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Macrobid (nitrofurantoin) is commonly used, maybe doc stumbling on whether to dictate brand name or

Posted By: TGIF on 2009-02-13
In Reply to: Drug s/l nitroprov - abby

Subject: Macrobid (nitrofurantoin) is commonly used, maybe doc stumbling on whether to dictate brand name or generic?




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nitrofurantoin
Subject: nitrofurantoin

nm
Macrobid 100 mg s/l postcoidally. TIA
Subject: Macrobid 100 mg s/l postcoidally. TIA

xx
Macrobid or Macrodantin?
Subject: Macrobid or Macrodantin?


Apparently this person probably gets UTIs after sex, so they put her on Macrobid to fight the infect
Subject: Apparently this person probably gets UTIs after sex, so they put her on Macrobid to fight the infections postcoitally


Guessing, nitro short for nitrofurantoin, and proph short for prophylaxis?.....nm
Subject: Guessing, nitro short for nitrofurantoin, and proph short for prophylaxis?.....nm

nm
commonly used name is dacliximab .
Subject: commonly used name is dacliximab .


should also say commonly seen with age and hypertension. Thanks. nm
Subject: should also say commonly seen with age and hypertension. Thanks. nm

nm


stones are commonly basketed
Subject: stones are commonly basketed

There is one side of a page in Stedman Equipment word book dedicated to different types of baskets, about half for stones,

Now, if it is an ESWL procedure, the stone could have been "zapped" or "pulsed" by laser, so relisten and compare to the type of procedure being done.
ETOH abuse is commonly said/nm
Subject: ETOH abuse is commonly said/nm

xx
Ha ha... With "good research", you will find that they are both commonly used. (sm)
Subject: Ha ha... With "good research", you will find that they are both commonly used. (sm)

Google on "degenerative disc disease" and "degenerative disk disease". I use "disc" when transcribing for my ortho clinic because, when I got the account and asked for samples, each and every sample on each and every report used "disc". No matter what your research tells you, you will do what the client says, especially when it doesn't really matter. And this does not really matter.
Babcock clamp is commonly used for tubals. NM
Subject: Babcock clamp is commonly used for tubals. NM

.
-mycins commonly used when listing allergies. nm
Subject: -mycins commonly used when listing allergies. nm


but you more commonly hear solar lentigos
Subject: but you more commonly hear solar lentigos

n/m
A search is showing Romazicon (flumazenil) is commonly ued for
Subject: A search is showing Romazicon (flumazenil) is commonly ued for

ss
Maybe 'rage'? Can you check other notes to see what's commonly evaluated by this doc? nm
Subject: Maybe 'rage'? Can you check other notes to see what's commonly evaluated by this doc? nm

s
Trichlorex (diuretics are commonly used to treat high blood pressure )
Subject: Trichlorex (diuretics are commonly used to treat high blood pressure )


but how do you know they always use the brand name? it might be a generic brand they are using... n
Subject: but how do you know they always use the brand name? it might be a generic brand they are using... nm

x
You should dictate what the doc says.
Subject: You should dictate what the doc says.

If he is wrong, that's his problem. You can't just go changing what he says unless you have free reign on your account.
Drs get what they dictate - some of us only do..S/M
Subject: Drs get what they dictate - some of us only do..S/M

brachioplexus, brachioplexopathy - what they say is what they get....client profile RULES!
How does he dictate it? Is he actually - sm
Subject: How does he dictate it? Is he actually - sm

Is he saying "CBC, MSP, and stool" because stool is not a test so just wondering if it could be the name of a stool test. If you state just how the whole sentence is dictated, it may help us figure it out for ya.
I had a doc used to dictate that
Subject: I had a doc used to dictate that

Good says it stands for keep-open-vein.  So, it should fit, and it also is all CAPs. 
Paronychia is a superficial infection of the skin around the nails, most commonly caused by staphylo
Subject: Paronychia is a superficial infection of the skin around the nails, most commonly caused by staphylococcus bacteria or fungi

(nm)
Mucormycosis is caused by inhalation of spores. It most commonly affects the nose and brain (sm)
Subject: Mucormycosis is caused by inhalation of spores. It most commonly affects the nose and brain (sm)

http://www.merck.com/mmhe/sec17/ch197/ch197h.html
Usually if they dictate Seldinger...
Subject: Usually if they dictate Seldinger...

they will say "via Seldinger, or Seldinger technique."  I don't believe they would do this en route either.  Are you sure you are hearing "sandwich?"  I have been transcribing ER reports for years and I have never heard this term used.  Anyway, I would not guess on this one.  IMO, it is better to leave it blank and have QA inform you later so you can keep it on file .
Yes, that was how I was taught and most always they dictate cc nm
Subject: Yes, that was how I was taught and most always they dictate cc nm

nm
welcome; got it from my docs that dictate it as i never could figure them all out either, lol. nm
;
Sorry, but I have had them dictate brain or beta.
Subject: Sorry, but I have had them dictate brain or beta.

nm
Account specifics would dictate whether you sm
Subject: Account specifics would dictate whether you sm

write it out or abbreviate. The abbreviation for beats per minute is bpm. Ask your QA person for approved abbreviations for this account (accounts will differ sometimes which can make us crazy).

Did she dictate the colon after "murmur?" nm
Subject: Did she dictate the colon after "murmur?" nm

x
no matter what they dictate, they are wrong...nm
Subject: no matter what they dictate, they are wrong...nm


LOL..the way these docs dictate anymore
Subject: LOL..the way these docs dictate anymore

who knows!! Something like that just check your aspirin bottle. Good luck!!
doctor didn't dictate mg????
Subject: doctor didn't dictate mg????


The patient was given aminophylline, Lanoxin 0.25, Lasix 40 mg, Cardizem.


okay here the doctor fails to dictate mg? according to 'textbook rules' do I add this or not?


Lordy, when they dictate commas it is just sm
Subject: Lordy, when they dictate commas it is just sm

like a poke in the eye to me!!! Brings me to a screeching halt. I just tend to ignore them, in a report, especially if it is a resident. I do puncturate letters and memos, but half the commas I see people use on this board and other boards are totally not necessary. Just call me
anti-comma!!!!! 
If you dictate the full sentence I could probably help you figure it out. nm
Subject: If you dictate the full sentence I could probably help you figure it out. nm


Thanks for finding that. I just had doc today dictate this...hmmmm
Subject: Thanks for finding that. I just had doc today dictate this...hmmmm


doc didn't dictate that....her brain was thinking that...
Subject: doc didn't dictate that....her brain was thinking that...

nm
Thought so thanks wish they would dictate the drugs correctly
Subject: Thought so thanks wish they would dictate the drugs correctly


or may be mistakenly thinking of their pet's food as they dictate?
Subject: or may be mistakenly thinking of their pet's food as they dictate?


wrong - they ALL dictate decubiti...no such word
Subject: wrong - they ALL dictate decubiti...no such word


did he dictate the point, or did he say 1 5, to make sure you did not hear 50
Subject: did he dictate the point, or did he say 1 5, to make sure you did not hear 50

nm
That's what I mean by "ask your QA!" Account specifics dictate style, sm
Subject: That's what I mean by "ask your QA!" Account specifics dictate style, sm

but the AAMT BOS dictates what is correct for the industry, getting its information from sources such as the Chicago Manual of Style, the American Medical Association book of style (which I own), etc. As the poster below states, Joint Commission goes by BOS and does not like "same" or abbreviations for diagnoses, impressions, op titles, etc. They will randomly choose patient charts and go through them to check things like this! It's the Joint Commission which recommends or removes hospital accreditations--a very powerful entity.

So, ask your QA what the account wants. If they want "same," give them "same." For other accounts, do it the correct way.
Derm docs often dictate "Allergy to CARBO mix" - sm
Subject: Derm docs often dictate "Allergy to CARBO mix" - sm

I don't know what the full word is, but this validates your hearing the partial "carbo"
Long shot, but often dictate myocardial ischemia. nm
Subject: Long shot, but often dictate myocardial ischemia. nm

xx
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