Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 In a message dated 06-03-01 11:44:23 AM Eastern Daylight Time, wink@... writes: << **Was poured some *clostic agent down her throat and for the last several months she has had increased difficulty swallowing >> I suspect the word you are looking for is caustic. Things like lye and Drano are considered caustic. Hope this helps Jan " Typing is my life " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 In a message dated 06-03-01 11:44:23 AM Eastern Daylight Time, wink@... writes: << **Was poured some *clostic agent down her throat and for the last several months she has had increased difficulty swallowing >> I suspect the word you are looking for is caustic. Things like lye and Drano are considered caustic. Hope this helps Jan " Typing is my life " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 In a message dated 06-03-01 11:44:23 AM Eastern Daylight Time, wink@... writes: << **Was poured some *clostic agent down her throat and for the last several months she has had increased difficulty swallowing >> I suspect the word you are looking for is caustic. Things like lye and Drano are considered caustic. Hope this helps Jan " Typing is my life " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 In a message dated 06-03-01 1:22:20 PM Eastern Daylight Time, rennie@... writes: << Could the " as a child " actually start the next sentence? Could it be " As a child [was poured some] caustic agent... " >> Good point.. I hadn't noticed that, but you're right. In addition, I think was doesn't fit there.. maybe As a child HAD poured some..... Jan " Typing is my life " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 In a message dated 06-03-01 1:22:20 PM Eastern Daylight Time, rennie@... writes: << Could the " as a child " actually start the next sentence? Could it be " As a child [was poured some] caustic agent... " >> Good point.. I hadn't noticed that, but you're right. In addition, I think was doesn't fit there.. maybe As a child HAD poured some..... Jan " Typing is my life " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 The " costic " is probably " caustic " meaning corrosive and burning, per Taber's. Hope this helps! S/L clostic agent INTERNAL MEDICINE The sentence is exactly how it sounded. I have no clue here! : \ HISTORY OF PRESENT ILLNESS: The patient ... with a history of hypertension, depression, anxiety, mitral valve prolapse, chronic headache, and also hypercholesteremia as a child. **Was poured some *clostic agent down her throat and for the last several months she has had increased difficulty swallowing solids. She has not had an upper endoscopy since she was a child. She denies any chest pains, shortness of breath, nausea, vomiting, diarrhea, headaches, lightheadedness, bright red blood per rectum, melena, urinary symptoms, abdominal pains, fevers, chills, arthralgias, or myalgias. Further review of systems is within normal limits. Any help/suggestion would be much appreciated. Wink Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Thanks so much!! Lori S/L clostic agent > > > INTERNAL MEDICINE > > The sentence is exactly how it sounded. I have no clue here! : \ > > HISTORY OF PRESENT ILLNESS: The patient ... with a history of hypertension, > depression, anxiety, mitral valve prolapse, chronic headache, and also > hypercholesteremia as a child. **Was poured some *clostic agent down her > throat and for the last several months she has had increased difficulty > swallowing solids. She has not had an upper endoscopy since she was a child. > She denies any chest pains, shortness of breath, nausea, vomiting, diarrhea, > headaches, lightheadedness, bright red blood per rectum, melena, urinary > symptoms, abdominal pains, fevers, chills, arthralgias, or myalgias. Further > review of systems is within normal limits. > > Any help/suggestion would be much appreciated. > > Wink > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Thanks so much!! Lori S/L clostic agent > > > INTERNAL MEDICINE > > The sentence is exactly how it sounded. I have no clue here! : \ > > HISTORY OF PRESENT ILLNESS: The patient ... with a history of hypertension, > depression, anxiety, mitral valve prolapse, chronic headache, and also > hypercholesteremia as a child. **Was poured some *clostic agent down her > throat and for the last several months she has had increased difficulty > swallowing solids. She has not had an upper endoscopy since she was a child. > She denies any chest pains, shortness of breath, nausea, vomiting, diarrhea, > headaches, lightheadedness, bright red blood per rectum, melena, urinary > symptoms, abdominal pains, fevers, chills, arthralgias, or myalgias. Further > review of systems is within normal limits. > > Any help/suggestion would be much appreciated. > > Wink > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Thanks so much everyone! Lori Re: S/L clostic agent > In a message dated 06-03-01 11:44:23 AM Eastern Daylight Time, wink@... > writes: > > << **Was poured some *clostic agent down her throat and for the last several > months she has had increased difficulty swallowing >> > > I suspect the word you are looking for is caustic. Things like lye and Drano > are considered caustic. Hope this helps > > Jan " Typing is my life " > > TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to nmtc-unsubscribe > > PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Thanks so much everyone! Lori Re: S/L clostic agent > In a message dated 06-03-01 11:44:23 AM Eastern Daylight Time, wink@... > writes: > > << **Was poured some *clostic agent down her throat and for the last several > months she has had increased difficulty swallowing >> > > I suspect the word you are looking for is caustic. Things like lye and Drano > are considered caustic. Hope this helps > > Jan " Typing is my life " > > TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to nmtc-unsubscribe > > PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Thanks so much everyone! Lori Re: S/L clostic agent > In a message dated 06-03-01 11:44:23 AM Eastern Daylight Time, wink@... > writes: > > << **Was poured some *clostic agent down her throat and for the last several > months she has had increased difficulty swallowing >> > > I suspect the word you are looking for is caustic. Things like lye and Drano > are considered caustic. Hope this helps > > Jan " Typing is my life " > > TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to nmtc-unsubscribe > > PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Could the " as a child " actually start the next sentence? Could it be " As a child [was poured some] caustic agent... " ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Rennie - Student Member of AAMT 46/Texas/nulligravida Career Step Student www.careerstep.com Current Specialty: Studying Applied Medical Terminology - Cardiology ~Find a job you love and you will never have to work again.~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ----- Original Message ----- > INTERNAL MEDICINE > > The sentence is exactly how it sounded. I have no clue here! : \ > > HISTORY OF PRESENT ILLNESS: The patient ... with a history of hypertension, depression, anxiety, mitral valve prolapse, chronic headache, and also hypercholesteremia as a child. **Was poured some *clostic agent down her throat and for the last several months she has had increased difficulty swallowing solids. She has not had an upper endoscopy since she was a child. She denies any chest pains, shortness of breath, nausea, vomiting, diarrhea, headaches, lightheadedness, bright red blood per rectum, melena, urinary symptoms, abdominal pains, fevers, chills, arthralgias, or myalgias. Further review of systems is within normal limits. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Could the " as a child " actually start the next sentence? Could it be " As a child [was poured some] caustic agent... " ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Rennie - Student Member of AAMT 46/Texas/nulligravida Career Step Student www.careerstep.com Current Specialty: Studying Applied Medical Terminology - Cardiology ~Find a job you love and you will never have to work again.~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ----- Original Message ----- > INTERNAL MEDICINE > > The sentence is exactly how it sounded. I have no clue here! : \ > > HISTORY OF PRESENT ILLNESS: The patient ... with a history of hypertension, depression, anxiety, mitral valve prolapse, chronic headache, and also hypercholesteremia as a child. **Was poured some *clostic agent down her throat and for the last several months she has had increased difficulty swallowing solids. She has not had an upper endoscopy since she was a child. She denies any chest pains, shortness of breath, nausea, vomiting, diarrhea, headaches, lightheadedness, bright red blood per rectum, melena, urinary symptoms, abdominal pains, fevers, chills, arthralgias, or myalgias. Further review of systems is within normal limits. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Could the " as a child " actually start the next sentence? Could it be " As a child [was poured some] caustic agent... " ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Rennie - Student Member of AAMT 46/Texas/nulligravida Career Step Student www.careerstep.com Current Specialty: Studying Applied Medical Terminology - Cardiology ~Find a job you love and you will never have to work again.~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ----- Original Message ----- > INTERNAL MEDICINE > > The sentence is exactly how it sounded. I have no clue here! : \ > > HISTORY OF PRESENT ILLNESS: The patient ... with a history of hypertension, depression, anxiety, mitral valve prolapse, chronic headache, and also hypercholesteremia as a child. **Was poured some *clostic agent down her throat and for the last several months she has had increased difficulty swallowing solids. She has not had an upper endoscopy since she was a child. She denies any chest pains, shortness of breath, nausea, vomiting, diarrhea, headaches, lightheadedness, bright red blood per rectum, melena, urinary symptoms, abdominal pains, fevers, chills, arthralgias, or myalgias. Further review of systems is within normal limits. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 YOU GUYS/GALS ARE GOOOOD! : ) Re: S/L clostic agent > In a message dated 06-03-01 1:22:20 PM Eastern Daylight Time, > rennie@... writes: > > << Could the " as a child " actually start the next sentence? Could it be " As a > child [was poured some] caustic agent... " >> > > Good point.. I hadn't noticed that, but you're right. In addition, I think > was doesn't fit there.. maybe As a child HAD poured some..... > > Jan " Typing is my life " > > TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to nmtc-unsubscribe > > PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 YOU GUYS/GALS ARE GOOOOD! : ) Re: S/L clostic agent > In a message dated 06-03-01 1:22:20 PM Eastern Daylight Time, > rennie@... writes: > > << Could the " as a child " actually start the next sentence? Could it be " As a > child [was poured some] caustic agent... " >> > > Good point.. I hadn't noticed that, but you're right. In addition, I think > was doesn't fit there.. maybe As a child HAD poured some..... > > Jan " Typing is my life " > > TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to nmtc-unsubscribe > > PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Duh, thanks! I was still wondering what to do with that. I guess maybe while I proofread I would figure it out, but might not have on my luck today. This doctor " always " runs sentences together and leaves a lot of articles out, so sometimes I just don't know--yuck! BTW, is there such a thing as having hypercholesteremia as a child? Just curious! : ) I suppose it is possible. Thanks Rennie for solving " my puzzle. " on the " was poured some. " : ) Everyone's help here is so overwhelmingly-appreciated!!! Thanks, Lori > Could the " as a child " actually start the next sentence? Could it be " As a > child [was poured some] caustic agent... " > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Rennie - Student Member of AAMT > 46/Texas/nulligravida > Career Step Student www.careerstep.com > Current Specialty: Studying Applied Medical Terminology - Cardiology > ~Find a job you love and you will never have to work again.~ > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > ----- Original Message ----- > > > > > INTERNAL MEDICINE > > > > The sentence is exactly how it sounded. I have no clue here! : \ > > > > HISTORY OF PRESENT ILLNESS: The patient ... with a history of > hypertension, depression, anxiety, mitral valve prolapse, chronic headache, > and also hypercholesteremia as a child. **Was poured some *clostic agent > down her throat and for the last several months she has had increased > difficulty swallowing solids. She has not had an upper endoscopy since she > was a child. She denies any chest pains, shortness of breath, nausea, > vomiting, diarrhea, headaches, lightheadedness, bright red blood per rectum, > melena, urinary symptoms, abdominal pains, fevers, chills, arthralgias, or > myalgias. Further review of systems is within normal limits. > > > > TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to nmtc-unsubscribe > > PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Duh, thanks! I was still wondering what to do with that. I guess maybe while I proofread I would figure it out, but might not have on my luck today. This doctor " always " runs sentences together and leaves a lot of articles out, so sometimes I just don't know--yuck! BTW, is there such a thing as having hypercholesteremia as a child? Just curious! : ) I suppose it is possible. Thanks Rennie for solving " my puzzle. " on the " was poured some. " : ) Everyone's help here is so overwhelmingly-appreciated!!! Thanks, Lori > Could the " as a child " actually start the next sentence? Could it be " As a > child [was poured some] caustic agent... " > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Rennie - Student Member of AAMT > 46/Texas/nulligravida > Career Step Student www.careerstep.com > Current Specialty: Studying Applied Medical Terminology - Cardiology > ~Find a job you love and you will never have to work again.~ > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > ----- Original Message ----- > > > > > INTERNAL MEDICINE > > > > The sentence is exactly how it sounded. I have no clue here! : \ > > > > HISTORY OF PRESENT ILLNESS: The patient ... with a history of > hypertension, depression, anxiety, mitral valve prolapse, chronic headache, > and also hypercholesteremia as a child. **Was poured some *clostic agent > down her throat and for the last several months she has had increased > difficulty swallowing solids. She has not had an upper endoscopy since she > was a child. She denies any chest pains, shortness of breath, nausea, > vomiting, diarrhea, headaches, lightheadedness, bright red blood per rectum, > melena, urinary symptoms, abdominal pains, fevers, chills, arthralgias, or > myalgias. Further review of systems is within normal limits. > > > > TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to nmtc-unsubscribe > > PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Duh, thanks! I was still wondering what to do with that. I guess maybe while I proofread I would figure it out, but might not have on my luck today. This doctor " always " runs sentences together and leaves a lot of articles out, so sometimes I just don't know--yuck! BTW, is there such a thing as having hypercholesteremia as a child? Just curious! : ) I suppose it is possible. Thanks Rennie for solving " my puzzle. " on the " was poured some. " : ) Everyone's help here is so overwhelmingly-appreciated!!! Thanks, Lori > Could the " as a child " actually start the next sentence? Could it be " As a > child [was poured some] caustic agent... " > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Rennie - Student Member of AAMT > 46/Texas/nulligravida > Career Step Student www.careerstep.com > Current Specialty: Studying Applied Medical Terminology - Cardiology > ~Find a job you love and you will never have to work again.~ > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > ----- Original Message ----- > > > > > INTERNAL MEDICINE > > > > The sentence is exactly how it sounded. I have no clue here! : \ > > > > HISTORY OF PRESENT ILLNESS: The patient ... with a history of > hypertension, depression, anxiety, mitral valve prolapse, chronic headache, > and also hypercholesteremia as a child. **Was poured some *clostic agent > down her throat and for the last several months she has had increased > difficulty swallowing solids. She has not had an upper endoscopy since she > was a child. She denies any chest pains, shortness of breath, nausea, > vomiting, diarrhea, headaches, lightheadedness, bright red blood per rectum, > melena, urinary symptoms, abdominal pains, fevers, chills, arthralgias, or > myalgias. Further review of systems is within normal limits. > > > > TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to nmtc-unsubscribe > > PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Rennie, I think you're on to something. I have to ask: Do all the physicians who dictate to all of y'all always say exactly what they mean to say? That is, could this one have started to say, " As a child, was. . . " , meant to continue with something like " . . . burned by a caustic substance. . . " , BUT changed his/her mind, and corrected to " . . . poured some caustic agent. . . " ? So that the sentence the physician THINKS was dictated is " As a child, she poured some caustic substance down her throat, and for the last several months she has had increased difficulty swallowing solids. " If so, what do you do? What's more important to whoever signs your paycheck--making the document accurate or keying exactly what the physician said? My friend who is the transcription supervisor at the local clinic says she tells their transcriptionists that the document has to say what the physician would have said if he/she had had all the time in the world to gather his/her thoughts, hadn't been exhausted from lack of sleep, and hadn't been distracted by whatever was competing for his/her attention. What about your situation? Valeria At 01:19 PM 6/3/2001, you wrote: >Could the " as a child " actually start the next sentence? Could it be " As a >child [was poured some] caustic agent... " >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ >Rennie - Student Member of AAMT >46/Texas/nulligravida >Career Step Student www.careerstep.com >Current Specialty: Studying Applied Medical Terminology - Cardiology >~Find a job you love and you will never have to work again.~ >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ >----- Original Message ----- > > > > > INTERNAL MEDICINE > > > > The sentence is exactly how it sounded. I have no clue here! : \ > > > > HISTORY OF PRESENT ILLNESS: The patient ... with a history of >hypertension, depression, anxiety, mitral valve prolapse, chronic headache, >and also hypercholesteremia as a child. **Was poured some *clostic agent >down her throat and for the last several months she has had increased >difficulty swallowing solids. She has not had an upper endoscopy since she >was a child. She denies any chest pains, shortness of breath, nausea, >vomiting, diarrhea, headaches, lightheadedness, bright red blood per rectum, >melena, urinary symptoms, abdominal pains, fevers, chills, arthralgias, or >myalgias. Further review of systems is within normal limits. > > > >TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to >nmtc-unsubscribe > >PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Hi all, Oh boy, I will really have to listen to that again. You all are so observant. I do my best to transcribe verbatim. I seem to get a lot of Spanish-speaking doctors who constantly reverse their sentences. For these doctors I was told to flip the sentences back around " only " if absolutely necessary to make sense, which I just hate doing! Also, in this particular sentence I questioned, I probably should flag it. They are supposed to read and sign the dictation as well to make sure it is correct--this is my understanding. I am still quite new to medical transcription (about 3 years) and this is just my experience and what I have been taught so far. I have been transcribing for these same doctors for 1 year and have not gotten any corrections back as of yet. I think this group is just a blessing to have as everyone is so observant and helpful as well as " super nice " ! I value this groups opinions/suggestions/thoughts as there is just so much knowledge here, etc., (okay, I won't start getting mushy). I'll just say as someone had said before which fits perfectly, " I consider you all my cubicle friends. " : ) I am sorry I cannot remember who said that, but this Buds for you!! Anyway, these are just my thoughts. I am sure I have carried on way too long! Please excuse the typos as I really don't feel like having my nose in the books right now; although, I should be working! Cubicle Wink ; ) > Rennie, I think you're on to something. > > I have to ask: Do all the physicians who dictate to all of y'all always > say exactly what they mean to say? That is, could this one have started to > say, " As a child, was. . . " , meant to continue with something like " . . . > burned by a caustic substance. . . " , BUT changed his/her mind, and > corrected to " . . . poured some caustic agent. . . " ? So that the sentence > the physician THINKS was dictated is " As a child, she poured some caustic > substance down her throat, and for the last several months she has had > increased difficulty swallowing solids. " > > If so, what do you do? > > What's more important to whoever signs your paycheck--making the document > accurate or keying exactly what the physician said? My friend who is the > transcription supervisor at the local clinic says she tells their > transcriptionists that the document has to say what the physician would > have said if he/she had had all the time in the world to gather his/her > thoughts, hadn't been exhausted from lack of sleep, and hadn't been > distracted by whatever was competing for his/her attention. > > What about your situation? > > Valeria > > At 01:19 PM 6/3/2001, you wrote: > >Could the " as a child " actually start the next sentence? Could it be " As a > >child [was poured some] caustic agent... " > >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > >Rennie - Student Member of AAMT > >46/Texas/nulligravida > >Career Step Student www.careerstep.com > >Current Specialty: Studying Applied Medical Terminology - Cardiology > >~Find a job you love and you will never have to work again.~ > >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > >----- Original Message ----- > > > > > > > > > INTERNAL MEDICINE > > > > > > The sentence is exactly how it sounded. I have no clue here! : \ > > > > > > HISTORY OF PRESENT ILLNESS: The patient ... with a history of > >hypertension, depression, anxiety, mitral valve prolapse, chronic headache, > >and also hypercholesteremia as a child. **Was poured some *clostic agent > >down her throat and for the last several months she has had increased > >difficulty swallowing solids. She has not had an upper endoscopy since she > >was a child. She denies any chest pains, shortness of breath, nausea, > >vomiting, diarrhea, headaches, lightheadedness, bright red blood per rectum, > >melena, urinary symptoms, abdominal pains, fevers, chills, arthralgias, or > >myalgias. Further review of systems is within normal limits. > > > > > > > >TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to > >nmtc-unsubscribe > > > >PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Hi all, Oh boy, I will really have to listen to that again. You all are so observant. I do my best to transcribe verbatim. I seem to get a lot of Spanish-speaking doctors who constantly reverse their sentences. For these doctors I was told to flip the sentences back around " only " if absolutely necessary to make sense, which I just hate doing! Also, in this particular sentence I questioned, I probably should flag it. They are supposed to read and sign the dictation as well to make sure it is correct--this is my understanding. I am still quite new to medical transcription (about 3 years) and this is just my experience and what I have been taught so far. I have been transcribing for these same doctors for 1 year and have not gotten any corrections back as of yet. I think this group is just a blessing to have as everyone is so observant and helpful as well as " super nice " ! I value this groups opinions/suggestions/thoughts as there is just so much knowledge here, etc., (okay, I won't start getting mushy). I'll just say as someone had said before which fits perfectly, " I consider you all my cubicle friends. " : ) I am sorry I cannot remember who said that, but this Buds for you!! Anyway, these are just my thoughts. I am sure I have carried on way too long! Please excuse the typos as I really don't feel like having my nose in the books right now; although, I should be working! Cubicle Wink ; ) > Rennie, I think you're on to something. > > I have to ask: Do all the physicians who dictate to all of y'all always > say exactly what they mean to say? That is, could this one have started to > say, " As a child, was. . . " , meant to continue with something like " . . . > burned by a caustic substance. . . " , BUT changed his/her mind, and > corrected to " . . . poured some caustic agent. . . " ? So that the sentence > the physician THINKS was dictated is " As a child, she poured some caustic > substance down her throat, and for the last several months she has had > increased difficulty swallowing solids. " > > If so, what do you do? > > What's more important to whoever signs your paycheck--making the document > accurate or keying exactly what the physician said? My friend who is the > transcription supervisor at the local clinic says she tells their > transcriptionists that the document has to say what the physician would > have said if he/she had had all the time in the world to gather his/her > thoughts, hadn't been exhausted from lack of sleep, and hadn't been > distracted by whatever was competing for his/her attention. > > What about your situation? > > Valeria > > At 01:19 PM 6/3/2001, you wrote: > >Could the " as a child " actually start the next sentence? Could it be " As a > >child [was poured some] caustic agent... " > >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > >Rennie - Student Member of AAMT > >46/Texas/nulligravida > >Career Step Student www.careerstep.com > >Current Specialty: Studying Applied Medical Terminology - Cardiology > >~Find a job you love and you will never have to work again.~ > >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > >----- Original Message ----- > > > > > > > > > INTERNAL MEDICINE > > > > > > The sentence is exactly how it sounded. I have no clue here! : \ > > > > > > HISTORY OF PRESENT ILLNESS: The patient ... with a history of > >hypertension, depression, anxiety, mitral valve prolapse, chronic headache, > >and also hypercholesteremia as a child. **Was poured some *clostic agent > >down her throat and for the last several months she has had increased > >difficulty swallowing solids. She has not had an upper endoscopy since she > >was a child. She denies any chest pains, shortness of breath, nausea, > >vomiting, diarrhea, headaches, lightheadedness, bright red blood per rectum, > >melena, urinary symptoms, abdominal pains, fevers, chills, arthralgias, or > >myalgias. Further review of systems is within normal limits. > > > > > > > >TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to > >nmtc-unsubscribe > > > >PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Valeria, I have always been taught that my job is to make the doctor look good, no matter how badly he dictates. I have heard of places where the transcriptionist has to type verbatim. Luckily I have never worked at such a place and have always been allowed the flexibility of changing the doctors words so that they actually make sense. I believe that a part of our job is to decipher what a doctor means and come up with the correct words to make it look good. I know better than to ever change the meaning of anything and how to make only very subtle changes that will make the report more readable. For instance, we have one doctor whose sentences can go on and on for several paragraphs due to his use of the word " and. " We have another doctor who uses commas every time he thinks about. I remember once when I was working for a clinic where we had a new, very young doctor whose wording was particularly bad and needed a lot of editing. One day a transcriptionist took him a letter that was needed immediately. In front of her and another coworker he read it over, then looked at her and said, " Hey, I'm getting really good at this, aren't I? " She came back into the office laughing because he really though he was getting better. Most of the docs really don't remember exactly what they said, so when we edit to make them look good, they don't really even know that we have made any changes. That's just what a good trasnscriptionist is supposed to do. That's my opinion anyway, Margaret >>> Valeria Truitt 06/03/01 02:03PM >>> Rennie, I think you're on to something. I have to ask: Do all the physicians who dictate to all of y'all always say exactly what they mean to say? That is, could this one have started to say, " As a child, was. . . " , meant to continue with something like " . . . burned by a caustic substance. . . " , BUT changed his/her mind, and corrected to " . . . poured some caustic agent. . . " ? So that the sentence the physician THINKS was dictated is " As a child, she poured some caustic substance down her throat, and for the last several months she has had increased difficulty swallowing solids. " If so, what do you do? What's more important to whoever signs your paycheck--making the document accurate or keying exactly what the physician said? My friend who is the transcription supervisor at the local clinic says she tells their transcriptionists that the document has to say what the physician would have said if he/she had had all the time in the world to gather his/her thoughts, hadn't been exhausted from lack of sleep, and hadn't been distracted by whatever was competing for his/her attention. What about your situation? Valeria At 01:19 PM 6/3/2001, you wrote: >Could the " as a child " actually start the next sentence? Could it be " As a >child [was poured some] caustic agent... " >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ >Rennie - Student Member of AAMT >46/Texas/nulligravida >Career Step Student www.careerstep.com >Current Specialty: Studying Applied Medical Terminology - Cardiology >~Find a job you love and you will never have to work again.~ >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ >----- Original Message ----- > > > > > INTERNAL MEDICINE > > > > The sentence is exactly how it sounded. I have no clue here! : \ > > > > HISTORY OF PRESENT ILLNESS: The patient ... with a history of >hypertension, depression, anxiety, mitral valve prolapse, chronic headache, >and also hypercholesteremia as a child. **Was poured some *clostic agent >down her throat and for the last several months she has had increased >difficulty swallowing solids. She has not had an upper endoscopy since she >was a child. She denies any chest pains, shortness of breath, nausea, >vomiting, diarrhea, headaches, lightheadedness, bright red blood per rectum, >melena, urinary symptoms, abdominal pains, fevers, chills, arthralgias, or >myalgias. Further review of systems is within normal limits. > > > >TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to >nmtc-unsubscribe > >PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Valeria, I have always been taught that my job is to make the doctor look good, no matter how badly he dictates. I have heard of places where the transcriptionist has to type verbatim. Luckily I have never worked at such a place and have always been allowed the flexibility of changing the doctors words so that they actually make sense. I believe that a part of our job is to decipher what a doctor means and come up with the correct words to make it look good. I know better than to ever change the meaning of anything and how to make only very subtle changes that will make the report more readable. For instance, we have one doctor whose sentences can go on and on for several paragraphs due to his use of the word " and. " We have another doctor who uses commas every time he thinks about. I remember once when I was working for a clinic where we had a new, very young doctor whose wording was particularly bad and needed a lot of editing. One day a transcriptionist took him a letter that was needed immediately. In front of her and another coworker he read it over, then looked at her and said, " Hey, I'm getting really good at this, aren't I? " She came back into the office laughing because he really though he was getting better. Most of the docs really don't remember exactly what they said, so when we edit to make them look good, they don't really even know that we have made any changes. That's just what a good trasnscriptionist is supposed to do. That's my opinion anyway, Margaret >>> Valeria Truitt 06/03/01 02:03PM >>> Rennie, I think you're on to something. I have to ask: Do all the physicians who dictate to all of y'all always say exactly what they mean to say? That is, could this one have started to say, " As a child, was. . . " , meant to continue with something like " . . . burned by a caustic substance. . . " , BUT changed his/her mind, and corrected to " . . . poured some caustic agent. . . " ? So that the sentence the physician THINKS was dictated is " As a child, she poured some caustic substance down her throat, and for the last several months she has had increased difficulty swallowing solids. " If so, what do you do? What's more important to whoever signs your paycheck--making the document accurate or keying exactly what the physician said? My friend who is the transcription supervisor at the local clinic says she tells their transcriptionists that the document has to say what the physician would have said if he/she had had all the time in the world to gather his/her thoughts, hadn't been exhausted from lack of sleep, and hadn't been distracted by whatever was competing for his/her attention. What about your situation? Valeria At 01:19 PM 6/3/2001, you wrote: >Could the " as a child " actually start the next sentence? Could it be " As a >child [was poured some] caustic agent... " >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ >Rennie - Student Member of AAMT >46/Texas/nulligravida >Career Step Student www.careerstep.com >Current Specialty: Studying Applied Medical Terminology - Cardiology >~Find a job you love and you will never have to work again.~ >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ >----- Original Message ----- > > > > > INTERNAL MEDICINE > > > > The sentence is exactly how it sounded. I have no clue here! : \ > > > > HISTORY OF PRESENT ILLNESS: The patient ... with a history of >hypertension, depression, anxiety, mitral valve prolapse, chronic headache, >and also hypercholesteremia as a child. **Was poured some *clostic agent >down her throat and for the last several months she has had increased >difficulty swallowing solids. She has not had an upper endoscopy since she >was a child. She denies any chest pains, shortness of breath, nausea, >vomiting, diarrhea, headaches, lightheadedness, bright red blood per rectum, >melena, urinary symptoms, abdominal pains, fevers, chills, arthralgias, or >myalgias. Further review of systems is within normal limits. > > > >TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to >nmtc-unsubscribe > >PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Valeria, I have always been taught that my job is to make the doctor look good, no matter how badly he dictates. I have heard of places where the transcriptionist has to type verbatim. Luckily I have never worked at such a place and have always been allowed the flexibility of changing the doctors words so that they actually make sense. I believe that a part of our job is to decipher what a doctor means and come up with the correct words to make it look good. I know better than to ever change the meaning of anything and how to make only very subtle changes that will make the report more readable. For instance, we have one doctor whose sentences can go on and on for several paragraphs due to his use of the word " and. " We have another doctor who uses commas every time he thinks about. I remember once when I was working for a clinic where we had a new, very young doctor whose wording was particularly bad and needed a lot of editing. One day a transcriptionist took him a letter that was needed immediately. In front of her and another coworker he read it over, then looked at her and said, " Hey, I'm getting really good at this, aren't I? " She came back into the office laughing because he really though he was getting better. Most of the docs really don't remember exactly what they said, so when we edit to make them look good, they don't really even know that we have made any changes. That's just what a good trasnscriptionist is supposed to do. That's my opinion anyway, Margaret >>> Valeria Truitt 06/03/01 02:03PM >>> Rennie, I think you're on to something. I have to ask: Do all the physicians who dictate to all of y'all always say exactly what they mean to say? That is, could this one have started to say, " As a child, was. . . " , meant to continue with something like " . . . burned by a caustic substance. . . " , BUT changed his/her mind, and corrected to " . . . poured some caustic agent. . . " ? So that the sentence the physician THINKS was dictated is " As a child, she poured some caustic substance down her throat, and for the last several months she has had increased difficulty swallowing solids. " If so, what do you do? What's more important to whoever signs your paycheck--making the document accurate or keying exactly what the physician said? My friend who is the transcription supervisor at the local clinic says she tells their transcriptionists that the document has to say what the physician would have said if he/she had had all the time in the world to gather his/her thoughts, hadn't been exhausted from lack of sleep, and hadn't been distracted by whatever was competing for his/her attention. What about your situation? Valeria At 01:19 PM 6/3/2001, you wrote: >Could the " as a child " actually start the next sentence? Could it be " As a >child [was poured some] caustic agent... " >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ >Rennie - Student Member of AAMT >46/Texas/nulligravida >Career Step Student www.careerstep.com >Current Specialty: Studying Applied Medical Terminology - Cardiology >~Find a job you love and you will never have to work again.~ >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ >----- Original Message ----- > > > > > INTERNAL MEDICINE > > > > The sentence is exactly how it sounded. I have no clue here! : \ > > > > HISTORY OF PRESENT ILLNESS: The patient ... with a history of >hypertension, depression, anxiety, mitral valve prolapse, chronic headache, >and also hypercholesteremia as a child. **Was poured some *clostic agent >down her throat and for the last several months she has had increased >difficulty swallowing solids. She has not had an upper endoscopy since she >was a child. She denies any chest pains, shortness of breath, nausea, >vomiting, diarrhea, headaches, lightheadedness, bright red blood per rectum, >melena, urinary symptoms, abdominal pains, fevers, chills, arthralgias, or >myalgias. Further review of systems is within normal limits. > > > >TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to >nmtc-unsubscribe > >PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc > > Quote Link to comment Share on other sites More sharing options...
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