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Now he's dictating what s/l

Posted By: NE on 2007-06-05
In Reply to: Infant exam - NE

Subject: Now he's dictating what s/l

Lowlins: As she lies supine...

Does anyone know of a good resource for infant exam terminology? Thanks!




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He was dictating it in the
Subject: He was dictating it in the

medication section of an H&P.  That is all he said, no dosage, nothing to indicate what it was for.  Very strong accent and one of my hardest dictators.  I sent it in with a blank to QA, but am wondering.
I'm trying to think of a DO dictating joke, but I can't sm
Subject: I'm trying to think of a DO dictating joke, but I can't sm

think of one. I was hoping you had one! "Osteopathic disease" just struck me funny. :)

Student dictating.
Subject: Student dictating.

This is John Doe [s/l PSM or PSU] dictating for Dr. John Doe, M.D.


Does anybody have any ideas what the initials are.  What are the initials for someone dictating for the doctor?


 


Thanks for your help!


MD is dictating the ABG values. sm
Subject: MD is dictating the ABG values. sm
























listen carefully for these:


 


Normal Arterial Values

Range
pH 7.35-7.45
pCO2 35-45
pO2 80-100
O2 Sat. 95-100%
HCO3 22-26
BE +or-2

 




maybe it's 0.5 mg - doctor not dictating the 0
Subject: maybe it's 0.5 mg - doctor not dictating the 0

nm
dictating hospital course says...
Subject: dictating hospital course says...

the patient was admitted to the medical floor, s/l med MPO????? with appropriate studies obtained. 
student dictating
Subject: student dictating

it is a student dictating but she is fairly clear - it sounds just like Vario but I can't find anything like that anywhere.
she was just dictating the height of *157-3/8 cm*
Subject: she was just dictating the height of *157-3/8 cm*

I flagged it and sent it in - let QA figure that one out. but thanks for trying!
dictating warfarin 7.5 mg qiw - - ?
Subject: dictating warfarin 7.5 mg qiw - - ?


I'm going with push-gut; it's what he is dictating.
Subject: I'm going with push-gut; it's what he is dictating.


Dr. says he is dictating a s/l sin-A or Ten-A fluoroscopy *NM*
Subject: Dr. says he is dictating a s/l sin-A or Ten-A fluoroscopy *NM*


Are they dictating "a TSH too is normal? nm
Subject: Are they dictating "a TSH too is normal? nm


He is dictating it as the technique for the MRI.
Subject: He is dictating it as the technique for the MRI.

TECHNIQUE: T2 axial SPUR, T1 sagittal, proton density sagittal SPUR, T2 coronal SPUR, T1 coronal sequences of the left knee without contrast in a 1.5 Tesla magnet.
Pulm. dictating lab values...
Subject: Pulm. dictating lab values...

Doing a pulmonologist's report - he's dictating lab values, this one s/l "b-nitrotic peptide?"   I usually do radiology so this is new territory to me...
Thanks to all of you - she needs to stop snacking while dictating!
Subject: Thanks to all of you - she needs to stop snacking while dictating!


I would change it to allow. What testament is he dictating from? LOL
Subject: I would change it to allow. What testament is he dictating from? LOL


What are we dictating here? Exact phrasing etc?nm
Subject: What are we dictating here? Exact phrasing etc?nm


ESL dictating lab tests.....patient had
Subject: ESL dictating lab tests.....patient had

a TSS or DSS level checked?  TIA!!
that was what I thought but when she kept dictating it decubiti
Subject: that was what I thought but when she kept dictating it decubiti

I thought maybe I was wrong.  Needed a real second opinion - from other than MD.  Thanks
I've been told he may be dictating to someone he knows well and
Subject: I've been told he may be dictating to someone he knows well and

You might have John Doe, M.D. in the address info, but doctor dictates "Dear Johnny." Is this what you mean? If that's the case, I would type it as he says it, as he may have a friendly relationship with him in addition to his professional relationship.

On the other hand, if he's dictating a personal nickname, like "Puddin", you should probably use the other name. :)
thanks! dictating "pickups", can't find.
Subject: thanks! dictating "pickups", can't find.


Doc keeps dictating football term and I'm
Subject: Doc keeps dictating football term and I'm

I've never heard of a corner back, but it doesn't sound like he's saying quarterback.

But when I search google, the patient is listed as a DB. Can someone clue me in, please?

I've already let one report go with quarterback, but now I'm concerned about it and don't want to make another mistake.

Is there a corner back...if so how do I type it? And what's a DB? Thanks.
Doctor is dictating medication s/l
Subject: Doctor is dictating medication s/l

Pain clinic doc is dictating s/l oxycet. He's not saying Roxicet or Oxycocet. Is there a drug called oxycet that anyone is aware of? Thanks.
keeps dictating pallorus, is there such a word
Subject: keeps dictating pallorus, is there such a word


Knee x-ray help. Dr. Mumbles dictating again!
Subject: Knee x-ray help. Dr. Mumbles dictating again!

She has a patellar baja noted as well.  There is a large ______ ossification of the patellar tendon insertion.


Sounds like lar-a-ja  (pronounced with a short a sound).


Doc dictating antibiotic s/l velacef - nm
Subject: Doc dictating antibiotic s/l velacef - nm


not sure what that means.. but 1st time dictating her. nm
Subject: not sure what that means.. but 1st time dictating her. nm

nm
dictating letter for bariatric surgery...sm
Subject: dictating letter for bariatric surgery...sm

This was 250 pounds, (s/l gross volume to) body mass index of about 40.


 


Thanks I tried Google but stuck and sick today, can't take much more of  sitting here today.


ESL med student dictating list of meds...
Subject: ESL med student dictating list of meds...

Good grief - it's awful. She can't pronounced them.  One of them s/l "proseeaal's powder" 1 scoop po TID ???  Any ideas, please? Thanks.
dictating generalized disorders do not need to be capitalized
Subject: dictating generalized disorders do not need to be capitalized

nm
Ortho doc is dictating cervical spondylysis
Subject: Ortho doc is dictating cervical spondylysis

I've typed ortho for eight years and I know I haven't heard it all, so have any of you ever heard of spondylysis? He's very clear and is not saying spondylolisthesis, spondylosis, or spondylolysis. Thanks for your help :)
Yes, could be, Indian dictating, so maybe...doesn't sound like it, though!
Subject: Yes, could be, Indian dictating, so maybe...doesn't sound like it, though!

TY!
Doc is dictating reference letter about nurse sm
Subject: Doc is dictating reference letter about nurse sm

She is very hard working, s/l villous, and a caring nurse. TIA 
Never mind he was dictating an ICD9 code
Subject: Never mind he was dictating an ICD9 code


Doc is dictating valsalving - is this a word - how is it spelled?
Subject: Doc is dictating valsalving - is this a word - how is it spelled?


he is dictating is backwards. I would type it as he dictates...nm
Subject: he is dictating is backwards. I would type it as he dictates...nm

xx
Thanks! Doctor is dictating it as possessive, so I'll leave it.
Subject: Thanks! Doctor is dictating it as possessive, so I'll leave it.

x
Tendo and tendinitis are both accepted, it all depends on your doc dictating.
Subject: Tendo and tendinitis are both accepted, it all depends on your doc dictating.

Many years ago, I typed tendonitis on a report and the orthopod almost pecked me to the wall and said it was "tendinitis"  and that is what he wanted to see in his reports.  Other docs prefer tendonitis..sooo....as far as the rule goes, spell it like the client wants it typed (they both mean the same thing).



Pedestrian hit-and-run. Doc is dictating x-rays and CT scan, then the pt had what s/l IVC soulter
Subject: Pedestrian hit-and-run. Doc is dictating x-rays and CT scan, then the pt had what s/l IVC soulter

NM
I'd use the fetor oris figuring that he mixed it up when dictating. nm
Subject: I'd use the fetor oris figuring that he mixed it up when dictating. nm

s
doc is dictating past medical history and said exactly what was quoted with nothing else regarding i
Subject: doc is dictating past medical history and said exactly what was quoted with nothing else regarding it. nm

Thanks.
Doctor dictating letter to law offices - Dear **Mame** Thanks!
Subject: Doctor dictating letter to law offices - Dear **Mame** Thanks!


maybe at L2? Just a guess, but maybe doctor is dictating at which level the spinal leak was.
Subject: maybe at L2? Just a guess, but maybe doctor is dictating at which level the spinal leak was.


Dictating signature. John Brown, s/l "MADCPCE", Primary Therapist. nm
Subject: Dictating signature. John Brown, s/l "MADCPCE", Primary Therapist. nm


Oh bless their dictating souls... maybe meaning given as "first aid" as in providing treatment
Subject: Oh bless their dictating souls... maybe meaning given as "first aid" as in providing treatment?


ROS positive for nausea, vomiting, diarrhea, Indian doctor dictating HELP
Subject: ROS positive for nausea, vomiting, diarrhea, Indian doctor dictating HELP

XX
I can't tell if it is the accent, but sounds like ortho doc is dictating "hooked tuna sign"
Subject: I can't tell if it is the accent, but sounds like ortho doc is dictating "hooked tuna sign" sm

This is being dictated in the neuro portion of the exam.  He says this in several notes and sounds the same each time.  I have searched and searched.  Ahhhhhh!


serum osm? doc is dictating serum osm and urine, sodium and osm. Is osm short for osmolality?
Subject: serum osm? doc is dictating serum osm and urine, sodium and osm. Is osm short for osmolality?


Sound like she is dictating "fixed hydrocephalus" or "six hydrocephalus", but I can't
Subject: Sound like she is dictating "fixed hydrocephalus" or "six hydrocephalus", but I can't find anything


Dictating Voltaren SR - not XR - is there a Voltaren SR?
Subject: Dictating Voltaren SR - not XR - is there a Voltaren SR?