Thanks! Been a long night and drew a blank, LOL.nm

• Long night, HELP! disk or disc herniation.nm - MD-MDIer
  • If MDI goes by BOS, BOS says disk for both. nm - just me
  • Actually either would be correct, though my company - me
  • disc herniation - :)
    • Hmm, I learned discs for eyes and disks for back. - Have the rules changed again? :)
      • I learned it exactly the opposite... - sm
      • I learned that way too, but now - my services wants disk for both.. nm
    • Thanks! Been a long night and drew a blank, LOL.nm - MD-MDIer
      • It is disks in the spine now - Happy Hippo

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Nick Lachey is the adorable ex-husband (YAY) of Jessica Simpson.  Drew sang with 98 Degrees group with his brother. 

I would love to see Nick compete in Dancing With the Stars.  He was in the audience cheering his brother on.  Class act, both brothers.

 I have always used Spybot and Adware SE, but read they sometimes miss things, so I just bought NoAdWare. Was I surprized at the stuff it found compared to the other ones (including Norton AntiVirus, and my server software)!  I had 4 "dangerous" and 92 "severe" the very first day...that have been on my system for quite a while.

Since then, I have also been receiving blank emails. I'm now up to 5 every time I receive my mail. I've been getting a lot of junk mail all of a sudden and have no idea why. My favorites are winning the lotteries. If I believed them, I would have a bankroll of well over $100,000,000,000. The other ones where I am named in someone's will. Love it. Dream on.

Don't know what to say or what else to do about it without changing my email addess again, and I sure don't feel like doing that. I just did change it 3 months ago.

It doesn't happen to often with my line of work as I only do clinic notes.  I do know which drugs are used for what and  the differences between similar sounding drugs. I have reference materials to help if I don't quite understand the pronounciation, as long as I have been given a particular diagnosis for which the drug is used.

If I am completely unsure (i.e. med list for PMH with no given symptoms or diagnosis) I ask or leave a QA note.  That is much safer than putting the wrong med in the patient's record and that is the extent of what MT's should be expected to do.

As far as the doctor dictating the wrong side of the body for any reason whatsoever, there is no way an MT could possibly determine in a case of it being left rather than right.  In the event of a dictator switching between left and right, that is a red flag to leave a note that simply says, "dicatator is indicating left and then right but does not clarify by end of note."

When my son had his mastoidectomy a year ago, the surgeon came in and drew a big blue circle around his left ear and looked at me and said, "This is the ear that I am operating on. This is his left ear.  Are you in agreement with me that I have the correct ear that needs surgery?"  Well, I kind of chuckled a little bit as my son looked rather strange at the moment and the doc said,  very nicely:  "In all seriousness, we are human and we do make mistakes, but I don't wish to make a mistake with your little boy."

I heard about this but it sounds kinda strange.  Anyone ever run into this kind of account?  How do you not leave blanks if you don't know what they are saying?

I always do much better filling in the blanks if I don't stress too much over it, finish the report, and go back and listen again after the report is finished.  So often the blank can be figured out with the context of the rest of the report available. 

I always do much better filling in the blanks if I don't stress too much over it, finish the report, and go back and listen again after the report is finished.  So often the blank can be figured out with the context of the rest of the report available. 

I always do much better filling in the blanks if I don't stress too much over it, finish the report, and go back and listen again after the report is finished.  So often the blank can be figured out with the context of the rest of the report available. 

1.  For me, when a person I used to babysit from infancy until school age has completed his internal medicine residency and is in a private medical practice.

2.  When I get up in the morning my knees and back crack so much that you can hear them at times in the next room (daughter asks "what's that cracking noise" will confirm this!)

If the MT cannot understand the dictator, they always have the option of sending it upward for clarification.  They are doctors, not English language specialists.  I know you would like them to be, but that is not the way it is.  We listen, we transcribe, and if we don't get it, we send it upward for clarification. 

It isn't easy, no one said it was.  But I hate to see people complaining about foreign doctors all the time.  They give excellent care, and a lot of us can understand them.  It is a knack.  If you don't have it, then send it to your QA.