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Definitely leave the word...

Posted By: sm on 2007-08-10
In Reply to: Format/Grammar/Punctuation Help (psychiatric) - SG

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!


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Leave the word
Subject: Leave the word


I agree here. Even when I know what the word will be, I leave a blank.
Subject: I agree here. Even when I know what the word will be, I leave a blank.

dd
a lot of the times they just leave out word percent
Subject: a lot of the times they just leave out word percent

...
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 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.
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
thank you thank you thank you I was going to leave a blank
Subject: thank you thank you thank you I was going to leave a blank


thanks, but no....I had to leave a blank :( nm
Subject: thanks, but no....I had to leave a blank :( nm


Going to have to leave it blank
Subject: Going to have to leave it blank

in a report that is already chock full of them. Just hate when I have to do that, especially a report already littered with embarrassing blanks. Thanks for everyone's time anyway.
Leave it as a number. nm
Subject: Leave it as a number. nm

:)
Will just leave a blank
Subject: Will just leave a blank


thanks to both - I will have to leave blank nm
Subject: thanks to both - I will have to leave blank nm


I think the way you have it is very clear and would leave it that way.
Subject: I think the way you have it is very clear and would leave it that way.


Just wanted to add-Do you think I should leave out
Subject: Just wanted to add-Do you think I should leave out

dorsum in that sentence--Cant seem to find the answer. pretty frustrating
I would leave out dorsum; not sure of other. nm
Subject: I would leave out dorsum; not sure of other. nm

nm
So I can leave the sentence just like that? Thanks. nm
Subject: So I can leave the sentence just like that? Thanks. nm


Well, just leave it blank.
Subject: Well, just leave it blank.


agree - leave as is
Subject: agree - leave as is


If not sure, leave it blank!
Subject: If not sure, leave it blank!

x
I would never leave anything out, flag it for
Subject: I would never leave anything out, flag it for

x
Leave as dictated...sm
Subject: Leave as dictated...sm

I've seen them that high before. You might see transaminitis in the diagnosis or something like that.