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sorry - ostial - hate when I turn off my expansion

Posted By: program! NM on 2007-01-24
In Reply to: 50% osteal left main - NM

Subject: sorry - ostial - hate when I turn off my expansion

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did you try ostial cuff? nm
Subject: did you try ostial cuff? nm

x
ostial circumflex (artery)
Subject: ostial circumflex (artery)


ostial (as in ostium=opening) nm
Subject: ostial (as in ostium=opening) nm


Possibly ostial occlusion for first part (???), still checking on second....nm
Subject: Possibly ostial occlusion for first part (???), still checking on second....nm


ostial or even obtuse marginal if it's real bad slur..nm
Subject: ostial or even obtuse marginal if it's real bad slur..nm

s
he had significant disease of an ostial diagonal as well as an AV s/l gurve circumflex. thank you
Subject: he had significant disease of an ostial diagonal as well as an AV s/l gurve circumflex. thank you


CMP expansion
Subject: CMP expansion

Is comprehensive metabolic profile/panel the same as complete metabolic profile/panel?  I'm just wondering how to expand CMP in the diagnosis. 


Thanks!


What is the expansion of CK-MB?
Subject: What is the expansion of CK-MB?


I would type it just as you have it without expansion. nm
Subject: I would type it just as you have it without expansion. nm

x
Proper expansion ER/PR
Subject: Proper expansion ER/PR

I'm typing an assessment for a lady with breast cancer and the physician says ER/PR positive.  Can someone please tell me the correct expansion for that.  I know it is estrogen and progresterone receptor, but not sure of the correct way to type it.
What is the correct expansion for BNP?
Subject: What is the correct expansion for BNP?

Is it B-Natriuretic Peptide? or B-natriuretic peptipain? Find both ways consistently. Thanks.
IT wound expansion?
Subject: IT wound expansion?

I am supposed to expand everything in the Diagnoses sections of reports.  Any guesses as to what the correct expansion would be for IT wound?


1.  Postoperative laparoscopic repair of chronic right IT wound.


ESWL expansion?
Subject: ESWL expansion?

I have always been taught ESWL stood for electric shock wave lithotripsy.  However, I stumbled upon a web site today for says ESWL stands for extracorporeal shock wave lithotripsy.  Are these interchangeable??  Which do you use when your doc just says "ESWL" and you need to expand it?


Thanks for any info!


Correct expansion of CPK
Subject: Correct expansion of CPK

CPK stands for CREATINE phosphokinase. Use of CREATININE phosphokinase to stand for CPK is a common mistake made by many docs and MTs. I don't think a CPK level would be a first-round test for fatigue.
I would type 0 to 100. As to expansion,
Subject: I would type 0 to 100. As to expansion,

it is per the client's preference.
tissue expansion is the only thing I can
Subject: tissue expansion is the only thing I can

imagine it would be.
it IS tissue expander or expansion....
Subject: it IS tissue expander or expansion....

they put in tissue expanders before actually doing the tissue expansion in which patients return for fills to the expanders until they are at a proper volume, usually at which point the expanders get changed out for permanent implants (gel or saline).


 


Does anyone know the expansion for EBI (as in EBI bone stimulator) ? mn
Subject: Does anyone know the expansion for EBI (as in EBI bone stimulator) ? mn


Don't know what type of expansion program you use...sm
Subject: Don't know what type of expansion program you use...sm

but since mibi is usually the part heard, make an expansion with that, then you will be able to see that word that is on the tip of your tongue.  I do that with certain medications, instruments and procedures that I often forget.  I make the expansion from what I usually hear, then sometimes back it up with a better description of the correct term.  Good thing the expansion programs have a lot of memory cause my brain seems to get overloaded or just downright DUH some days!  Glad we could help you! 
Do you use word expansion software?
Subject: Do you use word expansion software?

I use SmartType and something similar happened to me regarding the gobbling up and the hour glass going crazy. I ended up getting more computer memory and it quit happening.  Also, if Word 2003 is bundled with MicroSoft Works or MicroSoft Office, it will also happen.
I had to turn this in already....SM
Subject: I had to turn this in already....SM

Hi,

My QA person marked only 7 items tramscribed wrong--don't know how that could be, but I'm not gonna' argue with her, lol.

Two of the dictators were ESL's, which didn't help matters. But it turns out that my 3rd was an absolute dreaaaaam boat of a dictator, almost made me want to tough it out and do more ops...probably NOT.

Thanks for all your attempts to help and give support regardless.

--ALS



Yeah, my manager and I are going to have to chat today without a doubt.
I had to turn it in. Thanks anyway!
Subject: I had to turn it in. Thanks anyway!

x
my turn for help please
Subject: my turn for help please

MD states: "a patient who presented with dehydration, (s/l annonition), fatigue and weaness. Thanks in advance...
My turn - help please with med.
Subject: My turn - help please with med.

Says clearly under a list of about 1000 medications s/l zenapril 2.5 mg once a day? Thanks folks ... I'm tired
Can someone tell me how to turn off whatever...sm
Subject: Can someone tell me how to turn off whatever...sm

it is I turned on in Word.  It now shows all the backward "P's" for every paragraph and there is a dot everywhere I hit the spacebar.  I used to know how to turn this off but I don't remember.  Thanks. 
My turn...Lab help please
Subject: My turn...Lab help please

Sentence reads:

Smear was reviewed and showed macrocytes, occasional macrocytic cells, but not hyperchromic, occasional basophilic stippling, a few polys with 4-5 lobes but none with more than 5 lobes and less than 20% has 5 lobes, no granulation of her polys, no S/L Pelletier-Hewett cells?


She is talking like her pants are on fire, so it is hard to decipher any of this...


Thank you


It's your turn to educate QA
on page 776 of Stedman's Surgery Words, 2nd edition, under Toldt, is white line of... QA affects your record with the company, not to mention the principal involved -- i would send QA the info (being professional of course) with a blind cc to the MT mgr or someone else.
A turn plasty.. Anybody know what
Subject: A turn plasty.. Anybody know what

Its on a breast cancer patient dictated by Plastic Surgeon.  The sentence:  The patient had a turn plasty by Dr. --     The wound is not healing........
TOT can also mean turn around time.
Subject: TOT can also mean turn around time.

x
TAT is turn-around time.
Subject: TAT is turn-around time.

x
Thanks. I had to turn it in flagged.
Subject: Thanks. I had to turn it in flagged.

But I'll save the word for next time.
I would say that doctor means dicontinued. I prefer to use the expansion instead of dc'd.
Subject: I would say that doctor means dicontinued. I prefer to use the expansion instead of dc'd.


Clear as day... TURN PLASTY
Subject: Clear as day... TURN PLASTY

I tried and tired to hear something different, but its pretty clear.. THANKS To YOU BOTH
I am stuck on this question and have no where else to turn
Subject: I am stuck on this question and have no where else to turn

X-ray with and without ________ does show some ______ under the diaphragm.
probably turn-back maneuver
Subject: probably turn-back maneuver

The cystoscope goes up in the bladder and "turns back" to look at the bladder neck. He may be making the term up but it makes logical sense.
s/l finger turn technique
Subject: s/l finger turn technique

C section incision extended laterally with s/l finger turn technique
Cardio. Dictates ostium to TM in Impression. Can't find expansion...
Subject: Cardio. Dictates ostium to TM in Impression. Can't find expansion...

 that makes sense in any references and nothing in rest of dictation that connects.  Got any ideas?


Gracias!


just go into control panel and turn all the sounds off, that is what i did.
Subject: just go into control panel and turn all the sounds off, that is what i did.

x
Thank you... my brain finally decided to turn on now that I am done.
Subject: Thank you... my brain finally decided to turn on now that I am done.


Yes they turn the baby from breech to vertex
Subject: Yes they turn the baby from breech to vertex


Never heard it, but could it be a twist-turn technique? n/m
Subject: Never heard it, but could it be a twist-turn technique? n/m

X
Don't you hate it when
Subject: Don't you hate it when

They yawn, spit, sputter, spew, mumble, eat, while they're dictating! Wake up guys! You're talking to a PERSON!

I know. I hate when they do this.
Subject: I know. I hate when they do this.

They always make up their own words so I probably will give him what he said and let them figure it out. LOL

Thanks
i hate BOS..sm
Subject: i hate BOS..sm

sometimes you just have to tell yourself, "if it doesn't change the sentence/meaning, don't worry about it.
I had to turn it in with a blank, although I looked in Stedman's before and could not match the s
Subject: I had to turn it in with a blank, although I looked in Stedman's before and could not match the sound with anything listed.


Need help with terminology. Please sm - need to turn report in ASAP. Help is appreciated.
Subject: Need help with terminology. Please sm - need to turn report in ASAP. Help is appreciated.

The patient was referred for a left thyroidectomy  which showed benign, hyperplastic follicular nodules, s/l mild field of focali, moderate chronic thyroiditis with focal Hurthle cell metaplasia consistent with Hashimoto’s thyroiditis.


Does the mild field of focali make sense??  He is difficult to understand.  Thank you in advance.


Yeah, I know, I just hate...
Subject: Yeah, I know, I just hate...

to leave a blank. I just picked up for someone on vacation and I hate to have a blank on the first dictation      ...ah well. Thanks anyhow!
Ha! I hate it so much I gave away the
Subject: Ha! I hate it so much I gave away the

only psych reference book I had. It was the old Stedman's one that had psych and neuro mixed together. HATED that book, LOL.

Not only is psych boring, but a lot of it is actually drug rehab, and those patients' problems are 95% self-inflicted out of pure foolishness.


I hate cardiology!
Subject: I hate cardiology!


T-wave inversions in V4 through V6, I and aVL


my question is about the V6, is it I or 1? ASR had typed V6-1.


I get confused with the Roman vs Arabic in cardiology. Anybody have a good reference website?  TIA!!!!


to 'I hate hyphens'.........s/m
Subject: to 'I hate hyphens'.........s/m

After thinking it over I came to teh decision tht I would say this is the right way..

'The patient is a 40-week, appropriate for gestational age, female infant.'


This is the version that makes most sense.
THANKS-don't you hate it when you doubt yourself?
Subject: THANKS-don't you hate it when you doubt yourself?