If unsure blank it and don't waste your
Posted By: time. (NM) on 2008-09-16
In Reply to: so unsure - qb
Subject: If unsure blank it and don't waste your
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Then leave it blank if you are unsure.
Subject: Then leave it blank if you are unsure.
x
Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the ti
Subject: Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the time.
waste some more bandwidth why don't you
Subject: waste some more bandwidth why don't you
x
Oooh, so sorry to waste your precious time, but
Subject: Oooh, so sorry to waste your precious time, but
the object of my post was to get the OP to hint that she should first read up on the drug before assuming anything. So then somebody came along and announced what the drug actually was. I'm thinking, is this the OP saying it was an antifungal, and that's practically the same thing. I've heard this argument before, but since there are so many antibiotics, I would not suggest anybody categorize antifungals in with antibiotics if they expect to logic out a drug name. Or was it somebody who just had to give away what the drug was, which means she might not need to research because, tada, this is what it is?? So to me the wasted post was somebody saying, "oh, it's an antifungal!" That's all I'm saying.
Still unsure. Sent to QA:)
Subject: Still unsure. Sent to QA:)
I tried to fit something like vesicles or bubbles in, but it just didn't match what he said...oh well.
Unsure
Subject: Unsure
Patient is an 18-year-old gravida 1, para 0 who comes in for her first prenatal appointment.
ASSESSMENT: This is about a 27-week pregnancy with uncertain dating in a _____ (s/l pri nep or pri mep??) with late prenatal care.
Unsure
Subject: Unsure
The fact that he has both retinopathy and nephropathy does bouge ill if he continues to have uncontrolled blood sugar readings.
ESL doctor, not sure what he's saying. s/l bouge ill but that really doesn't make sense to me...lol
Unsure
Subject: Unsure
LOWER EXTREMITIES: No edema. No breakdown. The right foot shows an irregularly cut great toenail, but no evidence of infection or tenderness. He continues to have dependent _______________ , more noticeable on the right foot. Pulse is minimal, 0 to 1+.
Blank s/l roo-war
The patient is a diabetic.
Im just unsure. SBN, SDN ? nm
Subject: Im just unsure. SBN, SDN ? nm
?
Unsure of something
Subject: Unsure of something
An ABI was attempted but no pulse could be found around his “ankle.”
ABI means ankle-brachial index? Another way of checking pulse? Just need to understand what is being talked about. Unsure
Unsure
Subject: Unsure
Would it be possible to address with name, title?
so unsure
Subject: so unsure
It is so hard to say. He could be slurring the S in from diagnosis with ac contusion. He does not make sense with any of his sentences. For example exact words ?? contusion foot contusion shin. He ends with shin. I have no clue. I am new at this with a doc with marbles in his mouth and doesn't finish sentences correctly. It is going to be a long night. Three reports from the same doc. :-( Calgon take me away.
Please help, unsure of a sentence....sm
Subject: Please help, unsure of a sentence....sm
I am having a hard time understanding something a dictator is saying. She is new to me. Would you mind telling me which makes sense. She is a bit quick and I am unsure. I tried looking it up without any success. The sentence is below.
has had years of varicose veins. She has had stripping on the right side and also it appears sclerotic therapy or arteriosclerotic therapy ? s/l sclerotic therapy but not sure.  Thank you.
Really unsure of this word
Subject: Really unsure of this word
The patient was sent to the pain clinic because of cervical neuropathy turned to _____.
s/l rec-noid-itis
looks correct - unsure what the s/l is though nm
Subject: looks correct - unsure what the s/l is though nm
nothing about a scar, still unsure
Subject: nothing about a scar, still unsure
I would flag it if unsure.
Subject: I would flag it if unsure.
Unsure of words
Subject: Unsure of words
I need help on a couple of sentences. Not sure if I am hearing correctly.
CT scan of the ________ revealed 2 small calcifications in the middle and lower poles of the right kidney measuring 3 mm with no hydrophrosis. (The blank could be one or two words and it sounds like "other-in-pelva". No idea where to begin looking.
Next one
On digital rectal exam, the prostate is "flat" without firmness nodularity. Also sounds like "flask".
unsure of words
Subject: unsure of words
That's it thanks so much.
Try google when you are unsure of a term -sm
Subject: Try google when you are unsure of a term -sm
put in the word as best you can with part of the sentence and see what comes up. I do that when I am unsure of a term and can usually find what I am looking for that way, its a lot faster than posting here, and it teaches you how to reference.
I would think it is lytic then, but if unsure flag it
Subject: I would think it is lytic then, but if unsure flag it
It seems your patient either had a replacement or fracture earlier (is there arthritis in the hx?) I often hear lytic lesions or lytic lines in the areas you mention on patients with arthritis/oseoarthritis. Lysis is the process of destruction of something (in this case, bone), which seems to have been ruled out by these x-rays.
Guess I just won't expand it, still unsure....
Subject: Guess I just won't expand it, still unsure....
because too many times when he uses the term PFC there is no other indication of a joint replacement system having been done or anticipated, so I still have my doubts that that is really what he means by these initials. Thanks for your help.
two thoughts; unsure how helpful, but,
Subject: two thoughts; unsure how helpful, but,
This is 1 of many definitions from an "URBAN" dictionary: MACK
mack is a flexible word as a verb; it can be used in pretty much any situation and its meaning will be understood.
Thus, in your case, maybe the dictator chose the word mack as slang for height?.....because 23.5 cm is equal to 9.25 inches. I used this as an example, as I believe you were referring to dietary in a Parkinson patient?....Wish I could assist more.
Unsure, but maybe you could compare this word with what you hear.
Subject: Unsure, but maybe you could compare this word with what you hear.
Not sure, but there is a pericentromeric marker....Maybe you could take a listen and compare it to this word - again, unsure, but maybe...
unsure of spelling cardio term
Subject: unsure of spelling cardio term
Mild s/l baling of the posterior leaflets.
Thank you Deborah
MR as in mitral regurgitation but unsure if there of 2 MRs in that sentence? nm
Subject: MR as in mitral regurgitation but unsure if there of 2 MRs in that sentence? nm
nm
Thanks. I was listening for him to say thecal, but he didn't, so I was unsure.
Subject: Thanks. I was listening for him to say thecal, but he didn't, so I was unsure.
I'm unsure. That was given in past history info and...
Subject: I'm unsure. That was given in past history info and...
patient is in for abdominal pain... hepatic flexure of colon suggesting intraluminal lipoma. I don't know if they are related or not. Also, am wondering if my s/l is an "uh" before "kine-o-chocal" cyst.
Unsure how to write this regarding laser surgery..sm
Subject: Unsure how to write this regarding laser surgery..sm
The patient said that the laser was utilized for 250 one seconds ? for a total of 43 cm from the top of her leg......
TIA
unsure how to spell cipher drug eluding stent
Subject: unsure how to spell cipher drug eluding stent
He had two-vessel CAD status post 3 x 33 mm cipher drug eluding stent and a cipher 3 x 23 mm stent placement in the LAD.
can confirm Finkelstein and shuck tests - unsure about the rest NM
Subject: can confirm Finkelstein and shuck tests - unsure about the rest NM
Right. Just unsure as I've recently been asked to start using list.
Subject: Right. Just unsure as I've recently been asked to start using list.
nm
s/l neruo forminal is this correct ? Sorry started a new acct today and unsure if one word or two.
Subject: s/l neruo forminal is this correct ? Sorry started a new acct today and unsure if one word or two.
x
Def an 'N' dictated - Diabetes unsure of - no PMH dictated
Subject: Def an 'N' dictated - Diabetes unsure of - no PMH dictated
Not sure what the blank could be
Subject: Not sure what the blank could be
Do you have a sounds like?
and if they say 15 mm mercury that is what I would type, not the mm Hg.
the blank
Subject: the blank
The blank does sound like "to". Thank you very much for the information.
You know, I think I will just blank it.. (sm if you want!:)
Subject: You know, I think I will just blank it.. (sm if you want!:)
This doc is famous for saying the wrong thing because he dictates while surfing the net. Actiq is something prescribed in that clinic all the time, and he always mispronounces it "Ak-tik" rather than "Ak-teek" as it should be pronounced, so I bet he said that while thinking something else. I know that's not right, so I will just leave it blank. I really wish this guy would pay attention, though!
(I don't know how many times I have been transcribing and he's hemming and hawing and I hear clicking in the background and then hear, "Hello! You've got mail!" and I think to myself... "This guy is a neurosurgeon... And he has AOL? Hello?" Ha ha!)
Thanks for trying to help, all! I appreciate your time!
i'm going to blank it
Subject: i'm going to blank it
I just can't figure it out. Each response is a great one but it's just not what he's saying--and I know what he's saying isn't correct!
"Extremities revealed no cyanosis or edema, there are slightly decreased peripheral pulses and dorsalis pedis. There is good capillary refill and _______ to cultures over both lower extremities. The patient stayed in the hospital for 16 days."
I hate it when I can't figure out a word! Again, thanks for the responses, this is a great group!
Need help with a blank
Subject: Need help with a blank
Left chest and s/l flank fank have multiple abrasions and conclusions. I'm thinking face?????
Thanks! He's getting a blank!
Subject: Thanks! He's getting a blank!
sorry - second blank
Subject: sorry - second blank
Who knows! I just put a blank
Subject: Who knows! I just put a blank
Guess I will find out some time or another! Thanks for all the help
Thx anyway, sent it with a blank
Subject: Thx anyway, sent it with a blank
Thank you so much!!! Got rid of my blank!
Subject: Thank you so much!!! Got rid of my blank!
Thanks. I sent it in blank.
Subject: Thanks. I sent it in blank.
So I had no idea what it was and sent it in blank.
Thanks though! :)
I don't know, I think I will just have to blank it....thanks anyway NM
Subject: I don't know, I think I will just have to blank it....thanks anyway NM
not sure - have to blank - thanks :)
Subject: not sure - have to blank - thanks :)
thanks to all 3 for the help! one less blank for QA. :)
Subject: thanks to all 3 for the help! one less blank for QA. :)
x
That one you will have to blank. He
Subject: That one you will have to blank. He
just misspoke as that is for dermatitis.
Thanks, but he is CLEARLY saying BI-OX??? I am going to blank it.
Subject: Thanks, but he is CLEARLY saying BI-OX??? I am going to blank it.
I think I would have to blank that one.
Subject: I think I would have to blank that one.
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