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I know the general rule, been MTing 15 years, thought clinic was maybe different.

Posted By: Thanks for help :) on 2007-10-01
In Reply to: except first word of sentence, you'd spell out n/m - all numbers 1-10 and greater, use numerals..sm

Subject: I know the general rule, been MTing 15 years, thought clinic was maybe different.




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General rule of thumb for hyphenation is - sm
Subject: General rule of thumb for hyphenation is - sm

If you can't find it as one word in the Merriam-Webster dictionary, then you should hyphenate it. 
sorry, it's not the leukemia clinic. It's the lymphoma/myeloma clinic. I'm still stumped!
Subject: sorry, it's not the leukemia clinic. It's the lymphoma/myeloma clinic. I'm still stumped!


thanks, vr and Patty, and Happy Mting!....nm
Subject: thanks, vr and Patty, and Happy Mting!....nm

nm
thanks, vn and Patty, and Happy Mting!....nm
Subject: thanks, vn and Patty, and Happy Mting!....nm

nm
Here's a general ROS in general order : sm
Subject: Here's a general ROS in general order : sm

(they go from head to toe):

Constitutional, HEENT, Respiratory, (sometimes they give lymphatics before respiratory), Gastrointestinal, Genitourinary, Musculoskeletal (sometimes they say Neuromuscular),
Neurologic,
Endocrinologic, Hematologic,
Psychiatric,
Immunologic/Allergies.

What's missing in your review?
I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)
Subject: I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)

Now some are saying it's q. 4h.??  UGH, YUCK!!  I have also worked on accounts where it had to be "every 4 hours," and we had to spell out p.r.n. (as needed for).  At least we got more characters. 


First rule:  It is all what the "client/account" wants, not always what the BOS says it is.  I realize that language and its usage is constantly changing, but I've seen so many BOS and client flip-flops on so many other things in nearly 3 decades that it's laughable.  What isn't laughable is when we get penalized for not knowing what they want, even when they, themselves, don't know or are wrong.


Oh, and I still prefer the old no spaces:  q.4h., q.4-6h., q.12h., and so on.....


Wow, thank you. Just years, years and more years of experience
Subject: Wow, thank you. Just years, years and more years of experience

and a constant thirst for learning something new everyday. As we all know this can get to be somewhat boring, but learning from what I transcribe as well as from other transcriptionists keeps me going (money is not bad either). It becomes a challenge. But I can't thank you enough for the kind words.

Use to be younger...
Help with general term...sm
Subject: Help with general term...sm

She says this in the past medical history - negative for any health problems or s/l "renal or anginal disease." But that doesn't make sense as a general term to say.


Thanks!


S/L general ways
Subject: S/L general ways

Patient is ready to be admitted for outpatient surgery tomorrow for right hemicolectomy.  When awakened this morning he felt this sharp pain in his right upper quadrant, started having some nausea *** to upper fever of way over 102.  (after nausea is sounds like he says general ways to upper fever..."can that be right)?  thanks
general malaise? nm
Subject: general malaise? nm


General anesthesia with the use of an s/l LME?
Subject: General anesthesia with the use of an s/l LME?


What is the general consensus on this....sm
Subject: What is the general consensus on this....sm

20-pack-year smoking history or ????


Thanks in advance.


ps: Tara, if your online, I've got the file you need.  I'll zip it and send......


general word help
Subject: general word help

On physical doc says slight s/l cog wheeling or something to that nature to explain upper extremities at the elbow.  Any ideas?? Cannot find word. 
GET - general endotracheal
Subject: GET - general endotracheal


Yes, that's right. It means in general.
Subject: Yes, that's right. It means in general.


Can a general anesthesia be..
Subject: Can a general anesthesia be..

given in "intravenous intubation"?  I thought intubation was only a tube in a hollow organ, like the stomach.  
General surgeon does, too. nm
Subject: General surgeon does, too. 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.


General exam would be fine. (nm)
Subject: General exam would be fine. (nm)

.
Just a general question on format
Subject: Just a general question on format

I have been using these forums for a while now and I keep seeing people using "nm" and "sm". What does this mean?

nm = no message
sm = see message

Just a guess


This is probably so off the mark, but could it be general mask?
Subject: This is probably so off the mark, but could it be general mask?


general range or gommelin????
Subject: general range or gommelin????

Not able to apply my logic.


Her _____(gommelin / general range) is unchanged and she is pleased with it.


The patient has headaches and also for knee problem.  Also not dictating under physical examination.


It's just under and Objective/General section
Subject: It's just under and Objective/General section


Clinic name?
Subject: Clinic name?

I dont know if you can post it, but where is your acct at?  I ask because I just googled steroid and Kleinert Kutz and it seems to be a hand care center.  Might give it a try!
It would actually be the name of the clinic
Subject: It would actually be the name of the clinic

however, without a list of clinics in the area MTs have no way of knowing if it just a general term or the actual name. I always capitalize to be on the safe side, have not been told not to yet.
catheter general hear or read it as smi
Subject: catheter general hear or read it as smi

JR5 (Judkins right 5)  (JL5 Judkins left 5) etc
Could they be a GM (General Motors) employee? Can't find much else under G's and J's in Flo
Subject: Could they be a GM (General Motors) employee? Can't find much else under G's and J's in Florida. nm

s
I work for a general surgeon who dictates...sm
Subject: I work for a general surgeon who dictates...sm

sestamibi scan on all his parathyroid patients...........


and google to back it up:



Sestamibi Scan for Parathyroid Disease. Sestambi parathyroid x-ray ...





Sestamibi Scan for parathyroid disease and Sestamibi x-ray for parathyroid tumors. The Sestamibi scan finds the diseased parathyroid gland.
www.parathyroid.com/sestamibi.htm - 49k - Cached - Similar pages


Parathyroid Sestamibi Scan Technical Page: How Parathyroid ...





Sestamibi Scan for parathyroid disease and hyper-parathyroid disease. The parathyroid Sestamibi scan finds the diseased parathyroid gland and can be used ...
parathyroid.com/Sestamibi-Technical.htm - 65k - Cached - Similar pages


Sestamibi scanning for Parathyroid tumors and adenomas.





Hgh quality sestamibi scan shows a single parathyroid adenoma. ... The Sestamibi scan will display the hyperactive gland which is causing ...
www.endocrineweb.com/sestamibi.html - 9k - Cached - Similar pages


Sestamibi scan - Wikipedia, the free encyclopedia





A sestamibi scan of the parathyroid gland is a nuclear medicine procedure which is performed to identify hyperparathyroidism (or parathyroid adenoma). ...
en.wikipedia.org/wiki/Sestamibi_scan - 17k - Cached - Similar pages

 


doc says under general infant does not appear to be s/l Coxic???does he mean colicky?
Subject: doc says under general infant does not appear to be s/l Coxic???does he mean colicky?


Is this epidural or general? They usually test the skin if
Subject: Is this epidural or general? They usually test the skin if

s
He is under general anesthesia so in no pain, not awake.. nm
Subject: He is under general anesthesia so in no pain, not awake.. nm

.
"bare" stellate block or general sm
Subject: "bare" stellate block or general sm

We are going to go ahead and schedule this patient for surgery for a left carpal tunnel release and a left first dorsal compartment release under a stellate block. The patient may have a s/l "bare" block or a general depending on what her and the anesthesiologist decide.
BloodSTOP™ Hemostatic General Gauze?
Subject: BloodSTOP™ Hemostatic General Gauze?


ENT? general anesthesia with apneic oxygenation - nm
Subject: ENT? general anesthesia with apneic oxygenation - nm

x
pain clinic
Subject: pain clinic

The patient is scheduled for a percutaneous s/l racks or rax procedure of the lumbar spine.  Any ideas?


clinic note help
Subject: clinic note help

   Patient is accompanied by her husband today who is very concerned regarding recent symptoms of numbness and tingling in the lateral aspect of the left and right arm.  ***This is been ongoing x 2 to 4 weeks.****  .  is this the correct way to transcribe this?  The last sentence is the questionable....  thanks for all your help!!
clinic note
Subject: clinic note

thanks for your help, I am a new MT and I am a little confused with some things. thanks again!!!
clinic note
Subject: clinic note

the doctor says "this has been ongoing times 2 to 4 weeks" i was not sure how to transcribe that.
clinic note
Subject: clinic note

Your a wonderful help!!!!
clinic note help
Subject: clinic note help

does a doctor usually use the word relay example:    Patient mainly relays that she has trouble falling asleep at bedtime. 
Oops, clinic
Subject: Oops, clinic

s
Rare? Every clinic I do uses them. nm
Subject: Rare? Every clinic I do uses them. nm

nm
Pain clinic - need help with s/l - thank you.
Subject: Pain clinic - need help with s/l - thank you.

Patient has neuropathic pain and is on Lyrica and Zonegran.


"I suggest that he also try a nutritional supplement, s/l gama-lin-a-la-ic acid, for neuropathic pain."

clinic note
Subject: clinic note

Yep, it is a clinic report and the clinic does not want abbreviations spelled out.  In samples of their reports I was given h.s. was never spelled out, however, I could not find one that stated q.h.s. so I was unsure of the space.  Thanks for your help.
fertility clinic
Subject: fertility clinic

allow sperm cells to be placed on a hyaluronic _________. 


Do not cap. Cap only if it is a specific clinic, name given....nm
Subject: Do not cap. Cap only if it is a specific clinic, name given....nm

nm
it's general term to describe the statin drugs
Subject: it's general term to describe the statin drugs

nm
Probably general LMA (laryngeal mask airway) anesthesia. nm
Subject: Probably general LMA (laryngeal mask airway) anesthesia. nm

s
it is not ESL and I thought of warts but thought the same thing and it does not sound like a "t&#
Subject: it is not ESL and I thought of warts but thought the same thing and it does not sound like a "t"


It's a GI clinic and it doesn't look like she has had cancer.
Subject: It's a GI clinic and it doesn't look like she has had cancer.

I
Duh on me. Go with Endocrine. Our clinic used the ROS I referenced. nm
Subject: Duh on me. Go with Endocrine. Our clinic used the ROS I referenced. nm