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THANKS-don't you hate it when you doubt yourself?

Posted By: lisa on 2009-01-21
In Reply to: tying. - NN

Subject: THANKS-don't you hate it when you doubt yourself?




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doubt
Subject: doubt

_____ (Evos) of a 40-year-old female who comes in to the office for follow up on chronic.....
You are without a doubt - sm
Subject: You are without a doubt - sm

a very unhappy person.  I feel very sorry for you. 


Any doubt
Subject: Any doubt

on vitals or med doses...ALWAYS A BLANK. :-)
equivocal - no doubt about it.....*LOL*
Subject: equivocal - no doubt about it.....*LOL*


Well, I doubt that would help her diet!!
Subject: Well, I doubt that would help her diet!!


I would - but I doubt they'd listen
Subject: I would - but I doubt they'd listen

If you're QA, though, I can nominate you for QA of the month!  You deserve it.
Strongly doubt it
Subject: Strongly doubt it

nm
grammar doubt
Subject: grammar doubt

today for routine (follow up or followup) of hypertension.
grammar doubt
Subject: grammar doubt

follow up
doubt with radiology again
Subject: doubt with radiology again

Bony _____ (s* ---- tion) projects the distal right of the radial styloid process, which does not appear to be posttraumatic.
CT Brain doubt
Subject: CT Brain doubt

A 5-mm-thick _____ obtained through the brain with intravenous administration of contrast.
Don't you hate it when
Subject: Don't you hate it when

They yawn, spit, sputter, spew, mumble, eat, while they're dictating! Wake up guys! You're talking to a PERSON!

I know. I hate when they do this.
Subject: I know. I hate when they do this.

They always make up their own words so I probably will give him what he said and let them figure it out. LOL

Thanks
i hate BOS..sm
Subject: i hate BOS..sm

sometimes you just have to tell yourself, "if it doesn't change the sentence/meaning, don't worry about it.
In degrees of ROM or in end range or ROM? I doubt sm
Subject: In degrees of ROM or in end range or ROM? I doubt sm

it is Dupuytren etc.  nm


Thanks for replying. You confirmed it for me so no doubt now.
Subject: Thanks for replying. You confirmed it for me so no doubt now.


Ct abdomen and pelvis doubt
Subject: Ct abdomen and pelvis doubt

multiloculated or ____ (simi subtrated) cyst in the pancreatic map.
Doubt with cervical myelogram
Subject: Doubt with cervical myelogram

Dictating in 2 position:


1.  _____(codstone) bone graft is in excellent position.


2.  HIs ____(po*city) of bone formation along the edges of _____(c*stone) graft, which is unexpected in more cortical nature.


 


No, I doubt it since grip strength was 35/50..
Subject: No, I doubt it since grip strength was 35/50..

something else starting with a T that is only 11-12 pounds.
Yeah, I know, I just hate...
Subject: Yeah, I know, I just hate...

to leave a blank. I just picked up for someone on vacation and I hate to have a blank on the first dictation      ...ah well. Thanks anyhow!
Ha! I hate it so much I gave away the
Subject: Ha! I hate it so much I gave away the

only psych reference book I had. It was the old Stedman's one that had psych and neuro mixed together. HATED that book, LOL.

Not only is psych boring, but a lot of it is actually drug rehab, and those patients' problems are 95% self-inflicted out of pure foolishness.


I hate cardiology!
Subject: I hate cardiology!


T-wave inversions in V4 through V6, I and aVL


my question is about the V6, is it I or 1? ASR had typed V6-1.


I get confused with the Roman vs Arabic in cardiology. Anybody have a good reference website?  TIA!!!!


to 'I hate hyphens'.........s/m
Subject: to 'I hate hyphens'.........s/m

After thinking it over I came to teh decision tht I would say this is the right way..

'The patient is a 40-week, appropriate for gestational age, female infant.'


This is the version that makes most sense.
Using a question mark to indicate doubt or uncertainty sm
BOS says:
Use an ending question mark to indicate doubt or uncertainty.

Sometimes, particularly with diagnoses, a question mark is placed before a
statement in order to indicate uncertainty.

Placement either before or after the questionable material is acceptable, but
do not place the question mark both before and after.

Ex:

His cholesterol levels were high normal (or minimally elevated?).

D: Diagnosis: Angina question mark
T: Diagnosis: Angina?
or Diagnosis: ?Angina.
not Diagnosis: ?Angina?

Note: There is no space after the question mark in ?Angina.

=)

Rennie
www.renesue.com
I doubt highly that a stricture or lesion would
Subject: I doubt highly that a stricture or lesion would

improve a patient's nutritional status., but rather do the complete opposite. I think the physician meant to dictate "GI" physician since he/she mentioned the dysphagia in the dictation, which is also a common place for strictures or lesions to develop.
Client preferences rule here. If in doubt, sm
Subject: Client preferences rule here. If in doubt, sm

here's what I've always done:

He was given a do-not-resuscitate order.

I think my high school English teacher would prefer it thusly;)

He was given a "do-not-resuscitate" order.

Like Txczech said, sometimes these are bolded and capitalized to alert treating physicians of patients' wishes, similar to allergy statements. Client preference, again.

Unless you know for sure that the client does not have a special order called the Do-Not-Resuscitate Order, lowercase it. (I think this is what you might have been considering.)

Yes, you look them up and learn which are band name, which are generic. When in doubt, look up again
Subject: Yes, you look them up and learn which are band name, which are generic. When in doubt, look up again. nm

c
Meds and dosages scare me, so when in doubt...
Subject: Meds and dosages scare me, so when in doubt...

I always blank/flag it. 
Doubt you give 15 refills for narcotics.
Subject: Doubt you give 15 refills for narcotics.

x
hate to disappoint you but it was moi, Beavus
Subject: hate to disappoint you but it was moi, Beavus

as no one else here seems to know how to do that.

I also wanted to see what would happen once posted, and you helped underscore my point. We can be good MTs or we can continue to be mediocre and then need to shut up about work going offshore. It is one thing to know when to use disc and when to use disk and another to give the client what they want, BUT to adopt an attitude of not knowing when it is proper to use these words, we diminished our value.

Try looking up articular d. in Stedman's Dictionary and see which d. it instructs you to use. If you use disc for ortho, you might be using the wrong one.

Again, give the client what it wants BUT please know the difference and when people ask questions here, do not enable them. Educate them. Know how to be a proper MT, even if your client asks you to transcribe improperly.

Milton's Red Stapler
Dialysis hate the terms.
Tessio Catheter is that correct?
I hate Yellofin stirrups!
Subject: I hate Yellofin stirrups!

No matter how I transcribe it, QA feels it is incorrect, but Allen Medical shows Yellofin Elite Stirrups and has a Yellowfin stirrup O/R table for ordering and prices.  I'd been taught long ago that this was a commonly misunderstood term and often dictated incorrectly by doctors and that the correct term was Yellofins -- no matter how they said it.  This term is documented on another reputable MT site.  It was so much easier when I felt that was the correct term.  Arghhhh!


 


Thanks for letting me vent!


I hate abstracts you have to subscribe to
Subject: I hate abstracts you have to subscribe to

read, but if you google factor XIIc assay, there are several links about it, just have to subscribe to read it.
thanks Neri- I hate doubting myself!
Subject: thanks Neri- I hate doubting myself!

thanks neri - i knew that- i hate doubting myself, it wastes so much time! thanks again


I absolutely HATE this word!
Subject: I absolutely HATE this word!

In reference to urethrovesical junction, it was not patchulous.

urethrovesical junction was neither hypermobile, patchulose, nor fibrotic...

Why can I never find patchulous? TIA.
Exam is consistent with pancreatitis. I seriously doubt s/l stumpitis
Subject: Exam is consistent with pancreatitis. I seriously doubt s/l stumpitis


I would think it is herald unless he is speaking of a person with the name Herold, which I doubt.
Subject: I would think it is herald unless he is speaking of a person with the name Herold, which I doubt.


Yep...not an easy one. Would doubt it if he hadn't said it so many times. Thinking something lik
Subject: Yep...not an easy one. Would doubt it if he hadn't said it so many times. Thinking something like coronary obstruction artery "something" syndrome...? Just can't get it :( THanx though!


sorry - ostial - hate when I turn off my expansion
Subject: sorry - ostial - hate when I turn off my expansion

x
Hate those things. I put them after the body of the report. sm
Subject: Hate those things. I put them after the body of the report. sm

but before the signature. Makes it easier. We typed our reports on sticky paper and that way it did not get separated from the main report etc. But I did not do BOS. nm
I have always expanded to C. difficile, hate slang. nm
Subject: I have always expanded to C. difficile, hate slang. nm

.
I hate to beat a dead horse, but...
Subject: I hate to beat a dead horse, but...

I have searched MTStars and can't find my answer.  I have posted this question before and do not get a reply.  I promise this will be my last attempt to find this answer.  I know how to use follow up and follow-up, BUT many people are using followup per BOS.  I can't find followup as a word in any dictionary.  Can someone please tell me where this is found BESIDES BOS?  Thanks in advance.  We are possibly putting in a quality check and I want to make sure I have it correct before then.  Thank you!
I hate to beat an old horse to death, but...
Subject: I hate to beat an old horse to death, but...

I have searched MTStars and can't find my answer.  I have posted this question before and do not get a reply.  I promise this will be my last attempt to find this answer.  I know how to use follow up and follow-up, BUT many people are using followup per BOS.  I can't find followup as a word in any dictionary.  Can someone please tell me where this is found BESIDES BOS?  Thanks in advance.  We are possibly putting in a quality check and I want to make sure I have it correct before then.  Thank you!
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...


I hate hyphens! See message for sentence. Thanks!
Subject: I hate hyphens! See message for sentence. Thanks!

Next, a Bard 20-cm, 6-French, double-pigtail ureteral stent was passed over the wire and up into the right kidney.


Are my hyphens correct?  Do I really need that many hyphens?  My QA has been pinging me on hyphens even sent me a photocopied excerpt from the BOS "for my information."


Ugh!


It's too late to tell you to leave a blank. Doubt "os finder." nm
x
Yep, there's a Lister and a Lester lens manipulator! I hate it when that happens!
Subject: Yep, there's a Lister and a Lester lens manipulator! I hate it when that happens!

x
I must be wrong then, hate it when this stuff sounds so much alike. nm
Subject: I must be wrong then, hate it when this stuff sounds so much alike. nm


I hate to guess on drugs, but sounds like Mobic
Subject: I hate to guess on drugs, but sounds like Mobic

Here's what QuickLook has to say 'bout it:


U.S./Canadian Brand Names
Mobic®


Therapeutic Category



  • Nonsteroidal Anti-inflammatory Drug (NSAID)

Use

Relief of signs and symptoms of osteoarthritis

Usual Dosage

Adult: Oral: Initial: 7.5 mg once daily; some patients may receive additional benefit from an increased dose of 15 mg once daily

Dosage Forms

Tablet: 7.5 mg, 15 mg


Glad you found it. Hate those sound alike drugs!!! nm
Subject: Glad you found it. Hate those sound alike drugs!!! nm


hate to beat a dead horse on ileal conduit
Subject: hate to beat a dead horse on ileal conduit

Does anyone have a GI/GU book that lists ileoconduit?  My QA does not like to be proved wrong.  She took a large deduction for my putting ileal conduit.  I am sending a QA review to have it looked at again, but she always comes up with a reference book from somewhere that has her word listed, so I'm just trying to save myself all the headache of submitting a QA review to find out it is listed somewhere ileoconduit.