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If the dictator does not abbreviate something,

Posted By: sm on 2009-01-21
In Reply to: No illnesses or prior surgery. NKDA. nm - Txczech

Subject: If the dictator does not abbreviate something,

we shouldn't either. Only use abbreviations when they are dictated.


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holiday...is the dictator an Arab dictator? nm
Subject: holiday...is the dictator an Arab dictator? nm

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type what dictator said, dictator is not incorrect.....
Subject: type what dictator said, dictator is not incorrect.....

.
Usually just abbreviate it as DNR.
Subject: Usually just abbreviate it as DNR.


What is the correct way to abbreviate
Subject: What is the correct way to abbreviate

no message
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Subject: how do you abbreviate micrograms?


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Subject: how to abbreviate subcutaneous

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Subject: how do you abbreviate Pharm D?

periods or no periods, dash or no dash?  My account is verbatim and abbreviations must be typed as written, not expanded.


Any suggestions?


It's safer not to abbreviate. :)
Subject: It's safer not to abbreviate. :)

Unless as you say, the account specifies to transcribe verbatim.
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Subject: how to abbreviate 10 to the third per microliter

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If you follow BOS, they say never to abbreviate
Subject: If you follow BOS, they say never to abbreviate

x
My Abbreviate book says IGIM
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The only thing I see in my Abbreviate book is:
Subject: The only thing I see in my Abbreviate book is:

ADPKD (all together) for autosomal dominant polycystic kidney disease...if that is what yer lookin' for.


 



Accordin' to my Abbreviate book here...
Subject: Accordin' to my Abbreviate book here...

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put in the comma, do not abbreviate state nm
Subject: put in the comma, do not abbreviate state nm


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Subject: My Abbreviate book gives 2 answers...

FAST:  fetal acoustic stimulation testing or fluorescent allergosorbent technique.


Dunno if that helps you or not but thought I'd share that is all. 



Is it acceptable to abbreviate it, as she does say quant.
Subject: Is it acceptable to abbreviate it, as she does say quant.


no - only abbreviate metric measurements
Subject: no - only abbreviate metric measurements

not pounds, ounces, etc.
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Subject: I spell it out if before the drug, abbreviate if

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how to abbreviate miles per hour
What is the correct way to abbreviate miles per hour in a medical report? Is mph ok?


I don't abbreviate but if verbatim, I guess a-fib or A-fib. Gee. I dunno because SM
Subject: I don't abbreviate but if verbatim, I guess a-fib or A-fib. Gee. I dunno because SM

I just don't use slang words in my transcription. I hate those vertabim accounts, don't you?
One more querstion - should we abbreviate versus in a report?
Subject: One more querstion - should we abbreviate versus in a report?

vs. or write out versus.  If we can abbreviate, is it okay to abbreviate in numbered diagnoses list?


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Subject: BOS2 says DO NOT abbreviate medication names.

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Subject: mph is the correct way to abbreviate miles per hours, however,

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I do abbreviate it and no one has corrected me as of yet. About the numbered diagnoses list, i don&
Subject: I do abbreviate it and no one has corrected me as of yet. About the numbered diagnoses list, i don't know


is this dictator ESL (foreign dictator)?....
Subject: is this dictator ESL (foreign dictator)?....

if ESL, I would either blank him or give him that Avodart but the other one I haven't a clue and would have to blank there too.  Sorry :(
Help - not an ESL dictator.....sm
Subject: Help - not an ESL dictator.....sm

Anglo mushmouth cardiologist is saying:


This 85-year-old white male was admitted and had a posterior s/l *A to E* resection for rectal carcinoma. 


I am not sure he is saying *A to E* and I already googled this to no avail. 


TIA for any light anyone can shed on this....really appreciate it...


Dictator says ...
Subject: Dictator says ...

She has a history of being intolerant of an ACE and s/l RHAB. She says it like a word, so it s/l  Are ab


I pretty sure it's an abbreviation like ACE, but I can't make out the exact letters to even know what to look up to be sure. TIA!


When a dictator says Cor S1 and S2, how...sm
Subject: When a dictator says Cor S1 and S2, how...sm

should that be typed?  Coronary:  S1 and S2?
This must be something the dictator often says. sm
Subject: This must be something the dictator often says. sm

Can "preson" be "perfusion?"

"perfusion to tissues?"

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Is this an orthopedic exam or general PE?


Dictator says...
Subject: Dictator says...

CBC showed WBC of fourteen point six thousand.

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is the dictator ESL? perhaps not saying N
Subject: is the dictator ESL? perhaps not saying N


You could be right as the dictator is ESL. Thank you. NM
Subject: You could be right as the dictator is ESL. Thank you. NM


two more for same dictator pls sm
Subject: two more for same dictator pls sm

Patient without evidence of a left atrial s/l apinich thrombus.

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I bet you that you are right though, it is an ESL dictator
Subject: I bet you that you are right though, it is an ESL dictator

and I think he is just flipping through the chart giving me every med she ever had not realizing they are one in the same. I will flag it anyway. You are awesome thank you!
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Subject: could the dictator be SM

stumbling over words and saying something like:

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?? Just guessing. Never heard of first aid being used in that way, but I suppose it could be...?
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Subject: If dictator says

"blood pressure was in the 140s 150s". How do I type this?
But if the dictator is saying the "A" it has to be
Subject: But if the dictator is saying the "A" it has to be

x
Dictator says:
Subject: Dictator says:

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What is LKF or is the acronym something different?
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Could the dictator be saying "CU" as in sm
Subject: Could the dictator be saying "CU" as in sm

"cystourethroscopy?"

Need quick help with this dictator please
Subject: Need quick help with this dictator please

This doctor just said


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Do I transcribe it like that, or do I put 12,700?


TIA!


Dictator said keep LDL cholesterol less than ...sm
Subject: Dictator said keep LDL cholesterol less than ...sm

70 per ----- guidelines.  He rambled off a bunch of initials and slowing him down only made it worse.  I think the last 3 were CHA.  TIA!
Am I hearing this right. Could the BP be 129/135 (ESL dictator)??? (nm)
Subject: Am I hearing this right. Could the BP be 129/135 (ESL dictator)??? (nm)


Dictator kept saying polynephritis ... sm
Subject: Dictator kept saying polynephritis ... sm

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Subject: Is the dictator foreign?

I wonder if they're saying Ativan.  Some of my foreign dictators say it as "Ati-won".  Just a thought!
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Subject: maybe dictator meant to say....nm


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Subject: could dictator be saying appendectomy?


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Subject: Without further context, I'd say the dictator was saying sm

"gassiness and indigestion" or possibly "gaseous distention" which is verified in the GI Stedman's.



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Subject: ?? Dictator is saying "technique" twice in a row? nm

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Subject: Mumbly dictator...med s/l

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Subject: Dictator confusing....sm

I have a dictator that dictated in two different reports.. "No CVA angle tenderness." and the same dictator in another report states "No CV angle tenderness." I am confused as to which is the correct way ?


 



meant dictator
Subject: meant dictator