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Generally speaking (sm)

Posted By: shopaholic on 2008-01-06
In Reply to: use of affect and effect - Mary Pattison

Subject: Generally speaking (sm)

affect is a verb and effect is a noun. There are only 2 exceptions - when affect is used in psych reports referring to their general attitude and when effect is used as a verb meaning "to bring about" as in "to effect a change in someone". Try to keep it simple.


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I generally use semicolons because something like
Subject: I generally use semicolons because something like

every Monday, Wednesday, and Friday or MED 50 mg, one p.o. b.i.d. would mandate semicolons, and it's easier to use them to start with than go back and change them. I was taught to use semicolons; if you use comma you need to add the "and" at the end. This is very old school from the 1970s, though.
I generally type weight-bearing exercise
Subject: I generally type weight-bearing exercise

.
I generally don't make specific comments on someone's grammar, spelling, etc., unless - sm
Subject: I generally don't make specific comments on someone's grammar, spelling, etc., unless - sm

that's what they're asking about, as most of us make typos when we're just posting to one of the boards here, looking for a quick answer .... :-) But, just wanted to give you a heads-up that a few things might have needed a second look there. That kind of thing becomes second nature after a while, but it's worth spending the extra time on it when you're starting out.
There is bullous lichen planus which are blisters that generally appear on the lower legs.
Subject: There is bullous lichen planus which are blisters that generally appear on the lower legs.


Speaking of QA, here's one for ya'...sm
Subject: Speaking of QA, here's one for ya'...sm

Last line of the report, dictating physician says "I will page Dr. so-and-so and discuss with him."  The title "Dr." was inadvertantly left out (mybad), admittedly an error from typing too fast and didn't catch it.  QA pulled this report and marked it as a "critical error affecting document integrity."  I appealed the ruling arguing that it should be considered merely as a typo as document integrity as it pertains to accurate documentation of patient health care (which is what these documents are for) and proper transcription style had not been affected in any way.  QA board upheld the ruling implying in their reasoning that the doctor could be offended, i.e., his ego could be bruised, by failing to transcribe the title he worked so hard to achieve. 


Your thoughts - typo or critical error affecting document integrity?


Speaking of numbers...
Subject: Speaking of numbers...

What are the rules according to AAMT BOS on spelling out numbers in reports. If doc says...Patient has had headaches for the past two days...do I spell out two or do I put a number 2?

Thanks for your help.
speaking of misspelled, LOL nm
Subject: speaking of misspelled, LOL nm

nm
Speaking of presumptive
Subject: Speaking of presumptive

You made an assumption that I made my comment based on my "moral compass."  You are the one being presumptive.  As it so happens, I became an MT because the job I used to have did not allow me to go back to school.  I recently got my second bachelor's in psychology, graduating summa cum laude I might add, and have been accepted to grad school for school psychology at one of the most competitive schools in the state.  So I beg your pardon but the information I gave is not my moral compass.  It comes from the extensive education I have received.  In addition, I have experience working with kids with developmental delays and my best friend growing up had autism.  I assure you if a doctor used that word with some of my friends who have children with disabilities, not only would the doctor get an earful so would the AMA.


Thanks. That has to be it. He has a little speaking dyslexia going on. (nm)
Subject: Thanks. That has to be it. He has a little speaking dyslexia going on. (nm)


Visually speaking, I like q.8h.
Subject: Visually speaking, I like q.8h.


Is he spanish speaking?
Subject: Is he spanish speaking?

the word sin in Spanish means without.


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Subject: If she is speaking REALLY fast...

she may be saying parenteral nutrition.
Is he speaking really fast??
Subject: Is he speaking really fast??

Follicular maybe
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Subject: Maybe, if speaking really fast...

doc is saying pressure recording device. I had a hard time once figuring out that piddy-did was simply the punctuation at the end of every sentence. :-)
podiatrist speaking PARIOSALIVATOR?
Subject: podiatrist speaking PARIOSALIVATOR?

borders of the right great toenail were freed from their underlying attachments to the nailbed with a  S/L PARIOSALIVATOR.. 


Any help - please? 


Dr speaking fast...am I hearing this right?
Subject: Dr speaking fast...am I hearing this right?

(In review of systems)


NECK: Supple without mass.  ABDOMEN: Soft.  He does have some epigastric discomfort.  No hepatasplenomegaly, S/L mass appreicated, no guarding rebound.


am I hearing this right....if not any ideas?


volar? positionally speaking of course.
Subject: volar? positionally speaking of course.


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Subject: total guess: trouble speaking? nm


Speaking of Whitney, despite it all, I hope she makes the
Subject: Speaking of Whitney, despite it all, I hope she makes the

biggest come back ever.  Her voice is phenomenal.  She is one of the very few people (less than 3% in the U.S. and Europe) who have perfected pitch.
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Subject: Speaking of ears clogged with cerumen, are there

any ENT MTs who know if there is another product, other than Debrox, or Cerumenix (which was by RX only, but discontinued) to remove chronic earwax, other than going to the ENT to have them irrigated and removed with a curette?


I can't seem to find any drug on the market; prescription or otherwise, other than those mentioned above, which were of no benefit.


Your help is greatly appreciated.  Thanks.


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Subject: I thought of that, but the doctor is pretty plain speaking

thanks for your thoughts.. It indeed might be what he means but doesn't say right.. you know how that goes
In PE of the Ears saying TMs are s/l purligurd?
Subject: In PE of the Ears saying TMs are s/l purligurd?

I would think it is herald unless he is speaking of a person with the name Herold, which I doubt.
Subject: I would think it is herald unless he is speaking of a person with the name Herold, which I doubt.


Thanks everyone. This guy is a real trip. Never heard such horrible speaking skills!
Subject: Thanks everyone. This guy is a real trip. Never heard such horrible speaking skills!


If I'm not 'speaking' clearly it is because I've had to listen to this mush mouth, speed talker for the past 8 hours and am only about 3/4 done with my quota.  I've never had so much trouble... even my ESL doctor makes better sense than this guy.


speaking of recurrent thyroid cancer..so in that area the intra-media-sty-num sm
Subject: speaking of recurrent thyroid cancer..so in that area the intra-media-sty-num sm

Interestingly the PET scan revealed minimal FDG uptake in the right thyroid bed consistent with the right anterior tracheal lesion, and also minimal uptake in what is believed to be persistent thymic tissue in the "intra-media-stynum", but nowhere else is it noted.  MRI was reviewed as well.  This confirms a 1.4 cm enlarged lymph node on the right side at the level of C3......


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.