need help w/2 drugs, s/l thermadon and s/l knee-po-tir? They are just in a list no dosages or usage

• need help w/2 drugs, s/l thermadon and s/l knee-po-tir? They are just in a list no dosages or usage - mm
  • Not sure about first, but second could be Lipitor. - Karen
  • meds - dolle
    • no speciality. final diagnosis was uti. these meds were admit meds, only hist was hypertension - mm

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1.                    Dementia of undetermined etiology.

2.                    Hypothyroidism.

3.                    Osteoporosis. 

"He will also add vitamin D to his regimen at 2 to 4,000 units per day."

How should I type this?  2-4,000?  2,000-4,000?  2 to 4,000?  I want it to be right. 

Subject: By AAMT rules, need help with period with drug values. (sm) Is this right? 1 gm 0.1 mg 1 mg

 I was taught that it was 1.0 mg but doc wants it to be just 1 mg and 1 gm. Help. Thanks.

Is it acceptable to type drug dosages with the number but not the unit of measure. For example Zocor 10 every night. I believe this may be confused with 10 pills instead of mg. What's acceptable on a verbatim account?

Good afternoon everyone.  I'm in need of some second opinions please.  When typing medication dosages, I have always transcribed them the same way for the last 12-1/2 years.  For example, Lortab 5 mg q.4h. p.r.n. pain. 

I have worked for the same company for a little over two years now and have never had QA say anything about this until last month, when I got a QA audit marking it off and changing it to Lortab 5 mg q. 4h. p.r.n. (with a space between the q. and the 4h.)  I thought okay, maybe I've been transcribing it incorrectly all lthis time and a new QA person picked up on it.  It happens, no big deal. 

So, I started transcribing it their way with the space, as in q. 4h.  and didn't think anything more about it.  Yesterday, I get another audit.  This time, I get dinged for typing it the way they wanted it the last audit q. 4h. with the space with a note stating it should be q.4h. with no space (the way I had been typing it). 

Now, I know they have been messing with all of the MTs big time lately, making changes daily from everything to hours, pay, policies, and procedures for vacation, days off, etc.  You name it, they've been doing it, and I really think they are trying to either find a reason to fire some of us or drive us to the point of insanity until we quit, but despite the games, I still want to make sure I'm doing my job correctly.  If I've been doing something wrong, I would like to correct it ASAP, except now I have no idea which one is correct. 

Sorry for the long, drawn out post, but I'm totally confused now and beyond frustrated.  Now, I'm questioning myself on everything, and I have no idea which way is correct as far the space or no space with the medication dosages.  Thank you for taking the time to read my question and rant.  I would appreciate any and all opinions on how you all transcribe this! 

A flex-x of the c-spine x-ray was obtained today.  If the "x" stands for x-ray??

Help.. Please clarify the correct use of mm and cm.. is it 1-mm or 1 mm?

For a diagnosis of pelvic adnexal and omental adhesions, would you place a comma between pelvic and adnexal or not? 

Would it be: 

Pelvic adnexal and omental adhesions

or

Pelvic, adnexal and omental adhesions? 

I'm thinking no comma is needed, but the more I think on it, the more confused I become.  The adnexa are within the pelvis, and no comma is needed, right?

• This is form one Look Dic:
  
• 
  
• Nowhere is listed that 'proofed' can be used, only 'proofread'. Proof can be used as a noun or as an adejctive, not as a verb.
  
• 
  
• 1. proof -- (make or take a proof of, such as a photographic negative, an etching, or typeset)
  
• 2. proof -- (knead to reach proper lightness; ``proof dough'' )
  
• 3. proofread, proof -- (read for errors; ``I should proofread my manuscripts'' )
  
• 4. proof -- (activate by mixing with water and sometimes sugar or milk; ``proof yeast'' )
  
• 5. proof -- (make resistant (to harm); ``proof the materials against shrinking in the dryer'' )

1.                    Diffuse Lewy body disease mixed with Alzheimer’s disease.

2.                    Generalized anxiety disorder.

3.                    Benign prostatic hypertrophy.

Can someone please refresh me on the proper usage of follow up and follow-up?

thank you,

Cindi

There has not been any interval change in his exam. 

I am questioning the use of the word interval in this context.  For a time, I thought the doctor was saying integral, but it is clear now that he is not.  Is interval the correct word to use when there have been no changes in the patient's exam from one visit to the next?

doctor: the patient presented rectal bleeding, heme-positive stools as well as proctalgia.

how will I transcribe this correctly:

The patient presented with rectal bleeding and heme-positive stools as well as proctalgia.

                           or

The patient presented with rectal bleeding,heme-positive stools, as well as proctalgia.

help me please..

Dictated: The foot was prepped, Hibiclensed and draped in usual sterile fashion.

would you recast the sentence? My QA suggested that it should be transcribed "The foot was prepped, Hibiclens and draped in usual sterile fashion."

This doesn't make sense to me because the foot cannot be Hibiclens. I had typed it as dictated per our guidlines on dictator style, and i have .75% off my QA score on it. 

Does anybody have suggestions? How should it be transcribed??

~Trying to learn as fast as I can~