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

Posted By: NM on 2009-01-26
In Reply to: confused...when to use "in" and "at" - newdohamt

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

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confused...when to use "in" and "at"
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
"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...
Geriatrics clnic note
Subject: Geriatrics clnic note

She states: Regarding morbid obesity, the patient’s new insurance plan covers the __, so discussed with the patient in detail regarding the ___ profile and how she has to proceed regarding nutrition and diet aspect. "


These two blanks are the same word, sounds like Carb or Cab, but I cannot find anything that makes sense. Thanks!


do you have a QA dept? If so, send it to them
Subject: do you have a QA dept? If so, send it to them

that's a poor, poor dictator FOR SURE.....I feel for ya....


It is probably a dept name specific to
Subject: It is probably a dept name specific to

x
Maybe for your own accts, but not if you have a QA dept. that's going to pick you apart for any
Subject: Maybe for your own accts, but not if you have a QA dept. that's going to pick you apart for any

s
April - I was the exact same but worked a dept....
Subject: April - I was the exact same but worked a dept....

I worked in radiation oncology and then helped develop surgical oncology for a local hospital all during the 80s and got very familiar with all the terminology (but admit that I have trouble with all the new combo drugs that are always coming out).


It gets easier the longer you do it!!! 


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


should dept. (neurology, neurosurgery) be capped in the body of a report?
Subject: should dept. (neurology, neurosurgery) be capped in the body of a report?

TIA
Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an
Subject: Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an

experience is, it lacks credibility especiall when you base it on YOUR experience.  Who are you?  How much experience do you actually have?  What kind of experience do you have?  How many diabetic patients have you encountered in your years of experience?


You can't expect to make a sweeping generalization like "all diabetics have hypertension" and not get called out on it.  Come on!  Know your place.  Arrogance is an unattactive personality trait.


...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


Probably talking about report physicians file with Motor Vehicle Dept - sm
Subject: Probably talking about report physicians file with Motor Vehicle Dept - sm

When patient's have seizure disorder or passing out episodes, etc. most states want physicians to fill out a "Confidential Morbidity Report" (or name similar to that) and send to the DMV letting them know the patient has been diagnosed with condition that can cause loss of control of the vehicle -- did doctor say he counseled patient on not driving until seizures under control for x-amount of months or something like that?


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


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.


I found it exactly as you have written it "neti pot"in Stedman's Plastic Surgery Words
Subject: I found it exactly as you have written it "neti pot"in Stedman's Plastic Surgery Words

nm
and I have a hospital that only wants...sm
Subject: and I have a hospital that only wants...sm

T1,N0,M0 with commas and when we did it the BOS way, they came down on all of us.......


give the client/hospital what they would like or demand is the usual and customary way......I do believe...


Hospital course
Subject: Hospital course

An EDG was done and showed several humtakes in the stomach. I have a doctor with an accent and this is what it sounds like he's saying. I am also not sure of the exact definition of EDG. Thank you.
hospital
Subject: hospital

bunky general hospital??????
just a hospital..
Subject: just a hospital..

x