unclear dictation
Posted By: ER MT on 2007-04-18
In Reply to:
Subject: unclear dictation
The sentence reads: One bottle out of four bottles of blood culture came back Staph coag negative positive. Does that make sense? 
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Thanks for your help. It was so unclear so sent to QA. nm
Subject: Thanks for your help. It was so unclear so sent to QA. nm
Very unclear, but could be. I think I will send it to QA. Thanks anyways! nm
Subject: Very unclear, but could be. I think I will send it to QA. Thanks anyways! nm
unclear on sentence
Subject: unclear on sentence
No increased dated degrudge, plus 2 without bruits, and clear to auscultation.
I am pretty sure I need to change the plus 2 to 2+, but does this sentence make sense? It doesn't to me, but I am new! Thanks!
perhaps "etiology unclear"
Subject: perhaps "etiology unclear"
Unclear word(s)
Subject: Unclear word(s)
What I am hearing is HEENT: Mild conjectile o-pal or mild conjectile or pallor. What makes sense?
Unclear of word
Subject: Unclear of word
Typing a Urology/Nephrology report - unsure of a sentence
On digital rectal exam, the prostate is "flat" without firmness or nodularity. The word also sounds like flass. What could it be?
Unclear sentence
Subject: Unclear sentence
I don't really like the way this is written but it's what is dictated.
He is positive for a smoker 1/2 pack per day with a smoker's cough. I'm hearing it exactly as is. Does that sound right?
Thanks - it is so unclear, I will leave it blank
Subject: Thanks - it is so unclear, I will leave it blank
Maybe celebratory?? if 1st part unclear
Subject: Maybe celebratory?? if 1st part unclear
I believe it was Diprosone cream, but was very unclear. nm
Subject: I believe it was Diprosone cream, but was very unclear. nm
nm
I think I will just flag it. Too unclear and it is meds. Thanks anyways! nm
Subject: I think I will just flag it. Too unclear and it is meds. Thanks anyways! nm
That's a good guess, it was very unclear . . . sm
Subject: That's a good guess, it was very unclear . . . sm
so, I blanked it in the report, ""_____ dialysis"", and QA filled it in with ""Q-dialysis"", so I was just wondering where they got their information from. This is not the first time I have found a questionable QA fill-in.
This is ESL, so unclear - He may be referring to range of motion pain but doesn't say.
Subject: This is ESL, so unclear - He may be referring to range of motion pain but doesn't say.
nm
EMG/NCV dictation
Subject: EMG/NCV dictation
I am transcribing an EMG report right now, and the MD is foreign, so I am having difficulty hearing some of her words.
Dictated: Ulnar "inching" (?) studies across the elbows .....
Is "inching" the correct word? I can't find it in my ref books.
Thanks to whomever is able to help. Judy Harrison
Dictation help...
Subject: Dictation help...
Dictated as: She reports psoriasis, occasional oral orphoras and sicker symptoms.
Are the underlined terms correct.
Thanks 
end of dictation
Subject: end of dictation
I know we normally do not type "end of dictation", but would I type the following sentence since it has patient info and a date?
End of dictation on the patient (name) for workers compensation on 6/8/2007.
It would help if we could get the dictation after this.... nm
Subject: It would help if we could get the dictation after this.... nm
x
Help with dictation!!
Subject: Help with dictation!!
On digital rectal examination the prostate is ?flat?/flas? without firm or snug ?valerity?.
Dictation on a patient who is to
Subject: Dictation on a patient who is to
Under recommendations, doc says...number one...s/l ty pen hole or hold. What is the 't' word.
Floridian here- with dictation a G................nm
Subject: Floridian here- with dictation a G................nm
Did dictation get clipped? Maybe this?
Subject: Did dictation get clipped? Maybe this?
Akin osteotomy ?
Have see it in dictation both ways.nm
Subject: Have see it in dictation both ways.nm
Yes, that's it. She actually said it clearer later in dictation.
Subject: Yes, that's it. She actually said it clearer later in dictation.
Thanks!
MAYBE IT IS SRI DICTATION??? ANYONE HEARD OF THAT?
Subject: MAYBE IT IS SRI DICTATION??? ANYONE HEARD OF THAT?
Is there a clearer s/l later in the dictation? nm
Subject: Is there a clearer s/l later in the dictation? nm
s
Psychiatric dictation help please
Subject: Psychiatric dictation help please
Dictator states very clearly "The patient is allergic to erythromycin and tetracillin." What is that???... mixture of tetracycline and a cillin drug??? This is a new one on me HELP!
Thanks for all the help, but none of these are fitting with his dictation.
Subject: Thanks for all the help, but none of these are fitting with his dictation.
Then I believe it is a dictation mistake.
Subject: Then I believe it is a dictation mistake.
Either meant metoprolol or Toprol. They blubbered and mixed them together!
Does the dictation indicate if the patient also has
Subject: Does the dictation indicate if the patient also has
a diagnosis of PCOS?
I think this may be it, but the dictation is very sketchy. Tx.
Subject: I think this may be it, but the dictation is very sketchy. Tx.
cannot hear dictation..
Subject: cannot hear dictation..
what do you do if you cannot hear the dictation. i mean it is EXTREMELY faint and there is also a lot of background noise. this doc is always on speaker phone and shuffling papers. there is no instruction for this in the CP. any suggestions? just type what i can hear and leave a bunch of blanks with a QA note?
Hmm after reading the dictation again, you may be right...sm
Subject: Hmm after reading the dictation again, you may be right...sm
Mohs does make sense, he does say with negative results, and this was done some time after the p63, TTF-1, etc. THANK YOU for that great point! My brain is so done today.
Dealing with ESL dictation
Subject: Dealing with ESL dictation
Just looking for some advice on dealing with a heavy load of ESL dictators, all different accents. I've been an MT for 10 years and haven't dealt with quite this many before. I'm not the leave a blank type of gal, so I'm wondering if there's a secret.
Do you have more of the surrounding dictation? NM
Subject: Do you have more of the surrounding dictation? NM
No, sorry. That is all I can think of without hearing the dictation.
Subject: No, sorry. That is all I can think of without hearing the dictation.
Please Help Hemoglobin dictation
Subject: Please Help Hemoglobin dictation
The phrase sounds like:
"Hemoglobin A1C7.2%" Any ideas
Yay! My worst ESL just said "cancel this dictation"
Subject: Yay! My worst ESL just said "cancel this dictation"
Thank you for trying to help me!! I can't make out that word in the dictation.
Subject: Thank you for trying to help me!! I can't make out that word in the dictation.
This doc is a BIG mumbler. Clearly says "Denies", then the rest is garbage. 
Thank you though. There is no other info in report to go on for clues either.
Just checking. The dictation sounded like it sm
Subject: Just checking. The dictation sounded like it sm
was coming from the same dictator. Have a good day!!! :)
They are using it in the laboratory section of the dictation. nm
Subject: They are using it in the laboratory section of the dictation. nm
Never mind, it is Spiriva he says it again later in the dictation
Subject: Never mind, it is Spiriva he says it again later in the dictation
Is this patient presurgery for anything? Where in dictation is this said? nm
Subject: Is this patient presurgery for anything? Where in dictation is this said? nm
s
does dictation want the word mole in
Subject: does dictation want the word mole in
Are you by chance transcribing a dictation of Dr. A. S?
Subject: Are you by chance transcribing a dictation of Dr. A. S?
V and B sound a lot alike in dictation.,
Subject: V and B sound a lot alike in dictation.,
Xalatan - possibility if for eye dictation
Subject: Xalatan - possibility if for eye dictation
echocardiogram dictation question
Subject: echocardiogram dictation question
Does anyone know what the dr might be saying here: Patient also had an echocardiogram with an ejection fraction of 40% with severe hypokinesis and distal anterioral subtelenipical? region
Thank you. I knew I had seen it before but I've never had it in a dictation.
Subject: Thank you. I knew I had seen it before but I've never had it in a dictation.
medication dictation s/l Capinsole?
Subject: medication dictation s/l Capinsole?
The patient is diabetic and has CHF, but no other health problems. Medication dictation is pronounced CAP-IN-SOLE and the dosage is 0.5 t.i.d.
Any ideas?
wish it was, but the vee sound is coming through quite clearly three different x in the dictation
Subject: wish it was, but the vee sound is coming through quite clearly three different x in the dictation
:( He says this three times in the dictation...any ideas?
Subject: :( He says this three times in the dictation...any ideas?
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