a couple of thoughts

First to address the issue of subcu - Joint Commission created a list several years ago that deals with this wording - and JC trumps BOS.  From Joint Commissions List of Dangerous Abbreviations:

Abbreviation: S.C. or S.Q. (for subcutaneous)

Potential Problem:  Mistaken as SL for sublingual, or "5 every"

Preferred Term:  Write "Sub-Q", "subQ", or "subcutaneously"

As far as what the man was trying to express to you was his opinion that truncated words (partial words used to express a complete word) should be avoided.  Trach is not a word.  Trachea, tracheostomy, etc., are words.  Alk is not a word.  Alkaline is a word.  There are also lab and other words that are commonly acceptable in their abbreviated form, such as INR, CPAP, MRI, etc.

There are acceptable abbreviations of certain words that are commonplace.  For example, lab is widely accepted to represent laboratory.  Exam is acceptable to represent examination.  HIV is another example.

If you understand the difference between the use of an abbreviation and avoiding the use of truncated words, your work will reflect a much clearer intent of the dictation.

Your company needs to decide which side of the fence it wants to sit on, and it appears there may be some changes in your QA future.  If this man is in charge of QA and you want to continue working there, you might want to begin taking note of what he is saying.

• Terminology/usage questions...please advise - sm
  • According to the Institute of - anon
  • a couple of thoughts - SM
    • Excellent post. Couldn't have said it better myself! nm - nm
  • Does his first name begin with a T? sm - nm
  • verbatim is VERBATIM....bad advice he gave you..... - nm
  • verbatim typing - es
    • the word is subcutaneous, so it's NEVER sub cu - never separated, it's subcu......nm
  • Hope this makes you feel better - WI-MT
  • The account that I am on - sodiepop
  • Sounds like he was caught not being specific enough. - Me

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That's what I kept finding in doing my research, but like I said that guy needs to speak clearer English......but I guess that would be too easy.  Ha-ha!

Thanks for verifying what I had put down.  I will get this some day, but I am new and just learning.  Thanks for bearing with me.

he went on to have an aortic valve replacement with a "number tommy five" bioprosthetic valve as well as bypass "sinus tree" vessels

pseudo normal LV filling pressure with "chronkomittent" abnormal relaxation

Patient is New York Heart Association class III in the setting of ischemic cardiomyopathy and "he feels" compensated

Can't catch what Mr. Mush-mouth is saying. 

Postoperative serial white blood cell count demonstrated a stable white blood cell count at 11,900.  s/l *hemansa* hemoglobin stable at 28.9 and 9.4. 

Jehovah's Witness

myoclonic gammopathy?  not myoclinic

possibly *gammopathy*

*h* in Jehovah's Witness

s/l *jo-lie-tandis* pain with hyperflexion.  (knee)

Negative s/l  *feralmis* test.  (wrist)

TIA!

This study is a right ilia-femoral ultrasound. 

Is it ilia-femoral or iliac-femoral, and what about the hyphen?

ALSO......

I cannot figure out what he is saying here:

PROCEDURE REPORT:  The abdominal aorta and right ilia-femoral (see above..) systems were S/L: insinated or instinated with a Doppler ultrasound transducer. 

Thanks for any help!!

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.

after doing a google search for gram-negative, lactose-negative rods.  Basically testing organisms to see if they ferment lactose (positive) or not (negative).

Also, just FYI, gram-negative is not capitalized.

Probably too late, I'm sure.  Better late than never, I guess.