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I type CT head all the time but I guess it depends sm

Posted By: Another KSMT on 2007-09-16
In Reply to: Would you change this... - MT

Subject: I type CT head all the time but I guess it depends sm

on the sentence and client's preferences. 


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Another head CT, this time with heavily accented ESL.
Subject: Another head CT, this time with heavily accented ESL.

The pt has multiple myeloma.  He says "Small acute infarct seen in the left cerebellum with evidence for acute s/l cerebrum FOW-SHA'S."
I guess it just depends on the context
Subject: I guess it just depends on the context

cor = heart

core
1. The central mass of necrotic tissue in a boil.
2. A metal casting, usually with a post in the canal of a tooth root, designed to retain an artificial crown.

guess it depends on specs..
Subject: guess it depends on specs..

We're not allowed to do that even with surgery. Plus, docs usually say, for instance, 2:30 position or at 2:30.
I guess it depends on your account. sm
Subject: I guess it depends on your account. sm

I have always typed it RBCs per high-power field.
Depends on the type of letter
Subject: Depends on the type of letter

If it is business correspondence, I would use the person's "official" first name. If it is a personal letter, I would use the nickname.


If you're not sure, I would advise leaving it blank.


JMHO


Usually depends on the type of report
Subject: Usually depends on the type of report

While account specifics vary from hospital to hospital, I don't think I've had a hospital with an H&P that didn't require that you separate out the headings; discharge summaries, on the other hand, are usually allowed to be in paragraph form, and consults are a toss-up. Clinic/office notes are totally a matter of account specifics. When you get into specialty clinics, they sometimes break it down even further; i.e., an ENT doctor may separate out HEAD: EYES: EARS:, etc., and a neurologist may do MENTAL STATUS: CRANIAL NERVES: STRENGTH: REFLEXES, etc. However, in most cases, if the doctor uses headings in an exam for some of the systems/body parts, you usually are to use the appropriate ones for all; as noted, though, that is dependent on account specifics.
depends on account specifics, but I usually type 3-1/2 months NM
Subject: depends on account specifics, but I usually type 3-1/2 months NM


Depends on what ports you have on laptop and type of cable you have on the screen...sm
Subject: Depends on what ports you have on laptop and type of cable you have on the screen...sm

If you have the matching ports and cables, I believe you can do this.  I use my regular sized kb on my daughter's laptop all the time.  Should be the same concept?  If your screen has a usb cable, plug it into the laptop usb port.  The laptop should recognize the new hardware and "install" it. 


If you have a parallel port, the kind with the prongs that insert into the tower and then screws to tighten, you may have to install a parallel port into your laptop.  Don't know if this is as easy to do as on a desktop or not. 


I think this is the type of incision used in Head and Neck Surgery. see inside
Subject: I think this is the type of incision used in Head and Neck Surgery. see inside

Schobinger 1957-(fig 3a and 3b) Higher horizontal incision allows easier access to oral cavity and
various modifications for posterior vertical limb.
Shorter superior flap allows midline lip splitting extension with less likelihood of loss of tip (Becker 1984, fig 3c)

Also found:

Surgical treatment of many tumors of the head and neck require extended approaches. Many cervicotomies have been described in the treatment of head and neck and cervical tumors; careful thought must be made by a surgeon when surgical treatment is planned for an extended tumor.Our purpose is to show the versatility of the modified Schobinger incision.



Yep. Type that all the time. SM
Subject: Yep. Type that all the time. SM

www.aafp.org/afp/991101ap/2012.html - 46k - Cached - Similar pages

The Steadman-Hawkins Clinic
As the foot rolls inward, the tibia compensates by rotating inward, disturbing
the normal mechanics of the patellofemoral joint. ...
www.steadman-hawkins.com/pate/overview.asp - 18k - Cached - Similar pages

Patellar Malalignment -- Part I
This first article will deal with the patellofemoral joint function, ...
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eOrthopod
The patellofemoral joint is usually affected as part of osteoarthritis ...
The patella normally sits at the center of this angle within the femoral groove. ...
www.eorthopod.com/.../ID/10940df2e7170be8a6b4ea996d7d8b96/ TopicID/660b34a36ce09aedf5bb238426e2c2b9/area/17 - 32k - Cached - Similar pages


yep, type it all the time
Subject: yep, type it all the time

i've never really looked it up, but the docs say it so often i give it to them.  my guess is that edema would create a gas in the soft tissues.  or, they say something thing interosseous gas ---  just my guess, but it's frequently dictated on my radiology reports.
They say that all the time, just type what he said.
Subject: They say that all the time, just type what he said.

x
One-teens is how I type it. Was on QA at the time and was
Subject: One-teens is how I type it. Was on QA at the time and was


Yep, it's a lab profile; I used to type it all the time at my children's
Subject: Yep, it's a lab profile; I used to type it all the time at my children's

nm
I was told at one time to type it as 110s
Subject: I was told at one time to type it as 110s


time to type 1.5 hours of dictation..
Subject: time to type 1.5 hours of dictation..

It usually takes me twice the time to transcribe the work.  If the doc is easy and you can go right from one template/document to the next, it should only take you like 4 hours at the most.  10-12 hours is an awful long time.  What kind of interruptions are you getting.
Yes, sounds like a made up word, but I type it all of the time.
Subject: Yes, sounds like a made up word, but I type it all of the time.

nm
My MD dictates all the time, "perimenopausal symptoms" I can't document. Should I type it
Subject: My MD dictates all the time, "perimenopausal symptoms" I can't document. Should I type it anyway?


Yes, thanks... I guess the ah was just a um/ah type...
Subject: Yes, thanks... I guess the ah was just a um/ah type...

Thanks.
It might be patent. It means open or clear. I used to type radiology and used the term all the time
Subject: It might be patent. It means open or clear. I used to type radiology and used the term all the time.


You type what he says, never guess numbers.
Subject: You type what he says, never guess numbers.

They will say things like that.
Colostomy, but Brooke-type suture I guess. Thank
Subject: Colostomy, but Brooke-type suture I guess. Thank

x
Just a wild guess here... "a sling-type" repair
Subject: Just a wild guess here... "a sling-type" repair


what time are we using here in mtStars? US time or India time?
Subject: what time are we using here in mtStars? US time or India time?


is it protime, pro-time, or spelled out prothrombin time? also, where did you find it.. i've look
Subject: is it protime, pro-time, or spelled out prothrombin time? also, where did you find it.. i've looked.

xx
with time are you supposed to put the word hour after the time, i.e. 1600 hours
Subject: with time are you supposed to put the word hour after the time, i.e. 1600 hours

nm
that would be two weeks' time. 's is singular (one week's time) and s' is pleural (two
Subject: that would be two weeks' time. 's is singular (one week's time) and s' is pleural (two weeks' time)

nm
pro time, no hypen, two words, as if your typing prothrombin time
Subject: pro time, no hypen, two words, as if your typing prothrombin time


prothrombin time, partial thromboplastin time
Subject: prothrombin time, partial thromboplastin time


?? PTT is partial thromboplastin time, PT is prothrombin time
Subject: ?? PTT is partial thromboplastin time, PT is prothrombin time

so that didn't answer my question at all -- and in fact was incorrect info
2 years' time or 2 year's time- Which is correct?
I put 2 years' time and was marked off on QA.
One Weeks' Time or One Week's Time
Subject: One Weeks' Time or One Week's Time

Which one is correct?


Thanks! 


fourth time she has used this she is saying on-cora..each time in the..
Subject: fourth time she has used this she is saying on-cora..each time in the..

paragraph she talks about Omega 3 fatty acid maybe she means Omacor, but is saying Oncora instead of Omacor?? any ideas on this one?? thanks
I agree - we all do it from time to time - we try to make something else out of it
Subject: I agree - we all do it from time to time - we try to make something else out of it

nm
PT or Pro time stands for prothrombin time
Subject: PT or Pro time stands for prothrombin time


Three month's time or three months' time? TIA!
Subject: Three month's time or three months' time? TIA!


I found Real-Time, Real-time, real-time ultrasound...
Subject: I found Real-Time, Real-time, real-time ultrasound...

nm
I guess it could be intravenous, but I'll turn in a blank rather than guess. Thanks!!!
Subject: I guess it could be intravenous, but I'll turn in a blank rather than guess. Thanks!!!


I believe it is one of those words that over time MDs have been using (I get it all the time) see be
Subject: I believe it is one of those words that over time MDs have been using (I get it all the time) see below:

From www.techortho.com

With the biceps tenodesis procedure, the biceps tendon is left attached to the fibular head and is then "tenodesed" to the anterior aspect of the ...

Depends....
Subject: Depends....

I have an ortho doc that insists on using it the way the dictionary shows it, follow-up. He is not of old school, very young and a professor. Says it is his biggest pet peeve to see it ever used without the hyphen, and doesn't care much for BOS rules.

So, when in doubt, I do it exactly the way the dictator wants it no matter what I think.
think it depends on where you are...sm
Subject: think it depends on where you are...sm

like colour/color, theatre/theater, etc. i think "hiccups" is more common in usa.
Depends...sm
Subject: Depends...sm

It honestly depends on your employer's guidelines. Check with your Editor/QA staff. Sometimes there is just no way to make a doc make sense on paper without changing everything around and so it's easier just to really type verbatim; some docs only need a tweak here and there, so you really need to find out what 'verbatim' means as applied to the account you are working on.
Depends
Subject: Depends

One nurse's notes
Two (or more) nurses' notes
depends on the doc
Subject: depends on the doc

I worked for a chiropractor who wanted it disc but every other type of doc I've done wanted it disk
depends on how much.....
Subject: depends on how much.....

leeway you have.  With the comma there, it looks strange.  If you have to transcribe verbatim, I would put a hyphen....thus, * New patient - arm pain...*  If you have more leeway you could make a sentence * This is a new patient with a chief complaint of arm pain *.  If that is too much and looks like you are padding lines, then you could try just * New patient with arm pain *
depends on what it is...
Subject: depends on what it is...

a stroke could be evolving or completed....
Depends -- sm
Subject: Depends -- sm

I think it depends on the state where you want the information.

type for a hospital in Washington state, and they have a state licensure site with just about everything in the same site (i.e. physicians and physical therapists, nurses, etc. )

On the other hand, Arizona has only the doctors in its doctor database, and you have go to the Arizona physical therapist site to search for them.

Generally, when I first start typing a particular state, it takes a while to build up a set of search sites, but as I find them I add them to my favorites and then create a category for that state, so I don't have to search so much the next time.

Have a great day.
it depends
Subject: it depends

It depends on if it is modifying something.

The diameter of the wound is 1 cm.

There is a 2-cm length length discrepancy.

That's how I decide whether to hyphenate or not. On plural numbers, you can something tell if it should be hyphenated if it is said singular - i.e. six centimeters = 6 cm or six centimeter difference 6-cm difference

does that help?
Depends
Subject: Depends

Depends on the client preference. Generally, cardiorenal is accepted. Otherwise, it would be cardiac renal. I think he was just tripping.
Depends where you are from.. :-)
Subject: Depends where you are from.. :-)


Depends...
Subject: Depends...

I think it would depend on the specifics for that account - the hospital I work for would want it to read: 110 to 120 over 70 systolic.