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Might be how they're referring to the first set of the 3 sets of cardiac enzymes to rule out

Posted By: an MI. nm on 2006-08-21
In Reply to: For what? A set of tests or a place that performs testing? nm - wanderer

Subject: Might be how they're referring to the first set of the 3 sets of cardiac enzymes to rule out

s


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Maybe serial cardiac enzymes or just serial enzymes? Are they ruling out an MI? nm
Subject: Maybe serial cardiac enzymes or just serial enzymes? Are they ruling out an MI? nm

s
Cardiac enzymes
Subject: Cardiac enzymes

Acute MI rulilng out with s/l zero cardiac enzymes.  Could this be correct or do you think he is saying serum and it just sounds like zero?  TIA
cardiac enzymes
Subject: cardiac enzymes

It is "serial" cardiac enzymes.
cardiac enzymes
Subject: cardiac enzymes

I have a format question.  Not sure how to punctuate this sentence. This is listed under "Laboratory Data"


Cardiac enzymes CPK were high, but his MBs were normal. 


Would it be correct like it is, or would it be "Cardiac enzymes: CPKs were high, but his MBs were normal."


I also don't know if I should edit CPK to CPKs or leave it as is.


cardiac enzymes
Subject: cardiac enzymes

thanks, that's how I had it but wasn't sure. And wasn't sure about editing to CPKs or leaving it as CPK (without the "s"). Thanks again.
cycling cardiac enzymes?
Subject: cycling cardiac enzymes?


This may be all related to hypoxia since the patient was essentially unresponsive with airway obstruction on EMS arrival; however, cannot rule out other causes of syncope or a seizure. As such, we will go ahead s/l cycle his cardiac enzymes and check an echocardiogram. 


Does cycle sound right?


Does cardiac enzymes fit your situation?
Subject: Does cardiac enzymes fit your situation?

Might be helpful to know the patient's diagnoses to know what the right answer is.
is it serial cardiac enzymes?
Subject: is it serial cardiac enzymes?


Or 'serial cardiac enzymes...'? Ruling out for an MI? More context would help! nm
Subject: Or 'serial cardiac enzymes...'? Ruling out for an MI? More context would help! nm

s
Here is a good link to all the cardiac enzymes. Look thru here and listen again and you may be able
Subject: Here is a good link to all the cardiac enzymes. Look thru here and listen again and you may be able

to figure out what he/she is saying.

http://classes.kumc.edu/son/nurs420/unit5/cardiac_enzymes.htm
Personally... Cardiac enzymes: CPK were high, but his MBs were normal.
Subject: Personally... Cardiac enzymes: CPK were high, but his MBs were normal.


please help! Past medical history includes s/l spilling? cardiac enzymes. Thanks!
Subject: please help! Past medical history includes s/l spilling? cardiac enzymes. Thanks!


I personally transcribe buttock if they're referring to one side, and buttocks if they're refe
Subject: I personally transcribe buttock if they're referring to one side, and buttocks if they're referring to both or the whole thing....nm


not sure what you're referring to...more info needed nm
Subject: not sure what you're referring to...more info needed nm

xx
If you're referring to "retention" post, that was answer not question.....
Subject: If you're referring to "retention" post, that was answer not question.....


Lens sets?
Subject: Lens sets?

This is in regards to a patient with diabetes - the doctor states he needs "lens sets", "lead sets" for his Accucheck machine.  It is something sets-help! 


If both sets of words modify the same noun, sm
Subject: If both sets of words modify the same noun, sm

then, yes, they would be hyphenated.

Example,

He wore a tight-fitting short-sleeved shirt.



That would be Creon enzymes
Subject: That would be Creon enzymes

that's what my son is on
s/l cipicastle enzymes??
Subject: s/l cipicastle enzymes??

Seen in the ER for chest pain and had a cardiac evaluation and s/l cipicastle enzymes??


 


  


sure...the dictator said he had a normal CT scan and s/l a live to liver enzymes of AST and ALT at..
Subject: sure...the dictator said he had a normal CT scan and s/l a live to liver enzymes of AST and ALT at..

at that time....
the rule is ....
Subject: the rule is ....

... x2 ....2 times

If the "times" comes before the number use the x (no space). If the "times" comes after use the word.
don't know if there is a rule but....
Subject: don't know if there is a rule but....

 


I think if you would substitute "bilateral"  (mentally)  and say  "both" you might have a better idea how to say it.   Like would it sound better iff you said "both hand"  or "both hands."   To me bilateral hands sounds better.  But again, I don't know if there is actually a rule.  I looked for an answer in "style Guide for Medical Transcription" (Tessier and Pitman) and couldn't find an answer.   


I think if you wrote what the doctor said ....you can't go wrong there either.  Good luck!.    


What is the rule now for cc?
Subject: What is the rule now for cc?

should we put mL or what the doc says as cc?  I got so beat up over this one time with a different company I worked for; however, I am with a wonderful new company and want to make sure I am typing it correctly.


 


Thank you


Does anybody know a rule regarding
Subject: Does anybody know a rule regarding

to para or not to para, that is the question..... okay, so that was dumb, but so many words are not actually in the dictionary.... is there a rule regarding when to use peri as opposed to para ??? sometimes I'm confused.


As a rule yes, but not always
Subject: As a rule yes, but not always

I find way too many exceptions to that rule so I always look them all up the first time and add them to my ever-growing list.  I wish there was a list out there somewhere with most of them already catagorized for us. 


cannot rule out?
Subject: cannot rule out?


Is this a new rule????
Subject: Is this a new rule????

x
maybe saying rule out again? nm
Subject: maybe saying rule out again? nm

x
I'm all yours - you rule! :) :) :) :) - nm
Subject: I'm all yours - you rule! :) :) :) :) - nm

x
I'm all yours - you rule! :) :) :) :) - nm
Subject: I'm all yours - you rule! :) :) :) :) - nm

x
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.
rule out meds?
Subject: rule out meds?

He will bring all his medications with him so I can review them and rule out all his medications.


The pt is confused about what meds he is taking.


apostrophe AMT rule
Subject: apostrophe AMT rule

Mothers investment in child’s treatment ?{ is apostrophe accepted in this sentence }
HMMMM. Can't rule it out. Tks. nm
Subject: HMMMM. Can't rule it out. Tks. nm


AAMT rule
Subject: AAMT rule

Just getting back into MT after a long hiatus and can't remember the rules when typing numbers.  Is it okay to separate number values by commas, such as 1, 2, 3, etc.? (pathetic,  I know.)  TIA!
I use rule of 2-3 min. per dictated min. (nm)
Subject: I use rule of 2-3 min. per dictated min. (nm)

x
capitalization rule
Subject: capitalization rule

Can someone please tell me why sometimes Microsoft Word capitalizes the first letter after a period and sometimes it doesn't.  What can I do to always get a capital letter at the begiining of a new sentence?
capitalization rule
Subject: capitalization rule

Thanks.  It works fine with all words and latters, but not numbers, like 4/23/08, how come?
rule question..........sm
Subject: rule question..........sm

is there a rule about numbers at the end of sentences?  I can't find one.
I usually use this rule, if "follow up" can
Subject: I usually use this rule, if "follow up" can

be replaced by a noun, in this case you can use exam, then it is followup. If it is used as in The patient will follow up with so and so, then it is 2.
What is correct BOS rule for prn/p.r.n.
no msg
why only 'midline'? On what rule?..nm
Subject: why only 'midline'? On what rule?..nm

nm
MI rule out protocol
Subject: MI rule out protocol

s/l Motibi protocol.  I know I have heard it, and it hidden away in my brain somewhere.  Thanks for the help!
rule out metastasis, maybe
Subject: rule out metastasis, maybe

nm
PPD placed to rule out S/L "scropella"
Subject: PPD placed to rule out S/L "scropella"


D&C to rule out malignancy or (sl) hyspercussis. Thanks
Subject: D&C to rule out malignancy or (sl) hyspercussis. Thanks

:()
rule out retinopathy of prematurity...sm
Subject: rule out retinopathy of prematurity...sm

Retinal and posterior fundus of poles, both have normal vasculature without evidence of fibrovascular ridge or loss of vascularization to the peripheral cornea.

Is this phase correct? "Retinal and posterior fundus of poles..."
I think AAMT's latest rule is x2, but
Subject: I think AAMT's latest rule is x2, but

in their last book it was x 2, and next year they'll put out another book with some new way that the off-shore people are doing it. So I'd suggest you just do it your employer's way and keep documentation in case they suddenly change THEIR minds and deny they ever told you to do it that way.

;o]
In plan he very plainly says says need to rule out
Subject: In plan he very plainly says says need to rule out

Patient fell and injured right ankle. Sentence in question: She is significantly tender in the s/l coronal ligament s/l and the (or in the) right ankle.

Plan: MRI to rule out coronal ligament tear.

This is very clear - just cannot document it anywhere and don't want to flag it as it's very clear - just unsure and hoping for documentation or someone that has heard it.
there was a rule here - no testing posts
Subject: there was a rule here - no testing posts


it may depend on a facility rule
Subject: it may depend on a facility rule

our facility requires a hyphen for any statement of __ to__ so for us it would "x4-5" days.