what about cost-effective change in his medication
Posted By: pdqtrans on 2007-07-18
In Reply to: blood pressure drug s/l Factyme or Affactyme? - Rebecca S.
Subject: what about cost-effective change in his medication
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Maybe it's "no dose" (there was no change in medication. nm
Subject: Maybe it's "no dose" (there was no change in medication. nm
x
affectively effective????
Subject: affectively effective????
destroy its repletive productive ability. Any clues on this word? He is talking about the hep C virus.
What we do not know is how these protease inhibitors will be properly used to affectively get the most effective viral response with hepatitis C.
replicative - effective
Subject: replicative - effective
After this increase in Lithium the patient seemed to have less effective lability.
Subject: After this increase in Lithium the patient seemed to have less effective lability.
Could that be correct? This is in a discharge summary.
will be at no cost
Subject: will be at no cost
nm
cost
Subject: cost
I think AHDI members pay $190, nonmembers pay $275. I was part of a credentialing cup this spring where 10 of us from a study group signed up at the same time and it only cost $150 whether you were an AHDI member or not.
cost
Subject: cost
The cost was $150 for the multiple choice part of the test (which you have to pass before you took the second part) and $150 for the transcription part of the CMT test and this was back in the late 1990s when I took the CMT test. That was when it was nice to have the credentials but I did not get any acknowledgment or any more money back then for having the initials. I let my CMT lapse as it is major money each year to get the CCU's in order to keep your CMT. You need to go to lectures or classes that offer CCU's. Not sure how you go about getting those anymore. We had local monthly meetings and yearly state conventions and county conventions and were offered many CCU's for each convention and those were fun and educational to attend back in the good old days.
Wish we still were in the good old days. I was even president of my local AAMT meetings too, and I really thought it meant something and it was a pleasure then, but things have SOOOOO changed. And not for the better.
cost of Avalide???
Subject: cost of Avalide???
k
cost effects over time? nm
Subject: cost effects over time? nm
or maybe cost effect over time? nm
Subject: or maybe cost effect over time? nm
Cost or not...(or whoever is giving test)
Subject: Cost or not...(or whoever is giving test)
I'd still like to have the credentials.....
Any idea how much the test is?
Since they mentioned cost, I agree with the bleach as a cheap
Subject: Since they mentioned cost, I agree with the bleach as a cheap
s
NEW YORK (Reuters Health) - Topical anesthetic EMLA cream is effective in treating premature ejacula
Subject: NEW YORK (Reuters Health) - Topical anesthetic EMLA cream is effective in treating premature ejaculation...
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
pt medication list includes s/l lodapine. Purpose for medication is not stated. TIA
Subject: pt medication list includes s/l lodapine. Purpose for medication is not stated. TIA
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.
Medication - s/l Endrion? Dictated in general medication list. TIA
Subject: Medication - s/l Endrion? Dictated in general medication list. TIA
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.
re-x-ray is correct, but I usually change it to x-ray again. I think it looks and sounds better.
Subject: re-x-ray is correct, but I usually change it to x-ray again. I think it looks and sounds better.
x
I would change it to allow. What testament is he dictating from? LOL
Subject: I would change it to allow. What testament is he dictating from? LOL
Fundal height change?
Subject: Fundal height change?
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