thanks a lot! i think i'll jst have to let the doctor edit what he said. LOL!
Posted By: Luke S. on 2007-06-14
In Reply to: What we think is clearly stated can be most clearly - NOT correct! nm Go with your resources!
Subject: thanks a lot! i think i'll jst have to let the doctor edit what he said. LOL!
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Thank you. This particular doctor isn't verbatim so I'll use that! :)
Subject: Thank you. This particular doctor isn't verbatim so I'll use that! :)
Thanks! Doctor is dictating it as possessive, so I'll leave it.
Subject: Thanks! Doctor is dictating it as possessive, so I'll leave it.
x
edit
Subject: edit
No increased dated degrudge, plus 2 without bruits. Lungs clear to auscultation
if you really want to know you have to use BOS 3rd edit, I still use 2nd, /nm
Subject: if you really want to know you have to use BOS 3rd edit, I still use 2nd, /nm
nm
edit: Probably LFT, right?
Subject: edit: Probably LFT, right?
I didn't hear the F but that's probably it, isn't it? D'oh!
I wouldn't .... I would edit (sm)
Subject: I wouldn't .... I would edit (sm)
to "history of multiple episodes of pharyngitis in the past"
I am allowed to edit and correct
Subject: I am allowed to edit and correct
I am allowed to make changes to what he says, which is why I asked the question. I am allowed to edit and change what the doctor says and how he says it - and I do a lot of that in the course of the day because some of the things he says are just a mess. "Retarded" did seem a little derogatory to me and I think I will put it in better terms than that.
I guess it comes down to what the rules are that you work by - whether you can edit or if you are verbatim. If it was verbatim I wouldn't have questioned it (even thought I personally feel it is insulting) but since I have the option to change it, I was just wondering what the correct term was now because I know it keeps changing. Thanks for all the opinions!
Phrase: Heart: No edit sounds
Subject: Phrase: Heart: No edit sounds
Thank you guys!
thinking on it, probably would sound better to edit to "high ammonia level" .nm
Subject: thinking on it, probably would sound better to edit to "high ammonia level" .nm
Thank you - I'll think I'll do that instead of the abbreviations. - NM
Subject: Thank you - I'll think I'll do that instead of the abbreviations. - NM
NM
ESL doctor - please help!!
Subject: ESL doctor - please help!!
Dictator says this word twice, but it sounds different each time and I don't think either is correct...
This patient recently got a diagnosis of Soft Tissue Rheumatism: He says:
She has a history of pelvic and scapular s/l tills, polyarthralgias, tight hamstrings and stated she has lost weight.
And in the other spot it sounds like he is saying pelvic and scapular tilts. Any ideas? Thanks!
Doctor's Name
Subject: Doctor's Name
I use MedWeb all the time. It is a great site! Check it out.
Help please PT doctor
Subject: Help please PT doctor
He sounds like he is saying towel and tilt testing. I can find tilt testing but not towel testing. Is there such a thing or am I hearing it incorrectly? 
for an ENT doctor
Subject: for an ENT doctor
Anyone ever hear of what s/l boyette, voyette, goyette, ????? solution??? (used with packing the nose after surgery.........antiseptic ??????
I always put it exactly as the doctor says it
Subject: I always put it exactly as the doctor says it
Sometimes they say "levocurvature" instead of "levoscoliosis" because the curvature may be caused by the way the patient is positioned. The doc may be reluctant to diagnose a scoliosis on the basis of just one study.
Don't think so, but thanks anyway! Think doctor
Subject: Don't think so, but thanks anyway! Think doctor
Yes, the first one was a doctor name! Thanks to both of you!
Subject: Yes, the first one was a doctor name! Thanks to both of you!
the doctor is saying...
Subject: the doctor is saying...
(s/l) xanthalomas, but does he mean xanthomas? "He has the presence of xanthomas around the nasal portion of the orbits bilaterally."
The doctor is saying
Subject: The doctor is saying
“anichomycosis" Had several people listen and this is what he is saying, but all I find is onychomycosis. Was wondering if you can get that type of fungus on his nose from a fungus from the nail.
yes it is an ESL doctor!
Subject: yes it is an ESL doctor!
s/l she has gone detroit/detroph before..
"to try it" make sense in this context...
Anything's possible with this doctor - Thanks.
Subject: Anything's possible with this doctor - Thanks.
NM
could the doctor be saying
Subject: could the doctor be saying
urethritis/gonorrhea? I am finding this...just a guess.
If the doctor says...
Subject: If the doctor says...
The patient is issued *DME* of a sling-and-swathe to be used postoperatively.
What would be the correct thing to type out for DME? durable medical equipment?
The patient is issued a durable medical equipment of a sling-and-swathe to be used postoperatively. Just doesn't sound right :-( tia.
I believe the doctor is..
Subject: I believe the doctor is..
talking about the patient taking hydrochlorothiazide as a neuroleptic medication. Does that sound correct? TIA.
I can't tell what the doctor
Subject: I can't tell what the doctor
is dictating...lol. Not sure if it is neuralgic or neuralgia..thanks for your help.
if the doctor say L2 3 sm.
Subject: if the doctor say L2 3 sm.
is it written L2-3? The patient has a central angular tear at L2-3. tia.
I'll try to help you, but...
I agree with the other poster. I mean this in the nicest way possible, so please don't take this wrong. A little research could have answered these for you. Here goes anyway...Astelin nasal spray, Scalpacin, ranitidine (you had this one right, googling it would have confirmed it), Feldene, bupropion hydrochloride, and Temovate (this one may not be what you need, google for more info).
If you don't have drug reference books, Quick Look Drug Book is a great book. Also, you can go to www.fda.gov and then click on drugs, and it will take you to the drugs@fda site, which is great because you can enter just 3 letters of the word. Also, if you know what the drug is used to treat, type in that condition in google, and you can often find several drugs listed for that condition. For example, "stop smoking medications" will pull up bupropion hydrochloride.
Good luck!
.
okay I'll go first
Subject: okay I'll go first
I type them, even though they come up on spell check. I have never had a report back with any of those types of words corrected. If the doc says it, I type it and the docs seem to do that a lot these days.
I'll try that, Thank you.
Subject: I'll try that, Thank you.
Thanks ya'll!!
Subject: Thanks ya'll!!
Thanks, I'll do that.
Subject: Thanks, I'll do that.
THANKS -- I'll bet that is it. nm
Subject: THANKS -- I'll bet that is it. nm
x
I'll take it and run with it. Thanks! nm
Subject: I'll take it and run with it. Thanks! nm
s
Thank You - I'll do that - NM
Subject: Thank You - I'll do that - NM
NM
Okay, thanks, I'll try it.
Subject: Okay, thanks, I'll try it.
nm
HA - I'll bet that was it...
Subject: HA - I'll bet that was it...
I had to send it, but that must be it - THANKS!! Future reference. :)
You'll never believe.......
Subject: You'll never believe.......
it turned out to be ASCENDING aortic aneurysm....... would help if he spoke a bit clearer..................
THANKS!
I'll take that, thanks
Subject: I'll take that, thanks
Yes, I'll bet thats what it was; unfortunately...sm
Subject: Yes, I'll bet thats what it was; unfortunately...sm
a already sent the report in with a blank. Thanks though!
I think ya'll are right. Thx.
Subject: I think ya'll are right. Thx.
Thanks - I'll take it and run! nm
Subject: Thanks - I'll take it and run! nm
x
I'll add to this sm
Subject: I'll add to this sm
I was trained to do acute care, but spent 7 yrs doing clinic work. It IS a different ball game. I am frequently surprised by what I remember of my coursework and how often I use it, which is actually quite a lot. Then again, most of what I know is through a lot of time and hard work in this profession.
I took a job earlier that year on an account with 80% ESLs. This was the last major challenge I had waiting for me in this career (heavy ESLs are not everyone's cup of tea). I can do the most difficult and intricate of OP notes, but I wanted to continue to learn and grow. The ESL doctors have taught me a lot and sharpened my ear.
That is the thing about this business. There are many different types of work and many different ways in which it gets accomplished. Some of us have excellent ears and ESLs are fun for us. Some of us need the same set of doctors day in and day out, whereas others of us would be bored stiff with this. Some like acute care, some like clinics and some like both.
The knowledge comes over time. If you are as fortunate as I have been and have access to several excellent, accomplished and fast-answering MTs, you learn more and you learn it more quickly. People like MT50 are invaluable...to me too!
I'll bet you are right! Thank you!
Subject: I'll bet you are right! Thank you!
I looked up Allen-Masters syndrome, and it seems to fit the preoperative diagnosis of pelvic pain. He clearly says Masterson, though, so I'm afraid he'll get a blank for that part.
I'll look that up. Thanks :)
Subject: I'll look that up. Thanks :)
I was searching meds that started with et or at as well. I thought I heard a vowel before the t but could not be sure he was saying "a" then the name of the med or if the med started with a vowel. This doc likes to ramble and add lots of a's, um's and and's.
Thanks for your help :)
That's probably it. I'll look it over.
Subject: That's probably it. I'll look it over.
I'll keep it in-thank you! nm
Subject: I'll keep it in-thank you! nm
thanks!
LOL - I'll let the doc know!
Subject: LOL - I'll let the doc know!
I'll go with that - Thanks!
Subject: I'll go with that - Thanks!
I'll try.
Subject: I'll try.
I'll try to help. What is the body system or section?
Yes, I think I'll go with that. TY!!!
Subject: Yes, I think I'll go with that. TY!!!
I'll try.....
Subject: I'll try.....
Hemostasis with Bovie electrocautery was obtained in satisfactory condition.......mumble, mumble, mumble.....GRRRRR!
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