there gonna have to come to my house and make me change that lol nm
Posted By: patpey on 2007-06-19
In Reply to: Call me crazy, but I thought decimals were only for - Hayseed
Subject: there gonna have to come to my house and make me change that lol nm
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almost positive she is saying found to make change
Subject: almost positive she is saying found to make change
She is very soft spoken, so I have turned it up, slowed it down, speeded it up and it still sounds like found to make change.
If he says grade 2 out of 3, the only change I would make is to use numbers and not type out the wo
Subject: If he says grade 2 out of 3, the only change I would make is to use numbers and not type out the word "two". The rest is fine.
House bur
Subject: House bur
House
House-Brackman
Subject: House-Brackman
We always used DEXA when I was in-house nm
Subject: We always used DEXA when I was in-house nm
nm
House-Brackmann scale
Subject: House-Brackmann scale
nm
Sliding scale in-house ?
Subject: Sliding scale in-house ?
Assuming of course that this is an inpatient.
No clue from the tx to the hand? Would think "in basement" (of house)?? nm
Subject: No clue from the tx to the hand? Would think "in basement" (of house)?? nm
s
Ain't got nun and ain't gonna get nun...
Subject: Ain't got nun and ain't gonna get nun...
Sorry...excerpt from an old joke I heard at a comedy club in Boston once.
You are hearing it correctly. Some people will refer to a preist or a nun as "Father" or "Sister" and leave out their name. I met a priest once (just once) and I referred to him as just "Father" when I thanked him for doing whatever it is he did at my mother's wake. (Can you tell I'm not religious?) I didn't know his name or anything, and besides, that's what I heard everyone else around me call him.
I think the name Mary is just one of those many "good Irish-Catholic names"...kind of like the one I got stuck with but instead bury it with the name "Hayseed."
I'm Gonna Be
Subject: I'm Gonna Be
If I ever get through this shift. :)
thanks i'm gonna go w it
Subject: thanks i'm gonna go w it
d
think it is Omnipaque, gonna go for it!! Thanks
Subject: think it is Omnipaque, gonna go for it!! Thanks
I'm just gonna flag it - Thank you for trying! nm
Subject: I'm just gonna flag it - Thank you for trying! nm
x
don't think a website is gonna help
Subject: don't think a website is gonna help
I don't think there's a way to determine for sure. The fact that "another doctor" said it was ACL doesn't mean that's what they've decided the problem is. On the other hand, he could have switched "ACL" with "LCL" (like they always do right and left, metatarsal/metacarpal, etc.) Don't think there's a way to tell for sure. Sorry!
wanna, gonna, he's
Subject: wanna, gonna, he's
When i first got this account, I expanded contractions. Today I received a memo that I was supposed to type all words verbatim and not to add any extra words. I stopped expanding contractions, but this doctor is saying things like wanna, gonna, he's, there's... and then sometimes says want to, going to, he is, there is...
I feel so silly typing "gonna" and "wanna." Am I right to type these like this?
wanna, gonna, he's
Subject: wanna, gonna, he's
When i first got this account, I expanded contractions. Today I received a memo that I was supposed to type all words verbatim and not to add any extra words. I stopped expanding contractions, but this doctor is saying things like wanna, gonna, he's, there's... and then sometimes says want to, going to, he is, there is...
I feel so silly typing "gonna" and "wanna." Am I right to type these like this?
Hmm..could be..I'm gonna have to flag it. Thx.
Subject: Hmm..could be..I'm gonna have to flag it. Thx.
gonna mark that down
Subject: gonna mark that down
i've never typed that aphthous ulcers.. will have to remember that
no.....gonna have to put a blank....thx
Subject: no.....gonna have to put a blank....thx
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.
This is gonna sound numb, but what is MPR?
Subject: This is gonna sound numb, but what is MPR?
I'd love to put these into my file, and I'm not questioning the legitimacy (okay, I am, but I gotta because it's my patootie on the line), but is there a link to these bad boys you can share?
I'm gonna guess "fistula" here.
Subject: I'm gonna guess "fistula" here.
But I have been known to be totally wrong-o 
"I'm gonna go sniff some glue now"
Subject: "I'm gonna go sniff some glue now"
 
Thanks for your help! (Gonna leave a blank!) -nm
Subject: Thanks for your help! (Gonna leave a blank!) -nm
nm
I was gonna guess transit of barium
Subject: I was gonna guess transit of barium
but transudated fits definition-wise. I mostly hear transit in terms of things moving throug the bowel.
I've looked up both follicular and pellicular to see what fit...think this one's just gonna
Subject: I've looked up both follicular and pellicular to see what fit...think this one's just gonna' have to be blank. NM
NM
Glad you got it!! Thought it was gonna be a derm term! nm
Subject: Glad you got it!! Thought it was gonna be a derm term! nm
I wouldn't. Gonna and wanna are slang and not contractions.
Subject: I wouldn't. Gonna and wanna are slang and not contractions.
JMO
The only thing I can find close is subtilise meaning to make senses more keen or make one's sense
Subject: The only thing I can find close is subtilise meaning to make senses more keen or make one's senses more acute?
This is gonna sound nuts, but I knew a Clac product
Subject: This is gonna sound nuts, but I knew a Clac product
It was not a medication, rather an "environmentally friendly" fly repellent used on livestock and pets. Here's a link to one of the product sites I found it on:
https://www.smartpakcanine.com/productclass.aspx?productClassId=1518&GCID=C11284x040
They no longer use the Clac name and have since renamed it Deo-Lotion.
I'll be interested on hearing what you finally find out about your patient!
I'm gonna second "Your kidding right" Have you not heard of overweight people?
Subject: I'm gonna second "Your kidding right" Have you not heard of overweight people?
I'm still listening and trying to fit it together to make any suggestions make sense.
Subject: I'm still listening and trying to fit it together to make any suggestions 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
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
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