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I swear I had a neurology doctor

Posted By: LB on 2006-06-06
In Reply to: FUN POLL: How many of you have a drink - while working? Fess up now!

who would dictate into the late hours, sometimes almost hour-long dictations, and I could periodically hear the cork coming out of a bottle of wine...guess we are not the only ones that are tempted




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Neurology H&P

HEART: is regular rate and rhythm, no murmurs Carotids, no bruits bilaterally or indication _______ sharp discs bilaterally.


EYES: Grade 2 __ visual fields.  ____ are intact, no nystagmus.


 


I've been stuck on this for a few days now. It doesn't seem to matter if I slow down the dictation or raise the volume. I just plain cannot hear what she is saying. Any suggestions?


Thanks


Leah


Neurology H&P

HEART: is regular rate and rhythm, no murmurs Carotids, no bruits bilaterally or indication _______ (sounds like winebergers) ____ (sounds like fundo )with sharp discs bilaterally.


EYES: Grade 2 full visual fields.  ____ ( grades?) 3,4,6 extraocular muscles are intact, no nystagmus. Pupils equal round reactive to light.


 


Thank you for the EOM suggestion. That's exactly what it was.


The other 2 I'm still lost on though. I've googles winebergers and that obviously wasn't it. Haha. Anymore suggestions? Thanks so much!


Neurology H&P

HEART: is regular rate and rhythm, no murmurs Carotids, no bruits bilaterally or indication _______ (sounds like winebergers) ____ (sounds like fundo )with sharp discs bilaterally.


EYES: Grade 2 full visual fields.  ____ ( grades?) 3,4,6 extraocular muscles are intact, no nystagmus. Pupils equal round reactive to light.


 


Thank you for the EOM suggestion. That's exactly what it was.


The other 2 I'm still lost on though. I've googles winebergers and that obviously wasn't it. Haha. Anymore suggestions? Thanks so much!


Neurology H&P
I know it's a bit jumbled up. I was waiting to see what the blanks are and then I usually go back and clean it up. I'll put in the subheadings and appropriate punctuation when I'm done. I've just found that way works for me. Do you have any better suggestions? I'm totally open. I was thinking it was fundi too since it talks about the discs afterwards.
Neurology H&P
No, no, no. You totally didn't hurt my feelings. I'm still new at this, so I'm open to feedback. Punctuation is my downfall unfortunately.
Neurology H&P

You were right about the cranial nerves heading. Thank you so much.  I was able to get it figured out from there. It was nothing like it sounded. I can't believe I got it.


NEUROLOGICAL: Orientation and language are normal. Fundi with sharp discs bilaterally. CRANIAL NERVES: II full visual fields. III, IV, VI extraocular movement muscles are intact. No nystagmus


Now I have 1 more question. Does this sentance make sense? I just hate neurology. haha.


Strength is 5/5 on her upper and lower extremities including proximal 1 distally.


Neurology H&P
Thanks for catching that. I actually changed it to movement and forgot to delete muscles. Good thing I haven't sent it back yet. :-)
going rate for neurology mt
I was approached and asked to submit a bid for neurology transcription.  They are in a bind and need someone immediately.  This is an ESL dictator, and the account is in the Midwest.  TAT would be 24 to 48 hours.  Any idea what the going rate would be?  I was thinking .11 cpl.  Your thoughts?
Psych here too, and neurology,
but that's probably because I do so much of it! There is really no one specialty that I dislike, I guess.
No one has mentioned neurology...
I love neurology, psych, ortho...okay, just about everything but ophthalmology. ER is fun too...get the drunks and crazies...
S/L Perfifth study per neurology?

I can't seem to find anything.  Any suggestions?


 


Thanks!


Neurology, neurosurgery, infectious dz..

I have HPI Orthopedic/Neurology book (sm)
With that and google, I was able to pick up ortho in no time. It may sound daunting, but a lot of what they say is repetitive and 6 months to a year from now, you'll be wondering why you worried :)

Good luck!

Nilan Beroni Maneuver (neurology)? NM
z
Have you tried Stedman's Neurology/Neurosurgery book? sm
I have a third edition(2003) I could sell you cheap ($20 including postage if you live in the continental US). The fourth edition (2006) is the latest. Just e-me if you're interested.
I could swear I had one say
The patient is tolerating her clothes.

Had the boss listen and she agreed, that's what it sounded like.
That would be me. You are very welcome. I swear by it. nm
.
Nope...I swear - s/m

Deals that big cannot, CANNOT, be done in a sneaky fashion.  It just doesn't happen.  I worked in investor relations for many years before my stint in MT and I promise you, if you read the fine print and follow shareholder's meetings and the daily stock news, you should never be surprised.


Not directed at you, but sometimes I think MTs love catastrophic thinking.  It's simply not realistic in this context.


I swear I do not change my name. Seriously.
I don't lie. If you don't want to believe anything I say in other posts, believe this. I did not change my name to Zippy or Frankie Boy or any of the other people who are responding to me!
You swear to never have another surgery sm
because you know exactly what they will be doing to you.
some swear by, but I think my hands are too big.

Voc. Rehab. let me try one out when they were helping me get my ergonomics together, and I knew right away I could never get used to it.  I have rather "fat" fingers, though, and I think that was part of it.  If you have longer, thinner fingers, it might be right up your alley. 


You can rent one (which can then be applied to the purchase price, I think?) for awhile from this site to try it out, rather than outright buying it.


http://www.sforh.com/keyboards/kinesis.html


http://www.keyalt.com/kkeybrdp.htm


 


 


 


Are we allowed to swear? I can't believe that!
If that is the quality of the transcription they are getting back, how on earth are they passing audits with hospitals?

I just do not get it.
I swear they are skimming off us somehow.

How do you prove it though unless you are on the "inside" workings of the beast?  It's like the old Bugs Bunny where they were splitting up cash or something and the swindling character said, "One for you, one for me.  One for you, one two for me.  One for you, one two three for me...etc."



The hamster release I typed was on a pediatric neurology note. nm
:P
swear words in the spellchecker would be because(sm)
sometimes doing psychiatry notes (or any other for that matter) the MD will dictate exactly what the patient says.  If that quote contains swear words, the spellchecker will not pick these up unless it's been programmed that that they are spelled right.  It get's tedious having swears pop up all the time so they go into the spellchecker. 
I swear, the people who manage
this site should put a button right under  'main board' that says 'MQ Gripe Board' so that the seemingly hundreds of disgruntled MQ'ers can gripe and  argue all day long and the rest of us would be spared.  Every page of this board is filled with arguments between the MQ gripers and the few MQ folks who claim they are happy.  At some point you'd think the (MQ people) would realize that non MQ'ers don't want to hear this stuff every single day, all day long.
I swear I could hug you right now. Evidently my expander
left past the letter D and I was trying to replace because I have been using it for forever!!  Thank you so, so much!!!!!!!   
I swear a troll or someone just throws these Q's out to see
how close were paying attention to posts
I used to swear by Sylcount but recently
to Practicount. You get the same counts as you do in Sylcount but you don't have to save the files in the rich text format for it to work. I found it annoying to have to save everything in RTF and my version of MS Word would always ask if I wanted to save it in RTF, and I'd have to answer "yes" to two different pop-ups before it would even save. There might have been a way around that, but I found Practicount worked just as well without that bother so I switched.
I swear mine does a few lines... (sm)
And then sniffs all the way through the report, he is constantly changing his mind. You know how you can just tell when someone is "under the influence"? I would almost bet this account that this one gets all coked up before he picks up the phone! I have never done one of his reports where he is not trying to inhale the room in between sentences...
Yes, and I swear I've gotten viruses

from tech support screwing around.  I now have a new one, and no, I will never work on platform again or have anyone be on my computer through a meeting.  If it's not FTP work using Word, no way will I let a company mess around.


I think they do more harm than good! 


I swear, I just transcribed Bill Cosby! sm
you know that voice that Bill Cosby does, kinda sounds like he's drunk?  Well, this doc I just transcribed sounded like that!!! and it's workers' comp, no less. Just had to vent a little!  It's still too early for all this!
Hurry, watch the news & I swear

You will see my last dictator dictating from a chopper with at least 10 choppers around him, landing in the middle of a Rolling Stones concert notifying the fans that Mick is sick and won't be there


just don't know how better to describe this background noise that is obviously distracting to him...oh, please add,  oops change that...uhh, hmm where was I   I have a migraine now and I don't even know what one feels like and from the looks of my que, I'm going in for round 2


Sorry I did proof my post but I swear things moved around
Sorry for the typos. 
Well, my husband and I paid 58% last year in taxes. I swear! sm
I won't tell you our gross, but it's above average, we both work 70+ hours a week and we are struggling to pay our bills - parents of 3 young children.

I am scared to death of Democrats being back in office. GW at least wants tax breaks for families like ours. If the Dems are in office I'm afraid we'll be taxed more to help pay for people like my niece who had babies beginning at age 13 and has never had a job in her life. How can this NOT outrage anyone - yet I know there are people out there who tell me to get over it, it's life, those other people are 'entitled' to our money. It's absolutely vile and disgusting.
Some people swear by vitamins, calcium, low protein diet, Flexeril. (sm)
try a variety of things, cuz it could be so many things.
Call your doctor - this is not a doctor forum! nm
x
You know the difference between God and a doctor? God doesn't think he's a doctor. nm
X
I am laughing so hard, I swear I fixed my 'pot' (for potassium) expander, and it came out pota
xx
Great post. I swear by both Advantage and Frontline Plus-- both work great! - sm
I don't know about "natural" approaches for the house. I have always used flea bombs in the past before the miracle of Advantage and Frontline changed my life. Have not had a flea problem at all since I began using those products about 10 years ago, dose all the dogs religiously once a month with the Frontline Plus except in Dec.-Feb. to save a few bucks and because the ground is generally frozen by then and no fleas are scurring about. -- Hope you get flea free soon.
Your son develops a rash and a fever and you swear he has Scarlet Fever! nm
m
Maybe the doctor
usually sees people with superpowers.
What about the ED ones that say to see your doctor if you have, sm
an erection for over 4 hours. Now I quickly switch the channel if my child or my parents are in the room when those commercials come on.
doctor
I only have 1 doctor and 2 nurse practitioners who speak english - so I don't have to learn any foreign accents.
It isn't the doctor. They have to pay big $$ for
malpractice insurance, which is the main reason the visits are so high.   They also have huge college loans to pay off.  
Please, please go to the doctor
nm
I actually had a doctor who
farted and then let out a huge sigh... Talk about gross.
Definitely tell your doctor...
Not to scare you, but just to be on the safe side. I am praying for you too!
This doctor
likes to go DUBADUBADUBADUBADUBADUBADO while he is thinking of what to say next.  It was funny at first, but 5 minutes in it is becoming very annoying!
Did you ever think to ask your doctor or

dumbo


I think you need to get a doctor.
:P