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Hmm after reading the dictation again, you may be right...sm

Posted By: typinlikemad on 2008-07-22
In Reply to: Mohs chemosurgery is as follows: - pc

Subject: Hmm after reading the dictation again, you may be right...sm

Mohs does make sense, he does say with negative results, and this was done some time after the p63, TTF-1, etc.  THANK YOU for that great point!  My brain is so done today. 




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Are you reading this off of doc notes or is he/she giving you these single letters in dictation? nm
Subject: Are you reading this off of doc notes or is he/she giving you these single letters in dictation? nm

s
I think your doc has been reading
Subject: I think your doc has been reading

too much Harry Potter. I think there are Lamentors in there.

No wait, those are Dementors.

Never mind.
reading of an x-ray sm
Subject: reading of an x-ray sm

His zygomatic frontal and zygomatic temporal bones ? are all intact
I bet it is reading! nm
Subject: I bet it is reading! nm

,,
He is reading from a list sm
Subject: He is reading from a list sm

that the patient wrote so I feel sure that is it. Thanks!
I believe you are reading it wrong sm
Subject: I believe you are reading it wrong sm

There is a comma between tics and the next item so tics and spasm are separate items. 
Reading the article below it seems to dB
Subject: Reading the article below it seems to dB

The relationships among visual acuity (log MAR), diagnostic category, age, the magnitude of a relative afferent pupillary defect (RAPD) in log units, photopic foveal thresholds to white and colored light (dB), and the mean deviation on the Humphrey visual field (dB) were studied in patients with various optic neuropathies. All acuity and dB values were expressed as interocular differences, the majority of cases having normal acuity in the fellow eye. In multiple regression analyses, acuity and RAPD were alternately chosen as the dependent or response variable with all remaining variables serving as the predictors or independent variables. The main finding was that the only significant predictor of a RAPD was the interocular mean deviation difference on the Humphrey field and the only significant predictor of acuity was the foveal threshold to white light. Redundant and insignificant variables were therefore identified with multiple regression analysis. Subsidiary findings include: (a) although diagnostic group was not a significant predictor in the above, simple linear regression line slopes relating RAPD magnitude to the Humphrey mean deviation were significantly different between optic neuritis and compression categories; (b) for a given level of acuity, foveal thresholds were substantially worse in these cases with neuronal damage than in strabismic amblyopia, refractive error, or corneal damage; and (c) sensitivity losses for red vs. blue light were similar...


Perhaps he is reading what the patient
Subject: Perhaps he is reading what the patient

incorrectly wrote down in place of Maxalt.  That's not so uncommon.  I'd leave a blank.
Can a lab reading be "small"??
Subject: Can a lab reading be "small"??

Patient is having high blood sugar and in her labs, dictator says something that s/l "serum acetone small."  Is this right or am I crazy?
Reading your sentence I would think sm
Subject: Reading your sentence I would think sm

That the EEC is enteropathic E. coli due to the anxiety. 
He may be reading from what the pt wrote
Subject: He may be reading from what the pt wrote

My doctor does that. He reads the drug as it was incorrectly written by the pt or the medical assistant. I have to look at the PMH to figure it out.
cardiology, echo reading
Subject: cardiology, echo reading

The aortic valve appears to be a s/l tri-commish-er valve with fusion of one s/l commish-er and acts as a bicuspid aortic valve.


 


he is pretty clear with both of these, but I cannot verify either one. Thanks!!


How is this being treated or is this an xray reading? nm
Subject: How is this being treated or is this an xray reading? nm

s
Blood Pressure Reading
Subject: Blood Pressure Reading

I had a doctor who did this also, and the person who QA'd my report told me to put it just like you have it except told me to use 120/80 without the "s".
Blood glucose reading, please sm
Subject: Blood glucose reading, please sm

Doc is saying "patient went back on Metaglip and now his sugars are around *100 mg percent*.  I've never heard that, just sugars around 100 or whatever, no "mg percent".  Thanks for any help!
reading that, it sounded rude. sm
Subject: reading that, it sounded rude. sm

I did not mean it that way. Again, just a pet peeve of mine.
Bet the doctor is reading off the patient's list that sm
Subject: Bet the doctor is reading off the patient's list that sm

the patient wrote him/herself. When they can't tell what it is, they often spell it the way the patient did. I'd leave a blank and make a note with the doctor's spelling if you've already researched the term and found nothing to verify it. I found nothing in my Drake. I never trust a doc's spelling of ANYTHING!!


Bet the PA is reading the patient's history sheet. sm
Subject: Bet the PA is reading the patient's history sheet. sm

9 times out of 10 it is  arthroscopy and meniscectomy.


Is this a follow up to lab work or reading a film, etc.? nm
Subject: Is this a follow up to lab work or reading a film, etc.? nm

s
I always enjoy reading your replies. Thanks for the info also!
Subject: I always enjoy reading your replies. Thanks for the info also!


reading med list says Toprol, B6?, Protonics..is B6
Subject: reading med list says Toprol, B6?, Protonics..is B6

B6 is okay?
He's very clear. I'm thinking he's reading from pt note.
Subject: He's very clear. I'm thinking he's reading from pt note.


Reading comprehension test s/l Wyatt? nm
Subject: Reading comprehension test s/l Wyatt? nm

xx
WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm
Subject: WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm


After reading my post, I also need to take a typing class, way to many typos!!!!
Subject: After reading my post, I also need to take a typing class, way to many typos!!!!


After reading all of it, would change my answer to distally going with sensation. Not sure about th
Subject: After reading all of it, would change my answer to distally going with sensation. Not sure about the second ??.


She has lost some weight, but she has been reading up on s/l “pekos”, and understands the issue with
Subject: She has lost some weight, but she has been reading up on s/l “pekos”, and understands the issue with


.........insulin resistance and problems with obesity and hyperlipidemia, as well as her elevated blood pressure and so she would like to go over issues with her diet today.


The patient has a diagnosis of polycystic ovarian syndrome with glucose intolerance.  Under the plan the doc again says, reviewed "pekos" in detail......


TIA!!!


He's probably relying on his poor memory and NOT reading off the package. Use Destination. nm
Subject: He's probably relying on his poor memory and NOT reading off the package. Use Destination. nm

s
When sis comes to visit she always gets good laughs reading the phobia pages in my Dorland's.
Subject: When sis comes to visit she always gets good laughs reading the phobia pages in my Dorland's.

nm
Seems to mein what I am reading that anterior fundoplication is what is performed in terms of achala
Subject: Seems to mein what I am reading that anterior fundoplication is what is performed in terms of achalasia?


Sorry, I made a wrong assumption by not reading your entire question based on the area of fx.
Subject: Sorry, I made a wrong assumption by not reading your entire question based on the area of fx.

x
EMG/NCV dictation
Subject: EMG/NCV dictation

I am transcribing an EMG report right now, and the MD is foreign, so I am having difficulty hearing some of her words.


Dictated:  Ulnar "inching" (?) studies across the elbows .....


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Thanks to whomever is able to help.  Judy Harrison


 


Dictation help...
Subject: Dictation help...

Dictated as: She reports psoriasis, occasional oral orphoras and sicker symptoms.


Are the underlined terms correct.


Thanks


end of dictation
Subject: end of dictation

I know we normally do not type "end of dictation", but would I type the following sentence since it has patient info and a date?

End of dictation on the patient (name) for workers compensation on 6/8/2007.
It would help if we could get the dictation after this.... nm
Subject: It would help if we could get the dictation after this.... nm

x
Help with dictation!!
Subject: Help with dictation!!

On digital rectal examination the prostate is ?flat?/flas? without firm or snug ?valerity?.
Dictation on a patient who is to
Subject: Dictation on a patient who is to

Under recommendations, doc says...number one...s/l ty pen hole or hold. What is the 't' word.
Floridian here- with dictation a G................nm
Subject: Floridian here- with dictation a G................nm


Did dictation get clipped? Maybe this?
Subject: Did dictation get clipped? Maybe this?

Akin osteotomy ?
Have see it in dictation both ways.nm
Subject: Have see it in dictation both ways.nm


Yes, that's it. She actually said it clearer later in dictation.
Subject: Yes, that's it. She actually said it clearer later in dictation.

Thanks!
MAYBE IT IS SRI DICTATION??? ANYONE HEARD OF THAT?
Subject: MAYBE IT IS SRI DICTATION??? ANYONE HEARD OF THAT?


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Subject: Is there a clearer s/l later in the dictation? nm

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Psychiatric dictation help please
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Thanks for all the help, but none of these are fitting with his dictation.
Subject: Thanks for all the help, but none of these are fitting with his dictation.


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Subject: Then I believe it is a dictation mistake.

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Does the dictation indicate if the patient also has
Subject: Does the dictation indicate if the patient also has

a diagnosis of PCOS?
I think this may be it, but the dictation is very sketchy. Tx.
Subject: I think this may be it, but the dictation is very sketchy. Tx.


cannot hear dictation..
Subject: cannot hear dictation..

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Subject: Dealing with ESL dictation

Just looking for some advice on dealing with a heavy load of ESL dictators, all different accents.  I've been an MT for 10 years and haven't dealt with quite this many before.  I'm not the leave a blank type of gal, so I'm wondering if there's a secret.