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If verbatim then that is correct. If you have to expand (as in my account) it is maximum temperature

Posted By: leigh on 2007-03-07
In Reply to: Proper way to write T. Max? nm - SleepyMT

Subject: If verbatim then that is correct. If you have to expand (as in my account) it is maximum temperature. (nm)

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Tmax or temperature maximum
Subject: Tmax or temperature maximum

OK to use Tmax and if so, is it T max or Tmax?  Do you instead use temperature maximum when dictated Tmax? 


TIA.


 


The second one is correct if account is verbatim; never
Subject: The second one is correct if account is verbatim; never


That's the way I type it when the account is verbatim. Otherwise, you could correct to incised an
Subject: That's the way I type it when the account is verbatim. Otherwise, you could correct to incised and


Depends on the account: My verbatim account is VERBATIM and other accounts I put 3100
Subject: Depends on the account: My verbatim account is VERBATIM and other accounts I put 3100


If you expand it (and you should if your account allows), sm
Subject: If you expand it (and you should if your account allows), sm

it should be "cardiac catheterization," not "cardiac catheter." 
If not verbatim and you're sure of meaning, expand it and get paid for the characters. nm
Subject: If not verbatim and you're sure of meaning, expand it and get paid for the characters. nm

s
Depends on your account specifics. If they allow you to expand, that's fine, but it is straight
Subject: Depends on your account specifics. If they allow you to expand, that's fine, but it is straight

hardcore verbatim you have to leave it as is, whether it looks ugly or not.  I know, I really don't like it when they abbreviate left and right, leave words off sentence structures so they can speak faster and get it over with.



In verbatim account... HELP PLEASE

She is sating(satting) 98% on room air?


I want to change, but on verbatim, I suppose I'm not supposed to, right? I'm relatively new to this and not sure.


 


Verbatim account
Subject: Verbatim account

How would you type... as I have it?


ESL help..with verbatim account..
Subject: ESL help..with verbatim account..

would you type re-meet? remeet? or change to meet again... It is vebatim, but I'm not used to that yet... need seasoned advice!  Thanks!
On a verbatim account, would you
Subject: On a verbatim account, would you

actually leave this sentence as is?


She puts Neosporin on it, and she reports that in the morning it looks pussy.  


 TIA for any input.


Only if the account is verbatim would I
Subject: Only if the account is verbatim would I

type 5 foot. Should be 5 feet.
It is a verbatim account so I can't add the bag ;) sm
Subject: It is a verbatim account so I can't add the bag ;) sm

He just said the patient was *ambued and could not be intibated due to facial trauma* 


So, looks like this is one of those that is up in the air and probably something to talk to company QA about? 


 


Is this a verbatim account?
Subject: Is this a verbatim account?

If not, it would make more sense like this:

It would help beneficial organisms AND commensals bacteria colonize his colon and help as a first line of protection against disease.

If not, then I would type:
It would help beneficial organisms, commensals bacteria colonozie his colon and help as a first line of protection against disease.

Since they want the beneficial bacteria and commensals bacteria to colonize his colon, there is no need for a comma before colonize.
If the account is verbatim, I would say OK
Subject: If the account is verbatim, I would say OK


I use it only if my account is verbatim.
Subject: I use it only if my account is verbatim.


If you are on a verbatim account it could be 4, 80 and 0.
Subject: If you are on a verbatim account it could be 4, 80 and 0.


Verbatim account?
Subject: Verbatim account?

Valsalva maneuver.  Lots of docs turn it into a verb, so I would say if it is verbatim, what you have is how to spell it, all lower case.
Unless its a verbatim account
Subject: Unless its a verbatim account

I rearrange the sentence so that it is not the beginning. If it is a verbatim account you don't want to change anything but type as both letters in caps, PH.
if verbatim account yes sm
Subject: if verbatim account yes sm

It depends on the client profile. On my non-verbatim accounts, I leave out the is and are in the vitals signs and for allergies, I just type the Demerol and Penicillin under the heading. That's just how I've been doing it for over 15 years and so far so good :)
Verbatim account, doc said "pee"
Subject: Verbatim account, doc said "pee"

Should I edit to "urinate" or type as is? If as is, should I put it in quotes?


Diagnosis is micturation syncope. Here is the sentence as dictated:


When he tried to pee he got weak, dizzy, hit the floor, did not feel right.


 Thanks for any help.


I'd leave it, especially if it's a verbatim account.
Subject: I'd leave it, especially if it's a verbatim account.

nm
Are you typing on a verbatim account?
Subject: Are you typing on a verbatim account?

If so, you will won't need to change decease to deceased. If the dictator is ESL, he probably used incorrect verbiage. Agree with other posters about lung CA.
Are you a verbatim account? Because I would rather put "undetectable" as well.
Subject: Are you a verbatim account? Because I would rather put "undetectable" as well.

nm
Depends on whether the account is verbatim sm
Subject: Depends on whether the account is verbatim sm

Or how much they expect you to correct. I used to transcribe for a doctor who did the worst run-on sentences and sometimes I would rack my brains trying to figure out where to put punctuation without changing what she said (the account was verbatim except for obvious grammatical errors like subject-verb agreement). Finally I decided, if that's the way she wants to say it, that's what she is going to get. I just made sure that what she was saying made some reasonable kind of sense.  She was also notorious for changing her mind half a dozen times in a single sentence, and for not reading her reports before approving them. She once dictated a hysterosalpingogram (test to see if the fallopian tubes are blocked) and let the following impression go out to the requesting physician:


IMPRESSION:  Bilateral tubal pregnancy.


instead of


IMPRESSION:  Bilateral tubal patency.


(No, I didn't type it!)


Depends if it is a verbatim account. You can do it the way you have it or if he actually used the wo
Subject: Depends if it is a verbatim account. You can do it the way you have it or if he actually used the word "as" 93 then it could be 100-7 as 93 or just minus equal signs. Depends on your client.


depends on whether your account is verbatim (sm)
Subject: depends on whether your account is verbatim (sm)

It's slangy, but depending on the account, I might or might not edit.
Same here, but now my account is verbatim so I give em what they ask for.
Subject: Same here, but now my account is verbatim so I give em what they ask for.


If not verbatim account and you are allowed
Subject: If not verbatim account and you are allowed

to add headings, I would put it under either MUSCULOSKELETAL or NEUROLOGIC.
depends on account specifics, whether verbatim, etc.
Subject: depends on account specifics, whether verbatim, etc.

x
Thanks...that option is not allowed as my account is verbatim...
Subject: Thanks...that option is not allowed as my account is verbatim...

I put the word in as dictated with quotes around it and then sent it off to QA. I noticed later that they just deleted it and put a blank and sent it through without the word. Yet one more reason why I hate being on verbatim accounts!
If you are on a verbatim account, type exactly what is dictated.
Subject: If you are on a verbatim account, type exactly what is dictated.

If you sense a discrepancy, you can flag it for your QA department.
Depends on whether the account requires verbatim sm
Subject: Depends on whether the account requires verbatim sm

If they don't, I would change the tense to whatever is the norm for that account or that doctor.


If they do require verbatim, I would type it verbatim but let the QA preson know that the doctor had shifted tenses.


But that's just me....


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

x
Good question, is this a verbatim account? SM
Subject: Good question, is this a verbatim account? SM

If not, I guess para-colposcopic, para-cervical maybe?
I am on a verbatim account so I have to type it either way it is dictated L4-L5 or L4-5. As far OB/G
Subject: I am on a verbatim account so I have to type it either way it is dictated L4-L5 or L4-5. As far OB/GYN, G2, P3 or gravida 2, para 3 means with the 3-0-0-2: 3 live births, 0 preterm births, 0 miscarriages, 2 living children


I use tib-fib, but I would say it depends on the account. Some verbatim accounts do not like abbrevi
Subject: I use tib-fib, but I would say it depends on the account. Some verbatim accounts do not like abbreviations, others want it strictly verbatim. The rest seems appropriate to me, but I would say it is dorsiflex the ankle.


Got it. Thanks again. There are no account specifics, so I like to type verbatim just to be safe.
Subject: Got it. Thanks again. There are no account specifics, so I like to type verbatim just to be safe.


type "the year" if it is a verbatim account.
Subject: type "the year" if it is a verbatim account.


It all depends on your account specifics. If they use BOS, then use mL. I've had verbatim accou
Subject: It all depends on your account specifics. If they use BOS, then use mL. I've had verbatim accounts

with no BOS wanted per the client, regular accounts who do use BOS and others that do not want it, and others that "just type what I say." So, like I said, refer to your account specifics.
yeah, if you're a verbatim account do nitro paste, otherwise
Subject: yeah, if you're a verbatim account do nitro paste, otherwise

spell out to nitroglycerin paste. Doc slang. Don't cha love it!
Personally, I do a verbatim account and I have begun sentences with "CT".
Subject: Personally, I do a verbatim account and I have begun sentences with "CT".


alk phos is slang, fine if verbatim account, otherwise spell it out. nm
Subject: alk phos is slang, fine if verbatim account, otherwise spell it out. nm

/
Probably saying "respiratory rate 20" and T-max would be correct or could expand to temperatur
Subject: Probably saying "respiratory rate 20" and T-max would be correct or could expand to temperature max.

x
I expand CC to cubic centimeters or milliliters depending on which is correct.
Subject: I expand CC to cubic centimeters or milliliters depending on which is correct.

I always spell abbreviations out such as this one that follows a vague number , i.e., few, several, many, etc. It just doesn't look right having the abbreviation in that sort of sentence to me. If you adhere to the BOS, it suggests spelling them out in this instance as well.
Do you guys expand AIDS/HIV in admit or discharge diagnoses? Normally I expand COPD, CAD, etc.. sm
Subject: Do you guys expand AIDS/HIV in admit or discharge diagnoses? Normally I expand COPD, CAD, etc.. sm

not sure in this case.  Account goes by BOS, not super nitpicky, but I'm wondering what y'all do. 
1 to 2+ would be correct if it is verbatim.
Subject: 1 to 2+ would be correct if it is verbatim.


Verbatim vs correct grammar
Subject: Verbatim vs correct grammar

Do you folks type your dictators verbatim including any grammar infractions or do you correct the grammatical errors?  I'm talking about verb tense, run-on sentences, ending a sentence with a preposition, etc.  It seems to me that corrections are interpreted by the transcription companies as errors, but all of the docs I have ever worked for have requested that I correct their grammar.  How does everybody else do it?
Both are correct, just type it according to your account specifics, some like disc and other disk.
Subject: Both are correct, just type it according to your account specifics, some like disc and other disk.


that is maximal, not maximum, sorry!
Subject: that is maximal, not maximum, sorry!


MIP (maximum intensity projection)
Subject: MIP (maximum intensity projection)

nm