some docs say ABduction and ADduction
Posted By: Pammie on 2009-06-29
In Reply to: ABduction or abduction of the vocal cords? - Michele
Subject: some docs say ABduction and ADduction
In my dictation, they will dictate A B -duction and A D -duction to separate the words because abduction and adduction sounds so much alike. Just been my experience. I have never posted a reply, but thought I could offer some advice on this one. Hope it helps.
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abduction vs adduction
Subject: abduction vs adduction
I will try to make this question make sense -
When a doctor dictates A-B-duction or A-D-duction, is he supposed to say 3 letters on one or the other? i.e. ABD-duction or ADD-duction? I'm just wondering if there is a rule that they go by that will help me to better know which one they are trying to say when they are not too clear.
Dictator is just clarifying the word...abduction with a "b" and adduction with a "d". nm
Subject: Dictator is just clarifying the word...abduction with a "b" and adduction with a "d". nm
No, just the 2 letters to give you some direction. ABduction or ADduction.
Subject: No, just the 2 letters to give you some direction. ABduction or ADduction.
s
abduction? adduction? apprehension? Google signs + shoulder testing. nm
Subject: abduction? adduction? apprehension? Google signs + shoulder testing. nm
s
ABduction or abduction of the vocal cords?
Subject: ABduction or abduction of the vocal cords?
.
?abduction" nm
Subject: ?abduction" nm
abduction
Subject: abduction
The dictator is just giving you help that it's "abduction" rather than"adduction." They just give you the first two letters to help differentiate.
as in flexor abduction?
Subject: as in flexor abduction?
I know that's the opposite but if the finger is messed up...
Word help (abduction)
Subject: Word help (abduction)
To the best of my knowledge it would be "abduction" but there are so many client specifics these days that I hesitate to give advice.
While I'm about it, I hesitate to give word help on this board because my rules are:
1) Never ever guess. If in doubt leave a blank. More preferable would be that there is soemone you can call who can listen to the actual dictation. If I could hear the actual dictation I could likely tell you what the words are but I won't guess and guessing is what most of the word help requests would be, even though I could usually "guess" at the answer. That is not appropriate for anyone to do.
2) Lacking anyone to call, my best advice would be to leave a blank and send to whatever editor department your company has. Ask them for feedback but don't be surprised if you don't get it.
3) Make a note of the word request as you post here and when your day's work is done, do some research. A good rule of thumb, if you don't find the word in 5 minutes, you aren't likely to find it. Maybe your own physician or his nurse would be willing to help you. Use your dictionary and all your hard word books, research the internet and then learn what the term/word/sentence actually means and you won't soon forget that way. I always maintained a "help" relationship with a pharmacist that I could call for new meds. Always had one willing to take the time to look in his "book" and find the med. Pharmacists have THE latest medication names, uses and dosages...they have to.
Don't despair, one day you will know the terms just by being able to get a sound because you will know what the word is because you will understand how it fits or doesn't fit in the dictated sentence. In the meantime never ever guess and don't let anyone guess for you. I promise you'll always guess wrong.
I've always told my students that they should expect to take 5 years before MT-ing finally clicks. Count on it, about the 5 year mark it will suddenly all click and you'll take off like a kite. That is provided you continue to learn and learning is really a self-study thing.
limited IN opposition and abduction nm
Subject: limited IN opposition and abduction nm
x
Sounds good to me. Thumbs-down abduction it is
Subject: Sounds good to me. Thumbs-down abduction it is
you are right, it does read better that way...but either way no comma needed after abduction nm
Subject: you are right, it does read better that way...but either way no comma needed after abduction nm
s/l ill-fill hip abduction brace? more info inside
Subject: s/l ill-fill hip abduction brace? more info inside
Toddler with bilateral acetabular dysplasia. Doc prescribes s/l ill-fill (L-field?) hip abduction brace. TYIA!
FABER (flexion, abduction, external rotation)? NM
Subject: FABER (flexion, abduction, external rotation)? NM
x
FABER stands for Flexion, Abduction, and External Rotation of the hip.
Subject: FABER stands for Flexion, Abduction, and External Rotation of the hip.
FABERE (Flexion, ABduction, External Rotation, and Extension)
Subject: FABERE (Flexion, ABduction, External Rotation, and Extension)
Probably adduction contracture (MDs tend to say AD duction contracture)
Subject: Probably adduction contracture (MDs tend to say AD duction contracture)
Yep, it's okay. Docs say that often. nm
Subject: Yep, it's okay. Docs say that often. nm
x
Thanks...sometimes I think these docs should...
Subject: Thanks...sometimes I think these docs should...
type themselves for once and listen to some of the things they say. I bet they would think twice after that...:-)
Some docs
Subject: Some docs
actually dictate ABGs in this manner. They say a number then slash then another number then slash, etc. That is how they want it transcribed. Just make sure your numbers are correct and you are set to go!
should say *my* docs
Subject: should say *my* docs
like the docs who are always ...
Subject: like the docs who are always ...
... putting "metatarsal" in the hand dictations. Plantar may be technically okay, but it seems like if he were more careful he would say palmar.
Our docs
Subject: Our docs
usually say normocephalic.
I have docs that use it
Subject: I have docs that use it
but my account is not crazy weird picky, either. I haven't heard of it being unacceptable. If it's worth your time, I'd question QA about it and ask her why she changed it.
I have docs
Subject: I have docs
who add extra letters to lots of words, if it make them easier to pronounce. Kind of weird, but it happens.
Docs
Subject: Docs
make up lots of words...they make lots of mistakes (ergo malpractice insurance)...they even misspell lots of words. If we have to deal with their ineptness, they can deal with blanks. JMHO. :-)
With some docs..
Subject: With some docs..
that wouldn't be a stretch at all but a very good guess. :-)
It's not the docs I'm concerned about, or QA, when it comes to my...
Subject: It's not the docs I'm concerned about, or QA, when it comes to my...
work as an MT,
You don't add in mg or mcg, etc. unless it's dictated. The docs know
Subject: You don't add in mg or mcg, etc. unless it's dictated. The docs know
s
that's how my derm docs like it - sm
Subject: that's how my derm docs like it - sm
same with T zone.
ONLY if your QA, account, or docs want it to be so. Not everyone
Subject: ONLY if your QA, account, or docs want it to be so. Not everyone
s
The docs are correct. (nm)
Subject: The docs are correct. (nm)
.
the docs are incorrect
Subject: the docs are incorrect
there must be ownership to use an apostrophe. The word Smith does not show ownership to anything.
If the sentance read Dr. Smith's patient, then yes the apostrophe is used.
that's the section m docs usually put it in.
Subject: that's the section m docs usually put it in.
No, it is not. Docs do not always spell
Subject: No, it is not. Docs do not always spell
x
Some of my docs do list..sm
Subject: Some of my docs do list..sm
each artery's findings separately and I number them along the left under each other. Just use your common sense so you end up with a clear report. Good luck. I remember when I first started doing caths and it wasn't easy.
know how the docs are... making up as they go sm
Subject: know how the docs are... making up as they go sm
They are two separate ligaments but he is probably putting them together.
Most docs say "hypertrophy" when they
Subject: Most docs say "hypertrophy" when they
say it out instead of abbreviating. But, when in doubt, use the abbreviation, even if in diagnosis.
With docs like that, the only way to learn
Subject: With docs like that, the only way to learn
them is to do them repeatedly. When you get your QA feedback, make sure you keep it for further reference. I have been doing this for 25 years and there are still docs I can't understand and/or cringe when I get them. Some of them are totally impossible.
My docs always say "give-way"
Subject: My docs always say "give-way"
x
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm
The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.
But sometimes there's a clue in what's being tested, blood or urine, and/or the diagnosis.
Also, if you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.
If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!
Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
I have a couple of docs that do this. sm
Subject: I have a couple of docs that do this. sm
The terms sound similar anyway, and if they say them a little too fast, or there's a flaw in the sound, these words sound exactly the same.
Is there a clue in the dx?
If you can slow the sound down a little, sometimes you can hear a slight difference, just enough to know it's one or the other.
If that doesn't help, the best thing would be to send on to QA. If they can't figure it out, the docs may become tired of blanks and learn to enunciate more clearly. How difficult could that be!
Sorry I can't be of more help, but maybe someone else has a foolproof way to tell.
I have found that some docs
Subject: I have found that some docs
will use that abbreviation for lymphadenopathy. Just a suggestion.
Lots of docs
Subject: Lots of docs
say patellar crepitus as patellar is referring to the patella. Just another way to say patella crepitus. :-)
The ortho docs
Subject: The ortho docs
I type for will often say a "toggle" of motion, meaning just a tad. :-)
welcome; got it from my docs that dictate it as i never could figure them all out either, lol. nm
;
No such word. Docs make up their own. This is where the MT comes in. :) nm
Subject: No such word. Docs make up their own. This is where the MT comes in. :) nm
:)
Hmm, some docs say strange things
Subject: Hmm, some docs say strange things
new paragraph, new line, etc. Does dictator say that word you are hearing between paragraphs or headings?
is there anything after this? (some docs say "stop" for end of sentence) nm
Subject: is there anything after this? (some docs say "stop" for end of sentence) nm
I agree, but do you think docs are gonna--sm
Subject: I agree, but do you think docs are gonna--sm
say pyelonephritis or polynephritis. which is easier to say? Docs are not always accurate either. I have had many a doc say polynephiritis.
not all docs use the anterolateral thing--sm
Subject: not all docs use the anterolateral thing--sm
mine use the two words, like anterior lateral, although there is an intralateral too. good luck.
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