Thanks a bunch, now I do not have any blanks in none of my reports
Posted By: debbie on 2007-01-30
In Reply to: Tikosyn, heart medication, comes in 250 mcg not mg nm - Kathy
Subject: Thanks a bunch, now I do not have any blanks in none of my reports
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thank you again, now I have no blanks in my reports. Thanks a bunch!!
Subject: thank you again, now I have no blanks in my reports. Thanks a bunch!!
Blanks were just PHI that
Subject: Blanks were just PHI that
x
blanks
Subject: blanks
1st blank ... Hulka clips ....
2nd blank .... slowly...
Just a guess, hard to tell without hearing it for myself. Hope this helps! Good luck!
2 blanks - sm please
Subject: 2 blanks - sm please
Culture and sensitivity result which showed that the patient had isolation of E. Coli and s/l pro-tal-is mor-rab-a-lis both sensitive to amoxicillin and s/l clob-a-lonic acid.
Sorry foreign doctor and he is giving me a run for my money today. Thanks for any help.
Need help with blanks.
Subject: Need help with blanks.
On exam today, she ____ 20-30 degrees from the lower ____ when positioning her left shoulder. This is an exam for shoulder pain.
BLANKS
Subject: BLANKS
is it okay to put many blanks throughout the document if I'm not exactly sure what he is saying and some things he says make absolutely no sense? (sometimes 2 per paragraph in places) Is it okay to put a blank so he checks that word to make sure its right? these are 9 page long psych reports. It's not cut and dried medical terms and phrases. I'm thinking I should put blanks just to make sure it's right instead of typing what i think he is saying. what do you do
?
blanks
Subject: blanks
I agree with the other post. I have leaving blanks, but sometimes you have to. You absolute cannot guess at something. It is better to leave a blank than to guess, otherwise it is a bad reflection on you as an transcriptionist to try to guess and then have it be wrong.
I'll let you know. I sent it in with 14 blanks, all but one was whatever this is. ty!!
Subject: I'll let you know. I sent it in with 14 blanks, all but one was whatever this is. ty!!
.
several blanks, no clue
Subject: several blanks, no clue
..severe stenosis of a large circumflex marginal which was stented by (s/l 2 stent, sty-fer) which are (drac-oluded) stent
That makes sense... Thank you! Two blanks down, two to go....
Subject: That makes sense... Thank you! Two blanks down, two to go....
:)
Neuropsych examination blanks...sm
Subject: Neuropsych examination blanks...sm
Cranial nerves 2-12 S/l** pretty realstine thiatmean around ____ 59 15** No signs of a a/l ** false ictal state** are appreciated.
This is a patient with a question of seizure disorder.
Speed talking doctor on a subject I'm not very familiar with and my Neuro word book has not yet arrived.
I ended up leaving blanks and so did QA so who knows. Thanks though!
Subject: I ended up leaving blanks and so did QA so who knows. Thanks though!
x
Correct. Best bet is to leave blanks
Subject: Correct. Best bet is to leave blanks
never guess at what the doctor is saying.
Rad words/2 blanks 1 report
Subject: Rad words/2 blanks 1 report
Radiologist is saying what sounds like "Fluid is seen within the s/l entercies of the mesentery." The other word in the same report is: "High density within the dependent portion of the stomach surrounded by contrast measuring 36 Hounsfield units could reflect s/l embezel (2nd e with long e sound), blood products, or food particles."
genetics questions, 3 blanks
Subject: genetics questions, 3 blanks
Fragile X testing comparative _____ (geno mechipronazation??)
and _____ (snipe??) array testing
stopped all of his milk and wheat products, and started him on _____ (mucate?) instead
Thanks so much... Saved me from having to send this to report to QA with four blanks...
Occ health--shoulder exam (2 blanks) Pls help. SM
Subject: Occ health--shoulder exam (2 blanks) Pls help. SM
Adson maneuver is negative. *_________ (s/l controse) about the right shoulder appear normal and symmetric with the left side. There is no *___________ (s/l spinatahoss) atrophy and no focal tenderness to the suprascapular notch.
Whew! This was a LOOONG report. Thanks for your help.
Chickadee
nevermind - leaving some blanks - exasperated!!! nm
Subject: nevermind - leaving some blanks - exasperated!!! nm
I'll bet that was it. Sent to QA as sound was horrible and about 15 blanks.
Subject: I'll bet that was it. Sent to QA as sound was horrible and about 15 blanks.
that is what I put, thanks, report gone, thank goodness, but NO blanks ESL to boot. x
Subject: that is what I put, thanks, report gone, thank goodness, but NO blanks ESL to boot. x
x
Are you also missing words where you have blanks? Confusing post ...
.
I agree about him making it up. This clinic doesn't want blanks
Subject: I agree about him making it up. This clinic doesn't want blanks
nm
Unless treatment in the report indicates those conditions are present, would just leave blanks. nm
Subject: Unless treatment in the report indicates those conditions are present, would just leave blanks. nm
s
Thank you! (New at these Op Reports!!)
Subject: Thank you! (New at these Op Reports!!)
Reports. (SM)
Subject: Reports. (SM)
The posts containing the reports have been removed and the poster was notified about not posting such information in the future.
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Your comments and postings are very much welcome here.
Let me know if I can help you,
Goldbird
Reports
Subject: Reports
I only got help for 2 reports, and the people that helped me wanted to help me.
No one was forced and I greatly appreciate their help. I just needed help in some areas that I was having some trouble in that is all.
You and Milton Red Stapler have a nice day.
and in my reports...I put....sm
Subject: and in my reports...I put....sm
*in regard to*, not *in regards to*....and as far as *alot* goes, I am used to my word program separating that out as a lot, and since this message board program does not do that, oh well....get off it already. sheesh. nitpickers!
new to op reports
Subject: new to op reports
I am new to op reports and looking for any good reference sites to refer to when needing help. My ops mostly consist of General surgery, orthopedic, ENT, ophthalmology, gyn and plastic surgery.
Any guidance would be appreciated. I have a M&S Equipment words book and an ortho book. Would like some good websites.
Thanks in advance
fractions in reports
What is acceptable, 1/4 or one-fourth? Thanks.
Newbie's reports
Subject: Newbie's reports
The area in which you most need help is in how to decide what is ethical. The moderator herself does not allow such reports to be posted here. You should have known better. Now you do.
sample reports
Subject: sample reports
MT daily has sample reports, I need a C-section. Know where I can get one. Thanks in advance.
Psychiatric reports.
Subject: Psychiatric reports.
I have a question in regards to psychiatric evaluations. Would diagnosis or diagnoses be used when typing out Axis I, Axis II, Axis III, etc.?
Does anyone do insurance reports?
Subject: Does anyone do insurance reports?
I called you requesting additional information in order to find out if there is any medical s/l: conjournigation OR conjure negation to work on a full-time basis.
Thanks for any help!
help new to ortho reports
Subject: help new to ortho reports
Can a person have full finger flexion at the volar wrist?
This is just a statement made in the Objective portion of the report. She is stating he has full dorsiflexion, palmar flexion and radial and ulnar deviation of the wrist. THen goes on to say "finger flexion at the volar wrist irriation with clicking"
This is not a verbatim account and she is somewhat scatterbrained sometimes so you have to fill in the blanks at times.
Tenses in reports
Do the majority of y'all change tenses when the docs dictate them incorrectly? Normally I'm inclined to, but there are times when I question it. Of course, my pet peeve is dictating a surgery that already happened, yet everything is present tense!
In this case, here's what I'm questioning:
The patient was evaluated previously, and a left inguinal hernia is reducible.
Thanks in advance!
Echocardiogram Reports
Subject: Echocardiogram Reports
I need help. I have been thrown the lions den, this man garbles his words and I am not used to typing echoes. I need to know how to is it end diastolic or in diastolic? Is only the left side measured?
Thank you! I don't do many ortho reports.
Subject: Thank you! I don't do many ortho reports.
tx
psych reports
Subject: psych reports
Just wondering if GAF on psych diagnosis should be expanded to Global Assessment of Functioning? Or just GAF
more on psych reports
Subject: more on psych reports
When there are multiple items under an AXIS, should #1 start two spaces after AXIS I, or hit return and start #1 at the left margin?
Thanks so much! I'm new to Physical Therapy reports. nm
Subject: Thanks so much! I'm new to Physical Therapy reports. nm
x
DO NOT POST COPIES OF REPORTS. (SM)
Subject: Please kindly do not post reports (sm)
Please kindly do not post reports from your employer on this site. I have also made the Administrator aware of this.
Goldbird (Moderator)
Newbie posting reports
Subject: Newbie posting reports
Newbie, this is the stuff of which lawsuits are made. Get informed. Get some ethics. Get a clue. Good thing you do not work for my company or you would be out in a New York minute.
Can you access old reports to see if it's something used routinely? nm
Subject: Can you access old reports to see if it's something used routinely? nm
s
Can you access any of the old reports to see if he "normally" says something here? nm
Subject: Can you access any of the old reports to see if he "normally" says something here? nm
s
exam reports as having no problems..
Subject: exam reports as having no problems..
There are Conners reports and scales. nm
Subject: There are Conners reports and scales. nm
nm
one last try before getting these reports done.... a drug s/l clu-thy-lone.. thank you
Subject: one last try before getting these reports done.... a drug s/l clu-thy-lone.. thank you
I work on psych reports
Subject: I work on psych reports
we capitalize Verbal, Performance, and Full Scale IQ where I work. We have all our resulting scores listed in a table. I hope this helps. Where are you getting all the psych work from?
Question to QA about spacing in reports
Subject: Question to QA about spacing in reports
Have to change from 2 spaces after a period to 1 space. If you have only one space after periods in sentences, is it okay to leave 2 spaces after colons? The reason I ask is that some of my expanders have a lot of expansions (like Neck: Supple) that have 2 spaces after the colon and need to know if I have to change them all or can I leave them be?
Any advice is much appreciated!
Paragraphs in body of op reports.
Subject: Paragraphs in body of op reports.
When dictators dictate 'paragraph' within the body of the procedure portion of op reports, do I create separate paragraphs or ignore this request? This is not a verbatim account.
Site for sample reports. sm
Subject: Site for sample reports. sm
http://www.stedmans.com/AtWork/section.cfm/27
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