On heart exam: Normal S1 "barron" S2.

Doc wtih a heavy accent dictating: Heart: Regular in rhythm, normal S1 and S2, no gallop, no s/l "exosystolies". ...

"Cardiovascular exam was tachycardiac. No s/l meals or an ST. No murmurs or gallops were appreciated." Any ideas? Thanks! ...

I am preparing for the RMT exam. How much detail of the normal lab values do I need to know? Do I have to memorize all the normal values at the least? I find that impossible. Do I have to know what test will diagnose for which disease or particular study? For example, do I have to know that white blood cells are involved in the CBC test or that PSA stands for prostrate specific antigen and is a cancer marker? How much information about the drugs do I need to know? What kind of lab valu ...

States heart sounds are regular. There is an occasional extra _______. Sounds like sicily? Any suggestions? Thanks! ...

Funduscopic exam is normal with s/l crisp vessels. ...

"Chest x-ray is examined in anterior and lateral projections. Shows heart and LEEP STENT to be normal." Or "in the extent" to be normal. Or "hardened leep stent" to be normal. These are all the different things I hear...not sure what she is saying!!! Help, plz. ...

Doctor is dictating pupils are equal and reactive to light with s/l "knee line" that is normal. Any clues? ...

baseline normal or near normal thyroid function studies. Is "near normal" hyphenated, or no? Thank you. ...

s/l cell in dis thees with an MCV of 89. ...

PE on neurologist consult. Pt with spinal sarcoma. Doc is a pretty clear dictator. Not sure if "tesseril" is actually "tests for all" or what. How about "effort". Is this customary in a neuro consult? Thanks for any suggestions. ...

Doing a report for a counseling and recovery center. Dr. says.... AIIMS exam showed mild involuntary movement of upper extremities and t____ assessment. Is it AIMS exam or Ames exam. I am also unsure of the blank, it sounds like it starts with the letter T. Thank you Thank you in advance! ...

Please help with following. It sounds like sections of the heart "kilae" is marked hypertrophy. Also, myocardial fibers show only a thin shell with a "Day O" vacuolated cytoplasm. ...

Heart exam, doctor dictates: "Heart: Regular rhythm without murmurs or gallops. 2 clicks heard at the apex" I don't understand the connection between "2" and "clicks" or what punctuation to use?? I'm new to this so any help would be much appreciated!! Thanks!! ...

Posted this yesterday, but wanted to see if anyone else might know... HEART: Regular rhythm without murmurs or gallops. 2 clicks heard at the apex. (or 2: Clicks heard at the apex?) He says "2" like number 2, as if he dictated number 1- which he obviously didn't. Is there such a thing as 2 clicks heard at the apex?? ...

I think she is saying "Heart AP" but I can not figure out what is meant by AP? Any suggestions, I am at a loss. =( ...

Here's a good one. This doc says the nurses in the ER noticed that patient may have had a heart rate of "800." Impossible. I thought possibly he could be saying "a hundred", but I slowed down the dictation and 800 is what he is saying. This is an ESL doc who talks very fast. This is not the first time he has said something incorrect. ...

PLEASE!!!!!!!!!!!! IF YOU ARE ONE OF THE ONES THAT WRITE ON MT STARS SAYING AND COMPLAINING ABOUT HOW MUCH YOU HATE TRANSCRIPTION THEN PLEASE DON’T APPLIY BECAUSE YOU WILL NOT BE A GOOD FIT FOR US! Someone has already critiqued the ad post, but I have to offer up kudos for the comment above. WHINERS NEED NOT APPLY should become part of ALL help-wanted ads! ...

"She had some abnormal rhythms with SVT and s/l "barrency" intermittently. This self resolved." This doc is heavy ESL (but with a deliightful Spanish lilt to her voice) so I'm not sure what "barrency" might be. Variancy? Thanks in advance for any suggestions. ...

Right heart catheterization right atrial pressure of 34. s/l R pressure was 90/36 mmHg. ...

Has anyone heard of "irregular regular irregular" heart rate? I thought it was "regular irregular". ...

Sounds like "RBU 4 to 6-French guide catheter" or maybe "RBU4 6-French guide catheter" Dictates it so fast I can't tell what is going on here. TIA!!! ...

I was searching reports to look up how a doctor dictates and came across..patient has HIV and is on heart medications. Come on, people, ALL transcriptionists should know HIV patients get HAART treatment. Unbelieveable. I would not be surprised if we lose this contrast due to stupid mistakes like that. ...

There is a s/l KEY-ard network noted in the right atrium ...

I should know this, but when typing out a physical exam, is it 2nd heart sound or second heart sound, or 1st heart sound or first heart sound, etc. Thanks for the help. ...

It is with heavy heart that I am giving up my career as a transcriptionist. After 19 years of transcription, with all the changes to the industry, I can no longer make the kind of money I used to make without working multiple jobs and endless hours just to get a decent line count. I have taken a wonderful position in another industry and I am looking forward to my new adventure. First time in many years (longer than I can remember), I will be working Monday through Friday with all the hol ...

I am a fairly new MT at MQ. With all the checking ADT and getting different facilities/doctors I am very slow. What should my speed be at as a new MT??? ...

On heart exam: Normal S1 "barron" S2. - bangle

punct - r

Definitely not a comma. I thought it be S2 bare and S3. ?? - bangle

could dictator possibly - be saying hyphen

Nope...I type 20 of her dictations a day and never heard this one ?? - bangle

WAG - apparent? - vmt

Just sent it to QA. Those last ones were good ones. Wish I still had the recording. :) - brandy

maybe aberrant - truffle

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