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Is it two different dx or thoughts, i.e. appendiceal, cystocele...

Posted By: MT50 on 2007-10-18
In Reply to: It is seen during a colonoscopy. Do you think I should just put a blank and the cystocele word? - med help

Subject: Is it two different dx or thoughts, i.e. appendiceal, cystocele...




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is there such a think as an appendiceal cystocele?
Subject: is there such a think as an appendiceal cystocele?


I doubt it, as appendiceal is relating to the appendix and cystocele relating to the bladder.
Subject: I doubt it, as appendiceal is relating to the appendix and cystocele relating to the bladder.


yep, means no sinful thoughts or fearful/punishment thoughts.
Subject: yep, means no sinful thoughts or fearful/punishment thoughts.


appendiceal orifice?
Subject: appendiceal orifice?


appendiceal orifice is what usually follows......nm
Subject: appendiceal orifice is what usually follows......nm


appendiceal stump maybe
Subject: appendiceal stump maybe


Perhaps he means appendiceal orifice...
Subject: Perhaps he means appendiceal orifice...

That's what I usually encounter at this point in a colonoscopy. I would leave appendiceal and blank cystocele as that is what makes no sense in this study.
cystocele help
Subject: cystocele help

s/l live cystocele. Is there any such thing? My brain is telling me bladder cystocele. But he talks so fast it sounds like live cystocele. thanks.
Cystocele
Subject: Cystocele

Second degree cystocele or 2nd degree cystocele?  Thanks.
second-degree cystocele *nm*
Subject: second-degree cystocele *nm*


cystocele repair
Subject: cystocele repair

Dr. states what sounds like "A Fulling cystocele repair was performed, using a run-lock stitch..."


I can't find anything similar in my books or google or mt sample site. 


TIA!!!!!!!!!!


GU exam: There is no "exocele" or cystocele. nm
Subject: GU exam: There is no "exocele" or cystocele. nm


Usually hear no rectocele or cystocele. nm
Subject: Usually hear no rectocele or cystocele. nm


Cystoscopy and cystocele repair ... s/l C needle used. ? nm
Subject: Cystoscopy and cystocele repair ... s/l C needle used. ? nm

TIA
It is seen during a colonoscopy. Do you think I should just put a blank and the cystocele word?
Subject: It is seen during a colonoscopy. Do you think I should just put a blank and the cystocele word?


my first thoughts as well....sm
Subject: my first thoughts as well....sm

but I thought it was strange as they have never said this phrase before.  Sending to QA and see what they think - will keep you posted. 
same thoughts
Subject: same thoughts

I looked up those same definitions. I actually had typed adverse.
Ahhhhh!
Thanks, I will listen again.
My thoughts....
Subject: My thoughts....

That's what I kept finding in doing my research, but like I said that guy needs to speak clearer English......but I guess that would be too easy.  Ha-ha!


Thanks for verifying what I had put down.  I will get this some day, but I am new and just learning.  Thanks for bearing with me.


my thoughts exactly! :)
Subject: my thoughts exactly! :)


My thoughts on this
Subject: My thoughts on this

Diagnoses #1 and #2 sound like they might be both referring to the left knee. #3 sounds like a new thought process to me. My guess on this would be contingent on how the dictation sounded. Is the dictator pausing between 1 and 2? Numbering 1 and 2? If he isn't, my thought would be this:

1. Left knee lateral meniscus tear; osteochondral defect.
2. Right knee degenerative joint disease.
inguinal cystocele..possible complication is loss of testicular s/l par-an-ca-ma. nm
Subject: inguinal cystocele..possible complication is loss of testicular s/l par-an-ca-ma. nm

d
gyn surg s/l "slim" procedure (for a rectocele/cystocele) TIA
Subject: gyn surg s/l "slim" procedure (for a rectocele/cystocele) TIA


You're welcome and my thoughts
Subject: You're welcome and my thoughts

exactly.  Some people just have to be huffy I guess.  Hang in there. 
a couple of thoughts
Subject: a couple of thoughts

First to address the issue of subcu - Joint Commission created a list several years ago that deals with this wording - and JC trumps BOS.  From Joint Commissions List of Dangerous Abbreviations:


Abbreviation: S.C. or S.Q. (for subcutaneous)


Potential Problem:  Mistaken as SL for sublingual, or "5 every"


Preferred Term:  Write "Sub-Q", "subQ", or "subcutaneously"


As far as what the man was trying to express to you was his opinion that truncated words (partial words used to express a complete word) should be avoided.  Trach is not a word.  Trachea, tracheostomy, etc., are words.  Alk is not a word.  Alkaline is a word.  There are also lab and other words that are commonly acceptable in their abbreviated form, such as INR, CPAP, MRI, etc.


There are acceptable abbreviations of certain words that are commonplace.  For example, lab is widely accepted to represent laboratory.  Exam is acceptable to represent examination.  HIV is another example.


If you understand the difference between the use of an abbreviation and avoiding the use of truncated words, your work will reflect a much clearer intent of the dictation.


Your company needs to decide which side of the fence it wants to sit on, and it appears there may be some changes in your QA future.  If this man is in charge of QA and you want to continue working there, you might want to begin taking note of what he is saying.


my thoughts exactly. No wax in the nose. Not now, not ever. Maybe sm
Subject: my thoughts exactly. No wax in the nose. Not now, not ever. Maybe sm

sinusitis can CAUSE cerumen impaction in the ears but NOT in the nose.
anybody have any thoughts on the traction ??
Subject: anybody have any thoughts on the traction ??

s/l kleinharts traction
Rudd, you and your family will be in my thoughts. sm
Subject: Rudd, you and your family will be in my thoughts. sm

I hope your step-son is back soon, safe and sound. Keep us informed. Thinking good thoughts for you.
Your thoughts on how to correctly transcribe this.
Subject: Your thoughts on how to correctly transcribe this.

One doc always says "sub 1st metatarsal" (or 2nd, 3rd, etc).  Should it be sub 1st metarsal, sub-1st metatarsal, 1st submetatarsal or...?
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.
Exactly my thoughts. If it's not a word, I don't type it, but phenagle it.
Subject: Exactly my thoughts. If it's not a word, I don't type it, but phenagle it.

.
Patient with thoughts of self destruction without s/l suicidality
Subject: Patient with thoughts of self destruction without s/l suicidality


Thank you, both. Janette, sounds highly likely! Much appreciated. Any thoughts on "Me-TOK-a"?
Subject: Thank you, both. Janette, sounds highly likely! Much appreciated. Any thoughts on "Me-TOK-a"? Still


i would not use a comma. the "and" is the connection for two complete thoughts or statements.
Subject: i would not use a comma. the "and" is the connection for two complete thoughts or statements.


cysto means bladder, so wouldn't be saying bladder cystocele
Subject: cysto means bladder, so wouldn't be saying bladder cystocele

nm
Man,,,he so clearly says EE before the VATS...yes, vats is it :) Any thoughts on the E?
Subject: Man,,,he so clearly says EE before the VATS...yes, vats is it :) Any thoughts on the E?