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I would think it is just the dr's wording. They make up words. If it is not verbatim I would pu

Posted By: minmin on 2007-06-06
In Reply to: Is cardiological an actucal word? sm - trose

Subject: I would think it is just the dr's wording. They make up words. If it is not verbatim I would put cardiology eval, but if verbatim, leave his word if u are 100% that is what he is saying. nm

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even with verbatim, we can change wording if incorrect grammar...YW:)..nm
Subject: even with verbatim, we can change wording if incorrect grammar...YW:)..nm

x
That does make sense, but since it's verbatim,
Subject: That does make sense, but since it's verbatim,

I will send in the suggestion of spherocytosis to QA and let QA decide. Thanks a bunch!
er, make that Words and Phrases
Subject: er, make that Words and Phrases

(nm)
hate it when docs make up words: gel-ish
Subject: hate it when docs make up words: gel-ish

maybe my brain's just too frozen to wing it.


would it be gellish, gel-ish ??? he's talking about the consistency of myelomeningocele tissue.  i'd rather go with gel-like, but with verbatim i don't feel comfortable ad libbing...


Docs make up words all the time.
Subject: Docs make up words all the time.

x
Definitely "sk" and not "tw". Doc likes to make up words but also very particular, so w
Subject: Definitely "sk" and not "tw". Doc likes to make up words but also very particular, so wanted a

second opinion.  Thanks so much guys. 
in all honesty, the words you "hear" and the questions you ask make it seem that s/m
Subject: in all honesty, the words you "hear" and the questions you ask make it seem that s/m

you would really struggle with this line of work and might be better suited to some other endeavor. 
I swear I try to make words out harder than they are..I realized it was varix a few seconds ago and
Subject: I swear I try to make words out harder than they are..I realized it was varix a few seconds ago and thought man, how dumb was I!

nm
Sounds like you're Q/Aing my report I sent in today! Those were the words I couldn't make out!
.
Once again, just me, but if it is not verbatim I would type out hematocrit, if verbatim "give it
Subject: Once again, just me, but if it is not verbatim I would type out hematocrit, if verbatim "give it to them".


wording
Subject: wording

Could someone straighten this sentence out any better?  This is what he is saying:


She has diffuse pain on both the medial aspect of the ankle.  Do you think he is foregetting to say and lateral after the word medial?  How do I make this look better?


Thanks!


I think the wording for the first s/l is okay. sm
Subject: I think the wording for the first s/l is okay. sm

Agree with Txczech re "branch." You can always flag it to cover yourself.
Another wording you see is
Subject: Another wording you see is

"injection into the facet joint," so I would say it would be intrafacet injection.

JMO though.
I think he just tripped over his wording
Subject: I think he just tripped over his wording

Probably just meant carotid ultrasound.
Help with singular/pleural wording please.. sm
Subject: Help with singular/pleural wording please.. sm

Which is correct? "There is a cerumen impaction bilaterally which is removed."  OR "There are cerumen impactions bilaterally which are removed." TIA
I think the hyphens and wording are fine. nm
Subject: I think the hyphens and wording are fine. nm

s
verbatim is VERBATIM....bad advice he gave you.....
Subject: verbatim is VERBATIM....bad advice he gave you.....


If you changed the wording to what you thought was correct, sm

it would imply that the colostomy bag was bleeding, not blood coming from the colostomy. 


Skin graft, correct wording?
Subject: Skin graft, correct wording?

New to this type of procedure - split thickness skin graft.  Dictator states  "one twelve thousandths of an inch".  What is the correct way to type this?


 


Thanks.


Depends on the account: My verbatim account is VERBATIM and other accounts I put 3100
Subject: Depends on the account: My verbatim account is VERBATIM and other accounts I put 3100


no,not verbatim. if it were, i would type it verbatim. nm
Subject: no,not verbatim. if it were, i would type it verbatim. nm

zz
If it is verbatim, then type it verbatim.
Subject: If it is verbatim, then type it verbatim.

x
No links but the Stedman's GI & GU Words is great, and you'll need a Pathology/Lab Words book
Subject: No links but the Stedman's GI & GU Words is great, and you'll need a Pathology/Lab Words book or

s
onelook.com, Tessier's Surgical Words, and Sted's Ortho and Rehab Words. Great stuff! nm
,
The only thing I can find close is subtilise meaning to make senses more keen or make one's sense
Subject: The only thing I can find close is subtilise meaning to make senses more keen or make one's senses more acute?


I'm still listening and trying to fit it together to make any suggestions make sense.
Subject: I'm still listening and trying to fit it together to make any suggestions make sense.


Verbatim
Subject: Verbatim

My primary acct is a verbatim but am allowed to make grammatical corrections as long as it does not change the meaning. One of my docs dictated *monna releaser*. After getting my laugh for the day, I typed *I am going to release her*....this one was not an ESL. Gotta getta good laugh once in a while to keep sanity....
No, it is not verbatim...
Subject: No, it is not verbatim...

I think I have come to that conclusion, also.  There is just too much for me to try to fix it all.  I'm not sure I would even know where to begin.  There is just so much garbage...  Thanks for verifying my thoughts, though.... :)


Verbatim - is it tib/fib or tib-fib ???
Subject: Verbatim - is it tib/fib or tib-fib ???


verbatim or not?
Subject: verbatim or not?


verbatim
Subject: verbatim


is it verbatim?
Subject: is it verbatim?


if its a verbatim acc...sm
Subject: if its a verbatim acc...sm

then you must write what you hear, if not, its up to you.
Verbatim - hep c.
Subject: Verbatim - hep c.

x
verbatim help
Subject: verbatim help

hi, i need help with a verbatim account. if they say "two PM" can i type 2 PM? or should i type 2:00 PM? and for dates, if they say "o eight," can i still type 2008?
yes, there should be, unless verbatim
Subject: yes, there should be, unless verbatim

xx
Verbatim 3/10 cc or 0.3?
Subject: Verbatim 3/10 cc or 0.3?

Would this be actual "verbatim" transcription or correct, per BOS? What would vertaim be when you have to type exactly what they say even if it is not proper? I think that is what the OP was asking. Now I am curious.
In verbatim account... HELP PLEASE

She is sating(satting) 98% on room air?


I want to change, but on verbatim, I suppose I'm not supposed to, right? I'm relatively new to this and not sure.


 


Verbatim account
Subject: Verbatim account

How would you type... as I have it?


ESL help..with verbatim account..
Subject: ESL help..with verbatim account..

would you type re-meet? remeet? or change to meet again... It is vebatim, but I'm not used to that yet... need seasoned advice!  Thanks!
I would write it out even if it is verbatim
Subject: I would write it out even if it is verbatim

PPD is a test for tuberculosis.  You aren't just writing a document to appease the doctor.  You are writing a legal document that many other people may want to read, including an insurance auditor or a lawyer, neither of which may have any clue what PPD means EVEN IN THE CONTEXT OF THE SENTENCE and will have no inclination to look it up.


That's just me, someone who audits physician records and slaps them on the wrists for this like this, but you do want you want.


what is so difficult about VERBATIM....
Subject: what is so difficult about VERBATIM....

x
she said verbatim -- where's the confusion??
Subject: she said verbatim -- where's the confusion??

verbatim

adj : in precisely the same words used by a writer or speaker; "a direct quotation";

--not seeing how this leaves much room for argument.
On a verbatim account, would you
Subject: On a verbatim account, would you

actually leave this sentence as is?


She puts Neosporin on it, and she reports that in the morning it looks pussy.  


 TIA for any input.


verbatim acct help
Subject: verbatim acct help

General surgeon talking about frozen section pathologic exam of squamous cell carcinoma lesion. First frozen section came back with positive margins so he went back to excise a second specimen which he submitted S/L "on fos" with the new margin up. This is a verbatim account and this dictator is on 100% QA (all reports) since he is so SPECIAL. I referenced the other reports in his MD data base and found "en Fos" which would have been put there by QA before the report was signed off to the hospital. I can't find this anywhere and was wondering if anybody has a clue?
Not on verbatim--it would be PRN tylenol
Subject: Not on verbatim--it would be PRN tylenol

/
Only if the account is verbatim would I
Subject: Only if the account is verbatim would I

type 5 foot. Should be 5 feet.
mine are all verbatim *S*........nm
Subject: mine are all verbatim *S*........nm


That's unfortunately, verbatim is so unprofessional...; )
Subject: That's unfortunately, verbatim is so unprofessional...; )

x
verbatim?--gasenous?
Subject: verbatim?--gasenous?

If doc says "gasenous indigestion" and you are supposed to type verbatim, do you leave it gasenous? It's gaseous right?
Sorry, stupid question?
verbatim?--gasenous?
Subject: verbatim?--gasenous?

When typing verbatim would you commonly use a virgule like that? This verbatim thing is new to me and its got me all turned around. I cant tell if doc is saying "gasenous (meaning gaseous) indigestion" or if he is saying two symptoms the patient had, gassiness and indigestion. He says them right in a row like that.