?break in dictation for MT instruction? i see "add this to review of systems above the extremity
Posted By: flybye on 2008-08-15
In Reply to: advistorivorus ? - MT
Subject: ?break in dictation for MT instruction? i see "add this to review of systems above the extremity section" in your s/l ?? nm ??
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- advistorivorus ? - MT
- ?break in dictation for MT instruction? i see "add this to review of systems above the extremity - flybye
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It is Review of Systems and not Review of Symptoms.
Subject: It is Review of Systems and not Review of Symptoms.
Thats all in Review of systems.
Subject: Thats all in Review of systems.
Thanks though!
Under review of systems...
Subject: Under review of systems...
Sounds like dictator is saying:
Abdomen: Soft. Flat. Obese. Pressure: Soft. Obese. No point of splenomegaly was noted.
However, it doesn't seem to me that this would fit. He may be saying another heading instead of pressure but it is too jumbled to tell. 
Also this may be: No signs of [something] or splenomegally is noted.
Thanks in advance!
Review of Systems
On Review of Systems, he's saying . . ."@#$#&*&(" : No recent skin rash. and then something else "@#$#$" : No anemia or lymph gland problems. Psychiatric - No recent depression. Can anyone tell me what these headings could possibly be? I can't even get enough to give you a "sounds like".
In Review of Systems
Subject: In Review of Systems
There is no history of diabetes, polyuria, polydipsia, seizure, stroke, TIA, loss of strength or sensation, or DVT s/l pulmonary mesin around level bleeding.
It might be 'pulmonary embolism' but I might just be wanting to hear that, it's kind of a stretch. But the rest...
Any ideas??? Thanks.
Review of systems
Subject: Review of systems
Review of systems include shortness of breath and s/l ricacaria?? Anyone ...help???
Q in Review of Systems
Subject: Q in Review of Systems
When the doc says - Rest of systems: Negative. do we write it that way or list the systems with Negative next to them all?
Do you want to know was ROS is? Review of systems.
Subject: Do you want to know was ROS is? Review of systems.
review of systems twice
Subject: review of systems twice
The doc says his normal ROS. At the end of his thought he pauses for a LONG TIME and then says "ROS, on the line, otherwise negative."
So should I do it like I have below or what are your suggestions?
REVIEW OF SYSTEMS: blah blah blah.
A review of systems is otherwise negative.
In review of systems he says,
Subject: In review of systems he says,
"no fevers, chills or sweat s/l size-or-trizer?
Review of Systems
Subject: Review of Systems
Of course...You are correct. I was typing too fast. :-)
Review of Systems
Subject: Review of Systems
I knew that is what you meant.
Not saying ROS of review of systems is negative? nm
Subject: Not saying ROS of review of systems is negative? nm
Other review of systems showed s/l OS negative
Subject: Other review of systems showed s/l OS negative
Other "review of systems" ____ showed s/l "OS" negative.
Review of systems: See HPI (History of Present Illness.)
Subject: Review of systems: See HPI (History of Present Illness.)
review of systems is "pan positive" with a lot of problems. Is this right? nm
Subject: review of systems is "pan positive" with a lot of problems. Is this right? nm
Is this right "A "ten part" review of systems reveal?
Subject: Is this right "A "ten part" review of systems reveal?
n/t
"Female: Negative" under a male's Review of Systems?
Subject: "Female: Negative" under a male's Review of Systems?
This is the only doc i have ever seen do this... can someone explain? I'm confused.
Review of systems: Chills, night sweats,*commerfid*
Subject: Review of systems: Chills, night sweats,*commerfid*
TIA!
14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?
Subject: 14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?
n/t
Pt with migraines with aura, in review of systems, episodic visual s/l C D O's. nm
Subject: Pt with migraines with aura, in review of systems, episodic visual s/l C D O's. nm
In Review of systems: Hem/Lymph: Has long-term bruising, no s/l atreemia, noncontributory. nm
Subject: In Review of systems: Hem/Lymph: Has long-term bruising, no s/l atreemia, noncontributory. nm
I know, but on head and neck exam in review of systems, it is very usual for Dr. to make mention of
Subject: I know, but on head and neck exam in review of systems, it is very usual for Dr. to make mention of ,,,,
all the usual complaints of the specific region, as in neck, no lyphadenopathy, chest, no rales or wheezes, etc., it is a consult. What does he say about something green on the guy's head????
Perhaps you have a client specific instruction there.
Subject: Perhaps you have a client specific instruction there.
Per the ISMP, JCAHO, and the BOS, "nightly" should transcribed when qhs is dictated.
http://www.usp.org/pdf/EN/patientSafety/ismpAbbreviations.pdf
Can you hear maybe "extensive patient instruction" (nm)
Subject: Can you hear maybe "extensive patient instruction" (nm)
xx
i think i need a break
Subject: i think i need a break
 Cannot remember how to spell "diloufoy" lesion... please help!
That is it. There was no break between
Subject: That is it. There was no break between
Already had a break down :-)
Subject: Already had a break down :-)
#1 ? Aggrenox? As far as the Siko no clue
How would you break this up???
Subject: How would you break this up???
The MD is listing the materials used for a THA. He just runs all these letters together. how should they be broken up? Any ideas? TIA!
A Depuy 22 x 17, +12, lateral offset S-ROM femoral stem with a 22 F XXL ZT HA-coated proximal sleeve with a +9 neck, 44-mm diameter femoral head.
I did cut her a break, several times
Subject: I did cut her a break, several times
I would have been less forthcoming...you know, I got my job on my own...she should as well. Did someone give you a job without your having earned it yourself? And how do you suppose she will keep it IF she gets it? Will she blame yourself for not knowing how to be an MT (just getting quick fix answers here without knowing how to research or having an understanding of what she is transcribing?) or will she blame this board for not helping her enough?
I can symphathize with being new...everyone started out as a newbie; however, I do not condone - nor has this board - answering job test questions. And if she had books as resources as she stated, her questions on this board discredit that statement.
I would break it up into 2 sentences
Subject: I would break it up into 2 sentences
She is doing that often; in work situations and other situations. She is confirming that she is less passive.
Can you break up the syllables for us? Thx. nm
Subject: Can you break up the syllables for us? Thx. nm
s
Settle down, Beavis... Before you break something. (sm)
Subject: Settle down, Beavis... Before you break something. (sm)
I didn't say to use Google so that you could check "Joe's Spine Site". Most of us here use Google, and most of us are smart enough to know the difference between what we see on the Mayo Clinic or the American Heart Association websites versus other kinds of hits.
I do what my client prefers, the OP -- whether they mentioned that or not -- should do what their client prefers. Barring that, the only person here citing that there is a CORRECT (caps yours) usage for disc versus disk is you, and you just aren't a reference I trust so much, m'kay? I'll stick with my refs and my docs, thanks.
Still, you need take a breath before you have an aneurysm or something. I give surprisingly little thought to making you win or lose, just to answering the question.
(Are you one of those people who sit at an intersection and pound your steering wheel if you miss the light?)
THANKS... but DUH on my part. I'm taking a break now!! :) nm
Subject: THANKS... but DUH on my part. I'm taking a break now!! :) nm
please give us a break - offshore MT....SM
Subject: please give us a break - offshore MT....SM
*typr of kin incision used in cesarian section.*
what you typed in your post is above this line - with 4 typos in 8 words - you are only 50% in quality...IF THAT.
And Carol was nice enough to type the answer to you.....not realizing you're probably testing over offshore somewhere. This is not allowed on this board - we do not supply answers to testers.
not the spelling police here - just annoyed that they come in here and use us for the answers.........and this one appears to be an offshore MT just by what all she/he misspelled.......some of the most basic words.
break it down by the individual words
Subject: break it down by the individual words
There are a lot of osteotomies, so the word osteotomy stands alone. Chevron is a type of osteotomy - not named after a person, but rather the type of incision (V), so it would not be capitalized. The word mini is an adjective that defines chevron (not mini- shortened for miniature which would be hyphenated).
mini chevron osteotomy is what you are looking for
Someone may disagree, but I gave reasons for doing it the way I did.
Oh my goodness. Cut the girl a break.
Subject: Oh my goodness. Cut the girl a break.
She's new. She's already stated that. She's trying to do a good job. I don't think the answer is to kick someone when they are down. She probably has received very resourceful information here as most are willing to help newbies. Give the girl a chance!  She's not asking a s/l or asking the board to take her test for her, she's just feeling a little frustrated. 
Sorry, took a break and listened again, think he is saying notch.
Subject: Sorry, took a break and listened again, think he is saying notch.
x
Yes, that's it...Thanks so much! I need to take a break, can't hear anymore!
Subject: Yes, that's it...Thanks so much! I need to take a break, can't hear anymore!
Here are some of these systems. Will look around more. sm
Subject: Here are some of these systems. Will look around more. sm
Apogee
™
Vaginal Vault Prolapse Repair System
Perigee
™
Transobturator Anterior Prolapse Repair
Monarc
™
Subfacial Hammock
SPARC
™
Sling System
BioArc SP
™
Sling System
BioArcTO
™
Subfascial Hammock
InteDerm
™
Allograft Dermal Matrix
InteXen
™
Porcine Dermal Matrix
In-Fast Ultra
™
Sling System
Straight-In
™
Sacral Colpopexy System
You are a good stretcher , plus everything sounds better when you take a break! Thanks!
Subject: You are a good stretcher , plus everything sounds better when you take a break! Thanks!
Break the word down - osteo refers to
Subject: Break the word down - osteo refers to
bone and condyle is a part of the bone as per femoral condyle, lateral condyle etc. so yes it is a word.
2007 Version, Line Break anger
Subject: 2007 Version, Line Break anger
Every time I hit 'enter' to go to the next line (a return), it double spaces. How do I get it to just single space?
Thanks, everyone.
Thanks so much. I knew I had heard that drug B4. I guess I need a break.
Subject: Thanks so much. I knew I had heard that drug B4. I guess I need a break.
I was in such a state to find Platonix did not even realize that it was Protonix.
Thanks again
Me too! All it took was a short caffeine break and the hint you gave with the T10. nm
Subject: Me too! All it took was a short caffeine break and the hint you gave with the T10. nm
nm
The tachycardia did break; although, frequent s/l echopy was persistent. TIA
Subject: The tachycardia did break; although, frequent s/l echopy was persistent. TIA
All other systems are reviewed and are negative
Subject: All other systems are reviewed and are negative
okay i need help. is he saying....."all other systems are reviewed and are negative" or "all of the systems are reviewed and are negative"???????? it is under the heading, REVIEW OF SYSTEMS.
Cute! Glad you had a good laugh to break up your shift! :) nm
Subject: Cute! Glad you had a good laugh to break up your shift! :) nm
s
Lyse means to break up, to disintegrate, to effect lysis.
Subject: Lyse means to break up, to disintegrate, to effect lysis.
I've heard of lysis of adhesions many times.
Please look at my extremity exam ...
Subject: Please look at my extremity exam ...
This is what I am hearing. Does this make sense/look correct? This MD likes to make every word short and sweet.... but I get so confused where to put it all. Thank you.
EXTREMITIES: There is edema of the right ankle at the site of fracture times two. Trace to 1+ on the left, significantly diminished pulses equal 0-1 DP and PT lower extremities bilaterally. Normal upper.
CT Lower extremity
Subject: CT Lower extremity
Degenerative joint disease of the right [hellocele] sesamoid articulation is noted. Thanks for the help.
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