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I would leave out the "with". You cannot

Posted By: sm on 2009-02-10
In Reply to: corrected - Angel

Subject: I would leave out the "with". You cannot

have 3 D&Cs with an appendectomy. Think you are making this too hard.


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    can't you just leave it abbreviated, or do you have to spell it out. I would leave as dictated.
    Subject: can't you just leave it abbreviated, or do you have to spell it out. I would leave as dictated.


    If it was dictated like that & you can leave abbrvns in, then leave it
    Subject: If it was dictated like that & you can leave abbrvns in, then leave it

    s
    I agree with "with" (see message)
    Subject: I agree with "with" (see message)

    but now with some productive sputum.

    Hey, we have ALL been there. Hang in there...it definitely gets better :-)
    how about "with a" widely patent..."
    Subject: how about "with a" widely patent..."


    How about just "with suction cautery"? nm
    Subject: How about just "with suction cautery"? nm

    X
    No comma before the word "with"
    Subject: No comma before the word "with"

    as it is a conjunction and doesn't need a comma before it.
    Maybe substitute "to" with "with" or "of." JMO NM
    Subject: Maybe substitute "to" with "with" or "of." JMO NM

    d
    Laparoscopic cholecystectomy "with grams"?
    Subject: Laparoscopic cholecystectomy "with grams"?

    x
    Wondering if the "with" sound is "graphy" sm
    Subject: Wondering if the "with" sound is "graphy" sm

    aortography
    Could the doctor be stuttering over "with ease" sm
    Subject: Could the doctor be stuttering over "with ease" sm

    and then changing his mind?
    You added "with" after status, not necessarily
    Subject: You added "with" after status, not necessarily

    x
    maybe "with a lauer" might be incised "subareolar"?
    Subject: maybe "with a lauer" might be incised "subareolar"?


    "with PAI-1 Stage 4G/5G gene heterozygous" nm
    Subject: "with PAI-1 Stage 4G/5G gene heterozygous" nm


    last part should read "with sensitivities to..." Why do words get cut off at the end of the l
    Subject: last part should read "with sensitivities to..." Why do words get cut off at the end of the line?!?

    I type in the subject line until I can't type anymore, but always the last few characters get cut off!!  You would think that end of the line would be the end of the line, not four or five spaces before the end of the line!!!  That is a pet peeve of mine.
    Your Lispro sentence might be "with" her regular..& you usually hear
    Subject: Your Lispro sentence might be "with" her regular..& you usually hear

    s
    Ach, nevermind- could easily change it to "with ballottement of the knee"- Thank you!
    Subject: Ach, nevermind- could easily change it to "with ballottement of the knee"- Thank you!


    I'm wondering if maybe it is "Gram-negative rods sensitive to" or maybe "with sensitivit
    Subject: I'm wondering if maybe it is "Gram-negative rods sensitive to" or maybe "with sensitivities to..."

    What does the dictator say immediately following your problem spot?


    I wouldn't change" status" to "with" here, performance status is, sm
    Subject: I wouldn't change" status" to "with" here, performance status is, sm

    a specific term to quantify the patient's well being, "performance with" doesn't mean the same thing. 
    I would leave in under PMH sm
    Subject: I would leave in under PMH sm

    it probably is part of what is being said.  And, it is a lab value (said it was negative) not a date. l
    I would leave as is - sm
    Subject: I would leave as is - sm

    I have heard this phrase many times, and always leave it as is.  They are referring to prerenal azotemia. 
    I'd leave it as is. nm
    Subject: I'd leave it as is. nm

    x
    just leave the S off
    Subject: just leave the S off

    nm
    Then that is how I will leave it! Thanks
    Subject: Then that is how I will leave it! Thanks


    leave as is
    Subject: leave as is

    Torso is an anatomical term for the central part of the many animal bodies (including that of the human) from which extend the neck and limbs. It is sometimes referred to as the trunk. The torso includes the thorax and abdomen
    I would leave it the way he says it. nm
    Subject: I would leave it the way he says it. nm


    I'd leave them just how you have them.
    Subject: I'd leave them just how you have them.


    I would leave as is
    Subject: I would leave as is


    i would leave as is
    Subject: i would leave as is

    You never know with labs, they can be tricky. If you are really concerned you could always add a marker for it to be double checked but I would leave as dictated.
    I would leave it.
    Subject: I would leave it.

    I think you are correct. I believe they are three separate things. There is general pain that stars to localize to one spot. There is rebound pain where they press on your abdomen slowly, but then unexpectedly let go. And there is guarding pain if when they examin or stomach you they press or attempt to press and you instinctively try to guard your abdomen with your hands.
    i would leave as is.......
    Subject: i would leave as is.......

    i would leave as is.......
    Thanks, but I had to leave a QA...
    Subject: Thanks, but I had to leave a QA...

    nm
    Leave them in (sm)
    Subject: Leave them in (sm)

    I would leave them in.  Yes, it is redundant, but it's also what the doctor dictated.  The only exception would be, in my opinion, if there were account specifics covering this and then I would follow the account specifics. 
    Leave it
    Subject: Leave it

    where it is. Put a hypen in between tib-fib and a comma after fib.
    I leave them out
    Subject: I leave them out

    You can overdue on hyphens and commas. Well child check, well woman's visit, well baby check. Looks better without. Just my take. :-)
    I would just leave it at sm
    Subject: I would just leave it at sm

    exacerbating the anal pain.
    I would leave it as he said. He knows what it means...sm
    Subject: I would leave it as he said. He knows what it means...sm

    TM stands for appx 20 or more things, so you cannot guess which one. Also,the same goes for LAM. It stands for seven different things and you cannot guess which one.

    I was taught in this situation to leave it as said. My account even specifies in assessment and plan to never abbreviate except in this case when you cannot 100% verify what the doc means if there is more than one meaning to the abbreviation.

    Hope this helps
    I would leave lami as is
    Subject: I would leave lami as is

    I have never heard of that before, but you really do not know what the doc wants. You should not try to guess at something like that. I wouldn't.
    I would leave it blank then
    Subject: I would leave it blank then

    Sometimes docs do not spell things correctly; but when I cannot find something that they spell, I will send it to QA and let them figure it out. Sorry I could not be of more help to you.
    Had to leave a blank. nm
    Subject: Had to leave a blank. nm

    x
    I leave it as whatever the doc dictates.
    Subject: I leave it as whatever the doc dictates.

    It's not my job to keep them politically correct.
    Personally, I would leave out the myself--sm
    Subject: Personally, I would leave out the myself--sm

    that would be like saying "I me personally use the drug." verbatim or not, it is not good grammar, but it is your call. JMO.
    P.S. Yes, leave out the commas nm
    Subject: P.S. Yes, leave out the commas nm

    .


    Leave a blank sm
    Subject: Leave a blank sm

    If a doctor can't take the time to spell something like that, which is not a medical term and not something you would be expected to know, then they deserve to fill in the blank themselves.


    JMHO.


    Thanks. Had to leave it blank.
    Subject: Thanks. Had to leave it blank.

    xxx
    i would have to leave a blank.
    Subject: i would have to leave a blank.

    ...sorry
    Think I will have to leave a blank...sm
    Subject: Think I will have to leave a blank...sm

    on this one. Thank you all very much. Everything you are offering makes sense but doesnt fit. She is probably pronouncing it wrong.. I appreciate the help very much.
    Leave the word
    Subject: Leave the word


    Definitely leave the word...
    Subject: Definitely leave the word...

    Especially in the assessment, many times they will dictate an initial impression or assessment diagnosis and after full evaluation or upon discharge, it would change or be more defined. If a slash were shown, it could indicate that ALL of these conditions exist which may or may not be true. Lastly 'versus' is valid and should always be used, I have never had a slash dictated or shown in a psych diagnosis(been doing psych since 2002). In addition, depending on account specifics, usually the different AXIS I are shown on a separate line and even numbered such as--

    AXIS I: 1. Bipolar disorder, NOS.
    2. Schizo-affective disorder, bipolar type versus bipolar...
    AXIS II: ...

    Hope that helps!
    thx for the help- have to leave blank
    Subject: thx for the help- have to leave blank


    that might be it actually, thanks - but I had to leave it blank - nm
    Subject: that might be it actually, thanks - but I had to leave it blank - nm


    thanks - will leave a blank nm
    Subject: thanks - will leave a blank nm

    x