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I think he is making this stuff up. sm

Posted By: Trish on 2009-05-05
In Reply to: Has anyone ever heard of "Schimmel" solution for oral mucositis? - trish

Subject: I think he is making this stuff up. sm

I've gone to every medical website I can find. I have "asked the experts" on various medical websites. Even doctors can't find it! Thank you all for trying. If I come up with anything before I'm 99 years old, I'll post it.


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Lung nodule that is possible a "coccideoma". Is this a word, or is he making stuff up?
Subject: Lung nodule that is possible a "coccideoma". Is this a word, or is he making stuff up?


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

x
Gee, ya think? You should see some of the stuff

I don't know who they got working there sometimes.  So much conflicting stuff it's unreal.  I call them on it every time though and send it to my super.   It's hard enough without the conflicting feedback.


Example:


Dictator said HPI (for a heading), so I typed it HISTORY OF PRESENT ILLNESS.  I get QA feedback that says, "If the dictator dictates the header as HPI, type it in as HPI."  So I'm like okey dokey.Next time I get HPI I do just that.  Then I get a nasty note.  NEVER, EVER abbreviate in the headers, always spell it out.  I'm  like geeesh!


One told me to type out 2:00 O'clock (for position, i.e., cornea). 


 


CA stuff
Subject: CA stuff

Stage I breast cancer (T1B, sentinel N0, M0, ER positive, PR negative, grade 2, HER2/neu negative). 


I would put HER-2 neu, but the rest all looks good. 


 


Might want to try Web MD for stuff like this. nm
Subject: Might want to try Web MD for stuff like this. nm

s
lab stuff
Subject: lab stuff

CPK total was elevated at 483 with an MB  s/l fraction or infraction of 26.7


you can use it for stuff like D&C, I&D sm
Subject: you can use it for stuff like D&C, I&D sm

but not in place of a regular and in a normal sentence.
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.
Sounds like QA is making much ado about nothing.
Subject: Sounds like QA is making much ado about nothing.


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
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.
2 more (I think doctor is making this up as he goes along!)
Subject: 2 more (I think doctor is making this up as he goes along!)

What is FUV1, used along with FEV1??  Never heard of it and cannot find.  Also he also states FVC as being forced ventiltory capacity, which I know is called forced vital capacity; wonder if I should transcribe a non-word. 
Thanks! He is always making up his own words!!
Subject: Thanks! He is always making up his own words!!


Thanks but no..making sure she is clearly pronouning with an L. nm
Subject: Thanks but no..making sure she is clearly pronouning with an L. nm

x
I am merely making a suggestion
Subject: I am merely making a suggestion

as to what a doctor MAY be dictating. Doctors make mistakes all the time. It is up to the individual MT to check out the validity of any info they ultimately transcribe. That's what I would do. Any MT who transcribes a "suggestion" should not be working as an MT. ;-)
Ayr is an OTC brand of this stuff. nm
Subject: Ayr is an OTC brand of this stuff. nm


I really don't think it's the usual stuff, but thanks.
Subject: I really don't think it's the usual stuff, but thanks.

(nm)
prostate stuff
Subject: prostate stuff

Thank you so much!!
prostate stuff
Subject: prostate stuff

flat without firmness
Prostate stuff
Subject: Prostate stuff

I need help!! On digital rectal exam the prostate is (sounds like flat?) without (?firmness and osmalarity??)  Please help if you have a clue.
Most lab and rad stuff like that is kept abbreviated, but your
Subject: Most lab and rad stuff like that is kept abbreviated, but your

s
Found this stuff. sm
Subject: Found this stuff. sm

Antepartum fetal surveillance using NST, CST, BPP, or modified BPP


 


maternal fetal surveillance?


 


Found this also:


 


http://quizlet.com/331657/antepartum-fetal-surveillance-flash-cards/


 


I was NOT the poster making those comments!
Subject: I was NOT the poster making those comments!

I did not make those comments to those posters. As I said, I was making an observation. I give up!
I would go with follicular. Doc is just making up his own word.
Subject: I would go with follicular. Doc is just making up his own word.

x
Sometimes said as ETT tube, making that last "T" redundant and
Subject: Sometimes said as ETT tube, making that last "T" redundant and

s
menomenorrhagia? Is there really such a word, or is the doc making up one?
Subject: menomenorrhagia? Is there really such a word, or is the doc making up one?


That's probably it. Who knows for sure? They get so creative making up new terms. Thanks again
Subject: That's probably it. Who knows for sure? They get so creative making up new terms. Thanks again!


Thx..Thx..THx :) ESL is making me work 4 my money :)
Subject: Thx..Thx..THx :) ESL is making me work 4 my money :)


making sense of punctuation...
Subject: making sense of punctuation...

I will type this exactly as said. Any help with punctuation would be greatly appreciated.

The pain is rated as severe it is burning tingling it is constant worse with walking better with rest. TIA.
You also need a 0 before .1 making it 0.1. open decimels are a big no no. nm,
Subject: You also need a 0 before .1 making it 0.1. open decimels are a big no no. nm,

x
is the dictator making up a word as an sm
Subject: is the dictator making up a word as an sm

adjective for anomaly?
Glad to help. If you need some more links for this stuff. sm
Subject: Glad to help. If you need some more links for this stuff. sm

E me at Txczech@att.net and I will send you some.
I've never used SVA in my cardiology stuff. It's always been SVT for
Subject: I've never used SVA in my cardiology stuff. It's always been SVT for

s
If you're doing ENT stuff, it probably is Jako. Might be different
Subject: If you're doing ENT stuff, it probably is Jako. Might be different

s
Solumedrol? here is a link with this stuff. sm
Subject: Solumedrol? here is a link with this stuff. sm

http://www.aafp.org/afp/20031001/1356.html
Here is a link of a lot of "Bio" Stuff. sm
Subject: Here is a link of a lot of "Bio" Stuff. sm

http://www.multivits.co.uk/products.php


Just go to the Product Quick Select and scroll. Hope it helps.


there is a "Waddell" sign, maybe he is making up a word?
Subject: there is a "Waddell" sign, maybe he is making up a word?

Sorry, I am not of more help.
sorry that should be making up a word not work. tired.
Subject: sorry that should be making up a word not work. tired.

.
I figured out he's saying troches. I don't think he's making up chloratropate.
Subject: I figured out he's saying troches. I don't think he's making up chloratropate.


Meant to say I think he is making up the other word - chloratropate
Subject: Meant to say I think he is making up the other word - chloratropate


That sounds like it is it! He is making it so hard to hear! THANK YOU.
Subject: That sounds like it is it! He is making it so hard to hear! THANK YOU.


Never mind! I'm tired and making no sense! Thanks for the help!
Subject: Never mind! I'm tired and making no sense! Thanks for the help!


yw...sometimes we try so hard we miss the simple stuff :) nm
Subject: yw...sometimes we try so hard we miss the simple stuff :) nm


Glad to help. Trying to find a list of this stuff. nm
Subject: Glad to help. Trying to find a list of this stuff. nm


maybe transcriptiongear.com. They carry lots of that stuff! nm
Subject: maybe transcriptiongear.com. They carry lots of that stuff! nm

s
Or if client is AAMT BOS, er, anal like stuff I do...
Subject: Or if client is AAMT BOS, er, anal like stuff I do...

You might have to re-word that bad boy to say something like "areas of lucency."  


I really need to get a life!   


 


Not hard to research stuff like that using google.
Subject: Not hard to research stuff like that using google.

Tumors of the Thyroid: Differentiated Carcinoma -- American Head ...
Fine needle aspiration biopsy of the thyroid nodule or enlarged neck node is ... of tumor extending into the larynx or trachea or into the mediastinum. ...
www.ahns.info/clinicalresources/docs/diffthyroid.php - 17k - Cached - Similar pages
Management of ectopic thyroid nodules.
One case has been followed for 4 years with scans revealing a normal thyroid gland with an unchanging ectopic thyroid nodule in the superior mediastinum. ...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8256214&dopt=Abstract - Similar pages
[Thyroid manifestations of sarcoidosis: a case report]