What has worked for me over the years - sm
Posted By: simba on 2009-04-24
In Reply to: Don't know if this is the best way, - SL
Subject: What has worked for me over the years - sm
I use all the methods the other poster suggested. I also begin thinking to myself "what could he/she be saying" here that would fit in with the context? Can I actually hear anything that is pertinent? Think in terms of what is being done to the patient, would they have a reason to be using a particular med, technique, test, whatever. You sometimes just cannot make sense out of garbage no matter what methods you use and even QA will give them big, fat blanks.
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Huh? I worked for an osteophathic doc for 11 years
Subject: Huh? I worked for an osteophathic doc for 11 years
Who specialized in osteopathic manipulative treatment and I've never heard of "pub".
Does dictator pronounce it "pube" as in "tube" or "pub" as in "let's go get a pitcher of beer? :)
I worked in insurance for 8 years before being an MT and.....
Subject: I worked in insurance for 8 years before being an MT and.....
We were told it was Worker's Comp. That was the way the insurance company I worked for at the time wanted it. I think it is just a matter of preference.
Glad to help - worked for ENT group for 20 years!
Subject: Glad to help - worked for ENT group for 20 years!
nm
I typed it for years as 1 word, then worked
Subject: I typed it for years as 1 word, then worked
for an ortho clinic for a while and was told it was 2.
No problem, worked for Urologists for 8 years so I've heard the term a time or two
Subject: No problem, worked for Urologists for 8 years so I've heard the term a time or two
:)
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.....
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...
when I worked
Subject: when I worked
at a hospital in-house, they required 4-year-10-month-old...
Where I have worked, this has been
Subject: Where I have worked, this has been
called a dangerous abbreviation or a doctorism (or nurse practitionerism) or something like that. How to handle it is often account specific, but I would always type out the words three times weekly or else 3x a week, or something that couldn't be misunderstood like that.
everywhere I have worked it is x2.
Subject: everywhere I have worked it is x2.
x
I once worked for a national that had such bad QA, sm
that I emailed the supervisor requesting that any document of mine that QA made "alterations," that that QA person's initials be placed alongside mine on the report. Hopefully, I made my point.
What's the patient being worked up for? nm
Subject: What's the patient being worked up for? nm
s
Don't think so, but what condition is being worked up? nm
Subject: Don't think so, but what condition is being worked up? nm
s
woo hoo! glad it worked!
Subject: woo hoo! glad it worked!
...especially before you hit the "send" button!
Not where I've worked
Subject: Not where I've worked
The places I work at make it real clear. If the doctor states Synthroid 100 mg and you type it and leave it that way, that is a patient care error which is the highest number of points I've ever seen taken off. We have to have 98% or above accuracy and if you mess up and drop below that, you either get correction action (at one place) or get 5% of your pay reduced (at current place). Now I agree with you that it shouldn't be that way. My sister-in-law is a nurse and is appalled that we have to do that since we are not in the chain of responsibility regarding medication distribution. Unfortunately, at least where I've worked, we are responsible for knowing all meds and proper dosages which is why my former employer gives Quick Look to all its employees.
That question has come up everywhere I have worked, and -- sm
Subject: That question has come up everywhere I have worked, and -- sm
... the consensus, across the board, has always been to use KCl unless specifically told by the dictator in some way that the other was intended (which, so far, has never happened in my experience).
On the other hand, lots of our dictators routinely say s/l "cipro" and we always give them Cipro as a result, but I suspect that many of them intend ciprofloxacin and are just doing their lazy thang....
So go figure.
I worked on an account that wanted us to use pus-like, but you are right. nm
Subject: I worked on an account that wanted us to use pus-like, but you are right. nm
xxxx
I can only speak for the ones I've worked for...
Subject: I can only speak for the ones I've worked for...
Only 1 company wanted "disc". The rest wanted "disk".
I worked for an orthopedic clinic and their
Subject: I worked for an orthopedic clinic and their
preference was L2-L3.
April - I was the exact same but worked a dept....
Subject: April - I was the exact same but worked a dept....
I worked in radiation oncology and then helped develop surgical oncology for a local hospital all during the 80s and got very familiar with all the terminology (but admit that I have trouble with all the new combo drugs that are always coming out).
It gets easier the longer you do it!!! 
I've worked on site with radiologists
Subject: I've worked on site with radiologists
at both hospitals and an outpatient center. AND I worked in the operating room.
So I offered the OP my best ideas, and all I got for attempting to help was sarcasm.
You're welcome. Dang.
Hm, maybe he's just saying that one conversion was positive, meaning, it worked.
Subject: Hm, maybe he's just saying that one conversion was positive, meaning, it worked.
That's my best guess.
hope the link worked, it was loooong
Subject: hope the link worked, it was loooong
The companies I've worked for favor writing it out, sm
Subject: The companies I've worked for favor writing it out, sm
but it depends on if your account is strict "type what they say" and abbreviations like this are okay. I'm not in my office so I can't check BOS, but I'd bet the BOS says write it out unless you have strict rules about typing what is dictated.
Not above poster, but every place I've worked has wanted
Subject: Not above poster, but every place I've worked has wanted
s
Just comes from experience. Every job I've worked has handled it differently.
Subject: Just comes from experience. Every job I've worked has handled it differently.
s
GU History: Questionable BPH. He does have *guakisfuria**. He is being worked up for diabetes
Subject: GU History: Questionable BPH. He does have *guakisfuria**. He is being worked up for diabetes
Think it is both. I always heard repair from my husband who worked with AF guys. nm
Subject: Think it is both. I always heard repair from my husband who worked with AF guys. nm
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.
"Ctrl, ALT, Shift" worked to switch CAPS lock OFF
Subject: "Ctrl, ALT, Shift" worked to switch CAPS lock OFF
THANK YOU.
"Ctrl, ALT, Shift" worked to switch CAPS lock OFF
Jonathan
correct word is sourcil....another tx worked for pedi ortho doc and he spelled it for her. Thanks
Subject: correct word is sourcil....another tx worked for pedi ortho doc and he spelled it for her. Thanks
Secondary cause of hypertension was worked up, including s/l amurin? VMA, metanephrine,free cortisol
Subject: Secondary cause of hypertension was worked up, including s/l amurin? VMA, metanephrine,free cortisol
Have only seen I&D in about 30 years!!
Subject: Have only seen I&D in about 30 years!!
lab 6 years....12,700 or 12.7
Subject: lab 6 years....12,700 or 12.7
/
2 pks day for 30 years +
Subject: 2 pks day for 30 years +
2 packs a day for 30 years, plus 1 1/2 packs a day for ten years. That makes one pack a day for 75 years. Is that right?
2 and 1/2 years
Subject: 2 and 1/2 years
2 and 1/2 years, two and a half years??? Thanks.
I'd probably do 2-1/2 years. nm
Subject: I'd probably do 2-1/2 years. nm
s
I do 2 1/2 years
Subject: I do 2 1/2 years
e
years' old or years old
Subject: years' old or years old
Can't remember which is correct. The patient is 40 years old or the patient is 40 years'old?
40 years of old doesn't seem right. So I am leaning towards 40 years old. Started new job and my brains have gone out the window.
Thanks.
Is it 9-years-old or 9 years old?
Subject: Is it 9-years-old or 9 years old?
nt
I have been doing this 30+ years and
Subject: I have been doing this 30+ years and
x
Over the course of nearly 20 years,
Subject: Over the course of nearly 20 years,
I have only had 1 account that wanted the acronym in parentheses. Everybody else just wants it expanded to long form in the diagnosis section. I wouldn't say you are necessarily behind the times, it is just that it has never come up for you before now. 
For years I was on - sm
Subject: For years I was on - sm
tetracycline for skin infection/acne issues.
20 years...Wow!
Subject: 20 years...Wow!
That's why you know your stuff. :-)
all I know is I work for PS 10 years now...sm
Subject: all I know is I work for PS 10 years now...sm
and in the beginning I gave them Weiss pattern and they immediately changed that for me to *Wise*.........but if the MD is spelling Wyse, I'd give him that....... even if he is wrong......*LOL*
sorry, meant was in lab for 6 years
Subject: sorry, meant was in lab for 6 years
/
2-1/2 years is correct. nm
Subject: 2-1/2 years is correct. nm
x
I put 2-1/2 years... or 2-1/2-year-old. nm
Subject: I put 2-1/2 years... or 2-1/2-year-old. nm
zzz
that's correct - it's 2-1/2 years ago......
Subject: that's correct - it's 2-1/2 years ago......
20 years in rad - never heard of that SM
Subject: 20 years in rad - never heard of that SM
maybe you or your doc could call or email to see what it means?
about a million years ago
Subject: about a million years ago
when I was young I was told that abbreviations for latin expressions were lower case. Not sure if that holds true in all cases but mostly its true i.e., a.m., p.m. etc., are all short for latin expressions. someone will correct me if I'm wrong
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