There goes my spelling lol-Grammar

• p.r.n. at beginning of sentence - Connie
  • p.r.n. or PRN are correct - Kathie
  • Since it's verbatim, how about w/o periods? Prn Tylenol. I don't think that looks bad. nm - martian
  • RE: p.r.n. at beginning of sentence - Shelly Hendrix
    • Not on verbatim--it would be PRN tylenol - uh uh
      • I mean PRN Tylenol - sorry
    • Agree with Shelly! nm - nm
      • Totally agree, also! - sm
        • In this case.... c msg - nm
          • There goes my spelling lol-Grammar - oops
  • on my account can only type PRN, no periods. sm - Fritz

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Would you put "dual isotope stress test" or "dual-isotope stress test"?  I keep wanting to hyphenate "dual isotope" with the thought that it is acting as an adjective decribing the stress test, but every example I can find leaves it unhyphenated.  For whatever reason, my thick head can't come up with the rationale.  HELP!  I transcribe for a cardiology practice, so it's kind of important, LOL!

Thanks!

• an apricot
  
• an egg
  
• an Indian
  
• an orbit
  
• an uprising
  

with two exceptions: When u makes the same sound as the y in you, or o makes the same sound as w in won, then a is used.

• a union
  
• a united front
  
• a unicorn
  
• a used napkin
  
• a U.S. ship
  
• a one-legged man

Help please.

Is it readmitted or re-admitted?

Is it 24 hour or 24-hour?

The soft tissue and the bowel lumen measures [would you change to measure] 8 cm in length and has [then change to have] a 6 x 3.5 cm margin of the colostomy deep to the subcutaneous tissue.

Or would you just leave this as dictated.......

Does this make sense:

Doctor says, "This will allowist for him to be more aware of whether grogginess is associated..."

ALLOWIST?  is the question.

Thanks.

Dr. states. "I myself personally use drug-X."

or is it myself, personally?

Or leave out one or the other?

This is a verbatim account.

TIA!!

Okay, I have a really "$tupid" question....on this phrase "including but not limited to" how should the formatting be?  would there be commas?  is it "including, but not limited to," or as typed above?

Thanks so much for your help!!

I am a 42-year veteran MT, supervisor and QA but also did a stint in an insurance defense law firm for about four years in the 1980s.  I reviewed medical records for the firm and boy were my eyes opened then about some very questionable medical transcription!  Oh, by the way, no question is ever stupid in my book--just people, in general, who do not ask when necessary!

Your second version is correct, "including, but not l limited, to."  If you take the 'commaed' portion out and then read it, you should still have a complete sentence.

Happy Saturday!     

Initially, Cytotec insertion in the posterior fornix was done; subsequently, oxytocin stimulation was started.  She received 2 doses of Cytotec during the day and, subsequently, variable decelerations were noted.  The contraction pattern appeared to be somewhat frequent; therefore, one dose of Brethine was administered and Stadol was given and, subsequently, it subsided. 

Am I punctuating right in these instances?  I have the hardest time with subsequently and therefore, knowing where to put semicolons and commas. 

The dictator has tried to get in touch with the patient and says "I was able to get ahold of the patient's daughter at ....."

I don't think ahold is correct...but I'm not sure how to rephrase this sentence.  Any suggestions.

Which is proper?  Every other doctor dictates it differently. 

1200 cc of fluid WERE removed or 1200 cc of fluid WAS removed.

Were makes sense to me because there is more than 1 cc but many, many say WAS.  Am I wrong? 

I am terrible with this terminology (affect or effect).  He says:  I think adjusting her therapy to focus on the myofascial component of her pain is in order.  Orders for this (affect or effect) were provided today)

Thanks!

Is this usually set off with commas before and after? or not necessarily

Thank you

"At that juncture she would despite her young age be a candidate for supportive care only."

How should this be punctuated? Help. 

Doc dictates- Total time with the patient was 60 minutes and of that, 40 minutes was dedicated to the direct discussion and consultation of the logistics, risks and benefits, and rationale for radiation therapy.

Was or were 40 minutes?  Should it be punctuated with a semicolon?

Total time with the patient was 60 minutes; of that, 40 minutes were dedicated.....

thanks

My mind is "dust" today.  Could I get an opinion on the following please:

The patient is a 42-year-old woman (who or whom) I called you about yesterday.  I would appreciate your thoughts   Thanks.

My doctor says this ALL the time.  I think he is wrong, but every time he says it, I have to question myself.

The right posterosuperior whitish middle ear lesion is unchanged from prior, does not appear to have "enlargened" or changed in any way.  (Shouldn't this be "enlarged"?)  HELP  Any help/thoughts are appreciated.  :)

5 cc of 1% lidocaine was or were injected

What is up with some of these American doctors and the English language? 

"There was no vegetations". 

"If there is further problems".

I can see it it were an ESL doc.....  They often conjugate their verbs better than their American counterparts.  Funny - the ESL docs can learn the grammar but not how to put the proper emPHAsis on the correct syllABLE. 

Can someone answer if you use a comma if a dictator is dictating versus so and so, versus so and so, versus so and so, etc? i.e. the mole  is blue versus black versus brown versus green and so on.  Thank you.

DIAGNOSTIC ASSESSMENT:
AXIS I: Psychosis NOS, schizoaffective disorder, bipolar type versus bipolar I disorder versus a drug induced psychosis, also polysubstance abuse.     Should the word versus be transcribed as a slash or another format in this example?  Thanks!

First of all, both got and gotten are correct forms of the verb get.  However, got is a past tense or past participle depending on whether or not the word "has" or "have" is used in front of it.  Gotten, however, is past participle and should be used with the word "has" or "have" in front of it.

It has gotten increasingly larger - okay.  It gotten increasingly larger - not okay.  It got increasingly larger - okay.  It has got increasingly larger - okay.

So if your doc says it anyway but "It gotten increasingly larger", he is correct.  It's simply a matter of preference.  Brits don't generally use the word "gotten", and therefore, a lot of people think it is not a legitimate word, but it is.