MR270 Unit 3Surgical Reports

Late work reminder

• As a reminder, late work is NOT permitted.

• Please email me and let me know if you have extenuating circumstances. I require documentation!

• In the real world, you will have deadlines! You have them in class too!

MT Client

• Any issues with MT Client this unit?• Questions or problems with the assignment?• Corrections and things to work on for this

unit.

• A couple of quick tips and reminders about MTClient…

MTClient grading• Things to remember:

– MTClient will flag ANYTHING that doesn’t match the master key.• Adding an s/ed/en/ing/es to a word• Adding a/an/and/if/the to a sentence• Adding a space• Missing a space• Misspelling• Etc….

– You will probably see a number at the bottom of your reports. This is the percentage I’m awarding this report. I will average all of your percentages and post your grade from that.

– If you are ever confused about the markings, please email me!

Chapter Reading

• Questions or items to discuss from your e-book reading.

• A bit of review…

Mr. Skeleton!!

• Anterior: situated in front of• Posterior: situated behind• Inferior: situated below and closer to the feet• Superior: situated toward the head and further

away from the feet • Proximal: located toward the center of the body • Distal: located away from the center of the body • Caudal: situated in or directed toward the hind part

of the body • Cranial: of or relating to the skull or cranium

• plantar vs planter– Plantar is of, relating to, or typical of the sole of the foot

(usually used in medical reports)– Planter is a box or pot for plants

• dual vs duel– Dual is a pair or a grouping of two (sometimes used in

medical reports)– Duel is an engagement in combat between two individuals

• condylar vs chondral– Condylar is of or relating to a condyle– Chondral is of or relating to cartilage

Words for Unit 4

• Get a pencil. I’ll wait…

1. Pfannenstiel incision 2. salpingo-oophorectomy 3. villoglandular polyp4. GIA autosuture device 5. Mefoxin 6. Scarpa’s fascia 7. gastrojejunostomy 8. ligament of Treitz

1. 0.5% Marcaine plain 2. malleolus 3. tibiofibular syndesmosis 4. chondromalacia 5. interosseous membrane6. Wenckebach

Questions? Repeats?

Surgical Sites

• Surgery Flashcards: http://www.flashcardexchange.com/tag/Surgery

• Surgical Terms: http://www.umm.edu/surgery-info/glossary.htm

• http://surgery.about.com/od/glossaryofsurgicalterms/Glossary_of_Surgical_Terms.htm

More helpful websites…

• http://www.mtsamples.com/• http://www.google.com/cse/home?

cx=010964806533120826279:kyuedntb2fy&hl=en

• http://sites.google.com/site/medicaltranscriptionwordhelp/– Look for “Surgery OP Report Terms For Medical

Transcriptionists” and “Surgical Equipment / Instrument Word List For Medical Transcriptionists”

Are you stressed?

How can you tell??

How stress affects the body• Common symptoms of stress include:

– A fast heartbeat. – A headache. – A stiff neck and/or tight shoulders. – Back pain. – Fast breathing. – Sweating, and sweaty palms. – An upset stomach, nausea, or diarrhea.

• Over time, stress can affect your:– Immune system. Constant stress can make you more likely to get sick more often. And if you have a chronic

illness such as AIDS, stress can make your symptoms worse. – Heart. Stress is linked to high blood pressure, abnormal heartbeat (arrhythmia), blood clots, and hardening

of the arteries (atherosclerosis). It's also linked to coronary artery disease, heart attack, and heart failure. – Muscles. Constant tension from stress can lead to neck, shoulder, and low back pain. Stress may make

rheumatoid arthritis worse. – Stomach. If you have stomach problems, such as gastroesophageal reflux disease (GERD), peptic ulcer

disease, irritable bowel syndrome, or ulcerative colitis, stress can make your symptoms worse. – Lungs. Stress can make symptoms of asthma and chronic obstructive pulmonary disease (COPD) worse. – Skin. Skin problems such as acne and psoriasis are made worse by stress.

Ways to cope with stress…• Keep a positive attitude. • Accept that there are events that you cannot control. • Be assertive instead of aggressive. Assert your feelings, opinions, or beliefs instead of

becoming angry, defensive, or passive. • Learn and practice relaxation techniques; try meditation, yoga, or tai-chi for stress

management. • Exercise regularly. Your body can fight stress better when it is fit. • Eat healthy, well-balanced meals. • Learn to manage your time more effectively. • Set limits appropriately and learn to say no to requests that would create excessive stress in

your life. • Make time for hobbies, interests, and relaxation. • Get enough rest and sleep. Your body needs time to recover from stressful events. • Don't rely on alcohol, drugs, or compulsive behaviors to reduce stress. • Seek out social support. Spend enough time with those you enjoy. • Seek treatment with a psychologist or other mental health professional trained in stress

management or biofeedback techniques to learn healthy ways of dealing with the stress in your life.

Tips to relieve stressWhen you feel stressed, you can:• Take slow, deep breaths. • Soak in a warm bath. • Listen to soothing music. • Take a walk or do some other activity. • Meditate or pray. • Take a yoga class. • Have a massage or back rub. • Have a warm drink that doesn't have alcohol or caffeine. • You also can make some changes in your everyday habits to reduce and relieve stress.• Get plenty of sleep. • Stay connected to your family, friends, and other caring people in your life. • Get regular exercise. It can help you clear your mind and work off feelings of frustration and

anxiety. • Don't drink or eat anything that has caffeine in it. Caffeine can make you feel "wound up"

and more stressed. • Don't smoke or use tobacco. Nicotine can make you feel more anxious. • Don't drink alcohol. It can cause sleep problems and depression.

Muscle relaxation to relieve stress• Your body may respond to stress by tensing up, which can cause pain. If you learn

to relax your muscles, you can reduce muscle tension and anxiety. Progressive muscle relaxation is an exercise that can help you do this.

• In progressive muscle relaxation, you tense and then relax related groups of muscles. You can use a relaxation tape or CD to help you go through all the muscle groups. Or you can learn the muscle groups and work through them from memory.

• Find a quiet place where you won't be bothered. Be sure you can lie on your back in comfort.

For each muscle group:• Breathe in and tense the muscle group for 4 to 10 seconds. Tense hard, but not to

the point of cramping. • Then breathe out while you suddenly and completely relax the muscle group.

Don't relax it gradually. • Rest for 10 to 20 seconds.

Continued…Hands and arms • Hands: Make a tight fist. • Wrists and forearms: Tense them and bend your hands back at the wrist. • Biceps and upper arms: Make your hands into fists, bend your arms at the elbows,

and tense your biceps. • Shoulders: Shrug them.

Head and neck • Forehead: Wrinkle it into a deep frown. • Around the eyes and bridge of the nose: Close your eyes as tightly as possible. If

you wear contact lenses, remove them before beginning the exercise. • Cheeks and jaws: Smile as widely as you can. • Around the mouth: Press your lips together tightly. • Back of the neck: Press your head back against the floor. • Front of the neck: Touch your chin to your chest.

Managing Job Stress - Setting a Goal to Reduce Job Stress

• First, identify what's creating stress at work. Maybe it’s lack of control over your job. Or maybe it's worry about losing your job or how you are doing at work. You might feel stress because you're unable to express your thoughts and ideas to your boss and coworkers.

• Think about why you want to reduce stress at work. You might want to protect your heart and your health by reducing stress. Or maybe you simply want to enjoy your life more and not let work stress control how you feel. Your reason for wanting to change is important. If your reason comes from you-and not someone else-it will be easier for you to make a healthy change for good.

• Next, set a goal for yourself that involves reducing your stress level. Think about both a long-term and a short-term goal.

• Any questions on how to relieve stress?

• Don’t be afraid! EVERYONE gets stressed out at some point. The key is how you handle it.

• Don’t be afraid to admit you can’t handle the stress! Ask for help, talk to someone, use the internet to find resources to help you.

Seminars

• Any ideas for seminar?• Any topics you want me to research?• Things you’d like to hear about?• Please feel free to throw out ideas now or

email me throughout the week.• I’m always open to constructive criticism

about our seminars! I want to make sure they are working for you!

Final questions?

• Have a great week!

• Please email me if you have questions, comments, or concerns.

• Happy transcribing!