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changing around doctors words

Posted By: al on 2006-06-27
In Reply to:

Subject: changing around doctors words

What is considered normal and appropriate..  if the doctor usually says things or an expressoin a certain way and this expression is on my autocorrect is it okay for me to type it in that way (with my autocorrect) if he changes around the sentence but it really means the same thing anyway.  Also, how much is it acceptable to change what he says.




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Doctors and made-up words....
Subject: Doctors and made-up words....

Google search, using "define: emese" brings this up:

"Emese is a feminine Hungarian name that is possibly derived from the Finno-Ugric name eme which means "mother"."

That shows the value of a 20-year education, doesn't it.
she is changing her name in threads.....nm
Subject: she is changing her name in threads.....nm


things are changing sm
Subject: things are changing sm

for whose benefit? So the AAMT can profit from more book sales. 15 year MT here--never have and never will buy into AAMT.
Gotten versus changing to got
Subject: Gotten versus changing to got

How many out there think when the doctor says gotten increasing large that replacing got for gotten sure looks better.  Does anyone know off hand if there is an official grammar rule here.  I think it looks bad!
He may be changing his mind from 4 to 6 as in 24.6 or 24, 600? nm
Subject: He may be changing his mind from 4 to 6 as in 24.6 or 24, 600? nm

.
changing question
Subject: changing question

I guess my original question shoud be if I have 300 cc or more rather than just 1 cc, should it have an s behind it or or just read cc. I have been corrected to be just cc and for some reason I remember it should be apostrophe (cc's)
Changing what is dictated is not always appropriate
Subject: Changing what is dictated is not always appropriate

even if you are offended by profanity. If the doc you are transcribing has a quote in it, you have to type as dictated or it is not a quote. If the physician is using profanity that has nothing to do with what the patient actually said, then some clients require you to change the words, because it is inappropriate otherwise.

My stance on this is just this. If it is a quote, don't change it, because it changes the integrity of the document. Whether you are offended or not, these medical records also serve as legal documents. You must keep that in mind. Just because you are offended is not a reason to change the words.
It should be mEq. I would feel confident in changing it.
Subject: It should be mEq. I would feel confident in changing it.

x
or changing the word "the" to "a" liner...
Subject: or changing the word "the" to "a" liner...


QA ended up changing it to "right" in chief complaint
Subject: QA ended up changing it to "right" in chief complaint


Times they are a changing. Mucopus is a legit word? nm
Subject: Times they are a changing. Mucopus is a legit word? nm

.
I type tonic-clonic a lot, and that's not there. So, no one has heard of clinical or changing sm
Subject: I type tonic-clonic a lot, and that's not there. So, no one has heard of clinical or changing sm

Clonic to clonical?  Sigh. 
No links but the Stedman's GI & GU Words is great, and you'll need a Pathology/Lab Words book
Subject: No links but the Stedman's GI & GU Words is great, and you'll need a Pathology/Lab Words book or

s
onelook.com, Tessier's Surgical Words, and Sted's Ortho and Rehab Words. Great stuff! nm
,
Doctors can say anything they want...LOL
Subject: Doctors can say anything they want...LOL

nm
doctors... anything is possible!
Subject: doctors... anything is possible!


P.S. And yes, there are some doctors
Subject: P.S. And yes, there are some doctors

out there who actually do read their reports and know when something is changed, and those are the doctors that will come back on your supervisor, who comes back on you, because you changed something in their report.
My doctors usually put it in...
Subject: My doctors usually put it in...

GU or abdominal section.   
Like doctors know it all????
Subject: Like doctors know it all????

you know, they do make mistakes. And we do follow the BOS. Get over yourself. So you know Latin or say you do, big deal. We know the rules for use of the word in MT. That's what counts here.
Ya know how doctors
Subject: Ya know how doctors

like to make up words. I'm wondering if he could be saying "Urine was pink, not pyurious." . . . just sort of repeating himself on the no pus thing???
And since when could doctors spell ANYTHING right?...nm
Subject: And since when could doctors spell ANYTHING right?...nm


Most doctors can't spell.
Subject: Most doctors can't spell.


That's probably because most doctors mangle it when they try to say it LOL nm
Subject: That's probably because most doctors mangle it when they try to say it LOL nm

nm
i am constantly getting doctors who will say....
Subject: i am constantly getting doctors who will say....

clearly sonometers....and then QA sends it back as centimeters..  anybody else go through this?
yes I find most doctors still
Subject: yes I find most doctors still

dictate most of these terms with the s. I have hardly ever heard a doctor say Crohn disease. I found it hard to switch over because I was so used to it.
could be metolazone - doctors are always saying
Subject: could be metolazone - doctors are always saying

this one wrong!   Seriously, I don't know what is so difficult about it but they mangle it all the time.
With doctors it could be anything. Just blank
Subject: With doctors it could be anything. Just blank

x
Since when do doctors know how to spell. Did you...sm
Subject: Since when do doctors know how to spell. Did you...sm

ask him what it meant? If you cannot document a word you cannot transcribe it in a report.
Thanks, you would think I would know by now that some doctors pronounce v like w.
Subject: Thanks, you would think I would know by now that some doctors pronounce v like w.


Check with your QA to see if the doctors sm
Subject: Check with your QA to see if the doctors sm

in that hospital are doing their own trial/protocol/study.
Letter to 2 doctors
Subject: Letter to 2 doctors

I am typing a letter to 2 doctors.  How should I put the addresses on the letter?  Do I put both addresses on?  Thanks!
no, doctors spells out word as indicated
Subject: no, doctors spells out word as indicated


Schools do not teach doctors whether or not the
Subject: Schools do not teach doctors whether or not the

x
I've had lots of doctors
Subject: I've had lots of doctors

use MVI for multivitamin(s), although I think it really stands for multivitamin infusion/injection.  Don't know if this would fit for your report.
Ah! He probably means what most doctors call sm
Subject: Ah! He probably means what most doctors call sm

....an "acute abdomen series." It is three plain x-rays - one of the abdomen with the patient flat (lying down), one of the abdomen with the patient standing upright, and a third x-ray of the chest to include the diaphragms (also with patient upright) so they can see if there is free air under the diaphragm (which can happen with bowel perforation in cases of diverticulitis, Crohn's, or other bowel diseases).
Men do have breasts, oftentimes doctors
Subject: Men do have breasts, oftentimes doctors

include their breast exam in a report.
I don't know. Doctors just began using this recently.
Subject: I don't know. Doctors just began using this recently.

nm
At our hospital doctors will order a
Subject: At our hospital doctors will order a

x
yes, it is webspace. Sometimes you go think too hard with these doctors. nm
Subject: yes, it is webspace. Sometimes you go think too hard with these doctors. nm


Byetta is correct - doctors usually can't spell. nm
Subject: Byetta is correct - doctors usually can't spell. nm

x
uterine CA. Some doctors use CA as short for cancer.
Subject: uterine CA. Some doctors use CA as short for cancer.


I've heard two doctors are required to - sm
Subject: I've heard two doctors are required to - sm

give their okay to proceed with the surgery when patient is unable and it is an emergent case with no family members available to give consent. The double doc'd could mean "two doctors" and not "documented."
That's not a word. Most doctors can't spell corrently.
Subject: That's not a word. Most doctors can't spell corrently.


The doctors don't pay your salary if you're on a hospital account. Your pay or the pay the
Subject: The doctors don't pay your salary if you're on a hospital account. Your pay or the pay the

the HIM departmental budget.  So basically when you're told to type verbatim, it means YOU get paid less.  And even in the case of working for a private practice, the doctors don't give a hoot whether you expand abbreviations or not just as long as you get what they mean.  They just want a nice coherent report that makes them look like all their education paid off.


I, for one, refuse to jump through hoops for a measly 8 cpl and that is what the services are making us do.


Easy website to find doctors by state
Subject: Easy website to find doctors by state

Anyone know of any links?


Thanks!


I would use saline since it's the solution he's changing from half-normal to normal, not the
Subject: I would use saline since it's the solution he's changing from half-normal to normal, not the

s
Made up word? Doctors don't make up no stinkin werdz.
Subject: Made up word? Doctors don't make up no stinkin werdz.

Don't you hate it when you're just sure a word is made up and you look it up only to find that it IS a real word? The other day a doc said conspicuity and I thought, man, if I was going to play with the word conspicuous, I'd go with conspicuosity. I Googled it and sho nuf, conspicuity is a word.
geeze! These people are doctors and they STILL do not prononce things right..proctotectomy, psh!
Subject: geeze! These people are doctors and they STILL do not prononce things right..proctotectomy, psh!


need help with 2 words please
Subject: need help with 2 words please

Hi, I'm a semi-new transcriptionist who has had no formal training, and I'm having some problems figuring out a couple spellings.  One is a medication called *Inderon* (not sure how to spell).  The other is a phrase that I'm not sure what exactly the doctor is saying.  It sounds like *bill-raw-2 anastomoses*  Thanks SO much for any help!!!
two words
Subject: two words

Inderon? How about Enduron.
A few words... need help!
Subject: A few words... need help!

This doctor is slurring bad so I don't even know if my examples will be accurate!! It sounds like she hasn't gone to med school OR general english and doesn't know how to pronounce words. Ugh.

- Glypenitin? Some kind of medication. Don't know what it is for as this patient has many diseases.
- Sounds like "see-ko" syndrome... I think. I can't understand her!! Fecal syndrome? LOL Maybe it's sickle syndrome.. I don't know.
- Sounds like "smith". As in positive ANA, positive SSA and SSB (I can't tell if it's SSA and SSB or just one or the other GRR!!!!), positive RNP, positive __________, positive rheumatoid factor.

I'm going to try to finish this report. Wish me luck. :/

For the fun of it!! Hydroclomibmwlap... I don't expect anyone to look THAT up. ;) That one deserves a big fat blank. Yes, that is the exact way she pronounced it.

Enavaprovolil was actually Enalapril. How horrible is that? LOL javascript:editor_insertHTML('text','');

Also, if anyone has a 2x4 so I can go beat this doctor senseless, I'd appreciate it. ;)