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So true. I am concerned that the MT who did the Procedure Note also used what he spelled.

Posted By: MSmt on 2009-06-09
In Reply to: Docs aren't very good at spelling sometimes. I go - vn

Subject: So true. I am concerned that the MT who did the Procedure Note also used what he spelled.




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it's a true discrepancy because MD spelled it...
Subject: it's a true discrepancy because MD spelled it...

QA marker, reason being *discrepancy* and then in the QA/QC comment box you need to type what the discrepancy is (keeping it as short as possible)..."MD spells Zelexia, I think he means Celexal, hence true discrepancy"
Orthopedic OP note-s/l oats procedure
Subject: Orthopedic OP note-s/l oats procedure

Involves the femur and the patella.  Only part of diagnosis I could make out was "painful hardware."  Very few clues, just taking a wild stab at help for what sounds like "oats procedure."  Thanks!
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,
I'm concerned about "deep nucleations." What comes sm
Subject: I'm concerned about "deep nucleations." What comes sm

before and after this sentence? Also "... DIPJ of the right hallux" doesn't sound right, either. I can see why you're questioning this. ;)
I'm concerned about "deep nucleations." What comes sm
Subject: I'm concerned about "deep nucleations." What comes sm

before and after this sentence? Also "... DIPJ of the right hallux" doesn't sound right, either. I can see why you're questioning this. ;)
That's probably it. Before saying A1a, he says family is concerned about thyromegaly.
Subject: That's probably it. Before saying A1a, he says family is concerned about thyromegaly.


I think it can be. Overly concerned. Prefixes can be used on most anything.
Subject: I think it can be. Overly concerned. Prefixes can be used on most anything.


That can happen on meds for a.m. and p.m. dosages, but if you are concerned, is it possible to leave
Subject: That can happen on meds for a.m. and p.m. dosages, but if you are concerned, is it possible to leavea a QA note just for the facility?


She is also concerned about s/l ___momali 1st interdigital space of the left foot
Subject: She is also concerned about s/l ___momali 1st interdigital space of the left foot


 



She is concerned about hepatic or herpetic and thyroid side effects with the use of amiodorone. th u
Subject: She is concerned about hepatic or herpetic and thyroid side effects with the use of amiodorone. th u


Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych
Subject: Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych


s/l rucey procedure -- wondering if it is Ruiz procedure ...
Subject: s/l rucey procedure -- wondering if it is Ruiz procedure ...

The sentence reads "I advised the patient to undergo so-called s/l rucey procedure (i.e., bone graft repair of the nonunion)." This is an orthopaedic doctor dictating. TIA.
Gold's procedure or Gould's procedure..ortho? nm
Subject: Gold's procedure or Gould's procedure..ortho? nm

v
SIMES procedure or SIMS procedure maybe?
Subject: SIMES procedure or SIMS procedure maybe?

Has anyone every heard of the Simes or Sims procedure?  I never heard of it and I am having a hard time trying to verify.  Perhaps I am not spelling it correctly? 


Thanks!


There are no complaints but Mr. Cornelius's son is somewhat concerned. Does Mr. Cornelius's s
Subject: There are no complaints but Mr. Cornelius's son is somewhat concerned. Does Mr. Cornelius's son sm

look right with the hyphen? I always get this mixed up and it's just too early

if only that were true....
Subject: if only that were true....

nm
very true. but i use their pc adn not allow to add
Subject: very true. but i use their pc adn not allow to add

software to it, plus i type straight into their website...so...
LOL so true
Subject: LOL so true


this is true - but yours is better! *LOL*
Subject: this is true - but yours is better! *LOL*

been watching this board for 3-4 years now....and you and Txczech and annabanana are 3 of the top posters whose answers I definitely check out and I learn from all 3 of you........*grin* - I do supply an answer or two or three.....to others as I can. 


GMTA!! 


true, true
Subject: true, true

I have also had myopia with astigmatism and have been told is the reason I cannot have LASIK surgery to the eyes


 


so some knowledge is coming from transcribing experience AND from personal experience....


Not true
Subject: Not true

effect can also be used as a verb...

to effect one's purpose...
to effect an entry,....,

but usually it's more used as a noun, that's right.
How true.
Subject: How true.

Thank you for your help. I don't hear any "L" in it so I am afraid to put that, although it is probably correct. Thank you.
True - Thanks
Subject: True - Thanks

I think I will leave a blank -thanks for your help! 
very true (sm)
Subject: very true (sm)

Some things are just common sense.
Not true....
Subject: Not true....

It is

decubitus / decubiti

or

decubitus ulcer / decubitus ulcers.
yes. very true.
Subject: yes. very true.

On my account I can do VERY light editing for grammar, but that's about it. As the previous poster says, if you are on a verbatim account, you should type as dictated even if it's wrong...& if you are uncomfortable with this, leave a blank.
True, we use 2 out of 10 on a 0 to 10.
Subject: True, we use 2 out of 10 on a 0 to 10.

x
True...
Subject: True...

unless you're a rat. :-)
Very true
Subject: Very true


But that's not necessarily true.
Subject: But that's not necessarily true.

Above post is a really good. Affect isn't only a noun. It's also a verb.
True/Flex? SM
Subject: True/Flex? SM

My ortho book old, but it does have True/Flex nail. Don't know whether it is Synthes or not. See info.


 


A biomechanical comparison of intramedullary nailing systems for ...




Howver, the results indicate the cross-sectional geometry of the True -Flex nail is not able to provide the same degree of static locking as the ...
www.wheelessonline.com/ortho/a_biomechanical_ comparison_of_intramedullary_nailing_systems_for_the_humerus - 27k - Cached - Similar pages

The treatment of selected fractures of the humeral shaft with the ...




The True-Flex nail was used in 23 selected non-pathological and eight pathological fractures/lesions...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve& db=PubMed&list_uids=9743746&dopt=Abstract - Similar pages


True, but we as MTs are suppose to know
Subject: True, but we as MTs are suppose to know

/


 


Even if that were true, then it would only prove
Subject: Even if that were true, then it would only prove

that diabetics with hypertension are the only ones who are ever hospitalized! Having that combination put a person at a higher risk for being hospitalized with complications, of course.

You don't have the credentials to make blanket statements, because just one diabetic person here with normal BP makes you WRONG. And you already have such a response.
That's true, but they repeat themselves
Subject: That's true, but they repeat themselves

like that all the time for me, especially the ESLs or when it's a term that's outside the dictator's specialty.
LMAO!! How true!! nm
Subject: LMAO!! How true!! nm


true and it works! Thanks! nm
Subject: true and it works! Thanks! nm


This is true, and it comes in gelcaps.
Subject: This is true, and it comes in gelcaps.


LOL, hilarious but true :-)
Subject: LOL, hilarious but true :-)

Probably "a canal filling tampon with suction" or some variation of that.
True, it is in all what you are allowed or not
Subject: True, it is in all what you are allowed or not

allowed to do. However, at one of the first hospitals I worked for (back in the early 80s) for example, we had a doctor who was constantly using abbreviations which we were not allowed to do in diagnosis. I will NEVER forget this. His diagnosis was "P.M.S.O.B." The transcriptionist, of course, changed this in the diagnosis to read "Shortness of breath at night." He flew off the handle - this abbreviation meant "poor, miserable, son of a B****" and that is what he wanted in the chart. It was referred to the Hospital Director who told our department manager that even though this was definitely not correct, he dictated it and wanted it there and there was not much we could do about it if we wanted to keep our jobs. This is a lesson that taught me never to second guess a physician. Granted this was not at all politically correct (we didn't have that term back then), but that is what he wanted, so I don't change anything in that vein - I may question it and flag it for the higher ups, but I don't change it.
So true! XanaX CAN do that!
Subject: So true! XanaX CAN do that!

.
True, mistype.
Subject: True, mistype.

x
True, you can spell it out that way, but
Subject: True, you can spell it out that way, but

any MTSO I have worked for frowns on spelling it out and we still would use "WAS."
True, you can spell it out that way, but
Subject: True, you can spell it out that way, but

any MTSO I have worked for frowns on spelling it out and we still would use "WAS." They tell us to recast the sentence.
QA got it: true fovea. Duh! Tks!!
Subject: QA got it: true fovea. Duh! Tks!!

xx
noteworthy; note worthy; note-worthy
Subject: noteworthy; note worthy; note-worthy

Just wondering if there is any general rule about transcribing noteworthy.


Also, status post; status-post.


 


Thank you.


 


true vocal cord(s)...................sm
Subject: true vocal cord(s)...................sm

I'm teaching more manners - hoping you say THANK you to all who help you on this board.......
tis true but sad - blanket statements...sm
Subject: tis true but sad - blanket statements...sm

The poster should not make such blanket statements.  I totally agree with you. 


Also, the ones who went through therapies (psychological, primal, gestalt, rolfing, et al, ad nauseum) NEVER get high blood pressure, I promise you that!!!!  They have learned how to *deal* and not internalize everything in life.


The poster, instead of giving free, unsolicited, generalized, and unprofessional advice (and as a probable nonmedical person, rather a paraprofessional one - one who works besides and along side the professionals, such as ourselves, MTs and coders) should, instead, I suggest, read Dr. Arthur Janov's book The Primal Scream from the 70s which would help anyone who struggles (and since we ALL struggle in the life, a good book for all!!).  That book changed my life 30+ years ago, and if I could change - I think ANYBODY could.  *lol*


I believe if one *gets it all out*, there would be no high blood pressure, and there's my free, unsolicited, generalized advice. 


 



 


that is true-but I do what who signs paychecks SM
Subject: that is true-but I do what who signs paychecks SM

You are right but I do what the signers of the paychecks want me to do......
True, it is a pacemaker setting...
Subject: True, it is a pacemaker setting...

Signifies how the pacer is set to fire. Don't bog your brain trying to remember them or what they stand for there are too many...AAI, AAT, VAT, VDD, VDI, VVI, VDD, DVI, VVI, DDT, and DDD etc, etc, etc,
It's true that Dorland's defines that way, but
Subject: It's true that Dorland's defines that way, but

that doesn't mean the surgical excision of a lymph or any blood vessel could not correctly be referred to as a vasectomy. It may not be common, and it may not be the textbook definition, but the term does not have to exclusively apply to the vas deferens. If you were going to refer to the surgical excision of a lymphatic or other general vessel in a single word, what word would you use? Anyway, I'm not arguing whether or not the dictation was accurate, I'm just saying if that is what was truly said and context did not support a more general use of the term, then the real boob is the physician who dictated it, and if that is what he/she said, and it is clear that is what was said, then I would send it through as well and let the physician confront his/her own potential error in proofing the report and correct it then if it truly needs to be corrected. Patient safety is not involved in this case, so if it is an error and the physician does not take the time to do their job and proof read the report and correct it, then the egg is on their face, which is where it belongs anyway.
it is a true *discrepancy* so FLAG IT....
Subject: it is a true *discrepancy* so FLAG IT....