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I think it a doctor tense of tenodesis and have been typing that tense "tenodese" for years (s

Posted By: MTISME on 2008-09-12
In Reply to: tenodese? - sm

Subject: I think it a doctor tense of tenodesis and have been typing that tense "tenodese" for years (sm)

There is an article from the Journal of the American Society for Surgery of the Hand that spells it that way too http://linkinghub.elsevier.com/retrieve/pii/S1531091404000981 -


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  • tenodese? - sm
    • I think it a doctor tense of tenodesis and have been typing that tense "tenodese" for years (s - MTISME

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past tense or present tense.sm.

in PE.  Doctors love to toggle back and forth between is, are, and was, and were!  On ASR we are told not to over edit!  What would you do.... anybody :)


probably tense.............
Subject: probably tense.............

x
s/l ice on tense?
Subject: s/l ice on tense?

fossa fluid collections surrounding the cerebellar hemispheres, which are also (ice on tense) to CSF
She lay in bed, present tense....sm
Subject: She lay in bed, present tense....sm

she laid in bed all day Saturday (past tense).........
past tense of I & D (I & D'd?)
Subject: past tense of I & D (I & D'd?)

doc says ...four years ago. It was I & D'd at that time.
how about "a tense effusion"
Subject: how about "a tense effusion"


tense effusion
Subject: tense effusion

Rapid onset (within two hours) of a large, tense effusion suggests rupture of the anterior cruciate ligament or fracture of the tibial plateau

(www.aafp.org/afp/20030901/907.html)
since he "laid" down -- past tense (sm)
Subject: since he "laid" down -- past tense (sm)

lay is usually for inanimate objects

lie would be present tense
if its past tense... it would be laid
Subject: if its past tense... it would be laid

/
it is laid if it is past tense
Subject: it is laid if it is past tense


Rules for tense in a report?
I always thought it was past tense.  I have a doc who started the first 2 sentences using past tense and then suddenly switched to present test.  IV sedation IS administered, Patient IS positioned.  Do you change present to past or type as is?  Nothing in the CP about it.
on all reps I try for present tense except
Subject: on all reps I try for present tense except


Biceps tense up well when he exerts
Subject: Biceps tense up well when he exerts

Does this make sense?  Here is the previous sentence. 


Tenderness over the anterior shoulder at the site of biceps insertion.  Biceps tense up well when he exerts. 


You are absolutely correct. It is lay...past tense has nothing to do with it in this case!
Subject: You are absolutely correct. It is lay...past tense has nothing to do with it in this case!

/
I would say the dictator made up his/her own tense to the word bursitis, would flag it and have QA l
Subject: I would say the dictator made up his/her own tense to the word bursitis, would flag it and have QA let you know.


to the best of my knowledge it is a word (past/versus present tense)
Subject: to the best of my knowledge it is a word (past/versus present tense)


Maybe not, been typing it for years though. nm
Subject: Maybe not, been typing it for years though. nm


okay. I have been typing it wrong for all these years. nm
Subject: okay. I have been typing it wrong for all these years. nm


Thanks so much for your help. Never heard of it in 8 years typing ortho. nm
Subject: Thanks so much for your help. Never heard of it in 8 years typing ortho. nm

nm
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
what? you mean I've typing this wrong for 25 years?
Subject: what? you mean I've typing this wrong for 25 years?

That cannot be.  Don't think I'll be changing my ways anytime soon.  Your reference book really says that?  So, a patient would be gravida X, para IX, AB VIII?   Absolutely no way. 
Maybe tenodesis?
Subject: Maybe tenodesis?


biceps tenodesis
Subject: biceps tenodesis

I do all kinds of shoulders and it should be biceps tenodesis.  At the very least, it is tenodesis


 


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.....


how about typing Past Medical History heading and then typing what he says under the heading nm
Subject: how about typing Past Medical History heading and then typing what he says under the heading nm

xx
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...
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.


Would someone look at this and tell me if I am typing this right? TIA
Subject: Would someone look at this and tell me if I am typing this right? TIA

 


Adenosine ECG stress test


Baseline pre-Adenosine EKG reveals A sensed V pace versus V pacing


That is the way I have been typing.
Subject: That is the way I have been typing.

It just seems that they never dictate it as Hodgkin disease and it starts to make one wonder.
When I have come across that in typing
Subject: When I have come across that in typing

they dictate ex-fix as slang/abbreviation for external fixator. I have had that come up even with a brand name associated, but it was not as you posted above. I would assume it is slang.
especially like typing your instead of
Subject: especially like typing your instead of

you are.oops.
Thank you! How about typing 1st, 2nd, 3rd, or first, second or third?
Subject: Thank you! How about typing 1st, 2nd, 3rd, or first, second or third?


Would someone please tell me if I am typing the (e.g) correctly?
Subject: Would someone please tell me if I am typing the (e.g) correctly?


  1. I will see him back in three months to determine his LV systolic function by echocardiogram and then possibly consider other treatment (e.g.,  DC cardioversion and or pacing versus continued pharmacologic therapy.)

typing the staging
Subject: typing the staging

T1c-T2a NX MX

tumor staging is in the back of the stedman's oncology book
Been typing rad for yrs and have never used roman..
Subject: Been typing rad for yrs and have never used roman..

numerals.  Always arabic. 


However, you will see a variation on the typing of BIRADS depending on who you are typing it for.  The copyright lists it as BI-RADS, federal guidlines are supposed to dictate how it is typed but have worked for numerous centers that type it anywhere from BIRADS to BI-RADS to BiRADS.  Categories however should always be arabic (1, 2, 3, 4, 5 and 0)


I would say what you are typing is correct.
Subject: I would say what you are typing is correct.

Here is a definition that I found for isotype...

isotype. An immunoglobulin heavy or light chain class or subclass characterized by antigenic determinants (isotypic markers) in the constant region. Every normal individual expresses all of the isotypes of its species.

Pool would reflect that - to me...I could be wrong, but I, myself, would go with that you typed....Sorry I could not be more precise...
We WERE typing at the same time! I always
Subject: We WERE typing at the same time! I always

check to make sure there are no answers before I send one.
Typing a C-section OP sm
Subject: Typing a C-section OP sm

This incision was extended bilaterally using s/l Danish scissors. 
verbatim typing
Subject: verbatim typing

It would actually be "sub cu" with a space between the two, so I just learned in the last year since doing transcription for a bit over 20 years...lol..guess what it really comes down to is whatever QA thinks it should be,...but of course...she knows better than you...yeah right...NOT
Thanks. I have been typing it Aciphex
Subject: Thanks. I have been typing it Aciphex

for many years and no one has ever said anything. You always learn something new here. I will make a note of this.
been typing all day, tired and cannot think
Subject: been typing all day, tired and cannot think

I know this is stupid and I have typed it a million times but I am so tired right now I can't even think.  He says .... Myospan 500 mg ..... ?  Thanks. 
Typing numbers -
Subject: Typing numbers -

If they say "I wrote him for 38 Tylox"  I always put #38.  I think it is much more clear.  In some cases, someone could think it was a dosage amount.


XX


Think it is a docism. I myself have been typing it for so sm
Subject: Think it is a docism. I myself have been typing it for so sm

long I can't even remember!!  Did 4 years in a railroad hospital with lots and lots injuries, etc  All our ortho docs used it.
I'm typing rheumatology....
Subject: I'm typing rheumatology....

and this sentence is all I have to go by:

She was also given an intermittent course of s/l za-fax-in by her gastroenterologist.

He's very clear. There's a "z" sound at the beginning and a very clear "fax" in there. I've tried spelling zo-fax-en, zi-fax-in, etc., and even spelling with "x" at the beginning.

Thanks for your help.

mother typing?
Subject: mother typing?

Dr. states:  Patient has good understanding of English but his mothertying is Spanish.  Anyone ever heard of this?
What exactly are you typing, and if we could have the whole sentence, thanks...
Subject: What exactly are you typing, and if we could have the whole sentence, thanks...


I think we were typing that at the same time! thanks! :)
Subject: I think we were typing that at the same time! thanks! :)


2 nil incision? typing ?
Subject: 2 nil incision? typing ?

 


A launch "2 nil" incision was fashioned along the anterior portion of the common bile duct


&


 


A "#10 JP drain" was placed in the Morrison's pouch.


 


How do I type the #10 JP drain? and things like A 2 O self-suture?


typing numbers like 3rd, 4th
Subject: typing numbers like 3rd, 4th

When typing >>>>>The first, second and third portions>>> do you spell it out or do you put it as 1st, 2nd and 3rd portions of the stomach?
That's what I ended up typing. Thanks!!! nm
Subject: That's what I ended up typing. Thanks!!! nm


It is great. you can just start typing a name
Subject: It is great. you can just start typing a name

in the search and pause, and a list pops down instantly. How quick is that?

Thank you!