Thanks for trying. This is one of those docs that likes to make up his own.
Posted By: Spice on 2006-08-03
In Reply to: Could not verify flatmouth malleable--sm - kps
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).
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BOS likes to make up their own thing just to be superior and..
Subject: BOS likes to make up their own thing just to be superior and..
I refuse to do EVERY SINGLE THING by BOS.
Definitely "sk" and not "tw". Doc likes to make up words but also very particular, so w
Subject: Definitely "sk" and not "tw". Doc likes to make up words but also very particular, so wanted a
second opinion. Thanks so much guys.
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
:)
No such word but again docs make up as they go.. sm
Subject: No such word but again docs make up as they go.. sm
pallor = pale
hate it when docs make up words: gel-ish
Subject: hate it when docs make up words: gel-ish
maybe my brain's just too frozen to wing it.
would it be gellish, gel-ish ??? he's talking about the consistency of myelomeningocele tissue. i'd rather go with gel-like, but with verbatim i don't feel comfortable ad libbing...
Docs make up words all the time.
Subject: Docs make up words all the time.
x
That could be. I know that some docs make patients sign care contracts. sm
Subject: That could be. I know that some docs make patients sign care contracts. sm
Compliance promise could very well be. Perhaps the patient had been noncompliant with his CPAP and the doc threatened him with something like being hospitalize, dying, etc.
A lot of PCPs make their drug-seeking patients sign what is called a Care Plan. It takes care of the "frequent flyers" to different docs and ED's. They are tailored to each patient. Perhaps Jane Doe can only get 4 pain shots a month. If she uses them all up in a week, then too bad, so sad. She will just have to tough it out. They are on file with all the hospitls here in case the frequent flying drug-seekers trh to hit different emergency departments, etc.
LOL, perhaps the patient feels very "negative" about females? These docs can make you smile,
Subject: LOL, perhaps the patient feels very "negative" about females? These docs can make you smile, huh? nm
nm
External/internal range of motion with tibiotarsal pain (TTP?) docs can make up abbreviations, ???n
Subject: External/internal range of motion with tibiotarsal pain (TTP?) docs can make up abbreviations, ???nm
nm
The spellchecker likes it . . .
Subject: The spellchecker likes it . . .
because combed is a word . . . don't know about the drug name though.
Your sound likes are probably
Subject: Your sound likes are probably
Need sound likes.
Subject: Need sound likes.
x
my stedman's spellchecker likes it !
Subject: my stedman's spellchecker likes it !
transdermal? (any "sound likes"?)
Subject: transdermal? (any "sound likes"?)
which Stedman's..?? spellcheck likes either
Subject: which Stedman's..?? spellcheck likes either
My QA likes KCl if specific poss chloride is not
Subject: My QA likes KCl if specific poss chloride is not
x
BOS II likes 7th and 8th, but if account lets you, writing out gives more characters. nm
Subject: BOS II likes 7th and 8th, but if account lets you, writing out gives more characters. nm
s
Got a dx? All the sounds-likes I find are the wrong dose. nm
Subject: Got a dx? All the sounds-likes I find are the wrong dose. nm
s
Thanks for the info my company likes FABER...QA giged me on it the other way.
Subject: Thanks for the info my company likes FABER...QA giged me on it the other way.
Sometimes this job is so draining. People have no idea how stressful it is. I had less stress as a cop...
Could be Combivent, Combivir, etc. Blank it. Speller likes "combed" as in 'you combed your
Subject: Could be Combivent, Combivir, etc. Blank it. Speller likes "combed" as in 'you combed your hair."
/
The only thing I can find close is subtilise meaning to make senses more keen or make one's sense
Subject: The only thing I can find close is subtilise meaning to make senses more keen or make one's senses more acute?
I'm still listening and trying to fit it together to make any suggestions make sense.
Subject: I'm still listening and trying to fit it together to make any suggestions make sense.
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
Some of my docs do list..sm
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.
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
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