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typing med list and thru the mumbling s/l FILLA-DEPEND ER 5 mg. nm

Posted By: Thanks for any help!! on 2006-07-13
In Reply to:

Subject: typing med list and thru the mumbling s/l FILLA-DEPEND ER 5 mg. nm

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how about typing Past Medical History heading and then typing what he says under the heading nm
Subject: how about typing Past Medical History heading and then typing what he says under the heading nm

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Would depend on what they are doing?
Subject: Would depend on what they are doing?


That would depend on what the
Subject: That would depend on what the

normal said.  For example, if it says "breasts are soft and pendulous", you might want to leave that out.  Men generally don't have pendulous breasts, not even ones with gynecomastia.  If it simply refers to the fact that there are no masses or nipple discharge, I would probably leave it in.


If you're still unsure, you can always flag it and find out for future reference.


might depend on client
Subject: might depend on client

I have been using weightbear and weightbearing for the past two years and neither the QA or the client have every complained or requested otherwise. matter of opinion, I guess.
It may depend on the account, but I think most
Subject: It may depend on the account, but I think most

people add dosage.   The doctor is only one of many people who read the chart. 
I think it would depend on the drug....
Subject: I think it would depend on the drug....

??
it would depend on what type of an account you are
Subject: it would depend on what type of an account you are

working on. and your company specifics. if its verbatem..then you put the word "hour" whenever the dictator dictates it.  if he just says something like "time seen...0600 hours" then:


TIME SEEN:


0600 hours.


yes, me too - also it may depend on client preference NM
Subject: yes, me too - also it may depend on client preference NM


it may depend on a facility rule
Subject: it may depend on a facility rule

our facility requires a hyphen for any statement of __ to__ so for us it would "x4-5" days.
That's okay...I have days like that myself and I can always depend on help from my fellow MTs. nm
Subject: That's okay...I have days like that myself and I can always depend on help from my fellow MTs. nm

nm
help with mumbling please
Subject: help with mumbling please

The patient was given one liter of normal saline and then fluid at "S/L KBL" 75 ml per hour. 
Help, got a doc mumbling here...
Subject: Help, got a doc mumbling here...

I got this so far,


tympanic membranes clear, lungs clear, heartrate regular rhythm, ____ is soft


sounds like he is saying ectlin


Thanks for any help!!


mumbling
Subject: mumbling


I think I can stand just about anything but mumbling! What I can't hear, I really have a problem finding! lol
TY. These may be it - she is mumbling :( NM
Subject: TY. These may be it - she is mumbling :( NM

x
Depend if the doctor says it and it is a verbatim acct.
Subject: Depend if the doctor says it and it is a verbatim acct.

x
Would depend on the context. In the office setting, it could be. I don't
Subject: Would depend on the context. In the office setting, it could be. I don't

s
Would depend on your account and whether they allow headings where necessary or not. If heading is w
Subject: Would depend on your account and whether they allow headings where necessary or not. If heading is warranted, I would use CLOSURE.


med help s/l finoscalintone? doc is really mumbling it. nm
Subject: med help s/l finoscalintone? doc is really mumbling it. nm


thanks, it could be...he's really mumbling through the part
Subject: thanks, it could be...he's really mumbling through the part


It would depend on your client profile for that account. I have never run across numbers within the
Subject: It would depend on your client profile for that account. I have never run across numbers within the axes, it would normally just be commas between each diagnosis or periods if that is what the client calls for. Check with that CP if you can.


I finally figured it out... he was mumbling.... sm
Subject: I finally figured it out... he was mumbling.... sm

and was trying to say morphine! TU
No, that's not it. He actually starts spelling b-e-r and then he gets to mumbling.
Subject: No, that's not it. He actually starts spelling b-e-r and then he gets to mumbling.


It sounds like it has "tax" something in it. He has really been mumbling a lot through this d
Subject: It sounds like it has "tax" something in it. He has really been mumbling a lot through this day.


I always use combined forms ie. posterolateral, but would depend on your account i suppose. nm
Subject: I always use combined forms ie. posterolateral, but would depend on your account i suppose. nm


Could they be mumbling a Billroth II anastomosis or a Roux-en-Y
Subject: Could they be mumbling a Billroth II anastomosis or a Roux-en-Y

s
I think he's mumbling "multiple" bulging discs.nm
Subject: I think he's mumbling "multiple" bulging discs.nm

x
Love those mumbling stumbling dictators.
Subject: Love those mumbling stumbling dictators.

Not sure about Rhino tonsil balls either but it does sound funny LOL !!
I wish I could. Doc is mumbling. Hoping for an educated guess.
Subject: I wish I could. Doc is mumbling. Hoping for an educated guess.

.
Probably mumbling a Myoview nuclear scan...nm
Subject: Probably mumbling a Myoview nuclear scan...nm

nm
He could be, he's kind of mumbling which make it harder.
Subject: He could be, he's kind of mumbling which make it harder.


Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm
Subject: Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm

1.                    Dementia of undetermined etiology.


2.                    Hypothyroidism.


3.                    Osteoporosis. 

History of depression. 
Mumbling PA, medication s/l Ectodate. Patient only had back surgery in his PMH, no other
Subject: Mumbling PA, medication s/l Ectodate. Patient only had back surgery in his PMH, no other

medical problems and the other only other med is Flexeril. I keep thinking some type of NSAID, but I just went thru over 50 of them and nothing came close.
In list of meds...Full bee 1 tab q.a.m. sm for problem list :)
Subject: In list of meds...Full bee 1 tab q.a.m. sm for problem list :)

1.                    Diffuse Lewy body disease mixed with Alzheimer’s disease.


2.                    Generalized anxiety disorder.


3.                    Benign prostatic hypertrophy.

4          Gastroesophageal reflux disease. 
Med list, s/l mylar? drops. No context as in list only. Tx. nm
Subject: Med list, s/l mylar? drops. No context as in list only. Tx. nm

xx
s/l bare aspirin. Is doc just mumbling baby aspirin, or is there really such a term? Thanks!
Subject: s/l bare aspirin. Is doc just mumbling baby aspirin, or is there really such a term? Thanks!


Would someone look at this and tell me if I am typing this right? TIA
Subject: Would someone look at this and tell me if I am typing this right? TIA

 


Adenosine ECG stress test


Baseline pre-Adenosine EKG reveals A sensed V pace versus V pacing


That is the way I have been typing.
Subject: That is the way I have been typing.

It just seems that they never dictate it as Hodgkin disease and it starts to make one wonder.
When I have come across that in typing
Subject: When I have come across that in typing

they dictate ex-fix as slang/abbreviation for external fixator. I have had that come up even with a brand name associated, but it was not as you posted above. I would assume it is slang.
especially like typing your instead of
Subject: especially like typing your instead of

you are.oops.
Thank you! How about typing 1st, 2nd, 3rd, or first, second or third?
Subject: Thank you! How about typing 1st, 2nd, 3rd, or first, second or third?


Would someone please tell me if I am typing the (e.g) correctly?
Subject: Would someone please tell me if I am typing the (e.g) correctly?


  1. I will see him back in three months to determine his LV systolic function by echocardiogram and then possibly consider other treatment (e.g.,  DC cardioversion and or pacing versus continued pharmacologic therapy.)

typing the staging
Subject: typing the staging

T1c-T2a NX MX

tumor staging is in the back of the stedman's oncology book
Been typing rad for yrs and have never used roman..
Subject: Been typing rad for yrs and have never used roman..

numerals.  Always arabic. 


However, you will see a variation on the typing of BIRADS depending on who you are typing it for.  The copyright lists it as BI-RADS, federal guidlines are supposed to dictate how it is typed but have worked for numerous centers that type it anywhere from BIRADS to BI-RADS to BiRADS.  Categories however should always be arabic (1, 2, 3, 4, 5 and 0)


I would say what you are typing is correct.
Subject: I would say what you are typing is correct.

Here is a definition that I found for isotype...

isotype. An immunoglobulin heavy or light chain class or subclass characterized by antigenic determinants (isotypic markers) in the constant region. Every normal individual expresses all of the isotypes of its species.

Pool would reflect that - to me...I could be wrong, but I, myself, would go with that you typed....Sorry I could not be more precise...
We WERE typing at the same time! I always
Subject: We WERE typing at the same time! I always

check to make sure there are no answers before I send one.
Typing a C-section OP sm
Subject: Typing a C-section OP sm

This incision was extended bilaterally using s/l Danish scissors. 
verbatim typing
Subject: verbatim typing

It would actually be "sub cu" with a space between the two, so I just learned in the last year since doing transcription for a bit over 20 years...lol..guess what it really comes down to is whatever QA thinks it should be,...but of course...she knows better than you...yeah right...NOT
Thanks. I have been typing it Aciphex
Subject: Thanks. I have been typing it Aciphex

for many years and no one has ever said anything. You always learn something new here. I will make a note of this.
Maybe not, been typing it for years though. nm
Subject: Maybe not, been typing it for years though. nm


been typing all day, tired and cannot think
Subject: been typing all day, tired and cannot think

I know this is stupid and I have typed it a million times but I am so tired right now I can't even think.  He says .... Myospan 500 mg ..... ?  Thanks. 
Typing numbers -
Subject: Typing numbers -

If they say "I wrote him for 38 Tylox"  I always put #38.  I think it is much more clear.  In some cases, someone could think it was a dosage amount.


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