The dictator says ALLERGIES None. DRUG ALLERGIES---SOCIAL HISTORY He is a smoker. He works construction.
He says nothing after DRUG ALLERGIES. So do I combine ALLERGIES and DRUG ALLERGIES? Or do I put None even though he did not say it? ...
Doctor dictates "OB history" and "GYN history" on a Discharge Summary, under Past Medical history. Should I spell out Obstetric and Gynecological is it okay to leave as dictated. I forgot. jn ...
I need to find a credible source/s providing a detailed history of medical transcription - does anyone have any suggestions?
I am a transcription supervisor writing a research paper on transcription for the degree program I'm currently in and the "history of" section I planned to include is proving pretty difficult to compose due to a severe lack of information.
Thanks in advance for your suggestions. ...
Article attached.
We are waiting for permission to take massive action? Not advocating violence, but please leave your damn jobs. We deserve better. There would be no MTSOs without MTs. Don't you get it?
They already stole our jobs, sent them overseas, created software to replace us, and we are fighting over scraps at slave wages.
Those who are happy being MTs, good, but $8-10 an hour doesn't cut it in my world. That's not a living ...
Urology patient's health history.
Dr. says, "He does have a some foot s/l trap? that seemed to have resulted from some knee surgery..."
Any ideas?
TIA
...
Past medical history is given as below. Not sure if the s/l goes where I put it or not since I don't know what he is talking about.
Paraplegia secondary to spinal cord ischemia.
status post stenting aortic aneurysm.
Iliac artery aneurysms bilaterally.
Esophagitis.
Umbilical hernia repair.
transurethral resection of the prostate.
Thoracic aortic stent s/l 6 of 18.
Excisional debridement of sacral ulcer right hip ulceration.
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I am typing on a patient who is having a vacuum delivery and the doc says: "discussed plan of fetal monitoring, ficiapc. Have you every heard of that and what do those letters stand for. Thanks ...
ED is dictated several times a few of the instances are:
Hospitalizations: 1. ED age 13 St. Clair Hospital Monroe
2. 15 years old ED November of that year.
4. 1996 3-week hospitalization in Racine was transferred to Mendota Mental Health Institute on an ED where she remained between May and September of 1996.
What does ED stand for? ...
pt has type II diabetes. regardign microvascular complications, doc states "patient had a dilateded eye exam in 2010 and a s/l dias history of retinopathy." any ideas?? ...
The knee actually looks very good today, but to ____ cover the hematoma that we had cultured back as there is a possibility of suppression. Her calf has a long history of DVT.
Should it be: "cover the hematoma that we had cultured back as there is a possibility of suppression in her calf. Has a long history of DVT.
Does suppression make sense in this instance? This is a new doctor and dictation is very muffled. Just can't make sense out of this.
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I am looking for work and notice some companies ask for a salary history. I feel uncomfortable about this, not sure why, but I think it is to their advantage to know this info, not mine. In my case, I worked for my last company for 5 years with one raise and the companies before that are ancient history. How would one handle this. I am not even sure if I have that info on some of my companies. Why do they want this info? ...
Her husband has had a vasectomy, and she does not use oral contraceptive pills. She did use "SAPs" for 5 to 7 years in the past and has never used hormone replacement therapy. ...
How can I show proof of employment with MedQuist from back in the mid 1990s to early 2000s? I need exact dates of employment; unfortunately, I don't have a personal record and cannot remember. Thanks for any help with this. ...