grr. doc dictates s/l alipta, spells a-l-m-i-t-a. sm
Posted By: blue on 2008-02-12
In Reply to:
Subject: grr. doc dictates s/l alipta, spells a-l-m-i-t-a. sm
It's a second choice chemotherapy agent after carboplatin/Taxotere rejected by patient. Any thoughts?
Many thanks in advance!
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doctor dictates and spells cellulagia
Subject: doctor dictates and spells cellulagia
I cannot find or verify this anywhere. Is this even a word?
Doc dictates s/l Aluin but spells Alleyn for wound care....
Subject: Doc dictates s/l Aluin but spells Alleyn for wound care....
with an unna boot...anyone know what this could be? Can't find any wound care info....Alluin is what is sounds like to me...TIA!!!
Under PMH. MD dictates: sm
Subject: Under PMH. MD dictates: sm
Status post trauma/repair to patient’s eye.
Would you leave this as is with the slash or change it? I am permitted to change things when necessary. Thanks.
What do you do when the doc dictates sm
Subject: What do you do when the doc dictates sm
... and I gave the patient 50 "mikes" of whatever medication. One said to spell it m-i-q-u-e-s, one said to use m-i-k-e-s, and one hospital said not to use it at all. So, does it stand for micrograms? Should we use slang? Aghh! Help, please.
I would put as doc dictates..sm
Subject: I would put as doc dictates..sm
if he says "calcium one every day" I would not input the q.d., but I would expand it as "calcium, one tablet every day." jmo and how I have been doing it with no complaints.
Exactly the way MD dictates it
Subject: Exactly the way MD dictates it
If the patient could see anything at all (I had one today where the patient could see 20/1760), then the MD would have given the value, but when there is nothing there, you just type nothing. I have a verbatim account, but even if I didn't, I still would not change it to 20/0 as that lone "0" could be mistaken as something else.
If a Dr. dictates
Subject: If a Dr. dictates
"posterior tib", meaning posterior tibial artery, do you type the abbreviation or go ahead and type out tibial?
if that's the way he/she dictates it...then yes I would. nm
Subject: if that's the way he/she dictates it...then yes I would. nm
xxx
What I would do: Since doc spells it, and
Subject: What I would do: Since doc spells it, and
you have exhausted all your references, I'd type it the way he spelled it and then flag it, saying that the doctor spelled it that way. That covers you. Docs are notorious bad spellers, but he might be privy to something so new it's not on the books yet.
Probably says YAZ and then spells --Y-A-Z
Subject: Probably says YAZ and then spells --Y-A-Z
Similar to Yasmin
http://www.berlex.com/html/press/articles/04212006.html
Don't think that's it, he very clearly spells it.
Subject: Don't think that's it, he very clearly spells it.
But thanks anyway, I just left it blank.
Thanks so much. The doc now spells
Subject: Thanks so much. The doc now spells
osacromale?? which is wrong and nothing in my book under os acromiale but Googled it and got it. In all my years, never heard of it. Again, thanks for your help.
Doc spells PAX or TAX, but believe he's saying "P"
Subject: Doc spells PAX or TAX, but believe he's saying "P"
The doctor dictates
Subject: The doctor dictates
His aortic valve appeared well-(s/l seated). I found some examples like that, but am unsure of certainty and spelling accuracy? Thank you in advance for any help.
Think that one is bad? my md dictates things like this...sm
Subject: Think that one is bad? my md dictates things like this...sm
I used a small, tiny, little Q-tip .... and he doesn't want me to change it. Bizarre!!!
I have a doc that dictates same thing
Subject: I have a doc that dictates same thing
mine means adenosine thallium
I leave it as whatever the doc dictates.
Subject: I leave it as whatever the doc dictates.
It's not my job to keep them politically correct.
Do I change it when he dictates cc? nm
Subject: Do I change it when he dictates cc? nm
!
I have a psychiatrist who dictates like that. sm
Subject: I have a psychiatrist who dictates like that. sm
I leave most of his stuff as is even though the account is not verbatim. A lot of times I end up wondering WTH he is talking about. When I first got his dictations I was going back to read and relisten because I thought I must have scrambled something. Give them what they dictate, if they don't like what they read maybe they'll take the time to think before they dictate next time.
when doc dictates L-thyroid sm
Subject: when doc dictates L-thyroid sm
Does he mean levothyroxine or Levothroid?
Dictates died s/l **min** CVA
Subject: Dictates died s/l **min** CVA
Dictates died from m-i-n CVA. I can't verify min CVA anywhere. Any suggestions?
dictates **phagiagram**
Subject: dictates **phagiagram**
He clearly dictates *phagiagram* or something that is VERY similar to that. I don't hear a *dys*. I tried google and am getting zero hits.
Do you think I should I QA it or would it be fine to just use *phagiagram*?
Thanks in advance.
You transcribe what he/she dictates.
Subject: You transcribe what he/she dictates.
You transcribe the values as dictated. If he says "Cholesterol profile" and then just lists the values, then I would put a colon after profile and just list them.
He actucally spells it
Subject: He actucally spells it
but I know that he is spelling it from the way the patient spells it. He often spells medications wrong. I am just going to flag it. Thanks for your help.
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. 
he spells out what sounded like R E M P
Subject: he spells out what sounded like R E M P
He spells it later on as spinoglenoid
Subject: He spells it later on as spinoglenoid
Thanks for the help anyway!!
not having any other --HUT-- problems...he spells it
Subject: not having any other --HUT-- problems...he spells it
Meant to add, doc spells - sm
Subject: Meant to add, doc spells - sm
Meant to say doc says (elsil) LSIL then spells LGSIL. I'm not familiar with GYN terminology and not sure if LSIL and LGSIL are interchangeable and I'm confused as to what she wants.
Thanks for any help.
Med help--Dr. spells it "popinsisole"
Subject: Med help--Dr. spells it "popinsisole"
I can't find anything close in my QLEDR. This is in a medication list, so I have no clue what it is for and no dosage is given other than 1 tablet once a day. This is a cardiac patient with multiple cardiac diagnoses. No other past medical history listed. Any ideas? He spells the majority of his medications incorrectly and I have been able to find all except this one.
He does pronounce it, just spells it.
Subject: He does pronounce it, just spells it.
nm
He does not pronounce it, just spells it.
Subject: He does not pronounce it, just spells it.
nm
no he definetly spells out L A T.
Subject: no he definetly spells out L A T.
I have an ESL who dictates a lipid profile
Subject: I have an ESL who dictates a lipid profile
and then says "lipid profile comment NIHN." What in the world does that mean?
whatever doc dictates. Would not use beats/minute tho. nm
Subject: whatever doc dictates. Would not use beats/minute tho. nm
Yes. I transcribe for a cardiologist who always dictates
Subject: Yes. I transcribe for a cardiologist who always dictates
Could be, although he only dictates 1 syllable. I think I will flag. Thanks.
Subject: Could be, although he only dictates 1 syllable. I think I will flag. Thanks.
provider dictates bivicd sm
Subject: provider dictates bivicd sm
Would you put bi-V ICD, biV-ICD, bi-V-ICD or something else? Says it multiple times in note. Thanks!
dictates ureteral meatus
Subject: dictates ureteral meatus
Could that be right? Or do you think dictator means urethral? Talking about vesicoureteral reflux in a male.
Thanks!!!
Is it Mersa or MRSA? he dictates
Subject: Is it Mersa or MRSA? he dictates
Doc dictates 3/5 systolic murmur (sm)
Subject: Doc dictates 3/5 systolic murmur (sm)
I always thought the last number was 6. Does this make sense? TIA!
The patient has MS, dictates she cannot s/l antigravitate the leg.
Subject: The patient has MS, dictates she cannot s/l antigravitate the leg.
Have not heard the term antigraviate before, and cannot find it anywhere. That is all the context I have
dictates what sounds like omPUREizole
Subject: dictates what sounds like omPUREizole
I'm not finding this anywhere. Anyone have a clue?
Doctor dictates ALT 1413 and AST 681? Should it be 14.31 and 6.81? TIA!
Subject: Doctor dictates ALT 1413 and AST 681? Should it be 14.31 and 6.81? TIA!
dictates glucocheck/glucochecked
Subject: dictates glucocheck/glucochecked
Is that right? I can't 100% verify.
Thank you.
Your choice unless client dictates different.
Subject: Your choice unless client dictates different.
doc spells "transulusion" 0.4 mg daily TIA!
Subject: doc spells "transulusion" 0.4 mg daily TIA!
I have no idea what it is used for. TIA!!
no, doctors spells out word as indicated
Subject: no, doctors spells out word as indicated
doc spells *chmay* arthroplasty.
Subject: doc spells *chmay* arthroplasty.
Cannot even reference that.
correct - if an MD spells anything, RED FLAG...SM
Subject: correct - if an MD spells anything, RED FLAG...SM
if an MD/dictator spells ANYTHING, it's a RED FLAG to look that spelling up because 95 percent of the time they misspelled whatever they were trying to spell. MDs were not great in grammar and/or spelling (for the most part) - they were great in other areas. *lol*
listen very carefully while he spells
Subject: listen very carefully while he spells
and I'll bet he is actually saying h-i-a-t-u-s
or maybe he is off a little in his spelling, but close enough for you to know he means hiatus hernia.
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