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response to duplex scan

Posted By: TravelinMT on 2009-04-17
In Reply to: duplex scan, leg word help - CJ's mom

Subject: response to duplex scan


Dr. is talking about the distal superficial femoral artery. 


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Duplex Scan of the Leg
Subject: Duplex Scan of the Leg

When dictating registered velocities in the external iliac artery in the leg, the doctors says what sounds like "198 cm/second during systolly".  Is there such a thing as systolly?  Or could this be a different term?
possibly duplex scan...nm
Subject: possibly duplex scan...nm

.
duplex scan, leg word help
Subject: duplex scan, leg word help


On the right side, the velocities are mildly to moderately increased all the way to the knee with the highest velocities registered in the external iliac artery (198 cm/second during systole), common femoral artery (207), proximal superficial femoral artery (278), and s/l distal superficial artery (173 cm per second).


Need help with the s/l distal superficial artery, the closest thing I came up with would be dorsalis.


venous duplex scan - phase "sv?" NM
Subject: venous duplex scan - phase "sv?" NM


Also reviewed were bone scan, white cell scan and s/l solfar coag scan. Thanks
Subject: Also reviewed were bone scan, white cell scan and s/l solfar coag scan. Thanks


anamnestic response is a secondary immune system response etc. nm
Subject: anamnestic response is a secondary immune system response etc. nm


carotid duplex

Should duplex be capitalized, like carotid Doppler?  (I know Doppler is a name and duplex is not, but not sure if the scan needs to be capitalized.)


Thx.


Duplex sonogram?
Subject: Duplex sonogram?

Duplex sonogram?
s/l "crippled?" duplex urethra. Thanks.
Subject: s/l "crippled?" duplex urethra. Thanks.


incomplete duplex urethra? nm
Subject: incomplete duplex urethra? nm

nm
Carotid duplex study question - SM
Subject: Carotid duplex study question - SM

I type these regularly, but happen to be doing one of our very worst dictators who mumbles and is dictating in the bottom of a well.  :::sigh:::  He is saying:


"No visual s/l FLOW-VUM, any areas of stenosis, or s/l FUNGATING PLAQUES are noted." 


Can anyone help a sista out? 


 


Neer response, near response?
Subject: Neer response, near response?

Hello all. 


Thanks in advance if you can help me.


I have a neurologist who says "near response" when referring to eyes.  Is it near?  Neer?  neer? 


Also, is there a Neer's test in orthopedics? 


I'm confused!!


CT SCAN cannt figure out part of scan Pls see message

Reveals abnormal hypermetabolism in the lymph nodes in the neck, more right than left including ?factitious learning of the thyroid?, in the anterior mediastinum as well large expansile right rib lesion.  Bone scan reveals uptake in the right lateral 7th and 8th ribs. 


...or liver-spleen scan or radionuclide scan. nm
,
liver scan s/l betascab scan
his last s/l betascab scan showe that his liver lesion has decreased in size.
maybe tech HIDA scan? (technetium HIDA scan) NM
Subject: maybe tech HIDA scan? (technetium HIDA scan) NM


response
Subject: response

Creutzfeldt-Jakob disease.
response
Subject: response

glad I could help.


response
Subject: response

cold agglutinins
QA response
Subject: QA response

Don't you just love these made-up words?! Medialmost, laboratorywise.

I would type medial most or medial-most (to make it a two-word adjective of the noun), as in medial-most position.

When they say "laboratorywise," etc., I change it to an appropriate caption, such as "Regarding laboratory data,"
Appreciate your response sm
Subject: Appreciate your response sm

Didn't want to stir up any trouble.
Thanks for the response.
Subject: Thanks for the response.

Thanks for the compliment. I am really dedicated to medical transcription. I really enjoy doing the work and find it very challenging. I graduated in June of 2005 and started my first job in October of 2005. I strive to do my best in everything. I just found out about this forum and MTstars about a week ago and I am so glad that I am able to talk to some experienced MTs. This forum is invaluable to a new MT.

So, all of the experienced MTs out there that contribute to this board you are all well appreciated. I hope that I will be able to have experience like you guys and be able to help other MTs out there that are just starting out.

Also, if you know if any new MTs that are still looking for that first job they should try Sten-Tel, Inc. They have an externship program for new MTs. That is where I work now.

Take care
Thanks for the response.
Subject: Thanks for the response.

I really appreciate your help and I did not think that I was doing anything "out of bounds."

Its good to see that there are experienced MTs out there like you that are willing to lend a "QA hand" once in a while.
Response
Subject: Response

Chronos (synthetic bone graft material)
Thank you, I really appreciate your response (nm)
Subject: Thank you, I really appreciate your response (nm)


in response...
Subject: in response...

my educated guess would be speech difficulty


Thank you for your response
Subject: Thank you for your response


Your response
Subject: Your response

Now I don't do orthopedics, but I believe you are correct. The fusion involves L4 and L5 and S1. Therefore, I would think he was saying L4 through S1. Please, someone, correct us if we are mistaken!
Response
Subject: Response

Could it be sodium repletion?
no go, but thanks for the response! nm
Subject: no go, but thanks for the response! nm


response
Subject: response

D/K about "red photos", but the other is "capillary perfusion (not profusion).... at the watershed zones"
In response
Subject: In response

>> Did you not learn medical terminology, anatomy and physiology?

I did from a reputed school in 2001. But you know hundreds of terms are being introduced every year and publishers have to update their books and dictionaries to keep pace with them, I don’t have enough resources & time to update my knowledge for all the specialties, that’s why I come to boards and do LEARN, it’s constant learning.

I say: Look at the stuff being asked. Most of it is not new terms. Most of it is human anatomy, which hasn't changed.

>> Did you not learn how to do your own research?

I think internet is the best media to do your research. Either Google it or ask the community. The message posting for help comes under research. Do you know the basics for research? Questionnaires & Surveys.

I say: Yeah, the internet might be the best.....if you want to get a lot of false information and conflicting answers. The "questionnaires and surveys" are irrelevant; the facts are what matter.

>> No wonder MT has a gotten a bad rep; half the people are not qualified to do it

Do you have any documented proof for this saying?

I say: Look at what many people say right here in the MT community. then read some of the reports in the medical records. I do coding also so I read the final product in the records. I can tell you - it is not pretty. It is obvious people don't know as much as they think they do.

>> Take a class. Learn the terminology, learn anatomy. Learn to use your own resources.

Trust me, most of the time, I come to boards not to post messages, but to read & listen as I used to do in my MT class. I read messages, learn new terminology, learn anatomy & help others etc. MTStars is my OWN resource.

I say: Yes I agree you can learn a lot here in terms of new terminology, but I will also say it should not be an easy way out of doing your own research and that learning anatomy here is a little too late. you should have learned that before you started working. If you don't know human anatomy, I sure don't want you transcribing anything about me or my loved ones.

>> Then you will learn MT. you don't learn by asking someone else to do it for you

I have learnt more on these boards than in the class. Hey, did you ask questions to your teacher in MT class? It’s same here to ask your seniors for help.

I say: Glad you have "learnt" a lot. LOL. Yes, I did ask questions, but once I started working i didn't expect anyone to do it for me. I did my own research and I did know anatomy! New drugs and new terminology will always pose a challenge, and this kind of board can be a big help, but anatomy is now what it was. we have the same bones, muscles, nerve, tendons, etc., etc., etc.

Come out of the stone age and open your eyes .... where mail is E mail, books are E Books & Learning is E Learning.

I say: Doing my own research or using a book is not living in the stone age. I use a lot of electronic resources but never to the exclusion of the solid resources that have been around for years and still get it right.
It is taking enough pride in myself and in my work to want to do the job right . It is not looking for an easy way out but taking the time to do for myself. What it boils down is good work ethic, and I see a lot of people who lack that. Everyone wants to be called a professional; no one wants to act like one. Everyone wants to make a ton of $$ but no one wants to REALLY work for it. I say grow up, get over yourselves. Do your own work.


Thank you for your response. nm
Subject: Thank you for your response. nm


WOW!! (not in response to age, but to
Subject: WOW!! (not in response to age, but to

EXPERIENCE!!) - I could have guessed, though, that you had that much experience - it shows in your posts!  Yeah - we experienced, old (we could probably throw "anal" in there, too) MTs need to stick together - THEY CAN'T BRING US DOWN!!


RESPONSE TO NEVI
Subject: RESPONSE TO NEVI

some benign appearing nevi
s/l Waddellian response
Subject: s/l Waddellian response

 Anyone out there heard of s/l Waddellian response?  I have typed this before, but cannot remember how to spell it.........


 



s/l Waddellian response
Subject: s/l Waddellian response

It is an Anesthesia/Pain Consult.  Doc states - The patient had a guarded and _______ response on physical exam of the abdomen.
Okay, here is my real response
Subject: Okay, here is my real response

What is the basis for any jealousy here?  That concept baffles me.  You obviously spent a lot of time into the events of today and I would suggest an alternate outlet...like a l-i-f-e.  I do not always come here to flame or denigrate others.  That you consider me trouble is of no consequence to me.  I have no concern for how my posts are perceived and when I post, I'm usually my ADD and dyslexic self with multiple lines of thinking bouncing around in my head at the same time.  I do not self check my grammar or spelling.  I'm happy with my QA score of greater than 99.5% monthly because when I work, I allow no distractions.  Before I was out of high school, I had the skill set I needed that today's poster lacked and that you commented on as a general rule for all newbies.


If you do not understand my point, that is your failing, not mine.  Others have repeated my point so I hope it is a bit more clear to you by now.  I will not "leave this newbie" alone (not that I now have a vendetta against her/him now) but you hold no power over my actions, just as I have none over yours.  I feel no threat from you, do not feel diminished by you and feel sorry that you are so worked up over today's events.


I had no one to ask questions of at all when I entered MT as I came in as the MT supervisor with years of experience in being a records auditor.  When I went home and entered the acute care arena, I had more books than I could count, with my favorite being "A Syllabus for the Surgeon's Secretary" (first published in the 50s).  I didn't make a lot of money my first year at home but every report was superior to those of the other MTs on the account.  I feel today's newbie has no excuse for  not being able to find many of the answers to many of the issues that were addressed today other than by posting entire reports for strangers who may only think they are qualified to answer.  Asking for QA help on entire reports is a crap shoot.  On a forum where no one knows who anyone really is in real life, you can easily get crappy help anot not know the difference.  Your mileage may vary.


I hope you find some peace and a healthy outlet for your frustrations.


response to my term
Subject: response to my term

Thank you for replying! I appreciate the help.
That is it. Thank you for such a quick response...appreciate it.....nm
Subject: That is it. Thank you for such a quick response...appreciate it.....nm

x
Thank you so much for the help and the quick response!
Subject: Thank you so much for the help and the quick response!

x
Yay! Thanks so much for the quick response! nm
Subject: Yay! Thanks so much for the quick response! nm


response to question
Subject: response to question

maybe it's curb and hydrate... (otherwise no clue)
Thank you very much for the quick response! nm
Subject: Thank you very much for the quick response! nm

x
Thanks for quick response-
Subject: Thanks for quick response-

Oncology words new to me in general practice clinic.


Thank you very much for your quick response. (nm)
Subject: Thank you very much for your quick response. (nm)


s/l response to trach tug?
Subject: s/l response to trach tug?

x
Thanks for the quick response!
Subject: Thanks for the quick response!


Thanks for the quick response!
Subject: Thanks for the quick response!


Hmm. There is an anamnestic response? but not sure. nm
Subject: Hmm. There is an anamnestic response? but not sure. nm


s/l "bellar response" SM
Subject: s/l "bellar response" SM

This is a dictation from a neurologic exam. The doc dictates:

"Hearing is only minimally decreased to whispered voice <> response I note that she could suppress the eye blinking period"

So, it's either something like:

1. "Hearing is only minimally decreased to whispered voice. In BLANK response, I note that she could suppress the eye blinking."

OR

2. "Hearing is only minimally decreased to whispered voice and BLANK response. I note that she could suppress the eye blinking."

Any ideas would be great, if this sounds familiar to anyone. Otherwise, I'll QA at the end of my shift...

TIA!
Perplexed