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orhopedic word help degenerative change at s/l asicrominally?

Posted By: Just an MT on 2006-07-31
In Reply to:

Subject: orhopedic word help degenerative change at s/l asicrominally?




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MRI shows that he has got degenerative disk disease, L5S1, with s/l mode of change
Subject: MRI shows that he has got degenerative disk disease, L5S1, with s/l mode of change


need to change the order of word entry sometimes
Subject: need to change the order of word entry sometimes


interventional cardiology medical device industry, Abbott Vascular provides ... WHISPER (HI-TORQUE WHISPER Coronary Guide Wire) ...industry, Abbott Vascular provides ... WHISPER (HI-TORQUE WHISPER Coronary Guide Wire) ...
but still, did not find. Might google Guidant.com

Issue 2, May 2006, Pages 233-246 Interventional Cardiology .... In rare cases, a hydrophilic wire, such as the Pilot or Whisper (Guidant), ...
linkinghub.elsevier.com/retrieve/pii/S0733865106000099 - Similar pages


degenerative? nm
Subject: degenerative? nm

x
could it be degenerative changes? nm
Subject: could it be degenerative changes? nm

x
Maybe degenerative
Subject: Maybe degenerative


I would say either degenerative arthritis or...
Subject: I would say either degenerative arthritis or...

has developed some arthritis.


Could it just be something like neuro-degenerative?
Subject: Could it just be something like neuro-degenerative?


degenerative scoliosis? nm
Subject: degenerative scoliosis? nm

x
Nope -- not degenerative.
Subject: Nope -- not degenerative.

He says degenerative all the time, this is not the same at all.
DJD - Degenerative Joint Disease
Subject: DJD - Degenerative Joint Disease

nm
degenerative/degenerating? narrowing? just a guess...NM
Subject: degenerative/degenerating? narrowing? just a guess...NM


cervical degenerative disk disease?
Subject: cervical degenerative disk disease?

x
s/l Norwood degenerative type disorder (sm)
Subject: s/l Norwood degenerative type disorder (sm)

doc has very strong accent.  patient being treated for urology services at clinic - catheterization.  patient is trach dependent and G-tube dependent.


Thanks for any help on this!


also, where ever it is it showed degenerative disk disease
Subject: also, where ever it is it showed degenerative disk disease


super imposed on degenerative arthritis and
Subject: super imposed on degenerative arthritis and

? scoliosis of the lumbar region.
CT L-spine: he says "small amount of degenerative s/l AIR
Subject: CT L-spine: he says "small amount of degenerative s/l AIR

"Small amount of degenerative s/l AIR collection demonstrated within the L3-4 facet joint."  Have never heard of this before and cannot document.  Help?


degenerative changes of the acetabular cercele/sir-seal region. Tx.
Subject: degenerative changes of the acetabular cercele/sir-seal region. Tx.


Ever heard of chronic degenerative chair of the supraspinatus
Subject: Ever heard of chronic degenerative chair of the supraspinatus

I tried to get change out of it, but just can't. Would tear make sense? 


Working on new ortho doc and he is giving me fits. Also, in the x-ray, he says:


Left shoulder, three views, supraspinatus s/l mantaplee demonstrates type 3 acromion.


Thanks!  About ready to pull out my hair.


Knee MRI: Degenerative signal s/l impress? Can't find this anywhere.
Subject: Knee MRI: Degenerative signal s/l impress? Can't find this anywhere.


Lumbar spine MRI. He says: Impression - ?quiet? degenerative changes.
Subject: Lumbar spine MRI. He says: Impression - ?quiet? degenerative changes.


Ankle degenerative joint disease with a s/l *loose spotty*
Subject: Ankle degenerative joint disease with a s/l *loose spotty*

This is a preoperative and postoperative diagnosis.  The procedure done was an ankle arthroscopy, debridement of anterior tibial spur, removal of *loose spotties*, and debridement of medial and lateral gutter.
Discharge Diagnosis: Degenerative Disk Disease, and s/l monalosis??
Subject: Discharge Diagnosis: Degenerative Disk Disease, and s/l monalosis??


The x-ray does show some degenerative joint disease with some "chondromaletic" patella. sm
Subject: The x-ray does show some degenerative joint disease with some "chondromaletic" patella. sm

is she making this word up? Thanks!
Left wrist sprain with probable TFCC degenerative tear and s/l bore bursitis?
Subject: Left wrist sprain with probable TFCC degenerative tear and s/l bore bursitis?

could be volar, does that make sense????
s/l Bez or all in change
Subject: s/l Bez or all in change

shows the patient in sinus mechanism 66 beats per minute, normal intervals, normal axis.  Voltage criteria for LVH and s/l Bezoiorall is change in comparison to prior EKG dated
Thanks so much to both of you. I will change to 6, 90, and -1. nm
Subject: Thanks so much to both of you. I will change to 6, 90, and -1. nm


I change that to:
Subject: I change that to:

I change elicitable (which to my knowledge has never been a "real word" to "able to be elicited."  My doctor dictator thanked me for this once (I was suprised that he noticed).  I checked this out with several transcripitionists that I have worked with who have lots of experience and are CMTs and they also edit this word to "able to be elicited." 
I'm not CMT and I change that the same way...nm
Subject: I'm not CMT and I change that the same way...nm

      
cc to mL - do you change cc to mL
Subject: cc to mL - do you change cc to mL

according to AAMT or do you type cc


Thanks


 


Would you change this...

Would you change CT head to say head CT? The doctor says CT head.


 


Thanx


VR change
Subject: VR change

He should point it out to his supervisor because it is wrong. I don't care what QA says unless they can show me a resource where they got their information and it checks out. I would also point out to the client this fact. If they don't want to have their transcription correct and concise then I don't want their work. Right is right, wrong is wrong. I am really strong on this especially since the "new AAMT" has made all their "changes" and believe their BOS is the bible. It is not. Many of their "rules" are correct. Many of the are not. Research some of their changes and you will see just how over the top they have gone (it seems to be a control issue and they WILL cram it down your throat). I say that we all research on our own and go to reliable trusted sources that have been proven over time to be correct. The "New AAMT" definitely has not proven itself over time and incidentally they are not there for Americans anymore, they are there for the "overseas community." Humbug on them! Anyone know who could take the place of AAMT for American transcriptionits? After all, we are all Americans here and the language is English.
I would change it to this
Subject: I would change it to this

patients blood pressure readings at home daily have been 90 percent plus.  Would leave as is or change........looks wrong. 


Patient's daily at home blood pressure readings have been 90%+. 


they can change...
Subject: they can change...

depends on what the MD hears on auscultation; that being said, it usually is 3/6, 2-3/6...etc... six is the prime as there are standard 6 heart sounds and the first number being how many of the 6 they hear.
When did p.r.n. change to p.R.n. and why?
Subject: When did p.r.n. change to p.R.n. and why?

nm
I would change it to (sm)
Subject: I would change it to (sm)

CPKs as it appears these labs were done multiple times if they are dictating MBs. I hope I'm making sense.

I'd put, CPKs were high but his MBs were normal.
I would change it to
Subject: I would change it to

Mrs. Smith is a patient on whom I performed rhinoplasty. but that is just me.
Just like you have it, why change anything?
Subject: Just like you have it, why change anything?

x
yeah! probably an "uh" in there.."uh, facet degenerative changes"
Subject: yeah! probably an "uh" in there.."uh, facet degenerative changes"


I always change that to *in regard*..sm
Subject: I always change that to *in regard*..sm

as for toward/towards, afterward/afterwards......both are acceptable as you said per the dictionary......so it depends on the MD I'm working for...I have one that is a stickler so I give him afterwards and towards as he says them.
Exactly, that is why I don't understand, QA does the same with H&H, they change it H and H. Nm
Subject: Exactly, that is why I don't understand, QA does the same with H&H, they change it H and H. Nm

x
...or 'otherwise no overall change"..??? nm
Subject: ...or 'otherwise no overall change"..??? nm

s
I would change it to ൜ mEq K/L" sm
Subject: I would change it to ൜ mEq K/L" sm

The dictator is "slanging" the order. Since what they're ordering is K (potassium) and that is measured in mEq, and since it has a unit of measurement (mEq), then the "/liter" needs to be abbreviated to /L... imho (wouldn't it be nice if they dictated PROPER medication orders?) :)
I'd change to "mg," as well, but (sm)
Subject: I'd change to "mg," as well, but (sm)

the manufacturer's site would seem to indicate it should be hyphenated, as you originally had it.
http://www.jnj.com/index.jsp?content=product/brands/NEUTRA_PHOS.htm
"Prior" change? nm
Subject: "Prior" change? nm

m
yes, but change it to "are"
Subject: yes, but change it to "are"

nm
it looks weird to me too...I always change it to...
Subject: it looks weird to me too...I always change it to...

it's not necessarily correct - but I think about pussy cats and so the *eye is crusty and has pus* is what I'd put. 
Would you change this sentence?
Subject: Would you change this sentence?

His eye contact was intermittent; most of the time his gaze was fixed on whatever toy he was playing with. 


...most of the time his gaze was fixed on whatever toy with which he was playing?


Not a verbatim account.


TIA


No, I wouldn't change it because
Subject: No, I wouldn't change it because

it is a myth that there is a problem with that sentence structure.
Do I change it when he dictates cc? nm
Subject: Do I change it when he dictates cc? nm

!
I would change it since account not
Subject: I would change it since account not

verbatim. LOL "hook up with"

Doctors are so funny.

If you are safe to change it, do it.
Subject: If you are safe to change it, do it.

nm