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Gestational age - 35 weeks 1 day - never a comma or "and" Correct?

Posted By: QA question on 2007-01-11
In Reply to:

Subject: Gestational age - 35 weeks 1 day - never a comma or "and" Correct?

Mucho gracias!


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OB ? - said 37 and 2 weeks gestational age - sm
Subject: OB ? - said 37 and 2 weeks gestational age - sm

is that transcribed 37-2/7 weeks?  TIA
established patient who is s/l 25 and 5 7ths weeks of gestational age sm
Subject: established patient who is s/l 25 and 5 7ths weeks of gestational age sm

The patient is not 25 years old but she dictates these numbers and I am unsure how to type it for it to make sense.  It sounds like she is saying, "patient is 25 and 5/7 weeks gestational age.  Do they dictate gestational age by the 7ths for days of the week?  Would you type it 25-5/7 week gestational age?
i would not use a comma. the "and" is the connection for two complete thoughts or statements.
Subject: i would not use a comma. the "and" is the connection for two complete thoughts or statements.


yes, 25-5/7 weeks is correct
Subject: yes, 25-5/7 weeks is correct

xx
The comma is correct. Without it (sm),
Subject: The comma is correct. Without it (sm),

it would mean an intrauterine pregnancy after a cesarean section, which "could" be the case but unlikely.  


Same with something like "coronary artery disease, status post coronary artery bypass graft," which means a CABG was performed after the diagnosis.  Without the comma (CAD status post CABG), it would mean there is CAD found after the CABG. 


this is correct, but put a comma in front of
Subject: this is correct, but put a comma in front of

..., a popping sensation is elicited.

I would type the 3rd and 4th, as numbers.
The punctuation as you have it, is correct, 1 comma only after stabliziers,but it should read"..
Subject: The punctuation as you have it, is correct, 1 comma only after stabliziers,but it should read"..'show, not shows', verb is in plural..nm

nm
17-weeks gestation or weeks'
Subject: 17-weeks gestation or weeks'

This doesn't seem like it would be possessive to me, but I have seen it that way.  Would someone confirm which is corrrect?  Thank you! 


A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
Subject: A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.

nm
says ൮ & 5 weeks gestation." type 38- 5/7 weeks gestation? nm
Subject: says ൮ & 5 weeks gestation." type 38- 5/7 weeks gestation? nm

x
LGA is large for gestational age...(nm)
Subject: LGA is large for gestational age...(nm)


I agree it looks weird, but "appropriate for gestational age" is a ... SM
Subject: I agree it looks weird, but "appropriate for gestational age" is a ... SM

a compound modifier for "infant."  Weird or not, that's the way it is.  My opinion, if the correct way looks too "weird" for you and you don't mind getting pinged by QA, then use no hyphens at all because "gestational- age" definitely should not be hyphenated.


Hey, it's not my initials on the report.  I'm just offering my help.  It's up to the OP.


crown-rump length / gestational age (nm)
Subject: crown-rump length / gestational age (nm)


I would go with "and."
Subject: I would go with "and."


Either the way you have it or use "and"
Subject: Either the way you have it or use "and"

x
I don't think the "and" is necessary -
Subject: I don't think the "and" is necessary -

those are the upper sacroiliac joints.
Yes, use the "and." SIJ is different from
Subject: Yes, use the "and." SIJ is different from

x
+ weeks or plus weeks?
Subject: + weeks or plus weeks?

BOS have anything on this? Pregnancy at 39+ weeks or 39 plus weeks? thanks
39+ weeks n/m
Subject: 39+ weeks n/m


33-2/7 weeks
Subject: 33-2/7 weeks

:)
weeks' (BOS pg 28)
Subject: weeks' (BOS pg 28)


Could doc being saying "and as well as" paraspinal...? sm :)
I took out my huge A&P book(from a prenursing course), and could not find muscles with a similar sound. The muscles I found near the thoracic vertebrae were trapezius, levator scapulae, supraspinatus and infraspinatus.
Could it be "and Tisseel"
Subject: Could it be "and Tisseel"

nm
may be "and diphteroid" nm
Subject: may be "and diphteroid" nm

nm
probably "and cardia"
Subject: probably "and cardia"

The cardia (or esophagogastric junction[1][2] or gastroesophageal junction[3][4][5][6]) is the anatomical term for the junction orifice of the stomach and the esophagus. At the cardia, the mucosa of the esophagus transitions into gastric mucosa.


could this be "involving" instead of "and ..."
Subject: could this be "involving" instead of "and ..."

multiple fractures involving the second toe. (ESL?)
That's it! "And" sounded like "N". Thank you very much!
Subject: That's it! "And" sounded like "N". Thank you very much!


I would make it 1 with an "and" between
Subject: I would make it 1 with an "and" between

x
If he said "and" then no, I would not hyphenate it.
Subject: If he said "and" then no, I would not hyphenate it.

x
one weeks' time...............nm
Subject: one weeks' time...............nm

x
effusions every six weeks
Subject: effusions every six weeks

This is under the medication list.  the patient has lung pleurisy
Pregnancy: 40 and 4 weeks??
Subject: Pregnancy: 40 and 4 weeks??

Would it be transcribed as 40 and 4 weeks (as dictated), or changed to 40 and 4/7ths weeks?  As dictated, it looks odd to me.  TIA.
Can you hear 34 weeks instead of 24?
Subject: Can you hear 34 weeks instead of 24?

Will leave out the quotation marks this time.
IUP at 30 and 6 weeks gestation
Subject: IUP at 30 and 6 weeks gestation

I have not heard it dictated as "30 and 6 weeks gestation".  How would this be written?  Does she mean 36? weeks or 30-6/7 weeks?
42 weeks' gestation
Subject: 42 weeks' gestation

confused about where the apostrophe would be in 42 weeks gestation. 42 week's or 42 weeks' or weeks. Please help.
28 weeks 4 days OR 28 weeks and 4 days OR 28 weeks, 4 days
Subject: 28 weeks 4 days OR 28 weeks and 4 days OR 28 weeks, 4 days

Last year, it was:  28 weeks 4 days   12 pounds 7 ounces


Has it changed?  I believe it has but maybe I am wrong.


...thanks (am so sick of this BS).


4 weeks' time nm
Subject: 4 weeks' time nm

xx
I wonder if it could be Protonix "and Lomotil"? nm
Subject: I wonder if it could be Protonix "and Lomotil"? nm

any chance?
I would guess "marking pen" and maybe "and um" or something else after.
Subject: I would guess "marking pen" and maybe "and um" or something else after.


"and TMs" (tympanic membranes) nm
Subject: "and TMs" (tympanic membranes) nm


"as well as" does not equal "and"
Subject: "as well as" does not equal "and"

i.e., the phrase isn't a conjunction and doesn't get treated the same way in a sentence. So your first choice is correct. I find that a lot of docs dictate w, x, y as well as z. I always change this to w, x and y as well as z.

Good catch.
"as well as" does not equal "and"
Subject: "as well as" does not equal "and"

i.e., the phrase isn't a conjunction and doesn't get treated the same way in a sentence. So your first choice is correct. I find that a lot of docs dictate "w, x, y as well as z." I always change this to w, x and y as well as z.

Good catch.
possibly "and conical"?
Subject: possibly "and conical"?


maybe saying urticaria "and" dermatitis ??
Subject: maybe saying urticaria "and" dermatitis ??


can you reword to "and is having difficulty managing it."?
n/m
Looks fine. I might substitute "and" for the slash. NT
Subject: Looks fine. I might substitute "and" for the slash. NT

s
Possibly...."and vaginal cuff"
Subject: Possibly...."and vaginal cuff"

x
...probably "and edema of the...", not "at the dame"
Subject: ...probably "and edema of the...", not "at the dame"


Can you hear "and distal flow?" nm
Subject: Can you hear "and distal flow?" nm

x
WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm
Subject: WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm


39 weeks' 3 days' gestation?
Subject: 39 weeks' 3 days' gestation?

What is the proper way to write this?  Do we need the apostrophe after "weeks?"  Thanks in advance!