couple of web sites in case you
Posted By: Linda F on 2008-06-29
In Reply to: Okay...thanks. - NM
Subject: couple of web sites in case you
can use them:
revolutionhealth.com/search
M.D. Anderson Cancer Institute, Houston
pathology.washington
bloodjournal.org
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It is upper case for stain, lower case
Subject: It is upper case for stain, lower case
x
There are a couple...sm
Subject: There are a couple...sm
Here is a great site with a couple of choices that sound like your term.
http://www.suffolkobgyn.com/medicalTerms#G
a couple T's
Subject: a couple T's
tap water enema
theophylline olmamine enema
tranexamic acid enema
turpentine enema
A couple more....
Subject: A couple more....
he went on to have an aortic valve replacement with a "number tommy five" bioprosthetic valve as well as bypass "sinus tree" vessels
pseudo normal LV filling pressure with "chronkomittent" abnormal relaxation
Patient is New York Heart Association class III in the setting of ischemic cardiomyopathy and "he feels" compensated
beta blockers, carvedilol "a target dose", "aldolsol" inhibitor
THANKS!
I too would like to know a couple of shortcuts..
Subject: I too would like to know a couple of shortcuts..
such as, I end each letter from my doc with "Thank you for the referral of the patient." Sincerely, John R. Brown, MD JEB/trh. I know there must be a way to store this so that all I have to do is strike 1 key to end my letters, but I don't knave a clue how to do this. Anyone have any suggetstions? Thanks
Couple of lab questions... sm
Subject: Couple of lab questions... sm
Can't catch what Mr. Mush-mouth is saying.
Postoperative serial white blood cell count demonstrated a stable white blood cell count at 11,900. s/l *hemansa* hemoglobin stable at 28.9 and 9.4.
a couple of thoughts
Subject: a couple of thoughts
First to address the issue of subcu - Joint Commission created a list several years ago that deals with this wording - and JC trumps BOS. From Joint Commissions List of Dangerous Abbreviations:
Abbreviation: S.C. or S.Q. (for subcutaneous)
Potential Problem: Mistaken as SL for sublingual, or "5 every"
Preferred Term: Write "Sub-Q", "subQ", or "subcutaneously"
As far as what the man was trying to express to you was his opinion that truncated words (partial words used to express a complete word) should be avoided. Trach is not a word. Trachea, tracheostomy, etc., are words. Alk is not a word. Alkaline is a word. There are also lab and other words that are commonly acceptable in their abbreviated form, such as INR, CPAP, MRI, etc.
There are acceptable abbreviations of certain words that are commonplace. For example, lab is widely accepted to represent laboratory. Exam is acceptable to represent examination. HIV is another example.
If you understand the difference between the use of an abbreviation and avoiding the use of truncated words, your work will reflect a much clearer intent of the dictation.
Your company needs to decide which side of the fence it wants to sit on, and it appears there may be some changes in your QA future. If this man is in charge of QA and you want to continue working there, you might want to begin taking note of what he is saying.
a couple of things......SM
Subject: a couple of things......SM
Jehovah's Witness
myoclonic gammopathy? not myoclinic
possibly *gammopathy*
*h* in Jehovah's Witness
couple of possibilities (sm)
Subject: couple of possibilities (sm)
If you're sure you're hearing "radio" that could be a "short-speak" way of saying radiograph.
Another possibility is RDI (respiratory disturbance index).
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm
The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.
But sometimes there's a clue in what's being tested, blood or urine, and/or the diagnosis.
Also, if you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.
If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!
Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm
The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.
Is there a clue in the dx?
If you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.
If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!
Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
Have a couple of questions, please sm
Subject: Have a couple of questions, please sm
Sorry, filling in for somebody and this doctor is really fast -
1. Patient takes a s/l plepharde of medications.
2. Patient still has constipation despite taking s/l Cerafac.
Thanks!
There are a couple of possibilities. Context?
Subject: There are a couple of possibilities. Context?
Here are a couple of links for you to send them....
Subject: Here are a couple of links for you to send them....
http://72.14.253.104/search?q=cache:_yrLOF4eEkIJ:emcrit.org/pdf/Wound%2520Care%2520Syllabi.pdf+XAP+topical+pediatric&hl=en&ct=clnk&cd=13&gl=us (at bottom of page 8) Hope this helps...When the doc spelled it for me, it was for a laceration repair on a kid. But, if it's a dental block in the ER, they might be using ZAP for topical in the mouth. Was something that was really confusing for me at the time, which is why I tried to get some info on it.
Can we have a couple of lines from the report
Subject: Can we have a couple of lines from the report
so we'll know where he is?
New to ortho and have a couple words.
Subject: New to ortho and have a couple words.
s/l *jo-lie-tandis* pain with hyperflexion. (knee)
Negative s/l *feralmis* test. (wrist)
TIA!
Have heard it used a couple of times
Subject: Have heard it used a couple of times
Just another way to say serial cardiac enzymes, I believe
If he already gave you a couple, then it would be 'all other...' nm
Subject: If he already gave you a couple, then it would be 'all other...' nm
s
Thank You! That's it. He always swallows the first couple of letters when I need them the most.
Subject: Thank You! That's it. He always swallows the first couple of letters when I need them the most.
.
Can't understand a couple of words
Subject: Can't understand a couple of words
If you're transcribing a report about someone with sinusitis, and the doctor says the ___ are red and swollen (and it doesn't sound like nostrils or nares or membranes) what could it be? And in the PLAN if he says ___ fluids, rest, and follow up within 7 to 10 days....what could he be saying. It almost sounds like "Push fluids." Can anyone help? Thanks!
Depends on a couple of things
Subject: Depends on a couple of things
The first point would be the hospital's desires. They may or may not want abbreviations spelled out in a report. Also, usually if it's in a diagnosis somewhere, it almost always has to be spelled out, as most hospitals abide by the joint commission rule of no abbreviations. In a regular physical exam somewhere in the text of the report, most hospitals, clinics, etc., seem to want whatever abbreviations the doc may use, so in that case you would just leave it as it is (although this may differ in correspondence as some places prefer a more formal policy of no abbreviations in letters, so check account specifics).
Thanks, she did it with a couple others, so that makes sense
Subject: Thanks, she did it with a couple others, so that makes sense
A couple questions relating to pancreas
Subject: A couple questions relating to pancreas
This is a patient with advanced pancreatic cancer. Here's the part I'm having trouble with. He was admitted to the hospital. "The patient did undergo attempts at [s/l ESRT or "e ester tee"?]. However, the tumor was protruding through the duodenum [s/l ambule] and common bile duct cannot be cannulated. He was determined to be unresectable and underwent a choledochojejunostomy, gastrojejunostomy, and enteroenterostomy for diversion." Whew! Any ideas?
Pulling my hair out - just a couple questions
Subject: Pulling my hair out - just a couple questions
This study is a right ilia-femoral ultrasound.
Is it ilia-femoral or iliac-femoral, and what about the hyphen?
ALSO......
I cannot figure out what he is saying here:
PROCEDURE REPORT: The abdominal aorta and right ilia-femoral (see above..) systems were S/L: insinated or instinated with a Doppler ultrasound transducer.
Thanks for any help!!
A couple questions regarding Cardiology/Hematology
Subject: A couple questions regarding Cardiology/Hematology
He does have some mild jugular venous distention (JVD). He does have a slightly positive patojugular reflex.
He does have a grade 1-2/6 murmur load on the lower left sternal border and apex. The lungs: He continues to have a few fine basaloreals on the posterior lower lobe. The abdomen is somewhat softer today, it is rounded.
A couple of grammar rules are at play here
Subject: A couple of grammar rules are at play here
First of all, both got and gotten are correct forms of the verb get. However, got is a past tense or past participle depending on whether or not the word "has" or "have" is used in front of it. Gotten, however, is past participle and should be used with the word "has" or "have" in front of it.
It has gotten increasingly larger - okay. It gotten increasingly larger - not okay. It got increasingly larger - okay. It has got increasingly larger - okay.
So if your doc says it anyway but "It gotten increasingly larger", he is correct. It's simply a matter of preference. Brits don't generally use the word "gotten", and therefore, a lot of people think it is not a legitimate word, but it is.
Need help with the MR angiogram in mesage, couple of questions and maybe more :) sm
Subject: Need help with the MR angiogram in mesage, couple of questions and maybe more :) sm
the MR angiogram of the posterior circulation intracranially showed a variant circulation with prominent bilateral “fetal” origin of the PCAs and distal basilar and "P1 segmental" hypoplastic were absent.
A couple of questions regarding Cardiology/Hematology
Subject: A couple of questions regarding Cardiology/Hematology
Hi, sure hope this helps. I had that recently. It is he has a slight hepatojuglar reflux sometimes referred to as reflex but more correctly it is reflux. Also it is "He continues to have a few basilar rales in the posterior lobe."
Does he state 20 the first couple of days or does he give any time along with that? SM
Subject: Does he state 20 the first couple of days or does he give any time along with that? SM
If not, I would just type as dictated and maybe put quotations around it if you are certain of what he is saying. HTH
Thanks a ton for all of those sites!
Subject: Thanks a ton for all of those sites!
Most sites say
Subject: Most sites say
post-void. Good luck!
Try these two sites. sm
Subject: Try these two sites. sm
I personally could never get too much out of the RX list. Just me, technically-terrified at best!!
http://www.accessdata.fda.gov/scripts/cder/drugsatfda/index.cfm
http://formulary.prescribingreference.com/
web sites
Subject: web sites
I like drugs.com for meds obviously
Here are a few sites. May help. sm
Subject: Here are a few sites. May help. sm
http://www.kneeshop.com/?source=google&campaign=1&group=1
http://www.ankleshop.com/?source=google&campaign=1&group=2
http://www.vitalityweb.com/backstore/Bracesindex.html
lab sites
Subject: lab sites
Thanks! These will be very useful!
SKIN: She has a couple of dermal nevi, nothing that looks suspicious. A few MILEAM on the nose. nm
Subject: SKIN: She has a couple of dermal nevi, nothing that looks suspicious. A few MILEAM on the nose. nm
Any good sites for OPs?
Does anyone have good sites for getting more "familiar" with op notes? Getting ready to dive in and wanted more references....kind of nervous...
Thanks!
Portal sites
Subject: Portal sites
You heard it right. In Orthopedics, you'll come across the procedure of "arthroscopy" quite a bit. The Ortho surgeon makes small incisions called "portals", through one of which he inserts the scope to look inside the joint, and through the others he inserts other instruments as needed for cutting, shaving, biopsies, etc. Once he completes the procedure, he closes those incisions which become the "portal sites" that he is talking about. He obviously is checking during the followup visit to see if there is any infection at the incision sites.
Portal Sites
Subject: Portal Sites
Thank u all so much.
I use lots of sites - SM
Subject: I use lots of sites - SM
I use google first and get to healthgrades dot com if I know the state and then I only click on the CACHE button thru google and only the MD I'm searching for will highlight in all the states. I hope I made myself understood in that sentence. I also use anywho dot com and 411 dot com, 411locate dot com, dr-411 dot com, and last but far from least:
http://www.upinregistry.com/provider_form.asp
http://upin.ecare.com/
Thank you! There are lots of sites...
Subject: Thank you! There are lots of sites...
out there on google who have drug-eluding. I did look that up and thought I chose the right one!! Thanks!
Drain sites?
Subject: Drain sites?
terminology sites
Subject: terminology sites
If anyone knows of a good site for infectious disease terminology, I sure would appreciate it.
Did find these sites. sm
Subject: Did find these sites. sm
Appear to be for patients with limited mobility etc. May not be what you need. Anyway, here they are:
PORTACARE NURSERY PRODUCTS: Nursery Products 3/13 Rupeke Rd Henderson Box 21093 Henderson Auck Ph (07)864-7552 Fax (07)864-7551 email: glenholm@xtra.co.nz ...
www.acourt.co.nz/Acourts/acWeb.nsf/frmCompanyList?OpenForm&startkey=PORTACARE%20NURSERY%20PRODUCTS - 49k - Supplemental Result - Cached - Similar pages
PortaCare
About PortaCare · Contact PortaCare. PortaCare designs and builds equipment for those with limited mobility:. EZ-Walker Gentle as a work-out in water, ...
www.portacare.com/ - 5k - Cached - Similar pages
just checked out sites
Subject: just checked out sites
drug.com and medicinenet and they are both good! I will add them to my favorites. Sometimes I don't find everything on one site so it's good to have a couple back ups! Thanks!!!
Some ear exam sites for you. sm
Subject: Some ear exam sites for you. sm
Acute otitis media: Currents: UI Health Care
The diagnostic challenges of the ear exam can be greatly aided by a few ... One hand retracts the pinna and advances the tragus while the other is free to ...
www.uihealthcare.com/news/currents/vol3issue4/07acuteotitismedia.html - 21k - Cached - Similar pages |
[PDF] Appendix for the Head and Neck Exam
File Format: PDF/Adobe Acrobat - View as HTML
Extreme tenderness with pushing on tragus or pulling on pinna due to ... If the ear exam is normal, ear pain could be referred from diseases of the nose, ...
courses.washington.edu/medicm/benchmarks/A06headneckappendix.pdf - Similar pages |
Here are a few of my sites. I have tried to divide them so you can sm
Subject: Here are a few of my sites. I have tried to divide them so you can sm
read them better. If you have a problem, E me and I will just list them for you again.
Surgical Websites: ========================================
http://www.medcompare.com/
==========================
http://www.surgical911.com/
http://www.aromatic-products.com/ind.htm
http://ecatalog.ethicon.com/ec_ecatalog/Ethicon/Search/Adv_Search.asp
http://www.gtamart.com/mart/products/surginst/
maybe 2 sites or ON 2 sides....
Subject: maybe 2 sites or ON 2 sides....
if that *in* really s/l in, it's probably in 2 sites. If that *in* sounds more like ON, it's probably on 2 sides IMO.
PS: My sites show it as Z-Pak.
Subject: PS: My sites show it as Z-Pak.
I've never seen Z-pak.
Ortho sites
Subject: Ortho sites
I am fairly new to orthopedics as well as transcription. Could anyone refer me to some really good websites for ortho terms, procedures and medications.
Thank you
Try these. I put in a few suture sites also. sm
Subject: Try these. I put in a few suture sites also. sm
Think the surgical 911 is one of the best. What is your S/L
===== http://www.surgical911.com/ =======
http://www.aromatic-products.com/ind.htm ======
http://www.aromatic-products.com/ind.htm ====
http://ecatalog.ethicon.com/ec_ecatalog/Ethicon/Search/Adv_Search.asp
======
http://www.codman.com/generalinstr.asp
====
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