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maybe saying rule out again? nm

Posted By: nm on 2009-03-21
In Reply to: rule out coarctation of the aorta and/ s/l R8 bicuspid aortic valve - WS

Subject: maybe saying rule out again? nm

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the rule is ....
Subject: the rule is ....

... x2 ....2 times

If the "times" comes before the number use the x (no space). If the "times" comes after use the word.
don't know if there is a rule but....
Subject: don't know if there is a rule but....

 


I think if you would substitute "bilateral"  (mentally)  and say  "both" you might have a better idea how to say it.   Like would it sound better iff you said "both hand"  or "both hands."   To me bilateral hands sounds better.  But again, I don't know if there is actually a rule.  I looked for an answer in "style Guide for Medical Transcription" (Tessier and Pitman) and couldn't find an answer.   


I think if you wrote what the doctor said ....you can't go wrong there either.  Good luck!.    


What is the rule now for cc?
Subject: What is the rule now for cc?

should we put mL or what the doc says as cc?  I got so beat up over this one time with a different company I worked for; however, I am with a wonderful new company and want to make sure I am typing it correctly.


 


Thank you


Does anybody know a rule regarding
Subject: Does anybody know a rule regarding

to para or not to para, that is the question..... okay, so that was dumb, but so many words are not actually in the dictionary.... is there a rule regarding when to use peri as opposed to para ??? sometimes I'm confused.


As a rule yes, but not always
Subject: As a rule yes, but not always

I find way too many exceptions to that rule so I always look them all up the first time and add them to my ever-growing list.  I wish there was a list out there somewhere with most of them already catagorized for us. 


cannot rule out?
Subject: cannot rule out?


Is this a new rule????
Subject: Is this a new rule????

x
I'm all yours - you rule! :) :) :) :) - nm
Subject: I'm all yours - you rule! :) :) :) :) - nm

x
I'm all yours - you rule! :) :) :) :) - nm
Subject: I'm all yours - you rule! :) :) :) :) - nm

x
RULE OF THUMB
Subject: RULE OF THUMB

basic guideline is:
if you have a credible reference, spell it whichever way the reference spells it.
you should never be counted off for it, as long as the reference is credible. if you are, it is a valid challenge to assert.
rule out meds?
Subject: rule out meds?

He will bring all his medications with him so I can review them and rule out all his medications.


The pt is confused about what meds he is taking.


apostrophe AMT rule
Subject: apostrophe AMT rule

Mothers investment in child’s treatment ?{ is apostrophe accepted in this sentence }
HMMMM. Can't rule it out. Tks. nm
Subject: HMMMM. Can't rule it out. Tks. nm


AAMT rule
Subject: AAMT rule

Just getting back into MT after a long hiatus and can't remember the rules when typing numbers.  Is it okay to separate number values by commas, such as 1, 2, 3, etc.? (pathetic,  I know.)  TIA!
I use rule of 2-3 min. per dictated min. (nm)
Subject: I use rule of 2-3 min. per dictated min. (nm)

x
capitalization rule
Subject: capitalization rule

Can someone please tell me why sometimes Microsoft Word capitalizes the first letter after a period and sometimes it doesn't.  What can I do to always get a capital letter at the begiining of a new sentence?
capitalization rule
Subject: capitalization rule

Thanks.  It works fine with all words and latters, but not numbers, like 4/23/08, how come?
rule question..........sm
Subject: rule question..........sm

is there a rule about numbers at the end of sentences?  I can't find one.
I usually use this rule, if "follow up" can
Subject: I usually use this rule, if "follow up" can

be replaced by a noun, in this case you can use exam, then it is followup. If it is used as in The patient will follow up with so and so, then it is 2.
What is correct BOS rule for prn/p.r.n.
no msg
why only 'midline'? On what rule?..nm
Subject: why only 'midline'? On what rule?..nm

nm
MI rule out protocol
Subject: MI rule out protocol

s/l Motibi protocol.  I know I have heard it, and it hidden away in my brain somewhere.  Thanks for the help!
rule out metastasis, maybe
Subject: rule out metastasis, maybe

nm
PPD placed to rule out S/L "scropella"
Subject: PPD placed to rule out S/L "scropella"


D&C to rule out malignancy or (sl) hyspercussis. Thanks
Subject: D&C to rule out malignancy or (sl) hyspercussis. Thanks

:()
rule out retinopathy of prematurity...sm
Subject: rule out retinopathy of prematurity...sm

Retinal and posterior fundus of poles, both have normal vasculature without evidence of fibrovascular ridge or loss of vascularization to the peripheral cornea.

Is this phase correct? "Retinal and posterior fundus of poles..."
I think AAMT's latest rule is x2, but
Subject: I think AAMT's latest rule is x2, but

in their last book it was x 2, and next year they'll put out another book with some new way that the off-shore people are doing it. So I'd suggest you just do it your employer's way and keep documentation in case they suddenly change THEIR minds and deny they ever told you to do it that way.

;o]
In plan he very plainly says says need to rule out
Subject: In plan he very plainly says says need to rule out

Patient fell and injured right ankle. Sentence in question: She is significantly tender in the s/l coronal ligament s/l and the (or in the) right ankle.

Plan: MRI to rule out coronal ligament tear.

This is very clear - just cannot document it anywhere and don't want to flag it as it's very clear - just unsure and hoping for documentation or someone that has heard it.
there was a rule here - no testing posts
Subject: there was a rule here - no testing posts


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.
Rule of thumb. When I was in school for
Subject: Rule of thumb. When I was in school for

my Associate Degree in MRT and BA in HCA, in transcription we were taught that any combining medical form can be combined with any other combining form for things associated in the same part of the body.
s/l Ottoclos C spine rule
Subject: s/l Ottoclos C spine rule

Patient in ER for MVA. S/L Ottoclos C spine rule
Help? T-rule basil astruggle? WCA?
Subject: Help? T-rule basil astruggle? WCA?

 I just realized I posted on the wrong board! Sorry I'm new! I didn't realized this is where you post for for help!


Okay.. so the dictator sounds like he's saying..


Patient status post ("t-rule basil astruggle ? or maybe basil astroke?") which had left him with gait and unsteadiness.


ALSO.. if you don't mind.. when he later says the Labratory he says..


"WCA .1? , platelets 330,000 " WCA has a ton of meanings is it "Whole cell antigen maybe? or is he maybe not saying WCA!?


Any Help I'd greatly appreciate!!


Help? ("T-Rule Basil Astruggle??")

If there is anyone out that that could help me.. I'm trying to dictate and assignment.. and the doctor sounds like he's saying..


 


PAST MEDICAL HISTORY: Patient status post for ("T-Rule Basil Strugle?( or Stroke maybe)?") which had left him with gait and unsteadiness.


 


Any help would be SO much appreciated!


Rule out myocardial infarction NM
Subject: Rule out myocardial infarction NM


C&S (culture and sensitivity) to rule out
Subject: C&S (culture and sensitivity) to rule out

Love to help!
My rule of thumb is if it is in a diagnosis,
Subject: My rule of thumb is if it is in a diagnosis,

assessment, impression, procedure performed, it is spelled out.
Dx: 1. Diarrhea, rule out C-diff. Should I type, sm
Subject: Dx: 1. Diarrhea, rule out C-diff. Should I type, sm

clostridium difficile  or clostridium difficile colitis here?  I am expanding appreviation as this is a dx. Thanks
decs-o-scan to rule out osteopososis?
Subject: decs-o-scan to rule out osteopososis?

any help appreciated
1. Hyponatremia. Rule out subdural hematoma.
Subject: 1. Hyponatremia. Rule out subdural hematoma.

.


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. 


verbatim # rule, begin sentence?
Subject: verbatim # rule, begin sentence?

On verbatim account, when doc dictates a number at the beginning of a sentence how do you handle it? For instance, "Forty-two-year-old woman...," I spell it out right? Also, another sentence begins with "4-0 Vicryl was also used..," what do I in this situation? If they are strict on verbatim, just go with number? 4-0?
Client preferences rule here. If in doubt, sm
Subject: Client preferences rule here. If in doubt, sm

here's what I've always done:

He was given a do-not-resuscitate order.

I think my high school English teacher would prefer it thusly;)

He was given a "do-not-resuscitate" order.

Like Txczech said, sometimes these are bolded and capitalized to alert treating physicians of patients' wishes, similar to allergy statements. Client preference, again.

Unless you know for sure that the client does not have a special order called the Do-Not-Resuscitate Order, lowercase it. (I think this is what you might have been considering.)

Rule of thumb for followup/follow up

A good rule of thumb I was taught in training for followup/follow up is if you can put "a" or "the" in front of followup, it is the noun form; otherwise it is the verb form.  Ex.


...a/the followup appointment. 


...a/the followup x-ray. 


 ...will follow up.  (You can't put "a" or "the" in front of follow up, it won't work.) 


Anyway, just thought I would share something that has helped me tremendously as a newbie. 


Standard rule of thumb, (no pun intended)
Subject: Standard rule of thumb, (no pun intended)

if it sticks out in the report like a sore thumb and draws undue attendion, then capitalize the first letter not the whole word, i.e. Dermabond.
rule out s/l end of thalamus? secondary to the candidemia
Subject: rule out s/l end of thalamus? secondary to the candidemia


Rule for Sentence Ending and when to use comma
Can somebody share with me the rules to follow for sentence ending? I am a bit confused with the feedback from my QA, when I chose to put a comma she wants me to end the sentence and start with a new sentence. The next day when I did was to end the sentence, she edited my work and placed a comma instead. Can anybody share with me some guidelines to follow. TIA.
doing facial exam rule out stroke
Subject: doing facial exam rule out stroke

got brow, smile, tongue - says SEM strong?  Is is SEM - he is mush mouthed.
rule out metabolic *prohitubation* such as hypernitremia. Thanks. nm
Subject: rule out metabolic *prohitubation* such as hypernitremia. Thanks. nm

nm
BOS edition 3 changed the hyphen rule
Subject: BOS edition 3 changed the hyphen rule

pg. 232 states not to use a hyphen to form a compound modifier between a number and a metric unit. A 0.5 cm flap is the new way to transcribe it.
Rule of thumb--if an allergy is not clear,
Subject: Rule of thumb--if an allergy is not clear,

x