Thanks for finding that. I just had doc today dictate this...hmmmm
Posted By: Pam nm on 2006-04-10
In Reply to: Found Tridil listed in 2005 Drake & Drake but sm - Txczech
Subject: Thanks for finding that. I just had doc today dictate this...hmmmm
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hmmmm
Subject: hmmmm
She clearly says rhinorrhea and green cough...but I think I better just flag it like you said.
hmmmm - may be offshore mt.......nm
Subject: hmmmm - may be offshore mt.......nm
HMMMM. Can't rule it out. Tks. nm
Subject: HMMMM. Can't rule it out. Tks. nm
hmmmm so BOS is contradictory on this....
Subject: hmmmm so BOS is contradictory on this....
some MDs do say potassium chloride........but most say KCl......and I give them KCl...
You should dictate what the doc says.
Subject: You should dictate what the doc says.
If he is wrong, that's his problem. You can't just go changing what he says unless you have free reign on your account.
Drs get what they dictate - some of us only do..S/M
Subject: Drs get what they dictate - some of us only do..S/M
brachioplexus, brachioplexopathy - what they say is what they get....client profile RULES!
How does he dictate it? Is he actually - sm
Subject: How does he dictate it? Is he actually - sm
Is he saying "CBC, MSP, and stool" because stool is not a test so just wondering if it could be the name of a stool test. If you state just how the whole sentence is dictated, it may help us figure it out for ya.
I had a doc used to dictate that
Subject: I had a doc used to dictate that
Good says it stands for keep-open-vein. So, it should fit, and it also is all CAPs. 
Usually if they dictate Seldinger...
Subject: Usually if they dictate Seldinger...
they will say "via Seldinger, or Seldinger technique." I don't believe they would do this en route either. Are you sure you are hearing "sandwich?" I have been transcribing ER reports for years and I have never heard this term used. Anyway, I would not guess on this one. IMO, it is better to leave it blank and have QA inform you later so you can keep it on file  .
Yes, that was how I was taught and most always they dictate cc nm
Subject: Yes, that was how I was taught and most always they dictate cc nm
nm
welcome; got it from my docs that dictate it as i never could figure them all out either, lol. nm
;
Sorry, but I have had them dictate brain or beta.
Subject: Sorry, but I have had them dictate brain or beta.
nm
Account specifics would dictate whether you sm
Subject: Account specifics would dictate whether you sm
write it out or abbreviate. The abbreviation for beats per minute is bpm. Ask your QA person for approved abbreviations for this account (accounts will differ sometimes which can make us crazy).
Did she dictate the colon after "murmur?" nm
Subject: Did she dictate the colon after "murmur?" nm
x
no matter what they dictate, they are wrong...nm
Subject: no matter what they dictate, they are wrong...nm
LOL..the way these docs dictate anymore
Subject: LOL..the way these docs dictate anymore
who knows!! Something like that just check your aspirin bottle. Good luck!!
doctor didn't dictate mg????
Subject: doctor didn't dictate mg????
The patient was given aminophylline, Lanoxin 0.25, Lasix 40 mg, Cardizem.
okay here the doctor fails to dictate mg? according to 'textbook rules' do I add this or not?
Lordy, when they dictate commas it is just sm
Subject: Lordy, when they dictate commas it is just sm
like a poke in the eye to me!!! Brings me to a screeching halt. I just tend to ignore them, in a report, especially if it is a resident. I do puncturate letters and memos, but half the commas I see people use on this board and other boards are totally not necessary. Just call me
anti-comma!!!!!
If you dictate the full sentence I could probably help you figure it out. nm
Subject: If you dictate the full sentence I could probably help you figure it out. nm
doc didn't dictate that....her brain was thinking that...
Subject: doc didn't dictate that....her brain was thinking that...
nm
Thought so thanks wish they would dictate the drugs correctly
Subject: Thought so thanks wish they would dictate the drugs correctly
or may be mistakenly thinking of their pet's food as they dictate?
Subject: or may be mistakenly thinking of their pet's food as they dictate?
wrong - they ALL dictate decubiti...no such word
Subject: wrong - they ALL dictate decubiti...no such word
did he dictate the point, or did he say 1 5, to make sure you did not hear 50
Subject: did he dictate the point, or did he say 1 5, to make sure you did not hear 50
nm
That's what I mean by "ask your QA!" Account specifics dictate style, sm
Subject: That's what I mean by "ask your QA!" Account specifics dictate style, sm
but the AAMT BOS dictates what is correct for the industry, getting its information from sources such as the Chicago Manual of Style, the American Medical Association book of style (which I own), etc. As the poster below states, Joint Commission goes by BOS and does not like "same" or abbreviations for diagnoses, impressions, op titles, etc. They will randomly choose patient charts and go through them to check things like this! It's the Joint Commission which recommends or removes hospital accreditations--a very powerful entity.
So, ask your QA what the account wants. If they want "same," give them "same." For other accounts, do it the correct way.
Derm docs often dictate "Allergy to CARBO mix" - sm
Subject: Derm docs often dictate "Allergy to CARBO mix" - sm
I don't know what the full word is, but this validates your hearing the partial "carbo"
Long shot, but often dictate myocardial ischemia. nm
Subject: Long shot, but often dictate myocardial ischemia. nm
xx
Macrobid (nitrofurantoin) is commonly used, maybe doc stumbling on whether to dictate brand name or
Subject: Macrobid (nitrofurantoin) is commonly used, maybe doc stumbling on whether to dictate brand name or generic?
there is the abbreviation MAR docs dictate for medication administration record, but not sure...sm
Subject: there is the abbreviation MAR docs dictate for medication administration record, but not sure...sm
if that's it? This is usually dictated when they don't want to list the entire medication list so refer to the MAR that is in the chart.
Pupils equally reactive to light, they do not always dictate the whole exam abbreviation, they ..sm
Subject: Pupils equally reactive to light, they do not always dictate the whole exam abbreviation, they ..sm
do not always examine all aspects on PE. Hope this helps!
Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the ti
Subject: Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the time.
Thank you both, still not finding my s/l though
Subject: Thank you both, still not finding my s/l though
m
Not finding pes either. Sm
Subject: Not finding pes either. Sm
Stedmans: septooptic dysplasia (no hyphen).
abscence
EGD finding
Subject: EGD finding
Thanks for your help before, MT50. Here's a good one...
An EGD was done at the time which showed several (s/l) "hoontakes" also in the stomach..." Very thickly accented Doc. "Hoontakes???"
I am only finding XR. nm
Subject: I am only finding XR. nm
Help with an ENG finding
Subject: Help with an ENG finding
Patient has vertigo. This doctor is dictating the results of an ENG performed years ago. The doctor has a heavy mid-eastern accent. Any help would be appreciated!!! Thanks!
" I reviewed his ENG, which showed bilateral (sounds like clor-o-qwueek-ness) and abnormal tracking of eye movement."
I am only finding pigmented
Subject: I am only finding pigmented
x
I'm not finding psoricystic, either
Subject: I'm not finding psoricystic, either
:-)
Chest x-ray finding
Subject: Chest x-ray finding
There is chronic blunting of the s/l pulsteriose fulci.
Well, since it's a positive finding,
Subject: Well, since it's a positive finding,
maybe there is a clue in the impression as to what the dictator thinks is going on, and with that diagnosis then you could google and add smooth red tongue and chelitis and maybe come up with something.
That's what I'd do
I'm just not finding this drug
Subject: I'm just not finding this drug
S/L: ZA-NOX-UHL
Just in the list of meds patient is taking.
Thanks.
Fantastic -- thank you for finding that!!
Subject: Fantastic -- thank you for finding that!!
:)
I think it is Councill tip, but I'm finding
Subject: I think it is Councill tip, but I'm finding
conflicting spellings. Stedman's has Councill retention catheter. The Bard manufacturer's site has it spelled BOTH ways, Council and Councill.
Not finding duo pattern but...
Subject: Not finding duo pattern but...
I did find this listing the different patterns (from labtestsonline.org):
ANA shows up on indirect immunofluorescence as fluorescent patterns in cells that are fixed to a slide that is evaluated under a microscope. Different patterns are associated with a variety of autoimmune disorders. Some of the more common patterns include:
Homogenous (diffuse) - associated with SLE and mixed connective tissue disease
Speckled - associated with SLE, Sjogren’s syndrome, scleroderma, polymyositis, rheumatoid arthritis, and mixed connective tissue disease
Nucleolar - associated with scleroderma and polymyositis
Outline pattern (peripheral) -associated with SLE
S/L obstenful finding
Subject: S/L obstenful finding
" One other obstenful finding that was seen..."
S/L "obstenful" Any thoughts?
Mammogram finding
Subject: Mammogram finding
This patient has breast pain and lumps that have been followed for 6 years. He discusses her old mammograms showing what sounds like
Barret's category 2 findings, benign in nature.
I'm not familiar with it, but I'm finding...
Subject: I'm not familiar with it, but I'm finding...
HBeAg for hepatitis B e-antigen, so I would probably type it as "hepatitis B-e" - but again I've never come across it myself.
(S/L) gomatomyositis but having trouble finding
Subject: (S/L) gomatomyositis but having trouble finding
Dr. is very clear but can't find to verify spelling and spell check says it is wrong.
this is a perfect example of why finding your own definitive
Subject: this is a perfect example of why finding your own definitive
from a variety of people with different opinions. I am sure that with good research, you will find the correct answers. I also feel that everyone who answered you felt they were more correct than those whose answers contracted thei own.
Is this a finding or does it seem like a type of arthrogram? nm
Subject: Is this a finding or does it seem like a type of arthrogram? nm
s
does anyone have a good site for finding PTs?
Subject: does anyone have a good site for finding PTs?
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