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working as a coder, I read all the reports. It always amazes me what goes through. today I coded an MRI that had the indication "Left upper Germany tingling!" It should have been left upper extremity. This is the stuff that doesn't get caught when editing, and it goes into the patient chart. Once some doc, who didn't bother to look at it, signs it, it can't be changed easliy. In fact, it is a major issue to try to change something once the physician has signed it, and since they E sign, they often just go in and do them all at once without looking. they depend on the MTs to do it right. This one doesn't really have a "serious" implication, but others can and do. I beg all speech editors, please read with a VERY critical eye. This one made me laugh out loud, but that isn't always the case. At the other end of this is a vulnerable patient who has no control over what is put in that record and generally doesn't even know.