Dictated: Eyes: Extraocular muscles intact. He has bilateral Marcus Aurelius. Tympanic membranes are okay.
Transcribed: Eyes: Extraocular muscles intact. He has bilateral arcus senilis. Tympanic membranes are okay.
first time a Roman empirer has made an appearance in my transcription! This was not even VR! ...
Pediatric pulmonology report. In the physical examination, HEENT, he states "the patient has a normal ____. The tympanic membranes are normal bilaterally."
s/l he is saying "sinavia atruamatic" but I can't find anything relating either to the sinuses or even using synovia.
Thanks for the help. ...
Hi all,
There is a discrepancy with the proper use of this - can anyone help? Some at my work are saying it should be bilateral lower extremities, whereas others think it is bilateral lower extremity since the "bilateral" implies that it's plural and hence no need to say "lower extremities." I've seen it both ways, but the more that I think about it the more I'm getting myself confused.
Any input would be greatly appreciated! ...
He will receive an endocrine consultation and get appropriate labs due to his young age and bilateral s/l "skiffies" ?
Note: Procedure is BILATERAL SLIPPED CAPITAL FEMORAL EPIPHYSIS.
Thanks. ...
dictator listed this earlier in reference to shoulder pain and now says it again in diagnoses.
S/l mylaysias or myelasias involving bilateral upper extremity, involving bilateral shoulders. ...
Patient has pain in the right submandibular triangle. It is recommended that he have a "sialadenosubmandibular duct endoscopy." Is there such a term? Thanks. ...
I think my problem with this issue is that once you are "caught" by QA/QC and given a 1.0 deduction (by which I mean I had the universally accepted HEENT and they heard HENT, thus I was docked 1.0 for that), I now must either listen carefully to determine if they are saying HENT or HEENT, then put one or the other, then still have a chance that my reviewer will give me the error because they hear something different.
If there is obviously ears and eyes that one is easy, but oftentimes it DOES s ...
'protracted' bilateral leg edema
Does this sound correct? I can clearly hear that in the dictation to me but my tired ears and eyes do not think it is right. Thanks!
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From now on, I am blanking HEENT/HENT any time I am not 100%, absolutely, positively sure of what the doctor says. Especially if they don't say anything at all (which is the usual).
This is utter ridiculousness and I am not going to risk a QA (or QC or whatever it is!)'s subjective opinion about whether a dictator said (or meant) one E or two!
What's next? If they only dictate a finding on the right lung, do we have to label it as "RIGHT LUNG:" instead of ...
When I requested reversal over getting gigged on this I spelled my thoughts out pretty thoroughly but don't know how far up the chain of holiness that goes.
Has anyone else shot off their opinions on this? Hoping if we get enough of us to make an issue they might reverse this idiotic ruling.
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