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common sense and 20 years experience :o)

Posted By: piglet on 2007-10-12
In Reply to: What is your source? - confuzed

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.


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

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...
I would put "The" in there -- common sense they don't have.
Subject: I would put "The" in there -- common sense they don't have.

.
Common sense says it goes with performance.
Subject: Common sense says it goes with performance.

x
Common sense though is the most important prerequistite in my opinion.
Subject: Common sense though is the most important prerequistite in my opinion.

then comes intelligence. Then comes experience. In that order. LOL
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.


position sense and vibratory sense is intact? Hear that a lot. nm
Subject: position sense and vibratory sense is intact? Hear that a lot. nm


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.


I am wondering if it is "tap sense". Does that make sense?
Subject: I am wondering if it is "tap sense". Does that make sense?


Yes it is very common.
Subject: Yes it is very common.


yes, because it is a common lab value
Subject: yes, because it is a common lab value

If you find it easier to remember, you can write it out as hemoglobin A1c (and it would give you extra characters).  However, if you were to type the abbrev form, you would not get docked for it.
i think "inplane" is more common nm
Subject: i think "inplane" is more common nm


This is common where I have transcribed.
Subject: This is common where I have transcribed.

I have worked in the OR also, and local MAC is a common anesthesia term. Should be easy to check on by googling.
No and unfortunately very common in addicts. nm
Subject: No and unfortunately very common in addicts. nm

bb
Context is everything, and this is a very common
Subject: Context is everything, and this is a very common

phrase in that spot. I completely agree with Michelle. Make a normal for this guy; he probably says the same thing every time. Poor pronounciation is a clue.


Okay. It's very common - you will hear it
Subject: Okay. It's very common - you will hear it

a lot. I love my books because of the way you can look up the word you know (gait), and see your choices.
Well, glycerin would be most common, I'd think.
Subject: Well, glycerin would be most common, I'd think.

.
That is a very common phrase used to
Subject: That is a very common phrase used to

describe Barrett's mucosa.  You heard it right.
very common phrase is
Subject: very common phrase is

dorsalis pedis and posterior tibial pulses were palpable or DP and PT pulses were palpable.  Is that it?
Could be common word
Subject: Could be common word

Someone may or may not be able to help....you all surprise me a lot.  This doctor is from India and I can't seem to make sense of this term or context with the sentence.  If you can please help with any suggestions that make sense.


This may turn out to be a dermatofibroma.  He has a flat lentigo-like lesion over the mid back with irregular borders without much induration.  Another lesion of the lower back appears to be a mole with some induration to the lesion.  Several similar lesions noted over the anterior chest and abdomen but s/l cardiac/cautioned (or thought) patient to have been stable. 


maybe common duct exploration? nm
Subject: maybe common duct exploration? nm

x
sure it's not thrush? common kid ailment
Subject: sure it's not thrush? common kid ailment

n/m
it's "villotubular" (but "tubulovillous" is more common) :) nm
Subject: it's "villotubular" (but "tubulovillous" is more common) :) nm


Bet I have! It's a common literary term. nm
Subject: Bet I have! It's a common literary term. nm

x
common respiratory flora?.......nm
Subject: common respiratory flora?.......nm


Ŗ-0" is a very common suture size ... /sm
Subject: Ŗ-0" is a very common suture size ... /sm

Vicryl sutures are used for a lot of surgeries, and size is measured by "0" -- I used to have a surgeon always said "double-ott" sutures -- meaning "OO" or "2-0"

If they are using more than one strand of suture material, I have heard surgeons say "double stranded" before, but not "dual stranded.

Have a good day.
tar soaks - very common for psoriasis
Subject: tar soaks - very common for psoriasis

also hear "coal tar" Sted Derm rocks
Labile affect is common.
Subject: Labile affect is common.

The word labile doesn't record well, which is why I suggest it.
Here is a link with common bacteria etc. sm
Subject: Here is a link with common bacteria etc. sm

http://www.meditec.com/laboratory-processes-values.html


 


 


 


BOS says in pronoun or common usage..sm
Subject: BOS says in pronoun or common usage..sm

numbers get spelled out - "...previous x-rays versus the most recent one." "His symptoms went from one extreme to the other." The trend is toward using arabic numerals unless your client or QA insists on it. Ages, too, are always in number form. ...BOS II pages 278/279. ....nm

s/l common extensor meth??
Subject: s/l common extensor meth??

With palpation, she is focally tender over the area of the lateral epicondyle and into the common extensor s/l meth??.

Resistance to wrist extension and pronation seems to accentuate pain and discomfort focally over the common extensor s/l meth or math??. No focal deficits appreciated with neurovascular exam.