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LOL, perhaps the patient feels very "negative" about females? These docs can make you smile,

Posted By: Cyndiee on 2008-11-05
In Reply to: "Female: Negative" under a male's Review of Systems? - Jenni

Subject: LOL, perhaps the patient feels very "negative" about females? These docs can make you smile, huh? nm

nm


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so take out the word "negative" ? She clearly says "negative positive" nm
Subject: so take out the word "negative" ? She clearly says "negative positive" nm

?
patient feels his ears need to pop
Subject: patient feels his ears need to pop

the patient feels his ears need to pop.  He was given some (here goes....s/l med in LA).  I don't know if he was given some Med in LA, CA, or if the medication is called Med-N-LA.  Anyone have any ideas?
Nursing feel or feels? that the patient has been doing well. TIA
Subject: Nursing feel or feels? that the patient has been doing well. TIA


patient says her lungs feels _____(natty)?
Subject: patient says her lungs feels _____(natty)?

x
The patient's "templin" moved posteriorly and he feels like it is falling out
Subject: The patient's "templin" moved posteriorly and he feels like it is falling out


No such word. Docs make up their own. This is where the MT comes in. :) nm
Subject: No such word. Docs make up their own. This is where the MT comes in. :) nm

:)
Thanks for trying. This is one of those docs that likes to make up his own.
Subject: Thanks for trying. This is one of those docs that likes to make up his own.

I know there are malleable stays or retractors, but it gets flagged. Hopefully, the next time he will learn to enunciate (wishful thinking LOL).
No such word but again docs make up as they go.. sm
Subject: No such word but again docs make up as they go.. sm

pallor = pale
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
That could be. I know that some docs make patients sign care contracts. sm
Subject: That could be. I know that some docs make patients sign care contracts. sm

Compliance promise could very well be. Perhaps the patient had been noncompliant with his CPAP and the doc threatened him with something like being hospitalize, dying, etc.

A lot of PCPs make their drug-seeking patients sign what is called a Care Plan. It takes care of the "frequent flyers" to different docs and ED's. They are tailored to each patient. Perhaps Jane Doe can only get 4 pain shots a month. If she uses them all up in a week, then too bad, so sad. She will just have to tough it out. They are on file with all the hospitls here in case the frequent flying drug-seekers trh to hit different emergency departments, etc.
External/internal range of motion with tibiotarsal pain (TTP?) docs can make up abbreviations, ???n
Subject: External/internal range of motion with tibiotarsal pain (TTP?) docs can make up abbreviations, ???nm

nm
Could be, as in they had the patient make
Subject: Could be, as in they had the patient make

x
*S* = smile :)....nm
Subject: *S* = smile :)....nm

x
Does this make sense? 'The patient has had a
Subject: Does this make sense? 'The patient has had a

The patient has had a 'preformal' history of left shoulder pain.
Yes Debbie - you did it right!!! *smile*...nm
Subject: Yes Debbie - you did it right!!! *smile*...nm


I would make dg meds a heading, then type Patient is still... under it. nm
Subject: I would make dg meds a heading, then type Patient is still... under it. nm

x
ah makes me smile, my 1st field was ortho...sm
Subject: ah makes me smile, my 1st field was ortho...sm

then I either realized or someone told me they were saying *below-knee amputation*.....was 25 years ago!!!  They can talk so fast....I remember this Panamanian MD said what turned out to be *pedestrian* but said it like *PA-des-TRY-yan* with emphasis on the caps, and it took me forever that day to figure out he meant pedestrian....as his accents were usually always on the wrong syllables. 
Well this brought a smile to my day - dork flap! :) nm
Subject: Well this brought a smile to my day - dork flap! :) nm

s
It just might possibly be "negative chandelier's " nm
Subject: It just might possibly be "negative chandelier's " nm

:
Could be "negative Persantine myoview"
Subject: Could be "negative Persantine myoview"


Chronic leukocytosis, B sera s/l "able"negative.
Subject: Chronic leukocytosis, B sera s/l "able"negative.

This is one in a list of problems so no other context for clues.
Patient is oriented to time, person and place with good *respondent* memory. Does this make sense?
Subject: Patient is oriented to time, person and place with good *respondent* memory. Does this make sense?


racking my brain...could 'for a cow's' be "negative 'cervical' node" ?...nm
Subject: racking my brain...could 'for a cow's' be "negative 'cervical' node" ?...nm


feels
Subject: feels

/
do not know how to spell... he just feels s/l bla-za about everything. thank you
Subject: do not know how to spell... he just feels s/l bla-za about everything. thank you


which she feels ARE associated with...my only correction.
Subject: which she feels ARE associated with...my only correction.

nm
feel or feels sm
Subject: feel or feels sm

Nursing notes no new problems or complaints and feel/feels the


patient has been doing quite well. I'm thinking the correct word is


"feel" but want to verify.


Yes. He just means she feels the
Subject: Yes. He just means she feels the

irregular heartbeat. I would make it all one sentence though:

Irregular heart beat, more subjective and probably stress related, as she does exercise well.
It looks good to me with feels
Subject: It looks good to me with feels


Thanks!! Today feels like Monday for me!!
Subject: Thanks!! Today feels like Monday for me!!


She feels better although her s/l "sats" are 88, but that my be normal for her. nm
Subject: She feels better although her s/l "sats" are 88, but that my be normal for her. nm


everyday lately feels like Monday working for THEM
Subject: everyday lately feels like Monday working for THEM


Nursing notes no problems and feels
Subject: Nursing notes no problems and feels


Thank you maj, I know what it feels like to be stuck and how great it is when this board has helped
Subject: Thank you maj, I know what it feels like to be stuck and how great it is when this board has helped me "fill in the blank" without sending that report out looking like swisscheese.


perivascular space?... PS Hope your baby feels better!..nm
Subject: perivascular space?... PS Hope your baby feels better!..nm

x
Since going back to work, she feels like she does get a "REBRIEF" from caretaking responsibil
Subject: Since going back to work, she feels like she does get a "REBRIEF" from caretaking responsibilities.


Early satiety? It means stomach feels full very quickly.....sm
Subject: Early satiety? It means stomach feels full very quickly.....sm

sometimes sign of GI problems, like delayed gastric emptying, etc.  Does it sound like that?
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.


Yep, it's okay. Docs say that often. nm
Subject: Yep, it's okay. Docs say that often. nm

x
Thanks...sometimes I think these docs should...
Subject: Thanks...sometimes I think these docs should...

type themselves for once and listen to some of the things they say. I bet they would think twice after that...:-)
Some docs
Subject: Some docs

actually dictate ABGs in this manner.  They say a number then slash then another number then slash, etc.  That is how they want it transcribed.  Just make sure your numbers are correct and you are set to go!
should say *my* docs
Subject: should say *my* docs


like the docs who are always ...
Subject: like the docs who are always ...

... putting "metatarsal" in the hand dictations. Plantar may be technically okay, but it seems like if he were more careful he would say palmar.
Our docs
Subject: Our docs

usually say normocephalic.
I have docs that use it
Subject: I have docs that use it

but my account is not crazy weird picky, either.  I haven't heard of it being unacceptable.  If it's worth your time, I'd question QA about it and ask her why she changed it. 
I have docs
Subject: I have docs

who add extra letters to lots of words, if it make them easier to pronounce. Kind of weird, but it happens.
Docs
Subject: Docs

make up lots of words...they make lots of mistakes (ergo malpractice insurance)...they even misspell lots of words. If we have to deal with their ineptness, they can deal with blanks. JMHO. :-)
With some docs..
Subject: With some docs..

that wouldn't be a stretch at all but a very good guess. :-)
It's not the docs I'm concerned about, or QA, when it comes to my...
Subject: It's not the docs I'm concerned about, or QA, when it comes to my...

work as an MT,