Unless treatment in the report indicates those conditions are present, would just leave blanks. nm
Posted By: passing thru on 2005-12-22
In Reply to: another pulmonary - kb
Subject: Unless treatment in the report indicates those conditions are present, would just leave blanks. nm
s
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- another pulmonary - kb
- Unless treatment in the report indicates those conditions are present, would just leave blanks. nm - passing thru
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Correct. Best bet is to leave blanks
Subject: Correct. Best bet is to leave blanks
never guess at what the doctor is saying.
Rad words/2 blanks 1 report
Subject: Rad words/2 blanks 1 report
Radiologist is saying what sounds like "Fluid is seen within the s/l entercies of the mesentery." The other word in the same report is: "High density within the dependent portion of the stomach surrounded by contrast measuring 36 Hounsfield units could reflect s/l embezel (2nd e with long e sound), blood products, or food particles."
Thanks so much... Saved me from having to send this to report to QA with four blanks...
that is what I put, thanks, report gone, thank goodness, but NO blanks ESL to boot. x
Subject: that is what I put, thanks, report gone, thank goodness, but NO blanks ESL to boot. x
x
says patient will undergo *gammonized* treatment?? Do I leave it as spelled. Thanks. nm
Subject: says patient will undergo *gammonized* treatment?? Do I leave it as spelled. Thanks. nm
nm
can't you just leave it abbreviated, or do you have to spell it out. I would leave as dictated.
Subject: can't you just leave it abbreviated, or do you have to spell it out. I would leave as dictated.
Well, the pt did not have any of those conditions
Subject: Well, the pt did not have any of those conditions
but it could have been what they were trying to say.
I just left a blank. anyway
Any other conditions mentioned?
Subject: Any other conditions mentioned?
It can also be used for bipolar and migraines. I hope this helps!!
Thanks! I've used them to look up but not for conditions.
Subject: Thanks! I've used them to look up but not for conditions.
comorbidity conditions: PEG 2
Subject: comorbidity conditions: PEG 2
what s/l PEG 2 is listed under comorbidity conditions. I found that PEG can mean pneumoencephalography or percutaneous endoscopic gastrostomy, but neither of these have a "2" related to them and they aren't conditions. Any ideas??
If it was dictated like that & you can leave abbrvns in, then leave it
Subject: If it was dictated like that & you can leave abbrvns in, then leave it
s
Thanks for checking, but I don't think either of those fit because he has no medical conditions.
Subject: Thanks for checking, but I don't think either of those fit because he has no medical conditions.
It is the only medication listed and the only thing in his Past Medical History is ankle surgery. I thought that it might have been an anti-inflammatory or pain medication, but can't find anything to match. Thanks for picking your brain for me!
Certain conditions, etc. still use roman numerals
Subject: Certain conditions, etc. still use roman numerals
x
What medical conditions/diagnoses are we talking about?
Subject: What medical conditions/diagnoses are we talking about?
x
Aldara is used in skin conditions, cancer
Subject: Aldara is used in skin conditions, cancer
warts, etc.
diagnosis for a four-year-old conditions listed inside:
Subject: diagnosis for a four-year-old conditions listed inside:
status post kidney transplant following hydronephrosis due to posterior urethral valve, He underwent cystoscopy, right reimplantation of the ureter, stent placement and creation of a Mitrofanoff stoma catheterization, ureteral re-implant. Also hypertension.
ThanksCK
I like this site, you can pull by lab test, conditions, ages, etc.
Subject: I like this site, you can pull by lab test, conditions, ages, etc.
http://www.labtestsonline.org/
drugs.com helpful, phonetic and wildcard and even conditions nm
Subject: drugs.com helpful, phonetic and wildcard and even conditions nm
x
More info? Medical conditions, context of drug, there are many sound alikes that are VERY different!
Subject: More info? Medical conditions, context of drug, there are many sound alikes that are VERY different!
xx
Blanks were just PHI that
Subject: Blanks were just PHI that
x
blanks
Subject: blanks
1st blank ... Hulka clips ....
2nd blank .... slowly...
Just a guess, hard to tell without hearing it for myself. Hope this helps! Good luck!
2 blanks - sm please
Subject: 2 blanks - sm please
Culture and sensitivity result which showed that the patient had isolation of E. Coli and s/l pro-tal-is mor-rab-a-lis both sensitive to amoxicillin and s/l clob-a-lonic acid.
Sorry foreign doctor and he is giving me a run for my money today. Thanks for any help.
Need help with blanks.
Subject: Need help with blanks.
On exam today, she ____ 20-30 degrees from the lower ____ when positioning her left shoulder. This is an exam for shoulder pain.
BLANKS
Subject: BLANKS
is it okay to put many blanks throughout the document if I'm not exactly sure what he is saying and some things he says make absolutely no sense? (sometimes 2 per paragraph in places) Is it okay to put a blank so he checks that word to make sure its right? these are 9 page long psych reports. It's not cut and dried medical terms and phrases. I'm thinking I should put blanks just to make sure it's right instead of typing what i think he is saying. what do you do
?
blanks
Subject: blanks
I agree with the other post. I have leaving blanks, but sometimes you have to. You absolute cannot guess at something. It is better to leave a blank than to guess, otherwise it is a bad reflection on you as an transcriptionist to try to guess and then have it be wrong.
I'll let you know. I sent it in with 14 blanks, all but one was whatever this is. ty!!
Subject: I'll let you know. I sent it in with 14 blanks, all but one was whatever this is. ty!!
.
several blanks, no clue
Subject: several blanks, no clue
..severe stenosis of a large circumflex marginal which was stented by (s/l 2 stent, sty-fer) which are (drac-oluded) stent
That makes sense... Thank you! Two blanks down, two to go....
Subject: That makes sense... Thank you! Two blanks down, two to go....
:)
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
Neuropsych examination blanks...sm
Subject: Neuropsych examination blanks...sm
Cranial nerves 2-12 S/l** pretty realstine thiatmean around ____ 59 15** No signs of a a/l ** false ictal state** are appreciated.
This is a patient with a question of seizure disorder.
Speed talking doctor on a subject I'm not very familiar with and my Neuro word book has not yet arrived.
thank you again, now I have no blanks in my reports. Thanks a bunch!!
Subject: thank you again, now I have no blanks in my reports. Thanks a bunch!!
I ended up leaving blanks and so did QA so who knows. Thanks though!
Subject: I ended up leaving blanks and so did QA so who knows. Thanks though!
x
genetics questions, 3 blanks
Subject: genetics questions, 3 blanks
Fragile X testing comparative _____ (geno mechipronazation??)
and _____ (snipe??) array testing
stopped all of his milk and wheat products, and started him on _____ (mucate?) instead
which is present??
Subject: which is present??
after her surgery. Could mean "still present" after her surgery
Occ health--shoulder exam (2 blanks) Pls help. SM
Subject: Occ health--shoulder exam (2 blanks) Pls help. SM
Adson maneuver is negative. *_________ (s/l controse) about the right shoulder appear normal and symmetric with the left side. There is no *___________ (s/l spinatahoss) atrophy and no focal tenderness to the suprascapular notch.
Whew! This was a LOOONG report. Thanks for your help.
Chickadee
nevermind - leaving some blanks - exasperated!!! nm
Subject: nevermind - leaving some blanks - exasperated!!! nm
I'll bet that was it. Sent to QA as sound was horrible and about 15 blanks.
Subject: I'll bet that was it. Sent to QA as sound was horrible and about 15 blanks.
She lay in bed, present tense....sm
Subject: She lay in bed, present tense....sm
she laid in bed all day Saturday (past tense).........
s/l vertebrae Why's present
Subject: s/l vertebrae Why's present
Pt has vertebral anomalies, only 16 thoracic and lumbar vertebrae s/l Why's present. I thought maybe lumbar vertebrae Ys, not sure though.
Thanks for any help
can present doppler
Subject: can present doppler
Doesn't sound like comprehensive. Are dopplers done by percentages? Like 10% doppler was performed? Thanks.
Are you also missing words where you have blanks? Confusing post ...
.
I agree about him making it up. This clinic doesn't want blanks
Subject: I agree about him making it up. This clinic doesn't want blanks
nm
S/l tar-loff-sis is present in the sacrum.
Subject: S/l tar-loff-sis is present in the sacrum.
Can't give much more relative info than that. Any help would be appreciated. Thanks!
s/l dorsal *kelostity* present...
Subject: s/l dorsal *kelostity* present...
Podiatry again.
There are hammertoe contractures that are increasing in size of digits 2-5 of the right foot. There is dorsal ______ present at digits three and four at the PIPJ, this is increasing as well especially since this patient is not wearing shoes.
Thanks in advance!
on all reps I try for present tense except
Subject: on all reps I try for present tense except
Could the first part be comprehensive instead of can present?
Subject: Could the first part be comprehensive instead of can present?
See HPI. (as in see history of present illness)
Subject: See HPI. (as in see history of present illness)
Bilateral Rouse? are present
Subject: Bilateral Rouse? are present
ABDOMEN: Normal. No edema. Bilateral rouse? are present.
Any idea? Thanks
s/l on UA she had cass present as well as mucus threads
Subject: s/l on UA she had cass present as well as mucus threads
Echo- no wall motion in the s/l value is present?
Subject: Echo- no wall motion in the s/l value is present?
HEENT s/l early calazian is present......nm
Subject: HEENT s/l early calazian is present......nm
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