I would type 5-pack/year smoking history..slash stands for 'per'..nm
Posted By: mar on 2009-03-04
In Reply to: Here's how I do it... sm - NWMNMT
Subject: I would type 5-pack/year smoking history..slash stands for 'per'..nm
nm
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Would not start the sentence with a number. Would type it as "A 20 pack-year smoking history."
Subject: Would not start the sentence with a number. Would type it as "A 20 pack-year smoking history."
pack year history of smoking
Subject: pack year history of smoking
Can a 65-year-old have a 75 pack year history of smoking? thought pack years meant how many years they have smoked a pack of cigarettes??
"x" pack year smoking history
Subject: "x" pack year smoking history
How would the above be typed, esp. when it has the number of years included, such as "40 pack year..." ?? Thanks.
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM
Agree, it is 25-pack-year history.
Subject: Agree, it is 25-pack-year history.
x
25-pack/year would mean 25 packs per year, but
Subject: 25-pack/year would mean 25 packs per year, but
25-pack-year is the amount equal to packs smoked per day x number of years smoking, as per BOS and Vera Pyle.
She was smoking at least a pack of cigarettes a day, drinking a lot of coffee and s/l guinath pills
Subject: She was smoking at least a pack of cigarettes a day, drinking a lot of coffee and s/l guinath pills
20-pack-year vs. 20 pack-year
Subject: 20-pack-year vs. 20 pack-year
Which is correct? 20-pack-year history of smoking or 20 pack-year history of smoking. I've seen it both ways. TIA.
20-pack-year
Subject: 20-pack-year
x
25-pack-year
Subject: 25-pack-year
25-pack-year
Subject: 25-pack-year
nm
Except that's not what a pack-year means. sm
Subject: Except that's not what a pack-year means. sm
A "5-pack-year" history does not mean "5 packs per year" ... good grief, I'd consider someone who smoked 5 packs per year essentially a nonsmoker. :-)
A 5-pack-year history means an average of a pack a day over a 5-year period. That could mean someone smoked 5 packs per day for 1 year, or 1 pack per day for 5 years, or half a pack a day for 10 years, or any other combination that fits.
I write it like 24-pack/year
Subject: I write it like 24-pack/year
nm
Well umm actually 25-pack/year, didn't mean to.....
Subject: Well umm actually 25-pack/year, didn't mean to.....
change the amount there, LOL.
social history - denies smoking, alcohol or girls. sm
Subject: social history - denies smoking, alcohol or girls. sm
I can't think of anything else he might be saying, it really sounds like girls. Do you think this is correct? I just think it sounds weird.
BTW the only medical history I have for this patient is Ewing sarcoma...
cool thanks always wondered my ex is an almost 120 pack year !!!!!
Subject: cool thanks always wondered my ex is an almost 120 pack year !!!!!
started at 14 and still going strong at 3 packs a day at 55
20-pack-year per AAMT-BOS2 page 210
Subject: 20-pack-year per AAMT-BOS2 page 210
7-year history.....
Subject: 7-year history.....
I get confused, too! well-defined hypen; the hyphen is well defined. That is how I think of the hyphens, but I'm no BOS guru - just been in the biz for a long time.
1-year history
Subject: 1-year history
How would you type the patient has a 1-year history of pain....tia.
Wouldn't it also be 'several-year history'? nm
Subject: Wouldn't it also be 'several-year history'? nm
?? :D
patient is a 15-year-old girl with history of significant
Subject: patient is a 15-year-old girl with history of significant
s/l Norwood degenerative type disorder. ???
She had a history of an abnormal Pap smear and has had a _____ done last year.
Subject: She had a history of an abnormal Pap smear and has had a _____ done last year.
x
2-year medical s/l soul-journ (as in history)
Subject: 2-year medical s/l soul-journ (as in history)
Is it soldiering ??? This gentleman has a 2-year history of medical soldiering ???
A 54-year-old male with history of "church charles" disease TIA
Subject: A 54-year-old male with history of "church charles" disease TIA
xxx
Patient presents with a several year history of pain and this is s/l dedscious referable to the left
Subject: Patient presents with a several year history of pain and this is s/l dedscious referable to the left
that type out zero if it stands alone gets me and
Subject: that type out zero if it stands alone gets me and
I truly don't think most orthopedists or chiropractors (both of which were my first fields 30 years ago) like zero alone when they are giving degrees of movement of a limb, i.e., 30 degrees of extension, 0 degrees of flexion, 10 degrees of abduction, and 0 degrees of adduction......I truly don't think they would want zero degrees in any part of that....just my *take*
If we were to follow the BOS2 statement about zeroes in this particular case above, I do believe the orthopedists and/or chiropractors would have a problem with that.
Even in labs now, I DO type zero troponin for 0 troponin, but I don't think it looks very good when all other labs in same paragraph are numerical....
and let's think about urinalysis...... ..... zero red cells or 0 red cells
(they rarely do this - they will say 0-2 red cells and in that case, the zero is not standing alone and we can use 0 there but it's just more to think about.....because occasionally, if a patient has had hematuria, let's say.....the dictator might very well say: There are zero red cells.)
just commenting and exercising my own concerns and/or opinions...
ENT type of pack
Subject: ENT type of pack
s/l ambrose pack?
Under binocular microscopy the ambrose pack was removed.
A new ambrose pack was placed in the left ear.
Any ideas?
what is proper way to type medrol dose pack?
Subject: what is proper way to type medrol dose pack?
How do you type 63 plus 3-year-old gentleman?
Subject: How do you type 63 plus 3-year-old gentleman?
If not verbatim, may also type 2-year-8-month-old...nm
Subject: If not verbatim, may also type 2-year-8-month-old...nm
x
It should be panniculectomy. Ref is correct. I cannot type this week/year etc. nm
Subject: It should be panniculectomy. Ref is correct. I cannot type this week/year etc. nm
type "the year" if it is a verbatim account.
Subject: type "the year" if it is a verbatim account.
It's a 'per the facility' issue as both are acceptable. Just use what QA says to keep them
Subject: It's a 'per the facility' issue as both are acceptable. Just use what QA says to keep them happy. nm
s
Wound packing: s/l cannon pack, kenon pack
Subject: Wound packing: s/l cannon pack, kenon pack
I type it History of Present Illness
Subject: I type it History of Present Illness
but that's the way the employer wants it. If it's verbatim I'd type just what he said HPI.
Have headache need help quickly. Eyes s/l archasinillis. How do I type history of triple A repair?
Subject: Have headache need help quickly. Eyes s/l archasinillis. How do I type history of triple A repair?
HEENT unchanged x1 year (been the same since year ago)
Subject: HEENT unchanged x1 year (been the same since year ago)
Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm
Subject: Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm
it out. It is a foreigner. He is saying it very fast. History of abnormal petatrie functioning is what is sounds like to me. I have no clue.
history of colorectal history with metastasis to the liver and lymph nodes
Subject: history of colorectal history with metastasis to the liver and lymph nodes
then maybe a slash should go in there
Subject: then maybe a slash should go in there
Looking at various hits on Google, it looks like the acid and the mofetil are 2 different things, so maybe a slash should go in there and it should be transcribed: mycophenolic acid/mofetil field? Would you all agree?
I use the one with the slash sm
Subject: I use the one with the slash sm
because that is how they have it listed in the EXAM portion of the radiology reports that I type. If they had it like tib-fib I would type it that way more than likely. I like to keep it the same throughout.
maybe it should be a slash not at the
Subject: maybe it should be a slash not at the
Is year old still hyphenated as in 74-year-old? nm
Subject: Is year old still hyphenated as in 74-year-old? nm
I use the slash mark too
Subject: I use the slash mark too
hyphen or slash?
Subject: hyphen or slash?
Thanks for your response. Woud I place a hyphen or slash between the numbers?
I've seen it with and without the slash - I would use
Subject: I've seen it with and without the slash - I would use
the slash
the more I think about it, I agree - no slash
Subject: the more I think about it, I agree - no slash
WOW that's a lot of smoking...nm
Subject: WOW that's a lot of smoking...nm
does he actually say the slash between anterior/posterior
Subject: does he actually say the slash between anterior/posterior
nm
I use the slash mark without a problem.
Subject: I use the slash mark without a problem.
thta's not a hyphen, that's a slash..nm
Subject: thta's not a hyphen, that's a slash..nm
nm
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