opinions - how do you all type
Posted By: sassee on 2007-11-16
In Reply to:
Subject: opinions - how do you all type
this - the dictator says the nodule was FNA'd or I&D'd, etc. It just seems awkward.
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need opinions on the correct way to type this
Subject: need opinions on the correct way to type this
The patient has no discharge drainage or pus.
Initially I thought "drainage, discharge" with the comma but does it make sense without the comma? 
opinions please (sm)
Subject: opinions please (sm)
Wondering what most people type for dosing units in the millions:
3 million units or 3,000,000 units
From what I see in BOS II, it can be typed either way. I just typed 3,000,000 units thinking it may be a little more clear on a medication list, but now I am second-guessing, so I am looking for opinions on this. Thanks 
I have 2 opinions on this --
Subject: I have 2 opinions on this --
1) Miralax is generally given 17 g - half would 8.5 g. That one grabs me more than the abbreviation issue.
2) g is an acceptable abbreviation for grams, but a lot of clients prefer it written out when used alone - much like the word liter when used alone. It can sometimes be difficult to discern in the report. If your client has no preference, I would continue to use g and just chalk it up to the QA's preference.
Opinions are what the board is here for..
Subject: Opinions are what the board is here for..
nm
Need opinions or facts
Subject: Need opinions or facts
Most docs dictate possesion for Hodgkin's lymphoma, Meckel's cavity, Gerota's fascia, Morison's pouch, etc. You get the picture. All of my references have these without possession. What is the standard for transcribing? I was told at one point to leave off the 's and type as referenced. Do you agree?
Think I figured it out, but would like opinions.
Subject: Think I figured it out, but would like opinions.
I've never heard this, but I've only recently started typing GYN reports.
Patient has bacterial vaginosis. Doc is saying --- MetroGel 0.75% one application s/l p.v. q.h.s. x5 nights.
Stedman's abbv lists p.v. as by way of vagina, so that makes sense? Would just like to know if anyone has heard this. Thanks.
I need opinions on formatting. SM
Subject: I need opinions on formatting. SM
The patient was seen by Dr. John Smith of the cardiology service.
OR
The patient was seen by Dr. John Smith of the Cardiology Service.
This always messes me up! I've done it the second way for many moons, but I'm training a new girl who says according to the BOS, I'm wrong. Just wondering how everyone else does it.
Opinions please - This doesn't seem right...
Subject: Opinions please - This doesn't seem right...
Patient prescribed prednisone 5-mg, 6-day taper. Doesn't that seem like a low dose of prednisone to do a taper?
I'm sure there will be differing opinions..
Subject: I'm sure there will be differing opinions..
but I'm going to go out on a limb and say PL simply means posterolateral.
Opinions needed on my tweaking ... sm
Subject: Opinions needed on my tweaking ... sm
Here's my tweaking: I think it looks okay except for the last sentence. Can anyone help me make that last sentence look better? Thank you.
Dear xxxx :
I am pleased to write a letter of recommendation for XXX who is applying to your program. XXX spent a week with me in my internal medicine office this past summer. He is currently a student at XXX and has decided on a career in a medicine. In the process of starting his medical career, xxx has spent time with multiple physicians to show that he is serious about a career in medicine. He has excellent personal skills, as you will see when you interview him.
During the time I spent with xxx he asked intelligent questions and showed a genuine interest. His thought process seemed both logical and rational during our discussions.
Based on my experiences with x, I recommend highly that he be accepted in your training to become an xxx physician. I believe he has all the makings of good physician, intelligence hard-working, motivated, and personal.
Opinions needed See MSSG
Subject: Opinions needed See MSSG
Question: would you put "Romberg negative. No pronator drift. Gait is normal." under extremities or neuro? Thanks
EXTREMITIES: No clubbing, cyanosis, or edema. Distal pulses are 2+ and equal throughout. Romberg negative. No pronator drift. Gait is normal.
NEUROLOGIC: Cranial nerves II-XII are intact. DTRs are 2+ and equal throughout. Romberg negative. No pronator drift. Gait is normal.
Thanks a million. Opinions at this point even help!
Subject: Thanks a million. Opinions at this point even help!
opinions please attained/obtained
Subject: opinions please attained/obtained
I have a doc who keeps saying hemostasis was attained (spells it). He is ESL - I think you OBTAIN hemostasis. Am I wrong?
More opinions needed. 2 people are disagreeing here. TY
Subject: More opinions needed. 2 people are disagreeing here. TY
Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the ti
Subject: Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the time.
same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.
Subject: same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.
nm
Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm
Subject: Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm
which is preferred ~ diabetes mellitus type II or type 2?
Subject: which is preferred ~ diabetes mellitus type II or type 2?
I get confused, how do you type out grade, class, type SM
Subject: I get confused, how do you type out grade, class, type SM
I forget which ones use Roman and which do not. TIA
When doctor says tib-fib, do you type it like that or do you type tibiofibular? Thanks
.
Siewart type I or Siewert type I
Subject: Siewart type I or Siewert type I
When I google it, I'm finding both. Cannot locate it in a Stedman's book. Doctor spells with "a" but you can't always go by the spellings!
How do I type this particular type of dialysis bath? sm
Subject: How do I type this particular type of dialysis bath? sm
Doc is an ESL and unclear, but it s/l he is saying "...using a 3 K 21/2 bath." I have never had this in a report and after googling, am still as clueless as I was. I cannot find it in AAMT, either. Any help would be appreciated. Thank you!
acromion process - type 2 or type II
Subject: acromion process - type 2 or type II
Could it be hollowing-type or hollow-end-type? - nm
Subject: Could it be hollowing-type or hollow-end-type? - nm
xx
how to type out Type I Aortic aneurysm
Subject: how to type out Type I Aortic aneurysm
Would you use a roman numeral for Type I Aortic aneurysm or use Type one or type 1 ... I am thinking it is Type I but I am unsure. I am new to this all. Thanks for any help.
I would type it under PLAN and type what is dictated.
Subject: I would type it under PLAN and type what is dictated.
I have had that happen to me before, and I was told by QA to not move things around in the report, maybe that is the same for you, but if I were typing this report, I would type it in the order as is dictated, even if that means typing it under the heading PLAN. Also, his vitals were probably taken at the end of the exam as they were repeated, so it would make sense to type them again under that heading. Hope that helps!
Type II diabetes vs. Type 2....sm
Still running into confusion about this....which is it? If Type 2, was this a medical community change accepted by all?
Could it be pincer-type and cam-type?
Subject: Could it be pincer-type and cam-type?
x
Type 2 DM or type II DM, which is correct? nm
Subject: Type 2 DM or type II DM, which is correct? nm
what type of dictation do you type?
Subject: what type of dictation do you type?
It might help to know the specialty. I am finding a lithiasis, but I don't think it would relate to gonorrhea, are you sure it is gonorrhea?
how to type a blood type
Subject: how to type a blood type
simple question but how is a blood type transcribed .. such as 0+ .. is there a space between the 0 and + or is the word positive typed out? Thanks for your help.
ONCOtype, ONCO type, ONCO Type, found all three...
Subject: ONCOtype, ONCO type, ONCO Type, found all three...
nm
MRI of the C-spine - which is correct Modic type II changes or Modic type 2 changes.....nm
Subject: MRI of the C-spine - which is correct Modic type II changes or Modic type 2 changes.....nm
pincer-type nail or pincher-type nail? nm
Subject: pincer-type nail or pincher-type nail? nm
Of course you should type it. Why would you not type it? nm
Subject: Of course you should type it. Why would you not type it? nm
;
I would type it like this
Subject: I would type it like this
It sounds like a direct quote from the patient and not the doctor’s words. I would type it:
The patient reports, "When he tried to pee, he got weak, dizzy, hit the floor, did not feel right."
Would type exactly the way you have it.
Subject: Would type exactly the way you have it.
x
I just type re-x-ray as that is what they say. nm
Subject: I just type re-x-ray as that is what they say. nm
Would you type I&D'd?
Subject: Would you type I&D'd?
The toe was then I&D'd
Type 2
Subject: Type 2
Yes, it used to be Type II, but clarity is more important, so it was changed. Either would be acceptable in transcription, however.
Ah, eye-type
Subject: Ah, eye-type
good subject for you, huh? ;) Thanks for the correction. It's good to know so I can be right for a change!! :)
T1/2 is the way I type it....
Subject: T1/2 is the way I type it....
T1/2 is the way I've always seen it. (I've been doing radiology transcription for 3+ years) Hope this helps.
I type it just as you have it. nm
Subject: I type it just as you have it. nm
ss
yes, that's how I'd type it NM
Subject: yes, that's how I'd type it NM
x
How to type this?
Subject: How to type this?
What is the best way to type this:
She has diffusely diminished strength at "four plus to five minus over five" in the right upper extremity.
Thanks
I type 2/5 , 3/6, etc. nm
Subject: I type 2/5 , 3/6, etc. nm
nm
This is how I would type it. SM
Subject: This is how I would type it. SM
TECHNIQUE: Coronal TR 500/TE 15, sagittal TR 500/TE 12, sagittal TR 3050/ TE 95, axial gradient TR 47/TE 15.
Would type it the way he wants it. sm
Subject: Would type it the way he wants it. sm
It has always been Merchant view, as far as I know. All my Sted refs have Mechant view. Though I do not do BOS, I typed ortho for 4 years in a railroad hospital with lots and lots of injuries/surgeries etc.
would I type our tab though?
Subject: would I type our tab though?
if she is saing tab which I though was possible would I type out tab?
how would I type this?? Thanks!!
Subject: how would I type this?? Thanks!!
In the lumbar spine, L1-L4, the (s/l-BND-) is 1.003 grams per cm squared, T score -1.5, Z score -.7. In the left femoral neck, the (s/l-BND) is .740 grams per cm squared, T score -2.1, Z score -1.5.
We type our this way--sm
Subject: We type our this way--sm
1.003 g/cm2, T-score -1.5 g/cm2, Z-score -1.5 g/cm2
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