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Personal opinion, but I would only makes this a "header" within a report if the dictator state

Posted By: MT50 on 2008-01-15
In Reply to: Jehovah's Witness ? (capitalize in report)? - txcatgirl

Subject: Personal opinion, but I would only makes this a "header" within a report if the dictator states to do so, otherwise I would just type it verbatim in paragraph format.




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what is your source? personal opinion?
Subject: what is your source? personal opinion?

x
Personal opinion, I hyphenate it as tib-fib fracture
Subject: Personal opinion, I hyphenate it as tib-fib fracture


Personal opinion I would hyphate it as supra-SMAS
Subject: Personal opinion I would hyphate it as supra-SMAS


Personal opinion but I believe it is distal as in determination (i.e. the dorsalis pedis artery puls
Subject: Personal opinion but I believe it is distal as in determination (i.e. the dorsalis pedis artery pulse can be palpated readily lateral to the extensor hallucis longus tendon on the dorsal surface of the foot, distal to the dorsal most prominence of the navicular bone which serves as a reliable landmark for palpation.)


Who specifies no personal info? Type what the dictator says. SM
Subject: Who specifies no personal info? Type what the dictator says. SM

The responsibility is in the hands of the dictator. If he or she dictates it, then give it to them... plain and simple.
Just my opinion, but since the dictator did not
Subject: Just my opinion, but since the dictator did not

give you any differentials for each value, I would do it exactly as you have it with a comma between each.
Seems to be a facility, what state or town is the report in?
Subject: Seems to be a facility, what state or town is the report in?


Anywhere in the report does it state that the patient had an "implant" instead of the sound of
Subject: Anywhere in the report does it state that the patient had an "implant" instead of the sound of "pack"?


I'm not sure of my own name at this point, ESL dictator, started this report 54 minutes ago and I
Subject: I'm not sure of my own name at this point, ESL dictator, started this report 54 minutes ago and I am only half way through... thanks so much


holiday...is the dictator an Arab dictator? nm
Subject: holiday...is the dictator an Arab dictator? nm

x
type what dictator said, dictator is not incorrect.....
Subject: type what dictator said, dictator is not incorrect.....

.
ahh, it is a personal issue - then take it private!
Subject: ahh, it is a personal issue - then take it private!

XX
Client or personal preference
Subject: Client or personal preference

You have several choices here that are correct. You can put E:A reversal, E/A reversal, or E to A reversal. If no client preference, your pick - all are correct.
No, I cannot confirm. I have some personal notes
Subject: No, I cannot confirm. I have some personal notes

that I make and had Segund in them.
Some accounts want no personal info
Subject: Some accounts want no personal info

at all in the report, others want pertinent people listed. It depends on the facility/account.
Personal History is correct
Subject: Personal History is correct

nm
My personal favorite is "aspirational pneumonia." :)
Subject: My personal favorite is "aspirational pneumonia." :)

x
Just personal for me, but I have always typed it Sitzmark study
Subject: Just personal for me, but I have always typed it Sitzmark study


D: personal history of colon polyps
Subject: D: personal history of colon polyps

That's exactly how it was dictated. While all this stuff is "personal," am I missing something here?
Can you please provide the sentence? Or is question of a personal nature?
Subject: Can you please provide the sentence? Or is question of a personal nature?

x
wild guess s/l personal synovarment syndrome
Subject: wild guess s/l personal synovarment syndrome

Right CMC joint arthrosis and s/l personal synovarment syndrome.
is this dictator ESL (foreign dictator)?....
Subject: is this dictator ESL (foreign dictator)?....

if ESL, I would either blank him or give him that Avodart but the other one I haven't a clue and would have to blank there too.  Sorry :(
does it state what it is for?
Subject: does it state what it is for?

Ativan?
Hard to say without state, but..
Subject: Hard to say without state, but..

here is something I use to help wtih hospital names

http://www.superpages.com/?SRC=promo13
S/L newmeric state 96%
Subject: S/L newmeric state 96%

VITAL SIGNS:  His temperature is 102, pulse is in the low 90’s, respirations 12, ** 92%, blood pressure 149/67.  The doctor is giving the vitals I just can't understand the word before 92%  sounds like--- newmeric state--or--newmeric at-- I can't find anything to verify that.  any help???  thank you


s/l newmeric state 96%
Subject: s/l newmeric state 96%

s/b - pulse is in the low 90s w/o the '
s/l newmeric state 92%
Subject: s/l newmeric state 92%

The answer is...room air sats 92%. The "newm" you are hearing is room, and the "eric" is air.
As in state of mind?
Subject: As in state of mind?

not positive though
Oh well in your OP, you didn't state it that way.
Subject: Oh well in your OP, you didn't state it that way.

cc:  Patient Name (Enclosure:  MRI results)  I guess .
I got it.... in a drowsy state... Duh... NM
Subject: I got it.... in a drowsy state... Duh... NM

.
perioperative state? Did she just have something done now?? nm
Subject: perioperative state? Did she just have something done now?? nm

s
Check your CP, it should state
Subject: Check your CP, it should state

how to write dates. If it's the long form - January, 5, 2008, make sure to use commas to offset it.
I don't know if it is state specific or not,
Subject: I don't know if it is state specific or not,

I transcribe for clinics in Oregon and transcribe it as Workers' Comp as this is the way the state refers to it (Oregon Workers' Compensation Division).
State tests.
Subject: State tests.

Can anyone tell me how hard the tests are to become a CMT and RMT?


That's why the field is in the state it is...no guidelines followed....
Subject: That's why the field is in the state it is...no guidelines followed....

everyone going by their own rules. There is no consistency. And thanks to that we're now pretty much considered non professionals IMO. I say bring on the mandatory licensing/certification to bring the professionalism back to the field!
state? Here is a link with occupations. sm
Subject: state? Here is a link with occupations. sm

http://www.occupationalinfo.org/


 


 


State building inspector? sm
Subject: State building inspector? sm

also with that could be state fire martial and building inspector.
put in the comma, do not abbreviate state nm
Subject: put in the comma, do not abbreviate state nm


thank you any idea with the parative state?
Subject: thank you any idea with the parative state?


What area of the country/state are you in?
Subject: What area of the country/state are you in?


functional "monocular" state. nm
Subject: functional "monocular" state. nm

xx
did they state what dermatological condition?
Subject: did they state what dermatological condition?


fasting glucose state
Subject: fasting glucose state

nm
Dorland and Stedman state differently SM
Subject: Dorland and Stedman state differently SM

ostiomeatal (os·tio·me·a·tal) (os”te-o-me-a´təl) [ostium + meatal] pertaining to an opening (ostium) and a meatus, especially in the nasal cavity.

I respect your link, but I can find many words spelled incorrectly on the 'net. One must go with trusted sources.

I made this mistake for years and was never corrected until... well, thats another story!
The 2nd might be postictal state. No idea what lab values
Subject: The 2nd might be postictal state. No idea what lab values

s
Decubitus ulcers would be the proper way to state it but sm
Subject: Decubitus ulcers would be the proper way to state it but sm

Stedman's says just "decubitus" is acceptable.


decubitus (d-kbi-ts)



  1. The position of the patient in bed; e.g., dorsal decubitus, lateral decubitus. See: decubitus film
  2. Sometimes used in referring to a decubitus ulcer.

[L. decumbo, to lie down]


brain fart.... when you have a city and state
Subject: brain fart.... when you have a city and state

within the body of a report, do you put a comma in between. I feel like my brain just died!

Example... The patient went to a hospital in Orlando Florida. You DO put a comma, right? Do you abbreviate the state?

Gosh I feel stupid!
says risk factors are G2,P2 s/l parative? state with
Subject: says risk factors are G2,P2 s/l parative? state with

a large 10 pound baby.  Then she has a THBASO??? 2 years ago
Adirondacks, upper New York state
Subject: Adirondacks, upper New York state


And what State/Town is the hospital in so we might hazard a guess?
Subject: And what State/Town is the hospital in so we might hazard a guess?

??
Easy website to find doctors by state
Subject: Easy website to find doctors by state

Anyone know of any links?


Thanks!