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

Posted By: Me on 2005-10-02
In Reply to: No otorhinorrhea. (UNDER HEENT.) - Stedman's does not document this. Is my doc in

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

:)


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

nm
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
docs i type for do use this word
Subject: docs i type for do use this word

/
Trust us. Docs never give dosages with the word sm
Subject: Trust us. Docs never give dosages with the word sm

"chemotherapy." It makes no sense as there are hundreds of medications (where you would hear dosages) that comprise chemotherapy. Would you rather be corrected by people who are not paid to help you, or would you rather your QA catch a blunder like this? Up to you.
can't make out the word
Subject: can't make out the word

i am about to put my hair out. i can not make out this word. i have tried everything i can to figure it out. i hear shuntcity. but can't fugure out what it is. here is the sentece. if shuntcity shows no disconnection start CT scan......


please help.....


 


 


 


 


 


 


 


 


 


 


 


 


 


 


JMO but I would make it all one word,
Subject: JMO but I would make it all one word,

one can combine just about any medical word combination with anything else. It does make sense, so I would do it as one word. I don't know if it is correct, but I have seen it in reports.
can't make out the word
Subject: can't make out the word

ok, i just can't make out the word here in the sentence
"She, however, is ______ on whether or not she has taken the medicine...."
the blank part sounds like some vaseline...or something similar can't make it out..what could the word be here. any thoughts???
can't make out the word
Subject: can't make out the word

ok it sounds something like vas______ing on whether....
is it actually a word - or did he make it up?
Subject: is it actually a word - or did he make it up?


Thank you for trying to help me!! I can't make out that word in the dictation.
Subject: Thank you for trying to help me!! I can't make out that word in the dictation.

This doc is a BIG mumbler.  Clearly says "Denies", then the rest is garbage.     


Thank you though.  There is no other info in report to go on for clues either.


It really irks me when they make up their own word. Here is what I would do. SM
Subject: It really irks me when they make up their own word. Here is what I would do. SM

anteriorly dislocated, synechial iris and optic temporally.  At this point it was noted that the optic was synechial and incarcerated within the iris temporally.


 


Does just the word "weight" make sense
Subject: Does just the word "weight" make sense

I think he may have hesitated and just said weight.  Does that make more sense?
I have looked this word up and it doesnt make sense the way I spelled it.
Subject: I have looked this word up and it doesnt make sense the way I spelled it.

I wondered if anyone else had an idea of what it was.

You dont have to answer this if you dont want to.

This is my first time every posting a question, Ms hateful.


Made up word? Doctors don't make up no stinkin werdz.
Subject: Made up word? Doctors don't make up no stinkin werdz.

Don't you hate it when you're just sure a word is made up and you look it up only to find that it IS a real word? The other day a doc said conspicuity and I thought, man, if I was going to play with the word conspicuous, I'd go with conspicuosity. I Googled it and sho nuf, conspicuity is a word.
that's what I was thinking too, but it was a weird usage of a word that didn't make sense for
Subject: that's what I was thinking too, but it was a weird usage of a word that didn't make sense for that

meaning.  He could have just said "dc'd".
It is appropriate to use the word fixated as in the medical description of "To make fixed, stable
Subject: It is appropriate to use the word fixated as in the medical description of "To make fixed, stable, or stationary."


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,
You don't add in mg or mcg, etc. unless it's dictated. The docs know
Subject: You don't add in mg or mcg, etc. unless it's dictated. The docs know

s
that's how my derm docs like it - sm
Subject: that's how my derm docs like it - sm

same with T zone.
ONLY if your QA, account, or docs want it to be so. Not everyone
Subject: ONLY if your QA, account, or docs want it to be so. Not everyone

s
The docs are correct. (nm)
Subject: The docs are correct. (nm)

.
the docs are incorrect
Subject: the docs are incorrect

there must be ownership to use an apostrophe. The word Smith does not show ownership to anything.

If the sentance read Dr. Smith's patient, then yes the apostrophe is used.
that's the section m docs usually put it in.
Subject: that's the section m docs usually put it in.


No, it is not. Docs do not always spell
Subject: No, it is not. Docs do not always spell

x
Some of my docs do list..sm
Subject: Some of my docs do list..sm

each artery's findings separately and I number them along the left under each other. Just use your common sense so you end up with a clear report. Good luck. I remember when I first started doing caths and it wasn't easy.
know how the docs are... making up as they go sm
Subject: know how the docs are... making up as they go sm

They are two separate ligaments but he is probably putting them together.
Most docs say "hypertrophy" when they
Subject: Most docs say "hypertrophy" when they

say it out instead of abbreviating. But, when in doubt, use the abbreviation, even if in diagnosis.
With docs like that, the only way to learn
Subject: With docs like that, the only way to learn

them is to do them repeatedly. When you get your QA feedback, make sure you keep it for further reference. I have been doing this for 25 years and there are still docs I can't understand and/or cringe when I get them. Some of them are totally impossible.
My docs always say "give-way"
Subject: My docs always say "give-way"

x
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm

The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.

But sometimes there's a clue in what's being tested, blood or urine, and/or the diagnosis.

Also, if you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.

If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!

Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm

The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.

Is there a clue in the dx?

If you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.

If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!

Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
I have found that some docs
Subject: I have found that some docs

will use that abbreviation for lymphadenopathy. Just a suggestion.
Lots of docs
Subject: Lots of docs

say patellar crepitus as patellar is referring to the patella. Just another way to say patella crepitus. :-)
The ortho docs
Subject: The ortho docs

I type for will often say a "toggle" of motion, meaning just a tad. :-)