Re: More questions. I am starting to think I cannot do this

[Guest guest]

wrote:

> 4th Question:

> S: Mrs. is a 63-year-old woman who comes to see

> me for the following problems:

> 1)Well-woman exam. She is due for a Mammogram and Pap

> and Pelvic.

> She is a gravida 2; para 0.

> " TAB______________________ "

> Patient is currently on " Senhart " for hormonal

> replacement therapy.

You don't have to capitalize mammogram and pelvic.

The med could be Femhrt.

> Ok, that is enough for now. I have more.

> This is my 2nd day at transcription for a real doctor.

> Am I ok or should I just hang it up?

It does take some time to get an ear for it, no matter how much schooling you

had. Did you take any

courses? What kind of references do you have? I have been doing this for about

two years now. When I

first started, it was for a gastroenterologist and nephrologist - both of whom

had heavy accents! I

thought, " What have I done??!?!? " But it got much better. I'm now working for

MedQuist, and I had

the same thought when I started with them. If this is a local doctor, see if you

can get some sample

reports. A lot of times they use the same phrases in each report. And ask all

the questions you want

here - that's what this list is here for!

Pattie

[Guest guest]

Hi, ,

The first few days are always the most difficult. Hang in there!

Couple of things none of the other replies I saw mentioned:

1st question: " Status post " is two words; it means " the status of the

patient after the named procedure. " It is NOT a compound adjective

modifying " lumpectomy. "

About " ?excision " --are you questioning " excision, " or did the dictator

mention a kind of excision about which you are not sure?

3rd question: What does the " something " sound like? Otitis media is

inflammation in the middle ear (behind the tympanic membrane). Numerous

terms could logically fit in there.

4th question: Refer to patients as " Mrs. X " or " the patient " for

inquiries. No names, please!

If you don't have one, you might want to invest in a copy of the PMIC

Medical Phrase Index.

Valeria

At 06:45 PM 12/28/2001, wrote:

>Ok here goes again. This is my first job with my first

>doctor and I am cannot even get thru 1 report without

>having to stop and get help. I am beginning to think

>that I cannot do this!

>

>1st question:

>She is status-post lumpectomy on the left side. She

>also needs " ?excision " because she has positive margin

>of " DICF " .

>

>2nd question:

>PAST SURGICAL HISTORY: Significant for " TNA " in the

>left breast, lumpectomy.

>

>3rd question:

>

>A: 1) " Otitismedia----something "

>P: 1) Tympanogram confirmed the fluid in the middle

>ear. Zpack use as directed.

>

>4th Question:

>S: Mrs. is a 63-year-old woman who comes to see

>me for the following problems:

> 1)Well-woman exam. She is due for a Mammogram and Pap

>and Pelvic.

>She is a gravida 2; para 0.

> " TAB______________________ "

>Patient is currently on " Senhart " for hormonal

>replacement therapy.

>

>5th Question:

>BREAST EXAM: Symmetric bilaterally. No " odominant "

>mass. No tenderness. No discharge.

>

>Ok, that is enough for now. I have more.

>This is my 2nd day at transcription for a real doctor.

>Am I ok or should I just hang it up?

>Thank you for the help,

>

>

>

>=====

>

>

Valeria D. Truitt, Instructor Medical Office Administration

Craven Community College Phone

800 College Court vtruitt@...

New Bern, NC 28562