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I always use combined forms ie. posterolateral, but would depend on your account i suppose. nm

Posted By: Tracey on 2009-02-23
In Reply to: Posterolateral osteophyte or posterior lateral osteophyte? NM THANKS!!! - Jennifer

Subject: I always use combined forms ie. posterolateral, but would depend on your account i suppose. nm




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It may depend on the account, but I think most
Subject: It may depend on the account, but I think most

people add dosage.   The doctor is only one of many people who read the chart. 
it would depend on what type of an account you are
Subject: it would depend on what type of an account you are

working on. and your company specifics. if its verbatem..then you put the word "hour" whenever the dictator dictates it.  if he just says something like "time seen...0600 hours" then:


TIME SEEN:


0600 hours.


Would depend on your account and whether they allow headings where necessary or not. If heading is w
Subject: Would depend on your account and whether they allow headings where necessary or not. If heading is warranted, I would use CLOSURE.


It would depend on your client profile for that account. I have never run across numbers within the
Subject: It would depend on your client profile for that account. I have never run across numbers within the axes, it would normally just be commas between each diagnosis or periods if that is what the client calls for. Check with that CP if you can.


left posterolateral - nm
Subject: left posterolateral - nm


posterior or sometimes posterolateral.
Subject: posterior or sometimes posterolateral.

x
account specifics for that particular account should state how it is to be typed. nm
Subject: account specifics for that particular account should state how it is to be typed. nm

.
LPL is left posterolateral artery. nm
Subject: LPL is left posterolateral artery. nm

.
posterolateral fusion with autologous
Subject: posterolateral fusion with autologous

bone and s/l FETOS 50??  ');>


TY!


Orthopedic, posterolateral fusion with instrumentation
Subject: Orthopedic, posterolateral fusion with instrumentation

nm
i agree...PL...as in posterolateral branch of circumflex...sm
Subject: i agree...PL...as in posterolateral branch of circumflex...sm

no difference of opinion here...but i'll enjoy going out on a limb with you...that's where all the fruit is... =)
Could it be PLVB - posterolateral ventricular branch
Subject: Could it be PLVB - posterolateral ventricular branch


combined modality therapy
Subject: combined modality therapy

cancer terms
musculotendinous - combined words
Subject: musculotendinous - combined words

nm
ASSESMENT/PLAN COMBINED?
Subject: ASSESMENT/PLAN COMBINED?

WHen doing a SOAP NOTE


Can you Combine Assessment/Plan or are you supposed to seperate?



Even if doctor doesn't dictate a new paragraph? Thanks!


one word, pseudohump, combined form
Subject: one word, pseudohump, combined form

nm
pseudo words usually are combined, so no hyphen. nm
Subject: pseudo words usually are combined, so no hyphen. nm

s
Would depend on what they are doing?
Subject: Would depend on what they are doing?


That would depend on what the
Subject: That would depend on what the

normal said.  For example, if it says "breasts are soft and pendulous", you might want to leave that out.  Men generally don't have pendulous breasts, not even ones with gynecomastia.  If it simply refers to the fact that there are no masses or nipple discharge, I would probably leave it in.


If you're still unsure, you can always flag it and find out for future reference.


This word I bet is appendix and cecum combined by a doctor with his own vocabulary.
Subject: This word I bet is appendix and cecum combined by a doctor with his own vocabulary.

dd
The combined spinal–epidural technique (CSE) has become increasingly popular
Subject: The combined spinal–epidural technique (CSE) has become increasingly popular

Can you hear any of this in it?
might depend on client
Subject: might depend on client

I have been using weightbear and weightbearing for the past two years and neither the QA or the client have every complained or requested otherwise. matter of opinion, I guess.
I think it would depend on the drug....
Subject: I think it would depend on the drug....

??
could it be a compound solution using both Oxy and Stanford Mouthwash combined, e.g. "Oxy-Stanfor
Subject: could it be a compound solution using both Oxy and Stanford Mouthwash combined, e.g. "Oxy-Stanford Mouthwash?... nm


yes, me too - also it may depend on client preference NM
Subject: yes, me too - also it may depend on client preference NM


it may depend on a facility rule
Subject: it may depend on a facility rule

our facility requires a hyphen for any statement of __ to__ so for us it would "x4-5" days.
That's okay...I have days like that myself and I can always depend on help from my fellow MTs. nm
Subject: That's okay...I have days like that myself and I can always depend on help from my fellow MTs. nm

nm
Have heard *Adair* forceps/tenaculum and *Deaver" retractor but not combined (nomsg)
Subject: Have heard *Adair* forceps/tenaculum and *Deaver" retractor but not combined (nomsg)

x
Depend if the doctor says it and it is a verbatim acct.
Subject: Depend if the doctor says it and it is a verbatim acct.

x
Would depend on the context. In the office setting, it could be. I don't
Subject: Would depend on the context. In the office setting, it could be. I don't

s
typing med list and thru the mumbling s/l FILLA-DEPEND ER 5 mg. nm
Subject: typing med list and thru the mumbling s/l FILLA-DEPEND ER 5 mg. nm

x
Depends on the account: My verbatim account is VERBATIM and other accounts I put 3100
Subject: Depends on the account: My verbatim account is VERBATIM and other accounts I put 3100


that would be "plural" forms...nm
Subject: that would be "plural" forms...nm

s
Avalox comes in various forms (sm)
Subject: Avalox comes in various forms (sm)

Avalox

Injection 400mg, 400mg/250ml
Solution 0.5%
Solution/drops 0.5%
Tablet 400mg

What are the combining forms?
Subject: What are the combining forms?

I can't find anything even when I separate it out like the OP said.  I would like to learn what this word means if somebody could help me out.  Should it be xanth with an h instead of just xant? Even trying that, I am still stuck.
correct forms
Subject: correct forms

Staph aureus (notice Staph is capitalized; a period is not necessary)

postop (no period)

When you have a 2-word bacteria name, the first word is capitalized generally. The second word is generally not capitalized.

A Stedman's manual for Infectious Disease words is quite useful for these words.

Klebsiella
Staphylococcus
Streptococcus
Escherichia coli

I could go on... But I won't because I'm tired and the Canadian is helping me feel no pain... ;)

Cheers!
I suppose that's what he said.
Subject: I suppose that's what he said.

I guess the vac part is supposed to be evacuated. I haven't seen this slang typed in a report before, just heard it said. I don't think I'm comfy using the slang version. I'll check into the real term. Thanks for helping.
You don't suppose he could mean
Subject: You don't suppose he could mean

da Vinci surgery do you? 


If he does, that's funny! 


Otherwise, the remainder of the forms were completed
Subject: Otherwise, the remainder of the forms were completed

////
RE: Otherwise, the remainder of the forms were completed
Subject: RE: Otherwise, the remainder of the forms were completed

Yes.
use of bilateral with pleural forms
Subject: use of bilateral with pleural forms

That's always ben a puzzle to me too, but I think that either way might be acceptable. The qualifying adjective (bilateral) suggests an "augmentation" was performed on both sides, and more often than not, MDs will dictate singular nouns following bilateral. Sometimes, though, if it sounds strange, I will use the pleural, i.e., one of my docs says "bilateral lower extremity" which I change to extremities. Would be interested in further input or if AAMT has a directive on this.
I'm finding this in all forms, too, but I think it's a brand name.
Subject: I'm finding this in all forms, too, but I think it's a brand name.

s
I don't suppose he gives a dosage? that might help....sm
Subject: I don't suppose he gives a dosage? that might help....sm

Its not aspirin is it?
True, but we as MTs are suppose to know
Subject: True, but we as MTs are suppose to know

/


 


I don't suppose it could be Zicam?
Subject: I don't suppose it could be Zicam?

That's what I use.
I suppose it could mean questionable. nm
Subject: I suppose it could mean questionable. nm

x
Thank you - that was suppose to be a number one, but
Subject: Thank you - that was suppose to be a number one, but


Would IVPB be ok to use or is it suppose to be IVP.
Subject: Would IVPB be ok to use or is it suppose to be IVP.

nm
isn't it suppose to be about cardiovascular?
Subject: isn't it suppose to be about cardiovascular?


So I suppose it's Klonopin?
Subject: So I suppose it's Klonopin?


what it is suppose to be...unbelievable...
Subject: what it is suppose to be...unbelievable...

My goodness how they muffle words...it ended up being restless leg syndrome because it was said later on in the report..lol.