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#4089 - 07/26/03 05:41 AM Not getting the ? thing.
Dodi
Member


Registered: 08/05/02
Posts: 94
I have a very considerate ESL doctor who speaks slowly, clearly, and spells out words for me that he thinks I may misunderstand due to his accent. In several of his dictations he will dictate a question mark before an uncertain symptom or diagnosis, i.e., ? mole, ? rash. Until a few months ago, he was writing all his patient notes by hand. I am his first experience with transcription. He also requested that I insert and arrow pointing to healing during another of his dictations. My computer will accomodate these requests, but I feel I should be editing the symbols to some degree. He uses them throughout the report and in diagnoses. What do you think?
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#4090 - 07/26/03 07:32 AM Re: Not getting the ? thing.
Anonymous Unregistered



In the AAMT BOS page 343, where the various usages of a question mark as a form of punctuation are explained:

expressions of doubt or uncertainty
Use an ending question mark to indicate doubt or uncertainty. Sometimes, particularly with diagnoses, a question mark is placed before a statement in order to indicate uncertainty. Placement either before or after the questionable material is acceptable but do not place the question mark both before and after.

EXAMPLES:

His cholesterol levels were high normal (or minimally elevated?).

DICTATED: Diagnosis: Angina question mark
TRANSCRIBED: Diagnosis: Angina?
or Diagnosis: ?Angina.
not Diagnosis: ?Angina?

NOTE: There is no space after the question mark in ?Angina.

__________________
So in your example and with this explanation, it would be:
"before an uncertain symptom or diagnosis, i.e., ?mole, ?rash."

Regarding the arrow, if you are able to add that, then since he specifically requests it (and he's da boss), then I guess I'd say to do that. Is there a way you can directly communicate with him so that you could perhaps print out an example of a report that includes the use of the arrow and confirm with him that this is what he wants? If he reviews it and still wants it, then you know exactly what he's after. If he sees it and feels it doesn't appear as he imagined on the printed page, maybe something else can be worked out to highlight the pertinent information in another way.

Hope that helps,
Janie

[ 07-26-2003: Message edited by: janieg ]

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#4091 - 07/26/03 09:05 PM Re: Not getting the ? thing.
beautiful
Member


Registered: 06/27/02
Posts: 545
How about something like this.........

Diagnosis: (?) Angina.

I have a doctor that dictates like this all the time.

Would "this" way be correct? What do you think??

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#4092 - 07/26/03 10:50 PM Re: Not getting the ? thing.
Kathy G
Member


Registered: 12/31/69
Posts: 2211
Loc: Portland, Oregon
We need to be careful about fonts. I use an arrow in my feedback to subcontractors - the arrow means "should be" - they all know that. I copy/paste what they transcribed, then I insert the arrow, then I copy/paste what I ended up sending to the client (edited for grammar, correct terminology, whatever). I have discovered that once in a while that arrow turns into a square box, like when I copy/paste feedback to MSN web-based e-mail, my alternate e-mail method (not Outlook Express). If you are sending your client printed copy, fine; if you are sending electronically, be sure that what you send as an arrow doesn't turn out to be something else on their end.
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