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pack year history of smoking

Posted By: Canadian MT on 2006-03-01
In Reply to:

Subject: pack year history of smoking

Can a 65-year-old have a 75 pack year history of smoking? thought pack years meant how many years they have smoked a pack of cigarettes??


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"x" pack year smoking history
Subject: "x" pack year smoking history

How would the above be typed, esp. when it has the number of years included, such as "40 pack year..."  ?? Thanks.
Would not start the sentence with a number. Would type it as "A 20 pack-year smoking history."
Subject: Would not start the sentence with a number. Would type it as "A 20 pack-year smoking history."


I would type 5-pack/year smoking history..slash stands for 'per'..nm
Subject: I would type 5-pack/year smoking history..slash stands for 'per'..nm

nm
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM


Agree, it is 25-pack-year history.
Subject: Agree, it is 25-pack-year history.

x
25-pack/year would mean 25 packs per year, but
Subject: 25-pack/year would mean 25 packs per year, but

25-pack-year is the amount equal to packs smoked per day x number of years smoking, as per BOS and Vera Pyle.


She was smoking at least a pack of cigarettes a day, drinking a lot of coffee and s/l guinath pills
Subject: She was smoking at least a pack of cigarettes a day, drinking a lot of coffee and s/l guinath pills


20-pack-year vs. 20 pack-year
Subject: 20-pack-year vs. 20 pack-year

Which is correct?  20-pack-year history of smoking or 20 pack-year history of smoking.  I've seen it both ways.  TIA.


20-pack-year
Subject: 20-pack-year

x
25-pack-year
Subject: 25-pack-year


25-pack-year
Subject: 25-pack-year

nm
Except that's not what a pack-year means. sm
Subject: Except that's not what a pack-year means. sm

A "5-pack-year" history does not mean "5 packs per year" ... good grief, I'd consider someone who smoked 5 packs per year essentially a nonsmoker. :-)

A 5-pack-year history means an average of a pack a day over a 5-year period. That could mean someone smoked 5 packs per day for 1 year, or 1 pack per day for 5 years, or half a pack a day for 10 years, or any other combination that fits.
I write it like 24-pack/year
Subject: I write it like 24-pack/year

nm
Well umm actually 25-pack/year, didn't mean to.....
Subject: Well umm actually 25-pack/year, didn't mean to.....

change the amount there, LOL.
social history - denies smoking, alcohol or girls. sm
Subject: social history - denies smoking, alcohol or girls. sm

I can't think of anything else he might be saying, it really sounds like girls.  Do you think this is correct?  I just think it sounds weird.


BTW the only medical history I have for this patient is Ewing sarcoma...


cool thanks always wondered my ex is an almost 120 pack year !!!!!
Subject: cool thanks always wondered my ex is an almost 120 pack year !!!!!

started at 14 and still going strong at 3 packs a day at 55
20-pack-year per AAMT-BOS2 page 210
Subject: 20-pack-year per AAMT-BOS2 page 210


7-year history.....
Subject: 7-year history.....

I get confused, too!  well-defined hypen; the hyphen is well defined.  That is how I think of the hyphens, but I'm no BOS guru - just been in the biz for a long time.
1-year history
Subject: 1-year history

How would you type the patient has a 1-year history of pain....tia.
Wouldn't it also be 'several-year history'? nm
Subject: Wouldn't it also be 'several-year history'? nm

?? :D
patient is a 15-year-old girl with history of significant
Subject: patient is a 15-year-old girl with history of significant

s/l Norwood degenerative type disorder. ???
She had a history of an abnormal Pap smear and has had a _____ done last year.
Subject: She had a history of an abnormal Pap smear and has had a _____ done last year.

x
2-year medical s/l soul-journ (as in history)
Subject: 2-year medical s/l soul-journ (as in history)

Is it soldiering ??? This gentleman has a 2-year history of medical soldiering ???
A 54-year-old male with history of "church charles" disease TIA
Subject: A 54-year-old male with history of "church charles" disease TIA

xxx
Patient presents with a several year history of pain and this is s/l dedscious referable to the left
Subject: Patient presents with a several year history of pain and this is s/l dedscious referable to the left


Wound packing: s/l cannon pack, kenon pack
Subject: Wound packing: s/l cannon pack, kenon pack

 
HEENT unchanged x1 year (been the same since year ago)
Subject: HEENT unchanged x1 year (been the same since year ago)


Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm
Subject: Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm

it out.  It is a foreigner.  He is saying it very fast.  History of abnormal petatrie functioning is what is sounds like to me.  I have no clue. 
history of colorectal history with metastasis to the liver and lymph nodes
Subject: history of colorectal history with metastasis to the liver and lymph nodes


Is year old still hyphenated as in 74-year-old? nm
Subject: Is year old still hyphenated as in 74-year-old? nm


WOW that's a lot of smoking...nm
Subject: WOW that's a lot of smoking...nm


is it for smoking? if so it is Chantix
Subject: is it for smoking? if so it is Chantix


smoking question
Subject: smoking question

Did smoke about three fourths of a pack per day since his late teen years.


Is this the correct way to write or it be written as a fraction?  3/4?


 


quit smoking
Subject: quit smoking

she does not want to quit smoking. She has gone s/l detroit before, and she do not want to quit.  She drinks alchol daily.


detroit does not make  sense here..please help!


Pack-a-day smoker versus pack-per-day smoker.
Subject: Pack-a-day smoker versus pack-per-day smoker.

It would be either "He is a two-pack-a-day smoker" or "He is a two-pack-per-day smoker.

If doc dictates "a" use that; if "per" go with that. That's what I do anyway. It makes life simpler that way. :)
Yep for quitting smoking, there is a starter kit
Subject: Yep for quitting smoking, there is a starter kit


Chantix to stop smoking maybe?
Subject: Chantix to stop smoking maybe?


Smoking cessation drugs
Subject: Smoking cessation drugs

Perhaps your s/l is listed here:


http://www.webmd.com/drugs/condition-11008-Smoking+Cessation.aspx?diseaseid=11008&diseasename=Smoking+Cessation


Lilly


smoking cessation drug
Subject: smoking cessation drug

I have asked him to use nicotine gum rather than using the patch. I have given him a prescription for s/l Combudine to be used as directed.


Couldn't find any drug with this name.. any help? 


s/l ver-in-o-quin for smoking cessation?
Subject: s/l ver-in-o-quin for smoking cessation?

xx
Chantix - new drug for smoking cessation
Subject: Chantix - new drug for smoking cessation

nm
Habitrol - treatment for smoking cessation.
Subject: Habitrol - treatment for smoking cessation.

nm
Has anyone heard of a smoking cessation med s/l lantrex. nm
Subject: Has anyone heard of a smoking cessation med s/l lantrex. nm

nm
Chantix, to quit smoking? dosage...
Subject: Chantix, to quit smoking? dosage...

would be correct.
s/l zopar/ropar/welpar.. i think it's for smoking cessation sm
Subject: s/l zopar/ropar/welpar.. i think it's for smoking cessation sm

We discussed smoking cessation. I explained to him the need to determine what each cigarette is being smoked for and to find alternatives to that. We discussed Chantix. I explained to him that one of the side effects is suicide. When he hears this, he decides he does not want try that medication, but he will try it with over-the-counter aids and his _____ . We will go ahead and get some routine blood work today. We will have him follow up in 2 weeks for a physical exam and to review the blood work.
"In the hospital, patient had _______ privileges that she used to continue smoking."
Subject: "In the hospital, patient had _______ privileges that she used to continue smoking."

S/l "papule" privileges???  Which is obviously not right, but those are the sounds, anyway...
I'm sure doc meant smoking at least 2 blunts of marijuana. I'd flag the word drinking though.
Subject: I'm sure doc meant smoking at least 2 blunts of marijuana. I'd flag the word drinking though.


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.


3/4 pack
Subject: 3/4 pack

It depends on the client's preference, but normally I type 3/4 pack a day.
two pack per day
Subject: two pack per day

He is a two-pack a day smoker.
or
He is a two-pack-per-day smoker.
I can't find anything in my BOS. Maybe I am missing it! :) Thanks!

rally pack
Subject: rally pack

Thanks!