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spine levels and hyphens vs. commas

Posted By: LLB on 2009-04-29
In Reply to: L5, S1 OR L5-S1 ??? How do I type this? - nm

Subject: spine levels and hyphens vs. commas

If referring to disc levels, then use hyphens.
If referring to nerve roots, use commas


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Other related messages found in our database

This would be incorrect. The 'L' levels of spine refer to the lumbar area,
Subject: This would be incorrect. The 'L' levels of spine refer to the lumbar area,

x
"Trof" levels are 18, therapeutic levels are 15.
Subject: "Trof" levels are 18, therapeutic levels are 15.

Troph or trof levels? 


 


Thanks!


 


No commas the first one. On the next one, the commas look good to me. nm
Subject: No commas the first one. On the next one, the commas look good to me. nm


C-spine, L-spine, T-spine, unless client allows
Subject: C-spine, L-spine, T-spine, unless client allows


RNT of C4 and B12 levels?
Subject: RNT of C4 and B12 levels?

Or perhaps RMT of C4 and B12 levels?


Sentence:  Diagnosis:  Anemia.  Plan of therapy:  s/l "RNT of C4 and B12 levels."


Thanks


"C-spine" (cervical spine) ??
Subject: "C-spine" (cervical spine) ??


maybe AM cortisol levels (nm)
Subject: maybe AM cortisol levels (nm)

x
triglyceride levels....
Subject: triglyceride levels....

Sounds more like it would triglyceride levels since they are speaking of lab work but could be wrong...just double check.
levers or levels
Subject: levers or levels

This is from a letter about a doctor's credentials.

It was for these reasons alone that he was terminated after a very extensive institutional review by several s/l levers of the educational bureaucracy.

Is levers okay here?

any help is greatly appreciated.
I would think levels or layers of...nm
Subject: I would think levels or layers of...nm

s
iron levels
Subject: iron levels

Recent blood work showed an iron that was 38% s/l staf of 13%. 


Cannot make out word.


Normal AST and ALT levels.........
Subject: Normal AST and ALT levels.........

From Google:

What are normal levels of AST and ALT?

The normal range of values for ALT (SGPT) is from 7 to 56 units per liter of serum.

The normal range of values for AST (SGOT) is from 5 to 40 units per liter of serum (the liquid part of the blood).




Normal levels of CPK
Subject: Normal levels of CPK

are 38-174 units/L, so probably would be 13.91.
The levels consistently rest between
Subject: The levels consistently rest between


four levels of internal rotation?
Subject: four levels of internal rotation?

That's probably correct if it's a shoulder exam. Internal rotation is measured by vertebral levels.


blood alcohol levels SM
Subject: blood alcohol levels SM

Doc dictates alcohol level is 190.  Would this be 1.9?  TIA
Her s/l foley and B12 levels are currently pending.
Subject: Her s/l foley and B12 levels are currently pending.

n/t
I have always seen EPO, it is really an abbreviation for erythropoetin levels.....sm
Subject: I have always seen EPO, it is really an abbreviation for erythropoetin levels.....sm

you could check with your company or service, all my accounts use EPO, hope this helps somewhat!
lacks four levels of internal rotation??
Subject: lacks four levels of internal rotation??

nm
s/l urine-keta-kolomin levels
Subject: s/l urine-keta-kolomin levels

Laboratory data
upper levels (for hemoglobin or hematocrit) ? nm
Subject: upper levels (for hemoglobin or hematocrit) ? nm


could you possibly be hearing DHEA levels? nm
Subject: could you possibly be hearing DHEA levels? nm

x
Those are the hemoglobin and hematocrit levels but you wouldn't put those words in there unless
Subject: Those are the hemoglobin and hematocrit levels but you wouldn't put those words in there unless

s
Hemocyte? For preventing or treating low levels of iron
Subject: Hemocyte? For preventing or treating low levels of iron

x
transaminasemia? I googled it. elevated serum transaminase levels
Subject: transaminasemia? I googled it. elevated serum transaminase levels

Persistent transaminasemia and fatty liver. Their use in the diagnosis of presymptomatic Wilson's disease


A. E. Stillman and L. R. Rohr

A 41/2-year-old asymptomatic girl with persistent elevated serum transaminase levels for eight months was found to have Wilson's disease. The diagnosis was suspected by the presence of fatty liver and nonspecific chronic hepatitis on liver biopsy and was proved by studies of copper metabolism, including determinations of serum ceruloplasmin and hepatic copper concentrations. Unexplained persistent transaminase elevation in children demand investigation by needle liver biopsy. Th presence of fatty liver and hepatitis should raise the possibility of Wilson's disease, which may then be confirmed by more specific tests. Advantages to early diagnosis include the institution of specific therapy and prevention of progressive liver disease.


Lovaza is used for treating patients who have very high triglyceride levels.
Subject: Lovaza is used for treating patients who have very high triglyceride levels.


Lab test called Mixin or Myxin? She's saying it was done with factor levels (sm)
Subject: Lab test called Mixin or Myxin? She's saying it was done with factor levels (sm)

Anyone ever heard of anything like this?  TIA
Ezetimibe is a drug that is used for the treatment of elevated levels of blood cholesterol.
Subject: Ezetimibe is a drug that is used for the treatment of elevated levels of blood cholesterol.


electrolytes (Carbon dioxide; chloride; potassium; sodium) levels? nm
Subject: electrolytes (Carbon dioxide; chloride; potassium; sodium) levels? nm


I found calcium chloride give for extremely high potassium levels.
Subject: I found calcium chloride give for extremely high potassium levels.


I found articles pertaining to LH levels done in the elderly to check pituitary hormones etc.
Subject: I found articles pertaining to LH levels done in the elderly to check pituitary hormones etc.

"In women, although
not in all studies (22), a decline in both FSH and LH levels
occurs with age after menopause (19, 23), and decreased
gonadotropins secretion with age is also observed in aged
men (24)..."

I guess it would depend on what you patient is being studied for. It may not be LH at all? Sorry
no commas at all
Subject: no commas at all


No commas. YW! nm
Subject: No commas. YW! nm

xx
commas
Subject: commas

AAMT BOS says it the way you say it, but 2 of my employers want it with commas. That is why I stated BOTH ways.
without commas
Subject: without commas


no commas - most say the
Subject: no commas - most say the

abbreviated version: tetracaine HCl ophthalmic solution
too many commas?
Subject: too many commas?

 However, at this time, clinically, she appears to have a stage IIIB nasopharyngeal adenocarcinoma. 


 


Is this sentence ok?


thanks


no more commas
Subject: no more commas

I have a doctor that basically wants all commas removed from his letters unless he says to put them there, and he REALLY doesn't know where to put them... I would hate to be on the receiving end of one of his letters!
it's also T3 N0 M0 (no commas)
Subject: it's also T3 N0 M0 (no commas)

x
commas
Subject: commas

There was apical, anteroapical, apical, inferoapical akinesis.
Commas
Subject: Commas

I might come a little late, but my suggestion is:

In the first sentence take out the comma before 'with' only.

Second sentence:

Put a period after 'tachycardia'. Capitalize Suggested, take the comma out before 'with' a questionable..only!


Where would you put the commas?
Subject: Where would you put the commas?

Her posterior scalp revealed a 5-mm flat telangiectatic vascular papule.


 


Thanks in advance!!


use commas
Subject: use commas

They are 3 separate tests so use commas. RA is a latex factor, ANA is an antibody test, and ESR is a sedimentation rate.
commas....

Ok, which one of these sentences is correct:


 


"Abdominal x-ray on 05/21/2008 shows nonspecific bowel gas pattern."


OR


"Abdominal x-ray, on 05/21/2008, shows nonspecific bowel gas pattern."


 


and in this case:


"Patient is back in sinus rhythm and by 12/24/2008 the Cardizem was successfully weaned and stopped."


OR


"Patient is back in sinus rhythm and, by 12/24/2008, the Cardizem was successfully weaned and stopped."


 


THANKS FOR YOUR HELP!!  I do not have a BOS as the company I work for basically says they dont go 100% by the BOS because the docs don't like it..go figure.


First one, no commas. Second one could
Subject: First one, no commas. Second one could

be with or without.
I use commas.
Subject: I use commas.

x
Commas.......
Subject: Commas.......

and if the account is verbatim, you are not allowed to change ANYTHING.
No, sorry, but the commas as you have them are not right
Subject: No, sorry, but the commas as you have them are not right

This is right:

comma after arthrosocpy is right
comma after debridement ist not right. No comma before and.
NO, no commas at all, anywhere...sm
Subject: NO, no commas at all, anywhere...sm

WHY would you put a comma before 'narrowing'? This is used as a noun and the word before is its adjective!
And why before 'and?' The sentence after and has no verb on its own.
Do you just 'sprinkle' commas around to make the doctor 'happy?'
Commas

Hello!  I'm studying to be an MT and seem to be having trouble with punctuation...specifically commas.  I was wondering if anyone could give me some tips?  Also, I have a sample sentence from a practice dictation if that helps.


She advises that she was referred to the Osteoporosis Center at a nearby hospital where bone densitometry studies were done and a diagnosis of osteoporosis involving the spine was made but without evidence at that time of compression fracture.


I would greatly appreciate the help!  Also, since I am taking the course online, I wondered if anyone would be up for helping me as a possible tutor?


Kristi :)


commas
Subject: commas

If you're having fun with the first one, try this one on for size! lol  I swear, this dictation is the toughest one I've had in awhile...as far as commas go.


 


I advised the patient of this eventuality and that such compression fractures even without trauma not uncommonly are complications of underlying osteoporosis as severe as hers.


I would think that a comma would go before "even" and after "trauma" but I'm not too sure about "uncommonly"?  Of course, the way the Doc words that part just sounds odd to me, IMHO.