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almost positive she is saying found to make change

Posted By: help on 2007-02-28
In Reply to: Maybe found to have changed, more dilation, increase in station, etc. nm - Not sure about your s/l...nm

Subject: almost positive she is saying found to make change

She is very soft spoken, so I have turned it up, slowed it down, speeded it up and it still sounds like found to make change.


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there gonna have to come to my house and make me change that lol nm
Subject: there gonna have to come to my house and make me change that lol nm


If he says grade 2 out of 3, the only change I would make is to use numbers and not type out the wo
Subject: If he says grade 2 out of 3, the only change I would make is to use numbers and not type out the word "two". The rest is fine.


It should be or. Two negatives make a positive.
Subject: It should be or. Two negatives make a positive.


Does this make sense? Last Pap Smear was one year ago. Negative, with positive HPV. Tks! nm
Subject: Does this make sense? Last Pap Smear was one year ago. Negative, with positive HPV. Tks! nm

xx
I found it, it's no change to PFSH, which means . . . .
Subject: I found it, it's no change to PFSH, which means . . . .

No change to past medical, family or social history, but no one knows why they dropped the M in this abbreviation, which doesn't make sense.
glad to be able to help for a change - I've often found answers here.....
Subject: glad to be able to help for a change - I've often found answers here.....


Never mind..found whiff test positive.
Subject: Never mind..found whiff test positive.

,,
To make sure I checked agian and found this...
Subject: To make sure I checked agian and found this...

2. Use an Apostrophe with -s for Possessives of Singular Nouns
Use an apostrophe plus -s to show the possessive form of a singular noun, even if that singular noun already ends in -s:

Harold's crayon
my daughter's First Communion
Sylvia Plath's poetry
Dylan Thomas's poetry
today's weather report
the boss's problem
Star Jones's talk show
Victoria Beckham's husband.

So. I guess, it is

Mr. Cornelius's son

Abdomen: Positive wave sign appreciated, "caps out" is positive as well. sm
Subject: Abdomen: Positive wave sign appreciated, "caps out" is positive as well. sm

Abdomen tympanic to percussion, diffuse tenderness, no point tenderness appreciated.  Positive wave sign appreciated, "caps out" is positive as well. 
Positive grasp response and positive s/l palmo mentonian on the right. TIA!!!
Subject: Positive grasp response and positive s/l palmo mentonian on the right. TIA!!!


estrogen-progesterone receptor positive (as in ER-positive),
Subject: estrogen-progesterone receptor positive (as in ER-positive),


In Ortho, positive s/l Meniere, positive Hawkins?
Subject: In Ortho, positive s/l Meniere, positive Hawkins?

xx
no just saying positive pH or KOH? Not exactly your S/L though. Or positive whiff test said fast? nm
Subject: no just saying positive pH or KOH? Not exactly your S/L though. Or positive whiff test said fast? nm


She has a positive Tinel's sign, positive Phalen's sign, and positive s/l Durkin's sign.
Subject: She has a positive Tinel's sign, positive Phalen's sign, and positive s/l Durkin's sign.

:-)
A positive, direct "Kums" positive
Subject: A positive, direct "Kums" positive

This is for a 3-day-old baby with hyperbilirubinemia.  He is A positive and "Kums"positive.  What is the Kums positive? 
She has a grayish, frothy discharge that is KOH ____ test positive. S/l 'with' test positive?
Subject: She has a grayish, frothy discharge that is KOH ____ test positive. S/l 'with' test positive? nm

..
The only thing I can find close is subtilise meaning to make senses more keen or make one's sense
Subject: The only thing I can find close is subtilise meaning to make senses more keen or make one's senses more acute?


Sorry meant ER-positive or PR-positive) might also be HER-2/neu
Subject: Sorry meant ER-positive or PR-positive) might also be HER-2/neu


I'm still listening and trying to fit it together to make any suggestions make sense.
Subject: I'm still listening and trying to fit it together to make any suggestions make sense.


s/l Bez or all in change
Subject: s/l Bez or all in change

shows the patient in sinus mechanism 66 beats per minute, normal intervals, normal axis.  Voltage criteria for LVH and s/l Bezoiorall is change in comparison to prior EKG dated
Thanks so much to both of you. I will change to 6, 90, and -1. nm
Subject: Thanks so much to both of you. I will change to 6, 90, and -1. nm


I change that to:
Subject: I change that to:

I change elicitable (which to my knowledge has never been a "real word" to "able to be elicited."  My doctor dictator thanked me for this once (I was suprised that he noticed).  I checked this out with several transcripitionists that I have worked with who have lots of experience and are CMTs and they also edit this word to "able to be elicited." 
I'm not CMT and I change that the same way...nm
Subject: I'm not CMT and I change that the same way...nm

      
cc to mL - do you change cc to mL
Subject: cc to mL - do you change cc to mL

according to AAMT or do you type cc


Thanks


 


Would you change this...

Would you change CT head to say head CT? The doctor says CT head.


 


Thanx


VR change
Subject: VR change

He should point it out to his supervisor because it is wrong. I don't care what QA says unless they can show me a resource where they got their information and it checks out. I would also point out to the client this fact. If they don't want to have their transcription correct and concise then I don't want their work. Right is right, wrong is wrong. I am really strong on this especially since the "new AAMT" has made all their "changes" and believe their BOS is the bible. It is not. Many of their "rules" are correct. Many of the are not. Research some of their changes and you will see just how over the top they have gone (it seems to be a control issue and they WILL cram it down your throat). I say that we all research on our own and go to reliable trusted sources that have been proven over time to be correct. The "New AAMT" definitely has not proven itself over time and incidentally they are not there for Americans anymore, they are there for the "overseas community." Humbug on them! Anyone know who could take the place of AAMT for American transcriptionits? After all, we are all Americans here and the language is English.
I would change it to this
Subject: I would change it to this

patients blood pressure readings at home daily have been 90 percent plus.  Would leave as is or change........looks wrong. 


Patient's daily at home blood pressure readings have been 90%+. 


they can change...
Subject: they can change...

depends on what the MD hears on auscultation; that being said, it usually is 3/6, 2-3/6...etc... six is the prime as there are standard 6 heart sounds and the first number being how many of the 6 they hear.
When did p.r.n. change to p.R.n. and why?
Subject: When did p.r.n. change to p.R.n. and why?

nm
I would change it to (sm)
Subject: I would change it to (sm)

CPKs as it appears these labs were done multiple times if they are dictating MBs. I hope I'm making sense.

I'd put, CPKs were high but his MBs were normal.
I would change it to
Subject: I would change it to

Mrs. Smith is a patient on whom I performed rhinoplasty. but that is just me.
Just like you have it, why change anything?
Subject: Just like you have it, why change anything?

x
I always change that to *in regard*..sm
Subject: I always change that to *in regard*..sm

as for toward/towards, afterward/afterwards......both are acceptable as you said per the dictionary......so it depends on the MD I'm working for...I have one that is a stickler so I give him afterwards and towards as he says them.
Exactly, that is why I don't understand, QA does the same with H&H, they change it H and H. Nm
Subject: Exactly, that is why I don't understand, QA does the same with H&H, they change it H and H. Nm

x
...or 'otherwise no overall change"..??? nm
Subject: ...or 'otherwise no overall change"..??? nm

s
I would change it to ൜ mEq K/L" sm
Subject: I would change it to ൜ mEq K/L" sm

The dictator is "slanging" the order. Since what they're ordering is K (potassium) and that is measured in mEq, and since it has a unit of measurement (mEq), then the "/liter" needs to be abbreviated to /L... imho (wouldn't it be nice if they dictated PROPER medication orders?) :)
I'd change to "mg," as well, but (sm)
Subject: I'd change to "mg," as well, but (sm)

the manufacturer's site would seem to indicate it should be hyphenated, as you originally had it.
http://www.jnj.com/index.jsp?content=product/brands/NEUTRA_PHOS.htm
"Prior" change? nm
Subject: "Prior" change? nm

m
yes, but change it to "are"
Subject: yes, but change it to "are"

nm
it looks weird to me too...I always change it to...
Subject: it looks weird to me too...I always change it to...

it's not necessarily correct - but I think about pussy cats and so the *eye is crusty and has pus* is what I'd put. 
Would you change this sentence?
Subject: Would you change this sentence?

His eye contact was intermittent; most of the time his gaze was fixed on whatever toy he was playing with. 


...most of the time his gaze was fixed on whatever toy with which he was playing?


Not a verbatim account.


TIA


No, I wouldn't change it because
Subject: No, I wouldn't change it because

it is a myth that there is a problem with that sentence structure.
Do I change it when he dictates cc? nm
Subject: Do I change it when he dictates cc? nm

!
I would change it since account not
Subject: I would change it since account not

verbatim. LOL "hook up with"

Doctors are so funny.

If you are safe to change it, do it.
Subject: If you are safe to change it, do it.

nm
Personally, I'd change it to, I was able to
Subject: Personally, I'd change it to, I was able to

get in touch with the patient's daughter, as I am my own QA. My doc lets me spritz up his letters all the time.
unless you change sentence
Subject: unless you change sentence

I'd leave it because he obviously means that patient had no precipitating symptoms of the chest pain, etc.
see messge - I would change to
Subject: see messge - I would change to

arthroscopy of lateral retinaculum.
I usually change this to bear weight
Subject: I usually change this to bear weight


I think your safe to change this one. Verbatim SM
Subject: I think your safe to change this one. Verbatim SM

is not always possible, especially with ESLs. Wouldn't think doc would mind if you made it more understandable and it doesn't change the meaning.
...and no overall change...??? Is the 'z' sound very pronounced? nm
Subject: ...and no overall change...??? Is the 'z' sound very pronounced? nm

s