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You are welcome. I have learned all sorts of strange stuff typing ED notes. nm

Posted By: MT and worn out on 2009-06-07
In Reply to: Thank you for the info! - es

Subject: You are welcome. I have learned all sorts of strange stuff typing ED notes. nm

nm


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Thanks. I've been typing in all sorts of things
Subject: Thanks. I've been typing in all sorts of things

And so far I'm finding that tuti or tutti is an Italian word. LOL.
I just tried googling all sorts of things....sm
Subject: I just tried googling all sorts of things....sm

but, unfortunately, I came up with nothing - sorry, I tried.......someone else perhaps? 
Nurses' notes or nurse's notes or nurses notes?
Subject: Nurses' notes or nurse's notes or nurses notes?

I am so confused on this one.  I have typed it several different ways over the years.  Do I really need to put any apostrophe in there at all?  Thanks!
Nurse's notes reviewed or nurses notes reviewed? nm
Subject: Nurse's notes reviewed or nurses notes reviewed? nm

x
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
I'm sorry. This looks really strange to me, sm
Subject: I'm sorry. This looks really strange to me, sm

and I really can't help. A second set of ears would be a good idea here.
getting more and more strange....(sm)
Subject: getting more and more strange....(sm)

would * muscular * distention make sense?  What muscles?  I have never heard of muscles being distended in a neck exam.  That may not mean anything as I am sure I have not heard of everything in the world of MT.


Could it be * vascular * distention?  as in no vessels being distended, such as the jugular? 


oh well, you have probably sent off the report by now.....


No, it's really strange
Subject: No, it's really strange

almost s/l sciatic something, but that wouldn't make sense
Strange
Subject: Strange

Ya know? They sound strange (the dictators) to me almost all of the time anyway! HA!


 


Hope all's goin' well with your day!


 


I have seen some strange ones
Subject: I have seen some strange ones

google nasal packing - wild names - maybe you'll see something - that's how I found RhinoRockets
yes, it is strange sm
Subject: yes, it is strange sm

I googled the image for Coversite, and on the packaging, it said CovRSite. I suppose either spelling would probably be okay, but I would feel safer using what is on the box.
That's strange, isn't it? Thanks a ton!
Subject: That's strange, isn't it? Thanks a ton!

:)
"Cervicalgia" ...... strange sm
Subject: "Cervicalgia" ...... strange sm

It's a CT scan cervical spine.  Clinical history:  Cervicalgia ??   I have Dorlands spell check which is not flagging the spelling as incorrect, but it's not in their 10 pound dictionary.  Any suggestions??
This sounds strange, but could it be--sm
Subject: This sounds strange, but could it be--sm

that the consultation was from a referring physician and he was remarking that he concurred with the referring physician's diagnosis? just a thought.
That does seem kind of strange
Subject: That does seem kind of strange

Must be hyper then if they're putting on aspirin.  Glad you figured out what to do.  Just wanted to let you know that my oncology book does have hypocoagulable as a word and every place probably has their own terminology for things, bleeding studies, coagulopathy workup, etc. etc.   Let us know how it turns out if you find out...
Yes, a new one on me too. Sounded very strange. nm
Subject: Yes, a new one on me too. Sounded very strange. nm

ss
that's strange...see inside
Subject: that's strange...see inside

Adrenal Metastases - Radiology
gastric fundus, gastric diverticulum, renal vein, splenorenal varices,

'retrocrural'

and retroperitoneal adenopathy, upper-pole renal cyst and/or neoplasm, ...


Hmm, some docs say strange things
Subject: Hmm, some docs say strange things

new paragraph, new line, etc. Does dictator say that word you are hearing between paragraphs or headings?
thanks so much! it sounded so strange to me - thanks for verifying :)
Subject: thanks so much! it sounded so strange to me - thanks for verifying :)


frons? is spelling correct? Just looks strange to me.
Subject: frons? is spelling correct? Just looks strange to me.

However, cystoscopy revealed some fine papillary frons in the region of the left orifice.
I remember seeing that in the BOS. Freaky strange I thought.
Subject: I remember seeing that in the BOS. Freaky strange I thought.

I've always used either subcu or spelled it out unless account specified otherwise. I agree with the OP though that "subcu" still looks weird after all these years. :)
My hero! I just wasn't sure if it was a strange term I
Subject: My hero! I just wasn't sure if it was a strange term I

wasn't familiar with - thanks!
interesting! Strange that their tail does not grow back,
Subject: interesting! Strange that their tail does not grow back,

with lizards it does. So this species can only fool their preditors once? Poor fellows!
i learned ...
Subject: i learned ...

it doesnt pay to be nice on this board a long time ago. and i WAS NOT the only one posting. EVERY post was not by me.
thank you! Learned something new again :) nm
Subject: thank you! Learned something new again :) nm

x
Uh huh. Just the way they learned it.
Subject: Uh huh. Just the way they learned it.

Yup. They pronounce lots of drug names wrong.
Thank you too, I learned something too!
Subject: Thank you too, I learned something too!


You are so right, I have learned something yet again!
Subject: You are so right, I have learned something yet again!


I learned something too and you are welcome.
Subject: I learned something too and you are welcome.


That's it! Thank you - I learned something new! NM
Subject: That's it! Thank you - I learned something new! NM

x
I learned this
Subject: I learned this

That if you can replace the word with "it is" then it is "it's."  If you can't, then it is "its."


Thank you QA. I learned something
Subject: Thank you QA. I learned something

new today.  I have been spelling that one wrong for a long time.
I know, that's the way I learned it - who can keep up with BOS? nm
Subject: I know, that's the way I learned it - who can keep up with BOS? nm


Learned something new.
Subject: Learned something new.

Thank you :-)
No problem. I learned it also!! nm
Subject: No problem. I learned it also!! nm


Thanks so much! I learned something new today :)
Subject: Thanks so much! I learned something new today :)


This is how I learned hyphens sm
Subject: This is how I learned hyphens sm

VI. Hyphenation
These prefixes do not require the use of a connecting hyphen in compound terms: 
 










































ante intra semi
anti micro sub
bi mid super
co non supra
contra over trans
counter pre tri
de post  ultra
extra pro un
infra pseudo under
inter re  weight

Examples - antecubital not ante-cubitalAlso Correct - antithesis, bitemporal, counterproductive, defibrillated, extrapyramidal, infraumbilical, interpersonal, intracranial, microhematuria, midline, nontender, nondistended, nonfocal, nonspecific, noncontributory, noncompliance, nonicteric, nonsmall, overestimate, overweight, preoperative, postoperative, posttraumatic, pseudogout, semicircular, sublingual, superimposed, supramammary, transvaginal, ultraviolet, underweight, weightbearing.


Do use a hyphen with prefixes ending in a or i and a base word beginning with the same letter. Example - anti-inflammatory.
Do use a hyphen when compounded with the prefix self. 
Example - self-administered, self-monitored. 
For Clarification - Use a hyphen after a prefix if not using a hyphen would change the meaning of the word.  Examples - re-cover (to cover again) versus recover (regain)


Post is in that list above so I make it part of the word in most cases unless it should just be a stand-alone word. 


I don't remember where I learned it, but...
Subject: I don't remember where I learned it, but...

I like using the first two letters of each word in word pairs, like refa = respiratory failure. If I have other word pairs that have the same letters, I add the last letter twice (or more), like refaa = renal failure. If there was a third word pair, it would be refaaa. This would not work for some people, but it's very fast for me. I also double the last letter when the shortcut would be a real word otherwise, like poree (instead of pore) for posterior region. With this system (and looking at your cheat window at the bottom), you can keep adding on other phrases. If I use acfr for acute fracture, I might use acfrd for acute fracture or dislocation.


That's my main trick, but there are lots others I use. I do add individual words to my expander (especially long words) with no shortcuts so I can start to type and find the word in my screen to just plop the rest in automatically (sorta like how AutoText works).


A lot of what makes sense to you will not make sense to someone else. You just need to find what works for you. Keep trying things out because it can't hurt to keep adding or changing. Not even one day goes by without me adding lots of new entries. The key is to always be looking for ways to type fewer strokes.


Thank you so much! I learned a new one today! nm
Subject: Thank you so much! I learned a new one today! nm

x
Most of these new drugs can be learned
Subject: Most of these new drugs can be learned

through TV ads. The ads come on and I'm telling the TV to please show the name in writing! They usually do, and I learn the spelling on the spot because I know now all the patients will be asking for it and the doctors will be dictating it.
You're welcome. I learned it right here. :) nm
Subject: You're welcome. I learned it right here. :) nm

nm
that's it. Thanks, I just learned a new word. nm
Subject: that's it. Thanks, I just learned a new word. nm

nm
Thank you - I've learned something new!
Subject: Thank you - I've learned something new!


op notes

Here is a list from my favorites. Hope they are a little bit helpful. I think they are all still good sites.


 


Op note sites:


http://www.mt-stuff.com/ent.html


http://mtdesk.com/gen.shtml


http://www.medical-library.org/journals2a/tubal_ligation.htm


http://www.mtdaily.com/samples.html


http://www.nezhat.com/oplap_abst.htm


http://www-personal.umich.edu/~aalin/vitalsigns/contentappendix/cntappsamplenotes.html


 


 


op notes
Subject: op notes

I have never encountered such a rule. I don't generally listen to where the dictators want their paragraphs, though. They usually put in way too many. I start a new paragraph after the prep and drape description and a I start a new paragraph for the closing of the wounds. I add new paragraphs when the surgeon is addressing a new area. That's just my style of transcribing. I'm not saying it's the right way to do it. It just makes sense to me and I would think it is easier to read and comprehend that way.
take notes!
Subject: take notes!

Whenever I have to spend a lot of time looking something up, I make sure to write it down. It's worth it.
I don't do op notes! LOL
Subject: I don't do op notes! LOL


Here's how I learned it in the days of yore. sm
Subject: Here's how I learned it in the days of yore. sm

effect (noun) a result

effect (verb) to bring about

affect (verb) to influence

affect (noun) psych term

The verb effect is usually pronounced with a long first e. "Let's effect some change around here."

In your case above, it is the verb effect (to bring about). She wants to bring about relief with club soda. The effect (result) of her using club soda was infrequent symptoms.

Affect as a verb is pronounced with the first syllable accented, (like Ben Affleck).

Affect as a noun (the psych term) has the second syllable accented.

Suggestion: Jot this down and tape it to your monitor. You'll get it. Don't jinx yourself! :)

I was lucky; he learned how to say it by the end of the report.
Subject: I was lucky; he learned how to say it by the end of the report.

He had to say it about 8 times, and by the end it was sounding like plain 'ol amphetamine. Nasty stuff though. The patient who OD'd on it was in a coma with fever of 106!
you probably learned math by hand too!
Subject: you probably learned math by hand too!


Not at all... we are all in one boat and I also look at this board for help and have learned much fr
Subject: Not at all... we are all in one boat and I also look at this board for help and have learned much from you.