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

did he dictate the point, or did he say 1 5, to make sure you did not hear 50

Posted By: as there is loestrin 15/30 on 2008-08-19
In Reply to: Loestrin dosage, doc is saying 1.5/30 mcg but can't find dosage in mcg. - Thanks

Subject: did he dictate the point, or did he say 1 5, to make sure you did not hear 50

nm


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

you make a good point
Subject: you make a good point

strep throat has become a common phrase.  it should truly be Streptococcal pharyngitis, but that's too far of a stretch from verbatim.  so, i guess i have to take it back that i never type slang, because strep throat seems acceptable.
Could you be hearing comprensive 16 point ROS was ====? Hear that sometimes.nm
Subject: Could you be hearing comprensive 16 point ROS was ====? Hear that sometimes.nm


Getting tired and really cannot hear him or make out what he is saying but here it goes... S3 S4 s/l
Subject: Getting tired and really cannot hear him or make out what he is saying but here it goes... S3 S4 s/l

(heaves)???, thrills and rubs.
Kocher's point is a common entry point for an intraventricular catheter to drain cerebral spinal
Subject: Kocher's point is a common entry point for an intraventricular catheter to drain cerebral spinal fluid from the cerebral ventricles.


no that does not make sense - leave a blank if that's what you hear. /nm
Subject: no that does not make sense - leave a blank if that's what you hear. /nm

.
Always typed end point. My Stedman's has end point.
Subject: Always typed end point. My Stedman's has end point.


I hear lumbar. So would it make sense as: Posture has decreased lumbar lordosis
Subject: I hear lumbar. So would it make sense as: Posture has decreased lumbar lordosis


You should dictate what the doc says.
Subject: You should dictate what the doc says.

If he is wrong, that's his problem. You can't just go changing what he says unless you have free reign on your account.
Drs get what they dictate - some of us only do..S/M
Subject: Drs get what they dictate - some of us only do..S/M

brachioplexus, brachioplexopathy - what they say is what they get....client profile RULES!
How does he dictate it? Is he actually - sm
Subject: How does he dictate it? Is he actually - sm

Is he saying "CBC, MSP, and stool" because stool is not a test so just wondering if it could be the name of a stool test. If you state just how the whole sentence is dictated, it may help us figure it out for ya.
I had a doc used to dictate that
Subject: I had a doc used to dictate that

Good says it stands for keep-open-vein.  So, it should fit, and it also is all CAPs. 
Usually if they dictate Seldinger...
Subject: Usually if they dictate Seldinger...

they will say "via Seldinger, or Seldinger technique."  I don't believe they would do this en route either.  Are you sure you are hearing "sandwich?"  I have been transcribing ER reports for years and I have never heard this term used.  Anyway, I would not guess on this one.  IMO, it is better to leave it blank and have QA inform you later so you can keep it on file .
Yes, that was how I was taught and most always they dictate cc nm
Subject: Yes, that was how I was taught and most always they dictate cc nm

nm
welcome; got it from my docs that dictate it as i never could figure them all out either, lol. nm
;
Sorry, but I have had them dictate brain or beta.
Subject: Sorry, but I have had them dictate brain or beta.

nm
Account specifics would dictate whether you sm
Subject: Account specifics would dictate whether you sm

write it out or abbreviate. The abbreviation for beats per minute is bpm. Ask your QA person for approved abbreviations for this account (accounts will differ sometimes which can make us crazy).

Did she dictate the colon after "murmur?" nm
Subject: Did she dictate the colon after "murmur?" nm

x
no matter what they dictate, they are wrong...nm
Subject: no matter what they dictate, they are wrong...nm


LOL..the way these docs dictate anymore
Subject: LOL..the way these docs dictate anymore

who knows!! Something like that just check your aspirin bottle. Good luck!!
doctor didn't dictate mg????
Subject: doctor didn't dictate mg????


The patient was given aminophylline, Lanoxin 0.25, Lasix 40 mg, Cardizem.


okay here the doctor fails to dictate mg? according to 'textbook rules' do I add this or not?


Lordy, when they dictate commas it is just sm
Subject: Lordy, when they dictate commas it is just sm

like a poke in the eye to me!!! Brings me to a screeching halt. I just tend to ignore them, in a report, especially if it is a resident. I do puncturate letters and memos, but half the commas I see people use on this board and other boards are totally not necessary. Just call me
anti-comma!!!!! 
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?


If you dictate the full sentence I could probably help you figure it out. nm
Subject: If you dictate the full sentence I could probably help you figure it out. nm


Thanks for finding that. I just had doc today dictate this...hmmmm
Subject: Thanks for finding that. I just had doc today dictate this...hmmmm


doc didn't dictate that....her brain was thinking that...
Subject: doc didn't dictate that....her brain was thinking that...

nm
Thought so thanks wish they would dictate the drugs correctly
Subject: Thought so thanks wish they would dictate the drugs correctly


or may be mistakenly thinking of their pet's food as they dictate?
Subject: or may be mistakenly thinking of their pet's food as they dictate?


wrong - they ALL dictate decubiti...no such word
Subject: wrong - they ALL dictate decubiti...no such word


That's what I mean by "ask your QA!" Account specifics dictate style, sm
Subject: That's what I mean by "ask your QA!" Account specifics dictate style, sm

but the AAMT BOS dictates what is correct for the industry, getting its information from sources such as the Chicago Manual of Style, the American Medical Association book of style (which I own), etc. As the poster below states, Joint Commission goes by BOS and does not like "same" or abbreviations for diagnoses, impressions, op titles, etc. They will randomly choose patient charts and go through them to check things like this! It's the Joint Commission which recommends or removes hospital accreditations--a very powerful entity.

So, ask your QA what the account wants. If they want "same," give them "same." For other accounts, do it the correct way.
Derm docs often dictate "Allergy to CARBO mix" - sm
Subject: Derm docs often dictate "Allergy to CARBO mix" - sm

I don't know what the full word is, but this validates your hearing the partial "carbo"
Long shot, but often dictate myocardial ischemia. nm
Subject: Long shot, but often dictate myocardial ischemia. nm

xx
Macrobid (nitrofurantoin) is commonly used, maybe doc stumbling on whether to dictate brand name or
Subject: Macrobid (nitrofurantoin) is commonly used, maybe doc stumbling on whether to dictate brand name or generic?


there is the abbreviation MAR docs dictate for medication administration record, but not sure...sm
Subject: there is the abbreviation MAR docs dictate for medication administration record, but not sure...sm

if that's it? This is usually dictated when they don't want to list the entire medication list so refer to the MAR that is in the chart. 


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.


Pupils equally reactive to light, they do not always dictate the whole exam abbreviation, they ..sm
Subject: Pupils equally reactive to light, they do not always dictate the whole exam abbreviation, they ..sm

do not always examine all aspects on PE.  Hope this helps!
Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the ti
Subject: Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the time.


that was my point :)
Subject: that was my point :)

x
EKG help - J Point
Subject: EKG help - J Point

Cardio doc dictates EKG as follows: 

EKG demonstrates normal sinus rhythm at 61 beats per minute with normal axes, normal intervals, J point elevation 1 and 0; otherwise, no ischemic changes.  


But just not sure on how to type the 1and 0 or if he is saying 0, but sounds for sure like 1.  Anyone with any ideas.  This is a new one on me?  Any help appreciated!!!


Sometimes I think you can get to the point where
Subject: Sometimes I think you can get to the point where

Someone new at this might have to look-up a lot things.  Sometimes you just get to the end of your rope with researching especially when the doc isn't sounding too clear or the word is slurred.  We must support one another though not tear each other down.  Why can't people just go by the old saying of "if you do not have something nice to say then do not say anything at all".  To come off like a know it all proves what?  Absolutely nothing in my opinion.  Not everyone is up on everything. 
.062 (point 062)
Subject: .062 (point 062)


The point I believe is that there are
Subject: The point I believe is that there are

so many drugs that sound alike it is dangerous to guess at an allergy.
it's usually ten-point ROS
Subject: it's usually ten-point ROS

or 14-point, etc.
That's exactly the point...
Subject: That's exactly the point...

I like it here, it's you who don't like it here, with all your complaining and bashing and nagging etc........

I think you are not getting it, you are missing the whole point of this discussion.

What fragmented sentences? You don't know what you are talking about.
I think that's her point. It IS Homer. lol
Subject: I think that's her point. It IS Homer. lol

She's got a good sense of humor about herself. LOL
Great Point
Subject: Great Point

Very good point - never thought of it that way!  Thank you so much and if the doctor asks why I expanded her abbreviation I will explain it exactly like that!


Thank you so much!


axial point, maybe
Subject: axial point, maybe

nm
Yes, I know. The point is, he didn't SAY that sm
Subject: Yes, I know. The point is, he didn't SAY that sm

Although he does mention "near the perforation" later in the report.


My point is, docs sometimes use the abbreviations they use in speaking in their reports as well. Most of the time I will type them out, but it bugs me either way - I like to type verbatim and not add anything the doc didn't say, but if he says it wrong, what are you going to do? (Except maybe leave him a message.)


Could someone point me in the right direction please?
Subject: Could someone point me in the right direction please?

 11-year-old with neurofibromatosis, autism, and behavioral disorder. Doc states, "He is on a multiplicity of medications including lithium, S/L hel-a-trek-sone, Abilify, gabapentin, and Trileptal.


 


He very clearly states this drug just like the S/L above, but I am finding nothing of the sort. Thanks for looking!


so is an exclamation point...sm
Subject: so is an exclamation point...sm

WHO HAS THE PROBLEM AGAIN??
WHO HAS THE PROBLEM AGAIN??
WHO HAS THE PROBLEM AGAIN??

LOL LOL LOL LOL

SEE ME SHOUT, SEE ME DANCE.
SEE YOU FEEL humbled LOL
SO IS AN EXCLAMATION POINT LOL LOL LOL
Subject: SO IS AN EXCLAMATION POINT LOL LOL LOL

/
Sorry, static at that point, but SM
Subject: Sorry, static at that point, but SM


S/L
Less than rock

almost like left and right BUT exam is for left side probem.. This one might get a blank. Thanks