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confused...when to use "in" and "at"

Posted By: newdohamt on 2009-01-24
In Reply to:

I have had no problems using these before but my new Editor has started to confuse me, when do i use "at" and when do I use "in"...for example...the patient was seen "in/at" the clinic....appointment with the oncology department "in/at" soandso hospital...thanks


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seen "in" the clnic and dept "at" the hospital.
Subject: seen "in" the clnic and dept "at" the hospital.

x
s/l bacteremia versus "AT" ........
Subject: s/l bacteremia versus "AT" ........

She developed some renal insufficiency, which was felt to be secondary to the bacteremia versus "AT" and contributed to by hypovolemia.


Any ideas?


Thanks,


Abby


...probably "and edema of the...", not "at the dame"
Subject: ...probably "and edema of the...", not "at the dame"


Or even said as "At-wahn". I think Ativan suits here. nm
Subject: Or even said as "At-wahn". I think Ativan suits here. nm

b
I saw that but she is clearly saying "at brostroms" so I was wondering if there was a tendon o
Subject: I saw that but she is clearly saying "at brostroms" so I was wondering if there was a tendon or ligament called brostroms. Thanks

cc
s/l "at knee" preparation for IV placement. Thx! nm
Subject: s/l "at knee" preparation for IV placement. Thx! nm


Have a punctuated this correctly - around the "at which time" part....
Subject: Have a punctuated this correctly - around the "at which time" part....

His last cystoscopy was in July of 2007; at which time, he was found to have a negative cytology as well as a negative cystoscopy.
Pt with dementia in nursing home with s/l "fa (with the a being like in "at") score of 6 &#
Subject: Pt with dementia in nursing home with s/l "fa (with the a being like in "at") score of 6 "little e".


"In-Fast"
Subject: "In-Fast"

is a trade name . he may  be saying "dash" to use as a hyphen


 


maybe "in airway"??
Subject: maybe "in airway"??

x
will check an "in-helm" INR. ??
Subject: will check an "in-helm" INR. ??

Not sure this is what I'm hearing.  The patient has an enterocutaneous fistula.  Says "need for daily wound care discussed.  Will check an "in-helm" INR. 


Clues??


Not "romare"..."in room air".
Subject: Not "romare"..."in room air".

You'll hear it this time!


maybe "in florid relapse" NM
Subject: maybe "in florid relapse" NM


"In regards to" is not correct grammar. SM
Subject: "In regards to" is not correct grammar. SM

If we are going to be grammar experts, we must know that it should be in regard or as regards. 
the second one is probably "in formalin" for pathology nm
Subject: the second one is probably "in formalin" for pathology nm

xx
Second one, could it be "in origin" instead of epichondral?
Subject: Second one, could it be "in origin" instead of epichondral?


"in short order"
Subject: "in short order"


Thanks. I definitely hear the "In-testum"
Subject: Thanks. I definitely hear the "In-testum"

though so I'll flag it. It almost sounds like the word cuts off in the dictation.
just a guess, but how about "in excess"?
Subject: just a guess, but how about "in excess"?


I think it's "in-stent" - as in restenosis
Subject: I think it's "in-stent" - as in restenosis


meaning "in sinus rhythm." nm
Subject: meaning "in sinus rhythm." nm


Never mind - he was saying "in brackets" GRRRR!
Subject: Never mind - he was saying "in brackets" GRRRR!


Could the phrase be, "in formalin" instead of "informally" nm
Subject: Could the phrase be, "in formalin" instead of "informally" nm

nm
maybe "in portion"...poor English use, but a WAG. sm
Subject: maybe "in portion"...poor English use, but a WAG. sm

The "in" portion of the study as opposed to the "out" portion. Maybe he was talking slowly because he was...thinking..while...talking.... I've done that myself.
"breaking in to"--"in" and "to" just happen to be beside one another
Subject: "breaking in to"--"in" and "to" just happen to be beside one another

Into or In to?
"Into is a preposition that has many definitions, but they all generally relate to direction.
On the other hand, in by itself can be an adverb, preposition, or adjective (and to by itself is a preposition or an adverb). Sometimes in and to just end up next to each other.

Maybe examples will help!
He walked into the room.
(Which direction was he going? Into the room.)

We broke in to the room.
('Broke in' is a phrasal verb. What did you break in to? The room.)

(Fogarty, Grammar Girl's Quick and Dirty Tips 34-35).
Or, could it be "in and out" suture technique. Just don't know/can't find
Subject: Or, could it be "in and out" suture technique. Just don't know/can't find


stone "in gradu" formation...
Subject: stone "in gradu" formation...

That is the complete sentence if that helps any?
taking insulin "in excess" maybe
Subject: taking insulin "in excess" maybe


"in knee-chest" position, maybe??
Subject: "in knee-chest" position, maybe??


probably being redundant and saying "in the dorsal supine position." nm
m
?"In vitro or in vivo" allergy testing
Subject: ?"In vitro or in vivo" allergy testing

s/l "in vitro or in vivo" allergy testing should be considered. Foreign doctor.
No clue from the tx to the hand? Would think "in basement" (of house)?? nm
Subject: No clue from the tx to the hand? Would think "in basement" (of house)?? nm

s
basal cell "in vivo" carcinoma ???
Subject: basal cell "in vivo" carcinoma ???

nm
duh - never mind. He's saying "in the right lower extremity" Argh!
Subject: duh - never mind. He's saying "in the right lower extremity" Argh!


Kidney transplant pt now with documented s/l "In stem eee" just had MI
Subject: Kidney transplant pt now with documented s/l "In stem eee" just had MI

x
Rest of sentence may help, but thinking "in lace-up shoes" n
Subject: Rest of sentence may help, but thinking "in lace-up shoes" n


"In the hospital, patient had _______ privileges that she used to continue smoking."
Subject: "In the hospital, patient had _______ privileges that she used to continue smoking."

S/l "papule" privileges???  Which is obviously not right, but those are the sounds, anyway...
I agree, I think if you add "in" in front of opposition, the sentence reads just fine.
Subject: I agree, I think if you add "in" in front of opposition, the sentence reads just fine.


confused
Subject: confused

Are you saying that I should expand ST to Electrocardiographic wave segment> or are you agreeing with me that there is no expansion for ST?

Okay, now I'm really confused
Subject: Okay, now I'm really confused

I thought I saw my post come up four times, but now I don't see it at all, so I'll ask one more time.  Hopefully this works and I haven't been too annoying! 


Okay, so the patient has bilateral otitis externa "and is having a lot of swelling in the [s/l "D man"] and in the nasal mucosa.  I injected it with Depo-Medrol and Marcaine and put him on Flonase."


I feel like I should be catching this but I'm stumped!  Any ideas?


Confused.

I was transcribing last night on a woman and the doc said quite clearly, twice, that she was post vasectomy.  Okay, I figured that maybe this female once was a male.  However, by the end of the report I knew that this was not the case.  Anyway, I left a QA marker as I figured what the doc said was incorrect and I did not want to be the one to type that information down.  I checked on the report today and QA had put in vasectomy, just as I thought he said. 


Okay, so my question is:  can women get vasectomies??  I thought it was impossible, but after yesterday my confidence is shaken.  Women don't have the vas for the ectomy.  If I am correct, then why would QA leave something so erroneus in a report?  If it were me I would have left it blank. 


Please, someone correct me if I am totally wrong.   


thanks a lot..... it confused me for a while there. nm
Subject: thanks a lot..... it confused me for a while there. nm


not sure, please SM... so confused!..
Subject: not sure, please SM... so confused!..

thanks... not sure... he continually says what actually sounds like .... "lungs sr"... i have been doing MT for 11+ years and this is now really frustrating me!!!!!!! TY
No. I am not sure. I am actually confused on this one LOL..
Subject: No. I am not sure. I am actually confused on this one LOL..

x
Still confused though.
Subject: Still confused though.

fabere is Flexion, ABduction, External Rotation and extension.

The doc is saying s/l Faber, so I do not know which one to go. So frustrating.
I get confused too sm
Subject: I get confused too sm

track (track) (trak)  1. the path along which something moves, or the mark left by its movement.  2. of pus, to follow the path of least resistance through the tissues, e.g., along an intermuscular septum.


tract (tract) (trakt) [L. tractus]  1. a region, principally one of some length.  2. a collection or bundle of nerve fibers having the same origin, function, and termination (tractus [TA]); see also under bundle, fasciculus, and lemniscus.  3. a number of organs, arranged in series, subserving a common function.


This is according to Dorland's online dictionary.  I too get confused but I think it should be track. 


confused
Subject: confused

patient needs a s/l lap cholie?
Thank you so much, I was getting confused.
Subject: Thank you so much, I was getting confused.

nm
Confused
Subject: Confused

I always get this confused.  Is it Penicillin (brand name) or penicillin (generic)?  TIA
confused
Subject: confused

for all I know he could be stuttering right now...lol. s/l minimeniscus tear does that sound like something?
confused
Subject: confused

New doctor. Can't understand 1/4 of dictation. I have no clue what the diagnosis is (some kind of sprain) he talks about the right ankle also the medial deltoid. I am very very confused. I have a ton of blanks and can't understand any of them.