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thanks....lots of rules with numbers!

Posted By: newbie here on 2008-03-10
In Reply to: 3-/5 is correct. - MTTOMANY

Subject: thanks....lots of rules with numbers!




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Lots of Detail for Lots of Help!
Subject: Lots of Detail for Lots of Help!

Okay, I'm transcribing a SOAP note and this word that I'm trying to figure out is under the ASSESSMENT AND PLAN part. She says the word three times and I am now thinking she is saying something like "number next or number next is." What do you think?


(Normonaxis) Anemia may be caused from a recent epistaxis. He will start an iron pill daily over the counter called Fergon. Next visit we will check a hemoglobin, iron studies. (Normonax) He was in for right shoulder pain in the past. This was resolved. (Normonax) Recent qualm was treated with doxycycline.


Also, I was told to transcribe this using a straight SOAP format, but the doctor dictates things like "Review of Systems" and "Exam." I didn't think those headings or subheadings were in a SOAP format. She never dictates "Subjective" or "Objective," only "Assessment And Plan" as one heading towards the end of the report. Any advice?


Go to: www.grammarbook.com/numbers/numbers.asp
Subject: Go to: www.grammarbook.com/numbers/numbers.asp


Regarding AAMT rules
Subject: Regarding AAMT rules

I go with my client preference, and when I began working his account, the sample reports did not use BOS rules. I only use numerals to express drug dosage, measurements, dates, etc. I also agree with you on the appearance of it.
number rules?
Subject: number rules?

Two of my teachers taught different number rules. One, said that they should almost always be numeral form. The other said that numbers are usually spelled out.
I believe the Book of Style says numerals are usually appropriate, accept for zero, at the beginning of a sentence, drug admin. abrev's., etc..
Anyone? Numerals right? With acceptions? I'm just starting.
I do agree with you, but it seems none of the rules fit this..
Subject: I do agree with you, but it seems none of the rules fit this..

BOS says if you can put "and" between the adjectives then use a comma, which in this case you really can't until btwn telangiectatic and vascular.  Just always second guessing myself. 


 


Thank you!!!!


IF you are to follow BOS rules...sm
Subject: IF you are to follow BOS rules...sm

The patient has Alzheimer disease.
She has Alzheimer's.

Don't use the apostrophe S when 'disease' follows.
But, that is the BOS rule. Your client and/or company may prefer it's own rule.

Format rules in MT

Okay, I am an old gal working mostly ias in-hospital MT (VA, Teaching hospital), but I did also work off and on for MTSOs at home.   Now going back a long time, I was always taught that in formatting Problem Lists or Hospital Course by problem list you transcribe it this way.   Problem #1 - HYPERTENSION.  The patient is taking lisinopril currently.....  or if the doc did not say PROBLEM #1, then you transcribed it 1.  HYPERTENSION.  Blah, blah, blah.   When did this change and become wrong?  Most of the docs I am now transcribing for one of the major MTSOs now (left the hospital), actually ask that we capitalize the major problem.  Is this in the so-called AHDI BOS2? 


IMHO, using the capitalization on the problem is much easier to read, than this...


1.  Hypertension.  The blah, blah, blah..


2.  Diabetes mellitus type 2.  Uncontrolled.  Not compliant.


Any QAers out there can answer this one for this old school nitpicker?


Well, CLIENT PREFERENCE rules.....sm
Subject: Well, CLIENT PREFERENCE rules.....sm

Always, always it's client preference.  I was just speaking in a BOS/AAMT ruling about numbers.  Client preference most definitely IS the bottom line. 
Help, I can't remember the hyphen rules.
Is there a hyphen with non-radiating and non-icteric, or all one word, or separated?  Thanks.  I'm an old dog and I don't want to learn new tricks. 
Rules for tense in a report?
I always thought it was past tense.  I have a doc who started the first 2 sentences using past tense and then suddenly switched to present test.  IV sedation IS administered, Patient IS positioned.  Do you change present to past or type as is?  Nothing in the CP about it.
Rules here per admin is No Testing..sm
Subject: Rules here per admin is No Testing..sm

hope you have a happy happy new year and good luck in your studies/testing 
Rules change over the years
Subject: Rules change over the years

but some rules are that way just because it sounds right. 5 centimeters were injected just sounds ignorant and I don't care who you are, as Larry the Cable Guy would say. ;-)
If your account doesn't have specific rules about it, sm

the correct way would be to write it out in full (Escherichia coli) whether or not it was dictated in full.  Then, if the dictator says E. coli after that, then it is correct to transcribe it that way.  If the dictator says it in full the next time, then transcribe it in full.  Check your account's guidelines for their preference. 


ALS is correct per AAMT rules. See cite.
I don't care whether the BOS is right or wrong on the issue. I have to use it and so do others. Here's what it says.

As per AAMT BOS 2nd edition page 189: Always capitalize genus names and their abbreviated forms when accompanied by species name. Lowercase genus names used in plural and adjectival forms and when used in the vernacular; for example, when they stand alone without a species name.
as poster above stated, I was going with BOS rules...relax! :) nm
Subject: as poster above stated, I was going with BOS rules...relax! :) nm


I think just the normal rules of English would apply
Subject: I think just the normal rules of English would apply

Whenever adding *ing* to a word that ends in t, you add an extra t.
A couple of grammar rules are at play here
Subject: A couple of grammar rules are at play here

First of all, both got and gotten are correct forms of the verb get.  However, got is a past tense or past participle depending on whether or not the word "has" or "have" is used in front of it.  Gotten, however, is past participle and should be used with the word "has" or "have" in front of it.


It has gotten increasingly larger - okay.  It gotten increasingly larger - not okay.  It got increasingly larger - okay.  It has got increasingly larger - okay.


So if your doc says it anyway but "It gotten increasingly larger", he is correct.  It's simply a matter of preference.  Brits don't generally use the word "gotten", and therefore, a lot of people think it is not a legitimate word, but it is.


Time format rules in BOS 3rd edition?
Can anyone tell me what the specific rules are for time format in the new BOS on pages 337-339. A brief description would be great or u can scan and email it to me too, whichever is easier.

I do intend to buy my own soon but I have to wait till payday and I'm starting a new company right now that uses that book :(

TIA !
Ringer. AAMT BOS2 rules on eponyms.
Subject: Ringer. AAMT BOS2 rules on eponyms.


I believe that is only if the company is compliant with JCHO rules. Not all companies are.
Subject: I believe that is only if the company is compliant with JCHO rules. Not all companies are.


By AAMT rules, need help with period with drug values. (sm)
Subject: By AAMT rules, need help with period with drug values. (sm)

Is this right?


1 gm


0.1 mg


1 mg


 


I was taught that it was 1.0 mg but doc wants it to be just 1 mg and 1 gm.


 


Help.  Thanks.


It is not 'erroneous', only add to the AAMT rules, which change every year!
Subject: It is not 'erroneous', only add to the AAMT rules, which change every year!

To say that the plural form decubiti for the singular of decubitus is
'erroneous' is plain BS !

And it is known that the AAMT, now it has another name, 'makes up' its own grammar rules for the MTing.

This issue has been discussed numerous times on this board and causes a lot of confusion for the MTs and arguments between MTs, QAs and the clients.

EVERY year the BOS rules are changed. We just got used to the BOS 2 and in December 08 the BOS 3 was issued, again with new rules to adhere. The price is around $ 90.--.


thank you lots
Subject: thank you lots


Lots and lots of thanks
Subject: Lots and lots of thanks

Many thanks wanderer. I never would have figured that out. I am going to add your name to my list of Favorites.
lots of them say GOT and GPT instead of
Subject: lots of them say GOT and GPT instead of


We know. This person has lots of sm
Subject: We know. This person has lots of sm

trouble with the English language, to say nothing of the medical language. His (I'm assuming he's male) questions are very confusing. See above. It's scary.
I use lots of sites - SM
Subject: I use lots of sites - SM

I use google first and get to healthgrades dot com if I know the state and then I only click on the CACHE button thru google and only the MD I'm searching for will highlight in all the states.  I hope I made myself understood in that sentence.  I also use anywho dot com and 411 dot com, 411locate dot com, dr-411 dot com, and last but far from least:


http://www.upinregistry.com/provider_form.asp


http://upin.ecare.com/


Thank you! There are lots of sites...
Subject: Thank you! There are lots of sites...

out there on google who have drug-eluding. I did look that up and thought I chose the right one!! Thanks!
Lots of things it could be, unfortunately. Why do you think
Subject: Lots of things it could be, unfortunately. Why do you think

s
It gets lots of hits on
Subject: It gets lots of hits on

googling the phrase. I think I've heard it dictated before also.
We use 'd on lots of things they say.
Subject: We use 'd on lots of things they say.

x
Lots of docs
Subject: Lots of docs

say patellar crepitus as patellar is referring to the patella. Just another way to say patella crepitus. :-)
I learn lots
Subject: I learn lots

from "late" posts. :-)
More info would help lots.
Subject: More info would help lots.


I know...lots sounded very weird. :) Thanks. NM
Subject: I know...lots sounded very weird. :) Thanks. NM

d
you're welcome.......lots of times....sm
Subject: you're welcome.......lots of times....sm

lots of times they also say *dependent rubor* which is a color change to the lower legs as they hang down in a *dependent* position so to speak.  *S*



I've had lots of doctors
Subject: I've had lots of doctors

use MVI for multivitamin(s), although I think it really stands for multivitamin infusion/injection.  Don't know if this would fit for your report.
Hope this was a cut-and-paste from somewhere else. Lots of
Subject: Hope this was a cut-and-paste from somewhere else. Lots of

s
Pt on lots of drugs s/l "thy a mex" t.i.d. Not sure what for. nm
Subject: Pt on lots of drugs s/l "thy a mex" t.i.d. Not sure what for. nm


I used your phrase and came up with lots in google
Subject: I used your phrase and came up with lots in google

:)


Sorry, need lots of help with this letter See message
Subject: Sorry, need lots of help with this letter See message

On December 7, 2005, a PET/CT scan showed a decreased cervical mass compared to May 11, 2005, S/L chains ??of multiple lymph nodes more in number but smaller and less intense on a prior study.  There was resolved left pelvis uptake.
atrophication disease? Lots on google SM
Subject: atrophication disease? Lots on google SM

but are you sure it's not claudication disease? Good luck
Found lots of info on section 302. sm
Subject: Found lots of info on section 302. sm

Some Frequently Asked Questions About the Pennsylvania Mental ...




It applies to all psychiatric hospitalization in the state. ... Section 302 provides for an involuntary admission for a period not to exceed 120 hours. ...
www.mces.org/302FAQs.html - 8k - Cached - Similar pages


[PDF] nvoluntary Psychiatric Evaluation and Treatment 101: Almost ...




File Format: PDF/Adobe Acrobat - View as HTML
Section 302 provides for an involuntary admission for a period not to exceed 5 ... MCCF inmates needing inpatient psychiatric care may be admitted to MCES. ...
www.mces.org/MCES_Quest_June_2003.pdf - Similar pages


Mayview State Hospital




Requests for admissions under section 302 are made through the Forensic Center Psychiatric Physician, or in their absence the on duty physician for Mayview ...
www.dpw.state.pa.us/Family/MentalHealthServ/ StateMentalHospAndRest/003670151.htm - 32k - Cached - Similar pages


Warren State Hospital




This commitment to quality psychiatric care and family involvement in ... Emergency Admissions who meet emergency admission criteria, under section 302 of ...
www.dpw.state.pa.us/Family/MentalHealthServ/ StateMentalHospAndRest/003670893.htm - 47k - Cached - Similar pages


 


 


In Florida this is the Baker act. 


do a google search/just did and lots of hits--nm
Subject: do a google search/just did and lots of hits--nm

///
maybe transcriptiongear.com. They carry lots of that stuff! nm
Subject: maybe transcriptiongear.com. They carry lots of that stuff! nm

s
radial, tibial pulses among lots of others...sm
Subject: radial, tibial pulses among lots of others...sm

and many more in the upper extremities.......


sounds like what?  s/l? 


pt works at airport and comes in contact with lots
Subject: pt works at airport and comes in contact with lots

different possible s/l arosents? 
rugated, having lots of rugae or folds? nm
Subject: rugated, having lots of rugae or folds? nm

s
Hx of s/l lots with erectile dysfunction, elevated PSA nm
Subject: Hx of s/l lots with erectile dysfunction, elevated PSA nm

nm
Is this a stool test? I find lots of sm
Subject: Is this a stool test? I find lots of sm

things with those spellings, but not medical tests. I am confused.
Yes, there is lots of good word helpers out there did not mean to say otherwise ;) Just have not se
Subject: Yes, there is lots of good word helpers out there did not mean to say otherwise ;) Just have not seen much of the usual names?