Thanks everyone. This guy is a real trip. Never heard such horrible speaking skills!
Posted By: Jai on 2007-02-16
In Reply to: My personal favorite is "aspirational pneumonia." :) - nm
Subject: Thanks everyone. This guy is a real trip. Never heard such horrible speaking skills!
If I'm not 'speaking' clearly it is because I've had to listen to this mush mouth, speed talker for the past 8 hours and am only about 3/4 done with my quota. I've never had so much trouble... even my ESL doctor makes better sense than this guy.
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I found Real-Time, Real-time, real-time ultrasound...
Subject: I found Real-Time, Real-time, real-time ultrasound...
nm
s/l lipid (trip-cee)
Subject: s/l lipid (trip-cee)
s/l lipid (? trip-cee ?)
Thanks for any help.
It is me again, same horrible doc
Subject: It is me again, same horrible doc
doing discogram and epidural steroid injection. Could there be CONGRUENT??? pain. At the conclusion of this procedure is there is no _________ pain on L3-L4 with normal discogram.
That was so horrible. - sm
Subject: That was so horrible. - sm
E-mail me. We can't chat on the word help board.
medication, s/l trip-la? pt. was just started on HIV meds
Subject: medication, s/l trip-la? pt. was just started on HIV meds
This is where your OWN research skills need to be used.
Subject: This is where your OWN research skills need to be used.
s
620 mL of Peptamen Junior plus 65 g s/l ex-lyse ex-trip maximade?
Subject: 620 mL of Peptamen Junior plus 65 g s/l ex-lyse ex-trip maximade?
s/l ex-lyse ex-trip maximade?
You are not developing her research skills
Subject: You are not developing her research skills
Not to flame but how is she doing it "on her own" with a full critique done here in public. And I'll ask again, why isn't her QA helping her in the way they want her trained or giving her links to document her answers so she can research. One learns better when one does for themselves rather than being fed by the silver spoon.
Join my horrible club :(
Subject: Join my horrible club :(
thank you so much, you have great research skills nm
Subject: thank you so much, you have great research skills nm
xxxx
She was on a trip without problication and had severe pain in the left knee. nm
Subject: She was on a trip without problication and had severe pain in the left knee. nm
nm
Thank you so much! I am horrible in these kinds of studies! Very much appreciated! nm
Subject: Thank you so much! I am horrible in these kinds of studies! Very much appreciated! nm
d
I'm just not sure. The sound is horrible so I'm leaving a blank.
Subject: I'm just not sure. The sound is horrible so I'm leaving a blank.
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.
Normal pupils, s/l skills, disks.
Subject: Normal pupils, s/l skills, disks.
na
Kohlman Evaluation of Living Skills (KELS) nm:)
nm
Anyone hear of Connor skills for behavioral problems
Subject: Anyone hear of Connor skills for behavioral problems
or Cotter? Can't quite make it out and can't find anything that s/l. Thanks!
Need a vaccine for patient trip to Africa. He says yellow fever, typhoid, hepatitis A, and something
Subject: Need a vaccine for patient trip to Africa. He says yellow fever, typhoid, hepatitis A, and something
that begins with val________. Sounds sort of like valpoita??? Thanks!
Thanks for taking the time... He has finished this horrible dictation and I will flag it.
Subject: Thanks for taking the time... He has finished this horrible dictation and I will flag it.
Txczech, you have the best research skills. I love the links you post SM
Subject: Txczech, you have the best research skills. I love the links you post SM
That Gideon online is way cool. Where do you find these things?
Speaking of QA, here's one for ya'...sm
Subject: Speaking of QA, here's one for ya'...sm
Last line of the report, dictating physician says "I will page Dr. so-and-so and discuss with him." The title "Dr." was inadvertantly left out (mybad), admittedly an error from typing too fast and didn't catch it. QA pulled this report and marked it as a "critical error affecting document integrity." I appealed the ruling arguing that it should be considered merely as a typo as document integrity as it pertains to accurate documentation of patient health care (which is what these documents are for) and proper transcription style had not been affected in any way. QA board upheld the ruling implying in their reasoning that the doctor could be offended, i.e., his ego could be bruised, by failing to transcribe the title he worked so hard to achieve.
Your thoughts - typo or critical error affecting document integrity?
Speaking of numbers...
Subject: Speaking of numbers...
What are the rules according to AAMT BOS on spelling out numbers in reports. If doc says...Patient has had headaches for the past two days...do I spell out two or do I put a number 2?
Thanks for your help.
Generally speaking (sm)
Subject: Generally speaking (sm)
affect is a verb and effect is a noun. There are only 2 exceptions - when affect is used in psych reports referring to their general attitude and when effect is used as a verb meaning "to bring about" as in "to effect a change in someone". Try to keep it simple.
speaking of misspelled, LOL nm
Subject: speaking of misspelled, LOL nm
nm
Speaking of presumptive
Subject: Speaking of presumptive
You made an assumption that I made my comment based on my "moral compass." You are the one being presumptive. As it so happens, I became an MT because the job I used to have did not allow me to go back to school. I recently got my second bachelor's in psychology, graduating summa cum laude I might add, and have been accepted to grad school for school psychology at one of the most competitive schools in the state. So I beg your pardon but the information I gave is not my moral compass. It comes from the extensive education I have received. In addition, I have experience working with kids with developmental delays and my best friend growing up had autism. I assure you if a doctor used that word with some of my friends who have children with disabilities, not only would the doctor get an earful so would the AMA.
Thanks. That has to be it. He has a little speaking dyslexia going on. (nm)
Subject: Thanks. That has to be it. He has a little speaking dyslexia going on. (nm)
Visually speaking, I like q.8h.
Subject: Visually speaking, I like q.8h.
Is he spanish speaking?
Subject: Is he spanish speaking?
the word sin in Spanish means without.
If she is speaking REALLY fast...
Subject: If she is speaking REALLY fast...
she may be saying parenteral nutrition.
Is he speaking really fast??
Subject: Is he speaking really fast??
Follicular maybe
Maybe, if speaking really fast...
Subject: Maybe, if speaking really fast...
doc is saying pressure recording device. I had a hard time once figuring out that piddy-did was simply the punctuation at the end of every sentence. :-)
podiatrist speaking PARIOSALIVATOR?
Subject: podiatrist speaking PARIOSALIVATOR?
borders of the right great toenail were freed from their underlying attachments to the nailbed with a S/L PARIOSALIVATOR..
Any help - please?
Dr speaking fast...am I hearing this right?
Subject: Dr speaking fast...am I hearing this right?
(In review of systems)
NECK: Supple without mass. ABDOMEN: Soft. He does have some epigastric discomfort. No hepatasplenomegaly, S/L mass appreicated, no guarding rebound.
am I hearing this right....if not any ideas?
volar? positionally speaking of course.
Subject: volar? positionally speaking of course.
total guess: trouble speaking? nm
Subject: total guess: trouble speaking? nm
Speaking of Whitney, despite it all, I hope she makes the
Subject: Speaking of Whitney, despite it all, I hope she makes the
biggest come back ever. Her voice is phenomenal. She is one of the very few people (less than 3% in the U.S. and Europe) who have perfected pitch.
Speaking of ears clogged with cerumen, are there
Subject: Speaking of ears clogged with cerumen, are there
any ENT MTs who know if there is another product, other than Debrox, or Cerumenix (which was by RX only, but discontinued) to remove chronic earwax, other than going to the ENT to have them irrigated and removed with a curette?
I can't seem to find any drug on the market; prescription or otherwise, other than those mentioned above, which were of no benefit.
Your help is greatly appreciated. Thanks.
I thought of that, but the doctor is pretty plain speaking
Subject: I thought of that, but the doctor is pretty plain speaking
thanks for your thoughts.. It indeed might be what he means but doesn't say right.. you know how that goes
In PE of the Ears saying TMs are s/l purligurd?
Subject: In PE of the Ears saying TMs are s/l purligurd?
I would think it is herald unless he is speaking of a person with the name Herold, which I doubt.
Subject: I would think it is herald unless he is speaking of a person with the name Herold, which I doubt.
speaking of recurrent thyroid cancer..so in that area the intra-media-sty-num sm
Subject: speaking of recurrent thyroid cancer..so in that area the intra-media-sty-num sm
Interestingly the PET scan revealed minimal FDG uptake in the right thyroid bed consistent with the right anterior tracheal lesion, and also minimal uptake in what is believed to be persistent thymic tissue in the "intra-media-stynum", but nowhere else is it noted. MRI was reviewed as well. This confirms a 1.4 cm enlarged lymph node on the right side at the level of C3......
try using 1/12,000, not real sure though
Subject: try using 1/12,000, not real sure though
it's real-time NM
Subject: it's real-time NM
Okay, here is my real response
Subject: Okay, here is my real response
What is the basis for any jealousy here? That concept baffles me. You obviously spent a lot of time into the events of today and I would suggest an alternate outlet...like a l-i-f-e. I do not always come here to flame or denigrate others. That you consider me trouble is of no consequence to me. I have no concern for how my posts are perceived and when I post, I'm usually my ADD and dyslexic self with multiple lines of thinking bouncing around in my head at the same time. I do not self check my grammar or spelling. I'm happy with my QA score of greater than 99.5% monthly because when I work, I allow no distractions. Before I was out of high school, I had the skill set I needed that today's poster lacked and that you commented on as a general rule for all newbies.
If you do not understand my point, that is your failing, not mine. Others have repeated my point so I hope it is a bit more clear to you by now. I will not "leave this newbie" alone (not that I now have a vendetta against her/him now) but you hold no power over my actions, just as I have none over yours. I feel no threat from you, do not feel diminished by you and feel sorry that you are so worked up over today's events.
I had no one to ask questions of at all when I entered MT as I came in as the MT supervisor with years of experience in being a records auditor. When I went home and entered the acute care arena, I had more books than I could count, with my favorite being "A Syllabus for the Surgeon's Secretary" (first published in the 50s). I didn't make a lot of money my first year at home but every report was superior to those of the other MTs on the account. I feel today's newbie has no excuse for not being able to find many of the answers to many of the issues that were addressed today other than by posting entire reports for strangers who may only think they are qualified to answer. Asking for QA help on entire reports is a crap shoot. On a forum where no one knows who anyone really is in real life, you can easily get crappy help anot not know the difference. Your mileage may vary.
I hope you find some peace and a healthy outlet for your frustrations.
a real stumper
Subject: a real stumper
Dr. just dictated thoracic *s/l cervingeal *s/l myedia
Any suggestions please? Thanks!
Hmm, I liked the first one better. Think it should be real word. :)
Subject: Hmm, I liked the first one better. Think it should be real word. :)
xx
Medication: S/l Ram a fa real
Subject: Medication: S/l Ram a fa real
Is this a real word? sm
Subject: Is this a real word? sm
She is describing some symptoms possibly consistent with ADHD. We discussed the differential diagnosis and possibly overlap of S/L: subsymptoms between anxiety and ADHD and possibly that these were comorbid disorders.
I cannot find subsymptoms as a legit word..
Thanks for any help!
Doc say this a lot but isn't a real word.
Subject: Doc say this a lot but isn't a real word.
I transcribe decubitus ulcer(s) when I hear decubiti.
Out in the real world, it is according to
Subject: Out in the real world, it is according to
how the client prefers. If you are being marked down for not putting them, then I would go ahead and add them if you cannot get an instructor to let you know one way or the other. Sometimes the docs do dictate vital signs separate from the PE, and unless you have been told to move them under the PE heading, then I would leave them as dictated.
is that a real word though?
Subject: is that a real word though?
I can't find a definition for gammaglobulinemia in Stedman's or online anywhere...pardon my stupidity here, but is it even a real word??? (maybe I'm just bleary eyed and am not seeing it!) Help!
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