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If I hear "poor den attention" or - mthead

Posted: Nov 12, 2011

"the importance of smoking sensation was reviewed" one more time, I'm going to lose my mind! Doing a string of notes by the world's laziest, fastest dictator. So tempted to transcribe verbatim and see what happens!

I feel your pain - Happy MT Robin

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One of the regular attendings at my last job talked so fast and sloppy I swear one night he said "semen level" instead of acetaminophen level. D'oh!!!

This one - gets me

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"The uterus was cleaned of clots and DE-BREEZE." Oy. Makes my skin crawl.

Do you ever wonder if they know (sm) - AncientMT

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what the words they're mangling actually mean?

I'm hearing a lot of mangling these days from NPs working under/dictating for hospitalists. One such -- a native English-speaking American, BTW -- always dictates hematocrit as "hemacrit". Same person gives me amaRODEOne -- every time -- for amiodarone.

I get "hematopoietic" as a subheading in the ROS quite a lot,too, so obviously she can wrap her tongue around long medical terms.

Lazy dictation, or terminology ignorance? Makes you wonder. I get enough consistent mispronunciation from the same people to hope that I don't encounter them as a patient.

I get endartectomy a lot from one - mthead

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lazy dictator. When I first started transcribing vascular surgery notes, that one threw me for a loop :-)

Atrial fibulation sm - Old Broad

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Nobody working in cardiology can pronounce fibrillation it appears. It seems like some of the specialists don't know how to pronounce the terms of their own specialty, and I'm not even talking about the ESLs. I frankly wonder if some of the mispronunciations are a kind of affectation. There was one doctor I used to have who routinely mangled the names of medications, i.e., liosinopril (and that was one of the better ones), although sometimes he would pronounce it right so I knew he was capable of it. However, someone must not have cleaned up his meds for him because he started to spell some of the meds out - saying one med and spelling something else.

It's "hereditary", sometimes ... - AncientMT

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... for the specialists, anyway. If their mentor (usually the attending when they are residents) has a distinctive affectation in dictating, they tend to pick it up. The way a doc dictates his/her ROS and physical exam is often "inherited", too.

I used to think it would be fascinating to trace back some of these recurring affectations to the med school/teaching hospital where they originated ... kind of like a genealogy of medical dictation. Of course, that was back when I a) had the luxury of free time to muse about such things and b) loved my profession.

And Then There's... - Ceftaz

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They think that since there is a Cipro for ciprofloxacin, there's a Ceftaz for for ceftriaxone.

Unless they mean ceftazidime, which is - AncientMT

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a whole 'nother thing entirely. And likely they do.

Honestly, I get why they use verbal shorthand (easier to say "nonstemmy" than "non-ST elevation MI", and "vanc" for "vancomycin") but lazy dictation certainly makes our jobs as mind-readers harder than it already is.

I agree... Hope she's not using ceftriaxone for ceftaz (sm) - Another MT

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It's ceftazidime, most assuredly.

Then There's Ceptaz - JT

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And then there's Ceptaz which is ceftazidime.

poor attention - jeani

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Maybe poor dentition if in HEENT area.

I think she knows what it is-commenting on how bad he enunciates. - like...MAD GAB the game NM

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.

I feel your pain, MTHEAD - justme

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Just started a new account and have two irks
1) ER doc repeatedly says "tenderness to palpitations."
2) Pain med nurses pronounce "aberrant" as "apparent" w/ the stress on the wrong syllable. This one drove me nuts on my first job for them as I had no clue what kind of behavior the pt had if it were "apparent" behavior.

Someone needs to add "translator" to our job description.

FAIR-nyx.....ugh! - nm

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x

pacifically - like fingernails on a chalkboard - nm

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x

OB/GYN says dilation and CUTE-er-uj every time. nm - want to scream

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At least they say something - Cheesey

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Most I get just drop syllables to go faster.

A 14-year girl who was see eh evaluate yester was...

Say the whole word!

Numbering - ERMT

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I'm going to start numbering the lists the way the dictators give them to me.

1.
2.
3.
4.
10.
7.
6.
11.
14.
5.
6.
7.
10.
6.
7.
8.

ARGHHHHH

Just don't number the stinking things! I can figure it out!

poor dentition??? - Jane

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referring to poor dentition of the teeth.

Poor dentition - not the OP's point, quite sure she knows this.. - nm

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x

I always change it to poor dentition, but - mthead

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have been tempted to pad my lines by transcribing it as "poor dental attention." At least that way I'd be getting paid extra to interpret her garble and maybe if/when she sees my translation, she'll dictate with more care. Probably not, though.

Juojenum. NM - Rita, CMT

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