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I think I will just flag it. Too unclear and it is meds. Thanks anyways! nm

Posted By: tealight on 2009-01-11
In Reply to: two meds s/l please sm - tealight

Subject: I think I will just flag it. Too unclear and it is meds. Thanks anyways! nm




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Thanks for your help. It was so unclear so sent to QA. nm
Subject: Thanks for your help. It was so unclear so sent to QA. nm


unclear dictation
Subject: unclear dictation

The sentence reads:  One bottle out of four bottles of blood culture came back Staph coag negative positive.  Does that make sense? 
Very unclear, but could be. I think I will send it to QA. Thanks anyways! nm
Subject: Very unclear, but could be. I think I will send it to QA. Thanks anyways! nm


unclear on sentence
Subject: unclear on sentence

No increased dated degrudge, plus 2 without bruits, and clear to auscultation.

I am pretty sure I need to change the plus 2 to 2+, but does this sentence make sense? It doesn't to me, but I am new! Thanks!
perhaps "etiology unclear"
Subject: perhaps "etiology unclear"


Unclear word(s)
Subject: Unclear word(s)

What I am hearing is HEENT: Mild conjectile o-pal or mild conjectile or pallor.  What makes sense?
Unclear of word
Subject: Unclear of word

Typing a Urology/Nephrology report - unsure of a sentence


On digital rectal exam, the prostate is "flat" without firmness or nodularity.  The word also sounds like flass. What could it be?


 


Unclear sentence
Subject: Unclear sentence

I don't really like the way this is written but it's what is dictated. 


He is positive for a smoker 1/2 pack per day with a smoker's cough.  I'm hearing it exactly as is.  Does that sound right?


Thanks - it is so unclear, I will leave it blank
Subject: Thanks - it is so unclear, I will leave it blank


Maybe celebratory?? if 1st part unclear
Subject: Maybe celebratory?? if 1st part unclear


I believe it was Diprosone cream, but was very unclear. nm
Subject: I believe it was Diprosone cream, but was very unclear. nm

nm
That's a good guess, it was very unclear . . . sm
Subject: That's a good guess, it was very unclear . . . sm

so, I blanked it in the report, ""_____ dialysis"", and QA filled it in with ""Q-dialysis"", so I was just wondering where they got their information from.  This is not the first time I have found a questionable QA fill-in.
no speciality. final diagnosis was uti. these meds were admit meds, only hist was hypertension
Subject: no speciality. final diagnosis was uti. these meds were admit meds, only hist was hypertension


This is ESL, so unclear - He may be referring to range of motion pain but doesn't say.
Subject: This is ESL, so unclear - He may be referring to range of motion pain but doesn't say.

nm
I'd flag it. You don't know which one
Subject: I'd flag it. You don't know which one


FLAG IT.............................nm
Subject: FLAG IT.............................nm

.
thanks for trying. I'm just going to flag it. nm
Subject: thanks for trying. I'm just going to flag it. nm

x
maybe- might just have to flag this one thank you
Subject: maybe- might just have to flag this one thank you

:-)
I'm just not sure. I'm going to flag. Thanks for your help.
Subject: I'm just not sure. I'm going to flag. Thanks for your help.


what I would do - I'd either flag it or....
Subject: what I would do - I'd either flag it or....


Thank you, I did flag it (NM)
Subject: Thank you, I did flag it (NM)

-
I'm going to flag it...
Subject: I'm going to flag it...

I have a name that I can't understand in the document anyway (person's last name) and I can't find it to verify spelling - so it's got to go to QA anyway, I come back here and post if/when QA gets it in case someoen else ever has it. TY for those that tried looking also.


I'd flag it
Subject: I'd flag it

Doc may have meant take 2 tablets in the morning and said the q just as a habit. I would certainly question having to take Lexapro at 2 a.m. In my opinion, don't guess - flag it.
Thanks. I will have to flag it.
Subject: Thanks. I will have to flag it.

ss

thanks, that might be what he is trying to say but I had to flag it :( nm
Subject: thanks, that might be what he is trying to say but I had to flag it :( nm


Thanks, but I sent it in with a QA flag.
Subject: Thanks, but I sent it in with a QA flag.

 


It wasn't locked.  Sounded like lap or lapped.  Doctor was running words together and even made up a few of his own!  Gotta love it !


@>--^--     Thanks again!!


If it were me, I would flag it
Subject: If it were me, I would flag it

Seems obvious he meant ACL.


I have a doc who says stuff like that all the time...give a list of "this is normal, that is normal" only he says the same thing both times. I don't change it, I just flag it.


I would say if you are not sure, flag it.
Subject: I would say if you are not sure, flag it.


I'm going to flag it, ty anyway! nm
Subject: I'm going to flag it, ty anyway! nm

x
Thx for trying! I am just going to have to flag this one. THx again!
Subject: Thx for trying! I am just going to have to flag this one. THx again!


Thanks for any help.....I will flag
Subject: Thanks for any help.....I will flag


If you are not sure, flag it.
Subject: If you are not sure, flag it.


will flag it for QC. thanks! n/m
Subject: will flag it for QC. thanks! n/m

xx
Thank you, had to flag it because he only said cod. thanks again. nm
Subject: Thank you, had to flag it because he only said cod. thanks again. nm

x
Should I flag this
Subject: Should I flag this

During CBC doctor says "counts of 7.7" Later in the sentence he says white count of 11,900. Would he be referring to RBC and should this be flagged for clarity????? It's unclear to me but then everything he says is. Thanks for your help.
sounds like you'd better flag it to me.
x
Used to flag it and then at the bottom SM
Subject: Used to flag it and then at the bottom SM

of report said something like this:


*doc said "Ureteka" maybe meant Uritex....


 


Thanks, I'll flag
Subject: Thanks, I'll flag

Thanks.  I couldn't find it either and since it is a  medication, better safe than sorry and I will flag it.  Thanks so much for your time
I agree... flag it
Subject: I agree... flag it

/
I'd flag, especially since allegies. nm
Subject: I'd flag, especially since allegies. nm


Absolutely flag it for QA....
Subject: Absolutely flag it for QA....

nm
Thanks...I will flag it just in case
Subject: Thanks...I will flag it just in case

When I got to the exam, she only weighs 111 lbs, so that makes me even more concerned that he just got lazy and just said "5" because he definitely didn't say 0.5 or even .5, it was just 5. I hesitate on questioning things that could be borderline, I always worry about them getting huffy if I dare to suggest they might have said something wrong, especially if what they said was what they meant, but then I think, I work at home in another state and wouldn't know him from a hole in the ground, what's he going to do, come to my house?!?!?
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!
Should I flag?? Ortho help
Subject: Should I flag?? Ortho help

Physical examination of the left shoulder reveals active forward elevation to approximately 90 degrees. Actively she could elevate it to approximately 130 degrees with pain.

He uses "active" twice. Isn't that wrong?
thanks - yes it could be, I'll flag it. nm
Subject: thanks - yes it could be, I'll flag it. nm

x
Flag it - Lexapro comes 5/10/20 mg once a day
Subject: Flag it - Lexapro comes 5/10/20 mg once a day

x
Thanks for replying, I think I'd better flag it. nm
Subject: Thanks for replying, I think I'd better flag it. nm

x
Digoxin should be 0.125 or 12.5 - flag it for QC/nm
Subject: Digoxin should be 0.125 or 12.5 - flag it for QC/nm

nm
I'm just gonna flag it - Thank you for trying! nm
Subject: I'm just gonna flag it - Thank you for trying! nm

x
Could be..sounds a little like it but not sure enough so I will flag. Thanks!!!!
Subject: Could be..sounds a little like it but not sure enough so I will flag. Thanks!!!!


I would flag it if unsure.
Subject: I would flag it if unsure.