyte. 


This doesn't seem to make sense..  Any suggestions here? thanks


hyphens...gait is broad-based?
Subject: hyphens...gait is broad-based?

I am drawing brain farts with hyphens lately.  Just looked at Dr. Grammar.  Still no help.  I know that before a noun, two or more adjectives are hyphenated, as in broad-based gait.  But what about gait is broad-based. ? Are there new rules on hyphenation? Do we always hyphenate heel-to-shin and the like?
Tequin, a broad-spectrum antibiotic? nm
Subject: Tequin, a broad-spectrum antibiotic? nm

s
sounds like zylastin - broad-spectrum antibiotic ??
Subject: sounds like zylastin - broad-spectrum antibiotic ??

xx
In broad generalizations, brand names are catchy and easy to say, generics often are not..sm
Subject: In broad generalizations, brand names are catchy and easy to say, generics often are not..sm

Brand names..Avapro, Motrin, Aleve, Bentyl, Rescon, Comtrex, Toradol...easy to pronounce, spelling makes sense, sound like a shiny corporate marketing group named them (which they did).

Generics...celecoxib, lazabemide, dexormaplatin, praziquantel... look and sound like a bunch of syllables randomly thrown together.

With experience you'll recognize the common suffixes of generics...-mide,-cillin, -olone, -xime.

But, really, it's just lots and lots of repetition of seeing, looking up, hearing, and typing them hundreds of times.
Any way you can work it into your spellcheck and/or macro program is the best help you can give yourself.
Brand names are usually shorter
found this. There are 3 lateral ankle ligaments and one broad, fan-shaped medial ligament. nm
Subject: found this. There are 3 lateral ankle ligaments and one broad, fan-shaped medial ligament. nm

.
in my experience
Subject: in my experience

The standard now is to change cc to mL, but out of three accounts I work on, two want cc to stay as cc, and the other wants everything mL.
How much experience do you have?
Subject: How much experience do you have?


My experience
Subject: My experience

I work for a hospital doing transcription and when they switched us from hourly pay to productivity pay, I went from making a little over $14/hour to over $20 an hour!  It's funny, we all thought it was going to be a bad thing to switch and our bosses kept saying we think you all will be happy, wait and see.  They were right!  I do have medical/dental insurance thru them also, it was never based on my productivity whether or not I have insurance or not. 


Not sure what she's saying. Not much experience with GYN exams.
Subject: Not sure what she's saying. Not much experience with GYN exams.


hospital experience tells me otherwise
Subject: hospital experience tells me otherwise

I'm diabetic, have been in the hospital and I don't have high high blood pressure. In fact, I have low blood pressure. You need to stop spouting off things like you are all knowing. Sheesh, what a goomba*!!

*Forget all the rest of the meanings of goomba, this is what a goomba really is: a goon, a goof, a kook, or poser who doesn't physically resemble a goomba from Mario Bros. but acts just like one. You know a true goomba when you see one.
hospital experience tells me otherwise
Subject: hospital experience tells me otherwise

I have yet to see or hear of a diabetic in hospital who does not have hypertension.
Never in my experience unless at start of a sentence. nm
Subject: Never in my experience unless at start of a sentence. nm

s
disc has always been preferred in my experience
Subject: disc has always been preferred in my experience


:-) darlin' - experience doesn't always mean correct
Subject: :-) darlin' - experience doesn't always mean correct


First thought based on my experience is Sulamyd. nm
Subject: First thought based on my experience is Sulamyd. nm


From my experience when a tape or dictation skips,
Subject: From my experience when a tape or dictation skips,

I will put a blank or a timestamp for QA.  You really should never guess especially when the audio is broken up like that.  My advice would be send to QA or leave a blank with a comment that the dictation skipped. 
Thanks for trying. My supervisor who is great and has decades of experience couldn't get this on
Subject: Thanks for trying. My supervisor who is great and has decades of experience couldn't get this one.


Thanks for posting the solution to your problem..it is an educational experience for all of us...
Subject: Thanks for posting the solution to your problem..it is an educational experience for all of us...

Really, so many times when people find answers to the questions that they post, they just say...'Never mind, found it,' which leaves a lot of us up in the air as to what the answer was! So thanks for sharing your solution!
Just comes from experience. Every job I've worked has handled it differently.
Subject: Just comes from experience. Every job I've worked has handled it differently.

s
anhedonia: The absence of pleasure or the ability to experience it.
Subject: anhedonia: The absence of pleasure or the ability to experience it.


a knee aspirate would be considered a procedure, at least from my experience.
Subject: a knee aspirate would be considered a procedure, at least from my experience.


2 years' time because years is plural. One year's time because it is singular, only one year.
Subject: 2 years' time because years is plural. One year's time because it is singular, only one year.


I too love Google but be V_E_R_Y careful w/google
Subject: I too love Google but be V_E_R_Y careful w/google

Google is great for retrieving anything faster than the speed of light *lol* - but if the info comes from a nonverifiable medical website, be very wary.  There are a few I trust only...the NIH for one (Nat'l Institute of Health) and the CDC (Center for Disease Control) and a few others out of the government actually.


As for prescription places, I trusted rx.com for far too long, there are many more reliable drug websites out there... medilexicon.com is a great site and to confirm a proper name of a disease or things like that, there is whonamedit.com which, if you write to the site owner, can be added to (I have done some communication with the site owner so this is 100% true). 


When I first started using google in MT work about 8 years ago as google is not that old, (got online 12 years ago, been an MT since 1980), I had looked up Spironolactone, and Google gave the spelling to me incorrectly and (who knew it was wrong?!?!??) I used their spelling and I was wrong. 


So, only advice is be VERY CAREFUL what YOU CHOOSE to use as far as websites go regarding MT/ME work because in the end you're the one responsible....not google. 



gotta be careful w/Google....I love Google
Subject: gotta be careful w/Google....I love Google


Have only seen I&D in about 30 years!!
Subject: Have only seen I&D in about 30 years!!


lab 6 years....12,700 or 12.7
Subject: lab 6 years....12,700 or 12.7

/
2 pks day for 30 years +
Subject: 2 pks day for 30 years +

2 packs a day for 30 years, plus 1 1/2 packs a day for ten years. That makes one pack a day for 75 years. Is that right?
2 and 1/2 years
Subject: 2 and 1/2 years

2 and 1/2 years, two and a half years???  Thanks.
I'd probably do 2-1/2 years. nm
Subject: I'd probably do 2-1/2 years. nm

s
I do 2 1/2 years
Subject: I do 2 1/2 years

e
years' old or years old
Subject: years' old or years old

Can't remember which is correct. The patient is 40 years old or the patient is 40 years'old?

40 years of old doesn't seem right. So I am leaning towards 40 years old. Started new job and my brains have gone out the window.

Thanks.
Is it 9-years-old or 9 years old?
Subject: Is it 9-years-old or 9 years old?

nt
I have been doing this 30+ years and
Subject: I have been doing this 30+ years and

x
Over the course of nearly 20 years,
Subject: Over the course of nearly 20 years,

I have only had 1 account that wanted the acronym in parentheses.  Everybody else just wants it expanded to long form in the diagnosis section.  I wouldn't say you are necessarily behind the times, it is just that it has never come up for you before now. 
For years I was on - sm
Subject: For years I was on - sm

tetracycline for skin infection/acne issues.
20 years...Wow!
Subject: 20 years...Wow!

That's why you know your stuff. :-)
all I know is I work for PS 10 years now...sm
Subject: all I know is I work for PS 10 years now...sm

and in the beginning I gave them Weiss pattern and they immediately changed that for me to *Wise*.........but if the MD is spelling Wyse, I'd give him that.......  even if he is wrong......*LOL*
sorry, meant was in lab for 6 years
Subject: sorry, meant was in lab for 6 years

/
2-1/2 years is correct. nm
Subject: 2-1/2 years is correct. nm

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