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I do not know if this is an appropriate arena for me. I occasionally transcribe a podiatrist who does rare consults at a PM&R facility. Because I rarely transcribe podiatry, I am unfamiliar with the jargon and am challenged when words are not stated clearly.

This podiatrist did the toenails of a diabetic with a Dremel and also manually but he states that when he does manual debridement of the toenails, the nails crumble, most likely due to the fungal "VOMIT"? I googled that phrase but was unable to come up with the 2 words together. Instead I found this forum.

I know, I probably ought to be on a MT site or purchase a podiatry word book but I'm just trying to get thru this dictation. Sorry. Thanks if anyone can help.

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UPDATE on Fungal "vomit" question...I did blank the word I heard, as the DPM really did not enunciate clearly and I am unfamiliar with podiatry jargon. It was later filled in by QA as "fungal INVOLVEMENT" Since podiatry is a specialty that is not widely transcribed, this points to the need to pronounce those words, make it clear. It is also safer for patient care, for the patient and for the provider. It really did sound like fungal "vomit" !!!

Welcome Nan, sounds amusing after the event ::-)) sure it was a stress at the time.
Must admit I have considered voice recognistion software type thing BUT as the terminology we use is so "outside" the square it all seems to hard.?
I look forward to some entrepeneur out there setting it up for me. Then I can chat through the visit into the mike and it will present on the computer!! Wow that would even mean weekends and evenings not typing files............ahh one can dream...
oops got a bit carried away.
Thanks for pointing out how careful we need to be.
Cheers

__________________
Heather J Bassett
137 Wheatsheaf Road
GLENROY VICTORIA 3046
AUSTRALIA
03 9306 8557

Thanks for reply. This is the challenge of transcription in that words often sound like other words and I have to catch myself if something sounds hinky. This is often due to a dictator or accented dictator not saying words clearly. I am far more tolerant of foreign dictators generally. However, as you say, each specialty has its own jargon and sometimes the strange sounding phrase is completely correct. However, in this case, the DPM has a strange speech pattern to my ears and Podiatry terms are out of my box. I had another DPM who worked in Vascular surgery and she was IMPOSSIBLE. She used very uncommon terms for anatomy that I am otherwise used to. On top of that, she mumbled horribly. Good look with voice recognition, however, there are lots of MDs/NPs/DPMs/DOs, etc., who I doubt would ever be able to do VR. Especially foreign dictators who are learning medical language or if their native language has vastly different sentence structures. Again, thanks for responding. And again, good luck on VR! I'd love to know where that is going!