Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

That could be. I know that some docs make patients sign care contracts. sm

Posted By: MT and worn out on 2009-06-06
In Reply to: compliance promise? - es

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.


Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu


Other related messages found in our database

Docs often read off patients' handwritten sm
Subject: Docs often read off patients' handwritten sm

drug lists, saw this spelling and probably assumed it was something new. My vote is for Mirapex, but you can flag it to cover yourself.

How about a full sentence? Docs do give patients a "holiday" off a drug to check for other
Subject: How about a full sentence? Docs do give patients a "holiday" off a drug to check for other

s
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

:)
Thanks for trying. This is one of those docs that likes to make up his own.
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).
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
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
disposition of care versus deposition of care
Subject: disposition of care versus deposition of care

Talking about a patient's discharge planning.  I have always typed this disposition of care but my new co-workers type deposition.  which is correct?  thanks for help in advance.
abdominal exam: obturator sign, and positiv s/l Zoe-is sign
Subject: abdominal exam: obturator sign, and positiv s/l Zoe-is sign


grind test or Galeazzi sign, Gower sign
Subject: grind test or Galeazzi sign, Gower sign


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?


Maybe CoQ10? Sometimes taken by heart patients. nm
Subject: Maybe CoQ10? Sometimes taken by heart patients. nm

s
I found one paragraph re patients ...sm
Subject: I found one paragraph re patients ...sm

not sure but I found one paragraph thru google about dacron wool........being used on a patient:


Once cooling to -79 C was complete the patient was lifted out of the Silcool bath, the outer, Silcool wetted plastic bag was stripped off and the patient was placed within a polyester cloth bag which was in turn placed inside a standard aluminum neurocan which had been precooled to -90  and packed with dacron
wool.  Temperature probes were left externalized to the neurocan for subsequent cooling to -196 C.


I don't really think this is going to help you though but I tried!! 


 


CD4 count for HIV patients and AIDS...
Subject: CD4 count for HIV patients and AIDS...

x
Experimental drug for MS patients sm
Subject: Experimental drug for MS patients sm

Has anyone heard of an experimental drug called "Revamune" (or s/l it) for MS patient's?  It may be through Project Restore through Hopkins???
apparently patients sometimes refer to it as H1c. sm
Subject: apparently patients sometimes refer to it as H1c. sm

Try googling H1c, lots of hits  from (apparently) patients.  Also, wondered if slurring could make "an A1c" sound like your HUNC ? Also found at least one reference to histoplasmosis marker of H1C.


for cancer patients??? don't do oncology sorry
Subject: for cancer patients??? don't do oncology sorry


Cullen sign, Grey Turner sign. No s. nm
Subject: Cullen sign, Grey Turner sign. No s. nm


Lloyd's sign. Look in medical dictionary under sign. NM
Subject: Lloyd's sign. Look in medical dictionary under sign. NM

:
She has a positive Tinel's sign, positive Phalen's sign, and positive s/l Durkin's sign.
Subject: She has a positive Tinel's sign, positive Phalen's sign, and positive s/l Durkin's sign.

:-)
long shot here but patients are Medi-Vac'd.....???
Subject: long shot here but patients are Medi-Vac'd.....???


Pain scale in leukemia patients
Subject: Pain scale in leukemia patients

Hi,

Is there a pain scale that is commonly referred to for leukemia patients? I'm doing a clinic note on a patient, and in the PE section, I hear something that sounds like ecot 0 (zero). The first thing that pops into my head is Ficat, but I don't think that's what it would be. I often hear doctors mention the pain scale rating right along with the vital signs, and that's where this is dictated. I'm googling and researching this, but I'm not even sure where to look. Any suggestions?


It's definitely rigid and it is a very unpleasant procedure for most patients, despite...
Subject: It's definitely rigid and it is a very unpleasant procedure for most patients, despite...

a local anesthetic.


FAST scan in trauma patients
Subject: FAST scan in trauma patients

Focused Assessment with Sonography for Trauma (FAST) is a limited ultrasound examination directed solely at identifying the presence of free intraperitoneal or pericardial fluid. In the context of traumatic injury, free fluid is usually due to haemorrhage and contributes to the assessment of the circulation.


it would be brownie taste, most oftenly used with chemo patients. nm
Subject: it would be brownie taste, most oftenly used with chemo patients. nm


Kind of 'panel' tests for COPD patients...sm
Subject: Kind of 'panel' tests for COPD patients...sm

Strange Doc is FLYIN thru her tests for COPD patient....' CBC, fasting renal panel, lipid panel, ___ panel (maybe titer but not sure if that applies?)  I get the impression its a common 'panel' test.  If I didn't know any better I'd say she was saying Italian panel:)  Any ideas?  Its late and I can't come up with it.
Toradol is a pain medication for cancer patients.
Subject: Toradol is a pain medication for cancer patients.

Not sure if this is what you're looking for. Does it have a dosage?
Patients with non-bulky follicular non-Hodgkin's lymphoma.
Subject: Patients with non-bulky follicular non-Hodgkin's lymphoma.


Also, any mention of his "dentition", many times a cause in elderly patients?? NM
Subject: Also, any mention of his "dentition", many times a cause in elderly patients?? NM

nm
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.


Doses of Megace are given that high to cancer patients and others with cachexia. nm
Subject: Doses of Megace are given that high to cancer patients and others with cachexia. nm

s
Would use telemetry. Cardiac patients often go there before hitting the regular floors. nm
Subject: Would use telemetry. Cardiac patients often go there before hitting the regular floors. nm

s
Lovaza is used for treating patients who have very high triglyceride levels.
Subject: Lovaza is used for treating patients who have very high triglyceride levels.


Topiramate is used with other medications to treat certain types of seizures in patients with epilep
Subject: Topiramate is used with other medications to treat certain types of seizures in patients with epilep

patients with epilepsy.
Might be Cinacalcet is used for: Treating an overactive parathyroid in dialysis patients with chroni
Subject: Might be Cinacalcet is used for: Treating an overactive parathyroid in dialysis patients with chronic kidney ?


J sign or Jay sign?? Ortho - knee. TIA, nm.
Subject: J sign or Jay sign?? Ortho - knee. TIA, nm.


s/l watiers sign or goiters sign? nm
Subject: s/l watiers sign or goiters sign? nm

nm
Myerson's sign or Meyerson's sign
In the physical exam, neurology doc is spelling Meyerson's sign.  In two books I find Myerson under signs and cannot verify Meyerson's anywhere.  Any thoughts?  Thank you in advance for your help!
Geodon is used for treating acute agitation in patients with schizophrenia who require an injectable
Subject: Geodon is used for treating acute agitation in patients with schizophrenia who require an injectable medicine.


Sensipar is used for treating an overactive parathyroid in dialysis patients with chronic kidney dis
Subject: Sensipar is used for treating an overactive parathyroid in dialysis patients with chronic kidney disease.


Vivonex: Enteral nutrition formulas are used as nutritional replacements for patients who are unable
Subject: Vivonex: Enteral nutrition formulas are used as nutritional replacements for patients who are unable to get enough nutrients in their diet


Found this = Boston Brace or warm-n-form orthosis treatment, patients are able to ...
Subject: Found this = Boston Brace or warm-n-form orthosis treatment, patients are able to ...

x
"pan-allergic" can be used to describe patients who simply cannot tolerate virtually any meds
Subject: "pan-allergic" can be used to describe patients who simply cannot tolerate virtually any meds


Agrylin is used for treating patients with high blood platelet levels (thrombocythemia) due to bone
Subject: Agrylin is used for treating patients with high blood platelet levels (thrombocythemia) due to bone marrow problems???


Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R
Subject: Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R


Brief Neuropsychological Cognitive Examination (BNCE) ... evaluate the cognitive status of patients
Subject: Brief Neuropsychological Cognitive Examination (BNCE) ... evaluate the cognitive status of patients with psychiatric disorders or psychiatric manifestations ...


they should care
Subject: they should care

well, who should care?  The MT him or herself.  This can be a crutch IMO.  And, no, my opinion doesn't amount to a pile o' beans in the grand scheme of things.  Maybe my post should have been more helpful, than critical, and should have asked posters if they know how to search.  I've gotten really good at it and can find just about anything really.  For instance, someone just recently posted ligament of Treitz question.  All I did was google, ligament of *.  Bingo! 


Anyway, to the person who said I should just use the back button, pfft. 


s/l tur-she-air care
Subject: s/l tur-she-air care

Has anyone heard of s/l tur-she-air care?
Yep, it's okay. Docs say that often. nm
Subject: Yep, it's okay. Docs say that often. nm

x