Docs often read off patients' handwritten sm
Posted By: nm on 2006-06-22
In Reply to: Restless leg syndrome medication - IndianaMT
Subject: Docs often read off patients' handwritten sm
drug lists, saw this spelling and probably assumed it was something new. My vote is for Mirapex, but you can flag it to cover yourself.
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That could be. I know that some docs make patients sign care contracts. sm
Subject: That could be. I know that some docs make patients sign care contracts. sm
Compliance promise could very well be. Perhaps the patient had been noncompliant with his CPAP and the doc threatened him with something like being hospitalize, dying, etc.
A lot of PCPs make their drug-seeking patients sign what is called a Care Plan. It takes care of the "frequent flyers" to different docs and ED's. They are tailored to each patient. Perhaps Jane Doe can only get 4 pain shots a month. If she uses them all up in a week, then too bad, so sad. She will just have to tough it out. They are on file with all the hospitls here in case the frequent flying drug-seekers trh to hit different emergency departments, etc.
How about a full sentence? Docs do give patients a "holiday" off a drug to check for other
Subject: How about a full sentence? Docs do give patients a "holiday" off a drug to check for other
s
I have a handwritten BENGAL note in my sm
Subject: I have a handwritten BENGAL note in my sm
Stedman' under "cage." I must have verified it with Google. Just capitalize the B.
overread vs over-read vs over read
Subject: overread vs over-read vs over read
OneLook has a disclaimer for the definition of the word overread that says: This definition is from the 1913 Webster's Dictionary and may be outdated. Some of the links listed on OneLook give the definition, some say the word does not exist, another gives the definition and then says (not used). There are references online for over-read, overread, and over read. I think over-read with a hyphen is a nice compromise. It's situations like this that make me dazed and confused!
Maybe CoQ10? Sometimes taken by heart patients. nm
Subject: Maybe CoQ10? Sometimes taken by heart patients. nm
s
I found one paragraph re patients ...sm
Subject: I found one paragraph re patients ...sm
not sure but I found one paragraph thru google about dacron wool........being used on a patient:
Once cooling to -79 C was complete the patient was lifted out of the Silcool bath, the outer, Silcool wetted plastic bag was stripped off and the patient was placed within a polyester cloth bag which was in turn placed inside a standard aluminum neurocan which had been precooled to -90 and packed with dacron
wool. Temperature probes were left externalized to the neurocan for subsequent cooling to -196 C.
I don't really think this is going to help you though but I tried!! 
CD4 count for HIV patients and AIDS...
Subject: CD4 count for HIV patients and AIDS...
x
Experimental drug for MS patients sm
Subject: Experimental drug for MS patients sm
Has anyone heard of an experimental drug called "Revamune" (or s/l it) for MS patient's? It may be through Project Restore through Hopkins???
apparently patients sometimes refer to it as H1c. sm
Subject: apparently patients sometimes refer to it as H1c. sm
Try googling H1c, lots of hits from (apparently) patients. Also, wondered if slurring could make "an A1c" sound like your HUNC ? Also found at least one reference to histoplasmosis marker of H1C.
for cancer patients??? don't do oncology sorry
Subject: for cancer patients??? don't do oncology sorry
long shot here but patients are Medi-Vac'd.....???
Subject: long shot here but patients are Medi-Vac'd.....???
Pain scale in leukemia patients
Subject: Pain scale in leukemia patients
Hi,
Is there a pain scale that is commonly referred to for leukemia patients? I'm doing a clinic note on a patient, and in the PE section, I hear something that sounds like ecot 0 (zero). The first thing that pops into my head is Ficat, but I don't think that's what it would be. I often hear doctors mention the pain scale rating right along with the vital signs, and that's where this is dictated. I'm googling and researching this, but I'm not even sure where to look. Any suggestions?
It's definitely rigid and it is a very unpleasant procedure for most patients, despite...
Subject: It's definitely rigid and it is a very unpleasant procedure for most patients, despite...
a local anesthetic.
FAST scan in trauma patients
Subject: FAST scan in trauma patients
Focused Assessment with Sonography for Trauma (FAST) is a limited ultrasound examination directed solely at identifying the presence of free intraperitoneal or pericardial fluid. In the context of traumatic injury, free fluid is usually due to haemorrhage and contributes to the assessment of the circulation.
it would be brownie taste, most oftenly used with chemo patients. nm
Subject: it would be brownie taste, most oftenly used with chemo patients. nm
Kind of 'panel' tests for COPD patients...sm
Subject: Kind of 'panel' tests for COPD patients...sm
Strange Doc is FLYIN thru her tests for COPD patient....' CBC, fasting renal panel, lipid panel, ___ panel (maybe titer but not sure if that applies?) I get the impression its a common 'panel' test. If I didn't know any better I'd say she was saying Italian panel:) Any ideas? Its late and I can't come up with it.
Toradol is a pain medication for cancer patients.
Subject: Toradol is a pain medication for cancer patients.
Not sure if this is what you're looking for. Does it have a dosage?
Patients with non-bulky follicular non-Hodgkin's lymphoma.
Subject: Patients with non-bulky follicular non-Hodgkin's lymphoma.
Also, any mention of his "dentition", many times a cause in elderly patients?? NM
Subject: Also, any mention of his "dentition", many times a cause in elderly patients?? NM
nm
Doses of Megace are given that high to cancer patients and others with cachexia. nm
Subject: Doses of Megace are given that high to cancer patients and others with cachexia. nm
s
Would use telemetry. Cardiac patients often go there before hitting the regular floors. nm
Subject: Would use telemetry. Cardiac patients often go there before hitting the regular floors. nm
s
Lovaza is used for treating patients who have very high triglyceride levels.
Subject: Lovaza is used for treating patients who have very high triglyceride levels.
Topiramate is used with other medications to treat certain types of seizures in patients with epilep
Subject: Topiramate is used with other medications to treat certain types of seizures in patients with epilep
patients with epilepsy.
Might be Cinacalcet is used for: Treating an overactive parathyroid in dialysis patients with chroni
Subject: Might be Cinacalcet is used for: Treating an overactive parathyroid in dialysis patients with chronic kidney ?
Geodon is used for treating acute agitation in patients with schizophrenia who require an injectable
Subject: Geodon is used for treating acute agitation in patients with schizophrenia who require an injectable medicine.
Sensipar is used for treating an overactive parathyroid in dialysis patients with chronic kidney dis
Subject: Sensipar is used for treating an overactive parathyroid in dialysis patients with chronic kidney disease.
Vivonex: Enteral nutrition formulas are used as nutritional replacements for patients who are unable
Subject: Vivonex: Enteral nutrition formulas are used as nutritional replacements for patients who are unable to get enough nutrients in their diet
Found this = Boston Brace or warm-n-form orthosis treatment, patients are able to ...
Subject: Found this = Boston Brace or warm-n-form orthosis treatment, patients are able to ...
x
"pan-allergic" can be used to describe patients who simply cannot tolerate virtually any meds
Subject: "pan-allergic" can be used to describe patients who simply cannot tolerate virtually any meds
Agrylin is used for treating patients with high blood platelet levels (thrombocythemia) due to bone
Subject: Agrylin is used for treating patients with high blood platelet levels (thrombocythemia) due to bone marrow problems???
Brief Neuropsychological Cognitive Examination (BNCE) ... evaluate the cognitive status of patients
Subject: Brief Neuropsychological Cognitive Examination (BNCE) ... evaluate the cognitive status of patients with psychiatric disorders or psychiatric manifestations ...
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.
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