This dr. is not consistent.
Sometmes she says, "She is married with a male and a female CHILD."
Other times, it's "She is married with a male and a female CHILDREN."
This occurs often enough that I'm totally confused on the proper term. ...
Would this go under genitourinary or skin exam:
The diaper area has an erythematous rash. There are no open areas at this time. There are no abnormalities of the scrotum.
Also, Prilosec for rhinitis?
Thanks. ...
Hi any help really appreciated, cant locate anything even close..
Pinnacle, s/l "banton" acetabular component with a 28 mm Ultrex polyethylene liner. ...
I had to TYPE them, OMG! I type for a pediatric clinic and these name spellings are outrageous! The way my platform works, I type in the patient's name the way it sounds and after the dictation is done a search list comes up and I am ALWAYS having to go back and change the spelling I gave. I used to think it was all cute to spell a child's name different, but now if another, I may name her "Mary" LOL. I just typed on a kid named Jacob, but of course it was spell ...
One child has thyroid disease and "queshee acor." (sounds like!!!) Tried searching diseases and still couldn't find... which is hard anyway since I don't know how to spell it... Sure sounded funny!!! ...
When I went to school years ago I was taught to transcribe 2 to 3 out of 10 as 2/10 to 3/10. How do you all transcribe that. Is 2 to 3/10 correct or should it be 2/10 to 3/10 or 2-3/10? ...
I am working on an account where I have had literally no training, on a program where I have had literally no training so I have no idea if it is verbatim or not. The doctor dictates "He was seen last by me in December of this year." Okay, it was actually December of last year or 2011, I would assume. Would you transcribe exactly what he says or would you change it to December 2011 or December of last year?
Thanks so much!!! ...
If a doctor says p.s. at the end of his letter (as in, he is adding something), is that transcribed simply as P.S. and beginning a new line?
Thanks ...
The doc is saying patient is off of all meds due to number 1 her pregnancy but also experiencing side effects.
This is a verbatim account. Thanks for anyone's help! ...