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I am merely making a suggestion

Posted By: Patty on 2009-04-15
In Reply to: No,no,no. Patty, you need to check these - KG

Subject: I am merely making a suggestion

as to what a doctor MAY be dictating. Doctors make mistakes all the time. It is up to the individual MT to check out the validity of any info they ultimately transcribe. That's what I would do. Any MT who transcribes a "suggestion" should not be working as an MT. ;-)


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sorry, maybe he's making it up, don't know.
Subject: sorry, maybe he's making it up, don't know.

x
I'll bet he's making a new (sm)
Subject: I'll bet he's making a new (sm)

word here. Waddell's test is an exam used to determine if someone is faking pain. If the patient has exaggerated complaints of pain it is a positive Waddell's.
Sounds like QA is making much ado about nothing.
Subject: Sounds like QA is making much ado about nothing.


thanks that is it, I was making it harder than what it was!!!
Subject: thanks that is it, I was making it harder than what it was!!!


Making progress
Subject: Making progress

He said the first 3 letters again and spelled them:

I, B as in Bictor (meaning V as in Victor), F Laboratory.

So now we have IVF icksee Laboratory.
ESL making me nuts
Subject: ESL making me nuts

I was taught to never change a transcription, even if it's blatantly wrong.  I would leave as dictated and leave a note for the doctor (if you have a place to do it)


making a little progress
Subject: making a little progress

with this one, thanks to your answers... still hearing something like "Pradus" but instead of obturate, was saying on THE RIGHT. definitely NOT piriformis or sure does not sound like it, then goes on to gluteus medius and maximus.
thank you, think doc was making up the word...nm
Subject: thank you, think doc was making up the word...nm

x
know how the docs are... making up as they go sm
Subject: know how the docs are... making up as they go sm

They are two separate ligaments but he is probably putting them together.
2 more (I think doctor is making this up as he goes along!)
Subject: 2 more (I think doctor is making this up as he goes along!)

What is FUV1, used along with FEV1??  Never heard of it and cannot find.  Also he also states FVC as being forced ventiltory capacity, which I know is called forced vital capacity; wonder if I should transcribe a non-word. 
Thanks! He is always making up his own words!!
Subject: Thanks! He is always making up his own words!!


Thanks but no..making sure she is clearly pronouning with an L. nm
Subject: Thanks but no..making sure she is clearly pronouning with an L. nm

x
I think he is making this stuff up. sm
Subject: I think he is making this stuff up. sm

I've gone to every medical website I can find. I have "asked the experts" on various medical websites. Even doctors can't find it! Thank you all for trying. If I come up with anything before I'm 99 years old, I'll post it.
I was NOT the poster making those comments!
Subject: I was NOT the poster making those comments!

I did not make those comments to those posters. As I said, I was making an observation. I give up!
I would go with follicular. Doc is just making up his own word.
Subject: I would go with follicular. Doc is just making up his own word.

x
Sometimes said as ETT tube, making that last "T" redundant and
Subject: Sometimes said as ETT tube, making that last "T" redundant and

s
menomenorrhagia? Is there really such a word, or is the doc making up one?
Subject: menomenorrhagia? Is there really such a word, or is the doc making up one?


That's probably it. Who knows for sure? They get so creative making up new terms. Thanks again
Subject: That's probably it. Who knows for sure? They get so creative making up new terms. Thanks again!


Thx..Thx..THx :) ESL is making me work 4 my money :)
Subject: Thx..Thx..THx :) ESL is making me work 4 my money :)


making sense of punctuation...
Subject: making sense of punctuation...

I will type this exactly as said. Any help with punctuation would be greatly appreciated.

The pain is rated as severe it is burning tingling it is constant worse with walking better with rest. TIA.
You also need a 0 before .1 making it 0.1. open decimels are a big no no. nm,
Subject: You also need a 0 before .1 making it 0.1. open decimels are a big no no. nm,

x
is the dictator making up a word as an sm
Subject: is the dictator making up a word as an sm

adjective for anomaly?
Thanks so much. Your suggestion of -sm
Subject: Thanks so much. Your suggestion of -sm

of "stable" seemed like that might be right. Slowing it way down, I can clearly hear "currently appears acceptable." You steered my thoughts in the right direction. Thank you again.
my suggestion would be to
Subject: my suggestion would be to

research docusate, research Dulcosate, compare against patient report. Choose most appropriate. HTH
that may be it...thanks for the suggestion
Subject: that may be it...thanks for the suggestion


suggestion
Subject: suggestion

I don't really have any suggestions for your missing words, but I do have a few general suggestions. 


Are the terms in parenthesis the ones you don't know?  If they are, put s/l in front of it (s/l= sounds like), and then do your best to type what you are hearing phonetically.  Sometimes it also helps people figure out the missing words if you can share as much about the physical condition of the patient that you know. 


Good luck with your training!


Thanks for the suggestion. sm
Subject: Thanks for the suggestion. sm

It was really unclear.

It may have been trapezius, but I looked at it from every angle I could, thinking he may have been saying TM - for teres minor --

So I finally gave up and did the safe thing...QA!

Thanks.
my suggestion.
Subject: my suggestion.

The patient had something in his eye. The eye was numbed with ophthalmic phenacaine, and also, the eye was stained with fluorescein and checked with blue light.
Thanks for your suggestion
Subject: Thanks for your suggestion

I think that is what he means but is clearly spelling with a P. Guess this is one for QA. Too bad for me that he mentions it several times in the report.

Thanks for the suggestion!
Subject: Thanks for the suggestion!

You are probably right and the doctor is misprouncing the word. I still hear a K and X sound so I shall leave a blank just in case being that I do not have a firm diagnosis to match it up with. Thanks for your help!
suggestion
Subject: suggestion

Maybe meant to say "equal to the contralateral side" and accidentally started to say contralateral and then backtracked?
just a suggestion sm
Subject: just a suggestion sm

the only thing I can come up with is tibial guide (as in tibial cutting guide used for knee arthroplasty) ???
Thanks for the suggestion!
Subject: Thanks for the suggestion!

I appreciate the help!!  I still can not find the normal range for leukocytes or lymphocytes.  Thanks though!


Abby


Just a suggestion - sm
Subject: Just a suggestion - sm

This could very possibly be the word "metaphor."  Suggest listening again and looking it up to see if it fits. 


Thanks for the suggestion!
Subject: Thanks for the suggestion!

Thank you !

Abby
Thanks for the suggestion!
Subject: Thanks for the suggestion!

I really appreciate. I have been banging my head against the wall trying to figure this one out. It sounds like the "five hood" could be one word. Anyway, thanks again!

Abby
I don't think so...but thanks for the suggestion :) nm
Subject: I don't think so...but thanks for the suggestion :) nm


One suggestion
Subject: One suggestion

I would not put a comma after supination because the phrase following is not an independent clause. 
Thank you for the suggestion.
Subject: Thank you for the suggestion.

Thanks for the suggestion. It has too much of an "ee" sound. I appreciate the help though.
Abby :)
My suggestion on this . . . sm
Subject: My suggestion on this . . . sm

""The superficial femoral artery was then dissected free with the dissection preceding more proximally,exposing the profunda and the common femoral artery with dissecting it using sharp dissection to completely expose it so that an umbilical tape could be passed around the SFA.""


Here's the way I would do this:


""The superficial femoral artery was then dissected free with the dissection proceeding more proximally, exposing the profunda and the common femoral artery, dissecting it using sharp dissection to completely expose it so that an umbilical tape could be passed around the SFA.""


** I took out the word ""with"" because it sounds awkward and the word ""preceding"" I believe should be ""proceeding"", and then with the 2 commas.


I hope this helps!


Thanks very much for the suggestion
Subject: Thanks very much for the suggestion

I think this mystery word has an M in it. Thank you though :)
Abby
Here's a suggestion..
Subject: Here's a suggestion..

chronic EDC or ethanol derived calories--meaning chronic alcoholism. ??
That's not it, but thanks for the suggestion! nm
Subject: That's not it, but thanks for the suggestion! nm


This is just a suggestion..
Subject: This is just a suggestion..

I would change the units of insulin to 10 and 20 instead of using ten and twenty. Maybe doc is saying this instead... He has been taking 10 units of Lantus. Since then sugar levels were 90 to 100.
Thank you for the suggestion...
Subject: Thank you for the suggestion...

I listened again and it doesn't sound like gritty. I think it's "cri". I found a couple reports with this same procedure and that word used. I also found the first one, which is "transcervically". Thank you for the suggestion though! :)
Thanks for the suggestion...
Subject: Thanks for the suggestion...

It's actually transcervically. I found an old report with the same type of procedure and she says the same things. I listened again and realized that's what it was. Thank you for the suggestion! :)
there is a "Waddell" sign, maybe he is making up a word?
Subject: there is a "Waddell" sign, maybe he is making up a word?

Sorry, I am not of more help.
sorry that should be making up a word not work. tired.
Subject: sorry that should be making up a word not work. tired.

.
I figured out he's saying troches. I don't think he's making up chloratropate.
Subject: I figured out he's saying troches. I don't think he's making up chloratropate.


Meant to say I think he is making up the other word - chloratropate
Subject: Meant to say I think he is making up the other word - chloratropate


That sounds like it is it! He is making it so hard to hear! THANK YOU.
Subject: That sounds like it is it! He is making it so hard to hear! THANK YOU.