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General Word hel p questions about ESL docs - Confused

Posted: May 07, 2010

New to ESL doctors... wow fun.

doctor is saying microcytic or macrocytic anemia. When you have a word that has one letter difference, do you always send to QA? I am doing my best to look up which is what, but I am not going to guess.

I just hate that my QA maybe thinks that I have no idea what he is saying, because we aren't supposed to write S/L in our box of notes to QA... the QA thing is very new to me and I am having a hard time getting all kinds of corrections that in my previous 10 years were never problems! ugh.

Macrocytic - Catgrrl

[ In Reply To ..]
Macrocytic anemia is a B12 deficiency and microcytic is just an anemia. I often use the context of the rest of the report when determining.

ESL docs and QA - CAMT

[ In Reply To ..]
On ESL dictators, sometimes its very hard to determine whether they are saying microcytic or macrocytic. Hypoglycemia vs. hyperglycemia is another big one.

I have 30+ years experience and do exactly like you. I will try my best to determine which one it is. Sometimes the lab section can be very helpful, i.e. if the patient was admitted for hypo/hyper glycemia and in the lab section the patient's blood glucose is 800, then I know that it's hyperglycemia.

Otherwise, if I can't tell and can't be 100% sure, I always leave a blank. Sometimes the ESL dictators will even realize the problem and are actually nice enough to start dictating "hypOOOOglycemia" or "hypERRRRglycemia."

On your QA corrections, my guess is that you're probably working for a company that uses the BOS (Book of Style), which maybe you never had to be concerned about in your past 10 years. Personally, I think that a lot of the stuff in the BOS is a bunch of hooey that doesn't affect patient care at all. But my company also uses the BOS, so I'm stuck with it too unless I want to get marked down by QA.

yes, BOS... - Confused

[ In Reply To ..]
Thanks for the advice.
and You are exactly right about the book of style (and now the changes from the 2nd edition to the 3rd even!) has nothing to do with patient care. I did follow some of the rules before, the ones that made sense. haha. I understand wanting to be the same as everyone else, but missing a dash, or putting one in... oh man it's killing me. little things like that. I'm not missing words, I'm not misspelling things... I'm not getting anything other than these stupid BOS things wrong... I just started with the new company 3 weeks ago and there is a lot for me to try to learn and remember, especially after doing it one way for so long. and some of that BOS stuff is just HIDEOUS... IMO :) but oh well, I am trying!

I know exactly what you are talking about! - CAMT

[ In Reply To ..]
I went through the exact same thing. I've been an MT for a long time and about 5 years ago I started working for a company that uses the BOS, and are BIG sticklers on following the BOS to a T...right, wrong or indifferent. And QA couldn't find anything wrong with any of my reports, except for those pesky little BOS things like the hyphens.

And then you've got things like the BOS2 says to hyphenate metric measurements like "10-mm cannula." But then you go over to the BOS3 and THEY CHANGED THEIR MINDS, so now it's supposed to be "10 mm cannula."

Arghhhhhhh!!! lol

Wait till you see what BOS4 has in store - ForYouNotMe

[ In Reply To ..]
Flush ... cha-ching!

this is a problem with native english speakers - not just ESL

[ In Reply To ..]
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