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i agree. you have to listen to the dictator for a bit of tme and then speed him up... it takes the

Posted By: curve out of his voice if he is sped up. on 2008-08-28
In Reply to: Dealing with ESL dictation - MomMT

Subject: i agree. you have to listen to the dictator for a bit of tme and then speed him up... it takes the

nm


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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.


Listen very carefully to dictator...
Subject: Listen very carefully to dictator...

there are indeed PVCs (premature ventricular contractions) as well as SVT and PACs.  Hope this helps. 
I agree but dictator might mean...sm
Subject: I agree but dictator might mean...sm

especially if it's an ESL dictator......perhaps if an ESL, he might mean ratio which would be 1 to 1,000,000....1:1,000,000



Agree with below, listen for thalamic.
Subject: Agree with below, listen for thalamic.

x
If it speed up it more
Subject: If it speed up it more

it almost sounds like posterior (something) wall. I give up. Thanks though
That's it... He's just a speed talker :-)
Subject: That's it... He's just a speed talker :-)

x
Thanks, I need all the speed and resources I can get
Subject: Thanks, I need all the speed and resources I can get


using a high speed bur and s/l Loxel?
Subject: using a high speed bur and s/l Loxel?


Yergason, Speed tests
Subject: Yergason, Speed tests


Can you change your backup speed?
Subject: Can you change your backup speed?


holiday...is the dictator an Arab dictator? nm
Subject: holiday...is the dictator an Arab dictator? nm

x
type what dictator said, dictator is not incorrect.....
Subject: type what dictator said, dictator is not incorrect.....

.
Nevermind, got it. She was speed talking saying "GA". What a day! nm
Subject: Nevermind, got it. She was speed talking saying "GA". What a day! nm

.
Probably saying the oral mucosa at the speed of light. nm
Subject: Probably saying the oral mucosa at the speed of light. nm


high speed bone cutter?
Subject: high speed bone cutter?


Cytomel (?). A synthetic T3 hormone to speed up metabolism.
Subject: Cytomel (?). A synthetic T3 hormone to speed up metabolism.


The high-speed drill was then used to make a burr hole SM
Subject: The high-speed drill was then used to make a burr hole SM

on the left frontotemporal area, and then carefully resecting the midline, a craniotomy flap was turned all around the mapped tumor area using intraoperative neuronavigation again. A subdural "clock" was noted and evacuated.

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
To quaff applies to beverages - a drink taken with great gusto and speed. Not
Subject: To quaff applies to beverages - a drink taken with great gusto and speed. Not

s
nerve conduction study shows s/l speed ? reduction to 1/3 of normal.
Subject: nerve conduction study shows s/l speed ? reduction to 1/3 of normal.


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


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
is this dictator ESL (foreign dictator)?....
Subject: is this dictator ESL (foreign dictator)?....

if ESL, I would either blank him or give him that Avodart but the other one I haven't a clue and would have to blank there too.  Sorry :(
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.


 


certainly not trying to be mean..but it is a unique type of work, and takes "an ear" in additi
Subject: certainly not trying to be mean..but it is a unique type of work, and takes "an ear" in addition to training.


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


Help - not an ESL dictator.....sm
Subject: Help - not an ESL dictator.....sm

Anglo mushmouth cardiologist is saying:


This 85-year-old white male was admitted and had a posterior s/l *A to E* resection for rectal carcinoma. 


I am not sure he is saying *A to E* and I already googled this to no avail. 


TIA for any light anyone can shed on this....really appreciate it...


Dictator says ...
Subject: Dictator says ...

She has a history of being intolerant of an ACE and s/l RHAB. She says it like a word, so it s/l  Are ab


I pretty sure it's an abbreviation like ACE, but I can't make out the exact letters to even know what to look up to be sure. TIA!


When a dictator says Cor S1 and S2, how...sm
Subject: When a dictator says Cor S1 and S2, how...sm

should that be typed?  Coronary:  S1 and S2?
This must be something the dictator often says. sm
Subject: This must be something the dictator often says. sm

Can "preson" be "perfusion?"

"perfusion to tissues?"

"present 2+ pulses?" (awkward)

What are the sentences before and after? Do you have any other PEs from this dictator?

Is this an orthopedic exam or general PE?


Dictator says...
Subject: Dictator says...

CBC showed WBC of fourteen point six thousand.

What is the correct way to type this number?
is the dictator ESL? perhaps not saying N
Subject: is the dictator ESL? perhaps not saying N


You could be right as the dictator is ESL. Thank you. NM
Subject: You could be right as the dictator is ESL. Thank you. NM


two more for same dictator pls sm
Subject: two more for same dictator pls sm

Patient without evidence of a left atrial s/l apinich thrombus.

The patient underwent s/l durakyto cardioversion.

VERY fast talker. Any ideas?

I bet you that you are right though, it is an ESL dictator
Subject: I bet you that you are right though, it is an ESL dictator

and I think he is just flipping through the chart giving me every med she ever had not realizing they are one in the same. I will flag it anyway. You are awesome thank you!
could the dictator be SM
Subject: could the dictator be SM

stumbling over words and saying something like:

First, today I am giving him Vicodin and Skelaxin.

?? Just guessing. Never heard of first aid being used in that way, but I suppose it could be...?
If dictator says
Subject: If dictator says

"blood pressure was in the 140s 150s". How do I type this?