Re: Has anyone heard of "Girth Pain?"

"Christie" <transcription@xxxxxxxxxxxxxxxxxxx> wrote in
news:qyxFi.92$hX7.35@xxxxxxxxxxxx:

I'm spending time on it because I want to make sure than any report
that has my initials on it makes as much sense as it possibly can, and
learn as much as I can in the process. In the past 2 weeks, he's
dictated several prostate exams on females, said a patient has had
surgery in March 2006 and 'subsequently' reinjured himself in
September 2006, had a retired 26 year old, O2 sats below 80%, given me
half a day's op reports with names cut out of the dictation, stated a
patient's chief complaint was neck pain but the exam focused on the
lumbar spine, etc. And that's just off the top of my head. If I were
to blindly believe that he meant what he said, the reports would be a
mess and I would look like an idiot for letting it go through, and it
could end up being dangerous or costly to the patient. Part of the
job he trusts me to do is to catch any instances that he might have
misspoken & ask him to verify. I've had the office confirm that a
patient is "gravida 0, para 3" and insist that was correct (that one I
didn't let go until they looked it up). The problem is, the doctor
doesn't know each instance that happens, and instead thinks it must be
a typo on my part if I don't question it. Have you really always had
dictators that said exactly what they meant?

Normally I could just as the doctor and he's happy to explain the
occasional new expression, but I want him focusing on the reports.
And the laypeople have been just as confused by the usage of that term
as I was, so I turn to the only experts I know.

I just didn't think that "girth pain" made sense in the same way that
"neck pain," "arm pain," or "leg pain" does. From all the definitions
I've known, it sounded analogous to a patient having "width pain." Or
if a guy's spine hurt, they could say they had "height pain."
Obviously that's not correct, so I was hoping somebody else thought
this at first & could clue me in on a different way of looking at it.
I've never come across the term, but I only did gastroenterology for a
year for 2 doctors, so I don't have that much exposure. Just because
I don't know it doesn't mean it's wrong - just means I can learn
something. The sites that you listed referred to increased abdominal
girth, which is where I got that from.

With all of that, it STILL is not up to the transcriptionist to determine
what the doctor meant or to try to determine what the doctor could have
meant or how the doctor could have said it better. I wouldn't keep a sub
for long if they took it upon themselves to dare determine what the
doctor meant and changed the words to something they thought was more
appropriate. If there is anything in question, it is up to us to flag,
not change to what we think it should mean or say. I gathered from your
posts that you wanted to change what he said, which isn't our job.
.

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