Help! 100-mile-an-hour resident! s/l BE (is that barium enema?) examination for colovesical fistula

never experienced NJA accuse us of being lazy or not willing to work on other accounts? Never fails to amaze me how easy it is for those with "great CCMs, never experiencing NJA because accounts seldom out of work" to assume that WE are the ones not doing something right. ...

A new ESL dictating a DS. Can't speed him up because he's too "new" (to this country?). He is spelling every other word!!!!!! AND then spells it again - extubated, e-x-t-u-b-a-t-e-d, extubated e for elephant, x for crosses, t for tom, u for umbrella, b for .......... get the picture (sigh)? On top of that, the report is 28 minutes long!!! Should never have gotten out of bed this morning. LOL I do feel bad for him that he doesn't realize he doesn't have to spell every other ...

having problems, doctor dictates "PROCEDURE: Swallowing study with (s/l fake???) barium. Fake barium? It doesn't make sense. any help would be great. ...

MODIFIED BARIUM SWALLOW Patient was given thin liquids, nectar-thickened liquids, pudding, mechanical soft tissues and chopped meats. In the oral phase there is decreased lingual range of motion, coordination and decreased _____. Sounds like he is saying "dentition". ...

Is this correct? ...

I haven't heard of this type of enema and I can't find it. It s/l ah-wass-enemas or ah-lots-enemas? He says that he would consider starting the pt. on ? enemas or possibly cortenemas. It is for bloody mucoid bowel movements and increasing constipation. Thanks. ...

moderate reflux and delay in "transit" (is that the correct word??) of the barium pill through the distal esphogus. There were also a significant S/l "tush-i-rary" contractions in the distal esophagus showing delay in "transit." ...

I have a female resident dictating radiology who tries to break the speed barrier, she sniffs before every sentence, and constantly makes these noises in her throat. She DRIVES ME CRAZY. My rant for the day. ...

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

Help please:) I work at a residency clinic and was wondering how to sign off a letter if you want to put the resident's initials (the one dictating), the precepting doctor and then your initials. Usually they tell us just to put our initials on a new line, i.e. /mt. For a doctor you would do: DR/mt, but what about the resident? Do you put both sets of initials? Thanks! ...

I have alway been told when in doubt, leave a blank. Resident did not give attending physician's name. There was a doctor's name in the hearder as attending, but I was not sure so I left the attending line blank at the bottom of the report. My boss calls me and tell s me to go on a limb and guess in the future. I do not like those ethics because it leaves me up for problems in the future. Comments welcomed. ...

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 ...

At the end of his discharge summary, the resident says "thank you very much for your help and your time. I hope you have a nice evening and a nice weekend." Awe. That just made me smile. ...

The physician is saying ileovesical fistula. Verbatim account but can make small changes to make correct. Is ileovesical a word or should I change this to colovesical? I can't find ileovesical documented anywhere. ...

because of the diameter of the AV fistula, we decided to primarily repair this with interrupted 6-0 Prolene. This did not compromise or lose/loose lumen/lumina of/or fistula, but yet repaired the defect. ...

Metastatic colon cancer with rectovesicular (or rectovestibular) fistula. Thank you! ...

I can't figure out this one word. s/l ray-tack or ray-tech Methylene blue was injected into the 11 o'clock fistula opening and there was no excretion into the 10 o'clock one but there was a little staining on a (raytack) that was placed in the anal canal. Thanks ...

Would really appreciate any help with this "needle" please. A child is having a fistula repair. Thank you. Next, 1% Xylocaine with 1:100,000 epinephrine was infiltrated subcutaneously around the subcoronal fistula site for hemostasis and a circular incision was marked around the fistula tract. This incision was made with a 15 scalpel blade superficially through the epithelium only. Using 6-0 PDS sutures on a * s/l beevuan* needle as traction sutures, the surroundi ...

On exam, doc says, "she has a palpable s/l furlin to the upper arm." It could be something it was treated with. TIA!! ...

Hi:I am make incentive based on minutes, but I work on a system that lets me check how many lines and minutes I have typed in a day also. Just in case I have to get another job based on lines, I wanted to know what is the average amount of lines per hour or per 8 hour shift. Thanks for the advice in advance. MeL ...

I know none of us get paid by the hour, but I was just wondering if any of you have ever figured out just how much you earn per hour, based on a 40-hour week. I'm just trying to figure out where I fit in. I seem to be earning $16-18/hour give or take based on how my week goes. ...

Sippacleanse? Sivacleanse? Supercleanse? I have searched and searched...thanks in advance!!! Not usually on OB/GYN... ...

My transcription job was always paid by the hour. I was laid off and they recently offered me a temp position with them making $12.00 an hour. I was also offered a positon that pays 7.5 and 3.5 cpl. The $12.00 is employee status for a small local company I worked for over 9 years. The other is an IC position. Do you think I would make more with the $12.00 an hour or the per line production rate? I have never done production by line work so I'm not sur ...

Hi Guys, I'm having trouble figuring this dictation out. I am new to Ophthamology and I have a new doctor from Asia. Confrontation of visual fields are full to finger counting in both eyes. (Vergens) are full. Pen light examination is normal. The fundus examination of both eyes shows scattered, dark, and blood hemorrhages. There is no exudate in the posterior (pole) and both maculae appear to be normal. The words in parenthesis are the ones i' ...

Really, shouldn't he be more concerned about the content of the report rather than telling me where to put periods and commas and spaces. You know I just never would have figured that one out without him! ...

Right thumb revision of amputation.... "On s/l gwen-e-ometer exam today he has full range of motion at his CMCJ." I feel like this may be random english words, but just want to make sure before I kill myself trying to figure it out. Thanks! ...

Typing on Physical Examination, I hear this: Abdomen was nontender; no liberetch, no spleen tip... "liberetch"?! I think I am going crazy. What is this? ...

what heading would you put that under? skin? HEENT? or what? kind of silly question I guess, but I just want to make sure. (Patient has thinning hair, btw) thanks ...

Help! 100-mile-an-hour resident! s/l BE (is that barium enema?) examination for colovesical fistula - shortcake

That sounds right. - MTLove♥

Thanks for your reply. I forgot to state that this was in PE section of report, sm - shortcake

oops, I mean threw me off!!! Jeesh, what a day! - shortcake

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