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he is dictating is backwards. I would type it as he dictates...nm

Posted By: NYMT2 on 2009-02-28
In Reply to: In Stedman's can only reference radio-capital joint, do lots of ortho, have heard it that way, bu - Cyndiee

Subject: he is dictating is backwards. I would type it as he dictates...nm

xx


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Type it exactly as the doctor dictates, verbatim....nm
Subject: Type it exactly as the doctor dictates, verbatim....nm

nm
My MD dictates all the time, "perimenopausal symptoms" I can't document. Should I type it
Subject: My MD dictates all the time, "perimenopausal symptoms" I can't document. Should I type it anyway?


You are correct & you don't have it backwards...
Subject: You are correct & you don't have it backwards...

He is harvesting the vein to use as a graft.  He is placing it in a container of heparinized saline, where it will stay until he uses it later in the procedure. 
posted backwards, sorry...
Subject: posted backwards, sorry...

Long day.  :)
I think those are backwards aren't they? Could be wrong
Subject: I think those are backwards aren't they? Could be wrong


backwards u stands for micro
Subject: backwards u stands for micro


you're explanation is backwards...sm
Subject: you're explanation is backwards...sm

There are after effects of an earthquake, not after affects.
The earthquake affected our electrical power.
You got that right. Backwards/forwards etc. It all works. nm
Subject: You got that right. Backwards/forwards etc. It all works. nm


the syllables are backwards - it's Relistor
Subject: the syllables are backwards - it's Relistor


in abbr. book backwards mIU stands for one-millionth
Subject: in abbr. book backwards mIU stands for one-millionth

International Unit
He was dictating it in the
Subject: He was dictating it in the

medication section of an H&P.  That is all he said, no dosage, nothing to indicate what it was for.  Very strong accent and one of my hardest dictators.  I sent it in with a blank to QA, but am wondering.
Now he's dictating what s/l
Subject: Now he's dictating what s/l

Lowlins: As she lies supine...

Does anyone know of a good resource for infant exam terminology? Thanks!


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
I'm trying to think of a DO dictating joke, but I can't sm
Subject: I'm trying to think of a DO dictating joke, but I can't sm

think of one. I was hoping you had one! "Osteopathic disease" just struck me funny. :)

Student dictating.
Subject: Student dictating.

This is John Doe [s/l PSM or PSU] dictating for Dr. John Doe, M.D.


Does anybody have any ideas what the initials are.  What are the initials for someone dictating for the doctor?


 


Thanks for your help!


MD is dictating the ABG values. sm
Subject: MD is dictating the ABG values. sm
























listen carefully for these:


 


Normal Arterial Values

Range
pH 7.35-7.45
pCO2 35-45
pO2 80-100
O2 Sat. 95-100%
HCO3 22-26
BE +or-2

 




maybe it's 0.5 mg - doctor not dictating the 0
Subject: maybe it's 0.5 mg - doctor not dictating the 0

nm
dictating hospital course says...
Subject: dictating hospital course says...

the patient was admitted to the medical floor, s/l med MPO????? with appropriate studies obtained. 
student dictating
Subject: student dictating

it is a student dictating but she is fairly clear - it sounds just like Vario but I can't find anything like that anywhere.
she was just dictating the height of *157-3/8 cm*
Subject: she was just dictating the height of *157-3/8 cm*

I flagged it and sent it in - let QA figure that one out. but thanks for trying!
dictating warfarin 7.5 mg qiw - - ?
Subject: dictating warfarin 7.5 mg qiw - - ?


I'm going with push-gut; it's what he is dictating.
Subject: I'm going with push-gut; it's what he is dictating.


Dr. says he is dictating a s/l sin-A or Ten-A fluoroscopy *NM*
Subject: Dr. says he is dictating a s/l sin-A or Ten-A fluoroscopy *NM*


Are they dictating "a TSH too is normal? nm
Subject: Are they dictating "a TSH too is normal? nm


He is dictating it as the technique for the MRI.
Subject: He is dictating it as the technique for the MRI.

TECHNIQUE: T2 axial SPUR, T1 sagittal, proton density sagittal SPUR, T2 coronal SPUR, T1 coronal sequences of the left knee without contrast in a 1.5 Tesla magnet.
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.
Pulm. dictating lab values...
Subject: Pulm. dictating lab values...

Doing a pulmonologist's report - he's dictating lab values, this one s/l "b-nitrotic peptide?"   I usually do radiology so this is new territory to me...
Thanks to all of you - she needs to stop snacking while dictating!
Subject: Thanks to all of you - she needs to stop snacking while dictating!


I would change it to allow. What testament is he dictating from? LOL
Subject: I would change it to allow. What testament is he dictating from? LOL


What are we dictating here? Exact phrasing etc?nm
Subject: What are we dictating here? Exact phrasing etc?nm


ESL dictating lab tests.....patient had
Subject: ESL dictating lab tests.....patient had

a TSS or DSS level checked?  TIA!!
that was what I thought but when she kept dictating it decubiti
Subject: that was what I thought but when she kept dictating it decubiti

I thought maybe I was wrong.  Needed a real second opinion - from other than MD.  Thanks
I've been told he may be dictating to someone he knows well and
Subject: I've been told he may be dictating to someone he knows well and

You might have John Doe, M.D. in the address info, but doctor dictates "Dear Johnny." Is this what you mean? If that's the case, I would type it as he says it, as he may have a friendly relationship with him in addition to his professional relationship.

On the other hand, if he's dictating a personal nickname, like "Puddin", you should probably use the other name. :)
thanks! dictating "pickups", can't find.
Subject: thanks! dictating "pickups", can't find.


Doc keeps dictating football term and I'm
Subject: Doc keeps dictating football term and I'm

I've never heard of a corner back, but it doesn't sound like he's saying quarterback.

But when I search google, the patient is listed as a DB. Can someone clue me in, please?

I've already let one report go with quarterback, but now I'm concerned about it and don't want to make another mistake.

Is there a corner back...if so how do I type it? And what's a DB? Thanks.
Doctor is dictating medication s/l
Subject: Doctor is dictating medication s/l

Pain clinic doc is dictating s/l oxycet. He's not saying Roxicet or Oxycocet. Is there a drug called oxycet that anyone is aware of? Thanks.
keeps dictating pallorus, is there such a word
Subject: keeps dictating pallorus, is there such a word