When I was in school (30 years ago) I was
Posted By: sm on 2009-03-07
In Reply to: I love it when I finally figure it out. - Pugmom
Subject: When I was in school (30 years ago) I was
taught that any medical combining form can be coupled with just about any medical term, so nothing surprises me.
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When it is the name of the high school yes, standing alone without the name of the school no.
Subject: When it is the name of the high school yes, standing alone without the name of the school no.
I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)
Subject: I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)
Now some are saying it's q. 4h.?? UGH, YUCK!! I have also worked on accounts where it had to be "every 4 hours," and we had to spell out p.r.n. (as needed for). At least we got more characters.
First rule: It is all what the "client/account" wants, not always what the BOS says it is. I realize that language and its usage is constantly changing, but I've seen so many BOS and client flip-flops on so many other things in nearly 3 decades that it's laughable. What isn't laughable is when we get penalized for not knowing what they want, even when they, themselves, don't know or are wrong.
Oh, and I still prefer the old no spaces: q.4h., q.4-6h., q.12h., and so on.....
Wow, thank you. Just years, years and more years of experience
Subject: Wow, thank you. Just years, years and more years of experience
and a constant thirst for learning something new everyday. As we all know this can get to be somewhat boring, but learning from what I transcribe as well as from other transcriptionists keeps me going (money is not bad either). It becomes a challenge. But I can't thank you enough for the kind words.
Use to be younger...
When I was in school, we
Subject: When I was in school, we
were told it was disc for the back and disk for the eyes, and don't ever forget it (medical secretarial associate degree). My first job was as a secretary in the operating room, and again I was reminded to spell it disc for the back.
Then I went to work for a service (in an office), where the MTs learned on the job mostly. For some reason they believed it should be spelled "disk" for the back and "disc" for the eyes, and they felt just as strongly about it. I was horrified. We would actually have dictating MDs ask us to "Please spell it the regular way: disc" so I know the MDs were not happy with the "k" they were getting.
This change does seem to have come about because of AAMT (or whatever they call themselves now).
I always get clarification at each job because I know QA will have an opinion every time.
I am old-school. If they say it, I type it. but I sm
Subject: I am old-school. If they say it, I type it. but I sm
don't do BOS and have no QA. Just me and myself!!! They dictate and I type. Don't edit much, except on letters and memos, and my doctors encourage me to do that!!
School name in Florida? Help!!!
Subject: School name in Florida? Help!!!
Is there a school in Florida (elementary I am guessing since the patient is age 10) that sounds like Moracomie? I can't find it. Thanks in advance if you have any clues. 
Go back to school, please? nm
Subject: Go back to school, please? nm
nm
maybe go to school period if thinks that is right. nm
Subject: maybe go to school period if thinks that is right. nm
;
Doesn't say, but is in high school
Subject: Doesn't say, but is in high school
nm
The old school MTs, like me, were taught to capitalize everything!
Subject: The old school MTs, like me, were taught to capitalize everything!
c
When I was in school for Heathcare Administration
Subject: When I was in school for Heathcare Administration
we were basically taught that just about any combining form can be put with anything when talking medically to make a word.
Rule of thumb. When I was in school for
Subject: Rule of thumb. When I was in school for
my Associate Degree in MRT and BA in HCA, in transcription we were taught that any combining medical form can be combined with any other combining form for things associated in the same part of the body.
Okay, how'd you get through school without coming across this sentence.
Subject: Okay, how'd you get through school without coming across this sentence.
fd
Nursing school teaches it as pus-like.
Subject: Nursing school teaches it as pus-like.
I am an LPN turned MT (did take classes). In nursing school the very first thing we learned about charting, doing admission assessments, etc. was DO NOT use the word pussy. In the medical profession it is not acceptable, even though doctors do dictate it. Nurses are taught to use pus-like. In addition to that and what the BOS says, as well as for the state of professionalism, I always use pus-like and have never had it corrected.
I learned it with the O in school back in the 1980s,
Subject: I learned it with the O in school back in the 1980s,
but when I was mentored in the 1990s, only the I spelling was acceptable, and this has been consistent with every place I've worked since.
Logical it's not, LOL.
Please tell me there are no jugular veins in the lungs. Did this doctor go med school?
Jugular veins end at bottom of the neck to subclavian veins, so how in the heck are there jugular veins in the lungs? He has to be in the neck!!!
Way back in school, we were told to always put the 0s in to make it clear, just like when adding
Subject: Way back in school, we were told to always put the 0s in to make it clear, just like when adding
s
Love South Pacific, even the high school drama productions of it! :) nm
Subject: Love South Pacific, even the high school drama productions of it! :) nm
s
these would be lower case correct? orthopedic department of the medial school.
Subject: these would be lower case correct? orthopedic department of the medial school.
perhaps a trip to the orthopedic department at the medical school would help him find somebody that could advise him regarding this approach.
Pt resident of California, school in Utah...wants to attend "Humble State" for college ?? nm
Subject: Pt resident of California, school in Utah...wants to attend "Humble State" for college ?? nm
2 years' time because years is plural. One year's time because it is singular, only one year.
Subject: 2 years' time because years is plural. One year's time because it is singular, only one year.
Have only seen I&D in about 30 years!!
Subject: Have only seen I&D in about 30 years!!
lab 6 years....12,700 or 12.7
Subject: lab 6 years....12,700 or 12.7
/
2 pks day for 30 years +
Subject: 2 pks day for 30 years +
2 packs a day for 30 years, plus 1 1/2 packs a day for ten years. That makes one pack a day for 75 years. Is that right?
2 and 1/2 years
Subject: 2 and 1/2 years
2 and 1/2 years, two and a half years??? Thanks.
I'd probably do 2-1/2 years. nm
Subject: I'd probably do 2-1/2 years. nm
s
I do 2 1/2 years
Subject: I do 2 1/2 years
e
years' old or years old
Subject: years' old or years old
Can't remember which is correct. The patient is 40 years old or the patient is 40 years'old?
40 years of old doesn't seem right. So I am leaning towards 40 years old. Started new job and my brains have gone out the window.
Thanks.
Is it 9-years-old or 9 years old?
Subject: Is it 9-years-old or 9 years old?
nt
I have been doing this 30+ years and
Subject: I have been doing this 30+ years and
x
Over the course of nearly 20 years,
Subject: Over the course of nearly 20 years,
I have only had 1 account that wanted the acronym in parentheses. Everybody else just wants it expanded to long form in the diagnosis section. I wouldn't say you are necessarily behind the times, it is just that it has never come up for you before now. 
For years I was on - sm
Subject: For years I was on - sm
tetracycline for skin infection/acne issues.
20 years...Wow!
Subject: 20 years...Wow!
That's why you know your stuff. :-)
all I know is I work for PS 10 years now...sm
Subject: all I know is I work for PS 10 years now...sm
and in the beginning I gave them Weiss pattern and they immediately changed that for me to *Wise*.........but if the MD is spelling Wyse, I'd give him that....... even if he is wrong......*LOL*
sorry, meant was in lab for 6 years
Subject: sorry, meant was in lab for 6 years
/
2-1/2 years is correct. nm
Subject: 2-1/2 years is correct. nm
x
I put 2-1/2 years... or 2-1/2-year-old. nm
Subject: I put 2-1/2 years... or 2-1/2-year-old. nm
zzz
that's correct - it's 2-1/2 years ago......
Subject: that's correct - it's 2-1/2 years ago......
20 years in rad - never heard of that SM
Subject: 20 years in rad - never heard of that SM
maybe you or your doc could call or email to see what it means?
about a million years ago
Subject: about a million years ago
when I was young I was told that abbreviations for latin expressions were lower case. Not sure if that holds true in all cases but mostly its true i.e., a.m., p.m. etc., are all short for latin expressions. someone will correct me if I'm wrong
Maybe not, been typing it for years though. nm
Subject: Maybe not, been typing it for years though. nm
30+ years, have always used curette as that is
Subject: 30+ years, have always used curette as that is
the way I was taught. I was also told eons ago that if there are 2 spellings, the first is the preferred. Stedman's lists curette first.
In my almost 30 years of transcription....
Subject: In my almost 30 years of transcription....
I frequently have providers who don't pronounce things or say the right thing. I think you are right... it seems like FNP, PA, etc are the worst... and hey my brother is a P.A.-C so I don't have anything against them!
pack years
Subject: pack years
Personally, I would not hyphenate that he smoked for 120 packs years as you state it, as there is no adjective describing a noun. On the other hand, I would hyphenate if he has a 120-pack-year history of smoking, because that is a triple adjective describing a noun.
never in a million years
Subject: never in a million years
would I have gotten that. What is his first language and who the devil taught it to him?
Yes, yes, thank you, new to path after 30 years!
Subject: Yes, yes, thank you, new to path after 30 years!
Five Pack Years'
Subject: Five Pack Years'
Smoking history: Five pack years’ ... do I have that typed right with the apostrophe after years
going by my 6 years of latin...
Subject: going by my 6 years of latin...
"sine" means "without"
so herpes "sine" rash might mean herpes without the usual rash that comes along with it... never heard it used in English, but hope this helps...
i would use 5-pack-years, BUT sm
Subject: i would use 5-pack-years, BUT sm
this is something that has never made sense to me... always had trouble with the pack/years thing... any input would be most appreciated!
male, 16 years old
Subject: male, 16 years old
What has worked for me over the years - sm
Subject: What has worked for me over the years - sm
I use all the methods the other poster suggested. I also begin thinking to myself "what could he/she be saying" here that would fit in with the context? Can I actually hear anything that is pertinent? Think in terms of what is being done to the patient, would they have a reason to be using a particular med, technique, test, whatever. You sometimes just cannot make sense out of garbage no matter what methods you use and even QA will give them big, fat blanks.
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