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Would not start the sentence with a number. Would type it as "A 20 pack-year smoking history."

Posted By: MT50 on 2007-11-26
In Reply to: What is the general consensus on this....sm - giddy pc guru

Subject: Would not start the sentence with a number. Would type it as "A 20 pack-year smoking history."




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I would type 5-pack/year smoking history..slash stands for 'per'..nm
Subject: I would type 5-pack/year smoking history..slash stands for 'per'..nm

nm
pack year history of smoking
Subject: pack year history of smoking

Can a 65-year-old have a 75 pack year history of smoking? thought pack years meant how many years they have smoked a pack of cigarettes??
"x" pack year smoking history
Subject: "x" pack year smoking history

How would the above be typed, esp. when it has the number of years included, such as "40 pack year..."  ?? Thanks.
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM


Agree, it is 25-pack-year history.
Subject: Agree, it is 25-pack-year history.

x
25-pack/year would mean 25 packs per year, but
Subject: 25-pack/year would mean 25 packs per year, but

25-pack-year is the amount equal to packs smoked per day x number of years smoking, as per BOS and Vera Pyle.


She was smoking at least a pack of cigarettes a day, drinking a lot of coffee and s/l guinath pills
Subject: She was smoking at least a pack of cigarettes a day, drinking a lot of coffee and s/l guinath pills


20-pack-year vs. 20 pack-year
Subject: 20-pack-year vs. 20 pack-year

Which is correct?  20-pack-year history of smoking or 20 pack-year history of smoking.  I've seen it both ways.  TIA.


20-pack-year
Subject: 20-pack-year

x
25-pack-year
Subject: 25-pack-year


25-pack-year
Subject: 25-pack-year

nm
Except that's not what a pack-year means. sm
Subject: Except that's not what a pack-year means. sm

A "5-pack-year" history does not mean "5 packs per year" ... good grief, I'd consider someone who smoked 5 packs per year essentially a nonsmoker. :-)

A 5-pack-year history means an average of a pack a day over a 5-year period. That could mean someone smoked 5 packs per day for 1 year, or 1 pack per day for 5 years, or half a pack a day for 10 years, or any other combination that fits.
I write it like 24-pack/year
Subject: I write it like 24-pack/year

nm
Well umm actually 25-pack/year, didn't mean to.....
Subject: Well umm actually 25-pack/year, didn't mean to.....

change the amount there, LOL.
social history - denies smoking, alcohol or girls. sm
Subject: social history - denies smoking, alcohol or girls. sm

I can't think of anything else he might be saying, it really sounds like girls.  Do you think this is correct?  I just think it sounds weird.


BTW the only medical history I have for this patient is Ewing sarcoma...


cool thanks always wondered my ex is an almost 120 pack year !!!!!
Subject: cool thanks always wondered my ex is an almost 120 pack year !!!!!

started at 14 and still going strong at 3 packs a day at 55
20-pack-year per AAMT-BOS2 page 210
Subject: 20-pack-year per AAMT-BOS2 page 210


7-year history.....
Subject: 7-year history.....

I get confused, too!  well-defined hypen; the hyphen is well defined.  That is how I think of the hyphens, but I'm no BOS guru - just been in the biz for a long time.
1-year history
Subject: 1-year history

How would you type the patient has a 1-year history of pain....tia.
Wouldn't it also be 'several-year history'? nm
Subject: Wouldn't it also be 'several-year history'? nm

?? :D
patient is a 15-year-old girl with history of significant
Subject: patient is a 15-year-old girl with history of significant

s/l Norwood degenerative type disorder. ???
She had a history of an abnormal Pap smear and has had a _____ done last year.
Subject: She had a history of an abnormal Pap smear and has had a _____ done last year.

x
2-year medical s/l soul-journ (as in history)
Subject: 2-year medical s/l soul-journ (as in history)

Is it soldiering ??? This gentleman has a 2-year history of medical soldiering ???
A 54-year-old male with history of "church charles" disease TIA
Subject: A 54-year-old male with history of "church charles" disease TIA

xxx
Just start the sentence with "Vicryl 4-0." nm
Subject: Just start the sentence with "Vicryl 4-0." nm

x
Never in my experience unless at start of a sentence. nm
Subject: Never in my experience unless at start of a sentence. nm

s
Start sentence with "The"
Subject: Start sentence with "The"

x
Patient presents with a several year history of pain and this is s/l dedscious referable to the left
Subject: Patient presents with a several year history of pain and this is s/l dedscious referable to the left


I woulld not start a new sentence after configuration. sm
Subject: I woulld not start a new sentence after configuration. sm

leave it as one sentence withour a period.

The comma after compression is right, but take the second comma out after elicited.

And I think you should type 3rd and 4th as numbers.
Except that you're not supposed to start a sentence with a numeral
Subject: Except that you're not supposed to start a sentence with a numeral

on most accounts, so "six feet" would be correct.
ENT type of pack
Subject: ENT type of pack

s/l ambrose pack?


Under binocular microscopy the ambrose pack was removed.


A new ambrose pack was placed in the left ear.


Any ideas?


Number at beginning of sentence

Dictated:  "5 cc of lidocaine was infiltrated into the skin."


How is that sentence supposed to be typed?


how would you type when dr says number 1? sm
Subject: how would you type when dr says number 1? sm

TREATMENT/PLAN: I would like to have Dr. _________ look at him #1 to see if he feels like he would be a candidate for revision arthroplasty and if he feels so than I would prefer him to go ahead with the procedure.


Yes, #20 is number of pills, and you type
Subject: Yes, #20 is number of pills, and you type

Exactly how you have it :)
what is proper way to type medrol dose pack?
Subject: what is proper way to type medrol dose pack?


for the most part grade and type use arabic number
Subject: for the most part grade and type use arabic number


How do you type 63 plus 3-year-old gentleman?
Subject: How do you type 63 plus 3-year-old gentleman?


If not verbatim, may also type 2-year-8-month-old...nm
Subject: If not verbatim, may also type 2-year-8-month-old...nm

x
It should be panniculectomy. Ref is correct. I cannot type this week/year etc. nm
Subject: It should be panniculectomy. Ref is correct. I cannot type this week/year etc. nm


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


same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.
Subject: same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.

nm
Wound packing: s/l cannon pack, kenon pack
Subject: Wound packing: s/l cannon pack, kenon pack

 
I type it History of Present Illness
Subject: I type it History of Present Illness

but that's the way the employer wants it. If it's verbatim I'd type just what he said HPI.
This is bone survey for pat. w/history of multiple myeloma. Need help with this sentence....
Subject: This is bone survey for pat. w/history of multiple myeloma. Need help with this sentence....

In the spine, there are scattered degenerative changes apparent.  s/l Rarely prominent of said degenerative changes on the right at L5.  Cannot tell if he is saying Verily, Rarely, Barely?  Can anyone help with what would be normally used in this case?  Thanks.
Have headache need help quickly. Eyes s/l archasinillis. How do I type history of triple A repair?
Subject: Have headache need help quickly. Eyes s/l archasinillis. How do I type history of triple A repair?


HEENT unchanged x1 year (been the same since year ago)
Subject: HEENT unchanged x1 year (been the same since year ago)


Could you type out the whole sentence please, thanks!
Subject: Could you type out the whole sentence please, thanks!


Can you type in the whole sentence?
Subject: Can you type in the whole sentence?

x
What type surgery and can we have the whole sentence.
Subject: What type surgery and can we have the whole sentence.


Not sure, but the usual sentence I type....
Subject: Not sure, but the usual sentence I type....

using modified Seldinger technique and after infiltration of 20 mL of 1% lidocaine solution for local anesthesia, 2 mg of Versed and 60 mg of fentanyl were administered intravenously prior to the procedure for sedation and pain control. Hope this helps!
Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm
Subject: Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm

it out.  It is a foreigner.  He is saying it very fast.  History of abnormal petatrie functioning is what is sounds like to me.  I have no clue.