GI dictating on pancreatitis...

The doctor spelled out emcypibrine-induced pancreatitis and I can't find the emcypibrine word anywhere, not sure if I should blank it or leave it as spelled? TIA ...

Acute pancreatitis with probable SIDs. Rule out pseudocyst or superimposed candidiasis. The fullness of the cul-de-sac may be secondary to ascites "s/l lofadet" of gynecologic problem. ...

The doctor is not including the word mg with doses of medication. Do I just transcribe what I hear or insert it? IE- simvastatin 10, vitamin E 400 b.i.d., metformin 850 b.i.d., ibuprofen 400 p.r.n ...

This is driving me crazy! My main account has several docs that dictate their review of systems and PE out of body system order, like instead of the neck head down, they dictate the abdomen or extremities first. ...

3-day hopsital stay discharge summary. It is 30 minutes long. This going to be fun. ...

I very seldom vent or complain, but it has just got to me today. This surgeon does such good dictation, EXCEPT when he yawns and continues to dictate. How in the world does he think we can understand him when he does this. It is not a little yawn either. It almost makes me shutter when he does it. I am sorry, I just had to finally vent after listening to him for 10 years. ...

He does this all the time...turns a 1.5-2 min dictation into a 15 minute dictation. I fast forward through it, but I still have to "listen" to the whole file before I can turn in the dictation. This is on top of being a horrible dictator; he whispers, shuffles papers, etc, and has extremely long pauses between words. Gah!!!! Okay, just had to get that out of my system. Thanks! ...

I have always thought the numbers less than 10 should be in numeral form if referring to medication. So I thought 1 tablet of Vicodin a day would be the appropraite way to type it or 2 tablets of Vicodin a day. However, I am not sure. Any ideas? ...

I've got a resident dictating and is on the PE. "Blood pressure 110/80 and ___________ was 65 and regular." I know that the blank would be heart rate, but the res says something like "balance" or "bowels"....is there a new term or an old one that has escaped me? TIA ...

I'm going freaking nuts! I am trying to transcribe a resident's dictation (bad enough), but she's smacking and chewing gum throughout the whole thing. It's so loud that I can hardly make out what she's saying. I don't very often rant and rave, but ... I DON'T GET PAID TO HEAR SOMEONE CHEW GUM!!!! ...

Okay, if you're going to have an RN, FNP, or PA dictate for you, at least make sure they know the terminology! I just suffered through at 10 minute discharge summary on a patient post CVA, and this lady was reading the CT scan and MRI reports of the brain into the record with clearly no idea at all of what she was reading or what it meant or how to pronounce the parts of the brain. Thank goodness I've been around long enough to be able to get and idea and fill in so ...

SO SICK OF DICTATORS EATING HARD CANDY, CHEWING GUM AND EATING CRUNCHY FOOD WHILE DICTATING!!!!!!!!!! NERVE WRACKING AND TIME CONSUMING WHILE WAITING FOR THEM TO MOVE THEIR FOOD AROUND AND SWALLOW!!! NOT TO MENTION THE RATTLING OF CHIP BAGS....HOW UNPROFESSIONAL CAN YOU GET?????????? ...

The doc sneezes twice and I muttered to myself "God bless you." Apparently someone in the office did, too, because then the doc said "thank you." The timing was perfect and it made me laugh. ...

doofuses puts in the wrong work type, the report should be sent back to them to fix. How hard is to just put in the correct type? I guess that's too simple. ...

dictating lab values: albumin 2.7, low. s/l "HU" ratio low at 0.6. ?? Thank you!! ...

Note to all doctors who eat while dictating... STOP IT! Okay, you jerks swore to do no harm. You violate that oath every single time you pick up a phone and dictate. Eating while dictating is just one of the many things you do. How would you like it if someone came up to you and started chewing their food right in your ears? Oh, you wouldn't? Gee, could have fooled me! What's that you say? No one would show a doctor that kind of disrespect? You are nothing but an over-educated, self in ...

Anyone have thoughts on using program such as Dragon to "re-dictate" reports to save some transcription time and hopefully save further wear and tear? Not an expensive program start-up but willing to spend some time to set up a more basic program to work. My shoulder is nearly frozen, again. Us old-schoolers are wearing out. Thanks! ...

Doc is dictating s/l boc ta lict hernia...any ideas? ...

I've had enough. I'm outta here! Going for a walk... ...

he is dictating lab values, pc02, po2, ph, and something that sounds like BASE EXCESS, ...

and if there was any problem with the dictation to please feel free to call him on his cell phone......and he was clear to boot. At the end of the report he said, "thank you for your patience while I work on figuring out this dictation system." ...

a doc dictating on a teenager with new-onset seizures, numbness, slurred speech had ranted a little and made it clear he was angry in his report when an insurance company would not cover a brain MRI on this person. Family were worried enough to get one anyway and it found a glioma that the CT didn't pick up. I pay 750 a month for health insurance, I think I would make quite the stink if this happened to me. ...

Honestly, this Dr. is always listening to the radio when he is doing his reports and it is up LOUD. So of course, since I do VRE, I have to delete TONS of song lyrics from every report he does. Can he seriously not live without his terrible 80's soft rock for 10 minutes?! ...

How and where do you designate the dictating nurse practitioner's (NP) name when she is not the attending physician (psych discharge summary)? ...

Doc slurring words, baby grunting and making a fuss, doc switching breasts, etc, etc, sounded like breast sex with baby for 10 minutes of dictation. Lovely, absolutely lovely, no wonder no one else wanted to do it. How many years of education do these docs have under their belts??!!?? ...

I distinctly remember doing the original dictation a few weeks back...Now I have to wonder if I got paid for that job...How do they get lost? this was a unique kind of report so there is no doubt in my mind it was transcribed and sent through... ...

on a train would be against HIPAA, unless of course one has a private car where no one else can hear you. Never mind the fact that the clickity clack of the train is louder than the dictator. sheesh ...

As dictated: "She does have occasional nausea, mostly associated with her chemotherapy regimen; however, she denies any nausea." ...

WHY, WHY, WHY. So disgusting, so loud, so disrespectful. Sorry....just ewww and please stop it. ...

GI dictating on pancreatitis... - Linda

Maybe bile duct stones? - LMM

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