I agree, but do you think docs are gonna--sm
Posted By: noyb on 2006-06-28
In Reply to: This is a PERFECT example about how sm - ARRRRGH!
Subject: I agree, but do you think docs are gonna--sm
say pyelonephritis or polynephritis. which is easier to say? Docs are not always accurate either. I have had many a doc say polynephiritis.
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I agree 100%...I have numerous docs that say it that way
Subject: I agree 100%...I have numerous docs that say it that way
:)
Ain't got nun and ain't gonna get nun...
Subject: Ain't got nun and ain't gonna get nun...
Sorry...excerpt from an old joke I heard at a comedy club in Boston once.
You are hearing it correctly. Some people will refer to a preist or a nun as "Father" or "Sister" and leave out their name. I met a priest once (just once) and I referred to him as just "Father" when I thanked him for doing whatever it is he did at my mother's wake. (Can you tell I'm not religious?) I didn't know his name or anything, and besides, that's what I heard everyone else around me call him.
I think the name Mary is just one of those many "good Irish-Catholic names"...kind of like the one I got stuck with but instead bury it with the name "Hayseed."
I'm Gonna Be
Subject: I'm Gonna Be
If I ever get through this shift. :)
thanks i'm gonna go w it
Subject: thanks i'm gonna go w it
d
think it is Omnipaque, gonna go for it!! Thanks
Subject: think it is Omnipaque, gonna go for it!! Thanks
I'm just gonna flag it - Thank you for trying! nm
Subject: I'm just gonna flag it - Thank you for trying! nm
x
don't think a website is gonna help
Subject: don't think a website is gonna help
I don't think there's a way to determine for sure. The fact that "another doctor" said it was ACL doesn't mean that's what they've decided the problem is. On the other hand, he could have switched "ACL" with "LCL" (like they always do right and left, metatarsal/metacarpal, etc.) Don't think there's a way to tell for sure. Sorry!
wanna, gonna, he's
Subject: wanna, gonna, he's
When i first got this account, I expanded contractions. Today I received a memo that I was supposed to type all words verbatim and not to add any extra words. I stopped expanding contractions, but this doctor is saying things like wanna, gonna, he's, there's... and then sometimes says want to, going to, he is, there is...
I feel so silly typing "gonna" and "wanna." Am I right to type these like this?
wanna, gonna, he's
Subject: wanna, gonna, he's
When i first got this account, I expanded contractions. Today I received a memo that I was supposed to type all words verbatim and not to add any extra words. I stopped expanding contractions, but this doctor is saying things like wanna, gonna, he's, there's... and then sometimes says want to, going to, he is, there is...
I feel so silly typing "gonna" and "wanna." Am I right to type these like this?
Hmm..could be..I'm gonna have to flag it. Thx.
Subject: Hmm..could be..I'm gonna have to flag it. Thx.
gonna mark that down
Subject: gonna mark that down
i've never typed that aphthous ulcers.. will have to remember that
no.....gonna have to put a blank....thx
Subject: no.....gonna have to put a blank....thx
This is gonna sound numb, but what is MPR?
Subject: This is gonna sound numb, but what is MPR?
I'd love to put these into my file, and I'm not questioning the legitimacy (okay, I am, but I gotta because it's my patootie on the line), but is there a link to these bad boys you can share?
I'm gonna guess "fistula" here.
Subject: I'm gonna guess "fistula" here.
But I have been known to be totally wrong-o 
"I'm gonna go sniff some glue now"
Subject: "I'm gonna go sniff some glue now"
 
Thanks for your help! (Gonna leave a blank!) -nm
Subject: Thanks for your help! (Gonna leave a blank!) -nm
nm
there gonna have to come to my house and make me change that lol nm
Subject: there gonna have to come to my house and make me change that lol nm
I was gonna guess transit of barium
Subject: I was gonna guess transit of barium
but transudated fits definition-wise. I mostly hear transit in terms of things moving throug the bowel.
I've looked up both follicular and pellicular to see what fit...think this one's just gonna
Subject: I've looked up both follicular and pellicular to see what fit...think this one's just gonna' have to be blank. NM
NM
Glad you got it!! Thought it was gonna be a derm term! nm
Subject: Glad you got it!! Thought it was gonna be a derm term! nm
I wouldn't. Gonna and wanna are slang and not contractions.
Subject: I wouldn't. Gonna and wanna are slang and not contractions.
JMO
This is gonna sound nuts, but I knew a Clac product
Subject: This is gonna sound nuts, but I knew a Clac product
It was not a medication, rather an "environmentally friendly" fly repellent used on livestock and pets. Here's a link to one of the product sites I found it on:
https://www.smartpakcanine.com/productclass.aspx?productClassId=1518&GCID=C11284x040
They no longer use the Clac name and have since renamed it Deo-Lotion.
I'll be interested on hearing what you finally find out about your patient!
I'm gonna second "Your kidding right" Have you not heard of overweight people?
Subject: I'm gonna second "Your kidding right" Have you not heard of overweight people?
Yep, it's okay. Docs say that often. nm
Subject: Yep, it's okay. Docs say that often. nm
x
Thanks...sometimes I think these docs should...
Subject: Thanks...sometimes I think these docs should...
type themselves for once and listen to some of the things they say. I bet they would think twice after that...:-)
Some docs
Subject: Some docs
actually dictate ABGs in this manner. They say a number then slash then another number then slash, etc. That is how they want it transcribed. Just make sure your numbers are correct and you are set to go!
should say *my* docs
Subject: should say *my* docs
like the docs who are always ...
Subject: like the docs who are always ...
... putting "metatarsal" in the hand dictations. Plantar may be technically okay, but it seems like if he were more careful he would say palmar.
Our docs
Subject: Our docs
usually say normocephalic.
I have docs that use it
Subject: I have docs that use it
but my account is not crazy weird picky, either. I haven't heard of it being unacceptable. If it's worth your time, I'd question QA about it and ask her why she changed it.
I have docs
Subject: I have docs
who add extra letters to lots of words, if it make them easier to pronounce. Kind of weird, but it happens.
Docs
Subject: Docs
make up lots of words...they make lots of mistakes (ergo malpractice insurance)...they even misspell lots of words. If we have to deal with their ineptness, they can deal with blanks. JMHO. :-)
With some docs..
Subject: With some docs..
that wouldn't be a stretch at all but a very good guess. :-)
It's not the docs I'm concerned about, or QA, when it comes to my...
Subject: It's not the docs I'm concerned about, or QA, when it comes to my...
work as an MT,
You don't add in mg or mcg, etc. unless it's dictated. The docs know
Subject: You don't add in mg or mcg, etc. unless it's dictated. The docs know
s
that's how my derm docs like it - sm
Subject: that's how my derm docs like it - sm
same with T zone.
ONLY if your QA, account, or docs want it to be so. Not everyone
Subject: ONLY if your QA, account, or docs want it to be so. Not everyone
s
The docs are correct. (nm)
Subject: The docs are correct. (nm)
.
the docs are incorrect
Subject: the docs are incorrect
there must be ownership to use an apostrophe. The word Smith does not show ownership to anything.
If the sentance read Dr. Smith's patient, then yes the apostrophe is used.
that's the section m docs usually put it in.
Subject: that's the section m docs usually put it in.
No, it is not. Docs do not always spell
Subject: No, it is not. Docs do not always spell
x
Some of my docs do list..sm
Subject: Some of my docs do list..sm
each artery's findings separately and I number them along the left under each other. Just use your common sense so you end up with a clear report. Good luck. I remember when I first started doing caths and it wasn't easy.
know how the docs are... making up as they go sm
Subject: know how the docs are... making up as they go sm
They are two separate ligaments but he is probably putting them together.
Most docs say "hypertrophy" when they
Subject: Most docs say "hypertrophy" when they
say it out instead of abbreviating. But, when in doubt, use the abbreviation, even if in diagnosis.
With docs like that, the only way to learn
Subject: With docs like that, the only way to learn
them is to do them repeatedly. When you get your QA feedback, make sure you keep it for further reference. I have been doing this for 25 years and there are still docs I can't understand and/or cringe when I get them. Some of them are totally impossible.
My docs always say "give-way"
Subject: My docs always say "give-way"
x
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm
The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.
But sometimes there's a clue in what's being tested, blood or urine, and/or the diagnosis.
Also, if you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.
If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!
Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm
The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.
Is there a clue in the dx?
If you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.
If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!
Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
I have found that some docs
Subject: I have found that some docs
will use that abbreviation for lymphadenopathy. Just a suggestion.
Lots of docs
Subject: Lots of docs
say patellar crepitus as patellar is referring to the patella. Just another way to say patella crepitus. :-)
The ortho docs
Subject: The ortho docs
I type for will often say a "toggle" of motion, meaning just a tad. :-)
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