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i can't find in AAMT BOS how to transcribe platelets... yes to 0's or no to 0's

Posted By: thanks in advance on 2006-02-08
In Reply to:

Subject: i can't find in AAMT BOS how to transcribe platelets... yes to 0's or no to 0's

xx


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AAMT BOS now says to transcribe these eponyms as dictated. sm
Subject: AAMT BOS now says to transcribe these eponyms as dictated. sm

Initially BOS dictated that we not use the possessive forms of these names, i.e. Parkinson ds and Alzheimer ds. Now BOS says to transcribe as dictated. This makes it a lot easier for us poor MTs. So, both ways are correct, depending on what was actually dictated.
According to AAMT BOS how do you transcribe cranial nerves II-XII
I just got a QA back stating cranial nerves 2 through 12.  Is that correct?
cannot find in AAMT BOS
Subject: cannot find in AAMT BOS

Overall, the medication has been well-tolerated or well tolerated?


Thanks!


Cannot find punctuation rule in AAMT BOS
Subject: Cannot find punctuation rule in AAMT BOS

Do you use a comma in the following sentence?


She says that sometimes she sees a shadow walking by, and that this is a new symptom for her. 


 


I know you use a comma if the word "that" is not in there, but what if it is?


I couldn't find in the book of style. 


Thank you. 


Platelets ? ...sm
Subject: Platelets ? ...sm

I am confused on the below. 


States "platelets, which were (s/l 480 2000 ). 


 


TIA


platelets at 217,000?....2.1 for WBC
Subject: platelets at 217,000?....2.1 for WBC


platelets
Subject: platelets

Her sister said that the family has a history of s/l cathcy? platelets and she has noticed that she has always bruised easily.  Thank you
It is done concerning platelets, so therefore
Subject: It is done concerning platelets, so therefore

it is pertinent to surgical risk.
CVA as a risk of low platelets?
Subject: CVA as a risk of low platelets?

Could doc have repeated the word "of" ?
ESL doc: Transfuse one "button" of platelets.
Subject: ESL doc: Transfuse one "button" of platelets.


I have heard sporadic platelets with AML. Hope it helps. nm.
Subject: I have heard sporadic platelets with AML. Hope it helps. nm.

x
LABS: hemoglobin 13.2, platelets 237, amylose 18 and lipase 5, TSH 0.6, S/L?charcoal slides 168?
Subject: LABS: hemoglobin 13.2, platelets 237, amylose 18 and lipase 5, TSH 0.6, S/L?charcoal slides 168?

NM
S/L * Rea * for peripheral smear shows slightly decreased platelets. No clumps. Normal white cells
Subject: S/L * Rea * for peripheral smear shows slightly decreased platelets. No clumps. Normal white cells and red cells.

The patient has idiopathic thrombocytopenic purpura. Thanks again.
white count might be 5.3 thousand? platelets in the thousands (K, i.e thousand?)
Subject: white count might be 5.3 thousand? platelets in the thousands (K, i.e thousand?)


Has anyone heard of prylotherapy? I can find it using Google, but I can't find whether it is cap
Subject: Has anyone heard of prylotherapy? I can find it using Google, but I can't find whether it is cap'd.

nm
Can find plenty on the internet regarding lipodermosclerosis, but unfortunately cannot find that exa
Subject: Can find plenty on the internet regarding lipodermosclerosis, but unfortunately cannot find that exact spelling in any dictionary... sorry. Anyone else?


how do you transcribe this??
Subject: how do you transcribe this??

Doctor says * cardiac-wise the patient is doing well *    OR  * GI-wise he has had, blah blah blah blah...


I personally do not like the phrase * dash wise *   The only way around it, seems to me, is to add a bunch more words like * as far as his cardiac condition is concerned * which does not sound like the dictator.


What do you do? 


I would transcribe it as pus-like...nm
Subject: I would transcribe it as pus-like...nm

nm
I transcribe it like so..
Subject: I transcribe it like so..

Last, First, M.D.  But, I why?  I just do.  I have never had a complaint.  But, I'll transcribe Last, Reverend First (pastor), or Last, Sister First (nun). 


need to know the right way to transcribe....
Subject: need to know the right way to transcribe....

the doctor says---discharge medications and patient is still on---  Do I type it like this?  DISCHARGE MEDICATION AND PATIENT IS STILL ON:  or do I leave all caps and headings out and start a new paragraph?
Thank you-Is that how I transcribe it
Subject: Thank you-Is that how I transcribe it

too?
Tib-fib, how to transcribe it? Thanks. NM
Subject: Tib-fib, how to transcribe it? Thanks. NM


That's how I transcribe it
Subject: That's how I transcribe it


How would you transcribe this?
Subject: How would you transcribe this?

I'm doing a report on a hip arthroplasty, and the doctor says the Secur-Fit shell was driven into place in approximately 4520 parameter based off the sciatic notch.


Is that 45 x 20 or 45-20 or just as I have it above?  I'm stumped!


How would you transcribe this?
Subject: How would you transcribe this?


 I have a doctor who keeps saying axillosubclavian brachiocephalic vein as if this is one vein he is referring to, but I think it has to be two, so how would you transcribe it when he lists the procedures performed as:


1. Right axillosubclavian brachiocephalic vein mechanical venous thrombectomy using the Trellis-8 device.


2.  Right axillosubclavian brachiocephalic vein balloon angioplasty using a 10 mm x 4-cm long balloon followed by 6 mm x 4-cm long balloon followed by 7 mm x 4-cm long balloon.


3. Supervision and interpretation of fluoroscopy for performance of right axillosubclavian brachiocephalic vein mechanical thrombectomy, thrombolytic therapy and balloon angioplasty.


He doesn't pause between the words axillosubclavian and brachiocephalic vein.  Should there be a dash between the two or the word and?


 


how would you transcribe this
Subject: how would you transcribe this

8 instances of property damage level 1, 27 episodes of major noncompliance,
I transcribe it as
Subject: I transcribe it as

bilateral eye, bilateral knee replacement.
Transcribe 5.3
Subject: Transcribe 5.3

nm
Here is how I always transcribe it (sm)
Subject: Here is how I always transcribe it (sm)

Gram stain and gram-negative/gram-positive. 
I would transcribe it exactly as you have it. nm
Subject: I would transcribe it exactly as you have it. nm

.
If that is what he says, that is what you transcribe.
Subject: If that is what he says, that is what you transcribe.

x
How would you transcribe this? (SM)
Subject: How would you transcribe this? (SM)

"Sublingual nitroglycerin 0.4 mg "q.5's" p.r.n. for chest pain."

Is it okay to leave as is?


Yes, transcribe as 4.0 (sm)
Subject: Yes, transcribe as 4.0 (sm)

If dictated as "four point oh," you would transcribe as 4.0.

The zero after the decimal indicates the precision of the measurement. In lab values, you would need to transcribe as dictated in order to avoid "changing" the measure.

If you transcribed it as 4, the reader would wonder what you left off. A zero in other locations might be optional or up to the preference of the facility, but not this one.






how do you transcribe this?
Subject: how do you transcribe this?

We will need some ongoing p.r.n.'s of the MSIR.
gotten - when a doc says this, what do YOU transcribe?
Subject: gotten - when a doc says this, what do YOU transcribe?


That is how I transcribe it too.
Subject: That is how I transcribe it too.

We try not to use all caps even if the manufacturer uses all caps.
How do I transcribe this?
Subject: How do I transcribe this?

The patient will return in four weeks/weeks' time.
How would you transcribe this?
Subject: How would you transcribe this?

"The patietn is a 59-year-old who presented yesterday with shortness of breath and a hypertensive urgency of 120 over approximately 120 blood pressure."


Would the last part be "120/approximately 120 blood pressure" or just spell everything out like I have it?


TIA!


How would you transcribe this???
Subject: How would you transcribe this???

The doctor is saying that the wound was packed with 4 x 4s.  Would you transcribe it as 4 x 4s or 4 x 4????  TIA
Can someone tell me the correct way to transcribe
Subject: Can someone tell me the correct way to transcribe

A fib. I learned in school that it's A-fib. I used to type for cardio docs on my own account, and they wanted A fib. Stedman's Abbrv. has AFib, and another book has A Fib. Is there a "correct" or most preferred way? Thanks.
I transcribe: 5- to 6-mm nodule. NM
Subject: I transcribe: 5- to 6-mm nodule. NM

d
CORRECT WAY TO TRANSCRIBE
Subject: CORRECT WAY TO TRANSCRIBE

pt developing increasing pulmonary pressures in the 60s and 70s - or 60's and 70's?


Also, if doc dictates calcium one every day, calcium one q.d. or calcium q.d.? 


THANKS!!!


It's okay. I'd transcribe it as dictated. nm
Subject: It's okay. I'd transcribe it as dictated. nm

/
How do you transcribe this sentence?
Subject: How do you transcribe this sentence?

MRI scan has reportedly shown central herniation at C4, 5 and C5, 6
how do you transcribe q 6 h for a prescription?
Subject: how do you transcribe q 6 h for a prescription?

as in 1-2 p.o. (q 6 h) p.r.n. pain.
Omigosh - I think we transcribe for the same doc!
Subject: Omigosh - I think we transcribe for the same doc!

One doc I transcribe for just does his doctor "thing" to support his dog habit - breeding Labradors, training them for field trials, etc. And he has a habit of saying things backwards, like Tenmo needle for Temno needle and even things like humerotibial joint instead of femorotibial joint!
how do I transcribe 10 to the 5th power?
in MS Word?  Thanks
Do you transcribe 'teed' or 'T'd'
Subject: Do you transcribe 'teed' or 'T'd'

Hip replacement OP note:


"The posterior capsule was T'd and the head removed without difficulty."


 


I peeked in my Stedman's Ortho and on-line and cannot find a definitive answer to this.  Thanks in advance if you can help!


transcribe like any other note. It was not necessary for you to
Subject: transcribe like any other note. It was not necessary for you to

nm
correct way to transcribe.....
Subject: correct way to transcribe.....

I know this is very basic, but what is the correct way to transcribe the dimensions of a wound - 12 x 15 cm or 12 by 15 cm, 12 cm x 15 cm, etc...?
You transcribe it as per your client's
Subject: You transcribe it as per your client's

wishes. If it is an obvious error I do correct. However, if it is a strict verbatim account, you transcribe it as dictated. Way back when, we were told to transcribe H&Ps and Consults in the present tense and DS & Ops in the past tense. However, with all the "new" rules and changes who knows anymore.