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Lordy, when they dictate commas it is just sm

Posted By: Txczech on 2009-03-05
In Reply to: i don't either, really... sm - mtinokc

Subject: Lordy, when they dictate commas it is just sm

like a poke in the eye to me!!! Brings me to a screeching halt. I just tend to ignore them, in a report, especially if it is a resident. I do puncturate letters and memos, but half the commas I see people use on this board and other boards are totally not necessary. Just call me
anti-comma!!!!! 


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Lordy!! I keep trying to hear PRN antihistamine. Sorry. nm
Subject: Lordy!! I keep trying to hear PRN antihistamine. Sorry. nm


Secured in place, not in plate...oh lordy lord...
Subject: Secured in place, not in plate...oh lordy lord...

x
Lordy. I only learned Word doing ophth one weekend but sm
Subject: Lordy. I only learned Word doing ophth one weekend but sm

I did find this:


 


http://www.ehow.com/how_2277253_insert-sum-formula-word-table.html


No commas the first one. On the next one, the commas look good to me. nm
Subject: No commas the first one. On the next one, the commas look good to me. nm


You should dictate what the doc says.
Subject: You should dictate what the doc says.

If he is wrong, that's his problem. You can't just go changing what he says unless you have free reign on your account.
Drs get what they dictate - some of us only do..S/M
Subject: Drs get what they dictate - some of us only do..S/M

brachioplexus, brachioplexopathy - what they say is what they get....client profile RULES!
How does he dictate it? Is he actually - sm
Subject: How does he dictate it? Is he actually - sm

Is he saying "CBC, MSP, and stool" because stool is not a test so just wondering if it could be the name of a stool test. If you state just how the whole sentence is dictated, it may help us figure it out for ya.
I had a doc used to dictate that
Subject: I had a doc used to dictate that

Good says it stands for keep-open-vein.  So, it should fit, and it also is all CAPs. 
Usually if they dictate Seldinger...
Subject: Usually if they dictate Seldinger...

they will say "via Seldinger, or Seldinger technique."  I don't believe they would do this en route either.  Are you sure you are hearing "sandwich?"  I have been transcribing ER reports for years and I have never heard this term used.  Anyway, I would not guess on this one.  IMO, it is better to leave it blank and have QA inform you later so you can keep it on file .
Yes, that was how I was taught and most always they dictate cc nm
Subject: Yes, that was how I was taught and most always they dictate cc nm

nm
welcome; got it from my docs that dictate it as i never could figure them all out either, lol. nm
;
Sorry, but I have had them dictate brain or beta.
Subject: Sorry, but I have had them dictate brain or beta.

nm
Account specifics would dictate whether you sm
Subject: Account specifics would dictate whether you sm

write it out or abbreviate. The abbreviation for beats per minute is bpm. Ask your QA person for approved abbreviations for this account (accounts will differ sometimes which can make us crazy).

Did she dictate the colon after "murmur?" nm
Subject: Did she dictate the colon after "murmur?" nm

x
no matter what they dictate, they are wrong...nm
Subject: no matter what they dictate, they are wrong...nm


LOL..the way these docs dictate anymore
Subject: LOL..the way these docs dictate anymore

who knows!! Something like that just check your aspirin bottle. Good luck!!
doctor didn't dictate mg????
Subject: doctor didn't dictate mg????


The patient was given aminophylline, Lanoxin 0.25, Lasix 40 mg, Cardizem.


okay here the doctor fails to dictate mg? according to 'textbook rules' do I add this or not?


If you dictate the full sentence I could probably help you figure it out. nm
Subject: If you dictate the full sentence I could probably help you figure it out. nm


Thanks for finding that. I just had doc today dictate this...hmmmm
Subject: Thanks for finding that. I just had doc today dictate this...hmmmm


doc didn't dictate that....her brain was thinking that...
Subject: doc didn't dictate that....her brain was thinking that...

nm
Thought so thanks wish they would dictate the drugs correctly
Subject: Thought so thanks wish they would dictate the drugs correctly


or may be mistakenly thinking of their pet's food as they dictate?
Subject: or may be mistakenly thinking of their pet's food as they dictate?


wrong - they ALL dictate decubiti...no such word
Subject: wrong - they ALL dictate decubiti...no such word


did he dictate the point, or did he say 1 5, to make sure you did not hear 50
Subject: did he dictate the point, or did he say 1 5, to make sure you did not hear 50

nm
That's what I mean by "ask your QA!" Account specifics dictate style, sm
Subject: That's what I mean by "ask your QA!" Account specifics dictate style, sm

but the AAMT BOS dictates what is correct for the industry, getting its information from sources such as the Chicago Manual of Style, the American Medical Association book of style (which I own), etc. As the poster below states, Joint Commission goes by BOS and does not like "same" or abbreviations for diagnoses, impressions, op titles, etc. They will randomly choose patient charts and go through them to check things like this! It's the Joint Commission which recommends or removes hospital accreditations--a very powerful entity.

So, ask your QA what the account wants. If they want "same," give them "same." For other accounts, do it the correct way.
Derm docs often dictate "Allergy to CARBO mix" - sm
Subject: Derm docs often dictate "Allergy to CARBO mix" - sm

I don't know what the full word is, but this validates your hearing the partial "carbo"
Long shot, but often dictate myocardial ischemia. nm
Subject: Long shot, but often dictate myocardial ischemia. nm

xx
Macrobid (nitrofurantoin) is commonly used, maybe doc stumbling on whether to dictate brand name or
Subject: Macrobid (nitrofurantoin) is commonly used, maybe doc stumbling on whether to dictate brand name or generic?


there is the abbreviation MAR docs dictate for medication administration record, but not sure...sm
Subject: there is the abbreviation MAR docs dictate for medication administration record, but not sure...sm

if that's it? This is usually dictated when they don't want to list the entire medication list so refer to the MAR that is in the chart. 


Pupils equally reactive to light, they do not always dictate the whole exam abbreviation, they ..sm
Subject: Pupils equally reactive to light, they do not always dictate the whole exam abbreviation, they ..sm

do not always examine all aspects on PE.  Hope this helps!
Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the ti
Subject: Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the time.


no commas at all
Subject: no commas at all


No commas. YW! nm
Subject: No commas. YW! nm

xx
commas
Subject: commas

AAMT BOS says it the way you say it, but 2 of my employers want it with commas. That is why I stated BOTH ways.
without commas
Subject: without commas


no commas - most say the
Subject: no commas - most say the

abbreviated version: tetracaine HCl ophthalmic solution
too many commas?
Subject: too many commas?

 However, at this time, clinically, she appears to have a stage IIIB nasopharyngeal adenocarcinoma. 


 


Is this sentence ok?


thanks


no more commas
Subject: no more commas

I have a doctor that basically wants all commas removed from his letters unless he says to put them there, and he REALLY doesn't know where to put them... I would hate to be on the receiving end of one of his letters!
it's also T3 N0 M0 (no commas)
Subject: it's also T3 N0 M0 (no commas)

x
commas
Subject: commas

There was apical, anteroapical, apical, inferoapical akinesis.
Commas
Subject: Commas

I might come a little late, but my suggestion is:

In the first sentence take out the comma before 'with' only.

Second sentence:

Put a period after 'tachycardia'. Capitalize Suggested, take the comma out before 'with' a questionable..only!


Where would you put the commas?
Subject: Where would you put the commas?

Her posterior scalp revealed a 5-mm flat telangiectatic vascular papule.


 


Thanks in advance!!


use commas
Subject: use commas

They are 3 separate tests so use commas. RA is a latex factor, ANA is an antibody test, and ESR is a sedimentation rate.
commas....

Ok, which one of these sentences is correct:


 


"Abdominal x-ray on 05/21/2008 shows nonspecific bowel gas pattern."


OR


"Abdominal x-ray, on 05/21/2008, shows nonspecific bowel gas pattern."


 


and in this case:


"Patient is back in sinus rhythm and by 12/24/2008 the Cardizem was successfully weaned and stopped."


OR


"Patient is back in sinus rhythm and, by 12/24/2008, the Cardizem was successfully weaned and stopped."


 


THANKS FOR YOUR HELP!!  I do not have a BOS as the company I work for basically says they dont go 100% by the BOS because the docs don't like it..go figure.


First one, no commas. Second one could
Subject: First one, no commas. Second one could

be with or without.
I use commas.
Subject: I use commas.

x
Commas.......
Subject: Commas.......

and if the account is verbatim, you are not allowed to change ANYTHING.
No, sorry, but the commas as you have them are not right
Subject: No, sorry, but the commas as you have them are not right

This is right:

comma after arthrosocpy is right
comma after debridement ist not right. No comma before and.
NO, no commas at all, anywhere...sm
Subject: NO, no commas at all, anywhere...sm

WHY would you put a comma before 'narrowing'? This is used as a noun and the word before is its adjective!
And why before 'and?' The sentence after and has no verb on its own.
Do you just 'sprinkle' commas around to make the doctor 'happy?'
Commas

Hello!  I'm studying to be an MT and seem to be having trouble with punctuation...specifically commas.  I was wondering if anyone could give me some tips?  Also, I have a sample sentence from a practice dictation if that helps.


She advises that she was referred to the Osteoporosis Center at a nearby hospital where bone densitometry studies were done and a diagnosis of osteoporosis involving the spine was made but without evidence at that time of compression fracture.


I would greatly appreciate the help!  Also, since I am taking the course online, I wondered if anyone would be up for helping me as a possible tutor?


Kristi :)


commas
Subject: commas

If you're having fun with the first one, try this one on for size! lol  I swear, this dictation is the toughest one I've had in awhile...as far as commas go.


 


I advised the patient of this eventuality and that such compression fractures even without trauma not uncommonly are complications of underlying osteoporosis as severe as hers.


I would think that a comma would go before "even" and after "trauma" but I'm not too sure about "uncommonly"?  Of course, the way the Doc words that part just sounds odd to me, IMHO.