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You are very welcom. I have 19 years of uro experience. I have heard it all. LOL. nm

Posted By: MT and worn out on 2009-01-08
In Reply to: Thank you both--and MT and worn out... - starstruck

Subject: You are very welcom. I have 19 years of uro experience. I have heard it all. LOL. nm

nm


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Did you even THINK of Google? Try? Your years of experience are obviously not very broad. nm
Subject: Did you even THINK of Google? Try? Your years of experience are obviously not very broad. nm

x
common sense and 20 years experience :o)
Subject: common sense and 20 years experience :o)

No joke! I'm not sure if the percent issue is documented. I worked for many years in heme/onc and this is the way it is done.
just as an aside...I have 17 years experience typing urology. LOL.
Subject: just as an aside...I have 17 years experience typing urology. LOL.

nm
If you are wondering, I have 18 years of urology experience. Some of what I know would curl your hai
Subject: If you are wondering, I have 18 years of urology experience. Some of what I know would curl your hair. LOL. nm

nm
Wow, thank you. Just years, years and more years of experience
Subject: Wow, thank you. Just years, years and more years of experience

and a constant thirst for learning something new everyday. As we all know this can get to be somewhat boring, but learning from what I transcribe as well as from other transcriptionists keeps me going (money is not bad either). It becomes a challenge. But I can't thank you enough for the kind words.

Use to be younger...
20 years in rad - never heard of that SM
Subject: 20 years in rad - never heard of that SM

maybe you or your doc could call or email to see what it means?
In over 20 years I have never heard of a 15-0 blade! Are you sure? nm
Subject: In over 20 years I have never heard of a 15-0 blade! Are you sure? nm

.
Thanks so much for your help. Never heard of it in 8 years typing ortho. nm
Subject: Thanks so much for your help. Never heard of it in 8 years typing ortho. nm

nm
30 years, never heard them say scope goes through the teeth. NM
Subject: 30 years, never heard them say scope goes through the teeth. NM

.
Anyone heard of SIAC ??..I've done ortho for 7 years - very clear. nm
Subject: Anyone heard of SIAC ??..I've done ortho for 7 years - very clear. nm

nm
In eight years of transcribing ortho, I've never heard this term...
Subject: In eight years of transcribing ortho, I've never heard this term...

Impression:
1. Left de Quervain tendinitis.
2. Left carpal tunnel syndrome.

Will get EMGs. The patient has evidence of s/l palmarthrorheumatosis. He runs it together, so it may be palm (or palmar) arthrorheumatosis.

Any help is appreciated. :)

Never heard of coronal ligament either, and I did orthopedics about twenty years.
Subject: Never heard of coronal ligament either, and I did orthopedics about twenty years.


Lachman's probably. Never heard of cotton's maneuver. Been in orthopaedics for 25 years.
Subject: Lachman's probably. Never heard of cotton's maneuver. Been in orthopaedics for 25 years.


No problem, worked for Urologists for 8 years so I've heard the term a time or two
Subject: No problem, worked for Urologists for 8 years so I've heard the term a time or two

:)
Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an
Subject: Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an

experience is, it lacks credibility especiall when you base it on YOUR experience.  Who are you?  How much experience do you actually have?  What kind of experience do you have?  How many diabetic patients have you encountered in your years of experience?


You can't expect to make a sweeping generalization like "all diabetics have hypertension" and not get called out on it.  Come on!  Know your place.  Arrogance is an unattactive personality trait.


I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)
Subject: I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)

Now some are saying it's q. 4h.??  UGH, YUCK!!  I have also worked on accounts where it had to be "every 4 hours," and we had to spell out p.r.n. (as needed for).  At least we got more characters. 


First rule:  It is all what the "client/account" wants, not always what the BOS says it is.  I realize that language and its usage is constantly changing, but I've seen so many BOS and client flip-flops on so many other things in nearly 3 decades that it's laughable.  What isn't laughable is when we get penalized for not knowing what they want, even when they, themselves, don't know or are wrong.


Oh, and I still prefer the old no spaces:  q.4h., q.4-6h., q.12h., and so on.....


in my experience
Subject: in my experience

The standard now is to change cc to mL, but out of three accounts I work on, two want cc to stay as cc, and the other wants everything mL.
How much experience do you have?
Subject: How much experience do you have?


My experience
Subject: My experience

I work for a hospital doing transcription and when they switched us from hourly pay to productivity pay, I went from making a little over $14/hour to over $20 an hour!  It's funny, we all thought it was going to be a bad thing to switch and our bosses kept saying we think you all will be happy, wait and see.  They were right!  I do have medical/dental insurance thru them also, it was never based on my productivity whether or not I have insurance or not. 


Not sure what she's saying. Not much experience with GYN exams.
Subject: Not sure what she's saying. Not much experience with GYN exams.


hospital experience tells me otherwise
Subject: hospital experience tells me otherwise

I'm diabetic, have been in the hospital and I don't have high high blood pressure. In fact, I have low blood pressure. You need to stop spouting off things like you are all knowing. Sheesh, what a goomba*!!

*Forget all the rest of the meanings of goomba, this is what a goomba really is: a goon, a goof, a kook, or poser who doesn't physically resemble a goomba from Mario Bros. but acts just like one. You know a true goomba when you see one.
hospital experience tells me otherwise
Subject: hospital experience tells me otherwise

I have yet to see or hear of a diabetic in hospital who does not have hypertension.
Never in my experience unless at start of a sentence. nm
Subject: Never in my experience unless at start of a sentence. nm

s
disc has always been preferred in my experience
Subject: disc has always been preferred in my experience


:-) darlin' - experience doesn't always mean correct
Subject: :-) darlin' - experience doesn't always mean correct


First thought based on my experience is Sulamyd. nm
Subject: First thought based on my experience is Sulamyd. nm


From my experience when a tape or dictation skips,
Subject: From my experience when a tape or dictation skips,

I will put a blank or a timestamp for QA.  You really should never guess especially when the audio is broken up like that.  My advice would be send to QA or leave a blank with a comment that the dictation skipped. 
Thanks for trying. My supervisor who is great and has decades of experience couldn't get this on
Subject: Thanks for trying. My supervisor who is great and has decades of experience couldn't get this one.


Thanks for posting the solution to your problem..it is an educational experience for all of us...
Subject: Thanks for posting the solution to your problem..it is an educational experience for all of us...

Really, so many times when people find answers to the questions that they post, they just say...'Never mind, found it,' which leaves a lot of us up in the air as to what the answer was! So thanks for sharing your solution!
Just comes from experience. Every job I've worked has handled it differently.
Subject: Just comes from experience. Every job I've worked has handled it differently.

s
anhedonia: The absence of pleasure or the ability to experience it.
Subject: anhedonia: The absence of pleasure or the ability to experience it.


a knee aspirate would be considered a procedure, at least from my experience.
Subject: a knee aspirate would be considered a procedure, at least from my experience.


2 years' time because years is plural. One year's time because it is singular, only one year.
Subject: 2 years' time because years is plural. One year's time because it is singular, only one year.


Never heard of it as part of an exam, but have heard of punch biopsy?
Subject: Never heard of it as part of an exam, but have heard of punch biopsy?


Have only seen I&D in about 30 years!!
Subject: Have only seen I&D in about 30 years!!


lab 6 years....12,700 or 12.7
Subject: lab 6 years....12,700 or 12.7

/
2 pks day for 30 years +
Subject: 2 pks day for 30 years +

2 packs a day for 30 years, plus 1 1/2 packs a day for ten years. That makes one pack a day for 75 years. Is that right?
2 and 1/2 years
Subject: 2 and 1/2 years

2 and 1/2 years, two and a half years???  Thanks.
I'd probably do 2-1/2 years. nm
Subject: I'd probably do 2-1/2 years. nm

s
I do 2 1/2 years
Subject: I do 2 1/2 years

e
years' old or years old
Subject: years' old or years old

Can't remember which is correct. The patient is 40 years old or the patient is 40 years'old?

40 years of old doesn't seem right. So I am leaning towards 40 years old. Started new job and my brains have gone out the window.

Thanks.
Is it 9-years-old or 9 years old?
Subject: Is it 9-years-old or 9 years old?

nt
I have been doing this 30+ years and
Subject: I have been doing this 30+ years and

x
Over the course of nearly 20 years,
Subject: Over the course of nearly 20 years,

I have only had 1 account that wanted the acronym in parentheses.  Everybody else just wants it expanded to long form in the diagnosis section.  I wouldn't say you are necessarily behind the times, it is just that it has never come up for you before now. 
For years I was on - sm
Subject: For years I was on - sm

tetracycline for skin infection/acne issues.
20 years...Wow!
Subject: 20 years...Wow!

That's why you know your stuff. :-)
all I know is I work for PS 10 years now...sm
Subject: all I know is I work for PS 10 years now...sm

and in the beginning I gave them Weiss pattern and they immediately changed that for me to *Wise*.........but if the MD is spelling Wyse, I'd give him that.......  even if he is wrong......*LOL*
sorry, meant was in lab for 6 years
Subject: sorry, meant was in lab for 6 years

/
2-1/2 years is correct. nm
Subject: 2-1/2 years is correct. nm

x
I put 2-1/2 years... or 2-1/2-year-old. nm
Subject: I put 2-1/2 years... or 2-1/2-year-old. nm

zzz
that's correct - it's 2-1/2 years ago......
Subject: that's correct - it's 2-1/2 years ago......