Opinions please - This doesn't seem right...

• Opinions please - This doesn't seem right... - Thanks
  • Maybe he is already in the middle of a - taper. (NM)
  • prednisone - jas
    • This doc is usually so thorough with exact dosing instructions - threw me off. - Thanks
      • see message - OZ
        • It makes sense, again, not like this doc at all - usually ends with 5 or 2.5 mg on the taper. - Thanks for your help.

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Wondering what most people type for dosing units in the millions:

3 million units or 3,000,000 units

From what I see in BOS II, it can be typed either way.  I just typed 3,000,000 units thinking it may be a little more clear on a medication list, but now I am second-guessing, so I am looking for opinions on this.  Thanks

1) Miralax is generally given 17 g - half would 8.5 g.  That one grabs me more than the abbreviation issue.

2) g is an acceptable abbreviation for grams, but a lot of clients prefer it written out when used alone - much like the word liter when used alone.  It can sometimes be difficult to discern in the report.  If your client has no preference, I would continue to use g and just chalk it up to the QA's preference. 

this -  the dictator says the nodule was FNA'd or I&D'd, etc.  It just seems awkward.

The patient was seen by Dr. John Smith of the cardiology service.

OR

The patient was seen by Dr. John Smith of the Cardiology Service.

This always messes me up!  I've done it the second way for many moons, but I'm training a new girl who says according to the BOS, I'm wrong.  Just wondering how everyone else does it.

Here's my tweaking:   I think it looks okay except for the last sentence.  Can anyone help me make that last sentence look better?  Thank you.

Dear xxxx :

I am pleased to write a letter of recommendation for XXX who is applying to your program.  XXX spent a week with me in my internal medicine office this past summer.  He is currently a student at XXX and has decided on a career in a medicine.  In the process of starting his medical career, xxx has spent time with multiple physicians to show that he is serious about a career in medicine.  He has excellent personal skills, as you will see when you interview him. 

During the time I spent with xxx  he asked intelligent questions and showed a genuine interest.  His thought process seemed both logical and rational during our discussions.

Based on my experiences with x,  I recommend highly that he be accepted in your training to become an xxx physician.  I believe he has all the makings of good physician, intelligence hard-working, motivated, and personal. 

Question: would you put "Romberg negative.  No pronator drift.  Gait is normal." under extremities or neuro?    Thanks

EXTREMITIES:  No clubbing, cyanosis, or edema.  Distal pulses are 2+ and equal throughout.  Romberg negative.  No pronator drift.  Gait is normal.

NEUROLOGIC:  Cranial nerves II-XII are intact.  DTRs are 2+ and equal throughout.  Romberg negative.  No pronator drift.  Gait is normal.

The patient has no discharge drainage or pus.

Initially I thought "drainage, discharge" with the comma but does it make sense without the comma? 

I know we need to defer to the BOS, which is MQ's basic style, so I put 3.  Funny how it really didn't occur to me until today, seeing it as "3" in ASR.

Thanks.

He's got me stumped.

.. I think I'll have to just flag it. It could be Uterus, bowel loops are normal.

Retzius is hard to find because it refers you all over the place, but appears to be some kind of cell column and has something to do with the cochlea. It's quite a stretch from what it sounds like--"the trex-i-vuss or drex-i-vuss

I'm wondering if any experienced MT could tell me if Brugada syndrome is a possibility??  I found it in Stedman's but am having a hard time finding out exactly what it is.  Does seem to be heart related though.