Some of my docs do list..sm
Posted By: oldtimer on 2008-06-02
In Reply to:
Subject: Some of my docs do list..sm
each artery's findings separately and I number them along the left under each other. Just use your common sense so you end up with a clear report. Good luck. I remember when I first started doing caths and it wasn't easy.
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Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm
Subject: Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm
1. Dementia of undetermined etiology.
2. Hypothyroidism.
3. Osteoporosis. History of depression.
In list of meds...Full bee 1 tab q.a.m. sm for problem list :)
Subject: In list of meds...Full bee 1 tab q.a.m. sm for problem list :)
1. Diffuse Lewy body disease mixed with Alzheimer’s disease.
2. Generalized anxiety disorder.
3. Benign prostatic hypertrophy. 4 Gastroesophageal reflux disease.
Med list, s/l mylar? drops. No context as in list only. Tx. nm
Subject: Med list, s/l mylar? drops. No context as in list only. Tx. nm
xx
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
like the docs who are always ...
Subject: like the docs who are always ...
... putting "metatarsal" in the hand dictations. Plantar may be technically okay, but it seems like if he were more careful he would say palmar.
Our docs
Subject: Our docs
usually say normocephalic.
I have docs that use it
Subject: I have docs that use it
but my account is not crazy weird picky, either. I haven't heard of it being unacceptable. If it's worth your time, I'd question QA about it and ask her why she changed it.
I have docs
Subject: I have docs
who add extra letters to lots of words, if it make them easier to pronounce. Kind of weird, but it happens.
Docs
Subject: Docs
make up lots of words...they make lots of mistakes (ergo malpractice insurance)...they even misspell lots of words. If we have to deal with their ineptness, they can deal with blanks. JMHO. :-)
With some docs..
Subject: With some docs..
that wouldn't be a stretch at all but a very good guess. :-)
It's not the docs I'm concerned about, or QA, when it comes to my...
Subject: It's not the docs I'm concerned about, or QA, when it comes to my...
work as an MT,
You don't add in mg or mcg, etc. unless it's dictated. The docs know
Subject: You don't add in mg or mcg, etc. unless it's dictated. The docs know
s
that's how my derm docs like it - sm
Subject: that's how my derm docs like it - sm
same with T zone.
ONLY if your QA, account, or docs want it to be so. Not everyone
Subject: ONLY if your QA, account, or docs want it to be so. Not everyone
s
The docs are correct. (nm)
Subject: The docs are correct. (nm)
.
the docs are incorrect
Subject: the docs are incorrect
there must be ownership to use an apostrophe. The word Smith does not show ownership to anything.
If the sentance read Dr. Smith's patient, then yes the apostrophe is used.
that's the section m docs usually put it in.
Subject: that's the section m docs usually put it in.
No, it is not. Docs do not always spell
Subject: No, it is not. Docs do not always spell
x
know how the docs are... making up as they go sm
Subject: know how the docs are... making up as they go sm
They are two separate ligaments but he is probably putting them together.
Most docs say "hypertrophy" when they
Subject: Most docs say "hypertrophy" when they
say it out instead of abbreviating. But, when in doubt, use the abbreviation, even if in diagnosis.
With docs like that, the only way to learn
Subject: With docs like that, the only way to learn
them is to do them repeatedly. When you get your QA feedback, make sure you keep it for further reference. I have been doing this for 25 years and there are still docs I can't understand and/or cringe when I get them. Some of them are totally impossible.
My docs always say "give-way"
Subject: My docs always say "give-way"
x
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm
The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.
But sometimes there's a clue in what's being tested, blood or urine, and/or the diagnosis.
Also, if you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.
If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!
Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm
The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.
Is there a clue in the dx?
If you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.
If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!
Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
I have found that some docs
Subject: I have found that some docs
will use that abbreviation for lymphadenopathy. Just a suggestion.
Lots of docs
Subject: Lots of docs
say patellar crepitus as patellar is referring to the patella. Just another way to say patella crepitus. :-)
The ortho docs
Subject: The ortho docs
I type for will often say a "toggle" of motion, meaning just a tad. :-)
welcome; got it from my docs that dictate it as i never could figure them all out either, lol. nm
;
No such word. Docs make up their own. This is where the MT comes in. :) nm
Subject: No such word. Docs make up their own. This is where the MT comes in. :) nm
:)
Hmm, some docs say strange things
Subject: Hmm, some docs say strange things
new paragraph, new line, etc. Does dictator say that word you are hearing between paragraphs or headings?
is there anything after this? (some docs say "stop" for end of sentence) nm
Subject: is there anything after this? (some docs say "stop" for end of sentence) nm
I agree, but do you think docs are gonna--sm
Subject: I agree, but do you think docs are gonna--sm
say pyelonephritis or polynephritis. which is easier to say? Docs are not always accurate either. I have had many a doc say polynephiritis.
not all docs use the anterolateral thing--sm
Subject: not all docs use the anterolateral thing--sm
mine use the two words, like anterior lateral, although there is an intralateral too. good luck.
Thanks for trying. This is one of those docs that likes to make up his own.
Subject: Thanks for trying. This is one of those docs that likes to make up his own.
I know there are malleable stays or retractors, but it gets flagged. Hopefully, the next time he will learn to enunciate (wishful thinking LOL).
docs i type for do use this word
Subject: docs i type for do use this word
/
Many meds are used off label by docs
Subject: Many meds are used off label by docs
nm
Docs aren't always right. (shocking, I know)
Subject: Docs aren't always right. (shocking, I know)
Stedmans ENT book says naris for single, nares for plural.
Docs do it all the time, though. I give them what they say. nm
Subject: Docs do it all the time, though. I give them what they say. nm
f
my docs say 90 to 1-teens all the time
Subject: my docs say 90 to 1-teens all the time
nm
I have had two different docs say draw test--sm
Subject: I have had two different docs say draw test--sm
and I checked on line first. there is a draw test, but I thought perhaps it was the same thing as drawer test, just pronounced differently by different docs.
You mean the docs you transcribe for are never redundant?
Subject: You mean the docs you transcribe for are never redundant?
Boy, mine are!! 
Only if your acct wants it changed. Not KS here, but our docs
Subject: Only if your acct wants it changed. Not KS here, but our docs
s
Could he be saying the first part under his breath like some of my docs - nm
Subject: Could he be saying the first part under his breath like some of my docs - nm
nm
Thanks! That's what I thought. Docs like to use big words LOL
Subject: Thanks! That's what I thought. Docs like to use big words LOL
x
I do not know if it is correct, but I have many docs that say the same thing, II, III and F in their
Subject: I do not know if it is correct, but I have many docs that say the same thing, II, III and F in their dictations, therefore, that is what I have always typed.
Some docs say "could be appreciated", maybe it's that? nm
Subject: Some docs say "could be appreciated", maybe it's that? nm
Careful. It could be a 3-liter IV bag. Some of my docs use them to...sm
Subject: Careful. It could be a 3-liter IV bag. Some of my docs use them to...sm
help position the patient.
I really think docs should use actual words sm
Subject: I really think docs should use actual words sm
Not these made up silly things. I had doctor who said clunky cough, yicky sputum, goopy eyes and goopy nose...and ackME for acne...gwyahnephrine for guaifenesin...metroprolol for metoprolol and the list went on. She was such a good doctor, born in the USA and still had command of the English language that was sadly lacking.
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