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bursitic? change. Arthroscopic shoulder surgery.

Posted By: ss on 2008-02-21
In Reply to:

Subject: bursitic? change. Arthroscopic shoulder surgery.

Evaluation of the subacromial space revealed evidence of bursitic? change. 


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Opus?? system. Doing arthroscopic shoulder surgery
Subject: Opus?? system. Doing arthroscopic shoulder surgery

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Subject: I believe post-arthroscopic surgery


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Subject: Chamfer??? Used a lot in arthroscopic knee surgery?? NM

nm
12 days post arthroscopic surgery, NO hyphens in this context. nm
Subject: 12 days post arthroscopic surgery, NO hyphens in this context. nm

x
feel stupid asking this but seated or seeded? Arthroscopic knee surgery
Subject: feel stupid asking this but seated or seeded? Arthroscopic knee surgery

There was a larger grade 3 lesion on the inferior portion of the patella as it seated or seeded? in the trochlear groove at about 45 degrees of flexion. I am thinking seated because it is sitting in the groove? Would this be correct or am I totally wrong here.


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Subject: Shoulder surgery.

Rotator cuff tear, s/l *sivicovian* impingement, and bicepts tendonosis.


 


Thanks.


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Subject: need help with shoulder surgery

The patient seen back in follow up postop 08/27/08 arthroscopic subacromial decompression, with excision of subdeltoid subacromial bursa, excision of anterior-inferior __________________configuration, excision of inferior osteophytes AC joint. 


Don't laugh, sounds like "acromy green templand"  or "greentemp and".  Thanks for ANY suggestions! 


PMH: *Appey* and right shoulder surgery.
Subject: PMH: *Appey* and right shoulder surgery.

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Sounds familiar to me, but I cannot remember what it means. I've searched everywhere...PLEASE HELP!


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Subject: Opis?? System - doing shoulder surgery

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Subject: s/l Poxy sling after shoulder surgery. tia


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Subject: Yep, apparently for shoulder surgery, captain's chair


Wierd! Shoulder surgery on an infant would be unusual too. sm
Subject: Wierd! Shoulder surgery on an infant would be unusual too. sm

.
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Subject: Previous surgery includes lateral release of the s/l D&ACL reconstruction as well as shoulder.


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Subject: How about bursitic fluid?

Would that be bursal fluid?
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SERFAS (Stryker Endoscopy Radio Frequency Ablation System)


 


 


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Subject: arthroscopic patellar repair?

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Subject: May be arthroscopic or automated shaver. nm

nm
perhaps arthroscopic subacromial decompression?
Subject: perhaps arthroscopic subacromial decompression?


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Subject: Is this arthroscopic? Can you hear "edematous?".....nm

nm
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TIA!


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Subject: ELITE◊ PASS Premium Arthroscopic Suture Shuttle

I highlighted that from a google search I just did -- It's by Smith & Nephews - it's a suture shuttle. 
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Subject: yes, cotton (or hook) test is correct. Used during arthroscopic or fluoroscopy syndesmotic procedures. SM

I don't capitalize cotton and have never been corrected, although I'm not sure if capitalized or not, but I don't think so.
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Subject: takedown surgery vs take down surgery--which is correct? nm


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Subject: s/l Bez or all in change

shows the patient in sinus mechanism 66 beats per minute, normal intervals, normal axis.  Voltage criteria for LVH and s/l Bezoiorall is change in comparison to prior EKG dated
Thanks so much to both of you. I will change to 6, 90, and -1. nm
Subject: Thanks so much to both of you. I will change to 6, 90, and -1. nm


I change that to:
Subject: I change that to:

I change elicitable (which to my knowledge has never been a "real word" to "able to be elicited."  My doctor dictator thanked me for this once (I was suprised that he noticed).  I checked this out with several transcripitionists that I have worked with who have lots of experience and are CMTs and they also edit this word to "able to be elicited." 
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Subject: I'm not CMT and I change that the same way...nm

      
cc to mL - do you change cc to mL
Subject: cc to mL - do you change cc to mL

according to AAMT or do you type cc


Thanks


 


Would you change this...

Would you change CT head to say head CT? The doctor says CT head.


 


Thanx


VR change
Subject: VR change

He should point it out to his supervisor because it is wrong. I don't care what QA says unless they can show me a resource where they got their information and it checks out. I would also point out to the client this fact. If they don't want to have their transcription correct and concise then I don't want their work. Right is right, wrong is wrong. I am really strong on this especially since the "new AAMT" has made all their "changes" and believe their BOS is the bible. It is not. Many of their "rules" are correct. Many of the are not. Research some of their changes and you will see just how over the top they have gone (it seems to be a control issue and they WILL cram it down your throat). I say that we all research on our own and go to reliable trusted sources that have been proven over time to be correct. The "New AAMT" definitely has not proven itself over time and incidentally they are not there for Americans anymore, they are there for the "overseas community." Humbug on them! Anyone know who could take the place of AAMT for American transcriptionits? After all, we are all Americans here and the language is English.
I would change it to this
Subject: I would change it to this

patients blood pressure readings at home daily have been 90 percent plus.  Would leave as is or change........looks wrong. 


Patient's daily at home blood pressure readings have been 90%+. 


they can change...
Subject: they can change...

depends on what the MD hears on auscultation; that being said, it usually is 3/6, 2-3/6...etc... six is the prime as there are standard 6 heart sounds and the first number being how many of the 6 they hear.
When did p.r.n. change to p.R.n. and why?
Subject: When did p.r.n. change to p.R.n. and why?

nm
I would change it to (sm)
Subject: I would change it to (sm)

CPKs as it appears these labs were done multiple times if they are dictating MBs. I hope I'm making sense.

I'd put, CPKs were high but his MBs were normal.
I would change it to
Subject: I would change it to

Mrs. Smith is a patient on whom I performed rhinoplasty. but that is just me.
Just like you have it, why change anything?
Subject: Just like you have it, why change anything?

x
I always change that to *in regard*..sm
Subject: I always change that to *in regard*..sm

as for toward/towards, afterward/afterwards......both are acceptable as you said per the dictionary......so it depends on the MD I'm working for...I have one that is a stickler so I give him afterwards and towards as he says them.
Exactly, that is why I don't understand, QA does the same with H&H, they change it H and H. Nm
Subject: Exactly, that is why I don't understand, QA does the same with H&H, they change it H and H. Nm

x
...or 'otherwise no overall change"..??? nm
Subject: ...or 'otherwise no overall change"..??? nm

s
I would change it to ൜ mEq K/L" sm
Subject: I would change it to ൜ mEq K/L" sm

The dictator is "slanging" the order. Since what they're ordering is K (potassium) and that is measured in mEq, and since it has a unit of measurement (mEq), then the "/liter" needs to be abbreviated to /L... imho (wouldn't it be nice if they dictated PROPER medication orders?) :)
I'd change to "mg," as well, but (sm)
Subject: I'd change to "mg," as well, but (sm)

the manufacturer's site would seem to indicate it should be hyphenated, as you originally had it.
http://www.jnj.com/index.jsp?content=product/brands/NEUTRA_PHOS.htm
"Prior" change? nm
Subject: "Prior" change? nm

m
yes, but change it to "are"
Subject: yes, but change it to "are"

nm
it looks weird to me too...I always change it to...
Subject: it looks weird to me too...I always change it to...

it's not necessarily correct - but I think about pussy cats and so the *eye is crusty and has pus* is what I'd put. 
Would you change this sentence?
Subject: Would you change this sentence?

His eye contact was intermittent; most of the time his gaze was fixed on whatever toy he was playing with. 


...most of the time his gaze was fixed on whatever toy with which he was playing?


Not a verbatim account.


TIA