a word of advice - sm
Posted By: ?? on 2005-08-15
In Reply to: Diskal herniation or distal herniation (rule out HNP). Thanks (nm) - Aaack
In the spine, there are bones (vertebrae) and intervertebral discs. The discs keep the vertebrae from touching one another, thus providing a "cushion" for the bones. When the disc which is between the spinal bones ruptures it is called a herniated nucleus pulposus. It could be a disc protrusion or a disc extrusion, which is not be a complete herniation but a partial disruption of the disc.
Therefore, the answer to your question would not be "distal" as the other poster suggested, but rather discal herniation or a herniated disc or nucleus pulposus.
A suggestion would be for you to get an atlas of the spine and read about the components which make up the human spine, canal and cord. That way you would have a better understanding of what you are transcribing and also the correct terminology.
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Word of advice
Subject: Word of advice
Fix the grammatical errors. QA's job is to correct blanks that are pertinent to the report. Leaving something like that to QA to fix will only leave a red flag.
Thanks for the advice!
Subject: Thanks for the advice!
I just hate sending in a blank but sometimes there is no choice. 
Need advice
Subject: Need advice
Has anyone ever had a dictator who said "He was unable to take p.o.s?" As in he couldn't take anything by mouth. I have one dictator who says this rather often, and I'm not sure how to transcribe it. If he just said, "He was unable to take anything p.o", that would be different. But he says p.o.(s). Any advice would be greatly appreciated!
TIA!!
Any more advice?
Subject: Any more advice?
I have been an MT for many years (mostly in office - recently with Heartland), but I am quite new to this site and still getting the hang of it. I just lost my current job to overseas, so I absolutely refuse to help anyone that takes jobs away from American MTs. However, I would like to help answer questions if I am able. Other than what you previously listed, are there any other ways of telling if the questions are posted by actual American MTs in need of help? Does anyone give the overseas people wrong answers? Do you catch flack for answering them by mistake? I would have unknowingly answered this one if nobody said anything. I appreciate your help!
thanks for the advice! nm
Subject: thanks for the advice! nm
thx 4 ur advice
Subject: thx 4 ur advice
im on training
thx 4 d advice
Subject: thx 4 d advice
m stil studying
Advice?
Subject: Advice?
I am currently transcribing from micro cassettes and transporting tapes back and forth. I am looking into upgrading to digital and sending dictation via internet. Is there anyone already doing this that could offer advice? i.e. How does it work? What equipment is needed? (I'm assuming I need to purchase a new foot pedal?) Any special software needed? What is the sound quality like? Any pros vs. cons? Also, can you recommend certain equipment and where to purchase? Any advice you could offer would be greatly appreciated. Thanks!
Lorrie
Milton's advice
Subject: Milton's advice
No, Newbie, Milton is not trying to start anything. He is trying to save your very naive tuchas from trouble down the road. You may be a smary-pants, but you sure have a lot to learn, my friend.
"good advice"
Subject: "good advice"
Thanks guys ! :)
You know I meant advice LOL !!!
Subject: You know I meant advice LOL !!!
x
slang advice please
Subject: slang advice please
Dictator says: I recommended to her to hook up with a gastroenterologist. (Sounds like a date! )
Should I leave this as is, or change to something like "I recommended to her to see a gastroenterologist? Not a verbatim account. Just looking for opinions, I am leaning towards changing it.
Need advice on how to type this
Subject: Need advice on how to type this
Dictated -
Peak flows today: 230, 240 and 290. Should they be separated by / ? Thanks.
Need advice on how to type this: sm
Subject: Need advice on how to type this: sm
Range of motion of the left knee is approximately +5 degrees to 2+15 degrees. Would this be correct, or 2 +15 degrees, or 2+ 15 degrees.
Thanks for your help!
thank you; good advice
Subject: thank you; good advice
You're getting some very good advice here. sm
Subject: You're getting some very good advice here. sm
I've been using PRD for years and it allows me to use symbols as part of the shortcuts which really helps a lot. Because there can be the same abbreviation for different phrases, I will add a single hyphen for cardio, 2 hyphens for ortho, etc. Also, if the phrase needs to be hyphenated to precede a noun, such as in "up-to-date information," the short form here for a hyphenated "up to date" would be "-utd." When it doesn't need to be hyphenated, it would be "utd." This comes in handy for the phrase "too numerous to count." (You get the idea.)
This is really a personalized thing. My short forms may be a mystery for another MT.
For personal names that crop up a lot that I don't want to type out each time, I'll use the last name with either a hyphen after it or a "1." For instance, "George Washington, MD," I'd use "wash1." For "George Washington, PA-C" I'd use wash-.
Your "rrr" also could be "r3." My "alert and oriented x3" is "ao3."
Whatever floats your boat! Have fun!
Thanks for your advice; it's greatly appreciated.
Subject: Thanks for your advice; it's greatly appreciated.
.
Advice for transcribing lens
Subject: Advice for transcribing lens
I am new and have an ophthalmology account. I am not having much trouble with the terms, but I'm unsure how to punctuate and/or format the lens prescriptions. Does anyone know of a good website that explains this or provides examples? Thanks!
Advice - 'mickey button'?
Subject: Advice - 'mickey button'?
Just out of curiosity, how do you type 'mickey button'? As it sounds, as it sounds but capitalized, the apparently patented way of MIC-KEY button (as on the product's website), or yet another way? I keep seeing this typed all different ways and was wondering if there's some universally preferred method of which I'm not aware.
TIA 
Please look at sentence and give advice on punctuation. Thanks.
Subject: Please look at sentence and give advice on punctuation. Thanks.
The patient does not eat or drink orally, but instead receives gastrostomy tube feedings, apparently usually between 5 p.m. and 5 a.m., which according to the caregiver, he has been tolerating well.
advice about hyphenating *two and a half years ago* please
Subject: advice about hyphenating *two and a half years ago* please
I have tried looking this up on grammar sites and couldn't find anything. I am always wondering if I should hyphenate * two-and-a-half years ago* or if the jury is out on that. Same as *for the past three-and-a-half years...*
Thanks
Advice: Invest in MT terminology books. sm
Subject: Advice: Invest in MT terminology books. sm
It will make your life so much easier than trying to wing it with Google alone.
Also, research all responses you receive here, i.e., look up the definitions for "fulminate" and "fulminant" and you'll see what I mean. ;)
Good advice. I am finding things mispronounced quite often. Thanks for the help!
Subject: Good advice. I am finding things mispronounced quite often. Thanks for the help!
verbatim is VERBATIM....bad advice he gave you.....
Subject: verbatim is VERBATIM....bad advice he gave you.....
Great credentials. Great advice.
Subject: Great credentials. Great advice.
.
Might be stumbling over the word "gross" and repeating the word gross visual fields.
Subject: Might be stumbling over the word "gross" and repeating the word gross visual fields.
one word in Stedman's cardiology and The Surgical Word Book
Subject: one word in Stedman's cardiology and The Surgical Word Book
Help with word; unable to post on word board
Anyone heard of osseous cartilagenous OSCAL benign biopsy?
It's a real word, with cholera being the root word. nm
Subject: It's a real word, with cholera being the root word. nm
s
Can you hear the word "on" before the word inspiration?
Subject: Can you hear the word "on" before the word inspiration?
pan- is a prefix, so it is part of the word, not a separate word
Subject: pan- is a prefix, so it is part of the word, not a separate word
basic grammar here
If you read the first poster's question word for word,sm
Subject: If you read the first poster's question word for word,sm
she was looking for the plural form of decubitus, saying she got stumped by it. I responded very simply to that. I did not feel I needed to correct her use of "pleural" as was not her question and just quickly wanted to help her, and checked my medical references to do so. I pointed out that there are no plural form for decubitus. This is all correct. What is your problem. I was trying to help an MT with correct and verfified medical transcription help, now I know why I stay away from any message boards, always someone who wants a fight. Whatever.
After the word marked, it may souond like the next word begins with a d.
Subject: After the word marked, it may souond like the next word begins with a d.
What is the word before Nare-A. The other word is ballottable.
Subject: What is the word before Nare-A. The other word is ballottable.
word endings word list?
Has anyone seen any kind of lists dealing with word endings? I've often thought I wanted to create one. You know the doctor who dictates "mhmmpfectomy", etc. Surely someone else must have felt this way too?
word help.....english word
Subject: word help.....english word
I told him I want to keep an eye on this though. He did have some definite s/l aberrancy s/l when I was listening to him, but he definitely was in sinus rhythm
Need word help. Is there a "phobia" word sm
Subject: Need word help. Is there a "phobia" word sm
that means sensitivity to sound, i.e. like photophobia sensitivity to light? I just had a doctor use the word "audiophobia" (I am assuming he is meaning sensitivity to sound as in a migraine patient), but I am unable to verify this word? Anyone got any ideas on this? Thanx!
not a word question but word book question
Subject: not a word question but word book question
I am in need of reference books and looking at Stedmans Medical and Surgical equipment book. I see the fifth edition is out, that must be the newest edition?
Also looking at Stedmans Ortho word book, fifth edition but dated 2005. Is this too old to consider purchasing? How do you know when a new edition will be coming out?
Thanks in advance
word help
I am doing podiatric but patient has been having diarrhea and cultures have
been taken. Under care of infectious disease doctor. Doctor says "may need to consider a napograph or an apograph"
word help
Ex-zog-i-dential obesity?
Help on word please
 HEELLLPP!!! Some confusion. Can anyone help tell me the proper way. Is is T score or is it T-score. This is a term you would find on a dexa scan. Thanks
word help
I think it is Z-score
word help
She had a previous gallbladder, which suggested sludge or chololithiasis
I need to figure out the omited word after gallbaldder. Is there 1 specific test done to find gallstones? Ultrasound or endo. doc mentions neither.
word help
Try "and doxycycline 100 mg." Dictator probably just adding an extra word.
word
Subject: word
ulcerative colitis.
Other word??
Subject: Other word??
Was it electroneurography (ENog) ?
PT WORD
Subject: PT WORD
sounds like "fem score" - regarding stair ambulation assessment ? thanks.
word help
Subject: word help
Do they examine the hypopharynx or hyperpharynx with the nasopharynx?
need help with word
Subject: need help with word
HEENT: Neck is ___________. sounds like he's saying brooshy. Please help!
Can someone help me with this word?
Subject: Can someone help me with this word?
I hate even asking this question because I'm sure it is something everyone has heard, but lately I have been doing so many oncology and renal reports that I am getting rusty with everything else.
Doctor mentions a distal radius fracture with "dorsal translation across the pyses of the distal foramen."
I can't find the word pyses. I know how I spelled it is not correct. But can someone please help!!?
TIA.
Word Help for Pex - sorry not yet, but ....
Subject: Word Help for Pex - sorry not yet, but ....
Hi, CC ...
I'm sorry that I don't have an answer for you regarding "pex", but I have just contacted a GI doctor friend of mine to ask him if he is familiar with the word. You said that it was used in a sentence with the phrase: "the esophagus was pexed", so I thought that maybe, since he does EGDs, he might be familiar with that word.
Once thing I ask ... please ... when you find your answer - and you will - please post it on the board so that we who are just learning surgcal dictation can add it to our repetoire of weird words. PLEASE? Thanks, and good luck. I hope I have an answer for you later this evening, or that someone else does.  Judy H.
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