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dictating hospital course says...

Posted By: uh on 2007-10-02
In Reply to:

Subject: dictating hospital course says...

the patient was admitted to the medical floor, s/l med MPO????? with appropriate studies obtained. 


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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.


He was dictating it in the
Subject: He was dictating it in the

medication section of an H&P.  That is all he said, no dosage, nothing to indicate what it was for.  Very strong accent and one of my hardest dictators.  I sent it in with a blank to QA, but am wondering.
Now he's dictating what s/l
Subject: Now he's dictating what s/l

Lowlins: As she lies supine...

Does anyone know of a good resource for infant exam terminology? Thanks!


I'm trying to think of a DO dictating joke, but I can't sm
Subject: I'm trying to think of a DO dictating joke, but I can't sm

think of one. I was hoping you had one! "Osteopathic disease" just struck me funny. :)

Student dictating.
Subject: Student dictating.

This is John Doe [s/l PSM or PSU] dictating for Dr. John Doe, M.D.


Does anybody have any ideas what the initials are.  What are the initials for someone dictating for the doctor?


 


Thanks for your help!


MD is dictating the ABG values. sm
Subject: MD is dictating the ABG values. sm
























listen carefully for these:


 


Normal Arterial Values

Range
pH 7.35-7.45
pCO2 35-45
pO2 80-100
O2 Sat. 95-100%
HCO3 22-26
BE +or-2

 




maybe it's 0.5 mg - doctor not dictating the 0
Subject: maybe it's 0.5 mg - doctor not dictating the 0

nm
student dictating
Subject: student dictating

it is a student dictating but she is fairly clear - it sounds just like Vario but I can't find anything like that anywhere.
she was just dictating the height of *157-3/8 cm*
Subject: she was just dictating the height of *157-3/8 cm*

I flagged it and sent it in - let QA figure that one out. but thanks for trying!
dictating warfarin 7.5 mg qiw - - ?
Subject: dictating warfarin 7.5 mg qiw - - ?


I'm going with push-gut; it's what he is dictating.
Subject: I'm going with push-gut; it's what he is dictating.


Dr. says he is dictating a s/l sin-A or Ten-A fluoroscopy *NM*
Subject: Dr. says he is dictating a s/l sin-A or Ten-A fluoroscopy *NM*


Are they dictating "a TSH too is normal? nm
Subject: Are they dictating "a TSH too is normal? nm


He is dictating it as the technique for the MRI.
Subject: He is dictating it as the technique for the MRI.

TECHNIQUE: T2 axial SPUR, T1 sagittal, proton density sagittal SPUR, T2 coronal SPUR, T1 coronal sequences of the left knee without contrast in a 1.5 Tesla magnet.
Pulm. dictating lab values...
Subject: Pulm. dictating lab values...

Doing a pulmonologist's report - he's dictating lab values, this one s/l "b-nitrotic peptide?"   I usually do radiology so this is new territory to me...
Thanks to all of you - she needs to stop snacking while dictating!
Subject: Thanks to all of you - she needs to stop snacking while dictating!


I would change it to allow. What testament is he dictating from? LOL
Subject: I would change it to allow. What testament is he dictating from? LOL


What are we dictating here? Exact phrasing etc?nm
Subject: What are we dictating here? Exact phrasing etc?nm


ESL dictating lab tests.....patient had
Subject: ESL dictating lab tests.....patient had

a TSS or DSS level checked?  TIA!!
that was what I thought but when she kept dictating it decubiti
Subject: that was what I thought but when she kept dictating it decubiti

I thought maybe I was wrong.  Needed a real second opinion - from other than MD.  Thanks
I've been told he may be dictating to someone he knows well and
Subject: I've been told he may be dictating to someone he knows well and

You might have John Doe, M.D. in the address info, but doctor dictates "Dear Johnny." Is this what you mean? If that's the case, I would type it as he says it, as he may have a friendly relationship with him in addition to his professional relationship.

On the other hand, if he's dictating a personal nickname, like "Puddin", you should probably use the other name. :)
thanks! dictating "pickups", can't find.
Subject: thanks! dictating "pickups", can't find.


Doc keeps dictating football term and I'm
Subject: Doc keeps dictating football term and I'm

I've never heard of a corner back, but it doesn't sound like he's saying quarterback.

But when I search google, the patient is listed as a DB. Can someone clue me in, please?

I've already let one report go with quarterback, but now I'm concerned about it and don't want to make another mistake.

Is there a corner back...if so how do I type it? And what's a DB? Thanks.
Doctor is dictating medication s/l
Subject: Doctor is dictating medication s/l

Pain clinic doc is dictating s/l oxycet. He's not saying Roxicet or Oxycocet. Is there a drug called oxycet that anyone is aware of? Thanks.
keeps dictating pallorus, is there such a word
Subject: keeps dictating pallorus, is there such a word


Knee x-ray help. Dr. Mumbles dictating again!
Subject: Knee x-ray help. Dr. Mumbles dictating again!

She has a patellar baja noted as well.  There is a large ______ ossification of the patellar tendon insertion.


Sounds like lar-a-ja  (pronounced with a short a sound).


Doc dictating antibiotic s/l velacef - nm
Subject: Doc dictating antibiotic s/l velacef - nm


not sure what that means.. but 1st time dictating her. nm
Subject: not sure what that means.. but 1st time dictating her. nm

nm
dictating letter for bariatric surgery...sm
Subject: dictating letter for bariatric surgery...sm

This was 250 pounds, (s/l gross volume to) body mass index of about 40.


 


Thanks I tried Google but stuck and sick today, can't take much more of  sitting here today.


ESL med student dictating list of meds...
Subject: ESL med student dictating list of meds...

Good grief - it's awful. She can't pronounced them.  One of them s/l "proseeaal's powder" 1 scoop po TID ???  Any ideas, please? Thanks.
dictating generalized disorders do not need to be capitalized
Subject: dictating generalized disorders do not need to be capitalized

nm
Ortho doc is dictating cervical spondylysis
Subject: Ortho doc is dictating cervical spondylysis

I've typed ortho for eight years and I know I haven't heard it all, so have any of you ever heard of spondylysis? He's very clear and is not saying spondylolisthesis, spondylosis, or spondylolysis. Thanks for your help :)
Yes, could be, Indian dictating, so maybe...doesn't sound like it, though!
Subject: Yes, could be, Indian dictating, so maybe...doesn't sound like it, though!

TY!
Doc is dictating reference letter about nurse sm
Subject: Doc is dictating reference letter about nurse sm

She is very hard working, s/l villous, and a caring nurse. TIA 
Never mind he was dictating an ICD9 code
Subject: Never mind he was dictating an ICD9 code


Doc is dictating valsalving - is this a word - how is it spelled?
Subject: Doc is dictating valsalving - is this a word - how is it spelled?


he is dictating is backwards. I would type it as he dictates...nm
Subject: he is dictating is backwards. I would type it as he dictates...nm

xx
Thanks! Doctor is dictating it as possessive, so I'll leave it.
Subject: Thanks! Doctor is dictating it as possessive, so I'll leave it.

x
Tendo and tendinitis are both accepted, it all depends on your doc dictating.
Subject: Tendo and tendinitis are both accepted, it all depends on your doc dictating.

Many years ago, I typed tendonitis on a report and the orthopod almost pecked me to the wall and said it was "tendinitis"  and that is what he wanted to see in his reports.  Other docs prefer tendonitis..sooo....as far as the rule goes, spell it like the client wants it typed (they both mean the same thing).



Pedestrian hit-and-run. Doc is dictating x-rays and CT scan, then the pt had what s/l IVC soulter
Subject: Pedestrian hit-and-run. Doc is dictating x-rays and CT scan, then the pt had what s/l IVC soulter

NM
I'd use the fetor oris figuring that he mixed it up when dictating. nm
Subject: I'd use the fetor oris figuring that he mixed it up when dictating. nm

s
doc is dictating past medical history and said exactly what was quoted with nothing else regarding i
Subject: doc is dictating past medical history and said exactly what was quoted with nothing else regarding it. nm

Thanks.
Doctor dictating letter to law offices - Dear **Mame** Thanks!
Subject: Doctor dictating letter to law offices - Dear **Mame** Thanks!


maybe at L2? Just a guess, but maybe doctor is dictating at which level the spinal leak was.
Subject: maybe at L2? Just a guess, but maybe doctor is dictating at which level the spinal leak was.


and I have a hospital that only wants...sm
Subject: and I have a hospital that only wants...sm

T1,N0,M0 with commas and when we did it the BOS way, they came down on all of us.......


give the client/hospital what they would like or demand is the usual and customary way......I do believe...


Hospital course
Subject: Hospital course

An EDG was done and showed several humtakes in the stomach. I have a doctor with an accent and this is what it sounds like he's saying. I am also not sure of the exact definition of EDG. Thank you.
hospital
Subject: hospital

bunky general hospital??????
just a hospital..
Subject: just a hospital..

x
hospital course
Subject: hospital course

admitted to the medical floor, made NPO
Please help - Hospital Course
Subject: Please help - Hospital Course

Please help - Hospital Course:  Going through s/l (submission) of admission H&P for details.  Don't know what it can be.
Hospital Course: Please see ----? nm
Subject: Hospital Course: Please see ----? nm