Two words are making me crazy... Willing to grovel for help! (See message)
Posted By: Feelin' Fussy! on 2006-12-16
In Reply to:
Subject: Two words are making me crazy... Willing to grovel for help! (See message)
Doctor is describing a patient's finger pain. He says:
"At her last visit she did have a maintenance interscalene block and reported several months of improvement in pain to a level of 3/10 when used in combination with her other conservative therapies. These have included Lac-Hydrin applications, paraffin wax applications, and (s/l "co-bayne") and protective (s/l "cutlets") to the left ring finger. The patient has dystonia and extreme difficulty in bending at the PIP joint from a functional standpoint. Numeric pain score is an 8/10..."
First word sounds like Cobain or Cobayne, pronounced just like the last name of the late lead singer of Nirvana. Second word sounds just like cutlets, like veal cutlets.
I have no idea at all what these two words are, and he repeats them in both the subjective and in the assessment. Can anyone save me from leaving four blanks? I'm sick and exhausted with a sick four year old at home, and I'm feeling a bit fussy and frustrated and would be SO thankful for the help.
Thanks!
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Thanks! He is always making up his own words!!
Subject: Thanks! He is always making up his own words!!
I know there is a mamillary process of the vertebra, so I suspect he is making up his own words
Subject: I know there is a mamillary process of the vertebra, so I suspect he is making up his own words
as he goes. Thanks for trying though.
Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy.
Subject: Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy. Tks
PET SCAN 03/08/08: Reveals intense hypermetabolism corresponding to the mass in the left mid lung field posteriorly, abutting in the left major fizure predominantly in the superior segment of the left lower lobe. This same type of metabolism corresponding to the right middle lobe pulmonary nodule previously noted activity in the lower neck anteriorly (06/28/06) has since resolved.
No links but the Stedman's GI & GU Words is great, and you'll need a Pathology/Lab Words book
Subject: No links but the Stedman's GI & GU Words is great, and you'll need a Pathology/Lab Words book or
s
onelook.com, Tessier's Surgical Words, and Sted's Ortho and Rehab Words. Great stuff! nm
,
sorry, maybe he's making it up, don't know.
Subject: sorry, maybe he's making it up, don't know.
x
this is crazy!
Subject: this is crazy!
There were three other places in the dictation that I could not understand what he was saying.
After I deciphered the 'alert and oriented' (with your gracious help), I went back to the other three. Bingo. It was like a mumble-jumble-decipher puzzle piece placed itself in my head, and I figured out the other three.
I love puzzles.
Thanks again!
Crazy, ain't it?
Subject: Crazy, ain't it?
The actual pronunciation of that word IS "day-breed-MON". I about died when I first heard that. I guess it's French. It sounds so hoity-toity to me. LOL
This is crazy but I need help.
Subject: This is crazy but I need help.
.... sounds like rale or rail packs... for migraines? Thanks.
I know this is crazy but...
Subject: I know this is crazy but...
Wet prep showed budding yeast and ....s/l hife....
Thanks.
Okay, don't think I am crazy here
Subject: Okay, don't think I am crazy here
but there is a Marathon on 07/13/2008 at SeaFair in Seattle and it is for fibromyalgia. It might have something to do with that????? Just my thoughts on the matter. 
Thanks - I am not crazy!
Subject: Thanks - I am not crazy!
Thanks!!!
I'll bet he's making a new (sm)
Subject: I'll bet he's making a new (sm)
word here. Waddell's test is an exam used to determine if someone is faking pain. If the patient has exaggerated complaints of pain it is a positive Waddell's.
Sounds like QA is making much ado about nothing.
Subject: Sounds like QA is making much ado about nothing.
thanks that is it, I was making it harder than what it was!!!
Subject: thanks that is it, I was making it harder than what it was!!!
Making progress
Subject: Making progress
He said the first 3 letters again and spelled them:
I, B as in Bictor (meaning V as in Victor), F Laboratory.
So now we have IVF icksee Laboratory.
ESL making me nuts
Subject: ESL making me nuts
I was taught to never change a transcription, even if it's blatantly wrong. I would leave as dictated and leave a note for the doctor (if you have a place to do it)
making a little progress
Subject: making a little progress
with this one, thanks to your answers... still hearing something like "Pradus" but instead of obturate, was saying on THE RIGHT. definitely NOT piriformis or sure does not sound like it, then goes on to gluteus medius and maximus.
thank you, think doc was making up the word...nm
Subject: thank you, think doc was making up the word...nm
x
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.
2 more (I think doctor is making this up as he goes along!)
Subject: 2 more (I think doctor is making this up as he goes along!)
What is FUV1, used along with FEV1?? Never heard of it and cannot find. Also he also states FVC as being forced ventiltory capacity, which I know is called forced vital capacity; wonder if I should transcribe a non-word.
Thanks but no..making sure she is clearly pronouning with an L. nm
Subject: Thanks but no..making sure she is clearly pronouning with an L. nm
x
I am merely making a suggestion
Subject: I am merely making a suggestion
as to what a doctor MAY be dictating. Doctors make mistakes all the time. It is up to the individual MT to check out the validity of any info they ultimately transcribe. That's what I would do. Any MT who transcribes a "suggestion" should not be working as an MT. ;-)
I think he is making this stuff up. sm
Subject: I think he is making this stuff up. sm
I've gone to every medical website I can find. I have "asked the experts" on various medical websites. Even doctors can't find it! Thank you all for trying. If I come up with anything before I'm 99 years old, I'll post it.
Thank you so much, was driving me crazy! :)
Subject: Thank you so much, was driving me crazy! :)
nm
That's it!!! Thanks a lot - I've been going crazy looking for this....
Subject: That's it!!! Thanks a lot - I've been going crazy looking for this....
THank YOu!!! Just started a new job and am going crazy!!!!
Subject: THank YOu!!! Just started a new job and am going crazy!!!!
x
crazy question
Subject: crazy question
I know this is probably stupid BUT.... as a "newbie", I haven't encountered this before.
How do you write disc space height.
ex: doc says: complete loss of disc space height at 5 1
Thanks.
That's not it and this is driving me crazy!!
Subject: That's not it and this is driving me crazy!!
Thanks so much.....was driving me crazy!! nm
Subject: Thanks so much.....was driving me crazy!! nm
nm
Thanks. I thought I was going crazy.
Subject: Thanks. I thought I was going crazy.
nm
That's it!! It was driving me crazy. Thanks so much for your help!!
Subject: That's it!! It was driving me crazy. Thanks so much for your help!!
Going crazy - word help, please
Subject: Going crazy - word help, please
If the patient's fever does not DEPRAVEST on antibiotics, then further assessment such as CT scan of the sinuses and thorax may be needed.
I cannot find a word that fits, but it sounds clear as DEP-RA-VEST. Any ideas?
Sorry. that's s/l (Crazy expander)
Subject: Sorry. that's s/l (Crazy expander)
this doc is driving me crazy! nm
Subject: this doc is driving me crazy! nm
xx
WAG I know this is crazy but could he be spelling L-A-R-G-E?
Subject: WAG I know this is crazy but could he be spelling L-A-R-G-E?
This is driving me crazy . . .help please
Subject: This is driving me crazy . . .help please
S/L askute??? result can greatly affect the mean, but the median is not as affected. Any clues? This is a horrible dictation.
I was NOT the poster making those comments!
Subject: I was NOT the poster making those comments!
I did not make those comments to those posters. As I said, I was making an observation. I give up!
I would go with follicular. Doc is just making up his own word.
Subject: I would go with follicular. Doc is just making up his own word.
x
Sometimes said as ETT tube, making that last "T" redundant and
Subject: Sometimes said as ETT tube, making that last "T" redundant and
s
menomenorrhagia? Is there really such a word, or is the doc making up one?
Subject: menomenorrhagia? Is there really such a word, or is the doc making up one?
That's probably it. Who knows for sure? They get so creative making up new terms. Thanks again
Subject: That's probably it. Who knows for sure? They get so creative making up new terms. Thanks again!
Thx..Thx..THx :) ESL is making me work 4 my money :)
Subject: Thx..Thx..THx :) ESL is making me work 4 my money :)
making sense of punctuation...
Subject: making sense of punctuation...
I will type this exactly as said. Any help with punctuation would be greatly appreciated.
The pain is rated as severe it is burning tingling it is constant worse with walking better with rest. TIA.
You also need a 0 before .1 making it 0.1. open decimels are a big no no. nm,
Subject: You also need a 0 before .1 making it 0.1. open decimels are a big no no. nm,
x
is the dictator making up a word as an sm
Subject: is the dictator making up a word as an sm
adjective for anomaly?
Somehow my message went down to the white count message below, please see that message. (nm)
Subject: Somehow my message went down to the white count message below, please see that message. (nm)
x
Bless you! That was driving me crazy!! :) nm
Subject: Bless you! That was driving me crazy!! :) nm
:)
crazy number question
Subject: crazy number question
The company I work for does not want us to use numbers and numbers should never be used at the beginning of a sentence, but does anyone know the AAMT-true style that this should be transcribed? I know this is a crazy question, but for some reason, I can't seem to categorize it.
Example:
"School grade: 5th.
Members in family: 5. " OR
"School Grade: Fifth.
Members in family: Five."
I am thinking the second, but then again, I am not thinking. :-) 
it helped to know I wasn't crazy!
Subject: it helped to know I wasn't crazy!
It is definitely falx! Thanks. That was driving me crazy!
Subject: It is definitely falx! Thanks. That was driving me crazy!
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