I ended up sending to QA, hope they can figure it out (nm)
Posted By: quietmoods on 2007-02-01
In Reply to: flag it as it is a DEFINITE discrepancy...nm - no message
Subject: I ended up sending to QA, hope they can figure it out (nm)
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that is what I ended up sending
Subject: that is what I ended up sending
THANKS!!
thanks -- sending it....
Subject: thanks -- sending it....
That's what I ended up doing. nm
Subject: That's what I ended up doing. nm
nm
thanks. that is what I ended up using. nm
Subject: thanks. that is what I ended up using. nm
nm
tx for help, I am sending it, too much time
Subject: tx for help, I am sending it, too much time
x
Sending this through with query
Subject: Sending this through with query
Yes...chaz...tuh...zal :) I'm sending for QA, thanks tho!!
Subject: Yes...chaz...tuh...zal :) I'm sending for QA, thanks tho!!
x
Thanks all - I ended up flagging this
Subject: Thanks all - I ended up flagging this
this fellow would call in a 6 minute dictation and then fumble through half of it (literally dead air - so productive), would carry on private conversations with other fellows, rush through the dictations she could do, and then absolutely mangle drug names, etc. Sigh. I think this is Monday not Tuesday.
Yep - got it - ended up with a 2nd note
Subject: Yep - got it - ended up with a 2nd note
That could be it but I ended up with a blank. Thank you though!
Subject: That could be it but I ended up with a blank. Thank you though!
x
Thank you for your suggestion. I ended up being off on my s/l
Subject: Thank you for your suggestion. I ended up being off on my s/l
Thanks for your help!
I tried to hear that, and it may be what he's saying, but I ended up QA'g
Subject: I tried to hear that, and it may be what he's saying, but I ended up QA'g
That's what I ended up typing. Thanks!!! nm
Subject: That's what I ended up typing. Thanks!!! nm
I ended up having QA take a listen...
Subject: I ended up having QA take a listen...
The first one was "I did not feel it would work well for packing." I missed the "not" which makes sense now. The second one was "Malecot". Thanks for your help!
prob has something to do with sending it thru like an IV, or Cath or
Subject: prob has something to do with sending it thru like an IV, or Cath or
something. do have you any more info on the patient?
Giving up...sending it back
Subject: Giving up...sending it back
with the blank... Thank you for your suggestions. ;-)
possibly - I am sending for review
Subject: possibly - I am sending for review
Sending to QA but the full sentance was:
Subject: Sending to QA but the full sentance was:
We will restart his BiPAP nocturnally and bronchodilators ____ q.i.d.
It may be a legitimate word, but I'm sending to QA.
Subject: It may be a legitimate word, but I'm sending to QA.
Disregard - I am sending for review
Subject: Disregard - I am sending for review
Thanks IHJB. I ended up figuring it out but I appreciate the help!!! nm
Subject: Thanks IHJB. I ended up figuring it out but I appreciate the help!!! nm
.
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
Thanks but QA keeps sending it back as steri strips
I am sending the report in with a blank. Do not worry about it. Thanks anyway. nm
Subject: I am sending the report in with a blank. Do not worry about it. Thanks anyway. nm
ss
Found proper spelling before sending job
Subject: Found proper spelling before sending job
Just to let you all know, I did double check the spelling and found Lisfranc before I sent the report. Wouldn't have found it before because that "K" was messing with my research.
Found confirmation *after* sending it in, but thank you so much for your response. (nm)
Subject: Found confirmation *after* sending it in, but thank you so much for your response. (nm)
x
Anglea, stop sending me emails...sm
Subject: Anglea, stop sending me emails...sm
on every board there is on top of the questions on the right side a little box with 'search', there you can get information about companies.
Thanks y'all! I just ended up flagging it. He misspells a lot. LOL
Subject: Thanks y'all! I just ended up flagging it. He misspells a lot. LOL
nm
Ended up being 'joint tenderness and pain'
Subject: Ended up being 'joint tenderness and pain'
not sure of the test though. I flagged it and hopefully QA will respond and let me know.
it's what I ended up using- just hoping for something better for future reference... (because acc
Subject: it's what I ended up using- just hoping for something better for future reference... (because account specifics say docs don't get to make up words) :)
Thanks you hit it dead on I'm marking and sending through so he can fix it..Teach him how to dict
Subject: Thanks you hit it dead on I'm marking and sending through so he can fix it..Teach him how to dictate..Thanks
QA ended up changing it to "right" in chief complaint
Subject: QA ended up changing it to "right" in chief complaint
I ended up putting a blank and a request to find out what it was.
Subject: I ended up putting a blank and a request to find out what it was.
I'll keep you posted:) Thanks for the help!
745 women whose index pregnancy ended in an induced ...
Subject: 745 women whose index pregnancy ended in an induced ...
yes, it is index pregnancy
Patient with headaches. Sending for s/l uninfused cranial CT scan.
Subject: Patient with headaches. Sending for s/l uninfused cranial CT scan.
Pt with severe headache - will obtain s/l F E axis before sending to hospital. nm
Subject: Pt with severe headache - will obtain s/l F E axis before sending to hospital. nm
Thanks everyone. I ended up going with edematous paretic, but flagged for review just in case...
Subject: Thanks everyone. I ended up going with edematous paretic, but flagged for review just in case...
nm
Ureteral orifice cannulation with ř-French open-ended s/l pylocup...
Subject: Ureteral orifice cannulation with ř-French open-ended s/l pylocup...
nm
trying to figure it out. sorry nm
Subject: trying to figure it out. sorry nm
s
If you figure out what this is....
Subject: If you figure out what this is....
Please let me know. I've done a lot of duplex ultrasounds over the past 5-6 years but I am very "aural" when it comes to dictation - once I see "increment" and have that in my mind, I can't think of anything else. Anyway, I would like to know what it is in case I run across it.
Thanks! 
Thanks for trying anyway. I did figure it out though.
Subject: Thanks for trying anyway. I did figure it out though.
I had to copy the entire document into a new document and save it as a new document.
I believe she's saying figure-of-four but .... sm
Subject: I believe she's saying figure-of-four but .... sm
not sure if it fits with context. Can someone help? Here's more:
S: Low back pain. No radiation to lower extremities. No foot drop.
O: SLRs are essentially negative. She has full range of motion with negative (figure-of-four). No tenderness noted to palpation of spine. There are palpable spasms on both the right and left low back region.
A: Musculoskeletal low back pain with spasm.
P: Treat with Skelaxin 800 mg, Lodine 400 mg. Pt could also take Vicodin.
No, sorry. Maybe QA can figure it out. sm
Subject: No, sorry. Maybe QA can figure it out. sm
I've spent too much time on it as it is. I'm overly tired and grumpy anyway from getting up to pee every hour for the last several nights from my own urinary issues. The NP said I'd have relief today. What an a**hole. I'm in so much pain. He insists it could not be a kidney stone yet I'm peeing massive amounts of blood and blood clots. I've had a hyster so I know it's not coming from there. I don't usually wish things on people but I'm so grumpy from lack of sleep and in so much pain right now, I hope he gets one this bad. Curses! 
Tried and tried, but cannot figure out what she's saying. Please help..sm
Subject: Tried and tried, but cannot figure out what she's saying. Please help..sm
A 77-year-old - history of diabetes mellitus and hypertension - in a wheelchair. No obvious distress when first presents.
While being x-rayed, she complained of weakness, dizziness and extreme nausea. She became somewhat s/l obtended and her blood pressure rose to 180/102.
Needed more urgent evaluation and was sent to the ER.
DX: DJD and sudden change in mental status with elevation of BP.
can't figure this out, but could doc be saying
Subject: can't figure this out, but could doc be saying
"notable" for something??
sorry, I will figure this out one of these days
Subject: sorry, I will figure this out one of these days
but the previous link works at least!
If anyone can figure this out I will be so grateful!
Subject: If anyone can figure this out I will be so grateful!
She says: Upper extremity, right, and rigidity with bright red ***ek-I-nas-ia**.
This is in PE, and she is usually quick with this section and doesn't explain much, so I have nothing else to go off of. This is a geriatric medicine note. Also, it's pretty much verbatim, so this is what is said.
Thanks!
Help trying to figure out this term..
Subject: Help trying to figure out this term..
Sounds like "tick del-a-ro?" Docs gives an "unsure" spelling of d-o-l-e-r-a-u. Is anyone familiar with this term? Thanks!!!!
I figure cc is used in a syringe sm
Subject: I figure cc is used in a syringe sm
and mL is liquid can be given through a syringe minus the needle orally. You will also see this on the measuring cup on top of cough medicine. cc and mL are measurements equal in quantity. 5 mL = 1 tsp or 5 cc = 1 tsp. I think the dangerous abbreviations are more for handwritten notes as opposed to transcription. JMO.
Need a "sounds like" to help figure it out. nm
Subject: Need a "sounds like" to help figure it out. nm
x
It is also hard to figure out ...
Subject: It is also hard to figure out ...
... because they put this patient on 1 baby aspirin a day, which I thought was to thin the blood. I actually ended up asking a doc at the hospital where I work, and he seemed to indicate that there wasn't really any "hypocoagulable workup" -- it was more like "bleeding studies." There is a "hypercoagulable workup" which is extensively discussed on the net, but this patient with the bleeding may be more a candidate for the bleeding studies. However, from what I have read on the net, the tests that are done for a "hypercoagulable workup" are the ones which are being ordered for this patient. Sigh. I'm going to change it to hypercoagulable, and mark it just in case. Thanks for your input.
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