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Sorry. I was hospital-trained back in the day and we were taught to do that with NKDA and DNR etc.nm

Posted By: Txczech on 2009-01-21
In Reply to: If the dictator does not abbreviate something, - sm

Subject: Sorry. I was hospital-trained back in the day and we were taught to do that with NKDA and DNR etc.nm




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Hospital-trained at Scott & White in Temple, Texas.sm
Subject: Hospital-trained at Scott & White in Temple, Texas.sm

They gave us a Dorland's and the resident's progress notes!! Scary!! This was back in 1970. I swear one of my arms is longer from using that book.  !!!
Back in the day, taught 8 o'clock position (nm)
Subject: Back in the day, taught 8 o'clock position (nm)

x
I was taught disC for eye, disK for back, but
Subject: I was taught disC for eye, disK for back, but

many MTSO's/clients want disK for everything.
A question about the word fixated. Way back I was taught...sm
Subject: A question about the word fixated. Way back I was taught...sm

that fixated was not a work to be used except in the sense of "John's attention was fixated on nude statue". When a doc says he fixated the plate to the bone, I was taught to change it to fixed. Now I am starting to second guess as so many docs use it in this way. Anyone can chime in here. I am so confused.
Never mind - NKDA
Subject: Never mind - NKDA


No illnesses or prior surgery. NKDA. nm
Subject: No illnesses or prior surgery. NKDA. nm


Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an
Subject: Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an

experience is, it lacks credibility especiall when you base it on YOUR experience.  Who are you?  How much experience do you actually have?  What kind of experience do you have?  How many diabetic patients have you encountered in your years of experience?


You can't expect to make a sweeping generalization like "all diabetics have hypertension" and not get called out on it.  Come on!  Know your place.  Arrogance is an unattactive personality trait.


back pain, given dura-back if needed for spasm. nm
Subject: back pain, given dura-back if needed for spasm. nm

s
This is what I was taught...
Subject: This is what I was taught...

I was taught that a fraction without a whole number is typed out, and if it has a whole number then it is expressed as numerals. You might want to check in the AAMT Book of Style though.
This is how I was taught to do it--
Subject: This is how I was taught to do it--

10 days' status post
I was taught
Subject: I was taught

it was -4/5 to 4/5.


I was taught ST-T nm
Subject: I was taught ST-T nm

NM~
I was taught..
Subject: I was taught..

I was taught 12 x 13-cm or 12 x 13 cm.
I was taught...
Subject: I was taught...

Steri-striped :-)
I was taught same as you but it is sm
Subject: I was taught same as you but it is sm

documented now as Homans sign.
I know this isn't the blank, but I was taught SM
Subject: I know this isn't the blank, but I was taught SM

to expand abbreviations in diagnoses, so I would put "incision and drainage" and not I&D in the diagnoses section.


Good luck.  Sounds like you're doing a tough report.


I was taught "apposition"
Subject: I was taught "apposition"

they should know!
You're welcome. Your course probably taught you only 1% of what you need to know in this biz! n
Subject: You're welcome. Your course probably taught you only 1% of what you need to know in this biz! nm

x
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
I was taught TIMI 3
Subject: I was taught TIMI 3


I was taught ER/PR positive.
Subject: I was taught ER/PR positive.


double-J is what I was taught. nm
Subject: double-J is what I was taught. nm

.
I was always taught to type what they say
Subject: I was always taught to type what they say


When I first started, I was taught to put
Subject: When I first started, I was taught to put

the emphasis of any word not understand on a different syllable and sometimes that is all the problem is and you can understand it then.
I was taught gravida 0. NM
Subject: I was taught gravida 0. NM


type 2 is the way I was taught....nm
Subject: type 2 is the way I was taught....nm

xx
that is the first word we were taught.
Subject: that is the first word we were taught.

Also, it is urethrolysis  not urethral lysis.


ILP? 


We were taught to cap and underline that phrase. nm
Subject: We were taught to cap and underline that phrase. nm


I've always been taught #7 French (nm)
Subject: I've always been taught #7 French (nm)

x
I was taught to type out degrees sm
Subject: I was taught to type out degrees sm

If it were a 30 degree angle or something, I would type it 30-degree.  If it is 30 degrees, I would type it like that without the hyphen. 
The old school MTs, like me, were taught to capitalize everything!
Subject: The old school MTs, like me, were taught to capitalize everything!

c
I was taught this too, to use affixed or fixed instead, but now. nm
Subject: I was taught this too, to use affixed or fixed instead, but now. nm

if they say fixated they get it. Many things have changed over the years, dilation and dilatation being used interchangeably comes to mind.
AUA = average ultrasound age, as I was taught.
Subject: AUA = average ultrasound age, as I was taught.


I too was taught disc for spine....SM inside
Subject: I too was taught disc for spine....SM inside

I was taught in 1980 disc for spine and disk for eyes but we have had many a discussion on this very board about that and others say exactly the opposite.  I now do disk for everything because of the AAMT.  My private mds care less.....but my national DOES care.  *laughs*
I was taught that q. should not stand alone, therefore, if it was q. hour I would transcribe it as e
Subject: I was taught that q. should not stand alone, therefore, if it was q. hour I would transcribe it as every hour


I was always taught to start with "Sutures of 0 Prolene," since it does not....sm
Subject: I was always taught to start with "Sutures of 0 Prolene," since it does not....sm

change context or meaning of sentence at all, just grammatically correct; but as always it is good to check with your own QA, some companies have their own weird little rules whey want to go by.....been doing mostly OPs for years, so hope I can help!
I was taught it was patellar tendon-bone.
Subject: I was taught it was patellar tendon-bone.


I agree - great answer. Exactly how I was taught to do it.
Subject: I agree - great answer. Exactly how I was taught to do it.


i've always gone by this: affect is personality, effect is everything else -- how i was taught -
Subject: i've always gone by this: affect is personality, effect is everything else -- how i was taught - nm

x
callus is a noun, callous is an adjective...that's what I was taught. nm
Subject: callus is a noun, callous is an adjective...that's what I was taught. nm

nm
I was thinking maybe things had changed since I was taught grammar. nm
Subject: I was thinking maybe things had changed since I was taught grammar. nm

nm
I was taught you get callus in your bones and callous on your feet. So, when referring to
Subject: I was taught you get callus in your bones and callous on your feet. So, when referring to

a fracture, it would be callus formation. When you talk about callous, you are referring to callousity or callous formation on the feet.
I was taught that q. should not stand alone, therefore, I would transcribe it "every Monday, Wedn
Subject: I was taught that q. should not stand alone, therefore, I would transcribe it "every Monday, Wednesday and Friday x6 weeks." (sm)

No space after the x per AAMT-BOS2.
I was always taught that types & grades are arabic and classes & stages are Roman numerals. nm
Subject: I was always taught that types & grades are arabic and classes & stages are Roman numerals. nm


and I have a hospital that only wants...sm
Subject: and I have a hospital that only wants...sm

T1,N0,M0 with commas and when we did it the BOS way, they came down on all of us.......


give the client/hospital what they would like or demand is the usual and customary way......I do believe...


Hospital course
Subject: Hospital course

An EDG was done and showed several humtakes in the stomach. I have a doctor with an accent and this is what it sounds like he's saying. I am also not sure of the exact definition of EDG. Thank you.
hospital
Subject: hospital

bunky general hospital??????
just a hospital..
Subject: just a hospital..

x
hospital course
Subject: hospital course

admitted to the medical floor, made NPO
Please help - Hospital Course
Subject: Please help - Hospital Course

Please help - Hospital Course:  Going through s/l (submission) of admission H&P for details.  Don't know what it can be.
Hospital Course: Please see ----? nm
Subject: Hospital Course: Please see ----? nm