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You'd be amazed. Once I was typing an OP from a very "proper" surgeon and I hear this othe

Posted By: Spice on 2007-06-27
In Reply to: Holy cow! - Katzeye

Subject: You'd be amazed. Once I was typing an OP from a very "proper" surgeon and I hear this other doc

in the background dictating away calling the instrument he was using during his procedure "the green doo-hickey with the spring" and just kept dictating away as if nothing.  The poor transcriptionist who got that report went with my blessing.  You wonder where they got their medical license at...




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The hip joint "proper" is unremarkable.
Subject: The hip joint "proper" is unremarkable.

Help!  TIA :)
I'm amazed and cravenly grateful
Subject: I'm amazed and cravenly grateful

How do you two KNOW all this stuff!?!  Thank God for this board and everyone who takes the time to answer newbie questions.  Okay,  I googled them both and it seems like sicca syndrome is an element of Sjogren's disease.  So I'm thinking he probably means "sicca," and I am writing down this down so that I remember the connection between sicca syndrome and Sjogren's.  Thanks so much both of you!!
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
Oral Surgeon Help?
Subject: Oral Surgeon Help?

1.             Bilateral sagittal split osteotomy with advancement and rigid fixation utilizing ____________ 2 mm placement screws. 


 


Hello..filling in for ortho surgeon.  Sounds like Sin these screws...any help?


 


With a #15 blade a 3.5 cm incision was made over the external _________ridge.  A subperiosteal dissection was carried out laterally, adjacent to the ramus and anteriorly along the ramus of the mandible. 


 


Sounds like baked ridge in the mouth? 


s/l a-kee-al plastic surgeon Dr. XXX
Subject: s/l a-kee-al plastic surgeon Dr. XXX

"she had a basal-cell carcinoma excised from her right lower eyelid in xxxDATExxx, by the ==a-kee-al= plastic surgeon Dr."

THANK YOU!!!
I type for a surgeon and he is (sm)
Subject: I type for a surgeon and he is (sm)

always saying fibrocystic change of the breast.  Is it breast or breasts? 
General surgeon does, too. nm
Subject: General surgeon does, too. nm


Ahh, my favorite plastic surgeon...
Subject: Ahh, my favorite plastic surgeon...

She's driving me nuts again!  Talking about risks of breast augmentation and specifically of retropectoral placement with one of the risks being......"ana faa shun" ...deformity.  Anyone know?? thanks.


my surgeon always says opened in the "direction of its fibers"
Subject: my surgeon always says opened in the "direction of its fibers"


I work for a general surgeon who dictates...sm
Subject: I work for a general surgeon who dictates...sm

sestamibi scan on all his parathyroid patients...........


and google to back it up:



Sestamibi Scan for Parathyroid Disease. Sestambi parathyroid x-ray ...





Sestamibi Scan for parathyroid disease and Sestamibi x-ray for parathyroid tumors. The Sestamibi scan finds the diseased parathyroid gland.
www.parathyroid.com/sestamibi.htm - 49k - Cached - Similar pages


Parathyroid Sestamibi Scan Technical Page: How Parathyroid ...





Sestamibi Scan for parathyroid disease and hyper-parathyroid disease. The parathyroid Sestamibi scan finds the diseased parathyroid gland and can be used ...
parathyroid.com/Sestamibi-Technical.htm - 65k - Cached - Similar pages


Sestamibi scanning for Parathyroid tumors and adenomas.





Hgh quality sestamibi scan shows a single parathyroid adenoma. ... The Sestamibi scan will display the hyperactive gland which is causing ...
www.endocrineweb.com/sestamibi.html - 9k - Cached - Similar pages


Sestamibi scan - Wikipedia, the free encyclopedia





A sestamibi scan of the parathyroid gland is a nuclear medicine procedure which is performed to identify hyperparathyroidism (or parathyroid adenoma). ...
en.wikipedia.org/wiki/Sestamibi_scan - 17k - Cached - Similar pages

 


Welcome. I have a hand surgeon who forced me to learn that one!
Subject: Welcome. I have a hand surgeon who forced me to learn that one!


and Dr. Bone is an Orthopaedic surgeon in Spokane!
Subject: and Dr. Bone is an Orthopaedic surgeon in Spokane!


Oral and Maxillofacial Surgeon consult?
Subject: Oral and Maxillofacial Surgeon consult?


..who did last inguinal hernia? Meaning the prior surgeon? nm
Subject: ..who did last inguinal hernia? Meaning the prior surgeon? nm

s
A long shot--the surgeon opened the Ray-Tec sponge and moistened it? nm
Subject: A long shot--the surgeon opened the Ray-Tec sponge and moistened it? nm

x
It makes sense, he is a very prominent professor and orthopedic surgeon,...sm
Subject: It makes sense, he is a very prominent professor and orthopedic surgeon,...sm

may be just too new to have much info on.  I did see an article on Google with the Oakland Bone and Joint Specialists, where he and a colleague, Dr. Jeffrey Mann, were pioneering a new total ankle replacement.  This is copyrighted for 2007-2008, so maybe he has developed dressings, bandages and such. 


I'm gonna save this one, and if I do find it verified in any medical books, etc., will send you a message about it.  Thanks for sharing! 


Hartmann _______ procedure - general surgeon talking about colostomy
Subject: Hartmann _______ procedure - general surgeon talking about colostomy

He's definitely saying Hartmann's ________ procedure, and the blank sounds like "lung."


Thanks so much! 


Only thing I can find is Dr. Roger Mann, who is a Professor and Orthopedic Surgeon, and..sm
Subject: Only thing I can find is Dr. Roger Mann, who is a Professor and Orthopedic Surgeon, and..sm

there is a Roger Mann Award from the American Orthopedic Foot and Ankle Society, but I see nothing about a Roger Mann dressing.  There is a Robert Jones dressing however.  Sorry could not be more help. 
Would someone look at this and tell me if I am typing this right? TIA
Subject: Would someone look at this and tell me if I am typing this right? TIA

 


Adenosine ECG stress test


Baseline pre-Adenosine EKG reveals A sensed V pace versus V pacing


That is the way I have been typing.
Subject: That is the way I have been typing.

It just seems that they never dictate it as Hodgkin disease and it starts to make one wonder.
When I have come across that in typing
Subject: When I have come across that in typing

they dictate ex-fix as slang/abbreviation for external fixator. I have had that come up even with a brand name associated, but it was not as you posted above. I would assume it is slang.
especially like typing your instead of
Subject: especially like typing your instead of

you are.oops.
Thank you! How about typing 1st, 2nd, 3rd, or first, second or third?
Subject: Thank you! How about typing 1st, 2nd, 3rd, or first, second or third?


Would someone please tell me if I am typing the (e.g) correctly?
Subject: Would someone please tell me if I am typing the (e.g) correctly?


  1. I will see him back in three months to determine his LV systolic function by echocardiogram and then possibly consider other treatment (e.g.,  DC cardioversion and or pacing versus continued pharmacologic therapy.)

typing the staging
Subject: typing the staging

T1c-T2a NX MX

tumor staging is in the back of the stedman's oncology book
Been typing rad for yrs and have never used roman..
Subject: Been typing rad for yrs and have never used roman..

numerals.  Always arabic. 


However, you will see a variation on the typing of BIRADS depending on who you are typing it for.  The copyright lists it as BI-RADS, federal guidlines are supposed to dictate how it is typed but have worked for numerous centers that type it anywhere from BIRADS to BI-RADS to BiRADS.  Categories however should always be arabic (1, 2, 3, 4, 5 and 0)


I would say what you are typing is correct.
Subject: I would say what you are typing is correct.

Here is a definition that I found for isotype...

isotype. An immunoglobulin heavy or light chain class or subclass characterized by antigenic determinants (isotypic markers) in the constant region. Every normal individual expresses all of the isotypes of its species.

Pool would reflect that - to me...I could be wrong, but I, myself, would go with that you typed....Sorry I could not be more precise...
We WERE typing at the same time! I always
Subject: We WERE typing at the same time! I always

check to make sure there are no answers before I send one.
Typing a C-section OP sm
Subject: Typing a C-section OP sm

This incision was extended bilaterally using s/l Danish scissors. 
verbatim typing
Subject: verbatim typing

It would actually be "sub cu" with a space between the two, so I just learned in the last year since doing transcription for a bit over 20 years...lol..guess what it really comes down to is whatever QA thinks it should be,...but of course...she knows better than you...yeah right...NOT
Thanks. I have been typing it Aciphex
Subject: Thanks. I have been typing it Aciphex

for many years and no one has ever said anything. You always learn something new here. I will make a note of this.
Maybe not, been typing it for years though. nm
Subject: Maybe not, been typing it for years though. nm


been typing all day, tired and cannot think
Subject: been typing all day, tired and cannot think

I know this is stupid and I have typed it a million times but I am so tired right now I can't even think.  He says .... Myospan 500 mg ..... ?  Thanks. 
Typing numbers -
Subject: Typing numbers -

If they say "I wrote him for 38 Tylox"  I always put #38.  I think it is much more clear.  In some cases, someone could think it was a dosage amount.


XX


Think it is a docism. I myself have been typing it for so sm
Subject: Think it is a docism. I myself have been typing it for so sm

long I can't even remember!!  Did 4 years in a railroad hospital with lots and lots injuries, etc  All our ortho docs used it.
I'm typing rheumatology....
Subject: I'm typing rheumatology....

and this sentence is all I have to go by:

She was also given an intermittent course of s/l za-fax-in by her gastroenterologist.

He's very clear. There's a "z" sound at the beginning and a very clear "fax" in there. I've tried spelling zo-fax-en, zi-fax-in, etc., and even spelling with "x" at the beginning.

Thanks for your help.

mother typing?
Subject: mother typing?

Dr. states:  Patient has good understanding of English but his mothertying is Spanish.  Anyone ever heard of this?
What exactly are you typing, and if we could have the whole sentence, thanks...
Subject: What exactly are you typing, and if we could have the whole sentence, thanks...


I think we were typing that at the same time! thanks! :)
Subject: I think we were typing that at the same time! thanks! :)


2 nil incision? typing ?
Subject: 2 nil incision? typing ?

 


A launch "2 nil" incision was fashioned along the anterior portion of the common bile duct


&


 


A "#10 JP drain" was placed in the Morrison's pouch.


 


How do I type the #10 JP drain? and things like A 2 O self-suture?


typing numbers like 3rd, 4th
Subject: typing numbers like 3rd, 4th

When typing >>>>>The first, second and third portions>>> do you spell it out or do you put it as 1st, 2nd and 3rd portions of the stomach?
That's what I ended up typing. Thanks!!! nm
Subject: That's what I ended up typing. Thanks!!! nm


It is great. you can just start typing a name
Subject: It is great. you can just start typing a name

in the search and pause, and a list pops down instantly. How quick is that?

Thank you!
Are you typing on a verbatim account?
Subject: Are you typing on a verbatim account?

If so, you will won't need to change decease to deceased. If the dictator is ESL, he probably used incorrect verbiage. Agree with other posters about lung CA.
Typing an op...median sternoscopy?
Subject: Typing an op...median sternoscopy?

can't find anything!!!  TYTYTY
OMG - not OP but I've been typing that wrong
Subject: OMG - not OP but I've been typing that wrong

oops.........learn something new everyday in this field - love it!! 
Yup not sure what your typing see the definition i left
Subject: Yup not sure what your typing see the definition i left

cystocele
sisctb-sTl 

Hernia of the bladder usually into the vagina and introitus. Syn: vesicocele.
I'd use your year + month way of typing it. I think BOS says
Subject: I'd use your year + month way of typing it. I think BOS says

s
OH MY GOD JUST SHOOT ME NOW... can you tell I have been typing for 12 hours. Thanks so very much!
Subject: OH MY GOD JUST SHOOT ME NOW... can you tell I have been typing for 12 hours. Thanks so very much!


Glad to help. Look to ref for right spelling/typing!!! nm
Subject: Glad to help. Look to ref for right spelling/typing!!! nm


okay. I have been typing it wrong for all these years. nm
Subject: okay. I have been typing it wrong for all these years. nm