I'm having a friendly debate with a doctor, can you help me?
Posted By: Jill on 2006-01-10
In Reply to:
Subject: I'm having a friendly debate with a doctor, can you help me?
He says it is "Wallerian degeneration" and I show "wallerian degeneration," from Stedman's and Dorland's. The good doctor faxed over a page from one of his textbooks that says "Wallerian degeneration." So, I'm thinking it could go either way. What do you guys think?
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debate on L3-L4??
Ok.. MTs where I work are getting hit from QA saying that we are not to add the second L in L3-L4 if not dictated,, that is considered wrong now. I have Second Edition BOS but not new.. If someone could find it in that book and write exactly what it says so I can read/see I sure would appreciate it
Help me settle a debate
Would you type bilateral mastectomies or bilateral mastectomy??? Help me settle this.
Wanda, I'm not going to DEBATE you on this.
Subject: Wanda, I'm not going to DEBATE you on this.
It is not debate material. When I see posts stating, "Maybe it's an either/or situation," I about go red. Being high and mighty has nothing whatever to do with proper grammar. Your perception of my attitude is irrelevant. You can bet the Indians know a noun from an adjective.
ESL doctor - please help!!
Subject: ESL doctor - please help!!
Dictator says this word twice, but it sounds different each time and I don't think either is correct...
This patient recently got a diagnosis of Soft Tissue Rheumatism: He says:
She has a history of pelvic and scapular s/l tills, polyarthralgias, tight hamstrings and stated she has lost weight.
And in the other spot it sounds like he is saying pelvic and scapular tilts. Any ideas? Thanks!
Doctor's Name
Subject: Doctor's Name
I use MedWeb all the time. It is a great site! Check it out.
Help please PT doctor
Subject: Help please PT doctor
He sounds like he is saying towel and tilt testing. I can find tilt testing but not towel testing. Is there such a thing or am I hearing it incorrectly? 
for an ENT doctor
Subject: for an ENT doctor
Anyone ever hear of what s/l boyette, voyette, goyette, ????? solution??? (used with packing the nose after surgery.........antiseptic ??????
I always put it exactly as the doctor says it
Subject: I always put it exactly as the doctor says it
Sometimes they say "levocurvature" instead of "levoscoliosis" because the curvature may be caused by the way the patient is positioned. The doc may be reluctant to diagnose a scoliosis on the basis of just one study.
Don't think so, but thanks anyway! Think doctor
Subject: Don't think so, but thanks anyway! Think doctor
Yes, the first one was a doctor name! Thanks to both of you!
Subject: Yes, the first one was a doctor name! Thanks to both of you!
the doctor is saying...
Subject: the doctor is saying...
(s/l) xanthalomas, but does he mean xanthomas? "He has the presence of xanthomas around the nasal portion of the orbits bilaterally."
The doctor is saying
Subject: The doctor is saying
“anichomycosis" Had several people listen and this is what he is saying, but all I find is onychomycosis. Was wondering if you can get that type of fungus on his nose from a fungus from the nail.
yes it is an ESL doctor!
Subject: yes it is an ESL doctor!
s/l she has gone detroit/detroph before..
"to try it" make sense in this context...
Anything's possible with this doctor - Thanks.
Subject: Anything's possible with this doctor - Thanks.
NM
could the doctor be saying
Subject: could the doctor be saying
urethritis/gonorrhea? I am finding this...just a guess.
If the doctor says...
Subject: If the doctor says...
The patient is issued *DME* of a sling-and-swathe to be used postoperatively.
What would be the correct thing to type out for DME? durable medical equipment?
The patient is issued a durable medical equipment of a sling-and-swathe to be used postoperatively. Just doesn't sound right :-( tia.
I believe the doctor is..
Subject: I believe the doctor is..
talking about the patient taking hydrochlorothiazide as a neuroleptic medication. Does that sound correct? TIA.
I can't tell what the doctor
Subject: I can't tell what the doctor
is dictating...lol. Not sure if it is neuralgic or neuralgia..thanks for your help.
if the doctor say L2 3 sm.
Subject: if the doctor say L2 3 sm.
is it written L2-3? The patient has a central angular tear at L2-3. tia.
The doctor dictates
Subject: The doctor dictates
His aortic valve appeared well-(s/l seated). I found some examples like that, but am unsure of certainty and spelling accuracy? Thank you in advance for any help.
Oh good... That is what I had gone with. This doctor
Subject: Oh good... That is what I had gone with. This doctor
consistently makes up his own drugs. He also makes up his own words. If I hear the non-word "equivocable" one more time, I am going to scream. He's a great dictator as far as being clear speaking, he just likes to improvise on his words a bit. Not fun for me.
THANKS!
and when it goes to court the doctor will
Subject: and when it goes to court the doctor will
x
61.5 inches? the doctor said
Subject: 61.5 inches? the doctor said
61 and a half inches. Wouldn't it be 61-1/2 inches and not 61.5? End of the day brain fog.
Thank you. I think it is the doctor's mistake....
Subject: Thank you. I think it is the doctor's mistake....
Doctor's Addresses
Subject: Doctor's Addresses
I swear by this site and use it quite a bit.
www.ama-assn.org/
Thank you everyone, but do you always find the name of the doctor that you are looking for?
Subject: Thank you everyone, but do you always find the name of the doctor that you are looking for?
Sometimes I find that harder than finding the address. He just says the doctor's name phonetically and I have to figure out which name he is saying.. Any ideas? Thanks.
think it could be ph is 0.96 and the doctor said "s" on accident?
Subject: think it could be ph is 0.96 and the doctor said "s" on accident?
That just may be it! Old mushmouth doctor anyway. Thanks! nm
Subject: That just may be it! Old mushmouth doctor anyway. Thanks! nm
m
maybe it's 0.5 mg - doctor not dictating the 0
Subject: maybe it's 0.5 mg - doctor not dictating the 0
nm
Would you flag this?? I have a doctor
Subject: Would you flag this?? I have a doctor
dictating a medicine of Xanax 20 mg t.i.d. I'm only an MT, not a pharmacist, but 20 mg sounds awfully high, especially when the doses are usually in the 0.5 to 2 mg range. I checked and it comes in 0.25 mg up to 2 mg. I'm just wondering if I should put a QA marker here and ask them to double check or if I should just type what I hear and let it go through. Has anyone else heard of somebody being on this high of a dose of Xanax before? Thanks!
spelling of doctor's name
Subject: spelling of doctor's name
Can anyone tell me the best way to confirm the spelling of a doctor's name? I'm looking for what sounds like Elmer Penada. He's a physician in California.
I think that doctor is drunk :)
Subject: I think that doctor is drunk :)
Popliteal is the anatomical structure behind the knees.
Otherwise that doctor is a bit tipsy, or I have no idea what he/she is trying to say.
Very sleeeeeepy doctor!
Subject: Very sleeeeeepy doctor!
This 81-year-old patient's daughter calls the doctor to report the patient is having acute, severe vaginal bleeding.
He yawns through this sentence...
I have gone over the patient’s S/L: path history with the daughter and recommended that she go to the emergency room for immediate evaluation.
I have thought of "past" history, but it really sounds like PATH history. Would that be possible (as in pathology history?) Is that a common enough phrase?
Thanks.
is the doctor american?
Subject: is the doctor american?
I assure you this is a doctor
Subject: I assure you this is a doctor
that everyone would love to work for.
Is this possibly a doctor's name?
Subject: Is this possibly a doctor's name?
I'd have to hear the whole sentence but couldn't it be Dr. Kendall Somebody? Just a thought.
she has seen the doctor of a variety of..
Subject: she has seen the doctor of a variety of..
myalgias, arthralgia s/l apa-stem-i-ti-tis, neutropenia .. thank you
GI doctor uses this a lot but I can't find it
Subject: GI doctor uses this a lot but I can't find it
anyway. It is used in the context of anal incontinence in which he says the patient is passing only small what s/l skubula. Thanks!
thanks for the help--will wait on the doctor.
Subject: thanks for the help--will wait on the doctor.
That is very possible, the doctor is spelling it
Subject: That is very possible, the doctor is spelling it
and acts as if he has never heard of it. He has often told me to clean up the dictations where I see fit. Not sure what I should do.
Doctor is saying Diflucanic
Subject: Doctor is saying Diflucanic
Should this be Diflucan or is there something new out there that is a combination?
Ortho doctor
Subject: Ortho doctor
The doctor states "she needs to get back and see her ortho pod". Is that correct?
TIA
Tina
doctor list
Subject: doctor list
http://www.healthcarehiring.com/physician_directory.html
You have to scroll down below the picture that appears on the screen, then choose any state. You then enter the doctor's last name, or part of the name, and it brings up everybody in the state that fits that criteria. You can also scan by specialty.
Can anyone figure out what this doctor was saying sm?
Subject: Can anyone figure out what this doctor was saying sm?
I had this one time. It sounded just like this.
The patient has refreybrindriss
ESL doctor - please see message....
Subject: ESL doctor - please see message....
The doctor dictates this: He had some seasonal allergies and has side effects from metoclopramide, s/l akotezia. ???
ESL doctor - please see message...
Subject: ESL doctor - please see message...
The doctor is saying ".......she brought a chart to me today which showed that she has on average lost about four pounds, and at the s/l "nater" of her weight actually accomplished a systolic blood pressure of 120.....
062 K-wire, help, when doctor says....
062 K-wire, do you put it like this? or the way 0.062 K-wire? I remember a few years ago it was supposed to be dropped (the 0.062 and put 062 K-wire) but I don't see that being done, so do you put .062 or 062? Thanks guys
If the doctor is a neurologist, then it could be
Subject: If the doctor is a neurologist, then it could be
EEG. If the patient has dizziness or imbalance with the headaches, it could be an ENG.
Doctor is saying s/l PVR or PDR with exercise.
Subject: Doctor is saying s/l PVR or PDR with exercise.
Perhaps this, named after a doctor.
Subject: Perhaps this, named after a doctor.
copy & paste the link:
http://www.drhealth.net/therapies/rife.html
Lots of other stuff on the net.
ESL doctor - see message please. TIA
Subject: ESL doctor - see message please. TIA
The doctor is dictating the patient's past medical history and he is saying "History of craniopharyngeal s/l motamole in 1999 with subsequent panhypopituitarism and on replacement therapy".
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