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That confused me until I started typing Radiology reports sm

Posted By: Another KSMT on 2007-07-25
In Reply to: plain or plane - LieseOrlita

Subject: That confused me until I started typing Radiology reports sm

Normally they are plain films.  However, sometimes they are actually talking about the plane or surface orientation of the exam so you have to be careful. 


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  • plain or plane - LieseOrlita
    • That confused me until I started typing Radiology reports sm - Another KSMT

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Glad we got it. I started out typing sm
Subject: Glad we got it. I started out typing sm

ESL's and they are a trip!!!
Try going to labcorp.com typing in anemia profile in search. May get you started. nm
Subject: Try going to labcorp.com typing in anemia profile in search. May get you started. nm


In radiology reports...is it ejection 'fracture'?
Subject: In radiology reports...is it ejection 'fracture'?


I started out doing radiology in 1990. I leaned the basic 4 "on the job" you might say. nm
Subject: I started out doing radiology in 1990. I leaned the basic 4 "on the job" you might say. nm

xxx
how about typing Past Medical History heading and then typing what he says under the heading nm
Subject: how about typing Past Medical History heading and then typing what he says under the heading nm

xx
Just started OB/GYN myself. If you don't have this:
Get the book "Stedman's OB/GYN Words."  I got mine at Barnes & Noble "used and out of print" for $9.00 and it's the newest one out.  Perfect condition when I got it.  It's getting a bit "dogeared" already.  I use it constantly when doing OB/GYN, as I've never done it before.
That's what got me started! nm
Subject: That's what got me started! nm

x
Sorry - I see you started it with D-O
Subject: Sorry - I see you started it with D-O


just getting started
Subject: just getting started

Never been on this site before --- just making sure I'm coming through okay.
"antiinflammatants" were started
Would you change this to anti-inflammatories were started?  TIA
I mentioned that because when I started out, sm
Subject: I mentioned that because when I started out, sm

we MTs had very few references, certainly no Google. We would beg doctors to give us their old PDR (Physicians Desk Reference) and would find lots of our S/L there. We oldsters were definitely word detectives in our day.
I have been IN this thread since it started--sm
Subject: I have been IN this thread since it started--sm

as *nn* as I believe I was the first to comment on this kathie's suggestion for caudal vater syndrome as having nothing to do with the low back. Anyway, then she made the comment about all diabetics having high blood pressure, and it raised the hair on the back of my neck. When I read LOL-sm post, I literally busted up laughing! I thought it was so funny and so FITTING. it put an end to the thread and made every one laugh...good ending to something that was getting ugly and sort of put the QA back a step or two, as well! It was great! Still laughing!
THank YOu!!! Just started a new job and am going crazy!!!!
Subject: THank YOu!!! Just started a new job and am going crazy!!!!

x
No, but I just started doing this a month ago!
Subject: No, but I just started doing this a month ago!

Does it show?? I know I ask a lot of questions :)
Weird!! we BOTH started it with DU....
Subject: Weird!! we BOTH started it with DU....


It really sounded like it started with a "P"
Subject: It really sounded like it started with a "P"

x
When I first started, I was taught to put
Subject: When I first started, I was taught to put

the emphasis of any word not understand on a different syllable and sometimes that is all the problem is and you can understand it then.
Maybe he was just stuttering, started
Subject: Maybe he was just stuttering, started

to say packed cells and then switched to PRBCs?
ditto - EXACTLY what I do - I've never started
Subject: ditto - EXACTLY what I do - I've never started


"pag" maybe "tab" but started to say...
Subject: "pag" maybe "tab" but started to say...

 "pill" first...so ended up 'pag'??????  jus guessin
That's what I started doing with my marbled mouth doc!
Subject: That's what I started doing with my marbled mouth doc!

I figured I was spending way too much time trying to decipher his jumbled mumbled dictation. He can either learn to speak correctly and coherently or spend his time trying to figure out what he was trying to say to fill in the blanks!!!
pt was started on a program of s/l MSN and Tylenol. sm
Subject: pt was started on a program of s/l MSN and Tylenol. sm

Right knee pain. The patient has had previous injuries and problems with the knee including some arthritis that flared up a few weeks ago and was particularly bothersome for awhile. She got on a program of s/l MSN and Tylenol
When I started, it was Roman Numerals
Subject: When I started, it was Roman Numerals

That was 30 years ago. Now they prefer Arabic numerals. I was rather disappointed; it was one of the few times you could trot out Roman numerals!

So how does a hair tourniquet get started?
Subject: So how does a hair tourniquet get started?

You can kind of see how a hair would be so fine, and babies have that sweet baby plumpness so that it would be hard to see the hair until the baby had redness and irritation, but does the hair just sort of get worked into the area from a sock or something that was in the dryer and had a hair already on it? Who knew there were so many things to worry about??
Thank you! (New at these Op Reports!!)
Subject: Thank you! (New at these Op Reports!!)


Reports. (SM)
Subject: Reports. (SM)

The posts containing the reports have been removed and the poster was notified about not posting such information in the future.

Please feel free to contact the administrator (admin@mtstars.com) or myself (goldbird@mtstars.com) if you have any questions.

Your comments and postings are very much welcome here.

Let me know if I can help you,

Goldbird
Reports
Subject: Reports

I only got help for 2 reports, and the people that helped me wanted to help me.

No one was forced and I greatly appreciate their help. I just needed help in some areas that I was having some trouble in that is all.

You and Milton Red Stapler have a nice day.
and in my reports...I put....sm
Subject: and in my reports...I put....sm

*in regard to*, not *in regards to*....and as far as *alot* goes, I am used to my word program separating that out as a lot, and since this message board program does not do that, oh well....get off it already. sheesh. nitpickers!
new to op reports
Subject: new to op reports

I am new to op reports and looking for any good reference sites to refer to when needing help. My ops mostly consist of General surgery, orthopedic, ENT, ophthalmology, gyn and plastic surgery.

Any guidance would be appreciated. I have a M&S Equipment words book and an ortho book. Would like some good websites.

Thanks in advance

I never heard strandy until I started transcribing sm
Subject: I never heard strandy until I started transcribing sm

for one of my current radiologists. He says "strandy" plain as day, so that's what I put. Grates on my nerves, but he's the radiologist.
maybe he started to say "pre" and then changed to "former"
Subject: maybe he started to say "pre" and then changed to "former"

x
medication, s/l trip-la? pt. was just started on HIV meds
Subject: medication, s/l trip-la? pt. was just started on HIV meds


the patient was empircally started on med s/l piptayzone?
Subject: the patient was empircally started on med s/l piptayzone?


fractions in reports
What is acceptable, 1/4 or one-fourth?   Thanks.
Newbie's reports
Subject: Newbie's reports

The area in which you most need help is in how to decide what is ethical. The moderator herself does not allow such reports to be posted here. You should have known better. Now you do.
sample reports
Subject: sample reports

MT daily has sample reports, I need a C-section.  Know where I can get one.  Thanks in advance.


 


Psychiatric reports.
Subject: Psychiatric reports.

I have a question in regards to psychiatric evaluations.  Would diagnosis or diagnoses be used when typing out Axis I, Axis II, Axis III, etc.? 
Does anyone do insurance reports?
Subject: Does anyone do insurance reports?

I called you requesting additional information in order to find out if there is any medical s/l: conjournigation OR conjure negation to work on a full-time basis. 


Thanks for any help!


help new to ortho reports
Subject: help new to ortho reports

Can a person have full finger flexion at the volar wrist?

This is just a statement made in the Objective portion of the report. She is stating he has full dorsiflexion, palmar flexion and radial and ulnar deviation of the wrist. THen goes on to say "finger flexion at the volar wrist irriation with clicking"

This is not a verbatim account and she is somewhat scatterbrained sometimes so you have to fill in the blanks at times.
Tenses in reports

Do the majority of y'all change tenses when the docs dictate them incorrectly?  Normally I'm inclined to, but there are times when I question it.  Of course, my pet peeve is dictating a surgery that already happened, yet everything is present tense!


In this case, here's what I'm questioning: 


The patient was evaluated previously, and a left inguinal hernia is reducible.


Thanks in advance!


Echocardiogram Reports
Subject: Echocardiogram Reports

I need help.  I have been thrown the lions den, this man garbles his words and I am not used to typing echoes.  I need to know how to is it end diastolic or in diastolic?  Is only the left side measured? 
Thank you! I don't do many ortho reports.
Subject: Thank you! I don't do many ortho reports.

tx
psych reports
Subject: psych reports

Just wondering if GAF on psych diagnosis should be expanded to Global Assessment of Functioning?  Or just GAF
more on psych reports
Subject: more on psych reports

When there are multiple items under an AXIS, should #1 start two spaces after AXIS I, or hit return and start #1 at the left margin?
Point well taken.. Back when I started, it was Homan's but now your right in that it has changed
Subject: Point well taken.. Back when I started, it was Homan's but now your right in that it has changed to Homans..

Thanks
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


When you started to type in vancomycin, it came up without a capital which shows that this is the ge
Subject: When you started to type in vancomycin, it came up without a capital which shows that this is the generic form. I could be way off with this, but it has always worked this way for me.


Propofol was stopped and he was started on Ativan and s/l sentinel.
Subject: Propofol was stopped and he was started on Ativan and s/l sentinel.

Thanks for suggestions.
Thank you! It's been driving me crazy! Thought it started with "ch"
Subject: Thank you! It's been driving me crazy! Thought it started with "ch"


I started thinking that w/o the "Calvias" that whole line would run together - to do the pumps
Subject: I started thinking that w/o the "Calvias" that whole line would run together - to do the pumps and

SCDS q.2 h while awake in bed - "Calvias" probably not a med that you would take q.2 h. - Could it possibly be a heading for that sentence?
confused
Subject: confused

Are you saying that I should expand ST to Electrocardiographic wave segment> or are you agreeing with me that there is no expansion for ST?