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IMHO I would leave as dictated

Posted By: typo on 2008-01-14
In Reply to: newbie needs help with drugs - mt33

Subject: IMHO I would leave as dictated

many doc, at least mine, have used generic and then brand name when dictating within the same note.  That has been my experience.


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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
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.
I would leave it as dictated,
Subject: I would leave it as dictated,

x
Leave as dictated.
Subject: Leave as dictated.

x
I would leave it the way dictated unless
Subject: I would leave it the way dictated unless

you have been told to change it. A lot of them use K instead of potassium. It means I am pretty sure normal saline with 20 mEq of potassium at 100 mL per hour, but you are taking a leap typing it out; where I work we don't expand things like that, we leave it as dictated.
i would leave as dictated
Subject: i would leave as dictated


I would be correct to leave it as dictated because..sm
Subject: I would be correct to leave it as dictated because..sm

vas simply means vessel. Dorland's defines it as follows: a vessel: any canal for carrying a fluid; a general term for such channels, especially those carrying blood, lymph, or spermatozoa. When one hears vasectomy, one usually automatically thinks in terms of the vas deferens in the male, but that is not always necessarily the case.
my view is leave it as dictated.
Subject: my view is leave it as dictated.


I would leave it as dictated, esp if verbatim account. nm
Subject: I would leave it as dictated, esp if verbatim account. nm

x
40-some-odd stitches is fine. Leave as dictated, but you need hyphens.
Subject: 40-some-odd stitches is fine. Leave as dictated, but you need hyphens.


Brand name is ACTOplus met - so guess should leave as dictated?
Subject: Brand name is ACTOplus met - so guess should leave as dictated?


I think what doc is intending is that pt had a vasovagal episode, so IMO I would leave as dictated.
Subject: I think what doc is intending is that pt had a vasovagal episode, so IMO I would leave as dictated. nm

.
agree, leave as dictated, those are very elevated liver function tests. nm
Subject: agree, leave as dictated, those are very elevated liver function tests. nm

..
IMHO
Subject: IMHO

If the doc spelled it 3 times and it was absolutely clear, "acisional" is what he would get from me.  Sounds like he knows exactly what he wants and if he bothered to spell it, he'd probably be an unhappy camper if you paraphrased for him.  It's obvious he means "without an incision."  I guess aincisional would look kinda dumb, probably why he spelled it.  As likely as not it will be in the next medical dictionary edition as a legitimate word.
1:16 (imho) nm
Subject: 1:16 (imho) nm


sm (imho)
Subject: sm (imho)

"...reconstruction with lymph node-positive, PR/ER-positive, HER-negative disease"
imho... Hohmann for orthopedics sm
Subject: imho... Hohmann for orthopedics sm

Homan=most commonly a "sign" (calf pain with foot dorsiflexion. Hohmann=orthopedic retractor. Also Holman=lung retractor. I think Google is confusing because Homan is used incorrectly when Hohmann is correct spelling for ortho procedures; I don't think you'll find "Homan retractor" in any surgical instruments catalog, but there are LOTS of catalogs selling Hohmann retractors. My Stedman's only lists Hohmann (but I have an old 2nd ed.)...jmho
"T-nucleated count of 213" imho sm
Subject: "T-nucleated count of 213" imho sm

if you're allowed to edit i would change it to "T-cell nucleated count"; if not, then you're right, you need a hyphen to modify "count"... docs are so lazy... =)
"chronic stasis" can stand alone (imho) sm
Subject: "chronic stasis" can stand alone (imho) sm

stasis= noun: an abnormal state in which the normal flow of a liquid (such as blood) is slowed or stopped

docs often say it...chronic stasis...also say "chronic stasis dermatitis, or changes, or ulcers" but I think "chronic stasis" alone is okay.

IMHO, ...tumor-debulking omentectomy. nm
Subject: IMHO, ...tumor-debulking omentectomy. nm

s
Just as you have it if that's what was dictated. If "one fourth" was dictated, sm
Subject: Just as you have it if that's what was dictated. If "one fourth" was dictated, sm

it would be 1/4 pill or one fourth of a pill.


Def an 'N' dictated - Diabetes unsure of - no PMH dictated
Subject: Def an 'N' dictated - Diabetes unsure of - no PMH dictated


Dorland's, the bible IMHO, shows hernias as the plural of hernia. sm
Subject: Dorland's, the bible IMHO, shows hernias as the plural of hernia. sm

It appears that herniae is British.
We type it as dictated, if dictated
Subject: We type it as dictated, if dictated

c spine we transcribe C-spine, if cervical then cervical spine.
for PA- DICTATED BY PA's name...nm
Subject: for PA- DICTATED BY PA's name...nm

x
Dictated 427 rbc's and 58 rbc's
Subject: Dictated 427 rbc's and 58 rbc's


what was dictated; if not, do it your way...NM
Subject: what was dictated; if not, do it your way...NM

x
what was actually dictated?
Subject: what was actually dictated?


This was just also dictated under sm
Subject: This was just also dictated under sm

past surgical history, but STILL sounds like dragon pack. This is going to drive me nuts!!!!
exactly as dictated.
Subject: exactly as dictated.

x
L4-5 if that is what is dictated NM
Subject: L4-5 if that is what is dictated NM

xxx
Thanks! He only dictated one N
Subject: Thanks! He only dictated one N

Thank you!
If that is what he dictated, then that is
Subject: If that is what he dictated, then that is

what you use, even though it is usually esophagogastroduodenostomy; however, maybe duodenum has been removed so therefore could be.
Just like he dictated it.
Subject: Just like he dictated it.

x
Yes, as dictated. (nm)
Subject: Yes, as dictated. (nm)

.
I'm not sure if this is one or two drugs being dictated. SM
Subject: I'm not sure if this is one or two drugs being dictated. SM

I will refill her Armour Thyroid and her s/l modratic and estrace


or maybe it s/l modratic in estrace??? any clue what this is ???


do it, regardless if dictated differently...nm
Subject: do it, regardless if dictated differently...nm

x
Whichever way it was dictated. nm
Subject: Whichever way it was dictated. nm

x
it depends on how it is dictated...sm
Subject: it depends on how it is dictated...sm

6600 (no comma) or 6.6 if they say it that way; if they say 6.6 thousand then you give them *6.6 thousand*


 


give them what was dictated as the pt probably...nm
Subject: give them what was dictated as the pt probably...nm


It's okay. I'd transcribe it as dictated. nm
Subject: It's okay. I'd transcribe it as dictated. nm

/
You don't add in mg or mcg, etc. unless it's dictated. The docs know
Subject: You don't add in mg or mcg, etc. unless it's dictated. The docs know

s
lasered, as dictated
Subject: lasered, as dictated

.
SGOT dictated: 4-2-6 T: 426 or 4.26
Subject: SGOT dictated: 4-2-6 T: 426 or 4.26

SGOT dictated: 4-2-6 T: 426 or 4.26. same with SGPT dictated 1-1-9 T: 119 or 1.19
I have only used galactorrhea as dictated. nm
Subject: I have only used galactorrhea as dictated. nm


I don't think that would be it because the dr who dictated it is a urologist.
Subject: I don't think that would be it because the dr who dictated it is a urologist.

Earlier in the note, the dr said he did not get an s/l osbot or ozbot appt.
Complete hx not dictated
Subject: Complete hx not dictated

Thanks! Kept your info for future reference. Endo doc just dictated as part of hx; did not elaborate, so not sure.
Never heard it dictated but (sm)
Subject: Never heard it dictated but (sm)

I have heard of some hollistic remedies that include a clorox soak of the feet for yellow nails however normally the docs order Lamisil (terbafine hydrochloride). Just my two cents sorry I couldn't be more help.
five-way CABG if that is what he dictated. nm
Subject: five-way CABG if that is what he dictated. nm

xx
I use rule of 2-3 min. per dictated min. (nm)
Subject: I use rule of 2-3 min. per dictated min. (nm)

x