He's definitely saying what s/l mescaline. He's a very good dictator. sm
Posted By: I agree it could not be mescaline. on 2007-09-21
In Reply to: I can't imagine it's mescaline...SM - Hayseed
Subject: He's definitely saying what s/l mescaline. He's a very good dictator. sm
I think what's happened is the patient has listed his meds and has spelled whatever it is wrong. My first inclination was to leave a blank. Just thought there might be something useful for it that someone was aware of.
Thanks for your help everyone.
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I can't imagine it's mescaline...SM
Subject: I can't imagine it's mescaline...SM
Try mesalazine or blank, which is what I'd do.
Synonyms
- 5-aminosalicylic acid
- 5-ASA
- fisalamine
- mesalazine
U.S./Canadian Brand Names
- Asacol® Oral
- Canasa® Rectal
- Mesasal® (Can)
- Novo-5 ASA (Can)
- Pentasa® Oral
- Quintasa® (Can)
- Rowasa® Rectal
- Salofalk® (Can)
Therapeutic Category
- 5-Aminosalicylic Acid Derivative
UseTreatment of ulcerative colitis, proctosigmoiditis, and proctitis
Usual DosageAdults (usual course of therapy is 3-6 weeks): Oral: 800 mg 3 times/day
Retention enema: 60 mL (4 g) at bedtime, retained overnight, approximately 8 hours
Rectal suppository: Insert 1 suppository in rectum twice daily
Dosage Forms
Capsule, controlled release (Pentasa®): 250 mg
Suppository, rectal (Canasa®, Rowasa®): 500 mg
Suspension, rectal (Rowasa®): 4 g/60 mL (7s)
Tablet, enteric coated (Asacol®): 400 mg
I do believe this is what he meant, but he was definitely saying mescaline and I couldn't put tha
Subject: I do believe this is what he meant, but he was definitely saying mescaline and I couldn't put that
I finally put a message to QA that I thought it was meant to be mesalamine. I'll leave it up to them.
I hated to send to QA but what are you supposed to do when the doctor is very clearly dictating something and you know it isn't correct? I was afraid if the office listened to the blank, they would report me back to the MTSO as leaving a blank that they clearly heard.
Oh well... Again, thanks all. I really do appreciate the help.
holiday...is the dictator an Arab dictator? nm
Subject: holiday...is the dictator an Arab dictator? nm
x
type what dictator said, dictator is not incorrect.....
Subject: type what dictator said, dictator is not incorrect.....
.
is this dictator ESL (foreign dictator)?....
Subject: is this dictator ESL (foreign dictator)?....
if ESL, I would either blank him or give him that Avodart but the other one I haven't a clue and would have to blank there too. Sorry :(
NWMNMT:Good grief, good grief, good grief..If this is the case, the doctor should also explain
Subject: NWMNMT:Good grief, good grief, good grief..If this is the case, the doctor should also explain
the meaning in an ADDENDUM.
How do you know what the doctor meant? GOOD GRIEF, are you the know-it-all (hyphens must be put here, as it is used as a noun!) on this board? Get over yourself!
Who understands what it means without an explanation?
The MOST obvious is apparently like I understood it:
5 packs in 1 year.
Maybe the doctor really meant this, 5 packs per year, so essentially a nonsmoker.
GOOD GRIEF, get over yourself!
Glad to help. You give good me a good S/L and info. nm
Subject: Glad to help. You give good me a good S/L and info. nm
Glad to help. You give good such good S/L and info. nm
Subject: Glad to help. You give good such good S/L and info. nm
Good save, Hay! I never heard of this. Have a good one! nm
Subject: Good save, Hay! I never heard of this. Have a good one! nm
s
Help - not an ESL dictator.....sm
Subject: Help - not an ESL dictator.....sm
Anglo mushmouth cardiologist is saying:
This 85-year-old white male was admitted and had a posterior s/l *A to E* resection for rectal carcinoma.
I am not sure he is saying *A to E* and I already googled this to no avail.
TIA for any light anyone can shed on this....really appreciate it...
Dictator says ...
Subject: Dictator says ...
She has a history of being intolerant of an ACE and s/l RHAB. She says it like a word, so it s/l Are ab
I pretty sure it's an abbreviation like ACE, but I can't make out the exact letters to even know what to look up to be sure. TIA!
When a dictator says Cor S1 and S2, how...sm
Subject: When a dictator says Cor S1 and S2, how...sm
should that be typed? Coronary: S1 and S2?
This must be something the dictator often says. sm
Subject: This must be something the dictator often says. sm
Can "preson" be "perfusion?"
"perfusion to tissues?"
"present 2+ pulses?" (awkward)
What are the sentences before and after? Do you have any other PEs from this dictator?
Is this an orthopedic exam or general PE?
Dictator says...
Subject: Dictator says...
CBC showed WBC of fourteen point six thousand.
What is the correct way to type this number?
is the dictator ESL? perhaps not saying N
Subject: is the dictator ESL? perhaps not saying N
You could be right as the dictator is ESL. Thank you. NM
Subject: You could be right as the dictator is ESL. Thank you. NM
two more for same dictator pls sm
Subject: two more for same dictator pls sm
Patient without evidence of a left atrial s/l apinich thrombus.
The patient underwent s/l durakyto cardioversion.
VERY fast talker. Any ideas?
I bet you that you are right though, it is an ESL dictator
Subject: I bet you that you are right though, it is an ESL dictator
and I think he is just flipping through the chart giving me every med she ever had not realizing they are one in the same. I will flag it anyway. You are awesome thank you!
could the dictator be SM
Subject: could the dictator be SM
stumbling over words and saying something like:
First, today I am giving him Vicodin and Skelaxin.
?? Just guessing. Never heard of first aid being used in that way, but I suppose it could be...?
If dictator says
Subject: If dictator says
"blood pressure was in the 140s 150s". How do I type this?
But if the dictator is saying the "A" it has to be
Subject: But if the dictator is saying the "A" it has to be
x
Dictator says:
Subject: Dictator says:
Abdomen is nondistended. No 'LKF' felt. Then he says 'BJE', the patient's abduction is normal.
What is LKF or is the acronym something different?
What does BJE stand for? He is clearly saying 'BJE', but I am not sure about 'LKF'. I still would like to know what BJE means. Thanks
Could the dictator be saying "CU" as in sm
Subject: Could the dictator be saying "CU" as in sm
"cystourethroscopy?"
Need quick help with this dictator please
Subject: Need quick help with this dictator please
This doctor just said
"Initial white blood count was elevated at 12.7 thousand."
Do I transcribe it like that, or do I put 12,700?
TIA!
Dictator said keep LDL cholesterol less than ...sm
Subject: Dictator said keep LDL cholesterol less than ...sm
70 per ----- guidelines. He rambled off a bunch of initials and slowing him down only made it worse. I think the last 3 were CHA. TIA!
Am I hearing this right. Could the BP be 129/135 (ESL dictator)??? (nm)
Subject: Am I hearing this right. Could the BP be 129/135 (ESL dictator)??? (nm)
Dictator kept saying polynephritis ... sm
Subject: Dictator kept saying polynephritis ... sm
but I couldn't find that. Did she mean pyelonephritis? There were a lot of renal references in report. TIA!
Is the dictator foreign?
Subject: Is the dictator foreign?
I wonder if they're saying Ativan. Some of my foreign dictators say it as "Ati-won". Just a thought!
maybe dictator meant to say....nm
Subject: maybe dictator meant to say....nm
could dictator be saying appendectomy?
Subject: could dictator be saying appendectomy?
Without further context, I'd say the dictator was saying sm
Subject: Without further context, I'd say the dictator was saying sm
"gassiness and indigestion" or possibly "gaseous distention" which is verified in the GI Stedman's.
?? Dictator is saying "technique" twice in a row? nm
Subject: ?? Dictator is saying "technique" twice in a row? nm
x
Mumbly dictator...med s/l
Subject: Mumbly dictator...med s/l
The patient has a problem with peripheral neuropathy and the _____ (s/l payomide) was refilled. A1c is pending.  mumblers today!!
Dictator confusing....sm
Subject: Dictator confusing....sm
I have a dictator that dictated in two different reports.. "No CVA angle tenderness." and the same dictator in another report states "No CV angle tenderness." I am confused as to which is the correct way ?
meant dictator
Subject: meant dictator
I agree but dictator might mean...sm
Subject: I agree but dictator might mean...sm
especially if it's an ESL dictator......perhaps if an ESL, he might mean ratio which would be 1 to 1,000,000....1:1,000,000
No, not ESL, just fast dictator sm
Subject: No, not ESL, just fast dictator sm
I thought about "grazed" or "grazing" but, as you said, it really doesn't fit very well in this context.
I really hate to leave a blank because this is an account the MTSO I work for (IC) is trying to get more work from....if that makes sense.
if dictator is ESL, probably *advanced*
Subject: if dictator is ESL, probably *advanced*
Got it ! Bad dictator after many times..sm
Subject: Got it ! Bad dictator after many times..sm
relistening you are right it is heterozygous factor V Leiden.
Thank you all for your help. It is sincerely appreciated.
is dictator ESL? Perhaps disparity
Subject: is dictator ESL? Perhaps disparity
and yes, dictator being cute as....sm
Subject: and yes, dictator being cute as....sm
your dictator was just being cute since Pierre and Madame Curie discovered radium.........*LOL* but it's millicuries and I'd spell it out (expand) due to your dictator's cuteness....*winks*
99% when a dictator spells anything
Subject: 99% when a dictator spells anything
whenever they spell anything, I look it up because 99% of the time the dictator has spelled whatever they are trying to spell INCORRECTLY....it's a general rule of thumb for most MTs to do this - look up anything a dictator spells.........because we ALL know this about the dictators after 25+ years..........for some of us....in this biz.
Just my opinion, but since the dictator did not
Subject: Just my opinion, but since the dictator did not
give you any differentials for each value, I would do it exactly as you have it with a comma between each.
it's dermatome; dictator is probably saying e as Y..
Subject: it's dermatome; dictator is probably saying e as Y..
maybe dictator was thinking about his new car and
Subject: maybe dictator was thinking about his new car and
What is this "this" of which your dictator (sm)
Subject: What is this "this" of which your dictator (sm)
speaks? That is your clue, which you did not share.
Sorry I got it....dictator was quick...
Subject: Sorry I got it....dictator was quick...
He was actually saying "I fashioned a" tubex splint for the fingers.
Thanks anyway
Thank you so much! A new account/dictator. nm
Subject: Thank you so much! A new account/dictator. nm
nm
Thanks for the suggestion! Dictator
Subject: Thanks for the suggestion! Dictator
clearly saws Larson but she pronounces a lot of things wrong (ESL) so it could be Lachman. I left it blank.
It is a word, if that is what the dictator said
Subject: It is a word, if that is what the dictator said
then that is what I would put. Why spend time you could be transcribing with trying to find another word??
dictator says ie (i.e. ?) B12 deficiency
Subject: dictator says ie (i.e. ?) B12 deficiency
everything that looks right is not aways right on my part?
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