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I'd flag it. Having been doing exclusively ortho for five years, now, I'd guess the 130 degree

Posted By: OrthoMT on 2007-01-25
In Reply to: Should I flag?? Ortho help - ss

Subject: I'd flag it. Having been doing exclusively ortho for five years, now, I'd guess the 130 degrees was done passively and caused pain; the lower number was done actively.




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Well I would flag it since you do not want to guess.
Subject: Well I would flag it since you do not want to guess.

Sorry cannot help out.
I wish I knew, guess I will flag. Thank you! NM
Subject: I wish I knew, guess I will flag. Thank you! NM

x
It could be that high, but never guess. Better to flag
Subject: It could be that high, but never guess. Better to flag

x
Cannot guess at allergies. Flag it.
Subject: Cannot guess at allergies. Flag it.

c
Should I flag?? Ortho help
Subject: Should I flag?? Ortho help

Physical examination of the left shoulder reveals active forward elevation to approximately 90 degrees. Actively she could elevate it to approximately 130 degrees with pain.

He uses "active" twice. Isn't that wrong?
Thanks so much for your help. Never heard of it in 8 years typing ortho. nm
Subject: Thanks so much for your help. Never heard of it in 8 years typing ortho. nm

nm
Anyone heard of SIAC ??..I've done ortho for 7 years - very clear. nm
Subject: Anyone heard of SIAC ??..I've done ortho for 7 years - very clear. nm

nm
In eight years of transcribing ortho, I've never heard this term...
Subject: In eight years of transcribing ortho, I've never heard this term...

Impression:
1. Left de Quervain tendinitis.
2. Left carpal tunnel syndrome.

Will get EMGs. The patient has evidence of s/l palmarthrorheumatosis. He runs it together, so it may be palm (or palmar) arthrorheumatosis.

Any help is appreciated. :)

Pt does have a 70 degree popliteal angle. Would the 70 degree be correct? sm
Subject: Pt does have a 70 degree popliteal angle. Would the 70 degree be correct? sm

I know with the tibiofemoral angle it is usually 7 degrees (or low numbers).
Thanks
Only my take, but please don't rely exclusively on Google...sm
Subject: Only my take, but please don't rely exclusively on Google...sm

as your reference.  I have been doing this for 26 or more years, home, hospital, office, clinic, radiology, every specialty, plus rad/psych, and I have seen things really messed up spelling-wise in Google, there is lots of misinformation there.  I have also come up with different spellings and answers for the same thing on different days!  Perhaps it is because I came into this field before the internet (gasp) and even before PCs, (gasp/faint), I find that Google is okay for a quick double-check on something you are pretty familiar with, but NOTHING beats Stedman's, Dorland's, Mosby's, and some of the other reference books.  It take longer to look up, but I keep mine always handy (all three shelves) updated, and you learn and retain knowledge so much better and remember much more!!  Hope I am not preachy, I just see a lot of MTs relying solely on Google and getting into trouble because of someone else's mistake that gets regurgitated up on a search.



Yikes. Totally old ortho guess here but. sm
Subject: Yikes. Totally old ortho guess here but. sm

I see syndesmotic in there?  Just a guess but might be. You guys are killing me today!!! 


 


 



Syndesmotic Injuries of the Ankle - Wheeless' Textbook of Orthopaedics





hence standard teaching is that w/ rigid ORIF of the medial malleolus frx, a syndesmotic screw would generally not be required); ...
www.wheelessonline.com/ortho/syndesmotic_injuries_of_the_ankle - 33k - Cached - Similar pages


Technique of Snydesmotic Fixation - Wheeless' Textbook of Orthopaedics





17 patients were randomized to fibular plate fixation with a 4.5 ml polylactic acid (PLA) bioabsorbable syndesmotic screw, and 15 ...
www.wheelessonline.com/ortho/technique_of_snydesmotic_fixation - 45k - Cached - Similar pages

I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)
Subject: I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)

Now some are saying it's q. 4h.??  UGH, YUCK!!  I have also worked on accounts where it had to be "every 4 hours," and we had to spell out p.r.n. (as needed for).  At least we got more characters. 


First rule:  It is all what the "client/account" wants, not always what the BOS says it is.  I realize that language and its usage is constantly changing, but I've seen so many BOS and client flip-flops on so many other things in nearly 3 decades that it's laughable.  What isn't laughable is when we get penalized for not knowing what they want, even when they, themselves, don't know or are wrong.


Oh, and I still prefer the old no spaces:  q.4h., q.4-6h., q.12h., and so on.....


Wow, thank you. Just years, years and more years of experience
Subject: Wow, thank you. Just years, years and more years of experience

and a constant thirst for learning something new everyday. As we all know this can get to be somewhat boring, but learning from what I transcribe as well as from other transcriptionists keeps me going (money is not bad either). It becomes a challenge. But I can't thank you enough for the kind words.

Use to be younger...
2 years' time because years is plural. One year's time because it is singular, only one year.
Subject: 2 years' time because years is plural. One year's time because it is singular, only one year.


s/l 30/70 0 degree
Subject: s/l 30/70 0 degree

cystoscopic lenses. Is this correct?
If you go by BOS, it is 1st-degree.
Subject: If you go by BOS, it is 1st-degree.

x
second-degree AV block or 2nd-degree AV block or
Subject: second-degree AV block or 2nd-degree AV block or

second degree AV block (without hyphen) or 2nd degree AV block. 


second-degree A-V block
Subject: second-degree A-V block

This is how it is written in the Stedman's Cardiology book.
degree sign
Subject: degree sign

According to the new AAMT guidelines, it states that the degree symbol should not be used as it can easily be not seen or mistaken as a dot on the paper.  90-degrees.


70 degree ----- hopkins rod
Subject: 70 degree ----- hopkins rod

I need help with an ENT word. He says a 70 degree ----(??rigid??) Hopkins rod was used.. Any ideas.. bb


0-degree laparoscope?
Subject: 0-degree laparoscope?

Is this correct wording for the doctor to say this this way "0-degree laparoscope".  The doctor is performing a laparoscopic hiatal hernia repair procedure using a visiport trocar and a "0-degree laparoscope".


Should it really be a "10 mm 0-degree laparoscope?  Please help


should you put a degree symbol...
Subject: should you put a degree symbol...

when transcribing temperatures? i.e., temperature was 100 (degree symbol?)


or write out the word, degrees?


TIA


I have the BOS degree info fer ya!
Subject: I have the BOS degree info fer ya!

BOS 2nd edition page 386:


Use the degree symbol if available, immediately followed by the abbreviation for the temperature scale.  If the degree symbol is not available, write out degrees (and the temperature scale name, if dictated) 


98ºF or 98 degrees Fahrenheit.


 


10-degree increase or 10 degree increase? TIA nm
Subject: 10-degree increase or 10 degree increase? TIA nm


how to type degree
Subject: how to type degree

I need help in deciding how to type degree. Should it be like 30 degree or should it be 30 withe symbol for degree. Hope someone can help. Want it to be correct if there is a correct way.


I always type out degree (sm)
Subject: I always type out degree (sm)

just because those are my instructions, as the client(s) doesn't have the ability to print out the little degree symbol...or so I'm told. 
second-degree cystocele *nm*
Subject: second-degree cystocele *nm*


degree symbol
Subject: degree symbol

I use Word and I have no idea how to get the degree symbol.  Does anyone know how to do that?


If they have a medical degree, I'd say Dr. nm
Subject: If they have a medical degree, I'd say Dr. nm

nm
I do it to a certain degree, but not to be malicious
Subject: I do it to a certain degree, but not to be malicious

"Padding" lines is spelling things out, like abbreviations or numbers.  I was taught that when a doc says COPD, when it is the first time in the report, you spell out "chronic obstructive pulmonary disease."  Then, when COPD is stated later in the report, the abbreviation is to be used.  Many account specifics state a report must be typed verbatim, but I still refuse to use abbreviations when they are stated for the first time or in the assessment and plan.... Are you being accused of this or just trying to avoid it???


1st-degree AV block?
Subject: 1st-degree AV block?

or first-degree AV block?  -- I have been told both ways.  Help much appreciated! 
10 mm 0-degree telescope
Subject: 10 mm 0-degree telescope


2 to 5 degree extension lag
Subject: 2 to 5 degree extension lag

How would you type 3to 5 degree extension lag? tia.
3 to 5-degree extension lag
Subject: 3 to 5-degree extension lag

Not 3-5-degree extension lag. Too confusing. :-)
3-5 degree extension lag
Subject: 3-5 degree extension lag


3- to 5-degree extension lag...nm
Subject: 3- to 5-degree extension lag...nm

.
Should not use symbol degree in orthopedics
Subject: Should not use symbol degree in orthopedics


I would go with minus 2-degree axis
Subject: I would go with minus 2-degree axis

/
Patient with 4th degree pelvic ...sm
Subject: Patient with 4th degree pelvic ...sm

relaxation with a huge (s/l "bowl jetter") introitus.
Neurosurgery: 360 degree s/l instrument...
Subject: Neurosurgery: 360 degree s/l instrument...

arthrodesis and s/l post instrument arthrodesis.  Any ideas?? Thanks.
Thanks Dr. Sassee. I will be getting my MD degree shortly too. LOL
Subject: Thanks Dr. Sassee. I will be getting my MD degree shortly too. LOL

I do everything under the sun all day and deal with a lot of residents and ESLs.
Nice chatting with you.
...used a 3-degree ?soap block? ...

Dictation:  For this reason, I used a ?soap block? to make a third cut of the tibia, and then this was once again prepared to accept a size 5 tibia baseplate....  Soap block????    Can anyone verify that for me?


He has approximately a 5-degree extention lag?...nm
Subject: He has approximately a 5-degree extention lag?...nm


I usually type it as first degree AV block...nm
Subject: I usually type it as first degree AV block...nm

xxx
A 70-degree lens with an (Alberans)
Subject: A 70-degree lens with an (Alberans)

Dictates:  A 70-degree lens with an (Alberans?) is used to pass the wire into the right ureter....please help in report now!
I would type 10-mm, 0-degree telescope.
Subject: I would type 10-mm, 0-degree telescope.

x
Alt + 0186 will give you the degree sign.
Subject: Alt + 0186 will give you the degree sign.

Hold the Alt key then type 0186 and let go of the Alt key.  You can find it in the character map under Accessories I think. 


s/l "'storch' 30 degree rigid scope"
Subject: s/l "'storch' 30 degree rigid scope"

, when referring to a nasal procedure. I cannot find a brand name that fits. Please help!!  Thanks! 
A zero degree s/l *storascope* was used for intranasal examination. TIA
Subject: A zero degree s/l *storascope* was used for intranasal examination. TIA

 


70 degree *toro _____* telescope ??? Thanks.nm
Subject: 70 degree *toro _____* telescope ??? Thanks.nm

nm


Minimally invasive 360 degree instrumented
Subject: Minimally invasive 360 degree instrumented

arthrodesis.  I just found this. 


http://www.spineuniverse.com/displayarticle.php/article474.html


 


Thank you!