Careful. It could be a 3-liter IV bag. Some of my docs use them to...sm
Posted By: oldtimer on 2007-11-07
In Reply to: Ankle ORIF: A s/l three liter bump was placed. - Orthopedic positioning NM
Subject: Careful. It could be a 3-liter IV bag. Some of my docs use them to...sm
help position the patient.
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given a liter and a half of fluid.
Subject: given a liter and a half of fluid.
given a liter and a half of fluid.
Maybe half a liter? (Though that is a low dose)
Subject: Maybe half a liter? (Though that is a low dose)
Make sense - "A 2-liter ABG..."?
Subject: Make sense - "A 2-liter ABG..."?
I have never heard of it worded like this and this doc is mumbling so badly I'm not sure this is what she is saying. Does it make sense?
Ankle ORIF: A s/l three liter bump was placed.
Subject: Ankle ORIF: A s/l three liter bump was placed.
thanks
White blood count s/l 6.2 x 10 to 9 per liter
Subject: White blood count s/l 6.2 x 10 to 9 per liter
s/l Lithium level was elevated at 1.3 millimers per liter
Subject: s/l Lithium level was elevated at 1.3 millimers per liter
thanks
normal saline with 20 k/liter over approximately a 2-3 hour period.
Subject: normal saline with 20 k/liter over approximately a 2-3 hour period.
normal saline with 20 k/liter over approximately a 2-3 hour period.
careful?
Subject: careful?
Careful, it could be either one. - nm
Subject: Careful, it could be either one. - nm
4 liter high humidity nasal canula with present requirements 21 to 22%, _________
Subject: 4 liter high humidity nasal canula with present requirements 21 to 22%, _________
baby on high humidity oxygen.
s/l pos _______ of 94 to 95%.
gotta be careful with google
Subject: gotta be careful with google
nm
I would be careful there. My account specs are different. nm
Subject: I would be careful there. My account specs are different. nm
x
I counted no less than 43 errors in that project. Be careful using it. nm
Subject: I counted no less than 43 errors in that project. Be careful using it. nm
:
careful now, if it involves skin, it's probably MRSE...
Subject: careful now, if it involves skin, it's probably MRSE...
see my post above regarding the difference 
Probably an adjective, like careful (or as Emeril says "kahful") :-)
Subject: Probably an adjective, like careful (or as Emeril says "kahful") :-)
Not a problem, once again I'm so sorry you misunderstood me and I will be more careful in my resp
Subject: Not a problem, once again I'm so sorry you misunderstood me and I will be more careful in my responses in the future.
TKA is total knee arthroplasty, not amputation! Be careful! nm
Subject: TKA is total knee arthroplasty, not amputation! Be careful! nm
nm
Careful, Jeeves is not a good website for Med term
Subject: Careful, Jeeves is not a good website for Med term
there are very few REALLY RELIABLE medical websites for this, NIH comes to mind, medilexicon, even onelook.com but jeeves? Ask Jeeves? No way......I'd trust google (which I do not) before I'd trust Ask Jeeves.
JMHO.....
could it be careful or gentle? Never heard of anything close to Cavio, et. nm
Subject: could it be careful or gentle? Never heard of anything close to Cavio, et. nm
.
True, but some of the client profiles want cubic centimeters, so be careful.
Subject: True, but some of the client profiles want cubic centimeters, so be careful.
I too love Google but be V_E_R_Y careful w/google
Subject: I too love Google but be V_E_R_Y careful w/google
Google is great for retrieving anything faster than the speed of light *lol* - but if the info comes from a nonverifiable medical website, be very wary. There are a few I trust only...the NIH for one (Nat'l Institute of Health) and the CDC (Center for Disease Control) and a few others out of the government actually.
As for prescription places, I trusted rx.com for far too long, there are many more reliable drug websites out there... medilexicon.com is a great site and to confirm a proper name of a disease or things like that, there is whonamedit.com which, if you write to the site owner, can be added to (I have done some communication with the site owner so this is 100% true).
When I first started using google in MT work about 8 years ago as google is not that old, (got online 12 years ago, been an MT since 1980), I had looked up Spironolactone, and Google gave the spelling to me incorrectly and (who knew it was wrong?!?!??) I used their spelling and I was wrong.
So, only advice is be VERY CAREFUL what YOU CHOOSE to use as far as websites go regarding MT/ME work because in the end you're the one responsible....not google.
gotta be careful w/Google....I love Google
Subject: gotta be careful w/Google....I love Google
Yep, it's okay. Docs say that often. nm
Subject: Yep, it's okay. Docs say that often. nm
x
Thanks...sometimes I think these docs should...
Subject: Thanks...sometimes I think these docs should...
type themselves for once and listen to some of the things they say. I bet they would think twice after that...:-)
Some docs
Subject: Some docs
actually dictate ABGs in this manner. They say a number then slash then another number then slash, etc. That is how they want it transcribed. Just make sure your numbers are correct and you are set to go!
should say *my* docs
Subject: should say *my* docs
like the docs who are always ...
Subject: like the docs who are always ...
... putting "metatarsal" in the hand dictations. Plantar may be technically okay, but it seems like if he were more careful he would say palmar.
Our docs
Subject: Our docs
usually say normocephalic.
I have docs that use it
Subject: I have docs that use it
but my account is not crazy weird picky, either. I haven't heard of it being unacceptable. If it's worth your time, I'd question QA about it and ask her why she changed it.
I have docs
Subject: I have docs
who add extra letters to lots of words, if it make them easier to pronounce. Kind of weird, but it happens.
Docs
Subject: Docs
make up lots of words...they make lots of mistakes (ergo malpractice insurance)...they even misspell lots of words. If we have to deal with their ineptness, they can deal with blanks. JMHO. :-)
With some docs..
Subject: With some docs..
that wouldn't be a stretch at all but a very good guess. :-)
It's not the docs I'm concerned about, or QA, when it comes to my...
Subject: It's not the docs I'm concerned about, or QA, when it comes to my...
work as an MT,
You don't add in mg or mcg, etc. unless it's dictated. The docs know
Subject: You don't add in mg or mcg, etc. unless it's dictated. The docs know
s
that's how my derm docs like it - sm
Subject: that's how my derm docs like it - sm
same with T zone.
ONLY if your QA, account, or docs want it to be so. Not everyone
Subject: ONLY if your QA, account, or docs want it to be so. Not everyone
s
The docs are correct. (nm)
Subject: The docs are correct. (nm)
.
the docs are incorrect
Subject: the docs are incorrect
there must be ownership to use an apostrophe. The word Smith does not show ownership to anything.
If the sentance read Dr. Smith's patient, then yes the apostrophe is used.
that's the section m docs usually put it in.
Subject: that's the section m docs usually put it in.
No, it is not. Docs do not always spell
Subject: No, it is not. Docs do not always spell
x
Some of my docs do list..sm
Subject: Some of my docs do list..sm
each artery's findings separately and I number them along the left under each other. Just use your common sense so you end up with a clear report. Good luck. I remember when I first started doing caths and it wasn't easy.
know how the docs are... making up as they go sm
Subject: know how the docs are... making up as they go sm
They are two separate ligaments but he is probably putting them together.
Most docs say "hypertrophy" when they
Subject: Most docs say "hypertrophy" when they
say it out instead of abbreviating. But, when in doubt, use the abbreviation, even if in diagnosis.
With docs like that, the only way to learn
Subject: With docs like that, the only way to learn
them is to do them repeatedly. When you get your QA feedback, make sure you keep it for further reference. I have been doing this for 25 years and there are still docs I can't understand and/or cringe when I get them. Some of them are totally impossible.
My docs always say "give-way"
Subject: My docs always say "give-way"
x
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm
The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.
But sometimes there's a clue in what's being tested, blood or urine, and/or the diagnosis.
Also, if you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.
If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!
Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm
The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.
Is there a clue in the dx?
If you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.
If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!
Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
I have found that some docs
Subject: I have found that some docs
will use that abbreviation for lymphadenopathy. Just a suggestion.
Lots of docs
Subject: Lots of docs
say patellar crepitus as patellar is referring to the patella. Just another way to say patella crepitus. :-)
The ortho docs
Subject: The ortho docs
I type for will often say a "toggle" of motion, meaning just a tad. :-)
welcome; got it from my docs that dictate it as i never could figure them all out either, lol. nm
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