Wow.....Um....Just Wow.....I wish I could say that I've never seen something like that before. But, of course, I would be lying. Amazing contradiction.
Sounds like one of my dictations while I'm reading throught the 75 sheets of old records and notes: medications "none"... ah, ok, hmmmm, ah, Fukitol, Gorillacillin, two white pills, and one oval pink one.
I bet it means that there are no meds prescribed for specific times, every day, year-round; but she takes two allergy meds whenever she decides she needs them.
I've been in the position of having to figure out what meds to give someone (or to take myself) on the basis of statements like that before.
I see this stuff all the time in our EMR. Someone has created templates with the most common stuff, I think, and no one READS that, just appends, so you get "well appearing cachectic chronically ill appearing male..." And for successive progress notes from the same provider group you get the ENTIRE FREAKING previous note with maybe 5 or 10 new words which you won't notice unless you read every.single.word!!! And they say the EMR is less error prone...
There is a high-quality oil filter that is marketed for cars, but used by lots of motorcyclists. Recently, the manufacturer put a statement on its web site saying that its mediocre-quality filter marketed for motorcycles was the only one that should be used for motorcycles, as the high-quality filter was designed for vehicles, not motorcycles.
At one time in my life, I worked in a medical office. I saw stuff like this ALL TIME in files. It was in Alabama, which could explain a lot.
Totally not on the subject, but working in that office is where I came across the surname Dick. I saw it, and I starting laughing. I couldn't stop. I was 21 at the time, and yet, I felt like I hadn't left grade school. Someone has a last name that is Dick. hehehehehe
Wow.....Um....Just Wow.....I wish I could say that I've never seen something like that before. But, of course, I would be lying. Amazing contradiction.
ReplyDeleteLOL..."yeah, I'm allergic to allergy medication"...that's a smile that's hard to suppress! Funny stuff..thanks.
ReplyDeleteSounds like one of my dictations while I'm reading throught the 75 sheets of old records and notes: medications "none"... ah, ok, hmmmm, ah, Fukitol, Gorillacillin, two white pills, and one oval pink one.
ReplyDeleteI remember a patient chart that said:
ReplyDeleteSurgical History: Negative, Appendectomy, TAH.
Duhr. Proofread your notes!
Easier to keep dictating than push the rewind button.
ReplyDeleteI bet it means that there are no meds prescribed for specific times, every day, year-round; but she takes two allergy meds whenever she decides she needs them.
ReplyDeleteI've been in the position of having to figure out what meds to give someone (or to take myself) on the basis of statements like that before.
I see this stuff all the time in our EMR. Someone has created templates with the most common stuff, I think, and no one READS that, just appends, so you get "well appearing cachectic chronically ill appearing male..." And for successive progress notes from the same provider group you get the ENTIRE FREAKING previous note with maybe 5 or 10 new words which you won't notice unless you read every.single.word!!! And they say the EMR is less error prone...
ReplyDeleteDo I contradict myself? Very well, then I contradict myself, I am large, I contain multitudes.
ReplyDelete-Walt Whitman, Song of Myself
prescribed- 0 otc-2
ReplyDeleteMy all time favorite dictation error was surgical history: Vaginal hysterectomy with excision of wisdom teeth.
ReplyDeleteI bet her husband was happy they got those outta there. And those are hellaciously impacted wisdom teeth.
There is a high-quality oil filter that is marketed for cars, but used by lots of motorcyclists. Recently, the manufacturer put a statement on its web site saying that its mediocre-quality filter marketed for motorcycles was the only one that should be used for motorcycles, as the high-quality filter was designed for vehicles, not motorcycles.
ReplyDeleteAt one time in my life, I worked in a medical office. I saw stuff like this ALL TIME in files. It was in Alabama, which could explain a lot.
ReplyDeleteTotally not on the subject, but working in that office is where I came across the surname Dick. I saw it, and I starting laughing. I couldn't stop. I was 21 at the time, and yet, I felt like I hadn't left grade school. Someone has a last name that is Dick. hehehehehe
Ha, what a way to market mediocre-quality filters. It's a tactic that's probably been used before!
ReplyDeleteTranscriptionist should have caught that. Unless, of course, told to transcribe "verbatim, no matter what." You get what you wish for, I guess!
ReplyDeleteAwww we all know that allergy medicines aren't REAL medicines.... *insert rolling of eyes here*
ReplyDelete