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Can you change your backup speed?

Posted By: nn on 2009-02-14
In Reply to: tech machine failure help please-see more - cb

Subject: Can you change your backup speed?




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Here's a backup for my argument ;-)
Subject: Here's a backup for my argument ;-)

I found this on site for patents for heart valves: http://www.freepatentsonline.com/6797002.html


"If extending substantially in the same plane, the post prevents outward bellowing of the valve leaflets, while if extending substantially out of the plane, the post simply functions to connect and modify the shape of opposite sides of the annulus."


 


thanks - just wanted some backup.
Subject: thanks - just wanted some backup.


Are you sure you have reset the backup? sm
Subject: Are you sure you have reset the backup? sm

I would take the tape out, shut down the transcriber, set it as low as possible and try again, you may have it set wrong. I never used the backup at all. If you have to, why not purchase a Sanyo instead of a Sony as they're cheaper, can pick one up locally and there won't be tapes much longer anyway, I assume. It must be very annoying. I have had to do this at a local office supply (Staples for us) either late at night or early in the a.m., and chose a cheaper brand than Sony, ? Olympus, Sanyo, etc. Sometimes you can't wait, been there. Check out Martel on the web, used to ship overnight. Good luck. Some docs still use tapes, I know, you just have to go along to get along.
backup level of pain
Subject: backup level of pain

She describes her (s/l backup) level of pain as roughly 4/10, but it can rise a bit higher with overhead work use.

I don't really think backup works here. The doctor says it really fast.

Do you have any suggestions of what it could be instead?
Thanks for the backup ~ greatly appreciated!
Subject: Thanks for the backup ~ greatly appreciated!


s/l bedical backup.... doesnt sound like medical
Subject: s/l bedical backup.... doesnt sound like medical

This is a letter concerning your June 21, 2006 correspondence in which you alleged that I tried to admit a patient without a proper **bedical** backup.


 


I performed surgery on a patient who is 307 pounds who is being treated at Medical University for a variety of medical problems.  She was completely cleared by Medical University for surgery.  I made a decision at that time to have her for 23-hour observation and pain control until the next morning.


Thanks for you backup. Not ESL and actually great dictator. Just missing this one I guess. THx!
Subject: Thanks for you backup. Not ESL and actually great dictator. Just missing this one I guess. THx!


If it speed up it more
Subject: If it speed up it more

it almost sounds like posterior (something) wall. I give up. Thanks though
That's it... He's just a speed talker :-)
Subject: That's it... He's just a speed talker :-)

x
Thanks, I need all the speed and resources I can get
Subject: Thanks, I need all the speed and resources I can get


using a high speed bur and s/l Loxel?
Subject: using a high speed bur and s/l Loxel?


Yergason, Speed tests
Subject: Yergason, Speed tests


Nevermind, got it. She was speed talking saying "GA". What a day! nm
Subject: Nevermind, got it. She was speed talking saying "GA". What a day! nm

.
Probably saying the oral mucosa at the speed of light. nm
Subject: Probably saying the oral mucosa at the speed of light. nm


high speed bone cutter?
Subject: high speed bone cutter?


Cytomel (?). A synthetic T3 hormone to speed up metabolism.
Subject: Cytomel (?). A synthetic T3 hormone to speed up metabolism.


i agree. you have to listen to the dictator for a bit of tme and then speed him up... it takes the
Subject: i agree. you have to listen to the dictator for a bit of tme and then speed him up... it takes the

nm
The high-speed drill was then used to make a burr hole SM
Subject: The high-speed drill was then used to make a burr hole SM

on the left frontotemporal area, and then carefully resecting the midline, a craniotomy flap was turned all around the mapped tumor area using intraoperative neuronavigation again. A subdural "clock" was noted and evacuated.

To quaff applies to beverages - a drink taken with great gusto and speed. Not
Subject: To quaff applies to beverages - a drink taken with great gusto and speed. Not

s
nerve conduction study shows s/l speed ? reduction to 1/3 of normal.
Subject: nerve conduction study shows s/l speed ? reduction to 1/3 of normal.


s/l Bez or all in change
Subject: s/l Bez or all in change

shows the patient in sinus mechanism 66 beats per minute, normal intervals, normal axis.  Voltage criteria for LVH and s/l Bezoiorall is change in comparison to prior EKG dated
Thanks so much to both of you. I will change to 6, 90, and -1. nm
Subject: Thanks so much to both of you. I will change to 6, 90, and -1. nm


I change that to:
Subject: I change that to:

I change elicitable (which to my knowledge has never been a "real word" to "able to be elicited."  My doctor dictator thanked me for this once (I was suprised that he noticed).  I checked this out with several transcripitionists that I have worked with who have lots of experience and are CMTs and they also edit this word to "able to be elicited." 
I'm not CMT and I change that the same way...nm
Subject: I'm not CMT and I change that the same way...nm

      
cc to mL - do you change cc to mL
Subject: cc to mL - do you change cc to mL

according to AAMT or do you type cc


Thanks


 


Would you change this...

Would you change CT head to say head CT? The doctor says CT head.


 


Thanx


VR change
Subject: VR change

He should point it out to his supervisor because it is wrong. I don't care what QA says unless they can show me a resource where they got their information and it checks out. I would also point out to the client this fact. If they don't want to have their transcription correct and concise then I don't want their work. Right is right, wrong is wrong. I am really strong on this especially since the "new AAMT" has made all their "changes" and believe their BOS is the bible. It is not. Many of their "rules" are correct. Many of the are not. Research some of their changes and you will see just how over the top they have gone (it seems to be a control issue and they WILL cram it down your throat). I say that we all research on our own and go to reliable trusted sources that have been proven over time to be correct. The "New AAMT" definitely has not proven itself over time and incidentally they are not there for Americans anymore, they are there for the "overseas community." Humbug on them! Anyone know who could take the place of AAMT for American transcriptionits? After all, we are all Americans here and the language is English.
I would change it to this
Subject: I would change it to this

patients blood pressure readings at home daily have been 90 percent plus.  Would leave as is or change........looks wrong. 


Patient's daily at home blood pressure readings have been 90%+. 


they can change...
Subject: they can change...

depends on what the MD hears on auscultation; that being said, it usually is 3/6, 2-3/6...etc... six is the prime as there are standard 6 heart sounds and the first number being how many of the 6 they hear.
When did p.r.n. change to p.R.n. and why?
Subject: When did p.r.n. change to p.R.n. and why?

nm
I would change it to (sm)
Subject: I would change it to (sm)

CPKs as it appears these labs were done multiple times if they are dictating MBs. I hope I'm making sense.

I'd put, CPKs were high but his MBs were normal.
I would change it to
Subject: I would change it to

Mrs. Smith is a patient on whom I performed rhinoplasty. but that is just me.
Just like you have it, why change anything?
Subject: Just like you have it, why change anything?

x
I always change that to *in regard*..sm
Subject: I always change that to *in regard*..sm

as for toward/towards, afterward/afterwards......both are acceptable as you said per the dictionary......so it depends on the MD I'm working for...I have one that is a stickler so I give him afterwards and towards as he says them.
Exactly, that is why I don't understand, QA does the same with H&H, they change it H and H. Nm
Subject: Exactly, that is why I don't understand, QA does the same with H&H, they change it H and H. Nm

x
...or 'otherwise no overall change"..??? nm
Subject: ...or 'otherwise no overall change"..??? nm

s
I would change it to ൜ mEq K/L" sm
Subject: I would change it to ൜ mEq K/L" sm

The dictator is "slanging" the order. Since what they're ordering is K (potassium) and that is measured in mEq, and since it has a unit of measurement (mEq), then the "/liter" needs to be abbreviated to /L... imho (wouldn't it be nice if they dictated PROPER medication orders?) :)
I'd change to "mg," as well, but (sm)
Subject: I'd change to "mg," as well, but (sm)

the manufacturer's site would seem to indicate it should be hyphenated, as you originally had it.
http://www.jnj.com/index.jsp?content=product/brands/NEUTRA_PHOS.htm
"Prior" change? nm
Subject: "Prior" change? nm

m
yes, but change it to "are"
Subject: yes, but change it to "are"

nm
it looks weird to me too...I always change it to...
Subject: it looks weird to me too...I always change it to...

it's not necessarily correct - but I think about pussy cats and so the *eye is crusty and has pus* is what I'd put. 
Would you change this sentence?
Subject: Would you change this sentence?

His eye contact was intermittent; most of the time his gaze was fixed on whatever toy he was playing with. 


...most of the time his gaze was fixed on whatever toy with which he was playing?


Not a verbatim account.


TIA


No, I wouldn't change it because
Subject: No, I wouldn't change it because

it is a myth that there is a problem with that sentence structure.
Do I change it when he dictates cc? nm
Subject: Do I change it when he dictates cc? nm

!
I would change it since account not
Subject: I would change it since account not

verbatim. LOL "hook up with"

Doctors are so funny.

If you are safe to change it, do it.
Subject: If you are safe to change it, do it.

nm
Personally, I'd change it to, I was able to
Subject: Personally, I'd change it to, I was able to

get in touch with the patient's daughter, as I am my own QA. My doc lets me spritz up his letters all the time.
unless you change sentence
Subject: unless you change sentence

I'd leave it because he obviously means that patient had no precipitating symptoms of the chest pain, etc.
see messge - I would change to
Subject: see messge - I would change to

arthroscopy of lateral retinaculum.
I usually change this to bear weight
Subject: I usually change this to bear weight


I think your safe to change this one. Verbatim SM
Subject: I think your safe to change this one. Verbatim SM

is not always possible, especially with ESLs. Wouldn't think doc would mind if you made it more understandable and it doesn't change the meaning.