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no matter what they dictate, they are wrong...nm

Posted By: it's definitely drawer test on 2007-05-15
In Reply to: I have had two different docs say draw test--sm - DumDum

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




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


ok, me again. Periventricular white matter or paraventricular white matter changes?
Subject: ok, me again. Periventricular white matter or paraventricular white matter changes?


You are correct, doc either gave wrong dosage or wrong drug, would "flag" this for your QA dep
Subject: You are correct, doc either gave wrong dosage or wrong drug, would "flag" this for your QA dept if you have one.


Was this in wrong spot before? We had a slew of responses, all wrong! nm
Subject: Was this in wrong spot before? We had a slew of responses, all wrong! nm

s
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
it does not matter
Subject: it does not matter

it helps me to help them (if they are indeed trying to get a job).
Why would age matter?
Subject: Why would age matter?


Both mean the same. No matter what
Subject: Both mean the same. No matter what

BOS says to do, you go with what the client/MTSO wants you to do. Best advise is to check with your supervisor.
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
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!!!!! 
Just like that - there are no "rules" no matter
Subject: Just like that - there are no "rules" no matter

x
just because it doesn't matter to YOU
Subject: just because it doesn't matter to YOU

and google is NOT the authority on when to use which word. You can find errors all over the internet and I don't consider google a research tool unless it takes me to a manufacturer web site so I can find a copyrighted spelling.

A good dictionary and solid reference materials are needed. Additionally, the OP did not say the client wanted it one way or another so your bringing that into the equation makes you look as though you are trying to justify what you do, and I really do not care what you do. You are only trying to deflect the direction of the discussion to one in which you _win_ and you try to make me _lose_. The people here who lose are the ones who still don't know the CORRECT usage of the 2 words.

I stand my ground. The OP still does not know definitively how to use these 2 words based on this thread. And you can huff and puff and try to blow my house down but you still don't _win_.
Or even viscous matter? (nm)
Subject: Or even viscous matter? (nm)

(nm)
Either/or, matter of preference
Subject: Either/or, matter of preference


no matter what is in print -- sm
Subject: no matter what is in print -- sm

every company QA and/or account will set that rule.

You probably should ask them via email to get it in writing as it has been my experience this will vary from one QA gal to the next.


We use cc no matter what. Carbon is
Subject: We use cc no matter what. Carbon is

just an outdated term, cc now normally means courtesy copy.
s/l quiet matter?
Subject: s/l quiet matter?

There are moderately enlarged (Virchow-Robin) spaces within the hemisphere (quiet) matter
"white" matter ??
Subject: "white" matter ??


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?


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

nm
nope...don't want to either...again, just a matter of preference.nm
Subject: nope...don't want to either...again, just a matter of preference.nm

nm
Does not matter. All dosages are singular.
Subject: Does not matter. All dosages are singular.


don't know your subject matter but probably "biestrogen"...nm
Subject: don't know your subject matter but probably "biestrogen"...nm

nm
That's it. Thanks. It has been a really long day and week for that matter. Thanks again.
Subject: That's it. Thanks. It has been a really long day and week for that matter. Thanks again.


Ischemic white matter changes? nm
Subject: Ischemic white matter changes? nm

.
Okay, now I guess it is a matter of preference.
Subject: Okay, now I guess it is a matter of preference.


Why does it matter if the last word was a number?
Subject: Why does it matter if the last word was a number?

You are starting over with a new sentence which should have nothing to do with the previous one.  I've never heard of such.
white matter infarcts
Subject: white matter infarcts

What could possiblly represent old white matter infarcts concerning a Head CT?
what's the matter with you? Stop trying to be a psychologist..sm
Subject: what's the matter with you? Stop trying to be a psychologist..sm

Do you want to pick a fight with me? Don't get PERSONAL !
You have not contributed the least to the OP's question, so spare your imposing, empty posts!

I am a very happy person, contrary to you, why shouldn't I? You are the belligerent one.
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
OK, feeling stupid, but s/l *cruskt* of the matter.
Subject: OK, feeling stupid, but s/l *cruskt* of the matter.

 I have heard this phrase before but never really thought about how the word is spelled.


The *_____* of the matter with this patient is...


Thanks!


found vanishing white matter nm
Subject: found vanishing white matter nm


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. 


Maybe detritus, particles of organic matter or "garbage." nm
Subject: Maybe detritus, particles of organic matter or "garbage." nm

s