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Safest to write it out, but ask your QA as places try to get by with as few characters as possible

Posted By: to save pennies. nm on 2007-04-24
In Reply to: which is best way for protime - Me

Subject: Safest to write it out, but ask your QA as places try to get by with as few characters as possible

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I don't know what funny characters are, but
Subject: I don't know what funny characters are, but

MIU/mL is the correct way unless your account refers to AAMT list of banned abbreviations, then it should be typed out
I couldn't figure that out either...characters and????...nm
,
Looking for abbreviation for microinternational units per ml without using any funny characters.
Subject: Looking for abbreviation for microinternational units per ml without using any funny characters.


BOS II likes 7th and 8th, but if account lets you, writing out gives more characters. nm
Subject: BOS II likes 7th and 8th, but if account lets you, writing out gives more characters. nm

s
If not verbatim and you're sure of meaning, expand it and get paid for the characters. nm
Subject: If not verbatim and you're sure of meaning, expand it and get paid for the characters. nm

s
Where is the pain? There are different places. sm
Subject: Where is the pain? There are different places. sm

Narrow grooves in an organ or tissue especially those that mark the convolutions on the surface of the brain.

You can have a coronal sulcus of the glans penis. The corona glandis is the widest part of the glans penis, is around the base of the proximal portion. A fold of dark, thin, hairless skin forms the foreskin covering the glans penis.

Do these help at all?

Most places want mg abbreviated, as
Subject: Most places want mg abbreviated, as

for t.i.d. and b.i.d. we still use those, along with p.o. As far as I know, these are not dangerous abbreviations and are still used.
Yes, you can have TB other places besides the lungs. sm
Subject: Yes, you can have TB other places besides the lungs. sm

There is a link at the end of this.

Active Tuberculosis
To diagnose TB of the respiratory tract, 3 to 5 sputum specimens are collected first thing in the morning on different days when they are most likely to contain the most mycobacteria. If extrapulmonary TB is suspected, samples are collected based upon where in the body the infection is likely to be. Multiple samples of gastric (stomach) washings/aspirates or urine may be collected and submitted to the laboratory. Sometimes cerebrospinal fluid (CSF), biopsied tissue, or other body fluids are also collected.


http://www.labtestsonline.org/understanding/conditions/tuberculosis-3.html
The last few places I was with didn't even want the hyphenated
Subject: The last few places I was with didn't even want the hyphenated

s
MOST places, not all. Some still give the docs whatever they want, dangerous or not. nm
Subject: MOST places, not all. Some still give the docs whatever they want, dangerous or not. nm

s
No, he's doing surgery and places from supine up into the ? position, Thanks anyway.
Subject: No, he's doing surgery and places from supine up into the ? position, Thanks anyway.


said in 2 different places s/l tu-di-nary...heart surgery. sm pls.
Subject: said in 2 different places s/l tu-di-nary...heart surgery. sm pls.

sternotomy incision was done and the pericardium was opened along the tu-di-nary.


The right coronary artery was opened along the tud-i-nary.


 


6-monoacetylmorphine :) (with emphases in weird places)
Subject: 6-monoacetylmorphine :) (with emphases in weird places)

not finding other drugs, I finally wiki'd morphine and came up with possibly 6-monoacetylmorphine (metabolized product of heroin?)- will flag it, as not sure, but thanks
Areolar tissue is found in svl places on the body. I'd
Subject: Areolar tissue is found in svl places on the body. I'd

s
Thank you, I will also write this down.
Subject: Thank you, I will also write this down.

x

How do you write this....
Subject: How do you write this....

When the dictator says, "enclosure and copy cc to"...


Thanks!


how to write this.....
Subject: how to write this.....

one more question for today.........


How do I correctly write the 1-to-100,000 in this sentence?.........


2% Xylocaine with 1-to-100,000 epinephrine was injected subcutaneously


how to write something please....
Subject: how to write something please....

MRA: Abdominal aorta.  No evidence for renal artery stenosis.  OR


MRA abdominal aorta.  No evidence for renal artery stenosis.


The doctor started out with the ECG findings then went to this.  Or would this go under the ECG heading?  Thanks


 


How to write it:
Subject: How to write it:

1:1,000 as a ratio
How to write Q.o.d.
Subject: How to write Q.o.d.

q. o.d. or Q.o.d. or qod?


I cannot find that one in BOS.


Thanks!


How would you write this? sm
Subject: How would you write this? sm

"When he Valsalvas I can appreciate the hernia..."  Would it be Valsalva's or valsalvas, or what?  TIA
Not sure how to write this
Subject: Not sure how to write this

generally a one-on-one student-faculty rotation. Should I have the hyphens between all of these or just one on one? Not sure which would be correct. This is a letter of recommendation and need to be correct with it.


Thanks


Write it out per BOS II. nm
Subject: Write it out per BOS II. nm

s
Thank you. I will write that one down!! nm
Subject: Thank you. I will write that one down!! nm


Don't know how to write this...
Subject: Don't know how to write this...

Patient has had recent diagnosis of diabetes with recent hemoglobin A1c over 12. 


 


Thanks in advance!


how to write JVP
Subject: how to write JVP

JVP is estimated at 8-10 cm of water at 90 degrees?  Is this correct?  I have never heard this type of description before.
how would you write this?
Subject: how would you write this?

The final diagnosis was a "grade 2 of 3" mixed glioma

Would you write "2 of 3" or would you write 2/3?

I wasn't sure...thanks!
How do you write....
Subject: How do you write....

an expression of solution such as if dictated like one to one thousand, would I write is like this 1:1000?
how do I write this?
Subject: how do I write this?

How do I write the "eight two fraction" part???



The patient does have a hypochromic microcytic anemia and her hemoglobin electrophoresis does show a reduced hemoglobin A with an increased "8, 2 fraction" and increased hemoglobin F, all compatible with her history of beta thalassemia


How to write this . . . SM
Subject: How to write this . . . SM

Platelets are elevated at "twelve sixty eight"

12.68 ?
PSA - do you write this out?
Subject: PSA - do you write this out?

I am working on a History and Physical Examination, he dictated after the History the following: PSA, on Nilandron 150 mg daily, has been elevated but stable with last PSA 4.8.  Do I need tp type it like this? Prostate-specific antigen (PSA), on Nilandron 150 mg daily, has been elevated but stable with last PSA 4.8. Since this is the first mention of the PSA or is that LAB where it should be understood?
how would you write this?
Subject: how would you write this?

She has an approximately [25 pack year history] of smoking...


Would you leave it like that or would you write [25-pack year history] or [25-pack-year history?]


Thanks!!!!


 


How would you write this...
Subject: How would you write this...

This just isn't sitting right with me, and I think the doctor's old service (his nurse)  has been doing this wrong for awhile now.  I just took over this account and have been reviewing and comparing old notes with current dictation.


"The patient was injected with "a quarter percent" Marcaine and morphine."


She was typing this as 25% - It should be 0.25% shouldn't it.  I'm so tired right now I need to go to sleep, but have to turn this job in first.  Thanks for helping.  ME


 


 


 


 


 


Thanks so much! Will write it in my book. nm
x
how to write "..well-corticated..."
Subject: how to write "..well-corticated..."

Just a general question: It seems a significant percentage of radiologists will use the term "well corticated" to describe an accessory ossicle or perhaps old trauma to differentiate what may appear to be an acute fracture. Since "corticated" is not an actual word, can anyone help with an appropriate way to rephrase this? eg "At the distal tip of the fibula is a well-corticated bony lesion, likely an accessory ossicle or old trauma and not an acute fracture."


maybe "lesion with good cortical margins" or some such, but wondering if there are other suggestions.


Thanks.


yes, unless you want to write herniae instead.
Subject: yes, unless you want to write herniae instead.

x.
I would write it out even if it is verbatim
Subject: I would write it out even if it is verbatim

PPD is a test for tuberculosis.  You aren't just writing a document to appease the doctor.  You are writing a legal document that many other people may want to read, including an insurance auditor or a lawyer, neither of which may have any clue what PPD means EVEN IN THE CONTEXT OF THE SENTENCE and will have no inclination to look it up.


That's just me, someone who audits physician records and slaps them on the wrists for this like this, but you do want you want.


i always write the word out nm
Subject: i always write the word out nm

x
I write it as such, 3490
Subject: I write it as such, 3490

is the doc saying 3,490? I have been told no commas.
cardiology how to write something
Subject: cardiology how to write something

LVH with TRS widening and repolarization abnormality.


TRS is it TRS or TRs


Thank you


Deborah


Proper way to write T. Max? nm
Subject: Proper way to write T. Max? nm

TIA
how to write P0313
Subject: how to write P0313

He says she is a G4 P0313.  Is this correct?


Thank you


Deborah


 


I don't think so. You never write 8:00 o'clock. nm
Subject: I don't think so. You never write 8:00 o'clock. nm

f
Just wondering how some of you would write this.
Subject: Just wondering how some of you would write this.

He put his arm through a window and had


40 some odd stitches. 


Is it just as I put it above or are there hyphens?  Never run into this.


Thanks!


I usually write it as one word, nm
Subject: I usually write it as one word, nm


how to write..Q waves in one and L..thank you
Subject: how to write..Q waves in one and L..thank you


what is the correct way to write qhs??
Subject: what is the correct way to write qhs??


Think I would write it out like you have it for consistency
Subject: Think I would write it out like you have it for consistency

s
how do you write Z-pac? also is qid a dangerous
Subject: how do you write Z-pac? also is qid a dangerous

abbreviation?


How would you write Pulsavac'd?
Subject: How would you write Pulsavac'd?

The wound was then Pulsavac'd or Pulsavaced with 2 liters of sterile saline containing Kantrex solution. I know this is not correct, but not sure how I can reword it without changing it too much.  Have to do verbatim with slight modifications.
what is the correct way to write NPO or N.P.O. ?
Subject: what is the correct way to write NPO or N.P.O. ?

under severe QA for everything