That's a possibility, but I'm not sure. I had to go ahead and send. Thanks!
Posted By: dsmt on 2006-09-08
In Reply to: Ocuvite? - loho
Subject: That's a possibility, but I'm not sure. I had to go ahead and send. Thanks!
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It might have been but I went ahead and put it through.
Subject: It might have been but I went ahead and put it through.
I've asked for feed back and hope I get it. thanks for your help.
TY - I got a little ahead of
Subject: TY - I got a little ahead of
it was not tpyed that way in the real doc. = )
I went ahead and flagged it even though
Subject: I went ahead and flagged it even though
he never again mentions the left tonsil. Even at the end of the dictation when he says the plan is to rule out a right peritonsillar abscess. Same thing he said in chief complaint, except there he said "left". Oh well....I flagged it and I'll let QA make the change.
Thanks for the advice.
That may be it, went ahead and flagged it though thank you
Subject: That may be it, went ahead and flagged it though thank you
x
I would go ahead and put Elder Abuse...
Subject: I would go ahead and put Elder Abuse...
a lot of states have this to report elderly people who are being abused by family, etc.
I went ahead and sent it with a blank. It was STAT. Thanks-
Subject: I went ahead and sent it with a blank. It was STAT. Thanks-
nm
and it isn't epidermidis....thanks anyway ahead of time :)
Subject: and it isn't epidermidis....thanks anyway ahead of time :)
and it isn't epidermidis....thanks anyway ahead of time :)
Subject: and it isn't epidermidis....thanks anyway ahead of time :)
Just go ahead and leave a blank. With
Subject: Just go ahead and leave a blank. With
foreign accents sometimes it is only a guess and not worth guessing wrong.
that's a Coumadin dosage, not INR, wonder if the doc is getting ahead...sm
Subject: that's a Coumadin dosage, not INR, wonder if the doc is getting ahead...sm
of himself about doing an INR level to make sure the Coumadin is therapeutic, not too much and not to little. The INR level should be between 2-3 for most labs. Sounds like he meant to say Coumadin, and may later on in the dictation talk about getting an INR level. Hope this helps!
yeah - I was thinking that myself, but I could never confirm it. I just went ahead and sent it to
Subject: yeah - I was thinking that myself, but I could never confirm it. I just went ahead and sent it to
QA, but thank you for your help.
Hehehe, I guess I was a step ahead of that
Subject: Hehehe, I guess I was a step ahead of that
I'm sorry, Since I already have suprascript and subscript up on my tool bar, my instructions were what to do for O(subscript)2 so all you have to do is type O2 (normal script) and it changes automatically. I don't like having to highlight the 2 and go up there and click the subscript button every time. I would rather type O2 and let Word change it for me. I try to get Word to do as much for me as possible. I do this for cm squared, cm cubed, H2(subscript)0, etc.
oops - fingers got ahead of me -- s/b "diseases"
Subject: oops - fingers got ahead of me -- s/b "diseases"
Does it sound like he is saying "constitutional" instead of correction ahead?
Subject: Does it sound like he is saying "constitutional" instead of correction ahead?
Is there any possibility
Subject: Is there any possibility
That's for pulmonary artery hypertension.
Always a possibility...
Subject: Always a possibility...
Could be from the area of the thigh up to the mid-pubic line???
No I'm actually not rude...but go ahead and keep telling yourself that if it makes you feel bette
Subject: No I'm actually not rude...but go ahead and keep telling yourself that if it makes you feel better.
Why don't you go read through your posts, they don't sound very friendly to me.
Now thats a good possibility!
 Guess your up late too? Somehow don't think thats what my doc was saying, although would be more interesting!!!!
Dawn
Flailing. Another possibility. nm
Subject: Flailing. Another possibility. nm
x
That's a definite possibility
Subject: That's a definite possibility
I'm thinking that too. He might be saying something to the effect that the pt needs to step up, get going, finally agree to have this test performed. Thanks for the help
found a possibility, but (sm)
Subject: found a possibility, but (sm)
I personally wouldn't take it upon myself to add any initials at all unless they were specifically requested.
Neuroforaminal versus neural foraminal (warning: rant ahead)
Subject: Neuroforaminal versus neural foraminal (warning: rant ahead)
I know this has been discussed before, but I have never typed anything except "neural foraminal," and when I first started with this particular account, all the templates had "neural foraminal stenosis" as one of the headings on the spine CTs and MRIs.
Now the "billing and coding specialist" who is in charge of the account (and who is obviously not a trained transcriptionist - she typed "flebolith" on one report I saw), has changed all the templates to "neuroforaminal," and when I just changed them back, she sent me a nasty little note saying "Don't change the templates."
Well, you should have seen the sorry state the templates were in when I started here. I have spent hours of my OWN time (I am paid by the line) not only cleaning up the templates but also standardizing the naming of the templates so that they can be found easily using the wild card notation.
I am tempted to send an email back saying, "Okay, I'll leave them that way, but 'neuroforaminal' is incorrect" but I am leaving this account as soon as they have my replacement trained.
In fact, I just sent it. I'm leaving, got nothing to lose, and actually have more work than I can comfortably handle right now. I really wish she would tell me she didn't need me any more. 
Oh, I just got her reply: "Actually, no it is not [incorrect]. That is how it was always spelled before we hired ____________ [MTSO] and that is how all of the rads wanted it spelled."
So be it.
another possibility -- "choanal atresia"?? -- nm
Subject: another possibility -- "choanal atresia"?? -- nm
.
hmmm--good possibility...sm
Subject: hmmm--good possibility...sm
I had to send it back already with blanks and a note to my coordinator for some help. this sounds pretty close, as in the note to the referring physician, he mentioned a urine test for this too. It is hard to believe a one year old baby would have something like this though, but I do appreciate your help. I will let you know when I find out definitely what it is. oh, and I am hopped up on Hershey kisses with caramel, so don't feel bad! LOL. thanks again. I have a feeling this might be it.
another possibility is buccal mucosa nm
Subject: another possibility is buccal mucosa nm
/
Looks like Tina may have hit it, but if not, possibility of Coumadin? nm
Subject: Looks like Tina may have hit it, but if not, possibility of Coumadin? nm
,,
Para 2 with twins (another possibility)
Subject: Para 2 with twins (another possibility)
x
Xalatan - possibility if for eye dictation
Subject: Xalatan - possibility if for eye dictation
WAG here... possibility would be "pretty small"??? NM
Subject: WAG here... possibility would be "pretty small"??? NM
x
Evaluation for possibility of lymphoma
Subject: Evaluation for possibility of lymphoma
His peripheral blood lymphocyte analysis revealed no s/l coronal populations.
that's a possibility - I'll have to listen again...sm
Subject: that's a possibility - I'll have to listen again...sm
I listened over the phone last night - we were even thinking that he was saying "a bit of" pancreatitis in the hx (which doesn't make sense, either), but it's mentioned in the dx, too, and he wouldn't be saying that in the dx...I'm stumped.
last CBC, her leukocytes?? i know nothing to do with thyroid panel but a possibility. nm
:
Googling suggested polysplenia as a possibility.
Subject: Googling suggested polysplenia as a possibility.
(nm)
another possibility - Zaroxolyn, depending on dialect?
Subject: another possibility - Zaroxolyn, depending on dialect?
That's a possibility. It's garbled, but I hear what might be atrophy but don't know.
Subject: That's a possibility. It's garbled, but I hear what might be atrophy but don't know.
Yes, that is also a possibility, if listen closely, you should hear which??? >-)
Subject: Yes, that is also a possibility, if listen closely, you should hear which??? >-)
x
Actually, giving it more thought, Ceptaz is also a possibility. sm
Subject: Actually, giving it more thought, Ceptaz is also a possibility. sm
...though none of these are cardiac meds, actually.
Wound care - Another possibility would be to go to one of the s/l echinocadins. Help Please! nm TIA
Subject: Wound care - Another possibility would be to go to one of the s/l echinocadins. Help Please! nm TIA
x
Maybe sclerae-gray test, that would be more for neurological, but maybe a possibility.
Subject: Maybe sclerae-gray test, that would be more for neurological, but maybe a possibility.
Possibility of using a long-acting preparation with some inhaled steroids would be s/l forpeasmal.
Subject: Possibility of using a long-acting preparation with some inhaled steroids would be s/l forpeasmal.
I have no clue. Thanks. x
Could be - I had to let it go and send it...
Subject: Could be - I had to let it go and send it...
but thanks. I had enough of her - now I have her again on another report. She says one sentence and then a pause of anywhere from about 18 to more than 80 seconds. She has aborted 3 reports now. I don't even know who she is because she doesn't give her name for the dictated for field. Grrr....
Thanks but had to send in.
Subject: Thanks but had to send in.
Do not like neurosurgery. Have done 4 craniotomies in the last 2 days and I think I need some brain surgery to think and hear better. LOL.
"romare" - trying again to send this!
Subject: "romare" - trying again to send this!
It's pulse oximetry "on room air" is 98%
I would blank both and send it in. SM
Subject: I would blank both and send it in. SM
This is no area to be guessing in, and why take chances? :)
It could be but had to send the report
Subject: It could be but had to send the report
through so I cannot listen to it again. Thanks for your help.
Thanks for the help...I had to send it, so flagged it.
Subject: Thanks for the help...I had to send it, so flagged it.
WAG! Funny! 
I had to send report, thank you tho. nm
Subject: I had to send report, thank you tho. nm
x
Thanks. Had to send it in with blank.
Subject: Thanks. Had to send it in with blank.
I will see what my QA person comes up with.
Nevermind. Had to send in. Thanks
Subject: Nevermind. Had to send in. Thanks
....
do you have a QA dept? If so, send it to them
Subject: do you have a QA dept? If so, send it to them
that's a poor, poor dictator FOR SURE.....I feel for ya....
Very unclear, but could be. I think I will send it to QA. Thanks anyways! nm
Subject: Very unclear, but could be. I think I will send it to QA. Thanks anyways! nm
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