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Is he spanish speaking?

Posted By: Happy MT Robin on 2009-03-03
In Reply to: ur so welcome... let him know he's - mtinokc

Subject: Is he spanish speaking?

the word sin in Spanish means without.




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Anybody know Spanish?
Subject: Anybody know Spanish?

s/l incontinence of flecito
just FYI *con* is spanish for *with*
Subject: just FYI *con* is spanish for *with*


s/l spanish processes
Subject: s/l spanish processes

DIAGNOSES:
1. RIGHT TROCHANTERIC BURSITIS
2. LOW BACK PAIN

The lumbar spine is inspected showing no swelling or deformity. There is tenderness to palpation along the S/L Spanish processes of the lumbar vertebra. any ideas?
Is dicator Spanish?
Subject: Is dicator Spanish?

Could be saying cartopril which is captopril in Spanish, apparently. :-)
I think your right under Cartopril it says (Spanish) you have it!! Thanks!
Subject: I think your right under Cartopril it says (Spanish) you have it!! Thanks!


Poquito is very little in Spanish, so could be. nm
Subject: Poquito is very little in Spanish, so could be. nm


sounds Spanish to me, or Chinese..........nm
Subject: sounds Spanish to me, or Chinese..........nm

nm
Flacido means flabby or flaccid...but why would doc mix English and Spanish? nm
Subject: Flacido means flabby or flaccid...but why would doc mix English and Spanish? nm

x
Quick question - Clinic note, doc dictates the word pantalones - Spanish for pants. Would you... sm
Subject: Quick question - Clinic note, doc dictates the word pantalones - Spanish for pants. Would you... sm

type as dictated, or change it to "pants" ?  My first instinct was to look up the word "pantalones" online to make sure I spelled it correctly, and type as dictated.  Then I thought, for clarity (and future readers of the note who might not speak Spanish - though I think you could figure out what is meant by reading the report), should I change it to "pants" ?  She does say "pantalones" in kind of a "cute" way.  She also yawns loudly at the end, so maybe she's a little loopy.    LOL  Opinions?
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.


If she is speaking REALLY fast...
Subject: If she is speaking REALLY fast...

she may be saying parenteral nutrition.
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. :-)
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? 


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?


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......


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.