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yep, means no sinful thoughts or fearful/punishment thoughts.

Posted By: MT50 on 2007-10-26
In Reply to: thought attrition?? Psy eval - ss

Subject: yep, means no sinful thoughts or fearful/punishment thoughts.




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my first thoughts as well....sm
Subject: my first thoughts as well....sm

but I thought it was strange as they have never said this phrase before.  Sending to QA and see what they think - will keep you posted. 
same thoughts
Subject: same thoughts

I looked up those same definitions. I actually had typed adverse.
Ahhhhh!
Thanks, I will listen again.
My thoughts....
Subject: My thoughts....

That's what I kept finding in doing my research, but like I said that guy needs to speak clearer English......but I guess that would be too easy.  Ha-ha!


Thanks for verifying what I had put down.  I will get this some day, but I am new and just learning.  Thanks for bearing with me.


my thoughts exactly! :)
Subject: my thoughts exactly! :)


My thoughts on this
Subject: My thoughts on this

Diagnoses #1 and #2 sound like they might be both referring to the left knee. #3 sounds like a new thought process to me. My guess on this would be contingent on how the dictation sounded. Is the dictator pausing between 1 and 2? Numbering 1 and 2? If he isn't, my thought would be this:

1. Left knee lateral meniscus tear; osteochondral defect.
2. Right knee degenerative joint disease.
You're welcome and my thoughts
Subject: You're welcome and my thoughts

exactly.  Some people just have to be huffy I guess.  Hang in there. 
a couple of thoughts
Subject: a couple of thoughts

First to address the issue of subcu - Joint Commission created a list several years ago that deals with this wording - and JC trumps BOS.  From Joint Commissions List of Dangerous Abbreviations:


Abbreviation: S.C. or S.Q. (for subcutaneous)


Potential Problem:  Mistaken as SL for sublingual, or "5 every"


Preferred Term:  Write "Sub-Q", "subQ", or "subcutaneously"


As far as what the man was trying to express to you was his opinion that truncated words (partial words used to express a complete word) should be avoided.  Trach is not a word.  Trachea, tracheostomy, etc., are words.  Alk is not a word.  Alkaline is a word.  There are also lab and other words that are commonly acceptable in their abbreviated form, such as INR, CPAP, MRI, etc.


There are acceptable abbreviations of certain words that are commonplace.  For example, lab is widely accepted to represent laboratory.  Exam is acceptable to represent examination.  HIV is another example.


If you understand the difference between the use of an abbreviation and avoiding the use of truncated words, your work will reflect a much clearer intent of the dictation.


Your company needs to decide which side of the fence it wants to sit on, and it appears there may be some changes in your QA future.  If this man is in charge of QA and you want to continue working there, you might want to begin taking note of what he is saying.


my thoughts exactly. No wax in the nose. Not now, not ever. Maybe sm
Subject: my thoughts exactly. No wax in the nose. Not now, not ever. Maybe sm

sinusitis can CAUSE cerumen impaction in the ears but NOT in the nose.
anybody have any thoughts on the traction ??
Subject: anybody have any thoughts on the traction ??

s/l kleinharts traction
Rudd, you and your family will be in my thoughts. sm
Subject: Rudd, you and your family will be in my thoughts. sm

I hope your step-son is back soon, safe and sound. Keep us informed. Thinking good thoughts for you.
Is it two different dx or thoughts, i.e. appendiceal, cystocele...
Subject: Is it two different dx or thoughts, i.e. appendiceal, cystocele...


Your thoughts on how to correctly transcribe this.
Subject: Your thoughts on how to correctly transcribe this.

One doc always says "sub 1st metatarsal" (or 2nd, 3rd, etc).  Should it be sub 1st metarsal, sub-1st metatarsal, 1st submetatarsal or...?
two thoughts; unsure how helpful, but,
Subject: two thoughts; unsure how helpful, but,

This is 1 of many definitions from an "URBAN" dictionary: MACK

mack is a flexible word as a verb; it can be used in pretty much any situation and its meaning will be understood.
Thus, in your case, maybe the dictator chose the word mack as slang for height?.....because 23.5 cm is equal to 9.25 inches. I used this as an example, as I believe you were referring to dietary in a Parkinson patient?....Wish I could assist more.
Exactly my thoughts. If it's not a word, I don't type it, but phenagle it.
Subject: Exactly my thoughts. If it's not a word, I don't type it, but phenagle it.

.
Patient with thoughts of self destruction without s/l suicidality
Subject: Patient with thoughts of self destruction without s/l suicidality


Thank you, both. Janette, sounds highly likely! Much appreciated. Any thoughts on "Me-TOK-a"?
Subject: Thank you, both. Janette, sounds highly likely! Much appreciated. Any thoughts on "Me-TOK-a"? Still


i would not use a comma. the "and" is the connection for two complete thoughts or statements.
Subject: i would not use a comma. the "and" is the connection for two complete thoughts or statements.


Man,,,he so clearly says EE before the VATS...yes, vats is it :) Any thoughts on the E?
Subject: Man,,,he so clearly says EE before the VATS...yes, vats is it :) Any thoughts on the E?


maybe non-fearful
Subject: maybe non-fearful

makes more sense to me, anyway


 


Better ask your QA. Some "verbatim" means "not really verbatim," some means "strictl
Subject: Better ask your QA. Some "verbatim" means "not really verbatim," some means "strictly verbatim." nm

x
Para means near. Parathoracic means near the thoracic muscles. nm
Subject: Para means near. Parathoracic means near the thoracic muscles. nm

x
Do you know what this means?
Subject: Do you know what this means?

Any idea what this means?
Yes, believe that's what he means! ESL? nm
Subject: Yes, believe that's what he means! ESL? nm

x
yes, means not sure
Subject: yes, means not sure

you should get a regular dictionary too
Does anyone know what DAC means?
Subject: Does anyone know what DAC means?


I'm sure it is what he means, but (sm)
Subject: I'm sure it is what he means, but (sm)

He says it so weird.  I was wondering if anyone ever heard of heparnotic or something similar--I can't find it anywhere.  He has said it before and says it the same way each time.  I'm stumped. 
That means nothing!!
Subject: That means nothing!!

/
You do know what that means?? sm
Subject: You do know what that means?? sm

Means YOU ARE ONE OF US!!!! We are just plain old puzzle solvers who try to decipher the clues!!!


 


Glad to help. Keep going. !!!  Good luck!! 


If this is a UTI, I think it means this. sm
Subject: If this is a UTI, I think it means this. sm

The patient went ahead and took something for the UTI, causing partial clearing of the urine, so the results of the UA are skewed.


 


Whew!!  It is Monday or what!!!!


Not sure what she means . . .
Subject: Not sure what she means . . .

Patient in the ER with urosepsis. . .


"They did a cadaver and laminectomy from L2-L4."  That's the sentence.  I don't know if she's just spacing a little with the cadaver part or am I missing something???


maybe it means less than 2:40
Subject: maybe it means less than 2:40

nm
It means...
Subject: It means...

exploratory laparotomy
unless he means sm
Subject: unless he means sm

co as in co-morbid, the person already had this problem.

(NtBNP), and N-terminal atrial natriuretic peptide ...... be certain whether co-morbid
I think that is what he means but not said clearly!
Subject: I think that is what he means but not said clearly!


probably what she means
Subject: probably what she means

but not what she says... we can't send to editing unless it has more than 3 blanks... going to send a note to supervisor .
yes thanks I do think that's what he means
Subject: yes thanks I do think that's what he means

he did not pronounce the n but I'm sure that's it... new medication.  Thank you
Since neo- means new, that would
Subject: Since neo- means new, that would

make sense.  He is making a new palate.  BTW, I think Coblator is a brand name. 


Can you tell me what it means?
Subject: Can you tell me what it means?

REally? I can't find Craco anywhere. Do you know what it means?
that must be what he means...thanks : )
Subject: that must be what he means...thanks : )


Maybe what he really means is
Subject: Maybe what he really means is

problematic
Probably what he means. TY. nm
Subject: Probably what he means. TY. nm

x
nil means Ŕ" so
Subject: nil means Ŕ" so

1. A 2.0 incision.
2. #10 JP drain is fine.

not sure what self suture is but usually suture is 2-0, 3-0, etc. with the number "0" not letter "O". Hope that helps.
That just means
Subject: That just means

that the borders of the lesion were clearly delineated visually, not neccesarily  the excised margins.
LKS likely - BJE means ...sm
Subject: LKS likely - BJE means ...sm

LKS maybe?
LKS = Liver, kidneys, spleen.

BJE = Bones, joints, extremities.
How about presential - it means immediate?
Subject: How about presential - it means immediate?

.
Thank you, thank you, thank you. Coprolalia means use
Subject: Thank you, thank you, thank you. Coprolalia means use

NM :)
I second this. Means has never given birth (nm)
Subject: I second this. Means has never given birth (nm)

.
b.i.d. means twice a day...t.i.d. is three times a day. nm
Subject: b.i.d. means twice a day...t.i.d. is three times a day. nm

b
I would leave it as he said. He knows what it means...sm
Subject: I would leave it as he said. He knows what it means...sm

TM stands for appx 20 or more things, so you cannot guess which one. Also,the same goes for LAM. It stands for seven different things and you cannot guess which one.

I was taught in this situation to leave it as said. My account even specifies in assessment and plan to never abbreviate except in this case when you cannot 100% verify what the doc means if there is more than one meaning to the abbreviation.

Hope this helps
BICAP means?
Subject: BICAP means?

It's BiPAP (bilevel positive airway pressure; CPAP is continuous positive airway pressure) ... look in your Stedman's Pulmonary/Cardiology book.

Hope this is what you're looking for. Smead
probably just stumbling and means
Subject: probably just stumbling and means

x