ALWAYS flag something like this. It's part of our job as MTs to be alert to these things. nm
Posted By: Lifer on 2007-01-03
In Reply to: Would you flag this?? I have a doctor - Help!!
Subject: ALWAYS flag something like this. It's part of our job as MTs to be alert to these things. nm
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different things..in this scenario I'd flag if you can't tell.
Subject: different things..in this scenario I'd flag if you can't tell.
Pressor support is the use of adrenaline-like medications to maintain the blood pressure and cardiac output above a certain level. Usually used in patients who might otherwise have too low blood pressure or go into shock.
Pressure support is the ventilator.
alert and oriented? alert and in fine? something? nm
Subject: alert and oriented? alert and in fine? something? nm
alert?
Subject: alert?
ALERT AND ORIENTED x 3
Subject: ALERT AND ORIENTED x 3
YES!
That's the one! Thanks so much! I'm rather new, and some of these doctors...I wonder if they're even speaking English.
Thanks for all the help!
might be saying A&O X3 (alert and oriented) X3. nm
Subject: might be saying A&O X3 (alert and oriented) X3. nm
Alert and oriented x1-1/2? or 1.5?
Subject: Alert and oriented x1-1/2? or 1.5?
alert and oriented x3
Provider dictates alert and oriented to time, place, and person but transcribed as alert and oriented x3. I think should be typed as dictated but would appreciate your opinion. Thanks. QA person
alert and oriented. nm
Subject: alert and oriented. nm
nm
alert and oriented X3? nm
Subject: alert and oriented X3? nm
how about alert and in no acute distress or some variation of this?
Subject: how about alert and in no acute distress or some variation of this?
hang in there - you'll get the new doctor's "habits" down.
attentive and alert? pleasant and cooperative? nm
Subject: attentive and alert? pleasant and cooperative? nm
on exam, pt appears alert and s/l "infantating" (end of sentence)
Subject: on exam, pt appears alert and s/l "infantating" (end of sentence)
Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm
Subject: Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm
s
2-part, 3-part, or 4-part possibly - nm
Subject: 2-part, 3-part, or 4-part possibly - nm
MedAlert bracelet or Med Alert bracelet?
Subject: MedAlert bracelet or Med Alert bracelet?
Anyone know whether this is 1 word or 2. TIA.
Can't do that, as these things are sm
Subject: Can't do that, as these things are sm
not in my old books but this MedCompare site has trademarked links etc.
http://www.medcompare.com/news.asp?newsid=121708
things it might be
Subject: things it might be
PROCEDURE: Medial branch block of the L4-5 and L5-S1 facets on the right under fluoroscopic guidance. Might just be saying that is the scheduled procedure.
(ob-suse) might have started saying operating suite?
And probably should be prone position.
Could be two things, sm.
Subject: Could be two things, sm.
If the doc is excising the area, they will say "wide local excision" or "wide excision" for short. If talking about a scar, sometimes the scar becomes wider with time so it would be "widened incision."
I think they are two different things
Subject: I think they are two different things
MU would be milliunits which is, I believe, one thousandth of a unit. This is millions of units. I think??
Things to try:
Subject: Things to try:
googling "unison antibiotic" or "unison medication," or
doing a search in Stedman's for "un*s*n"
or using WebMD
http://www.webmd.com/drugs/index-drugs.aspx
-- when I put the letters "un" into the search box, the 3rd item is "Unasyn IV.
I use the 'd for things like that OR you can
Subject: I use the 'd for things like that OR you can
say the patient was brought by air-vac to XXX or something to that effect.
Might be several things. sm
Subject: Might be several things. sm
"but as per patient these were thought to be stable? or benign?
"but according to the patient =======
It can mean other things too...sm
Subject: It can mean other things too...sm
Here is a link to check out:
http://www.fairview.org/healthlibrary/content/ca_hemodyna_car.htm
There are many reasons why hemodynamics are affected. It is not just limited to blood pressure, but that is one of the top answers and a very good answer. 
2 things...
Subject: 2 things...
is there a such thing as "S and wave changes"
also, s/l "pre-lectrical-thiket function is normal". These are from a stress test which is stressing me out!
thank you - another one of those things that's
Subject: thank you - another one of those things that's
difficult to verify on the web, ya know!
Sorry, but things have changed...
Subject: Sorry, but things have changed...
Just as people and the world have evolved, so has English. 'Were' would now be considered correct.
I do realize it's not the grammar rule we were taught back in our school days.
bye.
Think that one is bad? my md dictates things like this...sm
Subject: Think that one is bad? my md dictates things like this...sm
I used a small, tiny, little Q-tip .... and he doesn't want me to change it. Bizarre!!!
Could be many things...need more info
Subject: Could be many things...need more info
/
yup...stays...things we have to know in this job :) sm
Subject: yup...stays...things we have to know in this job :) sm
here's a link that explains
http://www.corsetsandcrinolines.com/tidbits.php?index=10
things are changing sm
Subject: things are changing sm
for whose benefit? So the AAMT can profit from more book sales. 15 year MT here--never have and never will buy into AAMT.
Lots of things it could be, unfortunately. Why do you think
Subject: Lots of things it could be, unfortunately. Why do you think
s
I use OneLook for looking things up.
Subject: I use OneLook for looking things up.
chorioamnionitis (cho·rio·am·ni·o·ni·tis) (kor”e-o-am”ne-o-ni´tis) inflammation of the chorion and amnion.
Numbers for most things now, but it's still up to what
Subject: Numbers for most things now, but it's still up to what
s
ok, thanks i am hearing things again.
Subject: ok, thanks i am hearing things again.
a couple of things......SM
Subject: a couple of things......SM
Jehovah's Witness
myoclonic gammopathy? not myoclinic
possibly *gammopathy*
*h* in Jehovah's Witness
There's a whole host of things it is used for (sm)
Subject: There's a whole host of things it is used for (sm)
Drug Name Therapeutic Category
Amantadine HCl 100mg; tabs. Central Nervous System > Parkinsonism
Amantadine HCl 100mg; tabs. Infections & Infestations > Amantadine HCl 50mg/5mL; raspberry flavor. Central Nervous System > Parkinsonism
Amantadine HCl 50mg/5mL; raspberry flavor. Infections & Infestations > Viral infections, Hyperacidity, GERD, and ulcers.
We use 'd on lots of things they say.
Subject: We use 'd on lots of things they say.
x
Chest x-ray, 2 things
Subject: Chest x-ray, 2 things
I am hearing what sounds like "tracheous midline", and the next sentence says sounds like "cardiacs are wet". Can't find any of these. Any clues?
Here are a few things they say. Vibration? sm
Subject: Here are a few things they say. Vibration? sm
Mental status: Alert and oriented x 3; speech, naming, and recall intact ... Sensation: pinprick and vibration intact throughout.
Sensory examination is intact to vibration, position, light touch, pinprick, and temperature.
I found two different things
Subject: I found two different things
it could be.
1. TLC (Therapeutic Lifestyle Changes). It's a diet, found it at this website: http://www.americanheart.org/presenter.jhtml?identifier=4764
2. The thing I found said TLC stood for total lung capacity.
Allergies among other things
Subject: Allergies among other things
When I started in transcription there was a saying my boss would always quote and that was WHEN IN DOUBT, LEAVE IT OUT. It's better to put a blank and have QA figure it out or even have the doctor fix it instead of putting the wrong information.
Hmm, some docs say strange things
Subject: Hmm, some docs say strange things
new paragraph, new line, etc. Does dictator say that word you are hearing between paragraphs or headings?
i think y'all should google things first...sm
Subject: i think y'all should google things first...sm
it came up in google in a split second.....I think y'all should make an effort first, i.e., googling things, before leaning on mtstars for all your answers.....
jes' sayin' 
well,if it means several things, you have a chance of
Subject: well,if it means several things, you have a chance of
Per BOS, it is acceptable to use standard abbreviations in body text (like I&D'd) but not in diagnosis, impression, plan, recommendation, operative header, etc.
These two things you mentioned are not procedures or sm
Subject: These two things you mentioned are not procedures or sm
operations themselves.
Could be, as it is prescribed for a whole host of things, other than indicated in PDR, such as
Subject: Could be, as it is prescribed for a whole host of things, other than indicated in PDR, such as
depression and chronic pain. Could have been prescribed for the GI-distress as mentioned in the dictation.
I just tried googling all sorts of things....sm
Subject: I just tried googling all sorts of things....sm
but, unfortunately, I came up with nothing - sorry, I tried.......someone else perhaps?
Yes! Those two things drive me crazy!
Subject: Yes! Those two things drive me crazy!
It always used to be tendonitis, now the change.
And you say extend/extension so why not distend/distension?
When I first started transcribing again after a hiatus of about 15 years, I had to put "distension" in my AutoCorrect so that it would automatically change it to "distention" until I could get used to it.
Sorry for those extra things !! s/l "true"
Subject: Sorry for those extra things !! s/l "true"
x
No info to tell, just a consult of many things
Subject: No info to tell, just a consult of many things
Depends on a couple of things
Subject: Depends on a couple of things
The first point would be the hospital's desires. They may or may not want abbreviations spelled out in a report. Also, usually if it's in a diagnosis somewhere, it almost always has to be spelled out, as most hospitals abide by the joint commission rule of no abbreviations. In a regular physical exam somewhere in the text of the report, most hospitals, clinics, etc., seem to want whatever abbreviations the doc may use, so in that case you would just leave it as it is (although this may differ in correspondence as some places prefer a more formal policy of no abbreviations in letters, so check account specifics).
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