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If you are wondering, I have 18 years of urology experience. Some of what I know would curl your hai

Posted By: MT and worn out on 2008-11-12
In Reply to: Basically the bladder and the urethra are not communicating. sm - MT and worn out

Subject: If you are wondering, I have 18 years of urology experience. Some of what I know would curl your hair. LOL. nm

nm


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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
Did you even THINK of Google? Try? Your years of experience are obviously not very broad. nm
Subject: Did you even THINK of Google? Try? Your years of experience are obviously not very broad. nm

x
common sense and 20 years experience :o)
Subject: common sense and 20 years experience :o)

No joke! I'm not sure if the percent issue is documented. I worked for many years in heme/onc and this is the way it is done.
You are very welcom. I have 19 years of uro experience. I have heard it all. LOL. nm
Subject: You are very welcom. I have 19 years of uro experience. I have heard it all. LOL. nm

nm
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...
Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an
Subject: Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an

experience is, it lacks credibility especiall when you base it on YOUR experience.  Who are you?  How much experience do you actually have?  What kind of experience do you have?  How many diabetic patients have you encountered in your years of experience?


You can't expect to make a sweeping generalization like "all diabetics have hypertension" and not get called out on it.  Come on!  Know your place.  Arrogance is an unattactive personality trait.


s/l curl defect? Plse see msg..
Subject: s/l curl defect? Plse see msg..

It appears the patient's wrap is intact but that the hiatal repair has come undone so the wrap has slipped up into her chest. Essentially there are only two things you can do about this; one is to do nothing and live with it and the other is operate, repair the curl defect and put the stomach back in the abdomen where it belongs.

Is curl defect correct? TIA
wondering then if its an apnea hypopnea index... just wondering... n/m
Subject: wondering then if its an apnea hypopnea index... just wondering... n/m


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.....


I would say: Urology , or maybe genitalia, most probably Urology
Subject: I would say: Urology , or maybe genitalia, most probably Urology


in my experience
Subject: in my experience

The standard now is to change cc to mL, but out of three accounts I work on, two want cc to stay as cc, and the other wants everything mL.
How much experience do you have?
Subject: How much experience do you have?


My experience
Subject: My experience

I work for a hospital doing transcription and when they switched us from hourly pay to productivity pay, I went from making a little over $14/hour to over $20 an hour!  It's funny, we all thought it was going to be a bad thing to switch and our bosses kept saying we think you all will be happy, wait and see.  They were right!  I do have medical/dental insurance thru them also, it was never based on my productivity whether or not I have insurance or not. 


Not sure what she's saying. Not much experience with GYN exams.
Subject: Not sure what she's saying. Not much experience with GYN exams.


hospital experience tells me otherwise
Subject: hospital experience tells me otherwise

I'm diabetic, have been in the hospital and I don't have high high blood pressure. In fact, I have low blood pressure. You need to stop spouting off things like you are all knowing. Sheesh, what a goomba*!!

*Forget all the rest of the meanings of goomba, this is what a goomba really is: a goon, a goof, a kook, or poser who doesn't physically resemble a goomba from Mario Bros. but acts just like one. You know a true goomba when you see one.
hospital experience tells me otherwise
Subject: hospital experience tells me otherwise

I have yet to see or hear of a diabetic in hospital who does not have hypertension.
Never in my experience unless at start of a sentence. nm
Subject: Never in my experience unless at start of a sentence. nm

s
disc has always been preferred in my experience
Subject: disc has always been preferred in my experience


:-) darlin' - experience doesn't always mean correct
Subject: :-) darlin' - experience doesn't always mean correct


First thought based on my experience is Sulamyd. nm
Subject: First thought based on my experience is Sulamyd. nm


From my experience when a tape or dictation skips,
Subject: From my experience when a tape or dictation skips,

I will put a blank or a timestamp for QA.  You really should never guess especially when the audio is broken up like that.  My advice would be send to QA or leave a blank with a comment that the dictation skipped. 
Thanks for trying. My supervisor who is great and has decades of experience couldn't get this on
Subject: Thanks for trying. My supervisor who is great and has decades of experience couldn't get this one.


Thanks for posting the solution to your problem..it is an educational experience for all of us...
Subject: Thanks for posting the solution to your problem..it is an educational experience for all of us...

Really, so many times when people find answers to the questions that they post, they just say...'Never mind, found it,' which leaves a lot of us up in the air as to what the answer was! So thanks for sharing your solution!
Just comes from experience. Every job I've worked has handled it differently.
Subject: Just comes from experience. Every job I've worked has handled it differently.

s
anhedonia: The absence of pleasure or the ability to experience it.
Subject: anhedonia: The absence of pleasure or the ability to experience it.


a knee aspirate would be considered a procedure, at least from my experience.
Subject: a knee aspirate would be considered a procedure, at least from my experience.


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.


Wondering...
Subject: Wondering...

How many of these questions are from MTs taking tests?
I*'m just wondering why all this
Subject: I*'m just wondering why all this


couldn't have been in emails by posting for help from a mentor.  If you'll notice on another forum on this website, I've pubically stated that I have mentored more than my share of newbies in the past.  BUT, if you are posting entire reports, that would concern me from an MTSO standpoint as a breach of confidentiality even IF the patient's name and doctor's names have been deleted.  I can tell it is a teaching/trauma hospital by the discharging service (so you can tell I'm not a newbie).


Also, do you know the people who run this board have to pay for the bandwidth of the posts here, so when you load it up with long reports, it costs them money.


BTW, yes, I've been in every setting possible in the health care industry other than doing procedures and practicing medicine and there wasn't someone there who enabled me and kept me from devloping my research skills.  I do think you are now trained like Pavlov's dogs to come here and ask questions rather than do a little research (which could have been helpful especially with a simple word like posttussive)...just do some research first.


Another thought I had was that you might not be working for a service yet but simply doing classwork/homework and if people here are going to do it for you, then how exactly do you feel you've earned your grade (or if employed, your salarly?)


Just making observations and not excuses.


wondering - sm
Subject: wondering - sm

Could it possibly be "Ludwig's angina" -- which can be a complication of oral abscesses. I know that is a stretch from your s/l, but would make sense.

Your question had me googling for about an hour last night -- love to try and figure out things I don't know! if you ever find out the correct word, let us know.

Have a great day.
That's what I was wondering if he..
Subject: That's what I was wondering if he..

was saying, but it sure didn't sound like that.  Thanks!


wondering
Subject: wondering

Is Potts a procedure?
yes, that is what I was wondering (sm)
Subject: yes, that is what I was wondering (sm)

if it were P0-1, they usually say P zero one, but this dictator is saying P zero TO one, so I wondered about that. I am definitely no OB/GYN expert, though, so I am not sure.
Wow...also wondering! I'd ask for them. nm
Subject: Wow...also wondering! I'd ask for them. nm

s
I was wondering if maybe
Subject: I was wondering if maybe

he did have an accent and was trying to say something like multiple falls and (resulting in) broken teeth or multiple falling, etc., sometimes hard to make sense of things...
thanks!! Now I'm wondering if I have been
Subject: thanks!! Now I'm wondering if I have been

Maybe I have been typing the wrong word for my plastic surgeons for 10 years....they wouldn't tell me anyway if I was incorrect...or rarely would....they always say fluctuant or fluctuance (in wounds and the ilk) - maybe they want flocculent and flocculence..I'm awful confuzzled now but thank you SO MUCH for the definition of that NEW word I learned today, flocculence....



Thanks. I was wondering about that too,
Subject: Thanks. I was wondering about that too,

but can't find anything to substantiate it. I appreciate your help!
just wondering...
Subject: just wondering...

I was just wondering if there was such a term as 90/90 only because I am not sure if he stuttered or not. :-)

He does at 90/90 have a subacromial popping sensation.
wondering
Subject: wondering

I am wondering if the doctor is just reading what the patient wrote on a form as it may be Uroxatral. I have doctors that mess up on meds all the time, because they just believe the patient wrote it down correctly.
That is what I am wondering.
Subject: That is what I am wondering.

This patient is 66 years old.  That really doesn't seem to fit, but it sounds like it.  I left it blank.
I was wondering that too, but he actually --sm
Subject: I was wondering that too, but he actually --sm

SAYS Narpac, but I guess I will have to leave a blank. I cannot find anything close to it and the man has no past medical history to speak of to give any indication as to what it is for. It is a STAT and i have to turn it in now. thanks all.
I was wondering if maybe
Subject: I was wondering if maybe

you were hearing cemented total hip replacement instead of index THR. :-)
Yes I was wondering about the 1/2 to 3/4 :-). sm.
Subject: Yes I was wondering about the 1/2 to 3/4 :-). sm.

but the "to" helped also...lol. Thanks so much for your help :-)
I don't think a comma is necessary. I was wondering
Subject: I don't think a comma is necessary. I was wondering

about having to authenticate, too.
The patient was wondering??
Subject: The patient was wondering??

The patient was wondering if she might have s/l LLT ADHD???


Thank you Deborah


Just wondering how some of you would write this.
Subject: Just wondering how some of you would write this.

He put his arm through a window and had


40 some odd stitches. 


Is it just as I put it above or are there hyphens?  Never run into this.


Thanks!


I was wondering if that's what she's stumbling over, it could be, thanks. nm
Subject: I was wondering if that's what she's stumbling over, it could be, thanks. nm

x
Thanks for the info. I was wondering about that.
Subject: Thanks for the info. I was wondering about that.

nm
Just wondering if you could hear
Subject: Just wondering if you could hear

chronic obstructive pulmonary disease on your last question you posted.
No, wondering if maybe IgA that is why s/l "IJ"...nm
Subject: No, wondering if maybe IgA that is why s/l "IJ"...nm

x
Just wondering.... When the doc says platelet value
Subject: Just wondering.... When the doc says platelet value

of say... 350, do you leave at that or expand to 350,000.  Thanks.