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They're usually very thin. I've only had them with the zeros in there like 0.035

Posted By: and 0.062. Have any doc samples to look at? NM on 2007-11-02
In Reply to: A six two Kirschner wire-How is that written? - anon

Subject: They're usually very thin. I've only had them with the zeros in there like 0.035

s


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you're right but you've gotta go with
Subject: you're right but you've gotta go with

what the client wants.
You're welcome - I've been stumped by that one,too!
Subject: You're welcome - I've been stumped by that one,too!


stage IIA T2 N0 M0 (zeros) SM
Subject: stage IIA T2 N0 M0 (zeros) SM

Stages are Roman numerals, TNM staging is Arabic, grades are Arabic. There are no commas used in the TNM staging per the BOS.

Also, I would transcribe February 2005 for the date, for whatever it's wroth.
it's 2 x 2 x 2.4 w/no trailing zeros after
Subject: it's 2 x 2 x 2.4 w/no trailing zeros after

.
Can't say I've heard of those, but it would make sense as they're
Subject: Can't say I've heard of those, but it would make sense as they're

s
per JCAHO - no trailing zeros on meds
Subject: per JCAHO - no trailing zeros on meds


You're welcome...any spelling always comes after you've spent ages trying to figure out :-)
Subject: You're welcome...any spelling always comes after you've spent ages trying to figure out :-)


thin
Subject: thin


I know this but don't - on exam she is very thin and s/l
Subject: I know this but don't - on exam she is very thin and s/l

aesthetic in her appearance (not cachetic) - I know this word but can't find it - HELP!
thin skin
Subject: thin skin

follicular?
yes, they say thin/thick drainage
Subject: yes, they say thin/thick drainage

nm
I thin the O stands for optical
Subject: I thin the O stands for optical


s/l afiable in reference to thin tissue.
Subject: s/l afiable in reference to thin tissue.

"it was noted that the patient had an extremely thin and loose pelvic floor with an extremely (s/l afiable) and thin tissue."


This is for an inguinal hernia repair op report.


Any ideas?


Would think just 'extremely friable and thin tissue.' nm
Subject: Would think just 'extremely friable and thin tissue.' nm

s
en caul . . . a thin membrane covering
Subject: en caul . . . a thin membrane covering

xx
thin foot plate Kerrison rongeur
Subject: thin foot plate Kerrison rongeur


Thoracentesis s/l "ten or thin" serosanguineous fluid
Subject: Thoracentesis s/l "ten or thin" serosanguineous fluid

.  A 22-gauge needle was inserted and 60 mL of blood s/l "ten or thin" serosanguineous fluid was easily withdrawn
You've got it right. I've type that for years, as in transforaminal steroid injection.
Subject: You've got it right. I've type that for years, as in transforaminal steroid injection.

nm
the patient is thin appearing on today’s exam, almost s/l morphonoid like.
Subject: the patient is thin appearing on today’s exam, almost s/l morphonoid like.


Slip of plica would be okay, just a thin sliver of tissue. Or maybe it's synovial
Subject: Slip of plica would be okay, just a thin sliver of tissue. Or maybe it's synovial

s
last one (hoping)..s/l towel thin paper tape was used to dress the wound. nm
Subject: last one (hoping)..s/l towel thin paper tape was used to dress the wound. nm

is it really towel thin...or am I hearing a name brand?  nm
The galea is a flat, thin, fibrous membrane covering the crown of the head.
Subject: The galea is a flat, thin, fibrous membrane covering the crown of the head.


well, Sarcolemmal means: A thin membrane enclosing a striated muscle fiber.
Subject: well, Sarcolemmal means: A thin membrane enclosing a striated muscle fiber.

.
I've never heard of "Toprolol XL" and I've been sm
Subject: I've never heard of "Toprolol XL" and I've been sm

doing this a looooooong time.
HEENT: Nares thin drainage? or possibly some drainage...
Subject: HEENT: Nares thin drainage? or possibly some drainage...

sounds like she is saying thin Thanks
I personally transcribe buttock if they're referring to one side, and buttocks if they're refe
Subject: I personally transcribe buttock if they're referring to one side, and buttocks if they're referring to both or the whole thing....nm


pardon me? of course they're science terms, but they're also MEDICAL terms...see link
Subject: pardon me? of course they're science terms, but they're also MEDICAL terms...see link

http://www.americanmedicalsystems.com/womens_product_category_objectname_female_vaginal_prolapse_prod.html


thanks so much - I've been looking everywhere....
Subject: thanks so much - I've been looking everywhere....


What about this? I've seen it this way also, 2
Subject: What about this? I've seen it this way also, 2

coutes within a quote; it still makes sense. is so hard to tell though when you're not really hearing inflection in the voice.


"not been dieting or exercising;" "simply too busy."


I think you've got it! :) nm
Subject: I think you've got it! :) nm

s
Don't be - we've all been there. Have a better day. nm
Subject: Don't be - we've all been there. Have a better day. nm

nm
I've had to do this........
Subject: I've had to do this........

Go to the beginning of the sentence at #1, right click, click on decrease indent and this will put you at the left margin. You can then put (a) manually under the beginning of the sentence and space over 2, then starting typing. Hit enter and put in (b). I know when you hit "b" it will move over. Before moving on, go back to "a", right click, bullets and numbering, customize, go to "aligned at" and make it 0.5. This will align everything where you want it. When you start "c", it will be at the left margin but go ahead and finish a,b,c,d, however long. When finished, highlight this, right click, bullets and numbering, find the box starting with "c" and click it. It will line everything up. From then on,when you type #2, it will line itself up. I hope this isn't too confusing.
I've seen it before...
Subject: I've seen it before...

my(o) = the combing form for muscle.

ligamentous = relating to the ligaments.

myoligamentous strain = a strain of the muscles and ligaments.
Not exactly but thanks - you've given me something to think about
Subject: Not exactly but thanks - you've given me something to think about

A word that means "narrowing" but sounds like "graced" or "gracing"....that's a definite possibility.


Thanks!


Now I've got it too!
Subject: Now I've got it too!

Wonder if we are on the same account.
I've never
Subject: I've never

heard of a 270 mg dose of trazodone?????  It only comes in dosages that you stated.  Sounds a little strange to me.
Same here. Have done it that way wherever I've been, too. nm
Subject: Same here. Have done it that way wherever I've been, too. nm

s
I've got it...he's saying
Subject: I've got it...he's saying

nm
Looks like you've got it!
Subject: Looks like you've got it!


Of course! And I've seen that
Subject: Of course! And I've seen that

somewhere before in the far distant past. Told you I'd feel stupid!

Thanks VERY much.
I've never had a fab PAP, lol. ;-) nm
Subject: I've never had a fab PAP, lol. ;-) nm

x
Okay, I've had it....
Subject: Okay, I've had it....

I'm typing an orthopedic surgeon at the moment..he and his wife (who is also a surgeon) have developed the same MISERABLE, slurring speech pattern (I thought couples began to LOOK alike, not SOUND alike).  If someone could help before I am bald from tearing my hair out, I would be extremely greatful.  He is dictating a patient who developed an infection from a wound and was taken to the OR twice for "I&D and integator??? plus VAC placement."  It is probably something easy, but I am experienced only in radiology.  I do very well if I can hear what is being said.  A couple of reports ago, his wife dictated a patient who had patysmal blanding...(platysmal banding) and craptional consrapsure (capsular contracture).   Sorry bout this long-winded, whining plea, but thank you for letting me vent.   Heavy sigh...I feel better now. 


I've Always . . .
Subject: I've Always . . .

Corrected grammar--had a time of it explaining to one clinician why it's "between her and her father" and not "between she . . ."--and only VERY rarely have been asked not to do it.

I think they usually know once the correction is made that what they dictated was incorrect.

Although I'm sure there have been raised eyebrows over my typing the correct "he has DRUNK (not "drank") alcohol since age 16" because to them it sounds (but isn't) wrong.

Past participle, doctor, look it up.

Have fun out there,

Clifton T.
I've been using "C"
Subject: I've been using "C"

for 30 years and nothing has ever been said... so maybe it depends on the company. I've seen it both ways.
I think you've got it!
Subject: I think you've got it!

Just went back and listened and that is it!  THANK YOU SOOOO MUCH!  I did try and Google my "pronunciation" and it just came up blank.  THANKS FOR YOUR EFFORTS - EVERYONE!
I've got a doc saying
Subject: I've got a doc saying

dyshyperplasia, but I cannot document this word . . . is this just another made up word?


TIA for any help you can offer! 


thanks, could've been it! had sent to QA already nm
Subject: thanks, could've been it! had sent to QA already nm

nm
I've always used AAA.
Subject: I've always used AAA.

You know QA, just depends on which way the wind is blowing as to what they change.
Thanks! They've not said that before. NM
Subject: Thanks! They've not said that before. NM


I know you've sent it on..
Subject: I know you've sent it on..

but since he's ESL, could he have been saying, "an Allis clamp"?
you've got it right
Subject: you've got it right

you've got it right...


pansensitive - sensitive to all the antibiotics usually tested for a potential treatment