I'll do a search with that in mind. Unfortunately, he doesn't say anything more in that regard
Posted By: Thanks for help! on 2007-09-29
In Reply to: It's going to have something to do - neuro
Subject: I'll do a search with that in mind. Unfortunately, he doesn't say anything more in that regard. sm
Before the s/l sentence, he says:
He can toe-and-heel walk. Tandem walking is somewhat off. Reflexes are diminished in the upper extremities, 1+ or trace at knees and at ankles. His motor power is generally full throughout upper and lower extremities. The right hand intrinsic muscles seem to be significantly affected and were about 3+/5. There is some atrophy of his first web space, which may be related also to significant subluxation of the thumb. The light touch sensation is generally okay.
His past surgical history is stent placement in 2004, status post cervical laminectomy/fusion.
Doctor is placing on Neurontin to see if he gets response regarding the paresthesias he's experiencing.
If this gives anyone a clue, I appreciate it a lot.
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Doesn't fit but TY anyway. I'll just flat it. NM
Subject: Doesn't fit but TY anyway. I'll just flat it. NM
x
I tried to hear ICU, but doesn't sound anything like it. I'll QA.
Subject: I tried to hear ICU, but doesn't sound anything like it. I'll QA.
You'll have to search for the dangerous abbreviations list to see, but ultimately
Subject: You'll have to search for the dangerous abbreviations list to see, but ultimately
s
Doesn't sound like it. Definitely sounds like inedema. I'll have to flag it for him. Thanks
Subject: Doesn't sound like it. Definitely sounds like inedema. I'll have to flag it for him. Thanks!
He is a mush-mouth in general.
Never mind-found it in a s/l search!
Subject: Never mind-found it in a s/l search!
Hmm....maybe--I'll listen again with that in mind! Thanks for the help!
Subject: Hmm....maybe--I'll listen again with that in mind! Thanks for the help!
x
I'll keep your 'rule of thumb' in mind next time. nm
Subject: I'll keep your 'rule of thumb' in mind next time. nm
I always change that to *in regard*..sm
Subject: I always change that to *in regard*..sm
as for toward/towards, afterward/afterwards......both are acceptable as you said per the dictionary......so it depends on the MD I'm working for...I have one that is a stickler so I give him afterwards and towards as he says them.
This is in regard to the patient's
Subject: This is in regard to the patient's
orientation and part of his total overall mental status exam. They will always assess if the patient is oriented to person, place, time and situation. So the unclear word would be related to oriented, orientation, or more specific to your example to time, and the patient's perception of current reality and time (some patients who are disoriented do not know common knowledge everyday things and think the current president is maybe Clinton or Daddy Bush. So again, try to pick up on anything to do with orientation or time and date.
In regard with what you said about MTs being responsible
Subject: In regard with what you said about MTs being responsible
for content, yes we are in some ways. However the examples you give of a physician's dictation - a new MT may not know that 100 mg of Synthroid is not a correct dosage, the MT types what is said and it is the DOCTOR who approves what is in the transcribed report. None of us know everything, the only thing we can do is accurately transcribe the dictation the dictation, not edit what we think should or should not be included.
I have never heard "p" with regard to
Subject: I have never heard "p" with regard to
x
Is it in regard to varicose veins?
Subject: Is it in regard to varicose veins?
What is it about?
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
Thank you - I'll think I'll do that instead of the abbreviations. - NM
Subject: Thank you - I'll think I'll do that instead of the abbreviations. - NM
NM
you can also search this way
Subject: you can also search this way
You can use the following link to see more options. You can use dacron* or dacron*l* or any other wild card search to find what you are looking for.
www.eneel.com
Search this way
Subject: Search this way
This link searches for words starting with scl and ending with sis, done by placing scl*sis at eneel.com. Please check for options.
I did a search--sm
Subject: I did a search--sm
and found Nepro, which is a liquid supplement. certain nutritional places have it, but it comes in cans. could it be Nepro cans? there is also something called Jevity, and TwoCal. Hope this helps.
Just do a search for . . .
Subject: Just do a search for . . .
Quick Look Electronic Drug Reference. You can get it from a lot of places. I saw it on stedmans.com and amazon.com just to name a couple. I saw it on walmart.com bundled with the paperback. I don't have the book, just the CD, so I can't say anything about that, but it would probably be nice to have. The CD has helped me a lot. I just discovered recently the "sounds like" feature on searching where you can type in how the drug name sounds with a tilde (~) at the end and it will give a list of close matching drugs. That's the best!
I just did a search--sm
Subject: I just did a search--sm
putting in *fat containing umbilical hernias* and there are hernias which contain fat. I even saw a CT picture of one.
Looks like just m/s on a net search. nm
Subject: Looks like just m/s on a net search. nm
s
ARA-C or Ara-C comes up on a search. nm
Subject: ARA-C or Ara-C comes up on a search. nm
s
Search here
Subject: Search here
www.onelook.com/ should help you
One Look search
Subject: One Look search
http://www.onelook.com/?w=s*cytosis&ls=a
A search tip for all
Subject: A search tip for all
I am not a "certified" medical transcriptionist and I am new to this field of work. However, I take pride in my work. I work for a transcription service locally. One of the best things I learned from my administrator is to use Google as my search engine. If you are not sure what you are hearing, you can type what it sounds like. If Google does not find an exact match it will ask "Do you mean __________?" (and it fills in what it might be) 98-99% of the time. I usually resolve the question within a minute or two. This has helped be TREMENDOUSLY. My intention is not to brag; my first attempts were horrible, but my administrator gave me a few suggestions and I took it from there. I just want to share something that has helped me so much as an MT. My administrator has told me that is is a pleasure to open up my work to proof. She has had several "experienced MTs" do some work that wasn't as good as mine turned out and I have only been doing this for less than a year. I also did some research on the internet. I found a site that is an Online Medical Transcription Course that I use as a tool. There is a lot of information there that helped me also. The site is: http://mttutorial.blogspot.com/ 
A brief Google search using
"T score" and "dexa" would have answered your question. And, it would incidentally have shown you that DEXA should be all caps. If you don't learn to do your own research, what will you do the next time this board is down for some reason?
did you do a google search? There were several --sm
Subject: did you do a google search? There were several --sm
hits but I did not read them indepth. May be helpful to you.
sure...just to a google search...sm
Subject: sure...just to a google search...sm
stands for...Bovine Serum Albumin coupled heparin
Link to search
Subject: Link to search
You can use the following link to look for options.
statin search
Subject: statin search
Please check this link
Offshore - do a web search
Subject: Offshore - do a web search
word search
Subject: word search
Could be holmium laser.
I did a quick search...there is something--sm
Subject: I did a quick search...there is something--sm
called halfa or alfa, but it is a spanish grass and I don't think this is what is meant. I thought perhaps kava kava??? just a thought.
Thank you, but I did not find this on a search.
Subject: Thank you, but I did not find this on a search.
x
One Look Dictionary search
Subject: One Look Dictionary search
would have suggested the correct spelling and its definition for you if you typed in your spelling.
try doing a search on Hauser
Subject: try doing a search on Hauser
x
Pulmocare on a net search. nm
Subject: Pulmocare on a net search. nm
s
Search tips
Subject: Search tips
Use more words in your search. Back up and ask yourself the same questions you need to think about when posting a question:
What kind of procedure am I transcribing. Ah, a hip replacement. Using technical terms instead of "general public" terms usually yields results with higher levels of the technical terms you're looking for. So if it's an arthroplasty, use that in your search, etc.
On a search I did, someone else posted
Subject: On a search I did, someone else posted
that they were hearing track and pack in a respiratory failure patient. The suggestion was trach and PEG and turned out to be correct, so thought you might want to see if you can hear that.
do a google search
Subject: do a google search
I found Errin, but not sure.
This is what I found.
NORETHINDRONE (Ortho-Micronor® or Errin™ or Jolivette™, Nor-QD® or Camila™, Norlutin®, Aygestin®) is used as a birth-control pill (to prevent an unwanted pregnancy). Not sure as we all know that Google can give incorrect info.
You're probably right, I will search it out a bit more Thanks.
Subject: You're probably right, I will search it out a bit more Thanks.
could google search by...
Subject: could google search by...
diabetic needles or whatever it might be specifically for.
Right way to search in google
Subject: Right way to search in google
search this as "PCP joint" there are some entities in google search
do a search for Barrx
Subject: do a search for Barrx
Found on Google Search SM
Radiology Division - Soft Tissue Biopsy Devices
The Achieve Disposable Biopsy Gun. The Temno Soft Tissue Biopsy Needle.
Temno Evolution. Tru-Cut Biopsy Needle. Radiology Division · Biopsy - Soft Tissue ...
www.ukmedical.com/radiology/biopsy_soft_tissue.htm -
do a tuberculosis search on Google (nm)
Subject: do a tuberculosis search on Google (nm)
Here's a good site to search...SM
Subject: Here's a good site to search...SM
I could have tried to help more, but don't know any more info as to whether this is a procedure, central line catheter, etc. More info might have helped .
try this link, also can search google...
Subject: try this link, also can search google...
http://www.medword.com/ent2.html
Drug search by classification
Subject: Drug search by classification
I'm back in acute care, and until the new Sauder's drug book comes out next month, are there any sites to look up drugs by category? I just want to put in a key word like "antibiotic" and have a list of them pop up. Ideally it would say what they were used for.
Surely there is such a thing as that?
A simple search and I found this--sm
Subject: A simple search and I found this--sm
Breg Knee brace:
Breg Knee Brace TRI-PANEL IMMOBILIZER ACL PCL MCL*NEW
hope this is what you are looking for.
Did google search for Ashworth and
Subject: Did google search for Ashworth and
it came back for modified Ashworth scale used for measuring spasticity in muscles.
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