Tone is normal. No (cogwheeling)

New Gastro doc. Sounds like he is saying: "Rectal tone is normal (s/l) 'oh-tuh-high'. There were no masses palpable." It sounds like he's saying it as one word. (No accent.) ...

I need help with this phrase if anyone out there can please help. Here it is: No cogwheeling. s/l dich and the reflectants are equal. Any help would be greatly appreciated. ...

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. ...

Doctor is talking about a fistulotomy for a recurrent perianal fistula, s/l C-tone and says "possibility of insertion of a C-tone in case of high fistula. Is it C-tone or C-ton??? ...

Patient with Parkinson disease. During exam, doctor dictates "Resting tremor in the left arm was noted with increased tone (s/l in-con-gwent-ly) in the left arm." She is a pretty clear dictator, but I am stumped on this. Any thoughts? ...

Is it just me or has the sound and tone of most reports become almost unbearable? I adjust everything and have two headsets and the sound still is not as good as it was before. ...

Dictated on Neuro Exam: "Although she had no clonus, her tone was extremely brisk." I have typed Neuro for a long time and have never heard of brisk tone. Thanks in advance! ...

for Windows 7. Thanks for your help. ...

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. ...

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??? ...

I know V4 is an ECG lead, but I have never heard it stated like this. Please advise! ...

When a dictator asked that you insert a normal ROS or PE, then dictates "for the respiratory put ..." I often get dictation that contradicts what remains in the normal template but the dictators do not instruct to delete the rest of that heading. Sometimes this is an easy fix, for example if you know they complain of SOB, then you delete that portion. Other times we can't possibly know how the "normal" differs for this particular patient. It's time consuming to keep flagging these for ...

what would S pep be referring to? ...

Does anyone else get scared when they start? I'm shaking inside. Is it just me or is it normal? ...

Mycamine 100 mg in 100 normal saline infused over 60 minutes daily. My question is about the 100 normal saline. I searched for this in quotes, and did not come up with anything. Is 100 a percent? Or do I just type it as I did above? ...

I'n new to working from home, only 3 months now, but have been a transcriptionist for 6 years. The company I work for has me on 5 different hospital accounts. They are all rehabilitation hospitals (acute) and do H&P, discharge summaries, daily notes, consultations, etc and I am constantly out of work. Some days I have no work at all. Pay is 0.0775 line except headers/footers. Is this normal? Each hospital is at least a 50 bed hospital. I f ...

At my company (a smaller one) there are a lot of mistakes in the normal dictations that the doctors request. The way they are created in the first place is the transcriptionist types up the report and sends it to QA saying the doctor would like to use this in the future for his normal, but I don't think they get reviewed by QA. I think they just get created the way they are. So if it was a right eye, the word right is there all the way through it. If a word is misspe ...

I am thinking for right now I don't really care if I "fudge" on my shift a little here and there. First they offer OT, then no work. I almost think it might be better when we are under different management. HOWEVER, I still have not seen anything on the acquisition other than what we were originally told. How odd!! Makes you afraid to go with any of the smaller companies. Who knows who will be eaten up next. I will say I was an old YOG employee and when ...

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

HEENT s/l gershin normal? ...

to tell you that they will not pay you until the doctors/accounts pay them? Would you take the job even if you had been reassured that this is never the case? TIA ...

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 ...

We are inundated with sloppy dictators, perhaps the ones that can't use VR. We know how much they hate to dictate repetitive ROSs and PEs, thus they love using templates, or paragraphs from previous reports. Does anyone else note a lot of doctor errors in using these methods, i.e. racing through and not changing all the template details? I have found that NPs and female doctors are able to multitask and get this right, but the only males that can do this are the older ones who have a lot o ...

Tone is normal. No (cogwheeling) - cat

??? What you had is common dictation. - NM

Cogwheeling is correct - common in Parkinsons

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