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ABduction or abduction of the vocal cords?

Posted By: Michele on 2009-06-28
In Reply to:

Subject: ABduction or abduction of the vocal cords?

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?abduction" nm
Subject: ?abduction" nm


abduction
Subject: abduction

The dictator is just giving you help that it's "abduction" rather than"adduction." They just give you the first two letters to help differentiate.
as in flexor abduction?
Subject: as in flexor abduction?

I know that's the opposite but if the finger is messed up...
abduction vs adduction
Subject: abduction vs adduction

I will try to make this question make sense -

When a doctor dictates A-B-duction or A-D-duction, is he supposed to say 3 letters on one or the other? i.e. ABD-duction or ADD-duction? I'm just wondering if there is a rule that they go by that will help me to better know which one they are trying to say when they are not too clear.
Word help (abduction)
Subject: Word help (abduction)

To the best of my knowledge it would be "abduction" but there are so many client specifics these days that I hesitate to give advice.


While I'm about it, I hesitate to give word help on this board because my rules are: 


1)  Never ever guess.  If in doubt leave a blank.  More preferable would be that there is soemone you can call who can listen to the actual dictation.  If I could hear the actual dictation I could likely tell you what the words are but I won't guess and guessing is what most of the word help requests would be, even though I could usually "guess" at the answer.  That is not appropriate for anyone to do.


2)  Lacking anyone to call, my best advice would be to leave a blank and send to whatever editor department your company has.  Ask them for feedback but don't be surprised if you don't get it.


3)  Make a note of the word request as you post here and when your day's work is done, do some research.  A good rule of thumb, if you don't find the word in 5 minutes, you aren't likely to find it.  Maybe your own physician or his nurse would be willing to help you.  Use your dictionary and all your hard word books, research the internet and then learn what the term/word/sentence actually means and you won't soon forget that way.  I always maintained a "help" relationship with a pharmacist that I could call for new meds.  Always had one willing to take the time to look in his "book" and find the med.  Pharmacists have THE latest medication names, uses and dosages...they have to.


Don't despair, one day you will know the terms just by being able to get a sound because you will know what the word is because you will understand how it fits or doesn't fit in the dictated sentence.  In the meantime never ever guess and don't let anyone guess for you.  I promise you'll always guess wrong.


I've always told my students that they should expect to take 5 years before MT-ing finally clicks.  Count on it, about the 5 year mark it will suddenly all click and you'll take off like a kite.  That is provided you continue to learn and learning is really a self-study thing.


limited IN opposition and abduction nm
Subject: limited IN opposition and abduction nm

x
some docs say ABduction and ADduction
Subject: some docs say ABduction and ADduction

In my dictation, they will dictate A B -duction and A D -duction to separate the words because abduction and adduction sounds so much alike.  Just been my experience.  I have never posted a reply, but thought I could offer some advice on this one.  Hope it helps. 
vocal cords...
Subject: vocal cords...

"presbycularynx"????  No clue!
Sounds good to me. Thumbs-down abduction it is
Subject: Sounds good to me. Thumbs-down abduction it is


you are right, it does read better that way...but either way no comma needed after abduction nm
Subject: you are right, it does read better that way...but either way no comma needed after abduction nm


Dictator is just clarifying the word...abduction with a "b" and adduction with a "d". nm
Subject: Dictator is just clarifying the word...abduction with a "b" and adduction with a "d". nm


No, just the 2 letters to give you some direction. ABduction or ADduction.
Subject: No, just the 2 letters to give you some direction. ABduction or ADduction.

s
s/l ill-fill hip abduction brace? more info inside
Subject: s/l ill-fill hip abduction brace? more info inside

Toddler with bilateral acetabular dysplasia.  Doc prescribes s/l ill-fill (L-field?) hip abduction brace.  TYIA! 
FABER (flexion, abduction, external rotation)? NM
Subject: FABER (flexion, abduction, external rotation)? NM

x
FABER stands for Flexion, Abduction, and External Rotation of the hip.
Subject: FABER stands for Flexion, Abduction, and External Rotation of the hip.


FABERE (Flexion, ABduction, External Rotation, and Extension)
Subject: FABERE (Flexion, ABduction, External Rotation, and Extension)


abduction? adduction? apprehension? Google signs + shoulder testing. nm
Subject: abduction? adduction? apprehension? Google signs + shoulder testing. nm

s
s/l vocal lifshere
Subject: s/l vocal lifshere

He says no vocal s/l lifsheres are seen.
cords NM
Subject: cords NM

`
I think it is cords.
Subject: I think it is cords.


That's right ... cords
Subject: That's right ... cords

The patient has no cords (like in palpable varicose veins), clubbing, cyanosis or edema in the lower extremities.
cords
Subject: cords

dictates what sounds like "without tramping cords" 


I know it's cords, but could it be cramping?  It really sounds like tramping but that doesn't make sense to me. 


Thanks so much. :)


cords
Subject: cords

where are you in the body?
true vocal cord(s)...................sm
Subject: true vocal cord(s)...................sm

I'm teaching more manners - hoping you say THANK you to all who help you on this board.......
Vocal cord nodules
Subject: Vocal cord nodules

The doctor says that the patient has vocal cord nodules secondary to vocal "apuse".  I am sure this should be "abuse" but the doctor is very easy to understand, and I know I hear a "P" sound.  Is there such a thing?
vocal physical complaints?
Subject: vocal physical complaints?

He denies any __________ s/l vocal physical complaints except for some fatigue.


The pt has only complained about stress in life and having trouble sleeping. It sounds like vocal or local.


sorry, true vocal cord
Subject: sorry, true vocal cord


I agree with cords.
Subject: I agree with cords.


can you hear cords? nm
Subject: can you hear cords? nm

x
Cords is correct. nm
Subject: Cords is correct. nm


they always say no palpable cords
Subject: they always say no palpable cords

i've always just assumed it meant something like strands... like a tendon in the leg.
cords is correct. sm
Subject: cords is correct. sm


1. In anatomy, any long ropelike structure. A small, cordlike structure composed of several to many longitudinally oriented fibers, vessels, ducts, or combinations thereof. 


True vocal cord lesion.
Subject: True vocal cord lesion.

I Googled the other spelling to, just for giggles, and all the hits came from this board with the ol' "S/L" (meaning sounds like).  Plus, the trusty Stedman's spellchecker rejected truvocal.
Vocal cord medialization with s/l symetra?
Subject: Vocal cord medialization with s/l symetra?

!
Extremities PE No chords or cords
Subject: Extremities PE No chords or cords


Agree with cords - as in Dupuytren's - nm
Subject: Agree with cords - as in Dupuytren's - nm

nm
Radiesse...for vocal cord paralysis and wrinkles! :) nm
Subject: Radiesse...for vocal cord paralysis and wrinkles! :) nm

s
is vocal breathing a fancy term for snoring?
Subject: is vocal breathing a fancy term for snoring?


vocal cord edema and small posterior
Subject: vocal cord edema and small posterior

s/l inter-retinoid?? scarring
Zeitels vocal fold infusion needle
Subject: Zeitels vocal fold infusion needle


passe muir valve to help with vocal cord?
Subject: passe muir valve to help with vocal cord?


Doc says " No edema. No evidence of s/l cords. What is meant by that? TIA!!!
Subject: Doc says " No edema. No evidence of s/l cords. What is meant by that? TIA!!!


s/l left *truvocal or true vocal* cord lesion... sm
Subject: s/l left *truvocal or true vocal* cord lesion... sm

I've found reference on google for both truvocal cord and true vocal cord.  Which is correct?


possibly palpable cords as in Dupuytren's contractures
Subject: possibly palpable cords as in Dupuytren's contractures


Sometines hear calf tenderness, swelling, cords. nm
Subject: Sometines hear calf tenderness, swelling, cords. nm


ENT polyp removal surgery from vocal fold. sm for sentence pls. s/l formal surgical fashion.
Subject: ENT polyp removal surgery from vocal fold. sm for sentence pls. s/l formal surgical fashion.

Using formal surgical technique, complete excision of this lesion was performed while taking care to protect as much normal epithelium and underlying superficial lamina propria as possible


The FORMAL could also sound a little bit like funnel or fur-nel??  I don't think formal is right, but not sure what I am hearing. 


There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache
Subject: There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache


ortho - palpation of lower ext. shows tight heel cords demonstrated by 'silver shield' test sm
Subject: ortho - palpation of lower ext. shows tight heel cords demonstrated by 'silver shield' test sm

Can anyone verify?  If so, one word or two words?  Can't find on google, Dorlands, or my ortho/neuro book.


TIA


cores might be cords, holmes may be Homans (as in Homans sign), moses may be masses? sm
Subject: cores might be cords, holmes may be Homans (as in Homans sign), moses may be masses? sm

x
Maybe it is TVC polyp. True vocal dord polyp.
Subject: Maybe it is TVC polyp. True vocal dord polyp.


or calf tenderness? cords or tenderness? nm
Subject: or calf tenderness? cords or tenderness? nm

s