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

• Neurosurg help, "Sa-FEE-sa" valve - Greenbean
  • Listen for Micro-Two needle holder nm - diddles
    • QA sent info - The Mitaka (Mitaka )Kohki overhead microsurgical stands) Thanks to all! nm - Greenbean
      • Trying again -QA sent info: Mitaka (Mitaka Kohki overhead microsurgical stands). Thanks to all! - Greenbean
    • Hmm, tried, but doesn't sound like that, but thank you for the thought. Going to have to blank t - one. Thank you! Greenbean
  • Sa-FEE-sa - Janette
  • Should be "Sentence" and "were placed" on 1st sentence...sorry - Greenbean
    • (The above is just correcting typos in post, still hoping for help. :) ) - Greenbean
      • I've been looking all over the place for your S/L's sm - CL
        • Thank you, both. Janette, sounds highly likely! Much appreciated. Any thoughts on "Me-TOK-a"? - befuddled - Greenbean
        • Sa-FEE-sa - Janette

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His recent MRA documented a very small basilar tip.  Aneurysm mobilization about 6mm in size.  ***symptomatic from this, relive to this to any intervention probably outweighs by far a list of hemorrhage   *** symptomatic status.  I would advise to repeat MRA in 6 months with follow-up visit at that.   What ever he is saying he is repeating it but I can not make it out. 

Claudia Tessier's surgical word book and Sheila Sloane's medical word book....which also has surgical section in it.

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.

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.

S/l ulnar septum.  Patient saw an ENT and had Decadron injections.  Is this correct?  Any help appreciated.

Thanks!

s/l rectus dock stasis in a patient with a hernia. 

Any ideas?

Thanks in advance!

s/l MSR or Imazar, not quite sure.  Here is partial dictation.

Comprehensive history and physical completed for left shoulder arthroscopic surgery on 04/30/07.  This likely will require debridement or repair of a labrum, the AC joint also a little bit hypertropic.  The risks, goals and alternatives were discussed and she wishes to go ahead with the procedure.  I did give her Lortab 10 #30 at her request but do note that she is already taking MS Contin 30 mg t.i.d. with Imazar 15 mg in between as needed for breakthrough,

The patient is taking Tenormin, Dyazide, potassium,  Niaspan and S/L "E-Carnita". 

Past medical history of high blood pressure and hypercholesterolemia. 

Can someone please tell which of these sentences they think is correct - Thanks!

The mass lesion was several mm in length

The mass lesion was several millimeters in length.

thanks everyone!

I posted a part of the sentence below.  This word is used throughout the dictation but I am unable to figure it out.  It s/l exocytic. 

Elephantiasis like legs but with multiple ____ lesions distributed

Thank you so much.

.