The patient reports her symptoms began s/l assiduously approximately two to three years ago. Is thi
Posted By: mh on 2007-07-31
In Reply to:
Subject: The patient reports her symptoms began s/l assiduously approximately two to three years ago. Is thi
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s/l patient began to dep-ra-ves...
Subject: s/l patient began to dep-ra-ves...
TIA
Patient is a complex, 9-month-old *X* approximately 23-week twin with trisomy 21... sm
Subject: Patient is a complex, 9-month-old *X* approximately 23-week twin with trisomy 21... sm
My question is the "X" - it s/l X or F or S with X being my best guess, but I do not know what it means so I'm having troubles verifying it. Does anyone know?
Thanks.
The patient "relays" her symptoms
Subject: The patient "relays" her symptoms
my problem with "relays" is that the definition means a race of some kind. Could this be something else?
Thanks
The patient is nearly 80 years old, or an
Subject: The patient is nearly 80 years old, or an
octagenarian. 
Patient's GERD symptoms are better with s/l zegrid.
Subject: Patient's GERD symptoms are better with s/l zegrid.
That definitely fits with the patient's symptoms, but I'm not sure that I hear all that- Thank
Subject: That definitely fits with the patient's symptoms, but I'm not sure that I hear all that- Thanks!
guess - butoconazole? What are the patient's symptoms? more info please? nm
Subject: guess - butoconazole? What are the patient's symptoms? more info please? nm
Patient is taking OTC s/l remafen for menopause symptoms
Subject: Patient is taking OTC s/l remafen for menopause symptoms
Ortho help needed please. Patient in with heel symptoms s/l gel effect...
Subject: Ortho help needed please. Patient in with heel symptoms s/l gel effect...
For context: "The patient does not describe definite gel effect and says she does not have problems getting out of the car after a long car ride, or out of her seat after a long movie."
Thanks for any help!
Also dictates the patient had scoliosis diagnosed at 10 years of age, no treatment (is now 60)
Subject: Also dictates the patient had scoliosis diagnosed at 10 years of age, no treatment (is now 60)
drug help. flurithromycin? Patient has respiratory symptoms (shortness of breath secondary to
Subject: drug help. flurithromycin? Patient has respiratory symptoms (shortness of breath secondary to
Approximately should be proximally.
Subject: Approximately should be proximally.
I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)
Subject: I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)
Now some are saying it's q. 4h.?? UGH, YUCK!! I have also worked on accounts where it had to be "every 4 hours," and we had to spell out p.r.n. (as needed for). At least we got more characters.
First rule: It is all what the "client/account" wants, not always what the BOS says it is. I realize that language and its usage is constantly changing, but I've seen so many BOS and client flip-flops on so many other things in nearly 3 decades that it's laughable. What isn't laughable is when we get penalized for not knowing what they want, even when they, themselves, don't know or are wrong.
Oh, and I still prefer the old no spaces: q.4h., q.4-6h., q.12h., and so on.....
The symptoms of perimenopause or perimenopausal symptoms. Why not?? nm
Subject: The symptoms of perimenopause or perimenopausal symptoms. Why not?? nm
s
He has approximately a 5-degree extention lag?...nm
Subject: He has approximately a 5-degree extention lag?...nm
Cat-A-Meenee began at age 14. NM TIA
Subject: Cat-A-Meenee began at age 14. NM TIA
maybe doc said "I began Flonase", or something to that effect. nm
Subject: maybe doc said "I began Flonase", or something to that effect. nm
I don't know. Doctors just began using this recently.
Subject: I don't know. Doctors just began using this recently.
nm
(No, I was wrong - it began with a "K", as in "Keith".
Subject: (No, I was wrong - it began with a "K", as in "Keith".
It's hard to work when your BRAIN is FUZZY! ;)
She had a history of an ejection fraction approximately 52% s/l BYNEE,
Subject: She had a history of an ejection fraction approximately 52% s/l BYNEE,
She had a history of an ejection fraction approximately 52% BYNEE,
normal saline with 20 k/liter over approximately a 2-3 hour period.
Subject: normal saline with 20 k/liter over approximately a 2-3 hour period.
normal saline with 20 k/liter over approximately a 2-3 hour period.
Chest radiograph...approximately Q sized nodules about 1.5 to 2 mm in size. nm
Subject: Chest radiograph...approximately Q sized nodules about 1.5 to 2 mm in size. nm
Wow, thank you. Just years, years and more years of experience
Subject: Wow, thank you. Just years, years and more years of experience
and a constant thirst for learning something new everyday. As we all know this can get to be somewhat boring, but learning from what I transcribe as well as from other transcriptionists keeps me going (money is not bad either). It becomes a challenge. But I can't thank you enough for the kind words.
Use to be younger...
she began using alcohol, OxyContin, Red Devils, and "secrets" all this year.
Subject: she began using alcohol, OxyContin, Red Devils, and "secrets" all this year.
began using these substances rapidly increasing the amount s/l prorated to the amount used on admiss
Subject: began using these substances rapidly increasing the amount s/l prorated to the amount used on admiss
2 years' time because years is plural. One year's time because it is singular, only one year.
Subject: 2 years' time because years is plural. One year's time because it is singular, only one year.
Thank you! (New at these Op Reports!!)
Subject: Thank you! (New at these Op Reports!!)
Reports. (SM)
Subject: Reports. (SM)
The posts containing the reports have been removed and the poster was notified about not posting such information in the future.
Please feel free to contact the administrator (admin@mtstars.com) or myself (goldbird@mtstars.com) if you have any questions.
Your comments and postings are very much welcome here.
Let me know if I can help you,
Goldbird
Reports
Subject: Reports
I only got help for 2 reports, and the people that helped me wanted to help me.
No one was forced and I greatly appreciate their help. I just needed help in some areas that I was having some trouble in that is all.
You and Milton Red Stapler have a nice day.
and in my reports...I put....sm
Subject: and in my reports...I put....sm
*in regard to*, not *in regards to*....and as far as *alot* goes, I am used to my word program separating that out as a lot, and since this message board program does not do that, oh well....get off it already. sheesh. nitpickers!
new to op reports
Subject: new to op reports
I am new to op reports and looking for any good reference sites to refer to when needing help. My ops mostly consist of General surgery, orthopedic, ENT, ophthalmology, gyn and plastic surgery.
Any guidance would be appreciated. I have a M&S Equipment words book and an ortho book. Would like some good websites.
Thanks in advance
fractions in reports
What is acceptable, 1/4 or one-fourth? Thanks.
Newbie's reports
Subject: Newbie's reports
The area in which you most need help is in how to decide what is ethical. The moderator herself does not allow such reports to be posted here. You should have known better. Now you do.
sample reports
Subject: sample reports
MT daily has sample reports, I need a C-section. Know where I can get one. Thanks in advance.
Psychiatric reports.
Subject: Psychiatric reports.
I have a question in regards to psychiatric evaluations. Would diagnosis or diagnoses be used when typing out Axis I, Axis II, Axis III, etc.?
Does anyone do insurance reports?
Subject: Does anyone do insurance reports?
I called you requesting additional information in order to find out if there is any medical s/l: conjournigation OR conjure negation to work on a full-time basis.
Thanks for any help!
help new to ortho reports
Subject: help new to ortho reports
Can a person have full finger flexion at the volar wrist?
This is just a statement made in the Objective portion of the report. She is stating he has full dorsiflexion, palmar flexion and radial and ulnar deviation of the wrist. THen goes on to say "finger flexion at the volar wrist irriation with clicking"
This is not a verbatim account and she is somewhat scatterbrained sometimes so you have to fill in the blanks at times.
Tenses in reports
Do the majority of y'all change tenses when the docs dictate them incorrectly? Normally I'm inclined to, but there are times when I question it. Of course, my pet peeve is dictating a surgery that already happened, yet everything is present tense!
In this case, here's what I'm questioning:
The patient was evaluated previously, and a left inguinal hernia is reducible.
Thanks in advance!
Echocardiogram Reports
Subject: Echocardiogram Reports
I need help. I have been thrown the lions den, this man garbles his words and I am not used to typing echoes. I need to know how to is it end diastolic or in diastolic? Is only the left side measured? 
Thank you! I don't do many ortho reports.
Subject: Thank you! I don't do many ortho reports.
tx
psych reports
Subject: psych reports
Just wondering if GAF on psych diagnosis should be expanded to Global Assessment of Functioning? Or just GAF
more on psych reports
Subject: more on psych reports
When there are multiple items under an AXIS, should #1 start two spaces after AXIS I, or hit return and start #1 at the left margin?
Thanks so much! I'm new to Physical Therapy reports. nm
Subject: Thanks so much! I'm new to Physical Therapy reports. nm
x
DO NOT POST COPIES OF REPORTS. (SM)
Subject: Please kindly do not post reports (sm)
Please kindly do not post reports from your employer on this site. I have also made the Administrator aware of this.
Goldbird (Moderator)
Newbie posting reports
Subject: Newbie posting reports
Newbie, this is the stuff of which lawsuits are made. Get informed. Get some ethics. Get a clue. Good thing you do not work for my company or you would be out in a New York minute.
Can you access old reports to see if it's something used routinely? nm
Subject: Can you access old reports to see if it's something used routinely? nm
s
Can you access any of the old reports to see if he "normally" says something here? nm
Subject: Can you access any of the old reports to see if he "normally" says something here? nm
s
Thanks a bunch, now I do not have any blanks in none of my reports
Subject: Thanks a bunch, now I do not have any blanks in none of my reports
exam reports as having no problems..
Subject: exam reports as having no problems..
There are Conners reports and scales. nm
Subject: There are Conners reports and scales. nm
nm
one last try before getting these reports done.... a drug s/l clu-thy-lone.. thank you
Subject: one last try before getting these reports done.... a drug s/l clu-thy-lone.. thank you
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