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I type it the way you have it..no complaints so far

Posted By: aa on 2008-09-01
In Reply to: Rx ? - Help

Subject: I type it the way you have it..no complaints so far

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?? Eye complaints ?? NM
Subject: ?? Eye complaints ?? NM


Do you know the complaints or anything else?
Subject: Do you know the complaints or anything else?


how 'bout GI/GU complaints ??? (nm)
Subject: how 'bout GI/GU complaints ??? (nm)


vocal physical complaints?
Subject: vocal physical complaints?

He denies any __________ s/l vocal physical complaints except for some fatigue.


The pt has only complained about stress in life and having trouble sleeping. It sounds like vocal or local.


yes its eye complaints, I am off to bed now LOL!!! thanks a mill but I could just not "hear" t
Subject: yes its eye complaints, I am off to bed now LOL!!! thanks a mill but I could just not "hear" that... I have done too much today! n/m


What is patient's diagnosis or complaints?
Subject: What is patient's diagnosis or complaints?


Question "BIA"? "VIA" ??? CNS complaints in patient.
Subject: Question "BIA"? "VIA" ??? CNS complaints in patient.

The patient has CNS complaints (ataxia, weakness) and moderate stenosis in carotid arteries.


Doctor dictates under plan:  Female with question of "BIA", question vascular etiology for her complaints.   


Under VIA or BIA I cannot find anything that might fit.  Any ideas?  Thanks!


Medically it would fit, could you give patient's chief complaints and diagnoses? nm
Subject: Medically it would fit, could you give patient's chief complaints and diagnoses? nm

nm
I am unable to definitively diagnose patient's complaints regarding her right palm s/l 3rd ray.
Subject: I am unable to definitively diagnose patient's complaints regarding her right palm s/l 3rd ray.


Pt has some internalizing with anxious, depressed, and somatic complaints on the "ocka bock"
Subject: Pt has some internalizing with anxious, depressed, and somatic complaints on the "ocka bock"


Pt has no cardiac, pulmonary complaints, s/l (geology) symptoms, chills, fevers, night sweats etc.
Subject: Pt has no cardiac, pulmonary complaints, s/l (geology) symptoms, chills, fevers, night sweats etc.


There are no complaints but Mr. Cornelius's son is somewhat concerned. Does Mr. Cornelius's s
Subject: There are no complaints but Mr. Cornelius's son is somewhat concerned. Does Mr. Cornelius's son sm

look right with the hyphen? I always get this mixed up and it's just too early

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
I always type it as
Subject: I always type it as

Jones, M.D. John I would like to hear how others type it.
I usually type it this way sm
Subject: I usually type it this way sm

2-5 or two to five/1 or 2 or one or two depending upon the client's preference.  numbers/hypen, words/words if that makes sense.  Do not hold me to it though, that is just my way.  Clients are happy.
How would you type this?
Subject: How would you type this?

Tumor staging of Tmic N0 M0