Wednesday, October 12, 2016

Speech recognition bloopers

 “right internal jugular coitus” when the radiologist said “right internal jugular cordis,”
"penis becoming worse" " Pain is worsening"
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11 Radiology Speech Recognition Bloopers

11 Radiology Speech Recognition Bloopers

November 20, 2015 | Voice Recognition, PACS and Informatics
By Liza Haar

©Anya Ku/Shutterstock.com; ©Sergiy Kuzmin/Shutterstock.com

©Anya Ku/Shutterstock.com

©Anya Ku/Shutterstock.com; ©Sergiy Kuzmin/Shutterstock.com

©Anya Ku/Shutterstock.com; ©Sergiy Kuzmin/Shutterstock.com

©Anya Ku/Shutterstock.com; ©Sergiy Kuzmin/Shutterstock.com

©Anya Ku/Shutterstock.com; ©Sergiy Kuzmin/Shutterstock.com

©Anya Ku/Shutterstock.com; ©Sergiy Kuzmin/Shutterstock.com

©Anya Ku/Shutterstock.com; ©Sergiy Kuzmin/Shutterstock.com

©Anya Ku/Shutterstock.com; ©Sergiy Kuzmin/Shutterstock.com

©Anya Ku/Shutterstock.com; ©Sergiy Kuzmin/Shutterstock.com

©Anya Ku/Shutterstock.com; ©Sergiy Kuzmin/Shutterstock.com

©Anya Ku/Shutterstock.com; ©Sergiy Kuzmin/Shutterstock.com

©Anya Ku/Shutterstock.com; ©Sergiy Kuzmin/Shutterstock.com

©Anya Ku/Shutterstock.com

Radiologists don’t need a reminder that there are a lot of things wrong with radiology reports.

Curtis Langlotz, MD, PhD, professor of radiology and medicine at Stanford University Medical Center wrote a book, released earlier this month, on how to improve the radiology report.

The Radiology Report: A Guide to Thoughtful Communication for Radiologists and Other Medical Professionals touches on many of the challenges radiology reports present, including the general disagreement of what actually constitutes a good radiology report. The book offers helpful, actionable advice on creating radiology reports.

But it also mentions one of the greatest frustrations of the radiology report: technology. Here, we’ve assembled 11 speech recognition bloopers Langlotz describes in his book. Because if we don’t laugh, we’ll cry.

Share some of your favorites in the comments section below.

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Oldest First
Newest First
Referring physicians wrote in requisition:

trauma in the frontal and occidental area

percentile sestamibi stress test

replyFernando @ Thu, 2015-11-26 21:02
Referring physicians wrote in requisition:

trauma in the frontal and occidental area

percentile sestamibi stress test

replyFernando @ Thu, 2015-11-26 21:02
The patient was prepped and raped. (draped)

replyWilliam @ Thu, 2015-11-26 11:48
"History of expensive abdominal surgery" (extensive)

replyWilliam @ Thu, 2015-11-26 11:45
"There is an anesthesia fight at the patella" (enthesophyte)
"The patient is a vaginal baseball player" (professional)
"There is moderate penis synovitis" (tenosynovitis)

replyWilliam @ Thu, 2015-11-26 11:44
"The patient was notified and sexually scheduled..." (for a needle biopsy of the breast), should have been "subsequently scheduled".
This happened more than once for one of our male radiologists.

replyLoren @ Tue, 2015-11-24 17:04
Feeding tube placement by GI radiology

became:

Feeding tube placement by Genital etiology

replyVAL @ Tue, 2015-11-24 15:27
There are benign consultations in the right breast.- There are benign calcifications in the right breast

replyChad @ Mon, 2015-11-23 13:01
Long-stemmed pilot for long-stemmed polyp

replyJOHN @ Mon, 2015-11-23 00:30
stereo tape deck biopsy - stereotactic biopsy

tidy epididymal cysts tiny epididymal cysts

pastille aorta pulsatile aorta

fuschia FOOSH

hempoptamus haemoptysis

the jip joints the hip joints

replyMilan @ Sun, 2015-11-22 22:22
"Results were called to Anna, the large nurse on the ward" (Should have been "charge " nurse. Lot of apologizing.)

replyVictor @ Sun, 2015-11-22 17:38
No bleed, no shit.

replyJawaad @ Sun, 2015-11-22 16:26
GI bleeding / GI breeding

replyNeil A. @ Sun, 2015-11-22 12:59
Vaginal cuff is normal/ vaginal cock is normal

replyRichard @ Sun, 2015-11-22 08:20
Instead of normal cxr- I can't take this job anymore and want to cry

replyJAMES @ Sun, 2015-11-22 07:50
"intubated using nasal boogie"

replyJulie @ Sun, 2015-11-22 01:54
Abhorrent subclavian artery

replyAlan @ Sat, 2015-11-21 23:00
The endotracheal tube is 3.2cm above the vagina.

replyTim @ Sat, 2015-11-21 19:29
"Old factory grove" for olfactory groove - my favorite

replyBarbara @ Sat, 2015-11-21 19:03
"OSF St. Mary's Hospital" became "Oh pass gas St. Mary's Hospital"

replyCraig @ Sat, 2015-11-21 18:27
Chondral petite for chondropathy

replySandro @ Sat, 2015-11-21 16:54
Normal variation / normal hairy agent

Hypoechoic mass / post-coital mass

replyJeffrey @ Sat, 2015-11-21 16:06
Pleural plants...actually that one was typed by a not so expert sec!

replyanne @ Sat, 2015-11-21 14:52
Erotic dissection for Carotid dissection

replyStacy @ Sat, 2015-11-21 14:12
but products in the pleural space (not blood products)

replySCOTT @ Sat, 2015-11-21 14:10
Screaming mammogram.

replyJACK @ Sat, 2015-11-21 13:58
Dr. Make me come (McMeekin ). By coincidence this was the spouse of the dictating radiologist.

replyROBERT @ Sat, 2015-11-21 13:39
specimen sent for psychology (instead of histology)

replyCorinna @ Sat, 2015-11-21 12:17
I have stopped using it soon after I discovered it's ridiculous mistakes and dangerous drawbacks.

replyAbduladeem @ Sat, 2015-11-21 12:04
In the report of an obstetrical ultrasound, the fetus is reported to have a "phallic index of 71". Imagine the proud father...

replyMICHAEL @ Sat, 2015-11-21 11:53
"Bullous emphysema in the chest" became "a bolus of semen in the chest".

replyCRAIG @ Sat, 2015-11-21 11:50
"Tear of the annulus fibrosis" became "Fear of hepatic sclerosis"
"contrast in the thecal sac" became "Interesting fecal sac".

replyH @ Sat, 2015-11-21 11:36
This one from the days when we had human transcriptionists: instead of "reflex sympathetic dystrophy," "reflux and pathetic dystrophy."

replyMichael @ Sat, 2015-11-21 11:24
Instead of "administration of oral contrast", the report read "menstruation of oral contrast. "

replyMichael @ Sat, 2015-11-21 11:20
Instead of "an embolic process should be considered", "an embalming process should be considered"

replyNorman @ Sat, 2015-11-21 11:03
lumbar spine -number spine.

replyMichael @ Sat, 2015-11-21 11:02
Bilateral mammary implants = bilateral memory implants

(I could actually use the extra memory)

replyNeil @ Sat, 2015-11-21 11:00
sclerotic changes in the facet joints- sclerotic changes in the adnexal joints.

replyMichael @ Sat, 2015-11-21 10:59
"History and indication: Hit in the face by a rectum wall." Should have been "wrecking ball"

replySCOTT @ Sat, 2015-11-21 10:59
Appendix is visualized- a penny is visualized.

replyMichael @ Sat, 2015-11-21 10:58
My favorite is clitoromegaly for cardiomegaly.

replyRobert @ Sat, 2015-11-21 10:37
Aortic insufficiency = erotic insufficiency

Irwin

replyIrwin @ Sat, 2015-11-21 10:26
"A large pannus is noted overlying the pelvis"

The patient was female. Use your imagination.

"Pannus" didn't transcribe correctly!

I'm beginning to think our voice dictation system was programmed by a dirty old man!

replyThomas @ Sat, 2015-11-21 10:25
"The patient was prepped and draped in the usual sterile fashion"

The "d" was dropped from " draped"!!!!

(Lucky I wasn't hauled away to jail!)

replyThomas @ Sat, 2015-11-21 10:22
Pectus excavatum = pectus extra bottom

replyAndrew @ Sat, 2015-11-21 10:17
Pectus excavatum = pectus extra bottom

replyAndrew @ Sat, 2015-11-21 10:17
Clitoromegaly should have been cardiomegaly.

replyFredrich @ Sat, 2015-11-21 10:13
Microcalcific Asians = microcalcifations

replyreed @ Sat, 2015-11-21 10:05
longitudinal tear of the penis brevis (peroneus brevis)

replyjohan @ Sat, 2015-11-21 10:04
"There is no hydrocephalus" = "The patient has syphilis"

Liposarcoma/Light bulb sarcoma

 Balled fungus in the stomach. /Bald fundus


the following are from 
https://www.2ascribe.com/articles/transcriptionist-tips/transcription-snafus-humour-transcribed



/ VRTranscribed as…Should have been…
HHe was given a free tenement here…He was given a Fleets enema here…
HPatient was told to continue his Bactrim and Catholics… Bactrim and Keflex
HOn my arrival to the ICU, I found the patient to be an extremist… I found the patient to be in extremis
HCancer of the breath… breast
HThe patient is to take her medication with her foot.… food
HPaint and frame valleyPatent foramen ovale
IMPRESSION: Outsiders dementia.IMPRESSION:  Alzheimer’s dementia
ALLERGIES: She notes that Coding causes hives.ALLERGIES: She notes that codeine causes hives.
VRsixty-five rosescystic fibrosis
The patient was a fat boy… was afebrile
VRThe patient expresses hope. He is future oriented. He is thinking about his job and his co-workers and his “spry lady.”… and his sobriety.
The patient is still on __love often___ to maintain blood pressureLevophed
VRThe patient underwent Pack-N-Play removal.The patient had packing removal.
Bill sounds awful.Bowel sounds audible
HShe has had no previous episodes since this.Actually what the tired physician dictated.
HThe patient has a respiratory infection, and he was given a six-pack.… given a Z-PACK
supple frazzleomeprazole
HShe is also increasing the brain in her dietNo-brainer – bran
HTuesday, parasites, and Saturdays
Happy Larry carcinomapapillary carcinoma
drooling standdrug-eluting stent
syrupy unclecerebral peduncle
History of hospitalization due to old woman status secondary to urinary tract infection.…. ?
PLAN: For All-Bran earlier better air. Chest rolls.
HUltrasound more fees signMurphy’s sign
VRTrial of “praises ascend!”Trial of prazosin
VRPatient was receiving chemotherapy with five a few infusions…Patient was receiving chemotherapy with 5 fluorouracil (commonly known as 5-FU)
HFollow the eyes and noseCHF patient, “follow the I/O’s” (for fluids in and out)
The patient is to keep me posted about the post-orgasmic pain and whether it responds to treatment with the Lord.We don’t really know what was said… 
SPARQ conference was held with the patient via a nipple lesion interpreter.…via a Nepalese interpreter!
Has cafeterias of fall colitis.Has scattered areas of folliculitis.
HThe patient attempted to commit suicide by bride jumping… bridge jumping
B12 1 cc i am given.B12 1 cc IM given
VRHe has erectile dysfunction. See Alice has not been working for him.Cialis
VRShe had a baby on a big glass of orange juice.… a bagel and a big glass of orange juice
VRFamily history is positive for an ass.… positive for MS.
VRThe patient will be set up for blood pressure recheck.  Dr Y snores.The patient will be set up for blood pressure recheck by Dr. Y’s nurse
An email of chronic disease.Anemia of chronic disease.
HThe patients neuropathy was due to perennial plastic  syndrome… due to paraneoplastic syndrome


http://www.technologizer.com/2010/08/22/worst-google-voice-transcription-errors/

i like this  rejoinder from a Medical transcriptionist  a job category   going the DODO way
Apparently he snot a wear of the impotence of proofreading. 

"He should have followed these two Pisces of advice: One: There is no prostitute for careful editing. And three: When it comes to proofreading, the red penis your friend." From Taylor Mali's poem called, The Impotence of Proofreading.

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