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I agree about him making it up. This clinic doesn't want blanks

Posted By: but fail to see why they get them. (nm) on 2007-10-11
In Reply to: sorry that should be making up a word not work. tired. - ME

Subject: I agree about him making it up. This clinic doesn't want blanks

nm


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It's a GI clinic and it doesn't look like she has had cancer.
Subject: It's a GI clinic and it doesn't look like she has had cancer.

I
I agree but she doesn't say if there is a noun after or not. nm
Subject: I agree but she doesn't say if there is a noun after or not. nm

x
Cancel that; context doesn't agree
Subject: Cancel that; context doesn't agree

nm
I agree. It doesn't take much to be nice. Surpised that "soap box" (sm)
Subject: I agree. It doesn't take much to be nice. Surpised that "soap box" (sm)

wasn't somehow mentioned; the usual modus operandi for this "NOT holier than thou" poster.
sorry, it's not the leukemia clinic. It's the lymphoma/myeloma clinic. I'm still stumped!
Subject: sorry, it's not the leukemia clinic. It's the lymphoma/myeloma clinic. I'm still stumped!


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
Blanks were just PHI that
Subject: Blanks were just PHI that

x
blanks
Subject: blanks

1st blank ...  Hulka  clips ....


2nd blank .... slowly...


Just a guess, hard to tell without hearing it for myself.  Hope this helps!  Good luck!


2 blanks - sm please
Subject: 2 blanks - sm please

Culture and sensitivity result which showed that the patient had isolation of E. Coli and s/l pro-tal-is mor-rab-a-lis both sensitive to amoxicillin and s/l clob-a-lonic acid. 


Sorry foreign doctor and he is giving me a run for my money today.  Thanks for any help. 


Need help with blanks.
Subject: Need help with blanks.

On exam today, she ____ 20-30 degrees from the lower ____ when positioning her left shoulder.  This is an exam for shoulder pain. 


BLANKS
Subject: BLANKS

is it okay to put many blanks throughout the document if I'm not exactly sure what he is saying and some things he says make absolutely no sense? (sometimes 2 per paragraph in places) Is it okay to put a blank so he checks that word to make sure its right? these are 9 page long psych reports. It's not cut and dried medical terms and phrases. I'm thinking I should put blanks just to make sure it's right instead of typing what i think he is saying. what do you do
?
blanks
Subject: blanks

I agree with the other post.  I have leaving blanks, but sometimes you have to.  You absolute cannot guess at something.  It is better to leave a blank than to guess, otherwise it is a bad reflection on you as an transcriptionist to try to guess and then have it be wrong.
I'll let you know. I sent it in with 14 blanks, all but one was whatever this is. ty!!
Subject: I'll let you know. I sent it in with 14 blanks, all but one was whatever this is. ty!!

.
several blanks, no clue
Subject: several blanks, no clue

..severe stenosis of a large circumflex marginal which was stented by (s/l 2 stent, sty-fer) which are (drac-oluded) stent
That makes sense... Thank you! Two blanks down, two to go....
Subject: That makes sense... Thank you! Two blanks down, two to go....

:)
Thanks a bunch, now I do not have any blanks in none of my reports
Subject: Thanks a bunch, now I do not have any blanks in none of my reports


Neuropsych examination blanks...sm
Subject: Neuropsych examination blanks...sm

Cranial nerves 2-12 S/l** pretty realstine thiatmean around ____ 59 15** No signs of a a/l ** false ictal state** are appreciated.


This is a patient with a question of seizure disorder.


Speed talking doctor on a subject I'm not very familiar with and my Neuro word book has not yet arrived. 


thank you again, now I have no blanks in my reports. Thanks a bunch!!
Subject: thank you again, now I have no blanks in my reports. Thanks a bunch!!


I ended up leaving blanks and so did QA so who knows. Thanks though!
Subject: I ended up leaving blanks and so did QA so who knows. Thanks though!

x
Correct. Best bet is to leave blanks
Subject: Correct. Best bet is to leave blanks

never guess at what the doctor is saying.
Rad words/2 blanks 1 report
Subject: Rad words/2 blanks 1 report

Radiologist is saying what sounds like "Fluid is seen within the s/l entercies of the mesentery." The other word in the same report is: "High density within the dependent portion of the stomach surrounded by contrast measuring 36 Hounsfield units could reflect s/l embezel (2nd e with long e sound), blood products, or food particles."


genetics questions, 3 blanks
Subject: genetics questions, 3 blanks

Fragile X testing comparative _____ (geno mechipronazation??)


and _____  (snipe??) array testing


stopped all of his milk and wheat products, and started him on _____  (mucate?) instead


Thanks so much... Saved me from having to send this to report to QA with four blanks...

Occ health--shoulder exam (2 blanks) Pls help. SM
Subject: Occ health--shoulder exam (2 blanks) Pls help. SM

Adson maneuver is negative.  *_________ (s/l controse) about the right
shoulder appear normal and symmetric with the left side.  There is no
*___________ (s/l spinatahoss) atrophy and no focal tenderness to the suprascapular notch.


Whew!  This was a LOOONG report.  Thanks for your help.


Chickadee


nevermind - leaving some blanks - exasperated!!! nm
Subject: nevermind - leaving some blanks - exasperated!!! nm


I'll bet that was it. Sent to QA as sound was horrible and about 15 blanks.
Subject: I'll bet that was it. Sent to QA as sound was horrible and about 15 blanks.


that is what I put, thanks, report gone, thank goodness, but NO blanks ESL to boot. x
Subject: that is what I put, thanks, report gone, thank goodness, but NO blanks ESL to boot. x

x
Are you also missing words where you have blanks? Confusing post ...
.
Unless treatment in the report indicates those conditions are present, would just leave blanks. nm
Subject: Unless treatment in the report indicates those conditions are present, would just leave blanks. nm

s
sorry, maybe he's making it up, don't know.
Subject: sorry, maybe he's making it up, don't know.

x
Clinic name?
Subject: Clinic name?

I dont know if you can post it, but where is your acct at?  I ask because I just googled steroid and Kleinert Kutz and it seems to be a hand care center.  Might give it a try!
It would actually be the name of the clinic
Subject: It would actually be the name of the clinic

however, without a list of clinics in the area MTs have no way of knowing if it just a general term or the actual name. I always capitalize to be on the safe side, have not been told not to yet.
I'll bet he's making a new (sm)
Subject: I'll bet he's making a new (sm)

word here. Waddell's test is an exam used to determine if someone is faking pain. If the patient has exaggerated complaints of pain it is a positive Waddell's.
pain clinic
Subject: pain clinic

The patient is scheduled for a percutaneous s/l racks or rax procedure of the lumbar spine.  Any ideas?


clinic note help
Subject: clinic note help

   Patient is accompanied by her husband today who is very concerned regarding recent symptoms of numbness and tingling in the lateral aspect of the left and right arm.  ***This is been ongoing x 2 to 4 weeks.****  .  is this the correct way to transcribe this?  The last sentence is the questionable....  thanks for all your help!!
clinic note
Subject: clinic note

thanks for your help, I am a new MT and I am a little confused with some things. thanks again!!!
clinic note
Subject: clinic note

the doctor says "this has been ongoing times 2 to 4 weeks" i was not sure how to transcribe that.
clinic note
Subject: clinic note

Your a wonderful help!!!!
clinic note help
Subject: clinic note help

does a doctor usually use the word relay example:    Patient mainly relays that she has trouble falling asleep at bedtime. 
Sounds like QA is making much ado about nothing.
Subject: Sounds like QA is making much ado about nothing.


Oops, clinic
Subject: Oops, clinic

s
thanks that is it, I was making it harder than what it was!!!
Subject: thanks that is it, I was making it harder than what it was!!!


Making progress
Subject: Making progress

He said the first 3 letters again and spelled them:

I, B as in Bictor (meaning V as in Victor), F Laboratory.

So now we have IVF icksee Laboratory.
ESL making me nuts
Subject: ESL making me nuts

I was taught to never change a transcription, even if it's blatantly wrong.  I would leave as dictated and leave a note for the doctor (if you have a place to do it)


making a little progress
Subject: making a little progress

with this one, thanks to your answers... still hearing something like "Pradus" but instead of obturate, was saying on THE RIGHT. definitely NOT piriformis or sure does not sound like it, then goes on to gluteus medius and maximus.
thank you, think doc was making up the word...nm
Subject: thank you, think doc was making up the word...nm

x
Rare? Every clinic I do uses them. nm
Subject: Rare? Every clinic I do uses them. nm

nm
Pain clinic - need help with s/l - thank you.
Subject: Pain clinic - need help with s/l - thank you.

Patient has neuropathic pain and is on Lyrica and Zonegran.


"I suggest that he also try a nutritional supplement, s/l gama-lin-a-la-ic acid, for neuropathic pain."

clinic note
Subject: clinic note

Yep, it is a clinic report and the clinic does not want abbreviations spelled out.  In samples of their reports I was given h.s. was never spelled out, however, I could not find one that stated q.h.s. so I was unsure of the space.  Thanks for your help.
fertility clinic
Subject: fertility clinic

allow sperm cells to be placed on a hyaluronic _________.