MR270 Unit 6Cardiology Part II

MT Client

• Problems or concerns this week?• Corrections from last unit.• Tips for this unit.

Words to discuss from Unit 5…

• Purulent: containing or composed of pus • Penrose drain: a surgical device placed in a

wound to drain fluid • Apresoline: a vasodilator that works by

relaxing the muscles in your blood vessels to help them dilate (widen). This lowers blood pressure and allows blood to flow more easily through your veins and arteries.

• Staphylococcus epidermidis:

• Dyspneic: shortness of breath • Phlegmon: a spreading diffuse inflammatory process

with formation of suppurative/purulent exudate or pus.

• Olympus XQ10 endoscope • Olympus CF-lT10L colonoscope • transurethral resection of prostate (TURP)• Gleason score: used to help evaluate the prognosis

of men with prostate cancer.

• Formalin: same as formaldehyde; this term is used in pathology.

• Karyorrhectic: of or relating to karyorrhexis – Karyorrhexis: a degenerative cellular process

involving fragmentation of the nucleus and the breakup of the chromatin into unstructured granules

• Sengstaken-Blakemore tube:an oro- or nasogastric tube usedoccasionally in the managementof upper gastrointestinal hemorrhage due to bleeding from esophageal varices (distended veins in the esophageal wall, usually as aresult of cirrhosis).

Words from Unit 6…

Grab a pencil…

Words from Unit 6…

• paroxysmal atrial tachycardia (PAT)• Theo-Dur • digoxin, Aldomet, allopurinol, and Dyazide • Babinski • 2+, 1+, etc. (pronounced “2 plus” and “1 plus”• digoxin, Lasix, Sorbitrate, Procardia, and Capoten • Arteriosclerotic heart disease (ASHD • Elavil, Moduretic, Mevacor, Persantine, Cardizem 30

mg q.i.d., Reglan, and probably Zantac

• lovastatin • myxedema • aldolase • polymyalgia rheumatica • Endologix • Genesis Opta Pro 8 x 29-mm • extravasation

Unit Reading

• Questions on the chapter reading?• Questions on The Book of Style reading?• Questions about the movies assigned to watch

or the pdf reading?

Some Cardiology Links

• http://www.cardioscribes.com• http://www.buzzle.com/articles/

cardiology-transcription-service.html

• http://www.job-search-engine.com/keyword/cardiology-transcription

• http://www.cardiosource.org/acc

A Day in the Life of a Transcriptionist

• My educational experience• My clinical/practicum experience• My first transcription job– In Nebraska

• My second transcription job– In Colorado

A Day in the Life of a Transcriptionist…

• At my veterinary position…– Samples are sent to the lab from everywhere

throughout the world.– Samples are accessioned and routed to

appropriate laboratories.– Histopathology samples are taken first to a “tissue

processing area.”– They are then routed to the “histopathology area”

where they are embedded in a paraffin block, cut into thin sections, and put on a slide.

– The histopathology area will then take the slides and appropriately stain them. Feel free to google “H&E stains” to see what I’m talking about.

– Based on the histopathologic diagnosis, the pathologist may order other slides. GMS, PAS, and various IHCs are ordered as needed.

– Once appropriately stained, the slides are given to the pathologist for interpretation.

• At the lab, the pathologists are required to issue a preliminary report for the clinic within 24-48 hours after they receive the slides. This gives the clinic an idea of what’s going on.– For example, a pathologist might say, “Lipoma,

completely removed” or “Lymphoma, would need IHC to differentiate T cell vs B cell”.

• Once this is issued, the pathologists would dictate their reports onto blank tapes.

• The transcription requirements indicate that necropsies and histopathologies will be in separate folders from each other. There will be no more than 20 cases per folder and no more than 30 minutes of dictation per tape.

• The transcriptionists keep track of when the reports came into the transcription area, when they were accessioned in the lab, and when they were finished in transcription.

• This is just my experience at my job. Things can and will be different for you when you find your job! Different companies use different templates, formats, fonts, tapes, electronic equipment, dictaphones, processes, databases, etc.

• Be sure you know what you are qualified to work with as well as what you want to work with!

• Questions about what I do?

• Questions about Unit 6?

Good luck!

• Have a great week!

• Please email me if you have questions.

• Happy transcribing!