They're all likely related, but I'd personally do 3 separate dxs. n/m
Posted By: AnnuderMT on 2009-06-10
In Reply to: does this make sense and if so is it all one diagnosis? - mt3
Subject: They're all likely related, but I'd personally do 3 separate dxs. n/m
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I personally would just separate
Subject: I personally would just separate
by a slash 500/500/250/500, but that's just me :)
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
Pretty sure they're two separate problems. nm
Subject: Pretty sure they're two separate problems. nm
Yes, but if lab stuff, try and separate the "components" if you're sure of them with semico
Subject: Yes, but if lab stuff, try and separate the "components" if you're sure of them with semicolons or
s
They are separate. sm
Subject: They are separate. sm
The common bile duct is the duct formed by the union of the cystic duct (from the gallbladder) and the hepatic duct, which is formed by the intrahepatic biliary tree.
Separate them. nm
Subject: Separate them. nm
s
It should be separate, SAD/DCR or SAD-DCR, or SAD, DCR
Subject: It should be separate, SAD/DCR or SAD-DCR, or SAD, DCR
Shoulder arthroscopic debridement and distal clavicle resection. Gotta love these docs and their neverending shortcuts, just lazy behinds. LOL
No they do not go together. Separate
Subject: No they do not go together. Separate
x
Personally, I don't see that being the
Subject: Personally, I don't see that being the
word, and if it was the word, I would think it would be fistula, not fisular. Since it came back from QA that way, I guess it has to fly, but personally...nah! Sorry. But to me, fisula is not even a word.
Personally, I would--sm
Subject: Personally, I would--sm
take out the comma between nucleations and right; I would also take out the comma between right and x 3, I would place a comma between fifth and "and". This is really a confusing sentence, as I am not sure if it means "right times 3" or right third, second, and fifth DIP joints. that would make a difference in the punctuation.
Personally, I would use the --sm
Subject: Personally, I would use the --sm
heading of CHIEF COMPLAINT: New patient with arm pain. or new patient, arm pain.
JMO
I personally
Subject: I personally
would do 1/1,000,000
Personally 3+3
Subject: Personally 3+3
I don't have anything personally against them (sm)
Subject: I don't have anything personally against them (sm)
But you're right...I have a lot of CNPs and PA-Cs who are constantly saying the wrong things. For example, the CNP who keeps saying dilution instead of deciliter for the UA, when she does an eye exam she always says the lids were averted instead of everted. She SPELLS it for me and always sounds like she's disgusted because she keeps spelling it with an A and I keep typing it with an E. It has always been Everted. Averted means to look away. I type these things up for years and years and then someone comes along like her and I start questioning myself, and maybe I'm typing it wrong...it just drives me crazy.
It could go either way, personally most
Subject: It could go either way, personally most
of the time I have heard things similar to this, the distally would go with the sensation.
Personally -
Subject: Personally -
I change it to match the context of the sentence - another x-ray, x-rayed again, etc.
If it is verbatim I would type re-x-ray.
I, personally..
Subject: I, personally..
would type it 4 x 4s-no apostrophe. :-)
Could he mean separate consult?
Subject: Could he mean separate consult?
Ugh..can you separate your s/l into syllables for us, please? Thx. nm
Subject: Ugh..can you separate your s/l into syllables for us, please? Thx. nm
s
Well, BOS pg 12 says use a comma to separate 2 or
Subject: Well, BOS pg 12 says use a comma to separate 2 or
v
Can you separate your s/l into syllables for us? nm
Subject: Can you separate your s/l into syllables for us? nm
s
Yes, 2 separate items. nm
Subject: Yes, 2 separate items. nm
s
No they are three separate views.
Subject: No they are three separate views.
No they are 3 separate views.
It is the sentence structure that is confusing. Three individual views, but once the word views gets put into the sentence it becomes plural and without the word views it is regarded as singular. I don't necessarily agree, but I believe this is why the QA department and your manager keep changing your grammar.
I believe tumor is separate...
Subject: I believe tumor is separate...
"s/l H nerve, tumor, or other..."
I keep them separate, i.e. mid portion.
Subject: I keep them separate, i.e. mid portion.
x
Grammar help! Myself personally
Subject: Grammar help! Myself personally
Dr. states. "I myself personally use drug-X."
or is it myself, personally?
Or leave out one or the other?
This is a verbatim account.
TIA!! 
Personally, I would leave out the myself--sm
Subject: Personally, I would leave out the myself--sm
that would be like saying "I me personally use the drug." verbatim or not, it is not good grammar, but it is your call. JMO.
Personally, I'd change it to, I was able to
Subject: Personally, I'd change it to, I was able to
get in touch with the patient's daughter, as I am my own QA. My doc lets me spritz up his letters all the time.
I personally capitalize it.
Subject: I personally capitalize it.
Hi there! I personally would not hesitate
Subject: Hi there! I personally would not hesitate
to type cruciates, just as he dictated it. JMHO.
It can be spelled either way. Personally, I use
Subject: It can be spelled either way. Personally, I use
CT scan. Just be sure whichever you choose, you are consistent with the spelling.
Personally I would use DeLee, they say it all
Subject: Personally I would use DeLee, they say it all
x
Personally, I type it as 10.4.
Subject: Personally, I type it as 10.4.
as in he personally has history of.... NM
Subject: as in he personally has history of.... NM
It is however your client wants. Personally,
Subject: It is however your client wants. Personally,
our client does not use slang, so we expand.
I personally always use "disk", but sometimes
Subject: I personally always use "disk", but sometimes
you have to go with the client's preference. Stedman's has it both ways. I have always asked what they prefer before starting an account - but that's me. 
Personally, I do not use the hyphen because
Subject: Personally, I do not use the hyphen because
"white matter" goes together as it is a part of the brain.
I personally don't use "q" anymore at all, but from
Subject: I personally don't use "q" anymore at all, but from
what I understand it's okay to use it in a non-medication context.
Seems like that goes with Nystatin and not a separate drug -
Subject: Seems like that goes with Nystatin and not a separate drug -
x
it is prothrombin time, to separate....sm
Subject: it is prothrombin time, to separate....sm
When it is really prothrombin time, it makes NO sense to type pro time as 2 words....I really don't care what BOS says about this one particular issue. The word really is prothrombin time and MDs say protime....I give them protime. Just my take on it.
Sorry. Put answer on separate entry. nm
Subject: Sorry. Put answer on separate entry. nm
Could your s/l be something separate from "cardiac disease," sm
Subject: Could your s/l be something separate from "cardiac disease," sm
such as whatever it is, cardiac disease, and congestive heart failure. Any clues in the rest of report?
This has got me stumped.
I believe the are 2 separate diagnoses and would transcribe as such.
Subject: I believe the are 2 separate diagnoses and would transcribe as such.
.
Are you hearing this with an accent? Can you separate it into
Subject: Are you hearing this with an accent? Can you separate it into
s
Also, with the periods it would be 3 separate words, which it is not...
Subject: Also, with the periods it would be 3 separate words, which it is not...
cerebrovascular accident always has been CVA (hard to keep up with so many new rules).
can only find two separate angles. sm
Subject: can only find two separate angles. sm
metatarsus adductus angle, and intermetatarsal angle. You probably already knew that, and it probably doesn't help decipher what your doc really means.
2 separate vital signs nm
Subject: 2 separate vital signs nm
nm
I agree, 3 separate things. nm
Subject: I agree, 3 separate things. nm
.
If not dictated separate, then combine.
Subject: If not dictated separate, then combine.
x
Personally I would capitalize since it is a brand name
Subject: Personally I would capitalize since it is a brand name
Personally, I am a grammar freak--sm
Subject: Personally, I am a grammar freak--sm
AND I was taught through my medical transcription school, to change things like this to make a readable, correct sentence. Verbatim was not acknowledged, as we all know that some docs cannot put a sentence together verbally in the English structural rules. I was taught that a good transcriptionist always changes incorrect things to become correct things...not just *this is what he says, so this is what I give 'em.* attitude. Personally, I would change the sentence to read * A __ cm hardware was tried.* It does not change the meaning of the sentence one iota and sounds much better, at least to me. But that is me and my opinion. My many years of proper English schooling just will not let that sentence pass as is. The hair on the back of my neck stands up when I know it is incorrect. This is just my opinion, and I don't need to be slammed for it. I would really like to know what your employer has to say about it Hayseed, if you ever get a response.
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