difficulty hearing this dictator....
Posted By: regarding anemia.....TIA.....sm on 2007-02-11
In Reply to:
Subject: difficulty hearing this dictator....
rule out hemoglobinopathy or s/l seroblastic anemia.......
I looked it up and I find seroplastic anemia.....
Thanks in advance!!
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Am I hearing this right. Could the BP be 129/135 (ESL dictator)??? (nm)
Subject: Am I hearing this right. Could the BP be 129/135 (ESL dictator)??? (nm)
No wonder we have difficulty. sm
Subject: No wonder we have difficulty. sm
I'm typing for a doctor that I've only typed for a couple of times, and I'm having problems today. Well no wonder.
This is the s/l in the report that I'm listening to right now:
Patient had a salto long sammy at the age of two.
Compare that with what the previous chart revealed when I pulled it up - Salter osteotomy. The only part that is remotely like the s/l is the "salt" and the "my"!!!
word having difficulty with
Subject: word having difficulty with
I am student working on a non-small cell carcinoma report--the dr dictated patient has non-small cell carcinoma....patient underwent immediate ("sinoscopy"). I could not find anything, anywhere of a --scopy of lung tissue that the first part sounded like "sin"
Any suggestions
S/L space difficulty?? any suggestions? thanks!!1
Subject: S/L space difficulty?? any suggestions? thanks!!1
Mr. ___ today denies any worst headaches in his life or history of intracranial hemorrhage. He has had the episode of left side weakness in the past and findings on the MRI suggested for subacute old infarction. He denies any new symptoms and today has stated some visual symptoms of blurring but no binocular visual loss, new focal motor weakness, ***difficulty or sensory loss.
can you reword to "and is having difficulty managing it."?
n/m
The endometrial cavity was visualized and both s/l (tuberosity) were seen without difficulty.
Subject: The endometrial cavity was visualized and both s/l (tuberosity) were seen without difficulty.
holiday...is the dictator an Arab dictator? nm
Subject: holiday...is the dictator an Arab dictator? nm
x
type what dictator said, dictator is not incorrect.....
Subject: type what dictator said, dictator is not incorrect.....
.
is this dictator ESL (foreign dictator)?....
Subject: is this dictator ESL (foreign dictator)?....
if ESL, I would either blank him or give him that Avodart but the other one I haven't a clue and would have to blank there too. Sorry :(
Help - not an ESL dictator.....sm
Subject: Help - not an ESL dictator.....sm
Anglo mushmouth cardiologist is saying:
This 85-year-old white male was admitted and had a posterior s/l *A to E* resection for rectal carcinoma.
I am not sure he is saying *A to E* and I already googled this to no avail.
TIA for any light anyone can shed on this....really appreciate it...
Dictator says ...
Subject: Dictator says ...
She has a history of being intolerant of an ACE and s/l RHAB. She says it like a word, so it s/l Are ab
I pretty sure it's an abbreviation like ACE, but I can't make out the exact letters to even know what to look up to be sure. TIA!
When a dictator says Cor S1 and S2, how...sm
Subject: When a dictator says Cor S1 and S2, how...sm
should that be typed? Coronary: S1 and S2?
This must be something the dictator often says. sm
Subject: This must be something the dictator often says. sm
Can "preson" be "perfusion?"
"perfusion to tissues?"
"present 2+ pulses?" (awkward)
What are the sentences before and after? Do you have any other PEs from this dictator?
Is this an orthopedic exam or general PE?
Dictator says...
Subject: Dictator says...
CBC showed WBC of fourteen point six thousand.
What is the correct way to type this number?
is the dictator ESL? perhaps not saying N
Subject: is the dictator ESL? perhaps not saying N
You could be right as the dictator is ESL. Thank you. NM
Subject: You could be right as the dictator is ESL. Thank you. NM
two more for same dictator pls sm
Subject: two more for same dictator pls sm
Patient without evidence of a left atrial s/l apinich thrombus.
The patient underwent s/l durakyto cardioversion.
VERY fast talker. Any ideas?
I bet you that you are right though, it is an ESL dictator
Subject: I bet you that you are right though, it is an ESL dictator
and I think he is just flipping through the chart giving me every med she ever had not realizing they are one in the same. I will flag it anyway. You are awesome thank you!
could the dictator be SM
Subject: could the dictator be SM
stumbling over words and saying something like:
First, today I am giving him Vicodin and Skelaxin.
?? Just guessing. Never heard of first aid being used in that way, but I suppose it could be...?
If dictator says
Subject: If dictator says
"blood pressure was in the 140s 150s". How do I type this?
But if the dictator is saying the "A" it has to be
Subject: But if the dictator is saying the "A" it has to be
x
Dictator says:
Subject: Dictator says:
Abdomen is nondistended. No 'LKF' felt. Then he says 'BJE', the patient's abduction is normal.
What is LKF or is the acronym something different?
What does BJE stand for? He is clearly saying 'BJE', but I am not sure about 'LKF'. I still would like to know what BJE means. Thanks
Could the dictator be saying "CU" as in sm
Subject: Could the dictator be saying "CU" as in sm
"cystourethroscopy?"
Need quick help with this dictator please
Subject: Need quick help with this dictator please
This doctor just said
"Initial white blood count was elevated at 12.7 thousand."
Do I transcribe it like that, or do I put 12,700?
TIA!
Dictator said keep LDL cholesterol less than ...sm
Subject: Dictator said keep LDL cholesterol less than ...sm
70 per ----- guidelines. He rambled off a bunch of initials and slowing him down only made it worse. I think the last 3 were CHA. TIA!
Dictator kept saying polynephritis ... sm
Subject: Dictator kept saying polynephritis ... sm
but I couldn't find that. Did she mean pyelonephritis? There were a lot of renal references in report. TIA!
Is the dictator foreign?
Subject: Is the dictator foreign?
I wonder if they're saying Ativan. Some of my foreign dictators say it as "Ati-won". Just a thought!
maybe dictator meant to say....nm
Subject: maybe dictator meant to say....nm
could dictator be saying appendectomy?
Subject: could dictator be saying appendectomy?
Without further context, I'd say the dictator was saying sm
Subject: Without further context, I'd say the dictator was saying sm
"gassiness and indigestion" or possibly "gaseous distention" which is verified in the GI Stedman's.
?? Dictator is saying "technique" twice in a row? nm
Subject: ?? Dictator is saying "technique" twice in a row? nm
x
Mumbly dictator...med s/l
Subject: Mumbly dictator...med s/l
The patient has a problem with peripheral neuropathy and the _____ (s/l payomide) was refilled. A1c is pending.  mumblers today!!
Dictator confusing....sm
Subject: Dictator confusing....sm
I have a dictator that dictated in two different reports.. "No CVA angle tenderness." and the same dictator in another report states "No CV angle tenderness." I am confused as to which is the correct way ?
meant dictator
Subject: meant dictator
I agree but dictator might mean...sm
Subject: I agree but dictator might mean...sm
especially if it's an ESL dictator......perhaps if an ESL, he might mean ratio which would be 1 to 1,000,000....1:1,000,000
No, not ESL, just fast dictator sm
Subject: No, not ESL, just fast dictator sm
I thought about "grazed" or "grazing" but, as you said, it really doesn't fit very well in this context.
I really hate to leave a blank because this is an account the MTSO I work for (IC) is trying to get more work from....if that makes sense.
if dictator is ESL, probably *advanced*
Subject: if dictator is ESL, probably *advanced*
Got it ! Bad dictator after many times..sm
Subject: Got it ! Bad dictator after many times..sm
relistening you are right it is heterozygous factor V Leiden.
Thank you all for your help. It is sincerely appreciated.
is dictator ESL? Perhaps disparity
Subject: is dictator ESL? Perhaps disparity
and yes, dictator being cute as....sm
Subject: and yes, dictator being cute as....sm
your dictator was just being cute since Pierre and Madame Curie discovered radium.........*LOL* but it's millicuries and I'd spell it out (expand) due to your dictator's cuteness....*winks*
99% when a dictator spells anything
Subject: 99% when a dictator spells anything
whenever they spell anything, I look it up because 99% of the time the dictator has spelled whatever they are trying to spell INCORRECTLY....it's a general rule of thumb for most MTs to do this - look up anything a dictator spells.........because we ALL know this about the dictators after 25+ years..........for some of us....in this biz.
Just my opinion, but since the dictator did not
Subject: Just my opinion, but since the dictator did not
give you any differentials for each value, I would do it exactly as you have it with a comma between each.
it's dermatome; dictator is probably saying e as Y..
Subject: it's dermatome; dictator is probably saying e as Y..
maybe dictator was thinking about his new car and
Subject: maybe dictator was thinking about his new car and
What is this "this" of which your dictator (sm)
Subject: What is this "this" of which your dictator (sm)
speaks? That is your clue, which you did not share.
Sorry I got it....dictator was quick...
Subject: Sorry I got it....dictator was quick...
He was actually saying "I fashioned a" tubex splint for the fingers.
Thanks anyway
Thank you so much! A new account/dictator. nm
Subject: Thank you so much! A new account/dictator. nm
nm
Thanks for the suggestion! Dictator
Subject: Thanks for the suggestion! Dictator
clearly saws Larson but she pronounces a lot of things wrong (ESL) so it could be Lachman. I left it blank.
It is a word, if that is what the dictator said
Subject: It is a word, if that is what the dictator said
then that is what I would put. Why spend time you could be transcribing with trying to find another word??
dictator says ie (i.e. ?) B12 deficiency
Subject: dictator says ie (i.e. ?) B12 deficiency
everything that looks right is not aways right on my part?
Is there no 's' on the end when the dictator says 'ringers'?
Subject: Is there no 's' on the end when the dictator says 'ringers'?
With 's or just an s?
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