certainly not trying to be mean..but it is a unique type of work, and takes "an ear" in additi
Posted By: ltt on 2008-01-24
In Reply to: hmmm - shawna
Subject: certainly not trying to be mean..but it is a unique type of work, and takes "an ear" in addition to training.
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"an adrenergic type of sweating" ??? nm
Subject: "an adrenergic type of sweating" ??? nm
Doc atually says "an" before so don't think it would "an a ptotic gait". sm
Subject: Doc atually says "an" before so don't think it would "an a ptotic gait". sm
Speech and motor were normal, although his gait, he has an "____" gait, although he has no stiffness or dystonia or other movement disorders when sitting and speaking with us or on exam when sitting.
Sorry, meant to say "an MI"...same with "an MRI" though...nm
Subject: Sorry, meant to say "an MI"...same with "an MRI" though...nm
nm
How do you type rads? Filling in for radiation work
Subject: How do you type rads? Filling in for radiation work
Thanks javascript:editor_insertHTML('text','');
javascript:editor_insertHTML('text','');
It is "an MRI." M is an ih sound...see above...nm
Subject: It is "an MRI." M is an ih sound...see above...nm
nm
"An" is not always used with a vowel...sm
Subject: "An" is not always used with a vowel...sm
It is used with a vowel "sound." People really misunderstand the use of "a" and "an." Just remember, it's the sound, not the vowel. Ah, uh, eh....
The "an" before the vowel
Subject: The "an" before the vowel
works with other words but here it just does not. Some docs even say "an MI" and the M is not a vowel. Go figure.
could it be, "an avulsion" fracture?
Subject: could it be, "an avulsion" fracture?
Yep, "an echogenic density" (nm)
Subject: Yep, "an echogenic density" (nm)
...
sure they're not saying "an exostosis" ? sm
Subject: sure they're not saying "an exostosis" ? sm
perhaps something like, "an exostosis off the radial and distal wrist?"
"An additional" port was placed.....
Subject: "An additional" port was placed.....
Per AAMT BOS ... "an" (see message)
Subject: Per AAMT BOS ... "an" (see message)
a, an
The indefinite articles are a and an, and the definite article is the.
a chair (may be any chair)
the chair (a specific, or definite, chair)
See: articles
before consonants, h's, u sounds, vowels
Use a before a consonant, a sounded (aspirate) h, or a long u sound. Use an before a vowel or an unsounded h.
a patient
a hemorrhoid
a unit
an indication
an hour
a 1-mile run
a CMT
an 8-hour delay
an MT
HINT: Pronunciation determines whether a word is preceded by a or an; this is most useful with abbreviations and numerals.
how about "an element" of Parkinson.... nm
Subject: how about "an element" of Parkinson.... nm
no m
just a guess, but maybe "an herbal oil" ??
Subject: just a guess, but maybe "an herbal oil" ??
Found it. He was saying "an OpSite" applied...nm
Subject: Found it. He was saying "an OpSite" applied...nm
could he just be stumbling over "an arthritic knee" ?
Subject: could he just be stumbling over "an arthritic knee" ?
Pt takes s/l sol-pal-met-o as an herbal med for BPH. Thanks
Subject: Pt takes s/l sol-pal-met-o as an herbal med for BPH. Thanks
in between the takes of the splint? sm
Subject: in between the takes of the splint? sm
status post left ring finger mallet fracture.
The patient does have some swelling in between the s/l takes or tapes of the splint.
Of course you will, just takes time... but you are very welcome.
Subject: Of course you will, just takes time... but you are very welcome.
Maybe just "...and takes a...." since that same med comes in that dose. nm
Subject: Maybe just "...and takes a...." since that same med comes in that dose. nm
nm
WAG at maybe..."an exudative patina" or shiny appearance? nm
Subject: WAG at maybe..."an exudative patina" or shiny appearance? nm
s
Laid takes an object. sm
Subject: Laid takes an object. sm
If she laid down a box or other object, laid would be correct. However, in the sentence quoted, lay is an intransitive verb, meaning it does not take an object. Therefore, lay is correct. Laid is a transitive verb and must have an object.
Patient has osteoporosis and also takes - sm
Subject: Patient has osteoporosis and also takes - sm
Fosamax, estradiol, calcium. Thanks.
Pt. takes s/l Cacerna between meals tia
Subject: Pt. takes s/l Cacerna between meals tia
Usually when a patient takes antihypertensives like Lasix, they will sm
Subject: Usually when a patient takes antihypertensives like Lasix, they will sm
need potassium, too. I'm thinking that maybe what you're hearing is Lasix (comma), then maybe potassium chloride? Don't know about the 3rd.
what about "Pill Cam" - you swallow and it takes pictures. /nm
Subject: what about "Pill Cam" - you swallow and it takes pictures. /nm
.
The patient takes s/l Cymbex for bipolar
Subject: The patient takes s/l Cymbex for bipolar
Why cant I figure this out???? First report of the day, not fully awake yet, I guess.
drug s/l fen-nix 150 mg, she takes 2 tablets at night. sm
Subject: drug s/l fen-nix 150 mg, she takes 2 tablets at night. sm
doctor has accent, so this could go any way.
Patient also takes Lantus s/l soul-uh-tar 20 mg
Subject: Patient also takes Lantus s/l soul-uh-tar 20 mg
x
pt. with uric acid stones, dr says he takes s/l theralith
Subject: pt. with uric acid stones, dr says he takes s/l theralith
I fully agree with C.J. it should be 2:1, if it is a minute it takes me 2, if it is 10 minutes it ta
Subject: I fully agree with C.J. it should be 2:1, if it is a minute it takes me 2, if it is 10 minutes it takes 15-20, etc. 1-1/2 hours of dictation should be no more than 3 or 4 hours.
i agree. you have to listen to the dictator for a bit of tme and then speed him up... it takes the
Subject: i agree. you have to listen to the dictator for a bit of tme and then speed him up... it takes the
nm
She takes 3 units s/l NovoTiac insulin and it's NOT NovoLog. nm
Subject: She takes 3 units s/l NovoTiac insulin and it's NOT NovoLog. nm
xx
Lying is correct in this case. Laying takes a subject, sm
Subject: Lying is correct in this case. Laying takes a subject, sm
Laying is correct if she is laying an egg or laying a baby down for a nap. If you recline, you are lying. Sounds like a insult, doesn't it, like she isn't telling the truth.
Herbal (I think) -- Patient takes (halfa alfa) and garlic.
Subject: Herbal (I think) -- Patient takes (halfa alfa) and garlic.
Never heard anything like this before but clearly sounds like ----- halfa alfa.
Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm
Subject: Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm
She has a pleural-based lesion in the right lower lobe that appears to be either an algomized effusion or soft tissue. She also has multiple pulmonary nodules bilaterally suggestive of either a metastatic neoplastic disease or granulomatis changes.
1 year's time and 3 months' duration. A single unit of something takes 's.
Subject: 1 year's time and 3 months' duration. A single unit of something takes 's.
s
51 yo woman taking the patient takes a multivitamin, alpha lipoic acid, and "VI O TIN" sm
Subject: 51 yo woman taking the patient takes a multivitamin, alpha lipoic acid, and "VI O TIN" sm
Pt with fibromyalgia and osteoarthritis.
s/l Tree-mex. Pt has morning stiffness and migraines. Pt takes Imitrex and s/l Tree-mex. TIA
Subject: s/l Tree-mex. Pt has morning stiffness and migraines. Pt takes Imitrex and s/l Tree-mex. TIA
same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.
Subject: same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.
nm
Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm
Subject: Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm
Work had to go in.....sm
Subject: Work had to go in.....sm
I emailed my QA (who is a sweetie, btw) and she had no idea, either. So, I sent the notes in flagged. She is going to try and find out about this "word". :) If she does, I'll let you guys know.
Thanks again!
lab work
Subject: lab work
woman with memory disturbances. had lab work including unremarkable vitamin B12, TSH, sl-amiga TP, and c-reactive protein.
RE: lab work
Subject: RE: lab work
I will take a stab at your sound-like (amiga) How about ammonia (level), guessing TPc is total protein. c-reactive should be C-reactive.
work help
Subject: work help
The patient also notes that he has had variable blood sugars and episodes of
sa-mo-g with blood sugars at 50 at appx. 3 a.m.
Work Help Please
Subject: Work Help Please
The doctor is saying with (s/l prodien) autoimmune syndrome, such as Lupus. TIA.
Do you work there now for the Big S?
Subject: Do you work there now for the Big S?
xx
Where I work you are to use 5 instead of five.
Subject: Where I work you are to use 5 instead of five.
.,
who do you work for? they are one
Subject: who do you work for? they are one
lucky company!
Lab work
Subject: Lab work
I am transcribing lab work. The doc states what sounds like "medical" alcohol is negative. Am I hearing this correctly? TIA
oh... that might work. Thanks
Subject: oh... that might work. Thanks
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