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sorry if I lead you astray - it makes it difficult when your references don't even know!!!

Posted By: k on 2007-05-11
In Reply to: Thank you. That's what I thought - Confused

Subject: sorry if I lead you astray - it makes it difficult when your references don't even know!!!




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Difficult to hear, but it makes sense and I thank you
Subject: Difficult to hear, but it makes sense and I thank you


Cardiolite-lead 2 or lead II
Subject: Cardiolite-lead 2 or lead II

TIA
It seems very difficult to get
Subject: It seems very difficult to get

Anterior Knee Pain and hamstring tightness.  Seems very difficult tried to find out in google, but failed.
Difficult to say - sm
Subject: Difficult to say - sm

This is one of those like harmonic scalpel.  There are several different manufacturers of a "hemovac," but only Bard (I believe) has it trademarked.  So, what I do, is I only capitalize it if the manufacturer name preceeds it in the dictation.  Anyone out there who may have a definitive answer, please share!  Thanks!
2 difficult words????
Subject: 2 difficult words????

The drug name is Inderal and the second one anastomosis is Bilroth II anastomosis its gastrojejunostomy....
difficult word
Subject: difficult word

Sentence states ....  she had a left pleural effusion as well as a s/l thoracentesis??  Any help would be greatly appreciated!!!
difficult word
Subject: difficult word

Or pleurocentesis.
what is so difficult about VERBATIM....
Subject: what is so difficult about VERBATIM....

x
I think that is it--he stutter's so it is difficult
Subject: I think that is it--he stutter's so it is difficult


The "epiceki" is difficult to discern. Anyone?
Subject: The "epiceki" is difficult to discern. Anyone?

The terminal ileum is difficult to define.  The "epiceeekiiii" is also difficult to discern.


Grrrr.


 


Mucho gracias padres


This is a tricky one--difficult to look up online. sm
Subject: This is a tricky one--difficult to look up online. sm

It's Chvostek sign. Reference: Stedman's ophth.

Can you hear that? It s/l "jvoztek."
Difficult time spell?
Subject: Difficult time spell?

It seems like the doctor is saying clearly difficult time spell?  Does this make any sense?  Sentence - The patient is having a difficult s/l time spell.  Initially, she thought she saw a response to the Humira.  TIA.


difficult fetal presentation and deliverysm
Subject: difficult fetal presentation and deliverysm

google.com and type in your word or phrase, brings up articles.


 


Fetal Presentation
Abnormal Presentation: Asynclitism. Definition. Lateral flexion of head ...
Mild asynclitism is normal; Extreme asynclitism interferes with delivery ...
www.fpnotebook.com/OB33.htm - 21k - Cached - Similar pages


what's so difficult about producing correct reports?
Subject: what's so difficult about producing correct reports?

nm
Your questions are very difficult to understand. Is English a sm
Subject: Your questions are very difficult to understand. Is English a sm

a second language to you?
I agree...you did good....C. difficile is a difficult--sm
Subject: I agree...you did good....C. difficile is a difficult--sm

one to hear and figure out. you're on the road! Keep it up!


i would...but long-distance relationships are so difficult! =) ...yw...nm
Subject: i would...but long-distance relationships are so difficult! =) ...yw...nm


medical term for difficult movement?
Subject: medical term for difficult movement?

looking for a word that means difficult movement, would ataxia work?
It is Dumas' novel, no additional s, difficult to pronounce...nm
Subject: It is Dumas' novel, no additional s, difficult to pronounce...nm

nm
References
Subject: References

There are plenty more, but you can Google it yourself if you're interested. 


http://www.deborah.org/cardiology/cs3.html


Nuclear Cardiology
The Nuclear Cardiology Laboratory performs stress testing with and without cardiac imaging. Cardiac scintigraphy includes perfusion and functional imaging at rest and with physical or pharmacological stress. The section performs single isotope cardiac studies individualized to the needs of the patient and the referring physician. The laboratory can perform gated SPECT imaging to provide perfusion and functional assessment of myocardial viability in the short, horizontal, and vertical long axes. In addition to four SPECT cameras, the section has multi-crystal cameras for first pass angiography at rest or with exercise. The following studies can be done with exercise or pharmacological stress, with or without gated SPECT imaging: thallium-201 perfusion imaging; thallium-201/technetium-99m sestamibi perfusion and functional imaging, and technetium-99m sestamibi perfusion imaging with or without functional assessment. Positron emission tomography for tumor identification or myocardial viability is available following telephone consultation with one of the physicians.


http://www.csmc.edu/8490.html


Sestamibi Scans

Like the thallium scan, the sestamibi scan shows how well supplied with blood and oxygen your heart is. Sestamibi refers to the type of radioactive isotope used in this test to make the flow of blood visible. Thallium and sestamibi stress tests are more accurate and informative than a standard exercise stress test.

As with the thallium test, you will be connected to an
electrocardiogram. You will be asked to exercise as hard as you can on a treadmill or bicycle. (If your doctor thinks that exercise is not safe for you or that you will not be able to exercise hard enough because of bone or joint problems, you will be given a drug that has the same effect on your heart as exercising.)


references
Subject: references

For newer MTs or those who may be struggling with terminology from one who has been there - please do not rely on the internet for your research. there is a great deal of incorrect information out there. There is no substitute for good reference books. A good drug book, dictionary, phrase index would be a good start and a surgery word book is always helpful is you are doing work that involves that. These would probably answer many of those things that stump you. Also, vera pyles's Current Medical Terminology, which just published a new version this year, is a great help with new terms. Hope this info helps someone!
without context difficult to guess, but could be misstating "hyperadrenalism" nm
Subject: without context difficult to guess, but could be misstating "hyperadrenalism" nm


Thanks to all for the links/references. nm
Subject: Thanks to all for the links/references. nm

,
I found something that references it here...sm
Subject: I found something that references it here...sm

http://www.freepatentsonline.com/20060215109.html

Do a CTRL+F search for -6. It's about half-way down.
There are a lot of references to RADX if you
Subject: There are a lot of references to RADX if you

x
gonococcal. IMO, use MT references rather than Google. sm
Subject: gonococcal. IMO, use MT references rather than Google. sm

By the way, Google misspelled Chlamydia. Never trust Google.
Your Google references are all written by a lay sm
Subject: Your Google references are all written by a lay sm

person, even one person from a Cannabis site! The MRI info was probably keyed in by a lay person also. There no reference for "brachioplexy" in any Stedman's reference, any Dorland's reference, Taber's or even in the rxlist.
Did you notice the other misspellings in the Google listings?

Brachioplexy makes no sense. It's brachial plexus, brachial plexopathy.

Best not to be facetious with an MT with over 30 years' experience, with a 99-100% QA rating at all times.

You still didn't define "brachioplexy" which is what I asked.

No wonder we're losing our work to a foreign country.

"was" by my training and references...sm
Subject: "was" by my training and references...sm

all amounts are to be transcribed as singular when abbreviated, so it does not matter if "approximately" is used it is always 10 cc of fluid was aspirated (and/or injected).

Obviously if it is dictated "a total of 10 cc..." it is WAS because "total" is the subject. Also, even if the dictation was "10 cc of fluidS..." it would still be was because the unit of measurement is the subject of the sentence and is abbreviated.
never heard of it, not in my medication references either...nm
Subject: never heard of it, not in my medication references either...nm


hydroextension- any reliable references?
Subject: hydroextension- any reliable references?

Lady w/ cystitis underwent s/l hydroextension- I can only seem to google the word with discussions of people in medical forums- anyone have a GOOD reference for it? :)
my references show that spelled as
Subject: my references show that spelled as

Siegle.
The book references have it as guidewire. nm
Subject: The book references have it as guidewire. nm

xx
Yes, I checked medical references...
Subject: Yes, I checked medical references...

I checked Google and Stedman's in several places!

I want to tell you that Dorland is a little outdated and oldfashiomed.

This is NOT an EXCEPTION, this I can tell you, because I studied Latin.

It is decubitus / decubiti

or

decubitus ulcer / decubitus ulcers.

The OP said that the doctor dictated 'decubiti'. If this is on top of it a 'verbatim' account and she types decubitus, whereas the doctor dictated 'decubiti', then she WILL REALLY BE IN TROUBLE.

IF YOU LIKE IT OR NOT !

And why do you threaten me?

I think you are a QA????
Figures!!!!
You are mistaken, buy yourrself better references...
Subject: You are mistaken, buy yourrself better references...

Decubiti/Pressure Ulceration - Wheeless' Textbook

IT IS THE PLURAL (NOT PLEURAL) OF DECUBITUS.

It is LATIN, duh!
Found *some* references for DCN = diclofenac. (nm)
Subject: Found *some* references for DCN = diclofenac. (nm)

xx
A-lead
Subject: A-lead

Has anyone heard of a broken A-lead on a chest x-ray?


Thanks in advance for the help!


A-lead
Subject: A-lead

Yes - patient has a pacemaker!
yes I think they mean lead I
Subject: yes I think they mean lead I

lead I and aVL is what I would go with - kind of an educated guess . .
it's lead III and aVF.............
Subject: it's lead III and aVF.............


lead II
Subject: lead II


a 12-lead EKG. nm
Subject: a 12-lead EKG. nm

s
A 12-lead EKG
Subject: A 12-lead EKG


lead 1
Subject: lead 1

its 1,  as in leads 1, 2, etc.


placed some lead on it?
Subject: placed some lead on it?

This ER doc is treating a superficial laceration to the foot. Decided against stitches, but he did place some lead on it. Does anyone know what he means by that?
lead
Subject: lead


echocardiogram - A very technically difficult study. Images 'without' or 'out of' axis
Subject: echocardiogram - A very technically difficult study. Images 'without' or 'out of' axis sm

Do either of these make sense?  He cuts off a lot of his words and I've never heard this phrase before.


Images out of axis?  Images without axis?


TIA


I should add that ileal conduit is listed in all three references.
Subject: I should add that ileal conduit is listed in all three references.

x
That always made sense to me too, but references say differently NM
Subject: That always made sense to me too, but references say differently NM

/
To me it has always been inferomedial. I've looked at all my references
Subject: To me it has always been inferomedial. I've looked at all my references

including Dorland's 29th ed and there is no inframedial per se.  Just looking into One Look dictionary to do a wide search of online dictionaries, it is not even listed as a medical term.  I know it sounds like a real word, inframedial, inferior of the midline, but in all my years, it has been inferomedial for me.


 



I found several references under peri-nevus
Subject: I found several references under peri-nevus


according to all my references, it is CA125, no hyphen and no space. nm
Subject: according to all my references, it is CA125, no hyphen and no space. nm

xx