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I type for a surgeon and he is (sm)

Posted By: Patrice Tate on 2008-02-21
In Reply to:

Subject: I type for a surgeon and he is (sm)

always saying fibrocystic change of the breast.  Is it breast or breasts? 


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Oral Surgeon Help?
Subject: Oral Surgeon Help?

1.             Bilateral sagittal split osteotomy with advancement and rigid fixation utilizing ____________ 2 mm placement screws. 


 


Hello..filling in for ortho surgeon.  Sounds like Sin these screws...any help?


 


With a #15 blade a 3.5 cm incision was made over the external _________ridge.  A subperiosteal dissection was carried out laterally, adjacent to the ramus and anteriorly along the ramus of the mandible. 


 


Sounds like baked ridge in the mouth? 


s/l a-kee-al plastic surgeon Dr. XXX
Subject: s/l a-kee-al plastic surgeon Dr. XXX

"she had a basal-cell carcinoma excised from her right lower eyelid in xxxDATExxx, by the ==a-kee-al= plastic surgeon Dr."

THANK YOU!!!
General surgeon does, too. nm
Subject: General surgeon does, too. nm


Ahh, my favorite plastic surgeon...
Subject: Ahh, my favorite plastic surgeon...

She's driving me nuts again!  Talking about risks of breast augmentation and specifically of retropectoral placement with one of the risks being......"ana faa shun" ...deformity.  Anyone know?? thanks.


my surgeon always says opened in the "direction of its fibers"
Subject: my surgeon always says opened in the "direction of its fibers"


I work for a general surgeon who dictates...sm
Subject: I work for a general surgeon who dictates...sm

sestamibi scan on all his parathyroid patients...........


and google to back it up:



Sestamibi Scan for Parathyroid Disease. Sestambi parathyroid x-ray ...





Sestamibi Scan for parathyroid disease and Sestamibi x-ray for parathyroid tumors. The Sestamibi scan finds the diseased parathyroid gland.
www.parathyroid.com/sestamibi.htm - 49k - Cached - Similar pages


Parathyroid Sestamibi Scan Technical Page: How Parathyroid ...





Sestamibi Scan for parathyroid disease and hyper-parathyroid disease. The parathyroid Sestamibi scan finds the diseased parathyroid gland and can be used ...
parathyroid.com/Sestamibi-Technical.htm - 65k - Cached - Similar pages


Sestamibi scanning for Parathyroid tumors and adenomas.





Hgh quality sestamibi scan shows a single parathyroid adenoma. ... The Sestamibi scan will display the hyperactive gland which is causing ...
www.endocrineweb.com/sestamibi.html - 9k - Cached - Similar pages


Sestamibi scan - Wikipedia, the free encyclopedia





A sestamibi scan of the parathyroid gland is a nuclear medicine procedure which is performed to identify hyperparathyroidism (or parathyroid adenoma). ...
en.wikipedia.org/wiki/Sestamibi_scan - 17k - Cached - Similar pages

 


Welcome. I have a hand surgeon who forced me to learn that one!
Subject: Welcome. I have a hand surgeon who forced me to learn that one!


and Dr. Bone is an Orthopaedic surgeon in Spokane!
Subject: and Dr. Bone is an Orthopaedic surgeon in Spokane!


Oral and Maxillofacial Surgeon consult?
Subject: Oral and Maxillofacial Surgeon consult?


..who did last inguinal hernia? Meaning the prior surgeon? nm
Subject: ..who did last inguinal hernia? Meaning the prior surgeon? nm

s
A long shot--the surgeon opened the Ray-Tec sponge and moistened it? nm
Subject: A long shot--the surgeon opened the Ray-Tec sponge and moistened it? nm

x
You'd be amazed. Once I was typing an OP from a very "proper" surgeon and I hear this othe
Subject: You'd be amazed. Once I was typing an OP from a very "proper" surgeon and I hear this other doc

in the background dictating away calling the instrument he was using during his procedure "the green doo-hickey with the spring" and just kept dictating away as if nothing.  The poor transcriptionist who got that report went with my blessing.  You wonder where they got their medical license at...


It makes sense, he is a very prominent professor and orthopedic surgeon,...sm
Subject: It makes sense, he is a very prominent professor and orthopedic surgeon,...sm

may be just too new to have much info on.  I did see an article on Google with the Oakland Bone and Joint Specialists, where he and a colleague, Dr. Jeffrey Mann, were pioneering a new total ankle replacement.  This is copyrighted for 2007-2008, so maybe he has developed dressings, bandages and such. 


I'm gonna save this one, and if I do find it verified in any medical books, etc., will send you a message about it.  Thanks for sharing! 


Hartmann _______ procedure - general surgeon talking about colostomy
Subject: Hartmann _______ procedure - general surgeon talking about colostomy

He's definitely saying Hartmann's ________ procedure, and the blank sounds like "lung."


Thanks so much! 


Only thing I can find is Dr. Roger Mann, who is a Professor and Orthopedic Surgeon, and..sm
Subject: Only thing I can find is Dr. Roger Mann, who is a Professor and Orthopedic Surgeon, and..sm

there is a Roger Mann Award from the American Orthopedic Foot and Ankle Society, but I see nothing about a Roger Mann dressing.  There is a Robert Jones dressing however.  Sorry could not be more help. 
same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.
Subject: same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.

nm
Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm
Subject: Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm


which is preferred ~ diabetes mellitus type II or type 2?
Subject: which is preferred ~ diabetes mellitus type II or type 2?


I get confused, how do you type out grade, class, type SM
Subject: I get confused, how do you type out grade, class, type SM

I forget which ones  use Roman and which do not.  TIA


When doctor says tib-fib, do you type it like that or do you type tibiofibular? Thanks
.
Siewart type I or Siewert type I
Subject: Siewart type I or Siewert type I

When I google it, I'm finding both.  Cannot locate it in a Stedman's book.  Doctor spells with "a" but you can't always go by the spellings!
How do I type this particular type of dialysis bath? sm
Subject: How do I type this particular type of dialysis bath? sm

Doc is an ESL and unclear, but it s/l he is saying "...using a 3 K 21/2 bath." I have never had this in a report and after googling, am still as clueless as I was. I cannot find it in AAMT, either. Any help would be appreciated. Thank you!
acromion process - type 2 or type II
Subject: acromion process - type 2 or type II


Could it be hollowing-type or hollow-end-type? - nm
Subject: Could it be hollowing-type or hollow-end-type? - nm

xx
how to type out Type I Aortic aneurysm
Subject: how to type out Type I Aortic aneurysm

Would you use a roman numeral for Type I Aortic aneurysm or use Type one or type 1 ... I am thinking it is Type I but I am unsure. I am new to this all. Thanks for any help.
I would type it under PLAN and type what is dictated.
Subject: I would type it under PLAN and type what is dictated.

I have had that happen to me before, and I was told by QA to not move things around in the report, maybe that is the same for you, but if I were typing this report, I would type it in the order as is dictated, even if that means typing it under the heading PLAN.  Also, his vitals were probably taken at the end of the exam as they were repeated, so it would make sense to type them again under that heading.  Hope that helps! 
Type II diabetes vs. Type 2....sm
Still running into confusion about this....which is it?  If Type 2, was this a medical community change accepted by all?
Could it be pincer-type and cam-type?
Subject: Could it be pincer-type and cam-type?

x
Type 2 DM or type II DM, which is correct? nm
Subject: Type 2 DM or type II DM, which is correct? nm


what type of dictation do you type?
Subject: what type of dictation do you type?

It might help to know the specialty.  I am finding a lithiasis, but I don't think it would relate to gonorrhea, are you sure it is gonorrhea? 
how to type a blood type
Subject: how to type a blood type

simple question but how is a blood type transcribed .. such as 0+ .. is there a space between the 0 and + or is the word positive typed out? Thanks for your help.
ONCOtype, ONCO type, ONCO Type, found all three...
Subject: ONCOtype, ONCO type, ONCO Type, found all three...

nm
MRI of the C-spine - which is correct Modic type II changes or Modic type 2 changes.....nm
Subject: MRI of the C-spine - which is correct Modic type II changes or Modic type 2 changes.....nm


pincer-type nail or pincher-type nail? nm
Subject: pincer-type nail or pincher-type nail? nm


Of course you should type it. Why would you not type it? nm
Subject: Of course you should type it. Why would you not type it? nm

;
I would type it like this
Subject: I would type it like this

It sounds like a direct quote from the patient and not the doctor’s words. I would type it:


The patient reports, "When he tried to pee, he got weak, dizzy, hit the floor, did not feel right."


Would type exactly the way you have it.
Subject: Would type exactly the way you have it.

x
I just type re-x-ray as that is what they say. nm
Subject: I just type re-x-ray as that is what they say. nm


Would you type I&D'd?
Subject: Would you type I&D'd?

The toe was then I&D'd
Type 2
Subject: Type 2

Yes, it used to be Type II, but clarity is more important, so it was changed. Either would be acceptable in transcription, however.
Ah, eye-type
Subject: Ah, eye-type

good subject for you, huh? ;)  Thanks for the correction.  It's good to know so I can be right for a change!! :)
T1/2 is the way I type it....
Subject: T1/2 is the way I type it....

T1/2 is the way I've always seen it.  (I've been doing radiology transcription for 3+ years)  Hope this helps.


I type it just as you have it. nm
Subject: I type it just as you have it. nm

ss
yes, that's how I'd type it NM
Subject: yes, that's how I'd type it NM

x
How to type this?
Subject: How to type this?

What is the best way to type this:


She has diffusely diminished strength at "four plus to five minus over five" in the right upper extremity.


 


Thanks


 


I type 2/5 , 3/6, etc. nm
Subject: I type 2/5 , 3/6, etc. nm

nm
This is how I would type it. SM
Subject: This is how I would type it. SM

TECHNIQUE:  Coronal TR 500/TE 15, sagittal TR 500/TE 12, sagittal TR 3050/ TE 95, axial gradient TR 47/TE 15.


Would type it the way he wants it. sm
Subject: Would type it the way he wants it. sm

It has always been Merchant view, as far as I know.  All my Sted refs have Mechant view. Though I do not do BOS, I typed ortho for 4 years in a railroad hospital with lots and lots of injuries/surgeries etc.
would I type our tab though?
Subject: would I type our tab though?

if she is saing tab which I though was possible would I type out tab?
how would I type this?? Thanks!!
Subject: how would I type this?? Thanks!!

In the lumbar spine, L1-L4, the (s/l-BND-) is 1.003 grams per cm squared, T score -1.5, Z score -.7.  In the left femoral neck, the (s/l-BND) is .740 grams per cm squared, T score -2.1, Z score -1.5. 
We type our this way--sm
Subject: We type our this way--sm

1.003 g/cm2, T-score -1.5 g/cm2, Z-score -1.5 g/cm2