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Doesn't it make you crazy????

Posted By: Dreamweaver on 2007-04-01
In Reply to: Figured it out! - Duh

Subject: Doesn't it make you crazy????

When a doc spells a word that you know perfectly well how to spell, except their spelling it out confuses you and sends you on a wild goose chase?  AAAARRRRGGGHHHHHH!!!!!!!!!!!! 


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Geez! It's usually that simple too! Doesn't that just drive you crazy?!?!?!
Subject: Geez! It's usually that simple too! Doesn't that just drive you crazy?!?!?!

x
tx - just wanted to make sure I wasn't crazy
Subject: tx - just wanted to make sure I wasn't crazy

Still not sure.
That doesn't make it correct, though. I had sm
Subject: That doesn't make it correct, though. I had sm

a doc say "derbis" for "debris" and another say "aspirational pneumonia" instead of "aspiration pneumonia," but that does not make the docs correct. WE must know the difference which is the reason WE need mentoring for years after going to school and need proper references for our field, not Google.

You listed polynephritis Google references which are incorrect. Don't understand your followup.
probably doesn't make sense to anyone else, but here goes....
Subject: probably doesn't make sense to anyone else, but here goes....

From the time I took medical terminology, I always thought of:

dysphasia=difficulty speaking because of the "s" instead of "g", as in "speech".

dysphagia=difficulty swallowing because of the "g" instead of "s", as in "laryngeal".

Probably sounds weird, but keeps me from having to look it up!


Doesn/t make sense to me.
Subject: Doesn/t make sense to me.


doesn't make sense, but
Subject: doesn't make sense, but

tactile?????
I don't think so. Doesn't make sense. SM
Subject: I don't think so. Doesn't make sense. SM

The initial spike would be immediately postoperative. There is a second spike at approximately 10 days, and then a third spike at three weeks out. As a result, we will keep him on Coumadin for a total of four weeks maintaining an INR between 2.0 and 3.0 for a total of that four weeks.
That doesn't make sense to me
Subject: That doesn't make sense to me

If it is in the plan, could it be chronic atrial fibrillation assessment?  If I had chronic atrial fibrillation, I don't think I could accept it!!  HA.
doesn't make any sense to me either...sm
Subject: doesn't make any sense to me either...sm

I googled, rith this result...

On

Search resultsJob offer spam: Processing payments (Fraud!)
Who sends these job offers and why? If you have been recruited ... NuCardio Pharmaceuticals Ltd. (nucardio.biz) NuCardio Pharmaceuticals Ltd. (nu-cardio.com) ...

Listen again!
freezing doesn't make sense
Subject: freezing doesn't make sense

Are there any other clues in the report as to what the doc is talking about?
flat doesn't make sense
Subject: flat doesn't make sense

I never heard that term used. You can't hear "afebrile" ?
My guess doesn't make much sense here but..
Subject: My guess doesn't make much sense here but..

A doc wouldn't ever say "percussion tenderness" when referring to extremities would they?  I've heard it when referring to abdomen or spine.  I'm totally reaching and would love to hear what they are saying...such a mystery!


I can only think of levoscoliosis but doesn't make sense here
Subject: I can only think of levoscoliosis but doesn't make sense here


no, doesn't make sense....previous does
Subject: no, doesn't make sense....previous does

is this dictator an ESL? 


prior history of left shoulder pain?


previous history of left shoulder pain?


 


The sentence doesn't make sense to me.
Subject: The sentence doesn't make sense to me.


What could he possibly mean? Pain doesn't make sense. Edge maybe?
Subject: What could he possibly mean? Pain doesn't make sense. Edge maybe?

The placenta did not cleave easily and was taken out in toto, but the cleavage PAIN was not smooth.


doesn't sound like BUN, she doesn't spell out the letters, it just sounds like "win". sm
Subject: doesn't sound like BUN, she doesn't spell out the letters, it just sounds like "win". sm

Her whole sentence is: Chemistries show a mild increase in the s/l WIN (22) suggestive of mild dehydration and a mild increase in calcium (10.2)
He doesn't give it. He's flying, but doesn't s/l fentanyl.
Subject: He doesn't give it. He's flying, but doesn't s/l fentanyl.

nm
The only thing I can find close is subtilise meaning to make senses more keen or make one's sense
Subject: The only thing I can find close is subtilise meaning to make senses more keen or make one's senses more acute?


I'm still listening and trying to fit it together to make any suggestions make sense.
Subject: I'm still listening and trying to fit it together to make any suggestions make sense.


this is crazy!
Subject: this is crazy!

There were three other places in the dictation that I could not understand what he was saying.

After I deciphered the 'alert and oriented' (with your gracious help), I went back to the other three. Bingo. It was like a mumble-jumble-decipher puzzle piece placed itself in my head, and I figured out the other three.

I love puzzles.

Thanks again!
Crazy, ain't it?
Subject: Crazy, ain't it?

The actual pronunciation of that word IS "day-breed-MON". I about died when I first heard that. I guess it's French. It sounds so hoity-toity to me. LOL


This is crazy but I need help.
Subject: This is crazy but I need help.

.... sounds like rale or rail packs... for migraines?  Thanks.


I know this is crazy but...
Subject: I know this is crazy but...

Wet prep showed budding yeast and ....s/l hife.... 


Thanks.


Okay, don't think I am crazy here
Subject: Okay, don't think I am crazy here

but there is a Marathon on 07/13/2008 at SeaFair in Seattle and it is for fibromyalgia.  It might have something to do with that????? Just my thoughts on the matter.   
Thanks - I am not crazy!
Subject: Thanks - I am not crazy!

Thanks!!!
Thank you so much, was driving me crazy! :)
Subject: Thank you so much, was driving me crazy! :)

nm
That's it!!! Thanks a lot - I've been going crazy looking for this....
Subject: That's it!!! Thanks a lot - I've been going crazy looking for this....


THank YOu!!! Just started a new job and am going crazy!!!!
Subject: THank YOu!!! Just started a new job and am going crazy!!!!

x
crazy question
Subject: crazy question

I know this is probably stupid BUT.... as a "newbie", I haven't encountered this before.


How do you write disc space height. 


ex:  doc says:  complete loss of disc space height at 5 1


Thanks.


That's not it and this is driving me crazy!!
Subject: That's not it and this is driving me crazy!!


Thanks so much.....was driving me crazy!! nm
Subject: Thanks so much.....was driving me crazy!! nm

nm
Thanks. I thought I was going crazy.
Subject: Thanks. I thought I was going crazy.

nm
That's it!! It was driving me crazy. Thanks so much for your help!!
Subject: That's it!! It was driving me crazy. Thanks so much for your help!!


Going crazy - word help, please
Subject: Going crazy - word help, please

If the patient's fever does not DEPRAVEST on antibiotics, then further assessment such as CT scan of the sinuses and thorax may be needed. 


I cannot find a word that fits, but it sounds clear as DEP-RA-VEST.  Any ideas? 


Sorry. that's s/l (Crazy expander)
Subject: Sorry. that's s/l (Crazy expander)


this doc is driving me crazy! nm
Subject: this doc is driving me crazy! nm

xx
WAG I know this is crazy but could he be spelling L-A-R-G-E?
Subject: WAG I know this is crazy but could he be spelling L-A-R-G-E?


This is driving me crazy . . .help please
Subject: This is driving me crazy . . .help please

S/L askute??? result can greatly affect the mean, but the median is not as affected.    Any clues?  This is a horrible dictation. 
Bless you! That was driving me crazy!! :) nm
Subject: Bless you! That was driving me crazy!! :) nm

:)
crazy number question
Subject: crazy number question

The company I work for does not want us to use numbers and numbers should never be used at the beginning of a sentence, but does anyone know the AAMT-true style that this should be transcribed?  I know this is a crazy question, but for some reason, I can't seem to categorize it.


Example: 


"School grade: 5th.


Members in family: 5. "     OR


"School Grade:  Fifth.


Members in family:  Five." 


I am thinking the second, but then again, I am not thinking.   :-)   


 


 


 


it helped to know I wasn't crazy!
Subject: it helped to know I wasn't crazy!


It is definitely falx! Thanks. That was driving me crazy!
Subject: It is definitely falx! Thanks. That was driving me crazy!


vermicular must be it. Thanks so much!! going crazy today!
Subject: vermicular must be it. Thanks so much!! going crazy today!

Gosh I am tired. They should fine doctors who dictate on staticy cell phones!!!! Thank you!!
crazy observation here, but could he be describing...sm
Subject: crazy observation here, but could he be describing...sm

the sound of the puffs being administered, instead of staying 1 "puff" b.i.d., he's saying something that sounds like the med being administered?  I know that sounds dumb, but that's what comes to my mind.
I promise, I'm not crazy...But this is a weird one! SM
Subject: I promise, I'm not crazy...But this is a weird one! SM

I know, it sounds crazy...  This is a new urology account for me, and the doc is REPEATEDLY saying the following, taken directly from the notes:


(Problem of interstitial cystitis and pelvic pain) -- 'She did not use the Valium vaginal suppositories.  She had days when she felt quite well....'


(Problem of IC again) -- 'Prescribed Valium 10 mg vaginal suppositories...' 


(Problem IC and pelvic floor tension myalgia) -- She stopped her Valium vaginal suppositories, which she states are at a dose of 10 mg of Valium with 25 mg of amitriptyline and has felt much better since. 


 


I can't find a Valium vaginal suppository anywhere, people!  Any of you know about anything like this?  I imagine that if you've got a stressed vagina, that would be as good of a cure as any, but I haven't heard of it yet.  Any ideas? 


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.


Crazy question, but how is times
Subject: Crazy question, but how is times

two written, with or without a space??  x2 or x 2? I am able to view previous reports typed by other transcriptionists and some of them put it with the space and some without?  Now I am starting to doubt myself.  I was told it was without the space years ago.  Has something changed??  Thanks


test for DVT... please read, I must be crazy!
Subject: test for DVT... please read, I must be crazy!

Doc says:

Ms. ---- had again presented to the Emergency Department of a local community hospital for a D-dimer blood test to screen for venous thrombosis. The ___ test was negative and the patient did not undergo Doppler testing.

My problem is, where the blank is sounds exactly like he is saying piss test. What in the world sounds like that?
You're right about driving me crazy I
Subject: You're right about driving me crazy I

think I am trying to be perfect and that's impossible. Thanks for the help.
Thanks - sometimes this doctor drives me crazy. - NM
Subject: Thanks - sometimes this doctor drives me crazy. - NM

NM