welcome; got it from my docs that dictate it as i never could figure them all out either, lol. nm
Posted By: ENT MT on 2005-08-17
In Reply to: this list was a GREAT help. Thank you so much. I am printing it out for future use. :) nm - minmin
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If you dictate the full sentence I could probably help you figure it out. nm
Subject: If you dictate the full sentence I could probably help you figure it out. nm
LOL..the way these docs dictate anymore
Subject: LOL..the way these docs dictate anymore
who knows!! Something like that just check your aspirin bottle. Good luck!!
Derm docs often dictate "Allergy to CARBO mix" - sm
Subject: Derm docs often dictate "Allergy to CARBO mix" - sm
I don't know what the full word is, but this validates your hearing the partial "carbo"
there is the abbreviation MAR docs dictate for medication administration record, but not sure...sm
Subject: there is the abbreviation MAR docs dictate for medication administration record, but not sure...sm
if that's it? This is usually dictated when they don't want to list the entire medication list so refer to the MAR that is in the chart.
Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the ti
Subject: Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the time.
You should dictate what the doc says.
Subject: You should dictate what the doc says.
If he is wrong, that's his problem. You can't just go changing what he says unless you have free reign on your account.
Drs get what they dictate - some of us only do..S/M
Subject: Drs get what they dictate - some of us only do..S/M
brachioplexus, brachioplexopathy - what they say is what they get....client profile RULES!
How does he dictate it? Is he actually - sm
Subject: How does he dictate it? Is he actually - sm
Is he saying "CBC, MSP, and stool" because stool is not a test so just wondering if it could be the name of a stool test. If you state just how the whole sentence is dictated, it may help us figure it out for ya.
I had a doc used to dictate that
Subject: I had a doc used to dictate that
Good says it stands for keep-open-vein. So, it should fit, and it also is all CAPs. 
Usually if they dictate Seldinger...
Subject: Usually if they dictate Seldinger...
they will say "via Seldinger, or Seldinger technique." I don't believe they would do this en route either. Are you sure you are hearing "sandwich?" I have been transcribing ER reports for years and I have never heard this term used. Anyway, I would not guess on this one. IMO, it is better to leave it blank and have QA inform you later so you can keep it on file .
Yes, that was how I was taught and most always they dictate cc nm
Subject: Yes, that was how I was taught and most always they dictate cc nm
nm
Sorry, but I have had them dictate brain or beta.
Subject: Sorry, but I have had them dictate brain or beta.
nm
Account specifics would dictate whether you sm
Subject: Account specifics would dictate whether you sm
write it out or abbreviate. The abbreviation for beats per minute is bpm. Ask your QA person for approved abbreviations for this account (accounts will differ sometimes which can make us crazy).
Did she dictate the colon after "murmur?" nm
Subject: Did she dictate the colon after "murmur?" nm
x
no matter what they dictate, they are wrong...nm
Subject: no matter what they dictate, they are wrong...nm
doctor didn't dictate mg????
Subject: doctor didn't dictate mg????
The patient was given aminophylline, Lanoxin 0.25, Lasix 40 mg, Cardizem.
okay here the doctor fails to dictate mg? according to 'textbook rules' do I add this or not?
Lordy, when they dictate commas it is just sm
Subject: Lordy, when they dictate commas it is just sm
like a poke in the eye to me!!! Brings me to a screeching halt. I just tend to ignore them, in a report, especially if it is a resident. I do puncturate letters and memos, but half the commas I see people use on this board and other boards are totally not necessary. Just call me
anti-comma!!!!!
Thanks for finding that. I just had doc today dictate this...hmmmm
Subject: Thanks for finding that. I just had doc today dictate this...hmmmm
doc didn't dictate that....her brain was thinking that...
Subject: doc didn't dictate that....her brain was thinking that...
nm
Thought so thanks wish they would dictate the drugs correctly
Subject: Thought so thanks wish they would dictate the drugs correctly
or may be mistakenly thinking of their pet's food as they dictate?
Subject: or may be mistakenly thinking of their pet's food as they dictate?
wrong - they ALL dictate decubiti...no such word
Subject: wrong - they ALL dictate decubiti...no such word
did he dictate the point, or did he say 1 5, to make sure you did not hear 50
Subject: did he dictate the point, or did he say 1 5, to make sure you did not hear 50
nm
That's what I mean by "ask your QA!" Account specifics dictate style, sm
Subject: That's what I mean by "ask your QA!" Account specifics dictate style, sm
but the AAMT BOS dictates what is correct for the industry, getting its information from sources such as the Chicago Manual of Style, the American Medical Association book of style (which I own), etc. As the poster below states, Joint Commission goes by BOS and does not like "same" or abbreviations for diagnoses, impressions, op titles, etc. They will randomly choose patient charts and go through them to check things like this! It's the Joint Commission which recommends or removes hospital accreditations--a very powerful entity.
So, ask your QA what the account wants. If they want "same," give them "same." For other accounts, do it the correct way.
Long shot, but often dictate myocardial ischemia. nm
Subject: Long shot, but often dictate myocardial ischemia. nm
xx
Macrobid (nitrofurantoin) is commonly used, maybe doc stumbling on whether to dictate brand name or
Subject: Macrobid (nitrofurantoin) is commonly used, maybe doc stumbling on whether to dictate brand name or generic?
Pupils equally reactive to light, they do not always dictate the whole exam abbreviation, they ..sm
Subject: Pupils equally reactive to light, they do not always dictate the whole exam abbreviation, they ..sm
do not always examine all aspects on PE. Hope this helps!
trying to figure it out. sorry nm
Subject: trying to figure it out. sorry nm
s
If you figure out what this is....
Subject: If you figure out what this is....
Please let me know. I've done a lot of duplex ultrasounds over the past 5-6 years but I am very "aural" when it comes to dictation - once I see "increment" and have that in my mind, I can't think of anything else.  Anyway, I would like to know what it is in case I run across it.
Thanks! 
Thanks for trying anyway. I did figure it out though.
Subject: Thanks for trying anyway. I did figure it out though.
I had to copy the entire document into a new document and save it as a new document.
I believe she's saying figure-of-four but .... sm
Subject: I believe she's saying figure-of-four but .... sm
not sure if it fits with context. Can someone help? Here's more:
S: Low back pain. No radiation to lower extremities. No foot drop.
O: SLRs are essentially negative. She has full range of motion with negative (figure-of-four). No tenderness noted to palpation of spine. There are palpable spasms on both the right and left low back region.
A: Musculoskeletal low back pain with spasm.
P: Treat with Skelaxin 800 mg, Lodine 400 mg. Pt could also take Vicodin.
No, sorry. Maybe QA can figure it out. sm
Subject: No, sorry. Maybe QA can figure it out. sm
I've spent too much time on it as it is. I'm overly tired and grumpy anyway from getting up to pee every hour for the last several nights from my own urinary issues. The NP said I'd have relief today. What an a**hole. I'm in so much pain. He insists it could not be a kidney stone yet I'm peeing massive amounts of blood and blood clots. I've had a hyster so I know it's not coming from there. I don't usually wish things on people but I'm so grumpy from lack of sleep and in so much pain right now, I hope he gets one this bad. Curses!
Tried and tried, but cannot figure out what she's saying. Please help..sm
Subject: Tried and tried, but cannot figure out what she's saying. Please help..sm
A 77-year-old - history of diabetes mellitus and hypertension - in a wheelchair. No obvious distress when first presents.
While being x-rayed, she complained of weakness, dizziness and extreme nausea. She became somewhat s/l obtended and her blood pressure rose to 180/102.
Needed more urgent evaluation and was sent to the ER.
DX: DJD and sudden change in mental status with elevation of BP.
can't figure this out, but could doc be saying
Subject: can't figure this out, but could doc be saying
"notable" for something??
sorry, I will figure this out one of these days
Subject: sorry, I will figure this out one of these days
but the previous link works at least!
If anyone can figure this out I will be so grateful!
Subject: If anyone can figure this out I will be so grateful!
She says: Upper extremity, right, and rigidity with bright red ***ek-I-nas-ia**.
This is in PE, and she is usually quick with this section and doesn't explain much, so I have nothing else to go off of. This is a geriatric medicine note. Also, it's pretty much verbatim, so this is what is said.
Thanks!
Help trying to figure out this term..
Subject: Help trying to figure out this term..
Sounds like "tick del-a-ro?" Docs gives an "unsure" spelling of d-o-l-e-r-a-u. Is anyone familiar with this term? Thanks!!!!
I figure cc is used in a syringe sm
Subject: I figure cc is used in a syringe sm
and mL is liquid can be given through a syringe minus the needle orally. You will also see this on the measuring cup on top of cough medicine. cc and mL are measurements equal in quantity. 5 mL = 1 tsp or 5 cc = 1 tsp. I think the dangerous abbreviations are more for handwritten notes as opposed to transcription. JMO.
Need a "sounds like" to help figure it out. nm
Subject: Need a "sounds like" to help figure it out. nm
x
It is also hard to figure out ...
Subject: It is also hard to figure out ...
... because they put this patient on 1 baby aspirin a day, which I thought was to thin the blood. I actually ended up asking a doc at the hospital where I work, and he seemed to indicate that there wasn't really any "hypocoagulable workup" -- it was more like "bleeding studies." There is a "hypercoagulable workup" which is extensively discussed on the net, but this patient with the bleeding may be more a candidate for the bleeding studies. However, from what I have read on the net, the tests that are done for a "hypercoagulable workup" are the ones which are being ordered for this patient. Sigh. I'm going to change it to hypercoagulable, and mark it just in case. Thanks for your input.
Oh, gee, we can't extrapolate from that and figure
Subject: Oh, gee, we can't extrapolate from that and figure
There are typists and there are transcriptionists. Guess you're a typist.
Can anyone figure out what this doctor was saying sm?
Subject: Can anyone figure out what this doctor was saying sm?
I had this one time. It sounded just like this.
The patient has refreybrindriss
It is actually in the dictionary, go figure...
Subject: It is actually in the dictionary, go figure...
a·hold /əˈhoʊld/ Pronunciation Key - Show Spelled Pronunciation[uh-hohld] Pronunciation Key - Show IPA Pronunciation
–noun 1. Informal. a hold or grasp (often fol. by of): He took ahold of my arm. Grab ahold!
–adverb 2. Nautical Archaic. close to the wind and on a single tack: to keep a vessel ahold.
—Idiom3. get ahold of, Informal. hold (def. 51
Sjogren (wow twice in one day - go figure)
Subject: Sjogren (wow twice in one day - go figure)
would you mind to tell us what it was, I could not figure it out...Thanks..nm
Subject: would you mind to tell us what it was, I could not figure it out...Thanks..nm
x
S/l help needed. Can't figure it out.
Subject: S/l help needed. Can't figure it out.
Seen for preop pain medicine consult. The patient has some s/l per-jita or prah-jeeta concerns regarding the use of benzodiazepines and Versed.
ESL doc and I cannot figure this word out. sm
Subject: ESL doc and I cannot figure this word out. sm
2 day echocardiograph done which was reported to have normal ___ systolic function.
Yes I am a new MT.
Thanks in advance!!!
i got the first one - gliosis... cant figure out the second one... NM
Subject: i got the first one - gliosis... cant figure out the second one... NM
x
CT SCAN help - cannot figure out what Dr is saying
Subject: CT SCAN help - cannot figure out what Dr is saying
Reveals abnormal hypermetabolism in the lymph nodes in the neck, more right than left including ??factitious learning of the thyroid??, in the anterior mediastinum as well large expansile right rib lesion. Bone scan reveals uptake in the right lateral 7th and 8th ribs.
thanks for the info, was trying to figure that one out too. (nm)
Subject: thanks for the info, was trying to figure that one out too. (nm)
Yes, you are absolutely right! How did you figure that out??
Subject: Yes, you are absolutely right! How did you figure that out??
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