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How do you type it when doc says plus minus, tia

Posted By: BOS challenged on 2007-09-10
In Reply to:

Subject: How do you type it when doc says plus minus, tia

xxx


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minus to 40, maybe
Subject: minus to 40, maybe

nm
Yes, that is what he is saying, minus a few syllables. Thanks.
.
Ophthalmology - 20/40 minus or -?
Subject: Ophthalmology - 20/40 minus or -?

Is it correct to type out the word minus or do you use -?
Per BOS - plus/minus written out unless
Subject: Per BOS - plus/minus written out unless

x
plus/minus headache--I think
Subject: plus/minus headache--I think

Doc is dictating intake report and says the patient has "some s/l plus/minus headache along with weakness."  Is there such a thing as a plus/minus headache?  If so, how would I type it? Please help as all my QA editors seem to be having PMS or a midlife crisis and I'd like to avoid sending this one in :-)


Per BOS2 - plus/minus not "+/-"
Subject: Per BOS2 - plus/minus not "+/-"

x
We went with "minus 1-mm to minus 1.5-mm…" (nm)
Subject: We went with "minus 1-mm to minus 1.5-mm…" (nm)

x
I would go with minus 2-degree axis
Subject: I would go with minus 2-degree axis

/
Cervix 690 minus 1 with swelling. sm
Subject: Cervix 690 minus 1 with swelling. sm

Should I type this as 6.90 minus 1 with swelling? Just had the same doctor with another patient coming in with labor, and she says "Cervix is 390 and 0." That should be 3.90, meaning the cervical length, right? But what about this patient of 690 minus 1 with swelling? Is that cervical length of 6.90? Thank you.
thanks, is the minus a logical word tho?
Subject: thanks, is the minus a logical word tho?

x
how do you write left shoulder minus 30 ER?
Subject: how do you write left shoulder minus 30 ER?

how do you write left shoulder minus 30 ER?
Yes that is the osteopenia score of the hip which can range between osteopenia between minus 1.0 and
Subject: Yes that is the osteopenia score of the hip which can range between osteopenia between minus 1.0 and minus 2.5.


-2 degrees dorsiflexion, or minus 2 degrees dorsiflexion--brain freeze thanks
Subject: -2 degrees dorsiflexion, or minus 2 degrees dorsiflexion--brain freeze thanks


same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.
Subject: same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.

nm
Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm
Subject: Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm


which is preferred ~ diabetes mellitus type II or type 2?
Subject: which is preferred ~ diabetes mellitus type II or type 2?


I get confused, how do you type out grade, class, type SM
Subject: I get confused, how do you type out grade, class, type SM

I forget which ones  use Roman and which do not.  TIA


When doctor says tib-fib, do you type it like that or do you type tibiofibular? Thanks
.
Siewart type I or Siewert type I
Subject: Siewart type I or Siewert type I

When I google it, I'm finding both.  Cannot locate it in a Stedman's book.  Doctor spells with "a" but you can't always go by the spellings!
How do I type this particular type of dialysis bath? sm
Subject: How do I type this particular type of dialysis bath? sm

Doc is an ESL and unclear, but it s/l he is saying "...using a 3 K 21/2 bath." I have never had this in a report and after googling, am still as clueless as I was. I cannot find it in AAMT, either. Any help would be appreciated. Thank you!
acromion process - type 2 or type II
Subject: acromion process - type 2 or type II


Could it be hollowing-type or hollow-end-type? - nm
Subject: Could it be hollowing-type or hollow-end-type? - nm

xx
how to type out Type I Aortic aneurysm
Subject: how to type out Type I Aortic aneurysm

Would you use a roman numeral for Type I Aortic aneurysm or use Type one or type 1 ... I am thinking it is Type I but I am unsure. I am new to this all. Thanks for any help.
I would type it under PLAN and type what is dictated.
Subject: I would type it under PLAN and type what is dictated.

I have had that happen to me before, and I was told by QA to not move things around in the report, maybe that is the same for you, but if I were typing this report, I would type it in the order as is dictated, even if that means typing it under the heading PLAN.  Also, his vitals were probably taken at the end of the exam as they were repeated, so it would make sense to type them again under that heading.  Hope that helps! 
Type II diabetes vs. Type 2....sm
Still running into confusion about this....which is it?  If Type 2, was this a medical community change accepted by all?
Could it be pincer-type and cam-type?
Subject: Could it be pincer-type and cam-type?

x
Type 2 DM or type II DM, which is correct? nm
Subject: Type 2 DM or type II DM, which is correct? nm


what type of dictation do you type?
Subject: what type of dictation do you type?

It might help to know the specialty.  I am finding a lithiasis, but I don't think it would relate to gonorrhea, are you sure it is gonorrhea? 
how to type a blood type
Subject: how to type a blood type

simple question but how is a blood type transcribed .. such as 0+ .. is there a space between the 0 and + or is the word positive typed out? Thanks for your help.
ONCOtype, ONCO type, ONCO Type, found all three...
Subject: ONCOtype, ONCO type, ONCO Type, found all three...

nm
MRI of the C-spine - which is correct Modic type II changes or Modic type 2 changes.....nm
Subject: MRI of the C-spine - which is correct Modic type II changes or Modic type 2 changes.....nm


pincer-type nail or pincher-type nail? nm
Subject: pincer-type nail or pincher-type nail? nm


Of course you should type it. Why would you not type it? nm
Subject: Of course you should type it. Why would you not type it? nm

;
I would type it like this
Subject: I would type it like this

It sounds like a direct quote from the patient and not the doctor’s words. I would type it:


The patient reports, "When he tried to pee, he got weak, dizzy, hit the floor, did not feel right."


Would type exactly the way you have it.
Subject: Would type exactly the way you have it.

x
I just type re-x-ray as that is what they say. nm
Subject: I just type re-x-ray as that is what they say. nm


Would you type I&D'd?
Subject: Would you type I&D'd?

The toe was then I&D'd
Type 2
Subject: Type 2

Yes, it used to be Type II, but clarity is more important, so it was changed. Either would be acceptable in transcription, however.
Ah, eye-type
Subject: Ah, eye-type

good subject for you, huh? ;)  Thanks for the correction.  It's good to know so I can be right for a change!! :)
T1/2 is the way I type it....
Subject: T1/2 is the way I type it....

T1/2 is the way I've always seen it.  (I've been doing radiology transcription for 3+ years)  Hope this helps.


I type it just as you have it. nm
Subject: I type it just as you have it. nm

ss
yes, that's how I'd type it NM
Subject: yes, that's how I'd type it NM

x
How to type this?
Subject: How to type this?

What is the best way to type this:


She has diffusely diminished strength at "four plus to five minus over five" in the right upper extremity.


 


Thanks


 


I type 2/5 , 3/6, etc. nm
Subject: I type 2/5 , 3/6, etc. nm

nm
This is how I would type it. SM
Subject: This is how I would type it. SM

TECHNIQUE:  Coronal TR 500/TE 15, sagittal TR 500/TE 12, sagittal TR 3050/ TE 95, axial gradient TR 47/TE 15.


Would type it the way he wants it. sm
Subject: Would type it the way he wants it. sm

It has always been Merchant view, as far as I know.  All my Sted refs have Mechant view. Though I do not do BOS, I typed ortho for 4 years in a railroad hospital with lots and lots of injuries/surgeries etc.
would I type our tab though?
Subject: would I type our tab though?

if she is saing tab which I though was possible would I type out tab?
how would I type this?? Thanks!!
Subject: how would I type this?? Thanks!!

In the lumbar spine, L1-L4, the (s/l-BND-) is 1.003 grams per cm squared, T score -1.5, Z score -.7.  In the left femoral neck, the (s/l-BND) is .740 grams per cm squared, T score -2.1, Z score -1.5. 
We type our this way--sm
Subject: We type our this way--sm

1.003 g/cm2, T-score -1.5 g/cm2, Z-score -1.5 g/cm2
I always type it as
Subject: I always type it as

Jones, M.D. John I would like to hear how others type it.
I usually type it this way sm
Subject: I usually type it this way sm

2-5 or two to five/1 or 2 or one or two depending upon the client's preference.  numbers/hypen, words/words if that makes sense.  Do not hold me to it though, that is just my way.  Clients are happy.