Yes, yes, thank you, new to path after 30 years!
Posted By: Cheryl B on 2008-10-31
In Reply to: "stratified, tessellated nuclei? nm - flybye
Subject: Yes, yes, thank you, new to path after 30 years!
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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...
PATH history
Subject: PATH history
Past history would cover you on all corners. Did the doc dictate any history? Unless she has significant OB/GYN pathology, which the doc would probably make note of, vaginal bleeding and "path" history don't go together. Hope that helped.
I would use track, as in path etc. nm
Subject: I would use track, as in path etc. nm
Per Stedman's Path & Lab it's ...
Subject: Per Stedman's Path & Lab it's ...
25-hydroxyvitamin D -- one word, not two.
Path Report Help
Subject: Path Report Help
Doc is dictating a pathology note...pyrogenic granuloma with inflammatory s/l re-generous squamous atypia. Any clues for the re-generous? 
Stedman Path & Lab says the word is
Subject: Stedman Path & Lab says the word is
with 7 species listed.
Correct: capitalize if with the species (P. acnes)
Incorrect to capitalize without the species.
Per BOS.
history of sl-path pneumonia
Subject: history of sl-path pneumonia
past medical history of sl-path pneumonia in 2002.
s/l pro-path-own-ist hepatically cleared. thank you
Subject: s/l pro-path-own-ist hepatically cleared. thank you
If they have a bleeding vessel along the path somewhere, then
Subject: If they have a bleeding vessel along the path somewhere, then
s
do you have symptoms? Sted path has SM
Subject: do you have symptoms? Sted path has SM
von Willebrand (which you found) but also Waardenburg and Williams; Also Lunera could be anything from Humira to Lunesta - any symptoms? Dose?
(s/l) o-path-in-ac benzalkonium ophthalmic solution
Subject: (s/l) o-path-in-ac benzalkonium ophthalmic solution
Really stumped, can't find anywhere. Anyone ever heard of this.
Thanks in advance.
stedman's path - Western blot nm
Subject: stedman's path - Western blot nm
x
Sted's Path&Lab Words has normal granulocytes at 42.2 to 75.2. nm
Subject: Sted's Path&Lab Words has normal granulocytes at 42.2 to 75.2. nm
s
I can't ever remember this...patholaxity or path of laxity.....knee? Thanks!
Subject: I can't ever remember this...patholaxity or path of laxity.....knee? Thanks!
x
Stedman's Path/Lab book has Saccomanno collection fluid. nm
Subject: Stedman's Path/Lab book has Saccomanno collection fluid. nm
x
In this instance, Sted's Lab & Path words said this organism is capitalized. nm
Subject: In this instance, Sted's Lab & Path words said this organism is capitalized. nm
s
Per Stedman's Path/Lab, Waldenstrom's macroglobulinemia, one word for the second part. Nm
Subject: Per Stedman's Path/Lab, Waldenstrom's macroglobulinemia, one word for the second part. Nm
nm
Stedman's Path/Lab Medicine, Medical Speller, Neuro/Neurosurg, etc., sm
Subject: Stedman's Path/Lab Medicine, Medical Speller, Neuro/Neurosurg, etc., sm
Your reference is British. Note the spellings of centre, etc. Check Vera Pyle's book and Dorland's Medical Dictionary and also the American Medical Association reference for making nouns out of proper names. Our own BOS states not to capitalize words derived from eponyms.
Just want to verify, Source Path diameter vaginal ring? This is for high-dose brachytherapy for
Subject: Just want to verify, Source Path diameter vaginal ring? This is for high-dose brachytherapy for
cervical cancer. I can't document it any where.
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.
Sted's Path and Lab Words - gram-negative bacilli but Gram
Subject: Sted's Path and Lab Words - gram-negative bacilli but Gram
s
You steered me on the right path...after listening and listening, It is sampling acquisition. LOL
Subject: You steered me on the right path...after listening and listening, It is sampling acquisition. LOL
:
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?
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
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