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OH MY GOD JUST SHOOT ME NOW... can you tell I have been typing for 12 hours. Thanks so very much!

Posted By: MT50 on 2007-11-29
In Reply to: Cartia? - mmk

Subject: OH MY GOD JUST SHOOT ME NOW... can you tell I have been typing for 12 hours. Thanks so very much!




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Oh my God. Been typing too many hours and I must be brain dead to not see that. Thanks.
Subject: Oh my God. Been typing too many hours and I must be brain dead to not see that. Thanks.


We will do neurochecks q 1 hour for 8 hours and then 2 q hours X 4.
Subject: We will do neurochecks q 1 hour for 8 hours and then 2 q hours X 4.


So, 1 1/2 hours of dictation should only take 3-4 hours to transcribe. sm
Subject: So, 1 1/2 hours of dictation should only take 3-4 hours to transcribe. sm

then what in the H**l am I doing wrong. I just did 1 1/2 hours of dictation with 1350 line count and it took me like 12 hours. I did 4 hours last night uninterrupted. the rest this morning with little interruptions from my child (dh was home) and a couple breaks and lunch.

I thought 1350 lines were supposed to be full time work. That is what I have been hearing from so many people.

Now I am confused and really feeling like a failure as an MT. Maybe this is not my profession!
need help with two words or somebody needs to shoot me
Subject: need help with two words or somebody needs to shoot me

???Scaling??? of the uterus is obtained prior to and following


????insulation/instillation??? of the endometrial fluid following


cannulization of the cervix.


New doc new facility unfamiliar with the procedure (hysterosonogram)


shoot, never mind.
Subject: shoot, never mind.

HAS to be PIP.  Thanks
shoot, wild guess -- could it sound like cutting knife?
Subject: shoot, wild guess -- could it sound like cutting knife?

even sounds stupid to me...dunno


Hey, shoot me a question anytime, glad to help, do you have G-mail (Google)?....sm
Subject: Hey, shoot me a question anytime, glad to help, do you have G-mail (Google)?....sm

I get instant messaging and stay in touch with the office that way, and I immediately get STATS, questions, or problems, really good system, free to set up. I try to check here as much as I can! Please feel free, I had several MTs mentor me, and would love to do the same, if I can!
how about typing Past Medical History heading and then typing what he says under the heading nm
Subject: how about typing Past Medical History heading and then typing what he says under the heading nm

xx
q.4 hours
Subject: q.4 hours

You should ask your employer about account specifics, but the way I was taught was that if "hours" is dictated, then you should put "hours" and not "h."
8 20 hours ?
Subject: 8 20 hours ?

How do you type that? 0820?
Standard would be 24-48 hours from what
Subject: Standard would be 24-48 hours from what

I have done all of these years, but some physicians will allow you more time as long as you are reliable.  It also depends upon whether they use it for billing purposes. 
Just saw your post (hours later) - thanks so much.
Subject: Just saw your post (hours later) - thanks so much.

I will make a note of this site.
0710 hours - the zero goes in.
Subject: 0710 hours - the zero goes in.


0820 hours
Subject: 0820 hours

Military time
0618 hours
Subject: 0618 hours

Military time is based on a 24-hour clock. "06" is 6 a.m. 6 p.m would be 1800 hours. You just add or subtract 12 to the time on the clock after noon to get the p.m. times.

I hope this clarifies. If you have any other questions, plase feel free to ask and I'll try to explain better.
q as in q 4 hours, period or no?
Subject: q as in q 4 hours, period or no?


how to write..Lovenox 1 mg/kg sub q 2 12 hours.thanks
Subject: how to write..Lovenox 1 mg/kg sub q 2 12 hours.thanks


med s/l pentinil patch 25 mcg q. 72 hours. sm
Subject: med s/l pentinil patch 25 mcg q. 72 hours. sm

DX: Osteoarthritis, left knee septic arthritis, morbid obesity, hypertension, type 2 diabetes mellitus – uncontrolled, mild hyponatremia, hypokalemia, anemia of chronic disease, gastritis, hypomagnesemia, constipation, migraine headache, hypothyroidism, chronic obstructive pulmonary disease/asthma – oxygen dependent, coronary artery disease, status post coronary artery bypass graft October, 2007, prior GI bleed, appendectomy, cholecystectomy, hysterectomy, and new diagnosis of dementia with delirium and generalized anxiety disorder.
I don't use either anymore - "every 6 hours..."
Subject: I don't use either anymore - "every 6 hours..."


drug help/ S/l ace-tren-am 1 g IV q 12 hours (gangrene BKA)
Subject: drug help/ S/l ace-tren-am 1 g IV q 12 hours (gangrene BKA)


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.
What is the correct way to type "q 4 hours?" I have never typed
Subject: What is the correct way to type "q 4 hours?" I have never typed

 on a verbatim account before and have always typed "every" when I heard "q" unless it was "qhs" and then I typed "at bedtime." Thanks in advance.


I've always written out the word hours
Subject: I've always written out the word hours

if it's dictated.  If it's not dictated as part of the time, I don't add it.  Some dictators will just say *0-8-hundred* and I just transcribe it 0800. 
mph is the correct way to abbreviate miles per hours, however,
Subject: mph is the correct way to abbreviate miles per hours, however,

if that is what he dictates, then I would use mph, or you can also spell it out miles per hour, both are acceptable, sometimes also depends on the client preference.  If you spell it out though, you can get more characters for your line count!
It is q.4 h. - I have to type q.4 hours, client's specific...nm
Subject: It is q.4 h. - I have to type q.4 hours, client's specific...nm

nm
Drug s/l biteral 14 mg patch changed every 24 hours. TIA
Subject: Drug s/l biteral 14 mg patch changed every 24 hours. TIA


Ordered for albuterol inhaler "H F A" 2 puffs q.4 hours prn. nm
Subject: Ordered for albuterol inhaler "H F A" 2 puffs q.4 hours prn. nm


You're welcome, I am actually shocked that my brain is still working after 11 hours!
Subject: You're welcome, I am actually shocked that my brain is still working after 11 hours!


Med s/l hydrocodon 1-1/2 teaspoon every 6 hours as needed for cough.
Subject: Med s/l hydrocodon 1-1/2 teaspoon every 6 hours as needed for cough.


Pt with asthma on s/l Buta vent 1 to 2 puffs every four hours. nm
Subject: Pt with asthma on s/l Buta vent 1 to 2 puffs every four hours. nm


Thx ladies. Doesn't fit. I seem to be trapped in a 6 min dictation nightmare taking 1-1/2 hours :
Subject: Thx ladies. Doesn't fit. I seem to be trapped in a 6 min dictation nightmare taking 1-1/2 hours :(


I have seen this in hospital; means the urine values 3 hours after time of collection....nm
Subject: I have seen this in hospital; means the urine values 3 hours after time of collection....nm

nm
Would someone look at this and tell me if I am typing this right? TIA
Subject: Would someone look at this and tell me if I am typing this right? TIA

 


Adenosine ECG stress test


Baseline pre-Adenosine EKG reveals A sensed V pace versus V pacing


That is the way I have been typing.
Subject: That is the way I have been typing.

It just seems that they never dictate it as Hodgkin disease and it starts to make one wonder.
When I have come across that in typing
Subject: When I have come across that in typing

they dictate ex-fix as slang/abbreviation for external fixator. I have had that come up even with a brand name associated, but it was not as you posted above. I would assume it is slang.
especially like typing your instead of
Subject: especially like typing your instead of

you are.oops.
Thank you! How about typing 1st, 2nd, 3rd, or first, second or third?
Subject: Thank you! How about typing 1st, 2nd, 3rd, or first, second or third?


Would someone please tell me if I am typing the (e.g) correctly?
Subject: Would someone please tell me if I am typing the (e.g) correctly?


  1. I will see him back in three months to determine his LV systolic function by echocardiogram and then possibly consider other treatment (e.g.,  DC cardioversion and or pacing versus continued pharmacologic therapy.)

typing the staging
Subject: typing the staging

T1c-T2a NX MX

tumor staging is in the back of the stedman's oncology book
Been typing rad for yrs and have never used roman..
Subject: Been typing rad for yrs and have never used roman..

numerals.  Always arabic. 


However, you will see a variation on the typing of BIRADS depending on who you are typing it for.  The copyright lists it as BI-RADS, federal guidlines are supposed to dictate how it is typed but have worked for numerous centers that type it anywhere from BIRADS to BI-RADS to BiRADS.  Categories however should always be arabic (1, 2, 3, 4, 5 and 0)


I would say what you are typing is correct.
Subject: I would say what you are typing is correct.

Here is a definition that I found for isotype...

isotype. An immunoglobulin heavy or light chain class or subclass characterized by antigenic determinants (isotypic markers) in the constant region. Every normal individual expresses all of the isotypes of its species.

Pool would reflect that - to me...I could be wrong, but I, myself, would go with that you typed....Sorry I could not be more precise...
We WERE typing at the same time! I always
Subject: We WERE typing at the same time! I always

check to make sure there are no answers before I send one.
Typing a C-section OP sm
Subject: Typing a C-section OP sm

This incision was extended bilaterally using s/l Danish scissors. 
verbatim typing
Subject: verbatim typing

It would actually be "sub cu" with a space between the two, so I just learned in the last year since doing transcription for a bit over 20 years...lol..guess what it really comes down to is whatever QA thinks it should be,...but of course...she knows better than you...yeah right...NOT
Thanks. I have been typing it Aciphex
Subject: Thanks. I have been typing it Aciphex

for many years and no one has ever said anything. You always learn something new here. I will make a note of this.
Maybe not, been typing it for years though. nm
Subject: Maybe not, been typing it for years though. nm


been typing all day, tired and cannot think
Subject: been typing all day, tired and cannot think

I know this is stupid and I have typed it a million times but I am so tired right now I can't even think.  He says .... Myospan 500 mg ..... ?  Thanks. 
Typing numbers -
Subject: Typing numbers -

If they say "I wrote him for 38 Tylox"  I always put #38.  I think it is much more clear.  In some cases, someone could think it was a dosage amount.


XX


Think it is a docism. I myself have been typing it for so sm
Subject: Think it is a docism. I myself have been typing it for so sm

long I can't even remember!!  Did 4 years in a railroad hospital with lots and lots injuries, etc  All our ortho docs used it.
I'm typing rheumatology....
Subject: I'm typing rheumatology....

and this sentence is all I have to go by:

She was also given an intermittent course of s/l za-fax-in by her gastroenterologist.

He's very clear. There's a "z" sound at the beginning and a very clear "fax" in there. I've tried spelling zo-fax-en, zi-fax-in, etc., and even spelling with "x" at the beginning.

Thanks for your help.

mother typing?
Subject: mother typing?

Dr. states:  Patient has good understanding of English but his mothertying is Spanish.  Anyone ever heard of this?