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I'll keep your 'rule of thumb' in mind next time. nm

Posted By: Thanks so much for your help on 2008-06-20
In Reply to: we use NovoLog - sm - MDmt

Subject: I'll keep your 'rule of thumb' in mind next time. nm




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That could be. I already sent it through, but I'll know for next time! Thanks!
Subject: That could be. I already sent it through, but I'll know for next time! Thanks!


That would be it! Thanks! I'll remember it next time!
Subject: That would be it! Thanks! I'll remember it next time!


Thanks for the info! I'll use "Toprol-XL" 100% of the time from now on! sm
Subject: Thanks for the info! I'll use "Toprol-XL" 100% of the time from now on! sm

FDA approved as Toprol-XL brand name, so even if they dictate the truncated version, I'm going to use the full brand name. Again, thanks for the heads-up! Good QA team! Learn something every day...only thing that keeps me going...that and helping my fellow MTs!
Alrighty then. Next time I'll just google it!
Subject: Alrighty then. Next time I'll just google it!

x


I appreciate your help! I'll remember "corrected with IV" for next time....sm
Subject: I appreciate your help! I'll remember "corrected with IV" for next time....sm

He was definitely saying "gastro-something" complex - the gastro part was very clear and he mumbled the rest. I believe it was gastroenteritic, but he said it so fast it sounded like gastroneuritic. Anyway, I believe he meant she had several gastro complaints.

Thanks!
Thank you - I had to send it on, but I'll remember for next time.
Subject: Thank you - I had to send it on, but I'll remember for next time.


Hmm....maybe--I'll listen again with that in mind! Thanks for the help!
Subject: Hmm....maybe--I'll listen again with that in mind! Thanks for the help!

x
It'll become repetitious in a short time. Ask for some samples. nm
Subject: It'll become repetitious in a short time. Ask for some samples. nm

s
I'll do a search with that in mind. Unfortunately, he doesn't say anything more in that regard
Subject: I'll do a search with that in mind. Unfortunately, he doesn't say anything more in that regard. sm

Before the s/l sentence, he says:

He can toe-and-heel walk. Tandem walking is somewhat off. Reflexes are diminished in the upper extremities, 1+ or trace at knees and at ankles. His motor power is generally full throughout upper and lower extremities. The right hand intrinsic muscles seem to be significantly affected and were about 3+/5. There is some atrophy of his first web space, which may be related also to significant subluxation of the thumb. The light touch sensation is generally okay.

His past surgical history is stent placement in 2004, status post cervical laminectomy/fusion.

Doctor is placing on Neurontin to see if he gets response regarding the paresthesias he's experiencing.

If this gives anyone a clue, I appreciate it a lot.

A thumb MCP fusion and a thumb *IPE* possible capsulodesis
Subject: A thumb MCP fusion and a thumb *IPE* possible capsulodesis

x
what time are we using here in mtStars? US time or India time?
Subject: what time are we using here in mtStars? US time or India time?


is it protime, pro-time, or spelled out prothrombin time? also, where did you find it.. i've look
Subject: is it protime, pro-time, or spelled out prothrombin time? also, where did you find it.. i've looked.

xx
with time are you supposed to put the word hour after the time, i.e. 1600 hours
Subject: with time are you supposed to put the word hour after the time, i.e. 1600 hours

nm
that would be two weeks' time. 's is singular (one week's time) and s' is pleural (two
Subject: that would be two weeks' time. 's is singular (one week's time) and s' is pleural (two weeks' time)

nm
pro time, no hypen, two words, as if your typing prothrombin time
Subject: pro time, no hypen, two words, as if your typing prothrombin time


prothrombin time, partial thromboplastin time
Subject: prothrombin time, partial thromboplastin time


?? PTT is partial thromboplastin time, PT is prothrombin time
Subject: ?? PTT is partial thromboplastin time, PT is prothrombin time

so that didn't answer my question at all -- and in fact was incorrect info
2 years' time or 2 year's time- Which is correct?
I put 2 years' time and was marked off on QA.
Thank you - I'll think I'll do that instead of the abbreviations. - NM
Subject: Thank you - I'll think I'll do that instead of the abbreviations. - NM

NM
That should be thumb.
Subject: That should be thumb.

Thanks.
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.
Splint for the thumb
Subject: Splint for the thumb

s/l orthoply ? splint for the thumb after surgery  Thanks for the help. pj



name of thumb tourniquet
Subject: name of thumb tourniquet

 


Sounds like "tournicot"? 


polydactylyzed???? thumb
Subject: polydactylyzed???? thumb

procedure is excision, reconstruction of right polydactylzed??? thumb.    Patient has right thumb polydactyly.  Is there such a word?


area of the thumb - s/l em-pu-age
Subject: area of the thumb - s/l em-pu-age

On physical examination, she is point tender, has a positive CMC grind in the very base of her thumb and in the empuage of her thumb as well.


Thanks.


X-ray of nail through thumb. SM
Subject: X-ray of nail through thumb. SM

Dictator gives location of nail, saying "apparently s/l SKY-VING just anterior to the tuft of the distal phalanx."  Skyving?  I can find it only in the urban dictionary. 


"Falen" on right thumb tip
Subject: "Falen" on right thumb tip

The patient has a 2-week history of a "falen" on her right thumb tip. It was decompressed in the ER and she subsequently went on to have an MRI.

I've done ortho for a long time and have only ever heard of Phalen's test/maneuver, but that's exactly what it sounds like.

Anybody hear of this before?
s/l 'tofi' on thumb
Subject: s/l 'tofi' on thumb

The patient has a large 'tofi' on her thumb.
Vapo Thumb?
Subject: Vapo Thumb?

sounds like vapo thumb??
One Weeks' Time or One Week's Time
Subject: One Weeks' Time or One Week's Time

Which one is correct?


Thanks! 


fourth time she has used this she is saying on-cora..each time in the..
Subject: fourth time she has used this she is saying on-cora..each time in the..

paragraph she talks about Omega 3 fatty acid maybe she means Omacor, but is saying Oncora instead of Omacor?? any ideas on this one?? thanks
I agree - we all do it from time to time - we try to make something else out of it
Subject: I agree - we all do it from time to time - we try to make something else out of it

nm
PT or Pro time stands for prothrombin time
Subject: PT or Pro time stands for prothrombin time


Three month's time or three months' time? TIA!
Subject: Three month's time or three months' time? TIA!


Wrist/base of thumb. nm
Subject: Wrist/base of thumb. nm

nm
pollicis pertains to the thumb - sm
Subject: pollicis pertains to the thumb - sm

hallux pertains to the great toe.  Would the word before *pollicis* be flexor or extensor, or maybe adductor or abductor???
I only know boutonniere deformity of thumb
Subject: I only know boutonniere deformity of thumb

swan-neck is just for fingers?
Gamekeeper's thumb or cast
Subject: Gamekeeper's thumb or cast


type of thumb splint?
Subject: type of thumb splint?

s/l comfercle splint
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.
Collapse thumb test?
Subject: Collapse thumb test?

This is a deformity of the joint in osteoporosis patients - just a thought.
Collapse thumb test?
Subject: Collapse thumb test?

This is a deformity of the joint in osteoporosis patients / found this explanation on an earlier post.
s/l "Roleon" thumb splint..nm
Subject: s/l "Roleon" thumb splint..nm

x
right thumb "phalen" infection?
Subject: right thumb "phalen" infection?

Thanks for any clues!
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.
Licking gecko-goo off my thumb...
Subject: Licking gecko-goo off my thumb...


another one related to same thumb injury - says
Subject: another one related to same thumb injury - says

...2 interrupted sutures of 4-0 "P3" - never heard of that - pretty clear.


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.
S/L moon foam splint? for thumb
Subject: S/L moon foam splint? for thumb


I did s/l truf-in-ate the thumb nail with cautery....
Subject: I did s/l truf-in-ate the thumb nail with cautery....

TIA :-)