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Sorry, need lots of help with this letter See message

Posted By: marie on 2009-04-30
In Reply to:

Subject: Sorry, need lots of help with this letter See message

On December 7, 2005, a PET/CT scan showed a decreased cervical mass compared to May 11, 2005, S/L chains ??of multiple lymph nodes more in number but smaller and less intense on a prior study.  There was resolved left pelvis uptake.


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Help needed Tweaking a letter. See message please
Subject: Help needed Tweaking a letter. See message please

My MD dictated a letter of recommendation and would like me to make him sound better.  Gosh!!  I am so brain dead when it comes to these things... been doing verbatim transcription for far toooo long. 


 


Would anyone out there like to give this a whirl? 


 


I appreciate any suggstions.  Thanks.


 


 


Mr. X spent a week with me in my internal medicine office this past summer.  He is currently a student at XX University and has decided on a career in a medicine.  Mr. X, in the process of starting his medical career, has spent time with multiple physicians to show that he is serious about a career in medicine.  Mr X has excellent personal skills, as you will see when you interview him.  He asked intelligent questions and showed a genuine interest while he was here with me in the office.  His thought process seemed both logical and rational during our discussions.


 


Mr. X  has all the makings of a good physician, intelligence, hardworking, motivated, and personal.  I recommend highly that he be accepted in your training to become an xxx  physician.


Pt with memory problems. and lots others. s/ Corete cell janka type symptoms. see message.
Subject: Pt with memory problems. and lots others. s/ Corete cell janka type symptoms. see message.

The patient has had weight loss since discontinuation of steroids.  The patient and her husband believe that the general improvement in her condition may be related to steroid use, and they point out a recent article in Archives of Neurology in which a channel antibody has been associated with corete cell janka type symptoms. 


Lots of Detail for Lots of Help!
Subject: Lots of Detail for Lots of Help!

Okay, I'm transcribing a SOAP note and this word that I'm trying to figure out is under the ASSESSMENT AND PLAN part. She says the word three times and I am now thinking she is saying something like "number next or number next is." What do you think?


(Normonaxis) Anemia may be caused from a recent epistaxis. He will start an iron pill daily over the counter called Fergon. Next visit we will check a hemoglobin, iron studies. (Normonax) He was in for right shoulder pain in the past. This was resolved. (Normonax) Recent qualm was treated with doxycycline.


Also, I was told to transcribe this using a straight SOAP format, but the doctor dictates things like "Review of Systems" and "Exam." I didn't think those headings or subheadings were in a SOAP format. She never dictates "Subjective" or "Objective," only "Assessment And Plan" as one heading towards the end of the report. Any advice?


letter
Subject: letter

I am typing a letter to a claims manager, and doc states


"He does have a deposition coming to s/l furlation in the near future.


 


Thanks for any help - I can't seem to think today


That's it...boy if you don't get the first letter right you are sometimes
Subject: That's it...boy if you don't get the first letter right you are sometimes

stumped. Searches do not do good without that first letter. Thanks so much!
End of a Letter
Subject: End of a Letter

At the end of a letter, should I make "Thank you very much." a new paragraph? 
letter help
Subject: letter help

I have never dictated a letter before.  When they state who the letter goes to, does that go in the cc field?
letter help
Subject: letter help

When they state who the letter goes to, does that go in the cc field?
Thanks, but definitely s/l the first letter is a "b"..nm
Subject: Thanks, but definitely s/l the first letter is a "b"..nm

nm
Need help addressing a letter.
Subject: Need help addressing a letter.

How do I address the letter/envelope when MD dictates that the letter is to go to:  (Drs Max, Jones, Smith, and Brown.)  All of these MDS work in the same office together. 



I need help formating this the correct way.  Thanks.


 


Drs. Max,  Jones, Smith, and Brown


100 Medical Road.
Suite 700
Anywhere, USA 10000


AIc (its actually the letter "I" not the number ŕ"
Subject: AIc (its actually the letter "I" not the number ŕ"

/
letter help - chairman
Subject: letter help - chairman

I have doc dictating a letter to another doctor. he says the doctor's name and then Chairman, Credential Committee. Should I put the chairman after the doc's name or on a separate line with credential committee?
You're looking up A zero...you need A, letter O.
Subject: You're looking up A zero...you need A, letter O.

x
Regarding letter h (hour) per BOS...please sm

Letter h. (with a period) is the abbreviation for the Latin word hora, meaning hour.


q.6 h. (every 6 hours)


In instructions for medications, Latin abbreviations may be coupled with English terms, such as hour. These may be transcribed as dictated or the English translated to Latin.


every 4 hours or q.4 hours or q.4 h or q.4 h Copyright (c) 2002 American Association for Medical Transcription.  So does this mean we can do the q.4 h without the period at the end of h, because I am constantly having to remove capital letters from words following the h with a period.  Thanks.


thank you - I missed a few letter in there. = )
Subject: thank you - I missed a few letter in there. = )


use number 0, not the letter O.....
Subject: use number 0, not the letter O.....


Only apostrophe if there is only 1 letter, i.e. I's and O's, but other than that it would be C
Subject: Only apostrophe if there is only 1 letter, i.e. I's and O's, but other than that it would be CBCs, WBCs, etc. A1c is correct.


confused about letter
Subject: confused about letter

You can use semicolon. In 2004, 225 pounds; 2005, 242 pounds; 2006, 267 pounds; 2007, 258 pounds; 2008, 255 pounds.


 


Is this useful?


Info for a letter help?
Subject: Info for a letter help?

Hello, I am writing a letter and doc wants me to list this info as a chart in the letter? In 2004 225 pounds, 2005 242 pounds, 2006 267 pounds, 2007 258 pounds, 2008 255 pounds.  How what I format that?


I am thinking....


In: 


2004  225 pounds


2005  242 pounds


etc?  However, it would not be double spaced for some reason it keeps doing it on here?


C02 or CO2...is it the letter 'o' or 'zero'?
Subject: C02 or CO2...is it the letter 'o' or 'zero'?


No.. sorry.. it ends with letter O..
Subject: No.. sorry.. it ends with letter O..


nope. She is clearly saying C like the letter.
Subject: nope. She is clearly saying C like the letter.

She further goes on to list several "factor" lab values including:

factor 11 C
factor 9
factor 8 C

and a s/l see-ton cofactor
If it is who the letter is addressed to, it is
Subject: If it is who the letter is addressed to, it is

in the header:

Dr. xxxxx
xxxxx
Anywhere, USA

Dear Dr. xxxx.
Letter to 2 doctors
Subject: Letter to 2 doctors

I am typing a letter to 2 doctors.  How should I put the addresses on the letter?  Do I put both addresses on?  Thanks!
ending a letter
Subject: ending a letter

doctor dictates to end the letter with his name different than usual: i.e., Paul J. Pagano, MD Orthopedic Surgeon

my question is, do I leave on the MD when adding that he is an orthopedic surgeon or take off the MD and just have the new ending he dictated????
lower case letter L here
Subject: lower case letter L here

x
The letter "I" is roman numeral 1
Subject: The letter "I" is roman numeral 1

NM
letter question cc has an enclosure
Subject: letter question cc has an enclosure

The doc wrote a letter to a physical therapist on behalf of a patient. At the end, he says to copy to the patient and include a copy of her MRI scan results. How do I transcribe this so that the doctor's office knows to enclose the MRI results to the patient, not the physical therapist who the letter is to?
dehiscence; sorry, missed a letter.
Subject: dehiscence; sorry, missed a letter.

this is why you should look things up yourself
Depends on the type of letter
Subject: Depends on the type of letter

If it is business correspondence, I would use the person's "official" first name. If it is a personal letter, I would use the nickname.


If you're not sure, I would advise leaving it blank.


JMHO


Only for a first capped letter. It's never hyphanted. nm
Subject: Only for a first capped letter. It's never hyphanted. nm

s
There is definitly a "b" sound it may even be the second letter.
Subject: There is definitly a "b" sound it may even be the second letter.


it's for a letter, Dear ____ (nm)
Subject: it's for a letter, Dear ____ (nm)


thank you lots
Subject: thank you lots


Lots and lots of thanks
Subject: Lots and lots of thanks

Many thanks wanderer. I never would have figured that out. I am going to add your name to my list of Favorites.
lots of them say GOT and GPT instead of
Subject: lots of them say GOT and GPT instead of


Somehow my message went down to the white count message below, please see that message. (nm)
Subject: Somehow my message went down to the white count message below, please see that message. (nm)

x
Need help with letter I am typing re platelet counts
Subject: Need help with letter I am typing re platelet counts

The studies demonstrated carotid artery disease but, also, she has a platelet count of 1004 k per cmm and persistent reduction in her hemoglobin and hematocrit at 9.4 and 31.5.


Does anyone know how to format this?  I can't find the K at all in relation to these values, but doc is  clearly saying,  1004 K per cmm.  thank you.


re: Need help with letter I am typing re platelet counts
Subject: re: Need help with letter I am typing re platelet counts

K is abbreviation for thousands; also used as abbreviation for potassium. platelets are expressed in thousands.

I think the 1004 k/cmm should be expressed this way.
You're right. Said clearer in the letter and I just located it.
Subject: You're right. Said clearer in the letter and I just located it.

THANKS
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.


Medquist letter format question...
Subject: Medquist letter format question...

I never usually have to type letters so I am unsure of the format.  Are we supposed to type the "Sincerely," and are we supposed to indent it? 


Thanks!


for a straight consult rep and not real letter
Subject: for a straight consult rep and not real letter

but it DOES depend on the client profile/preference like the other poster said.....I get this format all the time in REAL consult reports (not letters) and I just type *Dear Dr. Smith* - I have just seen your patient....blah blah (can usually go under reason for consult or HPI) and then do my headings as dictated. 


Good question, though! 


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 
We know. This person has lots of sm
Subject: We know. This person has lots of sm

trouble with the English language, to say nothing of the medical language. His (I'm assuming he's male) questions are very confusing. See above. It's scary.
I use lots of sites - SM
Subject: I use lots of sites - SM

I use google first and get to healthgrades dot com if I know the state and then I only click on the CACHE button thru google and only the MD I'm searching for will highlight in all the states.  I hope I made myself understood in that sentence.  I also use anywho dot com and 411 dot com, 411locate dot com, dr-411 dot com, and last but far from least:


http://www.upinregistry.com/provider_form.asp


http://upin.ecare.com/


Thank you! There are lots of sites...
Subject: Thank you! There are lots of sites...

out there on google who have drug-eluding. I did look that up and thought I chose the right one!! Thanks!
Lots of things it could be, unfortunately. Why do you think
Subject: Lots of things it could be, unfortunately. Why do you think

s
It gets lots of hits on
Subject: It gets lots of hits on

googling the phrase. I think I've heard it dictated before also.
We use 'd on lots of things they say.
Subject: We use 'd on lots of things they say.

x
Lots of docs
Subject: Lots of docs

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