L4-L5-S1 infusion? Is this typed correctly?

This is a note on a patient with lymphoma. "...pain is being controlled with cad infusion, with basal rate of 1 mg/hour". Dictator pronounces "cad" (not individual letters c-a-d). Am aware of chemotherapy combos (i.e, cyclophosphamide, Adriamycin, dacarbazine, and cytosine, arabinoside, daunorubicin) but am wondering if they would be used for pain control. Also, earlier in the report, the dictator makes it sound as if chemo has been d/c'd. In the back of my ...

What is your opinion on the ICD-9 Procedure code for an infusion of Remicade for rheumatoid arthritis or Crohn's disease? Since this is considered a high-risk drug, the CPT codes are in the antineoplastic category. But matching up a ICD-9 is not clear. Since Remicade is a biologic response modifier you can go down that path. It is also a monoclonal antibody, so you can go down that path. So far I have come up with 99.28, 99.25, 00.18, and the usual 99.29. ...

Would I write the following with subscript? I thought subscript was frowned upon. Would I abbreviate part of "per cubic gram patient weight" The patient received a total of 224 x 10 to the eighth nucleated cells or 0.37 x 10 to the eighth with a total CD 3 dose of 16.96 x 10 to the sixth per cubic gram patient weight. ...

Code was callled briefly as she deteriorated. Her symptoms worsened as she was laid flat for initiation of s/l blunt ridge fusion, which was stopped quickly. Totally stumped. ...

Not sure why is it not working and I cant get into DQM. ...

I transcribed D5.45 normal saline. Is D5.45 correct, or how would you transcribe it? ...

I am not familiar with the terminology and I want to make sure I have this transcribed correctly. This is what I have, "CT of the head shows an old posterotemporal, intraparietal, and right occipital cerebrovascular accident." Is this correct? ...

Dictated: ....recently diagnosed with 1p minus and 4q minus deletions. Transcribed: ...recently diagnosed with 1p- and 4q- deletions. ...

Cholesterol profile: Total cholesterol 182, LDL 120, HDL 82, triglycerides 75. ...

history of stage IIIA, T4, N2, M0, non-small-cell lung cancer. ...

Dictated as "a year and a half ago." Do I type it as such or do I change to 1-1/2 years ago?? Thanks for your help! ...

Heard back from the Department of Labor who verified that OT is calculated correctly. Per the client library, FAQ June 2012, it is calculated as an hourly rate and then we are paid 50% of that. They recalculate this every pay period based on how many lines we did, divided by 80. Just updating everyone. ...

Anybody else work for a Peds clinic and get driven CRAZY due to the odd spelling of all of these kid names these days? It seems like almost every single time, I spell the name wrong and when I check for correction on my list, I always have to change it, which I cannot do until the END of the report! I am so tired of these names: Jennipher, Ryleigh, Austen, Allysin, Emilee. I mean, what was wrong with Jennifer, Riley, Austin, Allison and Emily? Why did we have to cha ...

I don't want to be too harsh, but some people need to go back to English class. All I do all day long is correct really, really basic, childish, stupid punctuation mistakes. Granted, most of them really don't make a different in the meaning of the sentence, but how would you feel if you were the one reading your medical report and it looked like crap or maybe faulty punctuation did change the meaning of what was in your report? Some representative examples I see all the time: S ...

Dr says: He did have, while after a long day of hiking at Philmont, he had decided to stretch himself out and had jumped up and was holding a bar or treetrunk with his feet off the ground, he then developed lightheadedness and a loss of consiousness. I am having brain block.. and nothing looks right. After a long day of hiking at Philmont, he had decided to stretch himself out and had jumped up, and was holding a bar or tree trunk with this feet off the ground. He then dev ...

When transcribing mm of mercury is it mm/Hg or mmHg? Thanks ...

Dictated as "a year and a half ago". How do I write this correctly?? Thanks for your help!! ...

If the doc does not dictate .0 after measurements, is it correc to type it anyway? i.e. 11.0 x 12.0 x 1.2 cm or 11 x 12 x 1.2 cm? ...

MRI scan does show a tear of the medial meniscus, a partial detachment of the meniscal femoral ligament, a lateral meniscus tear, posterior horn complete anterior cruciate ligament tear, and some impaction fractures in the lateral femoral condyle, the lateral tibial plateau, and on the articular surface of the patella, and hemarthrosis in the knee. tia. ...

My foot pedal is driving me crazy. It stops and won't start back until for a few minutes. NOw I can only get it to work from DQS at the top where it shows the stop, forward, backwards area. I have to press the > arrow to get it to take off with the dictation but when I want to stop it then I just hit my pedal but then it will not come back on until I press the > arrow at the top again. DRiving me crazy. I can't work like this. GOt a ticket in w ...

Can you get unemployment if you quit your job for not being paid correctly (shorted lines, bonus, etc.)? ...

Every couple of days I get an e-mail from my supervisor that ASR is not recognizing a particular word correctly. Really????? I wish I had the time to send an e-mail to the supervisor each time ASR doesn't recognize a word correctly - maybe 1000 times a day?????Another "don't know if I should laugh or cry" moment.... ...

And it is NOT pronounced "eerie-theemia" you stupid twit. WTH did you go to school for if not to learn these things correctly. ...

1-1/2 inch or 1.5 inch Had a doctor say 1.5 inch needle and I was taught that it should be 1-1/2 inch needle. Thanks ...

Is it 36 weeks and 1 day gestation or 36 weeks 1 day gestation? Thanx ...

Typed (not ASR): CAT scan of the cervical area done on the genitalia first. Dictated: CAT scan of the cervical area done on January 31. This person isn't even on 100% QA. You get what you pay for. ...

L4-L5-S1 infusion? Is this typed correctly? - Linda

L4-L5-S1 - sm

Thanks! - Linda

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