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Client preferences rule here. If in doubt, sm

Posted By: Lifer on 2007-01-30
In Reply to: not a sounds like but - ziggystardust

Subject: Client preferences rule here. If in doubt, sm

here's what I've always done:

He was given a do-not-resuscitate order.

I think my high school English teacher would prefer it thusly;)

He was given a "do-not-resuscitate" order.

Like Txczech said, sometimes these are bolded and capitalized to alert treating physicians of patients' wishes, similar to allergy statements. Client preference, again.

Unless you know for sure that the client does not have a special order called the Do-Not-Resuscitate Order, lowercase it. (I think this is what you might have been considering.)



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First, see your account specifics or client preferences.
Subject: First, see your account specifics or client preferences.

If no mention is made about it, I would type it as a numeral for anything less than 10.


doubt
Subject: doubt

_____ (Evos) of a 40-year-old female who comes in to the office for follow up on chronic.....
You are without a doubt - sm
Subject: You are without a doubt - sm

a very unhappy person.  I feel very sorry for you. 


Any doubt
Subject: Any doubt

on vitals or med doses...ALWAYS A BLANK. :-)
equivocal - no doubt about it.....*LOL*
Subject: equivocal - no doubt about it.....*LOL*


Well, I doubt that would help her diet!!
Subject: Well, I doubt that would help her diet!!


I would - but I doubt they'd listen
Subject: I would - but I doubt they'd listen

If you're QA, though, I can nominate you for QA of the month!  You deserve it.
Strongly doubt it
Subject: Strongly doubt it

nm
grammar doubt
Subject: grammar doubt

today for routine (follow up or followup) of hypertension.
grammar doubt
Subject: grammar doubt

follow up
doubt with radiology again
Subject: doubt with radiology again

Bony _____ (s* ---- tion) projects the distal right of the radial styloid process, which does not appear to be posttraumatic.
CT Brain doubt
Subject: CT Brain doubt

A 5-mm-thick _____ obtained through the brain with intravenous administration of contrast.
THANKS-don't you hate it when you doubt yourself?
Subject: THANKS-don't you hate it when you doubt yourself?


In degrees of ROM or in end range or ROM? I doubt sm
Subject: In degrees of ROM or in end range or ROM? I doubt sm

it is Dupuytren etc.  nm


Thanks for replying. You confirmed it for me so no doubt now.
Subject: Thanks for replying. You confirmed it for me so no doubt now.


Ct abdomen and pelvis doubt
Subject: Ct abdomen and pelvis doubt

multiloculated or ____ (simi subtrated) cyst in the pancreatic map.
Doubt with cervical myelogram
Subject: Doubt with cervical myelogram

Dictating in 2 position:


1.  _____(codstone) bone graft is in excellent position.


2.  HIs ____(po*city) of bone formation along the edges of _____(c*stone) graft, which is unexpected in more cortical nature.


 


No, I doubt it since grip strength was 35/50..
Subject: No, I doubt it since grip strength was 35/50..

something else starting with a T that is only 11-12 pounds.
Using a question mark to indicate doubt or uncertainty sm
BOS says:
Use an ending question mark to indicate doubt or uncertainty.

Sometimes, particularly with diagnoses, a question mark is placed before a
statement in order to indicate uncertainty.

Placement either before or after the questionable material is acceptable, but
do not place the question mark both before and after.

Ex:

His cholesterol levels were high normal (or minimally elevated?).

D: Diagnosis: Angina question mark
T: Diagnosis: Angina?
or Diagnosis: ?Angina.
not Diagnosis: ?Angina?

Note: There is no space after the question mark in ?Angina.

=)

Rennie
www.renesue.com
I doubt highly that a stricture or lesion would
Subject: I doubt highly that a stricture or lesion would

improve a patient's nutritional status., but rather do the complete opposite. I think the physician meant to dictate "GI" physician since he/she mentioned the dysphagia in the dictation, which is also a common place for strictures or lesions to develop.
Yes, you look them up and learn which are band name, which are generic. When in doubt, look up again
Subject: Yes, you look them up and learn which are band name, which are generic. When in doubt, look up again. nm

c
Meds and dosages scare me, so when in doubt...
Subject: Meds and dosages scare me, so when in doubt...

I always blank/flag it. 
Doubt you give 15 refills for narcotics.
Subject: Doubt you give 15 refills for narcotics.

x
Exam is consistent with pancreatitis. I seriously doubt s/l stumpitis
Subject: Exam is consistent with pancreatitis. I seriously doubt s/l stumpitis


I would think it is herald unless he is speaking of a person with the name Herold, which I doubt.
Subject: I would think it is herald unless he is speaking of a person with the name Herold, which I doubt.


Yep...not an easy one. Would doubt it if he hadn't said it so many times. Thinking something lik
Subject: Yep...not an easy one. Would doubt it if he hadn't said it so many times. Thinking something like coronary obstruction artery "something" syndrome...? Just can't get it :( THanx though!


It's too late to tell you to leave a blank. Doubt "os finder." nm
x
the rule is ....
Subject: the rule is ....

... x2 ....2 times

If the "times" comes before the number use the x (no space). If the "times" comes after use the word.
don't know if there is a rule but....
Subject: don't know if there is a rule but....

 


I think if you would substitute "bilateral"  (mentally)  and say  "both" you might have a better idea how to say it.   Like would it sound better iff you said "both hand"  or "both hands."   To me bilateral hands sounds better.  But again, I don't know if there is actually a rule.  I looked for an answer in "style Guide for Medical Transcription" (Tessier and Pitman) and couldn't find an answer.   


I think if you wrote what the doctor said ....you can't go wrong there either.  Good luck!.    


What is the rule now for cc?
Subject: What is the rule now for cc?

should we put mL or what the doc says as cc?  I got so beat up over this one time with a different company I worked for; however, I am with a wonderful new company and want to make sure I am typing it correctly.


 


Thank you


Does anybody know a rule regarding
Subject: Does anybody know a rule regarding

to para or not to para, that is the question..... okay, so that was dumb, but so many words are not actually in the dictionary.... is there a rule regarding when to use peri as opposed to para ??? sometimes I'm confused.


As a rule yes, but not always
Subject: As a rule yes, but not always

I find way too many exceptions to that rule so I always look them all up the first time and add them to my ever-growing list.  I wish there was a list out there somewhere with most of them already catagorized for us. 


cannot rule out?
Subject: cannot rule out?


Is this a new rule????
Subject: Is this a new rule????

x
maybe saying rule out again? nm
Subject: maybe saying rule out again? nm

x
I'm all yours - you rule! :) :) :) :) - nm
Subject: I'm all yours - you rule! :) :) :) :) - nm

x
I'm all yours - you rule! :) :) :) :) - nm
Subject: I'm all yours - you rule! :) :) :) :) - nm

x
RULE OF THUMB
Subject: RULE OF THUMB

basic guideline is:
if you have a credible reference, spell it whichever way the reference spells it.
you should never be counted off for it, as long as the reference is credible. if you are, it is a valid challenge to assert.
rule out meds?
Subject: rule out meds?

He will bring all his medications with him so I can review them and rule out all his medications.


The pt is confused about what meds he is taking.


apostrophe AMT rule
Subject: apostrophe AMT rule

Mothers investment in child’s treatment ?{ is apostrophe accepted in this sentence }
HMMMM. Can't rule it out. Tks. nm
Subject: HMMMM. Can't rule it out. Tks. nm


AAMT rule
Subject: AAMT rule

Just getting back into MT after a long hiatus and can't remember the rules when typing numbers.  Is it okay to separate number values by commas, such as 1, 2, 3, etc.? (pathetic,  I know.)  TIA!
I use rule of 2-3 min. per dictated min. (nm)
Subject: I use rule of 2-3 min. per dictated min. (nm)

x
capitalization rule
Subject: capitalization rule

Can someone please tell me why sometimes Microsoft Word capitalizes the first letter after a period and sometimes it doesn't.  What can I do to always get a capital letter at the begiining of a new sentence?
capitalization rule
Subject: capitalization rule

Thanks.  It works fine with all words and latters, but not numbers, like 4/23/08, how come?
rule question..........sm
Subject: rule question..........sm

is there a rule about numbers at the end of sentences?  I can't find one.
I usually use this rule, if "follow up" can
Subject: I usually use this rule, if "follow up" can

be replaced by a noun, in this case you can use exam, then it is followup. If it is used as in The patient will follow up with so and so, then it is 2.
What is correct BOS rule for prn/p.r.n.
no msg
why only 'midline'? On what rule?..nm
Subject: why only 'midline'? On what rule?..nm

nm
MI rule out protocol
Subject: MI rule out protocol

s/l Motibi protocol.  I know I have heard it, and it hidden away in my brain somewhere.  Thanks for the help!
rule out metastasis, maybe
Subject: rule out metastasis, maybe

nm