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did the pt have wheezing to begin with? maybe just a comma, sm

Posted By: ltt on 2007-11-06
In Reply to: here it is - ew

Subject: did the pt have wheezing to begin with? maybe just a comma, sm

Following review of this resolution of acute congestive failure, wheezing, ...


Just a thought.




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Does his first name begin with a T? sm
Subject: Does his first name begin with a T? sm

I've also received the same instructions about cath, subcu, exam, etc., but can't remember the source. It might have been a past company's specifications. I know that these words MUST BE EXPANDED (per BOS) in diagnoses, operation titles, etc. (same rules as abbreviations). This might be a new HIPPA rule also which came out after the second BOS was printed. I'll keep thinking. But he's not to be flamed. I've heard the same rules and don't mind using them because it looks more professional and gives me a higher character count.

might begin with a C, K or G... nm
Subject: might begin with a C, K or G... nm

x
____ or wheezing? nm
Subject: ____ or wheezing? nm


stirmax for wheezing?
Subject: stirmax for wheezing?

Hi there!  I have a NP that is prescribing medication for wheezing and asthma exacerbation.  It sounds like either stirmax or stairmax but I have not been able to find this anywhere to confirm.  Any suggestions?  Thanks!
s/l begin-man maneuver
Subject: s/l begin-man maneuver

on examination of the knee doc says


s/l begin-man manuever seems to be a little bit of laxity of the ACL as one compares to the contralateral uninvolved knee but certainly not a marked laxity.


s/l senoirs (?) wheezing
Subject: s/l senoirs (?) wheezing

s/l senoirs wheezing.  I am not sure what the first part is.


Sonorous wheezing?
Subject: Sonorous wheezing?



Main Entry: so·no·rous
Pronunciation: sə-ˈnȯr-əs, ˈsä-nə-rəs
Function: adjective
Etymology: Latin sonorus; akin to Latin sonus sound
Date: 1611
1 : producing sound (as when struck)
2 : full or loud in sound
3 : imposing or impressive in effect or style
4 : having a high or an indicated degree of sonority
— so·no·rous·ly adverb
— so·no·rous·ness noun

maybe shortness of breath, wheezing?? nm
Subject: maybe shortness of breath, wheezing?? nm


Can I begin a sentence with 'CT'?
Subject: Can I begin a sentence with 'CT'?


Where would you begin the PLAN if the dictator does not say so?
Subject: Where would you begin the PLAN if the dictator does not say so?


ASSESSMENT: We discussed options for Jeff. At this point, a month after the injury, an MRI, potential surgical interventions, etc., ultimately doing as well as he is, he is just going to keep it in mind and be careful with his lifting. He drives a forklift, apparently on a regular basis, but we are going to forego further work up at this point. We also got int a discussion of routine health care maintenance. He will plan on complete physical in October, starting this year. I will put a standing order at lab at this point for him, for a UA basic metabolic fasting lipid panel and PSA. We will go from there.

wheezing sounds when sneezing? WAG here. nm
Subject: wheezing sounds when sneezing? WAG here. nm


verbatim # rule, begin sentence?
Subject: verbatim # rule, begin sentence?

On verbatim account, when doc dictates a number at the beginning of a sentence how do you handle it? For instance, "Forty-two-year-old woman...," I spell it out right? Also, another sentence begins with "4-0 Vicryl was also used..," what do I in this situation? If they are strict on verbatim, just go with number? 4-0?
Says Few mild expiratory wheezing rales on deep
Subject: Says Few mild expiratory wheezing rales on deep

expiration only but no retracting??  Not sure if sentence is acceptable?  Heavy ESL dictator. 
1. Will begin S/L ?marelton? at 8mg at hs along with citalopram 10mg daily
Subject: 1. Will begin S/L ?marelton? at 8mg at hs along with citalopram 10mg daily

NM
We will begin administration with a cycle blend of Rituxan/CHOP..
Subject: We will begin administration with a cycle blend of Rituxan/CHOP..

There's a growing consensus among many experts that CHOP + Rituxan (CHOP+R) is the new gold standard for treating transformed indolent, or aggressive lymphomas.


http://www.lymphomation.org/chemo-CHOP.htm


sweating, wheezing, hemoptysis, fever, chills, or headaches??? nm
Subject: sweating, wheezing, hemoptysis, fever, chills, or headaches??? nm

.
no comma
Subject: no comma

Newest info we got says no comma between 4-year 10-month-old
IMO just need a comma before which
Subject: IMO just need a comma before which


No comma.
Subject: No comma.

x
I'd use a comma
Subject: I'd use a comma

"EMS confirmed that the patient was orthostatic, with a standing BP that could not be auscultated."

Now does it make sense to you?
i really am not sure. i would not use a comma.
Subject: i really am not sure. i would not use a comma.

too bad there isnt a english teacher online right now...

No comma, no and.
Subject: No comma, no and.


1:100,000 you need the comma nm
Subject: 1:100,000 you need the comma nm

:
Want comma help?
Subject: Want comma help?

<< Looking at either margins tumor-size type of treatment, s/l-agiman treatment and a number of other factors given, this information, it seems the functional loss and cosmetic insult is not merited. >>

Looking at either margins, tumor size, type of treatment, adjuvant treatment, and a number of other factors, given this information, it seems the functional loss and cosmetic insult is not merited.
without comma
Subject: without comma

comma before but is used only if but is used to join two independent sentences otherwise not so I think this sentence should be without comma
Comma before Jr. or Sr., not before II, III, etc.
Subject: Comma before Jr. or Sr., not before II, III, etc.

From the BOS:


ordinals


Do not place a comma after a name and before an ordinal. The ordinal may be roman or arabic; follow the preferences of the named individuals.


John D. Rockefeller III


 


 


Don't know what BOS says but I put the comma nm
Subject: Don't know what BOS says but I put the comma nm

nm
I'd put comma.....
Subject: I'd put comma.....

x
No, no comma. The comma here would take sm
Subject: No, no comma. The comma here would take sm

the place of "and." He's saying the patient is a pleasant elderly woman, not a pleasant and elderly woman. The elderly woman is pleasant.

In other words, would you put a comma here,

The child's new blue ball rolled into the street. No comma as "new" modifies "blue ball," not "new and blue ball."



that or a comma between the two, i.e.
Subject: that or a comma between the two, i.e.

mycophenolic acid, mofetil field
I am not sure where to put the comma here, please sm
Subject: I am not sure where to put the comma here, please sm

Hello. This is OB-GYN and I am not certain if the punctuation is correct. She says it all very fast together.  Is the comma right? 


A clean-catch UA is packed field, WBCs and RBCs with very short rods.


comma help
Subject: comma help

The part in question is in " ".

When I research this medication some of the research shows it the way I have it typed (with no commas), but some of the research shows it with a comma between hydrochloride and ophthalmic. Is anyone familiar with this medication that can help me out! Thanks!


The focused examination is performed using "tetracaine hydrochloride ophthalmic solution" 0.5% for anesthetics
yes if you put a comma between the
Subject: yes if you put a comma between the

B12, salicylate - 2 separate meds.


I would use a comma
Subject: I would use a comma

This patient presents to us status post left ring finger volar plate, ulnar collateral ligament avulsion fracture.

This patient presents to us status post left ring finger volar plate/ulnar collateral ligament avulsion fracture.
I do use a comma between but the
Subject: I do use a comma between but the


Comma help
Subject: Comma help

I think my brain is just fried, but do I need a comma here:  I gave the patient four months' or months worth of Flexeril???  TIA. 


comma....
Subject: comma....

Equally to:

The patient, however, denied treatment.
I use a comma the way you have it now.
Subject: I use a comma the way you have it now.

Per my account specifics, we don't use a numbered list. We separate the diagnoses with a comma between each one.
no comma there, where would you put it?????
Subject: no comma there, where would you put it?????

x
Comma?
Subject: Comma?

Hello everyone!!


I have a quick question about punctuation.. would you put a comma in this sentence? I don't have one.. then I second guessed myself and put one after "thin"...


This is a thin and ill-looking, black woman who is tachypneic


Thanks so much! :)


No comma.
Subject: No comma.

x
No comma
Subject: No comma

The way I was taught is that if each part of the sentence can stand alone as a separate sentence, then use a comma. In your case, the second half after the comma would not make sense as a single sentence.
Comma Help
Subject: Comma Help

She has a sister, Mary (32), and two brothers, Simon (40) and Bill (42).
or
She has a sister Mary (32) and two brothers Simon (40) and Bill (42).


and also:


She has a sister, Mary (32).
or
She has a sister Mary (32).
Comma before with
I have done a lot of QA over the years, and lately MTs are using a comma before the word "with" throughout the entire report as if with was equal to "which."  I have looked through and BOS, but I cannot find a general rule on this.  Does anyone have any solid information on this?  It would be very much appreciated.
I would not put a comma before
Subject: I would not put a comma before

'where'.
I would put a comma before...,and diagnosis...' and a 2nd before ..,but...'
comma help
Subject: comma help

X-rays available from an outside source dated 02/20/2009 indicates joint effusion of the elbow with a fracture of the left humerus lateral epicondyle noted anterior and superior displacement of the fracture fragment. Proximal radius and ulna appear to be intact.

I thought after noted but unsure at this point. tia.
comma
Subject: comma

At first I thought, comma after elbow and then after epicondyle.  but the rest of the sentence doesnt make sense.   But a hint of where to put a comma is, if the sentence can still make sense from before the first comma continuing after the second comma.  as in:  joint effusion of the elbow noted anterior.....     BUT the rest of the sentence does not make sense.


X-rays available from an outside source dated 02/20/2009 indicates joint effusion of the elbow with a fracture of the left humerus lateral epicondyle noted anterior and superior displacement of the fracture fragment. Proximal radius and ulna appear to be intact.


I don't see the need for a comma before the " --". nm
Subject: I don't see the need for a comma before the " --". nm


comma help
Subject: comma help

In this sentence would there be a comma where I have it placed? Intrauterine pregnancy, status post cesarean section. Or no comma at all? Any help please. thanks.
comma help
Subject: comma help

There were also two red rubber Robinsons left stapled over the interface, under the burrito, for postoperative irrigation. Would commas be placed before under and after burrito? Also, do I have the word Robinsons right? Thanks.
Need comma help.....
Subject: Need comma help.....

I need help with comma placement: She had been seen in consultation who felt the gait disturbance was due to multiple factors including the degenerative joint disease and peripheral neuropathy he also felt she had an aliment of Parkinson disease.


I put them like this:  She had been seen in consultation, who felt the gait disturbance was due to multiple factors including the degenerative joint disease and peripheral neuropathy, he also felt she had an aliment of Parkinson disease.