Only if your acct wants it changed. Not KS here, but our docs
Posted By: want the mL kept IN! nm on 2007-08-03
In Reply to: Do I change it when he dictates cc? nm - trose
Subject: Only if your acct wants it changed. Not KS here, but our docs
s
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New acct: SM
Subject: New acct: SM
Okay, been away from transcribing general practice for while. Dictator is running a marathon here. I have a couple of questions.
Patient is s/l attentionly and alert plus and cooperative.
for the life of me I am not hearing what I want to hear...awake, alert, oriented times three. etc.
Also, in PE: Lymphatic system s/l neither anterior and posterior cervical chain.
verbatim acct help
Subject: verbatim acct help
General surgeon talking about frozen section pathologic exam of squamous cell carcinoma lesion. First frozen section came back with positive margins so he went back to excise a second specimen which he submitted S/L "on fos" with the new margin up. This is a verbatim account and this dictator is on 100% QA (all reports) since he is so SPECIAL. I referenced the other reports in his MD data base and found "en Fos" which would have been put there by QA before the report was signed off to the hospital. I can't find this anywhere and was wondering if anybody has a clue?
New doc, new acct, ideas?
Subject: New doc, new acct, ideas?
Does this sentence make sense to any of you? This is a disability and he it sounds like he is saying jaw? but why would that be under cardiorespiratory?
CARDIO-RESPIRATORY: He has no signs of cardiac abnormalities, no claudication, no chest pain, or numbness of the jaw.
Could it be something else? Please give it a try!
my main acct is verbatim,
Subject: my main acct is verbatim,
and we are told we can change sentence structure...however, whether i'm told that or not, i correct to proper English, including tenses, etc. Verbatim is never really absolutely verbatim, no matter what anyone says. You must use common sense. The bottom line is to be careful that you never change the intended meaning.
depends on whether or not it's a verbatim acct
Subject: depends on whether or not it's a verbatim acct
New GI acct. Does anyone have any helpful links? TIA
Subject: New GI acct. Does anyone have any helpful links? TIA
Right.....it depends on the acct.....mine wants the "c"
Subject: Right.....it depends on the acct.....mine wants the "c"
xx
Thx. I am helping on new acct for holidays, and not doing too well :(
Subject: Thx. I am helping on new acct for holidays, and not doing too well :(
Depends on your acct specs. nm
Subject: Depends on your acct specs. nm
s
pin ... does your acct require you to adhere to dangerous
Subject: pin ... does your acct require you to adhere to dangerous
just asking
Depend if the doctor says it and it is a verbatim acct.
Subject: Depend if the doctor says it and it is a verbatim acct.
x
depends, is it verbatim acct? If not, change it to
Subject: depends, is it verbatim acct? If not, change it to
I would, but I'm a rebel. Check acct. specs re verbatim. n/m
Subject: I would, but I'm a rebel. Check acct. specs re verbatim. n/m
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
Sorry, but things have changed...
Subject: Sorry, but things have changed...
Just as people and the world have evolved, so has English. 'Were' would now be considered correct.
I do realize it's not the grammar rule we were taught back in our school days.
bye.
Should Roux-Y be changed to
Subject: Should Roux-Y be changed to
Roux-en-Y or are there actually two procedures? or should it be left that way? Thanks!
Maybe he changed his mind? nm
Subject: Maybe he changed his mind? nm
changed about a year ago
Subject: changed about a year ago
never mind, she changed it
Subject: never mind, she changed it
Changed it to 34-5/7
Really? I always changed to every evening. Thanks!
Subject: Really? I always changed to every evening. Thanks!
sorry, he changed it to Orthoplast. nm
Subject: sorry, he changed it to Orthoplast. nm
s
The "powers that be" changed everything to "K"
Subject: The "powers that be" changed everything to "K"
x
This was changed in BOS2 so has been
Subject: This was changed in BOS2 so has been
this way for a very long time.
We have been told that it changed too, but
Subject: We have been told that it changed too, but
we are NOT changing over to it as of yet per the client.
My hands automatically changed it to
Subject: My hands automatically changed it to
electrocautery - handy of them.
That's why it wasn't under cautery - duh.
Pt with ADHD changed to s/l Vibance. nm
Subject: Pt with ADHD changed to s/l Vibance. nm
diet will be changed to cardiac and a s/l BMP will
Subject: diet will be changed to cardiac and a s/l BMP will
be followed
Is it still okay to type "C diff" or has that changed? tia
Subject: Is it still okay to type "C diff" or has that changed? tia
This was changed years ago to disK.
Subject: This was changed years ago to disK.
x
If you changed the wording to what you thought was correct, sm
it would imply that the colostomy bag was bleeding, not blood coming from the colostomy.
Cool. Used to do neuro, times have changed. :)
Subject: Cool. Used to do neuro, times have changed. :)
Tooooooooooo long ago. :)
I'll have to remember that in case I ever have the need to go back to neuro. Not one of my favorites, kinda sad, but okay at the time.
When I said "cool" I really meant it. I like to pass through word help occasionally. You never know what you're going to find.
Every little bit helps.
Sorry, my glasses need to be changed, read it as "exam." nm
Subject: Sorry, my glasses need to be changed, read it as "exam." nm
x
hope you changed follow up to followup -nm
Subject: hope you changed follow up to followup -nm
maybe he started to say "pre" and then changed to "former"
Subject: maybe he started to say "pre" and then changed to "former"
x
I would have changed it to purulent sputum. (nmsg)
Subject: I would have changed it to purulent sputum. (nmsg)
xx
He went back and changed investigations to immunizations. nm
Subject: He went back and changed investigations to immunizations. nm
Thanks!
Should p.o. be changed to oral? Conflicting QA responses. nm
Subject: Should p.o. be changed to oral? Conflicting QA responses. nm
xxxx
BOS edition 3 changed the hyphen rule
Subject: BOS edition 3 changed the hyphen rule
pg. 232 states not to use a hyphen to form a compound modifier between a number and a metric unit. A 0.5 cm flap is the new way to transcribe it.
Point well taken.. Back when I started, it was Homan's but now your right in that it has changed
Subject: Point well taken.. Back when I started, it was Homan's but now your right in that it has changed to Homans..
Thanks
Maybe found to have changed, more dilation, increase in station, etc. nm
Subject: Maybe found to have changed, more dilation, increase in station, etc. nm
s
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
I was thinking maybe things had changed since I was taught grammar. nm
Subject: I was thinking maybe things had changed since I was taught grammar. nm
nm
Cardiac - Pt's ICD was changed and *bivet/bibad* placing was also done. nm
Subject: Cardiac - Pt's ICD was changed and *bivet/bibad* placing was also done. nm
Thanks for any help!
it was changed by the American Diabetes Association years ago to type 2 NM
Subject: it was changed by the American Diabetes Association years ago to type 2 NM
:
My first though is dictator started to say "therapy" and changed his mind and said "regimen
Subject: My first though is dictator started to say "therapy" and changed his mind and said "regimen."
x
Muffin is correct. My children's hosp. acct uses McMuffin & muffin nm
Subject: Muffin is correct. My children's hosp. acct uses McMuffin & muffin nm
nm
piliform, pilar, pilus or some form of... unless he meant to say eight and changed it to 5 lesions?
Subject: piliform, pilar, pilus or some form of... unless he meant to say eight and changed it to 5 lesions?
Yep, it's okay. Docs say that often. nm
Subject: Yep, it's okay. Docs say that often. nm
x
Thanks...sometimes I think these docs should...
Subject: Thanks...sometimes I think these docs should...
type themselves for once and listen to some of the things they say. I bet they would think twice after that...:-)
Some docs
Subject: Some docs
actually dictate ABGs in this manner. They say a number then slash then another number then slash, etc. That is how they want it transcribed. Just make sure your numbers are correct and you are set to go!
should say *my* docs
Subject: should say *my* docs
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