| Love those mumbling stumbling dictators.Posted By: ER MT on 2007-04-18In Reply to: So it would have been rhino... - Dubious MT
 
 Subject: Love those mumbling stumbling dictators.
 
 Not sure about Rhino tonsil balls either but it does sound funny LOL !!
 
 
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 dictators will say....sm
 Subject: dictators will say....sm
 
 something like:  "many bacteria and large blood," meaning a lot of blood or many blood cells -- don't know if this helps.
 some dictators are quite picky-have one who wants
 Subject: some dictators are quite picky-have one who wants
 
 
   A lot of dictators use tympanic instead of
 Subject: A lot of dictators use tympanic instead of
 
 x
 inaudible dictators
 Subject: inaudible dictators
 
 Can anyone suggest the best way to decipher a dictator who is a mumbler or speaks very fast.  I have changed the speed and listen over and over and still can't figure it out.  Wish there was a magic dicipher machine.
 Inaudible dictators
 Subject: Inaudible dictators
 
 Thanx for the suggestions. I will keep them in mind.
   Yeah...I have had dictators pronounce
 Subject: Yeah...I have had dictators pronounce
 
 it that way..kind of like centimeters sounding like sonometers.  Glad to help
 many dictators also say B. natruretic peptide
 Subject: many dictators also say B. natruretic peptide
 
 but the below 2 posters would be correct!!!...brain natruretic peptide...
 it depends on the dictators preference
 Subject: it depends on the dictators preference
 
 I work in a hospital and they voted x2 as an unacceptable abbreviation.  We currently have to spell it out.  We also have to spell out q as every, qid as four times daily, bid as two times daily and so on and so on.  I would ask the dictator or your QA person before making a final decision.
 If I only could guess my own dictators so easily!     NM
 Subject: If I only could guess my own dictators so easily!     NM
 
 
 my accounts use BOS  as a baseline, dictators override it. sm
 Subject: my accounts use BOS  as a baseline, dictators override it. sm
 
 in retrospect, every account I've ever had has done it that way.
 I believe it would be "ulnar" in both cases.  However, I have heard dictators
 Subject: I believe it would be "ulnar" in both cases.  However, I have heard dictators
 
 say "ulna fracture."  I don't think that would be considered incorrect.
 help with mumbling please
 Subject: help with mumbling please
 
 The patient was given one liter of normal saline and then fluid at "S/L KBL" 75 ml per hour.
 Help, got a doc mumbling here...
 Subject: Help, got a doc mumbling here...
 
 
 I got this so far,  
 tympanic membranes clear, lungs clear, heartrate regular rhythm, ____ is soft 
 sounds like he is saying ectlin 
 Thanks for any help!! mumbling
 Subject: mumbling
 
 
 I think I can stand just about anything but mumbling!  What I can't hear, I really have a problem finding!  lol
 TY.  These may be it - she is mumbling :(     NM
 Subject: TY.  These may be it - she is mumbling :(     NM
 
 x
 med help s/l finoscalintone? doc is really mumbling it. nm
 Subject: med help s/l finoscalintone? doc is really mumbling it. nm
 
 
 thanks, it could be...he's really mumbling through the part
 Subject: thanks, it could be...he's really mumbling through the part
 
 
 some dictators say and spellout "crie" or "scree" for future reference.
 Subject: some dictators say and spellout "crie" or "scree" for future reference.
 
 x
 I finally figured it out... he was mumbling.... sm
 Subject: I finally figured it out... he was mumbling.... sm
 
 and was trying to say morphine!  TU
 No, that's not it.  He actually starts spelling b-e-r and then he gets to mumbling.
 Subject: No, that's not it.  He actually starts spelling b-e-r and then he gets to mumbling.
 
 
 It sounds like it has "tax" something in it.  He has really been mumbling a lot through this d
 Subject: It sounds like it has "tax" something in it.  He has really been mumbling a lot through this day.
 
 
 Could they be mumbling a Billroth II anastomosis or a Roux-en-Y
 Subject: Could they be mumbling a Billroth II anastomosis or a Roux-en-Y
 
 s
 I think he's mumbling "multiple" bulging discs.nm
 Subject: I think he's mumbling "multiple" bulging discs.nm
 
 x
 I wish I could. Doc is mumbling. Hoping for an educated guess.
 Subject: I wish I could. Doc is mumbling. Hoping for an educated guess.
 
 .
 Probably mumbling a Myoview nuclear scan...nm
 Subject: Probably mumbling a Myoview nuclear scan...nm
 
 nm
 He could be, he's kind of mumbling which make it harder.
 Subject: He could be, he's kind of mumbling which make it harder.
 
 
 typing med list and thru the mumbling s/l FILLA-DEPEND ER 5 mg.   nm
 Subject: typing med list and thru the mumbling s/l FILLA-DEPEND ER 5 mg.   nm
 
 x
 Mumbling PA, medication s/l Ectodate.  Patient only had back surgery in his PMH, no other
 Subject: Mumbling PA, medication s/l Ectodate.  Patient only had back surgery in his PMH, no other
 
 medical problems and the other only other med is Flexeril.  I keep thinking some type of NSAID, but I just went thru over 50 of them and nothing came close.
 could dr be stumbling
 over 'subsequently' ?
 stumbling...duh, duh....uh...
 Subject: stumbling...duh, duh....uh...
 
 
 I wouldn't be surprised, the way a lot of these guys talk.  And they're first language is english!   
 But really, he said it three times in the report and the "de" part was clear.  I put in blanks. 
 
 
 Thanks anyway.! I think he's just stumbling
 Subject: I think he's just stumbling
 
 I think he changed his mind; I think he means visual acuity of 20/40 after proparacaine drops.
 Maybe stumbling on" CT" ?  nm
 Subject: Maybe stumbling on" CT" ?  nm
 
 nm
 Could it be TSH and the doc is just stumbling.
 Subject: Could it be TSH and the doc is just stumbling.
 
 
   Thanks to all - I think she's stumbling over
 Subject: Thanks to all - I think she's stumbling over
 
 finasterides  :=(
 
 Not sure though so I'm flagging it.  She's got a mouth full of cotton balls.
 unless he's stumbling
 Subject: unless he's stumbling
 
 nm
 stumbling over ED?
 Subject: stumbling over ED?
 
 nm
 maybe doc is just stumbling, saying...
 Subject: maybe doc is just stumbling, saying...
 
 "uh some arthritis" ??
 nevermind...I think she is stumbling.
 I think she starts to say ecchymosis but puts that word at the end instead.  Thanks.
 probably just stumbling and means
 Subject: probably just stumbling and means
 
 x
 unless he is just stumbling on his words
 Subject: unless he is just stumbling on his words
 
 He does that constantly while he dictates, so it's difficult to tell if there's really another word or not.
 could he just be stumbling and saying "congruent" ?  nm
 Subject: could he just be stumbling and saying "congruent" ?  nm
 
 x
 he is stumbling and probably means
 Subject: he is stumbling and probably means
 
 
   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
 could he be stumbling over swelling?
 Subject: could he be stumbling over swelling?
 
 just a guess
 is he/she stumbling trying to say Remeron?
 Subject: is he/she stumbling trying to say Remeron?
 
 
   Could he/she be stumbling over proximal?
 Subject: Could he/she be stumbling over proximal?
 
 
 I think he's just stumbling on bursitis....
 Subject: I think he's just stumbling on bursitis....
 
 is what I'd do.......
 I think he's just stumbling over positive...
 Subject: I think he's just stumbling over positive...
 
 x
 Stumbling over defibrillation??
 Subject: Stumbling over defibrillation??
 
 x
 Could the doc just be stumbling on GU evaluation?  Sorry not more help    Nm
 Subject: Could the doc just be stumbling on GU evaluation?  Sorry not more help    Nm
 
 nm
 Could he be stumbling over "marrow"? sm tia!
 Subject: Could he be stumbling over "marrow"? sm tia!
 
 MRI of the right knee:  Anterior and posterior cruciate ligaments are visualized and appear normal.  Lateral and medial collateral ligaments are visualized and appear within normal limits.  Osseous structures show no s/l "u-me-gal" edema.  There appears to be moderate effusion best seen on axial images.
 
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