He's very clear. I'm thinking he's reading from pt note.
Posted By: thought there may be a new one. Thank you both. on 2008-02-15
In Reply to: Cartia XT - JSligh
Subject: He's very clear. I'm thinking he's reading from pt note.
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I was thinking it could be PE, but PA was very clear
Subject: I was thinking it could be PE, but PA was very clear
Is "class" absolutely clear? I'm thinking something "+2" is more likely. Swelling +2
Subject: Is "class" absolutely clear? I'm thinking something "+2" is more likely. Swelling +2 or something like that.
wag
Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych
Subject: Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych
It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(
Subject: It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(
I think your doc has been reading
Subject: I think your doc has been reading
too much Harry Potter. I think there are Lamentors in there.
No wait, those are Dementors.
Never mind.
reading of an x-ray sm
Subject: reading of an x-ray sm
His zygomatic frontal and zygomatic temporal bones ? are all intact
I bet it is reading! nm
Subject: I bet it is reading! nm
,,
He is reading from a list sm
Subject: He is reading from a list sm
that the patient wrote so I feel sure that is it. Thanks!
I believe you are reading it wrong sm
Subject: I believe you are reading it wrong sm
There is a comma between tics and the next item so tics and spasm are separate items.
Reading the article below it seems to dB
Subject: Reading the article below it seems to dB
The relationships among visual acuity (log MAR), diagnostic category, age, the magnitude of a relative afferent pupillary defect (RAPD) in log units, photopic foveal thresholds to white and colored light (dB), and the mean deviation on the Humphrey visual field (dB) were studied in patients with various optic neuropathies. All acuity and dB values were expressed as interocular differences, the majority of cases having normal acuity in the fellow eye. In multiple regression analyses, acuity and RAPD were alternately chosen as the dependent or response variable with all remaining variables serving as the predictors or independent variables. The main finding was that the only significant predictor of a RAPD was the interocular mean deviation difference on the Humphrey field and the only significant predictor of acuity was the foveal threshold to white light. Redundant and insignificant variables were therefore identified with multiple regression analysis. Subsidiary findings include: (a) although diagnostic group was not a significant predictor in the above, simple linear regression line slopes relating RAPD magnitude to the Humphrey mean deviation were significantly different between optic neuritis and compression categories; (b) for a given level of acuity, foveal thresholds were substantially worse in these cases with neuronal damage than in strabismic amblyopia, refractive error, or corneal damage; and (c) sensitivity losses for red vs. blue light were similar...
Perhaps he is reading what the patient
Subject: Perhaps he is reading what the patient
incorrectly wrote down in place of Maxalt. That's not so uncommon. I'd leave a blank.
Can a lab reading be "small"??
Subject: Can a lab reading be "small"??
Patient is having high blood sugar and in her labs, dictator says something that s/l "serum acetone small." Is this right or am I crazy?
Hmm after reading the dictation again, you may be right...sm
Subject: Hmm after reading the dictation again, you may be right...sm
Mohs does make sense, he does say with negative results, and this was done some time after the p63, TTF-1, etc. THANK YOU for that great point! My brain is so done today.
Reading your sentence I would think sm
Subject: Reading your sentence I would think sm
That the EEC is enteropathic E. coli due to the anxiety.
He may be reading from what the pt wrote
Subject: He may be reading from what the pt wrote
My doctor does that. He reads the drug as it was incorrectly written by the pt or the medical assistant. I have to look at the PMH to figure it out.
cardiology, echo reading
Subject: cardiology, echo reading
The aortic valve appears to be a s/l tri-commish-er valve with fusion of one s/l commish-er and acts as a bicuspid aortic valve.
he is pretty clear with both of these, but I cannot verify either one. Thanks!!
How is this being treated or is this an xray reading? nm
Subject: How is this being treated or is this an xray reading? nm
s
Blood Pressure Reading
Subject: Blood Pressure Reading
I had a doctor who did this also, and the person who QA'd my report told me to put it just like you have it except told me to use 120/80 without the "s".
Blood glucose reading, please sm
Subject: Blood glucose reading, please sm
Doc is saying "patient went back on Metaglip and now his sugars are around *100 mg percent*. I've never heard that, just sugars around 100 or whatever, no "mg percent". Thanks for any help!
reading that, it sounded rude. sm
Subject: reading that, it sounded rude. sm
I did not mean it that way. Again, just a pet peeve of mine.
Bet the doctor is reading off the patient's list that sm
Subject: Bet the doctor is reading off the patient's list that sm
the patient wrote him/herself. When they can't tell what it is, they often spell it the way the patient did. I'd leave a blank and make a note with the doctor's spelling if you've already researched the term and found nothing to verify it. I found nothing in my Drake. I never trust a doc's spelling of ANYTHING!!
Bet the PA is reading the patient's history sheet. sm
Subject: Bet the PA is reading the patient's history sheet. sm
9 times out of 10 it is arthroscopy and meniscectomy.
Is this a follow up to lab work or reading a film, etc.? nm
Subject: Is this a follow up to lab work or reading a film, etc.? nm
s
I always enjoy reading your replies. Thanks for the info also!
Subject: I always enjoy reading your replies. Thanks for the info also!
reading med list says Toprol, B6?, Protonics..is B6
Subject: reading med list says Toprol, B6?, Protonics..is B6
B6 is okay?
Reading comprehension test s/l Wyatt? nm
Subject: Reading comprehension test s/l Wyatt? nm
xx
WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm
Subject: WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm
After reading my post, I also need to take a typing class, way to many typos!!!!
Subject: After reading my post, I also need to take a typing class, way to many typos!!!!
After reading all of it, would change my answer to distally going with sensation. Not sure about th
Subject: After reading all of it, would change my answer to distally going with sensation. Not sure about the second ??.
She has lost some weight, but she has been reading up on s/l “pekos”, and understands the issue with
Subject: She has lost some weight, but she has been reading up on s/l “pekos”, and understands the issue with
.........insulin resistance and problems with obesity and hyperlipidemia, as well as her elevated blood pressure and so she would like to go over issues with her diet today.
The patient has a diagnosis of polycystic ovarian syndrome with glucose intolerance. Under the plan the doc again says, reviewed "pekos" in detail......
TIA!!!
Are you reading this off of doc notes or is he/she giving you these single letters in dictation? nm
Subject: Are you reading this off of doc notes or is he/she giving you these single letters in dictation? nm
s
He's probably relying on his poor memory and NOT reading off the package. Use Destination. nm
Subject: He's probably relying on his poor memory and NOT reading off the package. Use Destination. nm
s
When sis comes to visit she always gets good laughs reading the phobia pages in my Dorland's.
Subject: When sis comes to visit she always gets good laughs reading the phobia pages in my Dorland's.
nm
Seems to mein what I am reading that anterior fundoplication is what is performed in terms of achala
Subject: Seems to mein what I am reading that anterior fundoplication is what is performed in terms of achalasia?
Sorry, I made a wrong assumption by not reading your entire question based on the area of fx.
Subject: Sorry, I made a wrong assumption by not reading your entire question based on the area of fx.
x
noteworthy; note worthy; note-worthy
Subject: noteworthy; note worthy; note-worthy
Just wondering if there is any general rule about transcribing noteworthy.
Also, status post; status-post.
Thank you.
Op note ref. SM
Subject: Op note ref. SM
http://www.mtdesk.com/frame.php?frame=resources
ER note
Subject: ER note
? pulse ox 99% on room air which is normal per ______ interpretation.
ER note thanks
Subject: ER note thanks
Thanks, practically sure it was per the ER physician reading. So, will be ready for next time!
At the end of OP note, he says
Subject: At the end of OP note, he says
what sounds like "mick" instrument and needle count.
On another, says "sponge, _____and instrument" and that sounds like "lab". Any clues are appreciated. Thank you!
OP note help please sm...
Subject: OP note help please sm...
mild (s/l-fibulations-) with changes on the surface of the condyle
Of note..... I want
Subject: Of note..... I want
to thank everyone so much for all the help I have received on this website since I have become an MT. Bless everyone of you. I hope one day to help those also asking questions as you all have me.
Op note
Subject: Op note
Dictator says: Local Xylocaine 1% anesthesia 'arfate' cannulated.
What is the 'a' word?
me again - same op note :(
Subject: me again - same op note :(
The wound was irrigated and rough edges were S/L RASSED. 
op note help
Subject: op note help
Using an up-biting basket and a S/L 405 shaver a medial meniscectomy was performed.
TIA!
OP NOTE HELP
Subject: OP NOTE HELP
The iliotibial band was then split inline with the incision and retracted anteriorly and posteriorly with a _____ bow. s/l charming.....
The procedure is a cemented bipolar hemiarthroplasty left hip.
OP NOTE STILL
Subject: OP NOTE STILL
Should have went further in the note...sorry...another blank is
Attention was directed to the proximal femur, which was prepared with a box-cutting chisel, _____ canal finder and a trochanteric router this sounds like "chauney"
ESL help with op note
Subject: ESL help with op note
She says: With forceps and a S/L barpotta knife the lesion was excised. (This is excision of a lid nodule). 
have another on this same note - sm
Subject: have another on this same note - sm
Bilateral elbow rheumatoid arthritis. The left side is more advanced with (s/l)'spectus articulusdamage than appears on the right side
op note help
Subject: op note help
This is an excision of a breast nodule. Two questions:
1. The area was prepped with s/l Cloraprep
2. The needle was grasped with an S/L Alice clamp
See note below
Subject: See note below
This is the context of the report. It sounds just like Waddellian. He says this quite a bit and it stumps me every time....
PSYCHIATRIC: The patient was alert and oriented x3 with a somewhat depressed and scattered mood, being very jumpy and quickly agitated by minimal movements or pressures in various areas such as supporting the leg while doing musculoskeletal motor examination for neurologic examination. The patient definitely showed some ____________________ symptoms through our examination. When the idea of psychiatric help in this manner was brought up in this case, the patient seemed almost excited to know this was a coming event.
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