clarification of my response
Posted By: sm on 2009-04-27
In Reply to: It looks good to me - nm
Subject: clarification of my response
I would leave it as you have it if the doctor is talking about two different fingers, which was my assumption. In my experience, doctors like to omit the word and a lot and commas are substituted. If he/she is taking about the same finger, then omit the comma.
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anamnestic response is a secondary immune system response etc. nm
Subject: anamnestic response is a secondary immune system response etc. nm
clarification
Subject: clarification
"... the lacertus fibrosus (bicipital fascia), which passes obliquely downward and medialward across the brachial artery, and is continuous with the deep fascia covering the origins of the Flexor muscles of the forearm..." per Gray's Anatomy. Hope this helps.
all right, thanks for the clarification
Subject: all right, thanks for the clarification
clarification
Subject: clarification
Does the following make sense? Fundi: Did have some status post laser therapy of the cerumen occlusion in the left ear.
clarification
Subject: clarification
I mean like a bedroom "air mattress"
Clarification, please
Subject: Clarification, please
You listed this:
Lowercase the first letter of each item
in a series following a colon when the items are separated by commas.
The patient is on the following medications: Theo-Dur, prednisone, Bronkometer.
It says 'lowercase the first letter of each item in a series...but Theo-Dur has a capital letter...can you please tell me which of my examples is correct? Thanks
Further Clarification
Subject: Further Clarification
I think I am just confusing the issue for you. Here is what the BOS says about Military time. Maybe this is more helpful.
"Military time identifies the day's 24 hours by numerals 0100 through 2400. Hours 0100 through 1200 are consistent with a.m. hours 1 through noon, while hours 1300 through 2400 correlate with p.m. hours 1 through midnight.
This form takes four numerals. Do not separate hours from minutes with a colon. Do not use a.m. or p.m."
In my previous post I made a mistake, I told you if the number started with a 1 0r a 2 it was p.m. - that is not true. 1000 hours is 10 a.m. 1100 hours is 11 a.m. and 1200 hours is noon. 1300 hours is 1 p.m. etc...
Neer response, near response?
Subject: Neer response, near response?
Hello all.
Thanks in advance if you can help me.
I have a neurologist who says "near response" when referring to eyes. Is it near? Neer? neer?
Also, is there a Neer's test in orthopedics?
I'm confused!!
SM for quick clarification...
He has a long-standing problem. However, his problem is of long standing.
(Just thought I'd mention it.) *grin*
clarification of verbatim!!
Subject: clarification of verbatim!!
I am told to type some test files verbatim and I know that means exactly the way the dictator is saying it. My problem is the doctor is saying ain't and doesn't, which are contractions. This just do not seem right, right?
Clarification - s/l hindru intox
Subject: Clarification - s/l hindru intox
To clarify, I need help with this:
He was found to be in rhabdomyolysis and s/l hindru intox was positive for amphetamines, benzos, opiates, and THC.
Thanks!
Clarification - s/l symptom status
Subject: Clarification - s/l symptom status
To clarify, I need help with this:
He smiles much of the time; he is cooperative. s/l Symptom status revealed that he knew that George Bush was the current president and that Bill Clinton preceded him. He denies hearing any voices.....
Thanks!
I stand corrected. Thanks for the clarification on that! nm
Subject: I stand corrected. Thanks for the clarification on that! nm
.
jg, thanks for that clarification. It makes sense.
Subject: jg, thanks for that clarification. It makes sense.
Thanks
Clarification - Hopital Course - leave abbreviations?
Subject: Clarification - Hopital Course - leave abbreviations?
Oops! I meant, in the discharge summary under the hospital course heading must we expand dictated abbreviations as we would under the impression or diagnosis? Or is it acceptable to leave them verbatim.
Thanks!!!!!!
For further clarification, per AAMT BOS2 if there is a value associated with this abbreviation it sh
Subject: For further clarification, per AAMT BOS2 if there is a value associated with this abbreviation it should be sq cm, i.e. 2 sq cm not 2 cm2 as too many numerals may cause confusion and not be easily read.
response
Subject: response
Creutzfeldt-Jakob disease.
response
Subject: response
glad I could help.
response
Subject: response
cold agglutinins
QA response
Subject: QA response
Don't you just love these made-up words?! Medialmost, laboratorywise.
I would type medial most or medial-most (to make it a two-word adjective of the noun), as in medial-most position.
When they say "laboratorywise," etc., I change it to an appropriate caption, such as "Regarding laboratory data,"
Appreciate your response sm
Subject: Appreciate your response sm
Didn't want to stir up any trouble.
Thanks for the response.
Subject: Thanks for the response.
Thanks for the compliment. I am really dedicated to medical transcription. I really enjoy doing the work and find it very challenging. I graduated in June of 2005 and started my first job in October of 2005. I strive to do my best in everything. I just found out about this forum and MTstars about a week ago and I am so glad that I am able to talk to some experienced MTs. This forum is invaluable to a new MT.
So, all of the experienced MTs out there that contribute to this board you are all well appreciated. I hope that I will be able to have experience like you guys and be able to help other MTs out there that are just starting out.
Also, if you know if any new MTs that are still looking for that first job they should try Sten-Tel, Inc. They have an externship program for new MTs. That is where I work now.
Take care
Thanks for the response.
Subject: Thanks for the response.
I really appreciate your help and I did not think that I was doing anything "out of bounds."
Its good to see that there are experienced MTs out there like you that are willing to lend a "QA hand" once in a while.
Response
Subject: Response
Chronos (synthetic bone graft material)
Thank you, I really appreciate your response (nm)
Subject: Thank you, I really appreciate your response (nm)
in response...
Subject: in response...
my educated guess would be speech difficulty
Thank you for your response
Subject: Thank you for your response
Your response
Subject: Your response
Now I don't do orthopedics, but I believe you are correct. The fusion involves L4 and L5 and S1. Therefore, I would think he was saying L4 through S1. Please, someone, correct us if we are mistaken!
Response
Subject: Response
Could it be sodium repletion?
no go, but thanks for the response! nm
Subject: no go, but thanks for the response! nm
response
Subject: response
D/K about "red photos", but the other is "capillary perfusion (not profusion).... at the watershed zones"
In response
Subject: In response
>> Did you not learn medical terminology, anatomy and physiology?
I did from a reputed school in 2001. But you know hundreds of terms are being introduced every year and publishers have to update their books and dictionaries to keep pace with them, I don’t have enough resources & time to update my knowledge for all the specialties, that’s why I come to boards and do LEARN, it’s constant learning.
I say: Look at the stuff being asked. Most of it is not new terms. Most of it is human anatomy, which hasn't changed.
>> Did you not learn how to do your own research?
I think internet is the best media to do your research. Either Google it or ask the community. The message posting for help comes under research. Do you know the basics for research? Questionnaires & Surveys.
I say: Yeah, the internet might be the best.....if you want to get a lot of false information and conflicting answers. The "questionnaires and surveys" are irrelevant; the facts are what matter.
>> No wonder MT has a gotten a bad rep; half the people are not qualified to do it
Do you have any documented proof for this saying?
I say: Look at what many people say right here in the MT community. then read some of the reports in the medical records. I do coding also so I read the final product in the records. I can tell you - it is not pretty. It is obvious people don't know as much as they think they do.
>> Take a class. Learn the terminology, learn anatomy. Learn to use your own resources.
Trust me, most of the time, I come to boards not to post messages, but to read & listen as I used to do in my MT class. I read messages, learn new terminology, learn anatomy & help others etc. MTStars is my OWN resource.
I say: Yes I agree you can learn a lot here in terms of new terminology, but I will also say it should not be an easy way out of doing your own research and that learning anatomy here is a little too late. you should have learned that before you started working. If you don't know human anatomy, I sure don't want you transcribing anything about me or my loved ones.
>> Then you will learn MT. you don't learn by asking someone else to do it for you
I have learnt more on these boards than in the class. Hey, did you ask questions to your teacher in MT class? It’s same here to ask your seniors for help.
I say: Glad you have "learnt" a lot. LOL. Yes, I did ask questions, but once I started working i didn't expect anyone to do it for me. I did my own research and I did know anatomy! New drugs and new terminology will always pose a challenge, and this kind of board can be a big help, but anatomy is now what it was. we have the same bones, muscles, nerve, tendons, etc., etc., etc.
Come out of the stone age and open your eyes .... where mail is E mail, books are E Books & Learning is E Learning.
I say: Doing my own research or using a book is not living in the stone age. I use a lot of electronic resources but never to the exclusion of the solid resources that have been around for years and still get it right.
It is taking enough pride in myself and in my work to want to do the job right . It is not looking for an easy way out but taking the time to do for myself. What it boils down is good work ethic, and I see a lot of people who lack that. Everyone wants to be called a professional; no one wants to act like one. Everyone wants to make a ton of $$ but no one wants to REALLY work for it. I say grow up, get over yourselves. Do your own work.
Thank you for your response. nm
Subject: Thank you for your response. nm
WOW!! (not in response to age, but to
Subject: WOW!! (not in response to age, but to
EXPERIENCE!!) - I could have guessed, though, that you had that much experience - it shows in your posts! Yeah - we experienced, old (we could probably throw "anal" in there, too) MTs need to stick together - THEY CAN'T BRING US DOWN!!
RESPONSE TO NEVI
Subject: RESPONSE TO NEVI
some benign appearing nevi
s/l Waddellian response
Subject: s/l Waddellian response
  Anyone out there heard of s/l Waddellian response? I have typed this before, but cannot remember how to spell it.........
s/l Waddellian response
Subject: s/l Waddellian response
It is an Anesthesia/Pain Consult. Doc states - The patient had a guarded and _______ response on physical exam of the abdomen.
Okay, here is my real response
Subject: Okay, here is my real response
What is the basis for any jealousy here? That concept baffles me. You obviously spent a lot of time into the events of today and I would suggest an alternate outlet...like a l-i-f-e. I do not always come here to flame or denigrate others. That you consider me trouble is of no consequence to me. I have no concern for how my posts are perceived and when I post, I'm usually my ADD and dyslexic self with multiple lines of thinking bouncing around in my head at the same time. I do not self check my grammar or spelling. I'm happy with my QA score of greater than 99.5% monthly because when I work, I allow no distractions. Before I was out of high school, I had the skill set I needed that today's poster lacked and that you commented on as a general rule for all newbies.
If you do not understand my point, that is your failing, not mine. Others have repeated my point so I hope it is a bit more clear to you by now. I will not "leave this newbie" alone (not that I now have a vendetta against her/him now) but you hold no power over my actions, just as I have none over yours. I feel no threat from you, do not feel diminished by you and feel sorry that you are so worked up over today's events.
I had no one to ask questions of at all when I entered MT as I came in as the MT supervisor with years of experience in being a records auditor. When I went home and entered the acute care arena, I had more books than I could count, with my favorite being "A Syllabus for the Surgeon's Secretary" (first published in the 50s). I didn't make a lot of money my first year at home but every report was superior to those of the other MTs on the account. I feel today's newbie has no excuse for not being able to find many of the answers to many of the issues that were addressed today other than by posting entire reports for strangers who may only think they are qualified to answer. Asking for QA help on entire reports is a crap shoot. On a forum where no one knows who anyone really is in real life, you can easily get crappy help anot not know the difference. Your mileage may vary.
I hope you find some peace and a healthy outlet for your frustrations.
response to my term
Subject: response to my term
Thank you for replying! I appreciate the help.
That is it. Thank you for such a quick response...appreciate it.....nm
Subject: That is it. Thank you for such a quick response...appreciate it.....nm
x
Thank you so much for the help and the quick response!
Subject: Thank you so much for the help and the quick response!
x
Yay! Thanks so much for the quick response! nm
Subject: Yay! Thanks so much for the quick response! nm
response to question
Subject: response to question
maybe it's curb and hydrate... (otherwise no clue)
Thank you very much for the quick response! nm
Subject: Thank you very much for the quick response! nm
x
Thanks for quick response-
Subject: Thanks for quick response-
Oncology words new to me in general practice clinic.
Thank you very much for your quick response. (nm)
Subject: Thank you very much for your quick response. (nm)
s/l response to trach tug?
Subject: s/l response to trach tug?
x
Thanks for the quick response!
Subject: Thanks for the quick response!
Thanks for the quick response!
Subject: Thanks for the quick response!
Hmm. There is an anamnestic response? but not sure. nm
Subject: Hmm. There is an anamnestic response? but not sure. nm
s/l "bellar response" SM
Subject: s/l "bellar response" SM
This is a dictation from a neurologic exam. The doc dictates:
"Hearing is only minimally decreased to whispered voice <> response I note that she could suppress the eye blinking period"
So, it's either something like:
1. "Hearing is only minimally decreased to whispered voice. In BLANK response, I note that she could suppress the eye blinking."
OR
2. "Hearing is only minimally decreased to whispered voice and BLANK response. I note that she could suppress the eye blinking."
Any ideas would be great, if this sounds familiar to anyone. Otherwise, I'll QA at the end of my shift...
TIA!
Perplexed
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