that's right catch it, check it, change it
Posted By: For harmful thoughts on 2007-07-26
In Reply to: Psych help - countrymt
Subject: that's right catch it, check it, change it
nm
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- Psych help - countrymt
- that's right catch it, check it, change it - For harmful thoughts
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has a catch? please help, tia
Subject: has a catch? please help, tia
I am so confused right now. He says patient has a s/l "catch" in the right lower quadrant. is this right? what is that? tia
Maybe it will catch on!
Subject: Maybe it will catch on!
I had to laugh at that one. I like the idea of a single one being called a support "ho"
This is correct but there is a catch..
Subject: This is correct but there is a catch..
if the doc dictates "eleven thirty", then you would type it as 11:30 and make sure you use the digital format throughout the remainder of the report to keep consistency. (i.e.: The patient had a palpable lump at 11:30 in the right breast and at 1:00 in the left breast.) Do not type 11:30 o'clock (even though some will actually dictate it that way).
If all locations are on the "whole" hour then you do use the format of 11 o'clock.
cannot catch this one either...doc with accent
Subject: cannot catch this one either...doc with accent
A 22-gauge long spinal needle was inserted directly into the (s/l-THEP) joint. It's not hip. I'm sure of that. It sounds like it starts with a TH or an F. This is for a fusion for a spinal fracture.
THANKS!
catch, click? nm
Subject: catch, click? nm
oh thank you!! He says this A LOT and I could never catch the word. nm
Subject: oh thank you!! He says this A LOT and I could never catch the word. nm
d
Awesome catch-
Subject: Awesome catch-
nm
spellcheckers dont catch everything;...
Subject: spellcheckers dont catch everything;...
go ahead and add it in
silly me catch/patch
Subject: silly me catch/patch
I just realized you asked about CATCH, NOT PATCH!
It's just one of those days!
Anyway, you couldn't pay me enough to have another blood patch, much less 3!
Oops!
I can't catch a "J" sound. It's at the beginning
Subject: I can't catch a "J" sound. It's at the beginning
That's what I thought at first.... I'll try listening again. I wish these docs would sometimes give a medical history.
Thank you!! :)
thanks! I'm auditing... didn't catch it! whew! nm
Subject: thanks! I'm auditing... didn't catch it! whew! nm
wow! didn't catch that until you wrote, Debra. thanks much - corrected it. - n/m
Subject: wow! didn't catch that until you wrote, Debra. thanks much - corrected it. - n/m
How about FAIRLY PROMINENT FACET CHANGES (GOOD CATCH!)? nm
Subject: How about FAIRLY PROMINENT FACET CHANGES (GOOD CATCH!)? nm
Good catch on the MALT lymphoma, sassee.
Subject: Good catch on the MALT lymphoma, sassee.
I'll bet you are right.
That's possible. I need to watch some football this weekend and catch up on this stuff!
Subject: That's possible. I need to watch some football this weekend and catch up on this stuff!
nm
These are the usual drugs associated with dysuria, maybe you can catch something that sounds similar
Subject: These are the usual drugs associated with dysuria, maybe you can catch something that sounds similar.
Drugs associated with Dysuria
Azo-Gesic
Azo-Standard
Azo-Standard
Baridium
Baridium
Eridium
Eridium
Flavoxate
Flavoxate
Flavoxate
Phenazo
Phenazo
Phenazopyridine
Phenazopyridine
Prodium
Pyridiate
Pyridiate
Pyridium
Pyridium
Re-Azo
Urinary Analgesic
Urispas
Urispas
Urispas
Uristat
Urodol
Urogesic
Urogesic
Viridium
Viridium
allergy test results...need help, she rattles them off so fast I can't catch some of the words. s
The patient’s allergy tests were reviewed and positive for dust mites, Alternaria, "homenthum spurium", timothy grass, cedar, mesquite, marsh, "utter pigmia", and sage.
Thanks for any help.
OB.. she returns for a string check?? or Estring check?? Thanks
Subject: OB.. she returns for a string check?? or Estring check?? Thanks
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
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
Personally, I'd change it to, I was able to
Subject: Personally, I'd change it to, I was able to
get in touch with the patient's daughter, as I am my own QA. My doc lets me spritz up his letters all the time.
unless you change sentence
Subject: unless you change sentence
I'd leave it because he obviously means that patient had no precipitating symptoms of the chest pain, etc.
see messge - I would change to
Subject: see messge - I would change to
arthroscopy of lateral retinaculum.
I usually change this to bear weight
Subject: I usually change this to bear weight
I think your safe to change this one. Verbatim SM
Subject: I think your safe to change this one. Verbatim SM
is not always possible, especially with ESLs. Wouldn't think doc would mind if you made it more understandable and it doesn't change the meaning.
...and no overall change...??? Is the 'z' sound very pronounced? nm
Subject: ...and no overall change...??? Is the 'z' sound very pronounced? nm
s
AAMT is not to blame here (for a change). sm
Subject: AAMT is not to blame here (for a change). sm
I bought the American Medical Association style guide and it, too, reflects these changes. AAMT BOS is just a trickle down from the AMA, Chicago Manual of Style, and the other many sources of which it is comprised. The changes are industry-wide, not just for us, but our work is what is permanent on the patients' charts so we have to pay particular attention to them.
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