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Definitely not CBC. Sounds more like UPT but patient is a 60-year-old.

Posted By: Thanks on 2008-06-20
In Reply to: Possibly - DebM

Subject: Definitely not CBC. Sounds more like UPT but patient is a 60-year-old.




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doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM


A 2-3/12-year-old patient. Is that the correct way to
Subject: A 2-3/12-year-old patient. Is that the correct way to

x
then why is it correct in your example of the patient, a 35-year-old?...sm
Subject: then why is it correct in your example of the patient, a 35-year-old?...sm

This is confusing so please do not think I am trying to pick a fight.  By your own examples, these would be hyphenated.  Why would the OP example not be hyphenated? 
I wish, it is a 52-year-old patient and that is all he mentions she had uterine prolapse too
Subject: I wish, it is a 52-year-old patient and that is all he mentions she had uterine prolapse too


patient is a 15-year-old girl with history of significant
Subject: patient is a 15-year-old girl with history of significant

s/l Norwood degenerative type disorder. ???
Patient is 12-year-old girl. Diagnosis mild s/l exosobesity.
Subject: Patient is 12-year-old girl. Diagnosis mild s/l exosobesity.


Patient presents with a several year history of pain and this is s/l dedscious referable to the left
Subject: Patient presents with a several year history of pain and this is s/l dedscious referable to the left


Not sure, but sounds like they think patient
Subject: Not sure, but sounds like they think patient

has Cushing's? Here is a good site:
http://student.bmj.com/issues/00/04/education/100.php

"The most common presenting symptom is the relatively sudden onset of weight gain, which is usually centripetal (truncal). Fat deposits may appear in the cheeks (moon facies), in the dorsocervical area (buffalo hump), and the supraclavicular area."
HEENT unchanged x1 year (been the same since year ago)
Subject: HEENT unchanged x1 year (been the same since year ago)


25-pack/year would mean 25 packs per year, but
Subject: 25-pack/year would mean 25 packs per year, but

25-pack-year is the amount equal to packs smoked per day x number of years smoking, as per BOS and Vera Pyle.


patient set up to have what sounds like immunovalley n/m
Subject: patient set up to have what sounds like immunovalley n/m


Is your patient a male? There are male sounds and female sounds. sm
Subject: Is your patient a male? There are male sounds and female sounds. sm

Male sounds are shaped differently than female sounds. Obviously, male sounds being longer. They are used to dilate the urethra in order to facilitate the passage of stones or perhaps JJ stents etc. They come in different diameters ie..18FR, 20FR etc. Hope this helps.
Patient has possible DIC or sounds like *Tickmore disease*. sm
Subject: Patient has possible DIC or sounds like *Tickmore disease*. sm

Any help appreciated!   TIA
Does this patient have cancer? If so, do they state what type? Almost sounds like a new drug
Subject: Does this patient have cancer? If so, do they state what type? Almost sounds like a new drug

therapy? It would help to know the diagnosis. Does the doc state what the diagnosis is?
Drug that sounds like Soltar. Patient has a LONG list. Don't know what it is for.
Subject: Drug that sounds like Soltar. Patient has a LONG list. Don't know what it is for.

/
Drug sounds longer s/l carbomethazole 5 mg. Patient with PCI stent and hypercolesterolemia.
Subject: Drug sounds longer s/l carbomethazole 5 mg. Patient with PCI stent and hypercolesterolemia.


Is year old still hyphenated as in 74-year-old? nm
Subject: Is year old still hyphenated as in 74-year-old? nm


2 years' time because years is plural. One year's time because it is singular, only one year.
Subject: 2 years' time because years is plural. One year's time because it is singular, only one year.


No. It is an 8-year-old boy.
Subject: No. It is an 8-year-old boy.

Thanks anyway. Had to send it in. Not polio either.
73 year old who ...
Subject: 73 year old who ...

I had a 73-year-old lady who had not have a period in 3 years. Go figure. Fortunately, I can mark these things as questionable.
A 62-year-old WM? What's WM? nm
Subject: A 62-year-old WM? What's WM? nm

x
year old or -year-old
Subject: year old or -year-old

Received this one back from QA and I think they are incorrect so thought I would pose the question here before possibly being wrong myself.  Which is correct? 


John is an 8 year old brought to this visit by mother.


John is an 8-year-old brought to this visit by mother.


8-year-old
Subject: 8-year-old

the noun is implied as in 8-year-old boy.


nm its year two
Subject: nm its year two


...Happy New Year!......nm
Subject: ...Happy New Year!......nm

x
Looks okay to me. Happy New Year! nm
Subject: Looks okay to me. Happy New Year! nm

s
I put 2-1/2 years... or 2-1/2-year-old. nm
Subject: I put 2-1/2 years... or 2-1/2-year-old. nm

zzz
no. it's an angry 7 year old. thanks though
Subject: no. it's an angry 7 year old. thanks though

xx
AAMT changes this every year when they want to--sm
Subject: AAMT changes this every year when they want to--sm

sell another version of the BOS. I go with client preferance, which is still spelling out 1-10 and numerical above 10. Dates are spelled out within the body of the report...client preference. AAMT is not the know all end all, just another money grabbing gimic! JMO
I add an "A"....A 42-year-old woman....or
Subject: I add an "A"....A 42-year-old woman....or

However, for suturing, I do...... 4-0 Vicryl and I try to either use a semi colon before, if possible, to like add it onto the sentence prior IF possible.  


For ages - I put an "A" 42-year-old, or "An" 83-year-old male..... for beginnings of sentences. 


 


dr says: 26-year-old G4 P 0 to 1 SAB 3 female.sm.
Subject: dr says: 26-year-old G4 P 0 to 1 SAB 3 female.sm.

What is the correct way to transcribe this?


G4 P-0-1 SAB3


G4 P-0-1 sab3


Thank you so much in advance!


changed about a year ago
Subject: changed about a year ago


6 YEAR OLD EXAM
Subject: 6 YEAR OLD EXAM

Under PE

He is alert and oriented x 3. He does respond to appropriate s/l ticacuities and commands for his age.
Happy New Year to you too!
Subject: Happy New Year to you too!


Very Happy New Year to you too!
Subject: Very Happy New Year to you too!


1 year old child. Please sm
Subject: 1 year old child. Please sm

"X-rays reviewed that show a s/l **bubble** type fracture to the radius on the right" Assessment: Right radius fracture. Thanks for any help! :)
This is a 2-8/12-year-old (just need one more hyphen between 2 and 8/12
Subject: This is a 2-8/12-year-old (just need one more hyphen between 2 and 8/12


52-year-old in a big girl bed???
Subject: 52-year-old in a big girl bed???

Never heard that one before...


In the year 2000...
Subject: In the year 2000...

She dictates "had a hysterectomy in the year 2000."


Do I seriously need to type "the year"?  It doesn't seem necessary, but is it?


9-year-old male
Subject: 9-year-old male


The second one. An Ŝ-year-old" (boy is assumed). nm
Subject: The second one. An Ŝ-year-old" (boy is assumed). nm

x
20-pack-year vs. 20 pack-year
Subject: 20-pack-year vs. 20 pack-year

Which is correct?  20-pack-year history of smoking or 20 pack-year history of smoking.  I've seen it both ways.  TIA.


20-pack-year
Subject: 20-pack-year

x
60 year old man. Any idea?
Subject: 60 year old man. Any idea?

60 year old man. Any idea?
63-year-3-month-old? nm
Subject: 63-year-3-month-old? nm

nm
7-year history.....
Subject: 7-year history.....

I get confused, too!  well-defined hypen; the hyphen is well defined.  That is how I think of the hyphens, but I'm no BOS guru - just been in the biz for a long time.
I'm used to hyphenating it, too, but last year (I think) = sm
Subject: I'm used to hyphenating it, too, but last year (I think) = sm

our QA told us to stop using the hyphenated form and, indeed, the BOS says not to hyphenate.
25-pack-year
Subject: 25-pack-year


25-pack-year
Subject: 25-pack-year

nm
1-year history
Subject: 1-year history

How would you type the patient has a 1-year history of pain....tia.
Had that drug dictated about a year ago, SM
Subject: Had that drug dictated about a year ago, SM

and I found it just listed in some chat groups, wrote it down in my Drake & Drake in case it came up again. This time I just looked it up on Google.