She has lost some weight, but she has been reading up on s/l “pekos”, and understands the issue with
Posted By: lb on 2005-09-14
In Reply to:
Subject: She has lost some weight, but she has been reading up on s/l “pekos”, and understands the issue with
.........insulin resistance and problems with obesity and hyperlipidemia, as well as her elevated blood pressure and so she would like to go over issues with her diet today.
The patient has a diagnosis of polycystic ovarian syndrome with glucose intolerance. Under the plan the doc again says, reviewed "pekos" in detail......
TIA!!!
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exact sentence: "promote weight neutral versus weight loss with the Januvia,' but earlier sai
Subject: exact sentence: "promote weight neutral versus weight loss with the Januvia,' but earlier said was going to decrease dibetics with Januvia.
He dictates words kind of strange.
I think bore weight is correct. It is not beared weight. You can be weightbearing
Subject: I think bore weight is correct. It is not beared weight. You can be weightbearing
on an extremity, but weight beared is incorrect. Bared is incorrect, too.
Is it weightbearing or weight-bearing or weight bearing..as in exercise?
Subject: Is it weightbearing or weight-bearing or weight bearing..as in exercise?
I've seen this three different ways...which is correct? Or...could all three be correct?
This is not a BOS issue ...
Subject: This is not a BOS issue ...
... where there are mistakes, but an English grammar issue. Since most companies use the BOS as a guide, though, if QA says to do it with "was" unless you want to get points off, use "was."
In English, if you have a plural (5 mL) expressing measurement, quantity, etc., that plural subject is considered a single unit, not 5 separate mL.
The grammar link you provided was a different thing entirely. It was talking about "each" I believe. I really didn't get how that applied, but maybe I missed something.
Just trying to help out.
It's a "preference" issue (sm)
Subject: It's a "preference" issue (sm)
In Dorland's, "venostasis" gives you "venous stasis" as a definition. It refers you to another term, rather than just giving you the definition right there, which is an indication that Dorland's finds venous stasis preferable to venostasis, although it allows that they mean the same thing.
Stedman's entry for venostasis simply gives you a synonym, which is "phlebostasis." Upon looking that up, you find two definitions. First, slow motion of blood in veins, as you were using it. Second, treatment of CHF by compressing proximal veins of the extremities with tourniquets. And, it says that venostasis is a synonym for phlebostasis.
Checking phlebostasis in Dorland's, we find those same two definitions, but no mention of venostasis as a synonym.
What does this mean? You and your QA person are both correct, but probably, she just thinks venostasis looks odd, because it kind of does look odd. Usually, you see it written as venous stasis and most people say it as venous stasis.
Venostasis isn't wrong, by far, but the fact that Dorland's tells you it's venous stasis communicates that venous stasis is the more expected form.
If you show her the dictionary entries, she'll kind of have to accept that you're correct, but that still won't make "venostasis" look any better. My concern would be that clients will think it is incorrect, causing them to focus on it unnecessarily. It's often best to go with a neutral choice that won't cause excitement.
My preference would be to use venous stasis for the abnormally slow movement of blood in veins.
current not an issue?
Subject: current not an issue?
ahh, it is a personal issue - then take it private!
Subject: ahh, it is a personal issue - then take it private!
XX
agree with you, but for a different reason on the ST issue
Subject: agree with you, but for a different reason on the ST issue
crashing. On the other hand, BOS says non is a word that in most cases does not need a hypen, so it does vary in many instances. Non can be combined with the word being used. Noncommental is an example, but there is no hyphenated statement following it.
Possible risk management issue
Subject: Possible risk management issue
I think the proper form would be to type it verbatim and then flag the report for possible risk management.
aaah, meant currently not an issue
Subject: aaah, meant currently not an issue
AAMT follows AMA's style guide on this issue
Subject: AAMT follows AMA's style guide on this issue
x
It's a 'per the facility' issue as both are acceptable. Just use what QA says to keep them
Subject: It's a 'per the facility' issue as both are acceptable. Just use what QA says to keep them happy. nm
s
using mg for "Zofran 4 mg" isn't an issue, I just question it's dictated as
Subject: using mg for "Zofran 4 mg" isn't an issue, I just question it's dictated as
"4 mg of Zofran"
is this a shoulder issue? Could be "ends" as in tendon ends..sm
Subject: is this a shoulder issue? Could be "ends" as in tendon ends..sm
for example, as in a labral tear of the shoulder.
still lost
Hypothyroidism. Last s/l fee her s/l cytes were slightly elevated. We will check a repeat TSH today
I know it is confusing:)
That's just what it sounds like. Unfortunately. Thank you for helping. 
You, GO Lost MT!!
Subject: You, GO Lost MT!!
xx
So sorry you lost your job....sm
Subject: So sorry you lost your job....sm
I'm no expert but if one observes posters.....you see how many people thank someone for something on the board(s). You look for *patterns*......
I also had the pleasure of meeting webmasters/mistresses (people who own/run websites) when I first got online so I learned it from the inside out a bit.
Be careful online, I will say that....and that boards are notorious for hit-and-run types of posters. Let me add that the administrator and moderators here keep it together better than most websites I have experienced back in those days!!
And people like me.....watch and observe, and I'm not a webmaster/mistress by any stretch of the imagination. You'll catch on rather quickly might I add......everyone eventually does.
Best luck!! 
sorry. then I am as lost as you are--sm
Subject: sorry. then I am as lost as you are--sm
don't ya just hate new docs?
I don't normally do ops, so am lost here...sm
Subject: I don't normally do ops, so am lost here...sm
"a number 2 number 45 K-wires used..."
I found where people are saying it should be .045 K-wire, but what about the #2? That is exactally how doc states them. (.002 vs .02 ??)
Thanks for any help... I know it is Super Bowl Sunday and we should all be having margaritas right now!
Not lost
Subject: Not lost
just went over to xx
I would be lost without all of you!
Subject: I would be lost without all of you!
Thank you Grace. It has been a loooong day.
Thanks all....I was lost!!!!
Subject: Thanks all....I was lost!!!!
Please help me out here, I'm lost.
Subject: Please help me out here, I'm lost.
Where did you end up finding it?
I'm at a lost ....s/l longs DA
Subject: I'm at a lost ....s/l longs DA
Mother decease at 71 of s/l longs DA.
This is the second report I have this term in. I hate to have to leave two blanks. Much help is appreciate if possible.
Thank you
Deborah
Lost my mind!! Is it "sulfur"?
Oh my god, all of a sudden I have had a brain dump. Is it allergy to "sulfur"??
So sorry, it's been a long week. For some reason I want to type sulfa.
Thank you so much. I am soo lost over here. My expertise is in ortho, not cardio.
Subject: Thank you so much. I am soo lost over here. My expertise is in ortho, not cardio.
ESL diabetic dictation and I am LOST. Can you translate how this should look? sm
Subject: ESL diabetic dictation and I am LOST. Can you translate how this should look? sm
I just pasted it on as she dictated it. No idea what it means or where to use punctuation, etc. Not sure I'm even hearing it correctly. She barely speaks English. Any help is appreciated. I don't normally do this doc. Thanks!
Lispro insulin 10 for her regular insulin on a sliding scale t.i.d. Less than 60 orange juice and call, 81-150 no insulin, 151-206 units subcutaneous, 201-258 units subcutaneously, 251-300 give units subcutaneously, 301-350 fourteen units, 351-400 eighteen units, over 400 twenty-three units and call.
HEENT - but we were having T-storm and I lost the report.
Subject: HEENT - but we were having T-storm and I lost the report.
I think your doc has been reading
Subject: I think your doc has been reading
too much Harry Potter. I think there are Lamentors in there.
No wait, those are Dementors.
Never mind.
reading of an x-ray sm
Subject: reading of an x-ray sm
His zygomatic frontal and zygomatic temporal bones ? are all intact
I bet it is reading! nm
Subject: I bet it is reading! nm
,,
My reply got lost. No doctor wants to associate with the word "shoddy!" sm
Subject: My reply got lost. No doctor wants to associate with the word "shoddy!" sm
shotty --like birdshot or gunshot, small and pebbly feeling (refers generally to lymph nodes).
shoddy--sloppy construction--really never seen in a medical report unless referring to the work someone produces.
Help! Lost links. Need Boobie's word board link.
Subject: Help! Lost links. Need Boobie's word board link.
Sounds like the transfer crew or pt. lost dentures in the traveling n/m
Subject: Sounds like the transfer crew or pt. lost dentures in the traveling n/m
He is reading from a list sm
Subject: He is reading from a list sm
that the patient wrote so I feel sure that is it. Thanks!
I believe you are reading it wrong sm
Subject: I believe you are reading it wrong sm
There is a comma between tics and the next item so tics and spasm are separate items.
Reading the article below it seems to dB
Subject: Reading the article below it seems to dB
The relationships among visual acuity (log MAR), diagnostic category, age, the magnitude of a relative afferent pupillary defect (RAPD) in log units, photopic foveal thresholds to white and colored light (dB), and the mean deviation on the Humphrey visual field (dB) were studied in patients with various optic neuropathies. All acuity and dB values were expressed as interocular differences, the majority of cases having normal acuity in the fellow eye. In multiple regression analyses, acuity and RAPD were alternately chosen as the dependent or response variable with all remaining variables serving as the predictors or independent variables. The main finding was that the only significant predictor of a RAPD was the interocular mean deviation difference on the Humphrey field and the only significant predictor of acuity was the foveal threshold to white light. Redundant and insignificant variables were therefore identified with multiple regression analysis. Subsidiary findings include: (a) although diagnostic group was not a significant predictor in the above, simple linear regression line slopes relating RAPD magnitude to the Humphrey mean deviation were significantly different between optic neuritis and compression categories; (b) for a given level of acuity, foveal thresholds were substantially worse in these cases with neuronal damage than in strabismic amblyopia, refractive error, or corneal damage; and (c) sensitivity losses for red vs. blue light were similar...
Perhaps he is reading what the patient
Subject: Perhaps he is reading what the patient
incorrectly wrote down in place of Maxalt. That's not so uncommon. I'd leave a blank.
Can a lab reading be "small"??
Subject: Can a lab reading be "small"??
Patient is having high blood sugar and in her labs, dictator says something that s/l "serum acetone small." Is this right or am I crazy?
Hmm after reading the dictation again, you may be right...sm
Subject: Hmm after reading the dictation again, you may be right...sm
Mohs does make sense, he does say with negative results, and this was done some time after the p63, TTF-1, etc. THANK YOU for that great point! My brain is so done today.
Reading your sentence I would think sm
Subject: Reading your sentence I would think sm
That the EEC is enteropathic E. coli due to the anxiety.
He may be reading from what the pt wrote
Subject: He may be reading from what the pt wrote
My doctor does that. He reads the drug as it was incorrectly written by the pt or the medical assistant. I have to look at the PMH to figure it out.
cardiology, echo reading
Subject: cardiology, echo reading
The aortic valve appears to be a s/l tri-commish-er valve with fusion of one s/l commish-er and acts as a bicuspid aortic valve.
he is pretty clear with both of these, but I cannot verify either one. Thanks!!
How is this being treated or is this an xray reading? nm
Subject: How is this being treated or is this an xray reading? nm
s
Blood Pressure Reading
Subject: Blood Pressure Reading
I had a doctor who did this also, and the person who QA'd my report told me to put it just like you have it except told me to use 120/80 without the "s".
Blood glucose reading, please sm
Subject: Blood glucose reading, please sm
Doc is saying "patient went back on Metaglip and now his sugars are around *100 mg percent*. I've never heard that, just sugars around 100 or whatever, no "mg percent". Thanks for any help!
reading that, it sounded rude. sm
Subject: reading that, it sounded rude. sm
I did not mean it that way. Again, just a pet peeve of mine.
Bet the doctor is reading off the patient's list that sm
Subject: Bet the doctor is reading off the patient's list that sm
the patient wrote him/herself. When they can't tell what it is, they often spell it the way the patient did. I'd leave a blank and make a note with the doctor's spelling if you've already researched the term and found nothing to verify it. I found nothing in my Drake. I never trust a doc's spelling of ANYTHING!!
Bet the PA is reading the patient's history sheet. sm
Subject: Bet the PA is reading the patient's history sheet. sm
9 times out of 10 it is arthroscopy and meniscectomy.
Is this a follow up to lab work or reading a film, etc.? nm
Subject: Is this a follow up to lab work or reading a film, etc.? nm
s
I always enjoy reading your replies. Thanks for the info also!
Subject: I always enjoy reading your replies. Thanks for the info also!
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