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.

• Gotten versus changing to got - ShirleyGergel
  • A couple of grammar rules are at play here - mtroadie
    • I need to change it to has gotten. mtroadie, you are great!...sm - oldtimer

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Save the report with their correction.  If you get that phrase again use it like they told you to, and if they ding you for doing it the way they said, you at least have proof and were "just doin' what ya told me to do." 

It's hard to do but just play along, shrug it off, and move on. 

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!!!!

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?

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. 

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.

he went on to have an aortic valve replacement with a "number tommy five" bioprosthetic valve as well as bypass "sinus tree" vessels

pseudo normal LV filling pressure with "chronkomittent" abnormal relaxation

Patient is New York Heart Association class III in the setting of ischemic cardiomyopathy and "he feels" compensated

Can't catch what Mr. Mush-mouth is saying. 

Postoperative serial white blood cell count demonstrated a stable white blood cell count at 11,900.  s/l *hemansa* hemoglobin stable at 28.9 and 9.4. 

First to address the issue of subcu - Joint Commission created a list several years ago that deals with this wording - and JC trumps BOS.  From Joint Commissions List of Dangerous Abbreviations:

Abbreviation: S.C. or S.Q. (for subcutaneous)

Potential Problem:  Mistaken as SL for sublingual, or "5 every"

Preferred Term:  Write "Sub-Q", "subQ", or "subcutaneously"

As far as what the man was trying to express to you was his opinion that truncated words (partial words used to express a complete word) should be avoided.  Trach is not a word.  Trachea, tracheostomy, etc., are words.  Alk is not a word.  Alkaline is a word.  There are also lab and other words that are commonly acceptable in their abbreviated form, such as INR, CPAP, MRI, etc.

There are acceptable abbreviations of certain words that are commonplace.  For example, lab is widely accepted to represent laboratory.  Exam is acceptable to represent examination.  HIV is another example.

If you understand the difference between the use of an abbreviation and avoiding the use of truncated words, your work will reflect a much clearer intent of the dictation.

Your company needs to decide which side of the fence it wants to sit on, and it appears there may be some changes in your QA future.  If this man is in charge of QA and you want to continue working there, you might want to begin taking note of what he is saying.

Jehovah's Witness

myoclonic gammopathy?  not myoclinic

possibly *gammopathy*

*h* in Jehovah's Witness

s/l *jo-lie-tandis* pain with hyperflexion.  (knee)

Negative s/l  *feralmis* test.  (wrist)

TIA!

This study is a right ilia-femoral ultrasound. 

Is it ilia-femoral or iliac-femoral, and what about the hyphen?

ALSO......

I cannot figure out what he is saying here:

PROCEDURE REPORT:  The abdominal aorta and right ilia-femoral (see above..) systems were S/L: insinated or instinated with a Doppler ultrasound transducer. 

Thanks for any help!!