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If she is speaking REALLY fast...

Posted By: Patty on 2009-04-09
In Reply to: Thanks, but definitely not PEG - exasperated

Subject: If she is speaking REALLY fast...

she may be saying parenteral nutrition.


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Is he speaking really fast??
Subject: Is he speaking really fast??

Follicular maybe
Maybe, if speaking really fast...
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. :-)
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?


could be fast disturbance? - fast rhythm sometimes causes poor outcome. - nm
Subject: could be fast disturbance? - fast rhythm sometimes causes poor outcome. - nm


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.
Generally speaking (sm)
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.
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.


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? 


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


total guess: trouble speaking? nm
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.
Speaking of ears clogged with cerumen, are there
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.


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


FasT-Fix sm
Subject: FasT-Fix sm

Biomechanical Comparison of the FasT-Fix Meniscal Repair Suture ...Hypothesis: The FasT-Fix Meniscal Repair Suture System will provide load at failure, stiffness, and displacement equivalent to that of vertical mattress ...
journal.ajsm.org/cgi/content/abstract/31/3/374 - Similar pages



Thanks so much! That was fast :)
Subject: Thanks so much! That was fast :)


wow that was fast! SM
Subject: wow that was fast! SM

I looked at that through OneLook, at it seemed to be specific to the feet, so I had ruled it out. Thanks!
Nor vs or - need help fast
Subject: Nor vs or - need help fast

This dictator is saying patient denies headache, blurry vision nor sore throat - and other things like that - and I don't think it's right but I'm not sure.  Shouldn't it be OR without Neither preceding it?
Fast TSH?
Subject: Fast TSH?

Cannot find on search; could it possibly be a brand-name, like "Fast TSH" test?  Thanks in advance.


That was fast!
Subject: That was fast!


Thank you. I believe that's it, although he's saying it fast.
Subject: Thank you. I believe that's it, although he's saying it fast.


You were fast! Thanks for your help
Subject: You were fast! Thanks for your help


Wow that was fast, thank you!
Subject: Wow that was fast, thank you!


yes very fast!
Subject: yes very fast!


need help fast! is anyone out there? doc says
Subject: need help fast! is anyone out there? doc says

24-French s/l "6-eye" catheter was advanced...
wow, that was fast. thanks guys.
Subject: wow, that was fast. thanks guys.

:)
They go by so fast you can't read then anyway. nm
Subject: They go by so fast you can't read then anyway. nm

2
That is VERY possible - he's a fast talker. Thanks to everyone!
Subject: That is VERY possible - he's a fast talker. Thanks to everyone!

x
If doc is a fast talker
Subject: If doc is a fast talker

I could see where external (as in external insulin pump) could sound like a taunt.
Thanks, he said it too fast. I relistened, and you are right! nm
Subject: Thanks, he said it too fast. I relistened, and you are right! nm

s
Fast T6 implant
Subject: Fast T6 implant

Anybody ever heard of a Fast T6 implant for an ACL repair?
Doc going so fast seemed like 1 word. Thanks!
Subject: Doc going so fast seemed like 1 word. Thanks!

nm
My gosh that was fast! Thank you so much! NM
Subject: My gosh that was fast! Thank you so much! NM

x
Bless you for the fast help!! NM
Subject: Bless you for the fast help!! NM

x
My gosh you are fast. Thank you so much!
Subject: My gosh you are fast. Thank you so much!

x
Fast talking ESL...
Subject: Fast talking ESL...

Says:  She was also found to have a partially impure s/l R-C-E-L-A-I-N (he spelled it out like that) gallbladder.


Any ideas?


 


No, not ESL, just fast dictator sm
Subject: No, not ESL, just fast dictator sm

I thought about "grazed" or "grazing" but, as you said, it really doesn't fit very well in this context.


I really hate to leave a blank because this is an account the MTSO I work for (IC) is trying to get more work from....if that makes sense.


Thanks-she talks so fast, I always
Subject: Thanks-she talks so fast, I always

have trouble with her!
"In-Fast"
Subject: "In-Fast"

is a trade name . he may  be saying "dash" to use as a hyphen


 


Yes, TY, just got it, dr is talking fast...nm
Subject: Yes, TY, just got it, dr is talking fast...nm

nm
I appreciate your fast reply!! nm
Subject: I appreciate your fast reply!! nm


TX! almost had it Doc says the word so fast...
Subject: TX! almost had it Doc says the word so fast...


FAST score
Subject: FAST score

Is the patient a child? There is a "Families and Schools Together" mental evaluation score.