I think what doc is intending is that pt had a vasovagal episode, so IMO I would leave as dictated.
Posted By: janJan on 2008-02-15
In Reply to: Yes, see message. - Thank you
Subject: I think what doc is intending is that pt had a vasovagal episode, so IMO I would leave as dictated. nm
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can't you just leave it abbreviated, or do you have to spell it out. I would leave as dictated.
Subject: can't you just leave it abbreviated, or do you have to spell it out. I would leave as dictated.
If it was dictated like that & you can leave abbrvns in, then leave it
Subject: If it was dictated like that & you can leave abbrvns in, then leave it
s
Leave as dictated...sm
Subject: Leave as dictated...sm
I've seen them that high before. You might see transaminitis in the diagnosis or something like that.
I would leave it as dictated,
Subject: I would leave it as dictated,
x
Leave as dictated.
Subject: Leave as dictated.
x
I would leave it the way dictated unless
Subject: I would leave it the way dictated unless
you have been told to change it. A lot of them use K instead of potassium. It means I am pretty sure normal saline with 20 mEq of potassium at 100 mL per hour, but you are taking a leap typing it out; where I work we don't expand things like that, we leave it as dictated.
i would leave as dictated
Subject: i would leave as dictated
I would be correct to leave it as dictated because..sm
Subject: I would be correct to leave it as dictated because..sm
vas simply means vessel. Dorland's defines it as follows: a vessel: any canal for carrying a fluid; a general term for such channels, especially those carrying blood, lymph, or spermatozoa. When one hears vasectomy, one usually automatically thinks in terms of the vas deferens in the male, but that is not always necessarily the case.
my view is leave it as dictated.
Subject: my view is leave it as dictated.
IMHO I would leave as dictated
Subject: IMHO I would leave as dictated
many doc, at least mine, have used generic and then brand name when dictating within the same note. That has been my experience.
I would leave it as dictated, esp if verbatim account. nm
Subject: I would leave it as dictated, esp if verbatim account. nm
x
40-some-odd stitches is fine. Leave as dictated, but you need hyphens.
Subject: 40-some-odd stitches is fine. Leave as dictated, but you need hyphens.
Brand name is ACTOplus met - so guess should leave as dictated?
Subject: Brand name is ACTOplus met - so guess should leave as dictated?
agree, leave as dictated, those are very elevated liver function tests. nm
Subject: agree, leave as dictated, those are very elevated liver function tests. nm
..
vasovagal?
Subject: vasovagal?
x
Vasovagal-Assonce?
Subject: Vasovagal-Assonce?
I have a doc dictating a patient having a vasovasal event while getting an injection. He went through a period of "assonce?" I have looked and looked, but can't figure out exactly what he is saying. Anyone know?
Thanks!
1 episode of late...???
Subject: 1 episode of late...???
s/l *alti* type episode sm
Subject: s/l *alti* type episode sm
Child who quit breathing for 2-3 minutes, seizures cannot be ruled out.
The patient is alert, vigorous, appropriate, afebrile, and nontoxic appearing although mom does describe an ____ type episode. This may be related to her underlying GERD. There is some concern that the patient had a similar episode in the past and seizures cannot be ruled out.
apnea or apneic type episode
Subject: apnea or apneic type episode
ss
vasovagal response, anxiety, syncope?
Subject: vasovagal response, anxiety, syncope?
Just as you have it if that's what was dictated. If "one fourth" was dictated, sm
Subject: Just as you have it if that's what was dictated. If "one fourth" was dictated, sm
it would be 1/4 pill or one fourth of a pill.
Def an 'N' dictated - Diabetes unsure of - no PMH dictated
Subject: Def an 'N' dictated - Diabetes unsure of - no PMH dictated
We type it as dictated, if dictated
Subject: We type it as dictated, if dictated
c spine we transcribe C-spine, if cervical then cervical spine.
for PA- DICTATED BY PA's name...nm
Subject: for PA- DICTATED BY PA's name...nm
x
Dictated 427 rbc's and 58 rbc's
Subject: Dictated 427 rbc's and 58 rbc's
what was dictated; if not, do it your way...NM
Subject: what was dictated; if not, do it your way...NM
x
what was actually dictated?
Subject: what was actually dictated?
This was just also dictated under sm
Subject: This was just also dictated under sm
past surgical history, but STILL sounds like dragon pack. This is going to drive me nuts!!!!
exactly as dictated.
Subject: exactly as dictated.
x
L4-5 if that is what is dictated NM
Subject: L4-5 if that is what is dictated NM
xxx
Thanks! He only dictated one N
Subject: Thanks! He only dictated one N
Thank you!
If that is what he dictated, then that is
Subject: If that is what he dictated, then that is
what you use, even though it is usually esophagogastroduodenostomy; however, maybe duodenum has been removed so therefore could be.
Just like he dictated it.
Subject: Just like he dictated it.
x
Yes, as dictated. (nm)
Subject: Yes, as dictated. (nm)
.
I'm not sure if this is one or two drugs being dictated. SM
Subject: I'm not sure if this is one or two drugs being dictated. SM
I will refill her Armour Thyroid and her s/l modratic and estrace
or maybe it s/l modratic in estrace??? any clue what this is ???
do it, regardless if dictated differently...nm
Subject: do it, regardless if dictated differently...nm
x
Whichever way it was dictated. nm
Subject: Whichever way it was dictated. nm
x
it depends on how it is dictated...sm
Subject: it depends on how it is dictated...sm
6600 (no comma) or 6.6 if they say it that way; if they say 6.6 thousand then you give them *6.6 thousand*
give them what was dictated as the pt probably...nm
Subject: give them what was dictated as the pt probably...nm
It's okay. I'd transcribe it as dictated. nm
Subject: It's okay. I'd transcribe it as dictated. nm
/
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
lasered, as dictated
Subject: lasered, as dictated
.
SGOT dictated: 4-2-6 T: 426 or 4.26
Subject: SGOT dictated: 4-2-6 T: 426 or 4.26
SGOT dictated: 4-2-6 T: 426 or 4.26. same with SGPT dictated 1-1-9 T: 119 or 1.19
I have only used galactorrhea as dictated. nm
Subject: I have only used galactorrhea as dictated. nm
I don't think that would be it because the dr who dictated it is a urologist.
Subject: I don't think that would be it because the dr who dictated it is a urologist.
Earlier in the note, the dr said he did not get an s/l osbot or ozbot appt.
Complete hx not dictated
Subject: Complete hx not dictated
Thanks! Kept your info for future reference. Endo doc just dictated as part of hx; did not elaborate, so not sure.
Never heard it dictated but (sm)
Subject: Never heard it dictated but (sm)
I have heard of some hollistic remedies that include a clorox soak of the feet for yellow nails however normally the docs order Lamisil (terbafine hydrochloride). Just my two cents sorry I couldn't be more help.
five-way CABG if that is what he dictated. nm
Subject: five-way CABG if that is what he dictated. nm
xx
I use rule of 2-3 min. per dictated min. (nm)
Subject: I use rule of 2-3 min. per dictated min. (nm)
x
I always type it the way you have it if that's the way it's dictated. sm
Subject: I always type it the way you have it if that's the way it's dictated. sm
Of course, go by your account specifics. If you can change it, some do. I always just type what they say and it keeps me out of trouble. :)
I would just type as dictated. nm
Subject: I would just type as dictated. nm
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