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I would assume 2-0 like in suture sizes, but maybe an "eye" MT can help us clarify this. nm

Posted By: still wandering on 2006-07-31
In Reply to: Eye surgery - how would you type two ought, as in... sm - GLF

Subject: I would assume 2-0 like in suture sizes, but maybe an "eye" MT can help us clarify this. nm

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Suture sizes
Subject: Suture sizes

When typing, for example, 5-0 vicryl, is it correct to use the number 0 and not the letter O?
s/l pulenal suture and mytex suture... ortho surgery.. please help ASAP. Thanks
Subject: s/l pulenal suture and mytex suture... ortho surgery.. please help ASAP. Thanks


Since they are sizes 00 and 000
Subject: Since they are sizes 00 and 000


K-wire sizes
Subject: K-wire sizes

Always hear this dictated, for example, 45 K-wire. Is it typed 45, 4.5, 4-5, or .045? I have had QA correct different ways. Thanx in advance.


Sizes of blades are 0, 1, 2, 3, etc.
Subject: Sizes of blades are 0, 1, 2, 3, etc.

He could be 15 blade, size 0, therefore 15-0 blade.


K-wire sizes
Subject: K-wire sizes

http://www.medcompare.com/details/34182/Kirschner-Wires.html

.028 in. (.7 mm) .035 in. (.9 mm) .045 in. (1.1 mm) .054 in. (1.4 mm) .062 in. (1.6 mm)

They don't put the leading zeros in their sizes but I always do.
Those are two different sizes so I would put it as 28-32 (what exactly is the sentence).
Subject: Those are two different sizes so I would put it as 28-32 (what exactly is the sentence).


Gauze sizes: 4x4s, 4 x 4s or 4 x 4's? nm
Subject: Gauze sizes: 4x4s, 4 x 4s or 4 x 4's? nm

.
4 to 6, they are grafts with graduating sizes from 4 to 6 cm . nm
Subject: 4 to 6, they are grafts with graduating sizes from 4 to 6 cm . nm

,,,
ortho surgery suture tack or suture tac?
Subject: ortho surgery suture tack or suture tac?

Two PushLock anchors were utilized at approximately the 7 o'clock and 8 o'clock positions and a suture tack or tac? was utilized  Thanks
There is a Lambert suture and limber suture.
Subject: There is a Lambert suture and limber suture.


Please let me clarify
Subject: Please let me clarify

Sorry, should have been more specific. Dictator is probably slurring the word "ophthalmic" drops. There is no thalmic drop. The word "thalamic" refers to something else entirely. Please just type out ophthalmic drops.
clarify
Subject: clarify

He probably does mean the injection will help clarify where the pain is coming from.  That is the whole purpose of a a discogram, but sometimes they are inconclusive.  It's just an awkward sentense structure to say clarify the patient.


Please clarify
Subject: Please clarify

I'm so confused about the correct way to write prescription abbreviations. I've looked it up in several places and come up with different ways so here it goes. Is it q.d. or q d? What about bid or b.i.d.? Please help. Thank you.
To clarify
Subject: To clarify

I don't think I was very clear. 


Doctor dictates Medications listed on s/l Card-ex from skilled nursing facility.    Then he goes on to list medications. 


Some sort of form called "Card-ex"  is what I am looking for. 


Thanks for the responses. 


I should clarify also sm
Subject: I should clarify also sm

When she repeats things, it is almost always later on the report, not back to back.
Allow me to clarify
Subject: Allow me to clarify

Dictated: decubiti

Transcribe as: decubitus ulcers

This is per the Book of Style, page I put in my other post.

:)
Please clarify
Subject: Please clarify

I think my mind is blocked or something - so what time is 0618? I get it if it was 0600 or 1800 but I just don't get this
Trying to clarify the warm...
Subject: Trying to clarify the warm...

He dictated that the feet were both cool then dictates warm to palpation. Can they be both?
OK that was confusing... I will clarify
Subject: OK that was confusing... I will clarify

Always go by your company policy and produces. My company states:

"when the manufacturer uses all capitals, use an initial capital only so as not to give undue attention to the term in a medical report..."
Also to help clarify, toco is
Subject: Also to help clarify, toco is

Prefix meaning childbirth. For example, tocolysis is the slowing or halting of labor. Sometimes spelled tok-, toko-.

So definitely not toca even though you hear it clearly, the docs are not always right.


you are very welcome - don't assume anything..*lol*
Subject: you are very welcome - don't assume anything..*lol*


you do know what they say about assume....sm
Subject: you do know what they say about assume....sm

When one assumes, they make an a@@ out of U and an a@@ out of me = spelling of assume...*lol*


NOT the OP here......just an observer.....


Have a great day!!! 


I assume they are saying something like
Subject: I assume they are saying something like

"normal facies" ??
PS to clarify my previous post
Subject: PS to clarify my previous post

2 drugs:


s/l Cadawa NHCTC; I think it's for hypertension or hyperlipidemia.


s/l Rocethrin. For lesions? Could also be a pain med.


TIA!


 


Please clarify, you are QA? This is totally incorrect...sm
Subject: Please clarify, you are QA? This is totally incorrect...sm

any procedure or disease attributed to a person's name should no longer carry an 's, thus Morton neuroma. I am really sorry to say this, as I really do appeciate QA support, but from what I have seen from your posts, you are very uninformed.
I think it is the same thing. Just wanted to clarify. Thanks anyway. NM
Subject: I think it is the same thing. Just wanted to clarify. Thanks anyway. NM

ss
just to clarify...as in sinus tract
Subject: just to clarify...as in sinus tract

Sinus tract
A narrow, elongated channel in the body that allows the escape of fluid.

Unless it is stated 3 mm you cannot assume that it is mm
Subject: Unless it is stated 3 mm you cannot assume that it is mm

According to a very detailed message from my QA department with authoratative references cited, unless the first measure is stated specifically, you are making an assumption that _3_ is mm and cannot assign 3-4 mm. They explained I had to use 3 x 4-mm effusion. There are many units of measure and their point was to assume is not permissible as it could be an error.
I assume a test..
Subject: I assume a test..

Chart review shows a negative RAANA and normal uric acid.  I do not know if he is saying N or and.


Is it RAA NA or RAA and A or RAANA?


Thank you


Deborah


 


Nothing if you don't hear it. Can't assume, so
Subject: Nothing if you don't hear it. Can't assume, so

s
would assume not normal
Subject: would assume not normal

not chronic for him, or something he doesn't normally show on his EKG. Sorry, probably has an accent, I assume.
No, but I assume it is related to
Subject: No, but I assume it is related to

nm


I assume these are lab results ??
Subject: I assume these are lab results ??


I would assume "of" is what goes here.
Subject: I would assume "of" is what goes here.


To clarify, I didn't answer the OP here. I answered on (sm)
Subject: To clarify, I didn't answer the OP here. I answered on (sm)

I answered when she asked the same question on the main board. I wasn't the poster who asked "what is so difficult about verbatim" -- I sign all of my posts.
you cannot assume 5-6 unless the doctor specifically
Subject: you cannot assume 5-6 unless the doctor specifically

5 to 6-mm nodule is the "most" correct. We all "know" the MD meant both values are mm but unless each value is specified, you cannot make that assumption.
...Can't assume that you should change it if not directed to do so. nm
Subject: ...Can't assume that you should change it if not directed to do so. nm

s
Under allergies - I assume it's a drug...?
Subject: Under allergies - I assume it's a drug...?

Allergies include S/L: WUH-STEH-FIN and ciprofloxacin.


Any clues?


Thanks!!


I would think it would be without burying the port (I would assume they would want to keep it so it
Subject: I would think it would be without burying the port (I would assume they would want to keep it so it can be accessed and not buried)?


I haven't actually heard of it, but I would assume it
Subject: I haven't actually heard of it, but I would assume it

would be "ER" (extended release) ??
Just to clarify, your answer is tampon. Ignore the argument below. SM
Subject: Just to clarify, your answer is tampon. Ignore the argument below. SM

Definition for tampon, according to Doland's Medical Dictionary:


tampon (tam·pon) (tam´pon) [Fr. “stopper, plug”]  a pack; a pad or plug made of cotton, sponge, or other material; variously used in surgery to plug the nose, vagina, etc., for the control of hemorrhage or the absorption of secretions.


(emphasis mine)


A tampon is simply a plug which can be used in a body cavity (male or female) to absorb blood, sections, etc. 


 



Please clarify, more concise, on the dx & context in which sent. Be glad to help. More info please.
Subject: Please clarify, more concise, on the dx & context in which sent. Be glad to help. More info please.

.
I totally agree. I assume I'm thanked, and if not,
Subject: I totally agree. I assume I'm thanked, and if not,

nm
labs I assume... last blood work with an s/l H&H 12.1 and 36.5..thank you
Subject: labs I assume... last blood work with an s/l H&H 12.1 and 36.5..thank you


I can only assume that it is because the name of the drug is Benicar HCT (without the slash) and it
Subject: I can only assume that it is because the name of the drug is Benicar HCT (without the slash) and it is made of olmesartan and hydrochlorothiazide.


To clarify, the word "port hole" is NEVER correct. Always type portal
Subject: To clarify, the word "port hole" is NEVER correct. Always type portal


using a reliable drug website such as Rxlist will clarify if generic or brand name. sm
Subject: using a reliable drug website such as Rxlist will clarify if generic or brand name. sm

When in doubt, it is crucial to check if drugs are generic or brand name to ensure we type them correctly.
Just my opinion... I never assume especially when it comes to a list of medications for a patient
Subject: Just my opinion... I never assume especially when it comes to a list of medications for a patient

You are probably right as it being Tessalon Perles, but I would have to flag it as such and send it with a blank since it is not a verbatim account.
I cannot find any definitive way of judging the values, but I can only assume that these are each se
Subject: I cannot find any definitive way of judging the values, but I can only assume that these are each separate, therefore, I would put it as 18, 6, 01. Just me though...


I would assume this MD might have mispoke, but in case not, I would type it Klor-Con 10 mEq 2-1 b.i.
Subject: I would assume this MD might have mispoke, but in case not, I would type it Klor-Con 10 mEq 2-1 b.i.d.