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

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


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

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