I just found a very helpful little yellow sticky note. Virtual stickies for those transcription notes! You can even change the color if you want. It is actually a handy little program that actually puts a yellow sticky note on your computer for you, and this one will not fall off and end up behind your computer on the floor with the dust bunnies! It is (Stickies v6.5a) and FREE.
It has an alarm to remind you of appointments, when to take the laundry out of the dryer, or pick up the kids. You can set it to alert you after an hour so you can see how many lines you typed also. Anyone working online or at a computer could really use these. You can even copy and paste the info you want to save on them. No writing!
Tuesday, March 31, 2009
Monday, March 30, 2009
Saving Keystrokes by Diana Rolland is a Great Resource for Creating Typing Shortcuts
There is a great book for helping you develop a system for using shortcuts with your expander. It is called “Saving Keystrokes”by Diana Rolland. I think it also goes by the title of “When The Name Of The Game Is Saving Keystrokes". It depends on where you buy it.
It goes step by step for different methods of adding shortcuts to your expander..any expander..so that you will remember them and actually use them. It's kinda the ABCZ method, but in depth with references to the exceptions to the rules. It has helped me quite a bit.
The Saving Keystrokes book is a very good intro to how to use an expander and what to think of when developing your shortcuts. It is in workbook format, with lines to fill in for what your abbreviations are for some lists. It does not cover every possibility, but does have so as to give you a good idea on how to develop your own method. Diana Rollan suggests making a root, such as db for diabetes.
Then have set abbreviations for the endings like c for -ic.
Therefore, dbc = diabetic.
incl for include, then g = ing, so inclg = including. d = -ed, so incld = included.
The idea is to build on your roots to make words and phrases.iddb = insulin-dependent diabetesiddbc = insulin-dependent diabetic dbm = diabetes mellitus dbm2 = diabetes mellitus type 2 etc.
It goes step by step for different methods of adding shortcuts to your expander..any expander..so that you will remember them and actually use them. It's kinda the ABCZ method, but in depth with references to the exceptions to the rules. It has helped me quite a bit.
The Saving Keystrokes book is a very good intro to how to use an expander and what to think of when developing your shortcuts. It is in workbook format, with lines to fill in for what your abbreviations are for some lists. It does not cover every possibility, but does have so as to give you a good idea on how to develop your own method. Diana Rollan suggests making a root, such as db for diabetes.
Then have set abbreviations for the endings like c for -ic.
Therefore, dbc = diabetic.
incl for include, then g = ing, so inclg = including. d = -ed, so incld = included.
The idea is to build on your roots to make words and phrases.iddb = insulin-dependent diabetesiddbc = insulin-dependent diabetic dbm = diabetes mellitus dbm2 = diabetes mellitus type 2 etc.
Saturday, March 28, 2009
Medical Transcription – Text & Phrase Expanders – Productive Typing
Every medical transcriptionist will tell you that your money maker is your expander or your shortcut program. There are several of them and only you will know which one works for you.
With a phrase/word expander you type “tp” and your expander will expand that “tp” to “the patient” and you save 7 keystrokes. That does not seem like much, but when you are typing for 8 hours a day everyday that saves you a lot of work and your wrists, arms, and hands! Trust me, your hands will hurt if you type all day, everyday without an expander. These programs will practically autocomplete your words and phrases for you.
Here are a few expanders:
Stedman’s Smartype - which has a little line “smartline” that pops up by your cursor so that you can see the suggestions or glance down at the bottom of the screen at the “smartlist”. You do have to create unique shortcuts for each word or phrase that you want to expand. I might only type 1 or 2 letters and the word appears in the bar, so I hit space and there it is.
Instant Text - This is a good one. This program will take documents that you have already typed and create the shortcuts for you. You do not even have to think about what they are because Instant Text lists the phrases on the right side of the screen and the words at the left side for you. You just type the first letter of each word in your phrase and Instant Text will list it for you. As for words, you just type the first couple of letters and then a letter that is in the rest of the word and it will be listed on the left side at the bottom of your screen. This is neat because it is kind of like a wildcard for your. If you do not know how to spell the word, you can just type the letters that you are sure in that word and Instant Text will list it for you.
Shorthand/Speedtype – These expanders are actually the exact same program with two different names. It is similar to Stedmans Smartype in that it has the suggestion window that pops up by your cursor and it also lists suggestions at the bottom of your screen. It is cheaper than Stedmans Smartype. Shorthand and Speedtype do have a free trial version so that you can try it out before you buy.
Autocorrect/Autotext – The “FREE” Expander - Microsoft Word Autocorrect can be used as a word and phrase expander also. Autotext will actually show you a suggestion window too.
Here is a list of some of the Shortcuts or Expanders that I use.
Now Get Productive!!
You MUST be very smart about how you use shortcuts
Many, many things overlap and you have to be creative and smart, lest you make MORE work for yourself.
Mary Morken had 13,480 shortcuts in Stedmans Smarttype.
My top speed in Word, straight typing, no normals is like 380 lph
Make shortcuts for medical words and phrases as well as regular words and phrases also. You type “she has no”, “he states he”, and many others very often in medical documents.
Here is a copy of the expanders/shortcuts that I use.
tcis=The compartment is soft.
dscj=discussion
aaldw=After a long discussion with
radersurplan<=>Rader surgery plan
raderknex<=>Rader knee exam
radersmli<=>Rader ster, mar, lido inf
s=she
hi=his
h=he
t=the
HMS
d=and
w=with
hmeg=hepatomegaly
smeg=splenomegaly
cmeg=cardiomegaly
emyc=erythromycin
vmyc=vancomycin
tmyc=tobramycin
cmyc=clindamycin
azmyc=azithromycin
tepe=Tessalon Perles
hypx=hydrogen peroxide
lcaine=lidocaine
mcain=Marcaine
bcain=bupivacaine
ncain=Novocain
ccaine=Cetacaine
xcain=Xylocaine
pom= /-
onu=1 unit
omg=1 mg
onpm=1:00 p.m.
oto=1:1
tedc=10-day course
temt=10-mm trocar
teoc=10 o'clock
ock=o'clock
ockp=o'clock position
twop=2-0 Prolene
twl=2 liters
tfhhm=24-hour Holter moniter
fbfs=4 x 4's
twle=12-lead echocardiogram
aho=a history of
alto=allergic to
aprx=approximate
aprxy=approximately
r=are
afa=as far as
amb=ambulate
ambj=ambulation
ambg=ambulating
ambs=ambulates
TIA
tiaa=TIA
tia=this is a
wmo=white male who
wfw=white female who presents
wmo=white male who
wmw=white male who presents
tto=to the office
comp=complain
comp=complain
cop
cop=complete
comt=complaint
com=complicate
comd=complicated
compr=compress
comprj=compression
comprd=compressed
comprg=compressing
comj=complication
cofr=confront
confr=confront
confrg=confronting
confrd=confronted
confi=confirm
confid=confirming
config=confirming
confis=confirms
concl=conclude
conclg=concluding
concld=concluded
contrj=contraction
consi=consider
consit=consist
constj=constipation
consu=consult
consuj=consultation
consug=consulting
consud=consulted
consm=consume
consmg=consuming
consmd=consumed
consms=consumes
cosur=co-surgeon
conu=continue
conud=comminuted
conud=continued
conug=continuing
contdj=contraindication
contrb=contribute
coop=cooperate
coop=cooperate
cu=culture
cul=culture
culs=cultures
dac=D&C
dac=D&C
damg=damage
damgd=damaged
rxda=Darvocet-N 100
deci=decide
deci=decide
deci=decide
deci=decide
decr=decrease
decrg=decreasing
decrs=decreases
decrd=decreased
dp=DP
dp=deep
ith=in the hospital
int=in the
o=of
f=for
n=no
y=you
pn=pneumonia
pna=pneumonia
pn=pain
shou=shoulder
pend=PEND TO PROVEROSQA1/TD
th=the
PriceNP<=>Dr. Tom NP
PriceON<=>Dr. Tom EstON
stfx=stress fracture
tx=X1
tx=treatment
pendqa=PEND TO PROVEROSQA1/TD
hpiuc=HISTORY OF PRESENT ILLNESS:
UMASSLetter<=>UMASS letter
rosuc=REVIEW OF SYSTEMS:
md=M.D.
mdd=M.D.
pmhuc=PAST MEDICAL HISTORY:
pmsuc=PAST SURGICAL HISTORY:
aluc=ALLERGIES:
bme=bone marrow edema
Busconi<=>Busconi CN
EckIPCN<=>Eck IP CON
frqy=frequency
hmu=hematuria
dscf=discomfort
wtry=watery
wtr=water
cstpd=constipated
sda=she denies any
hdac=headache
hdacs=headaches
dzss=dizziness
nmss=numbness
peuc=PHYSICAL EXAMINATION:
lact<=>Lungs r clear t auscultation
emai<=>Extraocular movements
pae<=>Pupils are equal and reactive
wrol<=>Without rashes or lesions.
blpr<=>Blood pressure, pulse, temp
mimw<=>Mouth is moist without mucosal
nwr<=>No wheezing, rales, or rhonchi.
pbsi<=>Positive bowel sounds n al 4 q
plsr=pleasure
fu=follow up
fu=followup
bbbold
bbAdd able to last word
impla=implantable
cade=cardioverter defibrillator
raduc=RADIOLOGY:
umm=UMMHC#:
hh=hemoglobin and hematocrit
hah
hh
hemn
hemt
hh
hh=has had
hemt
hemt
hemt
hemt=hematocrit
hnh=has not had
atth=admitted to the hospital
cx=chest x-ray
cx=cervix
fatg=fatigue
ftu=follow up
shour
shours
shour
shours
boldxbold previous words
mboldbold last 3 words
twyr=two years
otw
otw
otw
otw
otw
otw
otw=otherwise
mcapboCap, Bold, : prev wrds
alubALLERGIES: bold, nx line
fhubFAMILY HISTORY: BOLD
shubSOCIAL HISTORY: BOLD
peubPHYSICAL EXAMINTION: BOLD
wotr=worse on the right
wotl=worse on the left
xrubX-RAYS: BOLD
impubIMPRESSION: BOLD
plubPLAN: BOLD
hpiubHPI: heading bold
mdubMEDICATIONS: BOLD
thrwk=three weeks
laot=lateral aspect of the
thrmo=three months
boha=both hands
clex=clinical examination
ptx=Page Two
ptx=physical therapy
iwshbi=I will see him back in
nevo=no evidence of
cna=cranial nerves are
grin=grossly intact
pmhubPAST MEDICAL HISTORY: BOLD
dtar=deep tendon abdominal reflexes
blk6=______
uumacro play
jjshift F10
ccubCHIEF COMPLAINT: BOLD
shou
shou
plse=please see
mif=medical intake forms
rtto=right total
hiar=hip arthroplasty
HGe
hhno=he has no
msarfi<=>Motor sensory reflex
sihtdf=She is here this date for
sdtu=She denies tobacco use.
sha=She has an
oab=occasional alcoholic beverage
etdf=enters this date for
pliaa=pain level is about a
mhubMEDICAL HISTORY: BOLD
phubPRIOR HOSPITALIZATIONS: BOLD
asubASSESSMENT: BOLD
hihtdf=He is here this date for
cmubCURRENT MEDICATIONS: BOLD
etdr=Examination this date reveals
phasubPR HOS AND SURGERIES: BOLD
hdtu=He denies tobacco use.
pnfu
pnfu
pnfu
pnfu
pnfu
pnfu
symc
symc
csfe=calcaneal spur formation
showed
sho=show
sho=show
lcubLOCATION: BOLD
glav=Glenwood Avenue
laep=lateral epicondyle
fatp=fully able to participate
gitlt=grossly intact to light touch
hsigitlt<=>His sensation is grossly
hsii=His skin is intact.
Laneelpe<=>Lane elbow pe
tpttpw=The patient tolerated this p
usc=under sterile conditions
hrhpaa=He rates his pain
apa=as approximately a
tpda<=>The patient denies any
apihl<=>acute problems in his
tpdaa<=>The patient denies any acute
tpra=The patient reports a
tprapho<=>patient rprts prsnal hx of
hwatw=heel walk and toe walk
imubIMAGING: BOLD
radgs
radgs
radgs=radiographs
lanehipthigh<=>Lane hip thigh pe
shno=she has no
atm=allergies to medications
laneknee<=>Lane Knee PE
wbci=will be conservative in nature
ibu<=>ibuprofen 600 mg one tablet
hini=He is neurovascularly intact.
sini=She is neurovascularly intact.
wkag=weeks ago
logelros<=>Logel ROS
radgubRADIOGRAPHS: BOLD
aaox=alert and oriented x3
rosubREVIEW OF SYSTEMS: BOLD
marlowros<=>Marlow ROS
marlowinj<=>Marlow injection
sububSUBJECTIVE: BOLD
cogof=complaining of
cosof=complains of
Maslowpmh<=>pmh, fh, sh, & sh
ljl=lateral joint line
mjl=medical joint line
ctrx=carpal tunnel release
comof=complain of
twvo=two views of
thvo=three view of
sstt=she states that the
lpot=long periods of time
vavs=varus and valgus stress
marlowkneepe<=>Marlow knee PE
marlowinjcort<=>Marlow cortisone inj
apfinod<=>Alert pleasant female in no
fpt=formal physical therapy
brubBRIEF HISTORY: BOLD
fullersh<=>Fuller SH
fullerkneepe<=>Fuller knee PE
bhubBRIEF HISTORY: BOLD
vpsc=Vanguard posterior stabilized
compnt=component
ltkr=left total knee replacement
rtkr=right total knee replacement
lcgo<=>LOCATION: Glenwood office.
christype<=>Christy PE
ooard<=>ordered, obtained, and rvwd
christyplan<=>Christy plan
christyros<=>Christy ROS
lrbp=lower back pain
hdabobc<=>He dns any bwl or bldr ch
mj=May
mj=medication
mjs=medications
christyros<=>Christy ROS
christyros<=>Christy ROS
christypmh<=>Christy pmh
christyneuro<=>Christy neuro
christyplan<=>Christy plan
christyplan<=>Christy plan
cotx=conservative treatment
hhnbobc<=>He has no bowel or bldr chs
shnbobc=She has no bwl or bldr ch
pscfd=Please see chart for details.
pnfr=pain-free
scs=spinal canal stenosis
dihe=disc herniation
nena=neuroforaminal narrowing
aah-and-a-half
aah-and-a-half
aah=-and-a-half
subde=subacromial decompression
cosh=cortisone shot
shou=shoulder
sedo=settled down
maot=medial aspect of the
navx=nausea and vomiting
mjl=medical joint line
mjl=medial joint line
dmasein<=>Distal motor & snsry ex nrm
prome=passive range of motion
dift
dift
diff
diff
diff=different
hwfuwmanb<=>He wl fu w me OAANB
nat=nature
nat=numbness and tingling
iwhhfu<=>I wl hv h fu w me OAANB
joef=joint effusion
iwhhrfuwm<=>I wl hv hr fu w me on
faaprom<=>full act & pass ROM
aaprom<=>active and passive ROM
impngm=impingement
gerasst<=>Gd exl rot & sprspnts tstg
aaorot<=>AP and oblique radgs of the
sci=subacromial cortisone injection
rab=risks and benefits
comsof=complains of
nfm=Naprosyn 500 mg
tpinbetw<=>T pn is nt bd en to wk hm
jlt=joint line tenderness
siatfeaf<=>Sh s abl t flly xtnd flx.
hhfsap<=>He hs fll spntin & prntin.
swwang<=>Sh wlks w a nrml gait.
sidw=She is doing well.
citfmttala<=>cms n td fr m t tk lk
gromita<=>Gntle ROM in ankl & hndft
lcc<=>LOCATION: Cary.
pttct=present to the clinic today
immubIMMUNIZATIONS: Up-to-date.
pshubPAST SURGICAL HISTORY: BOLD
wdnatbiad<=>who ds nt apr t b n act d
hallfootpe<=>Hall foot PE
wdpai=warm, dry, pink, and intact
rttct<=>returns to the clinic today
idtparf<=>I discd t phy rad fndgs
cciwg<=>Cast care instns were given
ootc=out of the cast
pbubPROBLEM: BOLD
lofi=long finger
tenr=tender
ttpxTTP X
ttpx=tender to palpation
proubPROCEDURE: BOLD
kno=know
prubPROBLEM: BOLD
indfi=index finger
fdc=first dorsal compartment
inspectj=inspection
ptp<=>protime and part thrombopt
ptp=pain to palpation
arom=AROM
aromx=active range of motion
prubPROBLEM: BOLD
prubPROBLEM: BOLD
hdanat<=>He dn any nmss and tngng
wnwa=well-nourished, well-appearing
tsai=The symptoms are isolated to
osii=overlying skin is intact
dira=distal radius
stdo=steroid Dosepak
bobc=bowel or bladder changes
tahw=Toe and heel walks adequately
pfrh=Pain-free rotation of the hips
nptp=no pain to palpation
pnfl=painful
christyplan<=>Christy plan
christypl<=>Christy plan
heuawa<=>He exprsd undsg d ws agrb
hawang<=>he amblts w a nonantlgc gt
teicb<=>Tex is conducted bilatera
tpisicwdm<=>Tp cnjctn w Dr. Mikles
rbaa=risks, benefits, and alternati
cifeo=comes in for evaluation of
rbaa=risks, benefits, and alternati
raaa<=>risks, benefits, and alterns
rbaa<=>risks, benefits, and alterna
ciffo=comes in for followup of
streg=strengthening
orifx<=>ORIFex
orifx<=>open reductj internal fixatj
ftsm=four to six months
ftsw=four to six weeks
tpiht=The patient is here today
thp=total hip replacement
ankmo=ankle mortise
cogginspmh<=>Coggins PMH
cogginspe<=>Coggins PE
e=examination
g=good
j=pain
j=joint
k=knee
m=medicaitons
u=using
dg=discharge
ch=chest
et=evaluation and treatment
eu=essentially unremarkable
urm=unremarkable
acj=AC joint
cogginspro<=>Coggins Procedure
rkp=right knee pain
qabb=quite a bit better
qabo=quite a bit of
atpit=at this point in time
ceubCLINICAL EXAMINATION: BOLD
paty=pathology
ccrc=Randall S. Crumpler, M.D.
ftm<=>Flexeril 10 mg one
lfm<=>Lodine 400 mg one p.o. b.i.d.
seu=She expressed understanding
wnr=with no refills
christylegpe<=>Christy Leg PE
disps=disc spaces
sgi=sensation grossly intact
shpob<=>She has 1 biceps, triceps,
shnbs<=>Sh hs negbilateral Spurling.
shnmaunc<=>S hs neg mdn & ulnr nerv c
semo<=>Skelaxin 800 mg one
seuawa<=>S exprd understg and ws agab
alaovot<=>AP, latl, & obiq vis of the
lolbnacd<=>lss o lrdoss b n act crtl
aalvot<=>AP and lateral views of the
dssd=dressed
dssd<=>dble streth Sterapred Dosepak
ufm<=>Ultram 50 mg
christyhp<=>Christy Preop HP
aaot=anterior aspect of the
alamvot<=>AP, lat, and Mrcht vws o t
lcga<=>LOCATION: Garner
hday=he denies any
alatv<=>AP, lat, and tngntl vws...
mmtr=medial meniscus tear
giwa=giving way
hhtpdp=He has 2 distal pulses.
hhfro=He has full range of motion
tkis=The knee is stable to
hlin=His Lachman is negative.
pis=PCL is stable
esw=excellent strength with
eaf=extension and flexion
iitffo=is in today for followup of
aalr<=>AP and lateral rads were obtai
CogginsPHP<=>Coggins Pre H&P
cogginssupartz<=>Coggins Supartz
asdev=assistive device
alfa=AP, lateral, flexion, and ext
stdubSTUDIES: BOLD
fost=foraminal stenosis
rgtl=right greater than left
lgtr=left greater than right
tyfau<=>Thank you for allows us prtcp
iddm<=>insulin-dep diab mellitus
iddmx<=>insulin-dependent dia mell
hian=He is a nonsmoker.
hdaoo=He drinks alcohol
hhfofi<=>He has 5/5 iliopsoas...
hsigid<=>His snst is grssy ntct dstly
asubASSESSMENT: BOLD
dsaw=Disc spaces are well maintain
assubASSESSMENT: BOLD
christypl<=>Christy plan
christypl<=>Christy plan
sians<=>Sh nnsmkr. Sh dns alc
m=medicaitons
m=medications
m=medications
m=medication
wfuoaanb<=>wl fu o a an bss
lcco<=>LOCATION: Cary office
rlf=relief
pmshubPAST MDCL SRGCL HX:
chiavettaplan<=>Chiavetta Plan
coinj=contraindication
coinj=cortisone injection
alamv<=>AP, lat and Merchant's vws
alamvot<=>AP, lat, and Mrcht vws o t
ltka=left total knee arthroplasty
rtka=right total knee arthroplasty
chiavettaPE<=>Chiavetta PE
lcdu<=>LOCATION: Durant.
dipr=disc protrusion
hhp1pa<=>H hs 1 ptllr d Acls tdn rf
rfvubREASON FOR VISIT: BOLD
httpw<=>He tolerated the proc well.
pcpubPRIMARY CARE PHYSICIAN: BOLD
pcpdPRIMARY CARE PHYSICIAN -
albev=alcoholic beverages
avusion
latmal=lateral malleolus
bomes=bowel movements
bome=body mechanics
impsi=impingement sign
djdd=DJD
cwqoc<=>call w questions or concerns
swfuwm<=>she will follow up with me
otcai<=>over-the-counter ant-inflmtrs
emre<=>educl matls regardg ergon
iatmwihs<=>I antcpt th msrs wl imprv
bobf=bowel and bladder function
siegelros<=>Siegel ROS
siegelpe<=>Siegel PE
uex=upper extremities
medma=medial malleolus
thvo=three view of
thvo=three views of
trbu=trochanteric bursa
fmf=fifth metatarsal fracture
imgubIMAGING: BOLD
objubOBJECTIVE: BOLD
paynerpts<=>Payne report
payneorthotics<=>Payne orthotics
qoc=questions or concerns
maslowhp<=>Maslow H&P
orifx<=>open reductj internal fixatj
orif<=>ORIFx
logelnedi<=>Logel nerve distrib
fime=fifth metatarsal
lttha=left total hip arthroplasty
rttha=right total hip arthroplasty
hinid<=>He nrovasy intact distally
pns=penis
vzld=visualized
ady=adenopathy
shistlt<=>Sh h intct snstn t lght tch
swroaanb<=>Sh wl rtrn o a as-ndd bss
pnmj
lifi=little finger
prpha=proximal phalanx
oots=out of the splint
gtft=given the fact that
stinsonrpt<=>Stinson report
ngas=Normal gait and station.
pmaf=Pleasant mood and full affect.
tstp=tenderness to palpation
pipjt=PIP joint
dipjt=DIP joint
liglax=ligamentous laxity
citab<=>comes in today accompanied by
yupmh<=>Yu PMH
yupe<=>Yu PE
dawap=Digits are warm and pink.
dawapw<=>Dgts r wrm & pnk w bcr
drau=distal radius and ulnar
carf<=>clinicl * radiographs findings
stmah=scar tissue massage at home
antiy=anti-inflammatory
hosj=hospitalization
locj=location
ihrnh<=>Yu natural history
conman=conservative management
orifx<=>open redctn internal fixation
knim=knee immobilizer
pata
pata
pata=patella
patr=patellar
impgm=impingement
impsig=impingement sign
dttf=due to the fact
rcr=rotator cuff repair
boab=bony abnormalities
dni=distally neurovascularly intact
ididwtp<=>I discussed in detail with
tpst=the patient states that
sptt=she points to the
ttad=three times a day
uoiia<=>use of ice in a 20 minute/20
smithpro<=>Smith injection
swltp=She would like to proceed.
uscts<=>Under sterile cnd skin ...
tpttpw=The patient tolerated this p
tpttpw<=>The pat tolrd this pro wl
dtsot<=>Duplicated the same on the
tprtf<=>The patient returns today for
cttcs<=>compared to the contrlat side
malex=medial and lateral epicondyle
ftfw=four to five weeks
mstai<=>make sure things R impg
tpawtp<=>T pt agrs w tx plan
plvs=pelvis
plvc=pelvic
rocheaders<=>ROC headings
atat=at that time
rpt=report
twmoti=two months' time
hwrffu=He will return for followup
tpaw=The patient ambulates well
wdol=without difficulty or limp
msifof=Muscle strength is 5/5
rtpas=are 2 and symmetric
tpas=2 and symmetric
siwkti=six weeks' time
rocheaders<=>ROC headings
rocheaders<=>ROC Headings
fioi=fish oil
omth=Omega-3
ythsa=younger than her stated age
bue=bilateral upper extremities
bitue<=>bilaterally int upr exts
ncl=normal cervical lordosis
tx5md=Toprol XL 50 mg daily
t5md=Topamax 50 mg daily
finad<=>feml in n apprnt distress
minad<=>male in no apparent distress
tiawdwnf<=>Ths s a wd, wn feml inad
tiawdwnm<=>Ths s a wd, wn male inad
tpawwdol<=>Tpt ambls wll wo dif o lmp
siattahw<=>Sh s abl t to hl wlk wo df
ible=in bilateral lower extremities
gapr=gastric protection
pfgp<=>Prilosec fr gastric protection
ltmq=Lipitor 10 mg q.h.s.
sthfm=Soma 350 mg q.6h. prn
hiattahw=H s abl t to & hl walk wo
atpas=are 2 and symmetric
bitl=bilaterally in the lower
aptp=and posterior tibialis pulses
inb=is negative bilaterally
onmoti=one months' time
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With a phrase/word expander you type “tp” and your expander will expand that “tp” to “the patient” and you save 7 keystrokes. That does not seem like much, but when you are typing for 8 hours a day everyday that saves you a lot of work and your wrists, arms, and hands! Trust me, your hands will hurt if you type all day, everyday without an expander. These programs will practically autocomplete your words and phrases for you.
Here are a few expanders:
Stedman’s Smartype - which has a little line “smartline” that pops up by your cursor so that you can see the suggestions or glance down at the bottom of the screen at the “smartlist”. You do have to create unique shortcuts for each word or phrase that you want to expand. I might only type 1 or 2 letters and the word appears in the bar, so I hit space and there it is.
Instant Text - This is a good one. This program will take documents that you have already typed and create the shortcuts for you. You do not even have to think about what they are because Instant Text lists the phrases on the right side of the screen and the words at the left side for you. You just type the first letter of each word in your phrase and Instant Text will list it for you. As for words, you just type the first couple of letters and then a letter that is in the rest of the word and it will be listed on the left side at the bottom of your screen. This is neat because it is kind of like a wildcard for your. If you do not know how to spell the word, you can just type the letters that you are sure in that word and Instant Text will list it for you.
Shorthand/Speedtype – These expanders are actually the exact same program with two different names. It is similar to Stedmans Smartype in that it has the suggestion window that pops up by your cursor and it also lists suggestions at the bottom of your screen. It is cheaper than Stedmans Smartype. Shorthand and Speedtype do have a free trial version so that you can try it out before you buy.
Autocorrect/Autotext – The “FREE” Expander - Microsoft Word Autocorrect can be used as a word and phrase expander also. Autotext will actually show you a suggestion window too.
Here is a list of some of the Shortcuts or Expanders that I use.
Now Get Productive!!
You MUST be very smart about how you use shortcuts
Many, many things overlap and you have to be creative and smart, lest you make MORE work for yourself.
Mary Morken had 13,480 shortcuts in Stedmans Smarttype.
My top speed in Word, straight typing, no normals is like 380 lph
Make shortcuts for medical words and phrases as well as regular words and phrases also. You type “she has no”, “he states he”, and many others very often in medical documents.
Here is a copy of the expanders/shortcuts that I use.
tcis=The compartment is soft.
dscj=discussion
aaldw=After a long discussion with
radersurplan<=>Rader surgery plan
raderknex<=>Rader knee exam
radersmli<=>Rader ster, mar, lido inf
s=she
hi=his
h=he
t=the
HMS
d=and
w=with
hmeg=hepatomegaly
smeg=splenomegaly
cmeg=cardiomegaly
emyc=erythromycin
vmyc=vancomycin
tmyc=tobramycin
cmyc=clindamycin
azmyc=azithromycin
tepe=Tessalon Perles
hypx=hydrogen peroxide
lcaine=lidocaine
mcain=Marcaine
bcain=bupivacaine
ncain=Novocain
ccaine=Cetacaine
xcain=Xylocaine
pom= /-
onu=1 unit
omg=1 mg
onpm=1:00 p.m.
oto=1:1
tedc=10-day course
temt=10-mm trocar
teoc=10 o'clock
ock=o'clock
ockp=o'clock position
twop=2-0 Prolene
twl=2 liters
tfhhm=24-hour Holter moniter
fbfs=4 x 4's
twle=12-lead echocardiogram
aho=a history of
alto=allergic to
aprx=approximate
aprxy=approximately
r=are
afa=as far as
amb=ambulate
ambj=ambulation
ambg=ambulating
ambs=ambulates
TIA
tiaa=TIA
tia=this is a
wmo=white male who
wfw=white female who presents
wmo=white male who
wmw=white male who presents
tto=to the office
comp=complain
comp=complain
cop
cop=complete
comt=complaint
com=complicate
comd=complicated
compr=compress
comprj=compression
comprd=compressed
comprg=compressing
comj=complication
cofr=confront
confr=confront
confrg=confronting
confrd=confronted
confi=confirm
confid=confirming
config=confirming
confis=confirms
concl=conclude
conclg=concluding
concld=concluded
contrj=contraction
consi=consider
consit=consist
constj=constipation
consu=consult
consuj=consultation
consug=consulting
consud=consulted
consm=consume
consmg=consuming
consmd=consumed
consms=consumes
cosur=co-surgeon
conu=continue
conud=comminuted
conud=continued
conug=continuing
contdj=contraindication
contrb=contribute
coop=cooperate
coop=cooperate
cu=culture
cul=culture
culs=cultures
dac=D&C
dac=D&C
damg=damage
damgd=damaged
rxda=Darvocet-N 100
deci=decide
deci=decide
deci=decide
deci=decide
decr=decrease
decrg=decreasing
decrs=decreases
decrd=decreased
dp=DP
dp=deep
ith=in the hospital
int=in the
o=of
f=for
n=no
y=you
pn=pneumonia
pna=pneumonia
pn=pain
shou=shoulder
pend=PEND TO PROVEROSQA1/TD
th=the
PriceNP<=>Dr. Tom NP
PriceON<=>Dr. Tom EstON
stfx=stress fracture
tx=X1
tx=treatment
pendqa=PEND TO PROVEROSQA1/TD
hpiuc=HISTORY OF PRESENT ILLNESS:
UMASSLetter<=>UMASS letter
rosuc=REVIEW OF SYSTEMS:
md=M.D.
mdd=M.D.
pmhuc=PAST MEDICAL HISTORY:
pmsuc=PAST SURGICAL HISTORY:
aluc=ALLERGIES:
bme=bone marrow edema
Busconi<=>Busconi CN
EckIPCN<=>Eck IP CON
frqy=frequency
hmu=hematuria
dscf=discomfort
wtry=watery
wtr=water
cstpd=constipated
sda=she denies any
hdac=headache
hdacs=headaches
dzss=dizziness
nmss=numbness
peuc=PHYSICAL EXAMINATION:
lact<=>Lungs r clear t auscultation
emai<=>Extraocular movements
pae<=>Pupils are equal and reactive
wrol<=>Without rashes or lesions.
blpr<=>Blood pressure, pulse, temp
mimw<=>Mouth is moist without mucosal
nwr<=>No wheezing, rales, or rhonchi.
pbsi<=>Positive bowel sounds n al 4 q
plsr=pleasure
fu=follow up
fu=followup
bb
bb
impla=implantable
cade=cardioverter defibrillator
raduc=RADIOLOGY:
umm=UMMHC#:
hh=hemoglobin and hematocrit
hah
hh
hemn
hemt
hh
hh=has had
hemt
hemt
hemt
hemt=hematocrit
hnh=has not had
atth=admitted to the hospital
cx=chest x-ray
cx=cervix
fatg=fatigue
ftu=follow up
shour
shours
shour
shours
boldx
mbold
twyr=two years
otw
otw
otw
otw
otw
otw
otw=otherwise
mcapbo
alub
fhub
shub
peub
wotr=worse on the right
wotl=worse on the left
xrub
impub
plub
hpiub
mdub
thrwk=three weeks
laot=lateral aspect of the
thrmo=three months
boha=both hands
clex=clinical examination
ptx=Page Two
ptx=physical therapy
iwshbi=I will see him back in
nevo=no evidence of
cna=cranial nerves are
grin=grossly intact
pmhub
dtar=deep tendon abdominal reflexes
blk6=______
uu
jj
ccub
shou
shou
plse=please see
mif=medical intake forms
rtto=right total
hiar=hip arthroplasty
HGe
hhno=he has no
msarfi<=>Motor sensory reflex
sihtdf=She is here this date for
sdtu=She denies tobacco use.
sha=She has an
oab=occasional alcoholic beverage
etdf=enters this date for
pliaa=pain level is about a
mhub
phub
asub
hihtdf=He is here this date for
cmub
etdr=Examination this date reveals
phasub
hdtu=He denies tobacco use.
pnfu
pnfu
pnfu
pnfu
pnfu
pnfu
symc
symc
csfe=calcaneal spur formation
showed
sho=show
sho=show
lcub
glav=Glenwood Avenue
laep=lateral epicondyle
fatp=fully able to participate
gitlt=grossly intact to light touch
hsigitlt<=>His sensation is grossly
hsii=His skin is intact.
Laneelpe<=>Lane elbow pe
tpttpw=The patient tolerated this p
usc=under sterile conditions
hrhpaa=He rates his pain
apa=as approximately a
tpda<=>The patient denies any
apihl<=>acute problems in his
tpdaa<=>The patient denies any acute
tpra=The patient reports a
tprapho<=>patient rprts prsnal hx of
hwatw=heel walk and toe walk
imub
radgs
radgs
radgs=radiographs
lanehipthigh<=>Lane hip thigh pe
shno=she has no
atm=allergies to medications
laneknee<=>Lane Knee PE
wbci=will be conservative in nature
ibu<=>ibuprofen 600 mg one tablet
hini=He is neurovascularly intact.
sini=She is neurovascularly intact.
wkag=weeks ago
logelros<=>Logel ROS
radgub
aaox=alert and oriented x3
rosub
marlowros<=>Marlow ROS
marlowinj<=>Marlow injection
subub
cogof=complaining of
cosof=complains of
Maslowpmh<=>pmh, fh, sh, & sh
ljl=lateral joint line
mjl=medical joint line
ctrx=carpal tunnel release
comof=complain of
twvo=two views of
thvo=three view of
sstt=she states that the
lpot=long periods of time
vavs=varus and valgus stress
marlowkneepe<=>Marlow knee PE
marlowinjcort<=>Marlow cortisone inj
apfinod<=>Alert pleasant female in no
fpt=formal physical therapy
brub
fullersh<=>Fuller SH
fullerkneepe<=>Fuller knee PE
bhub
vpsc=Vanguard posterior stabilized
compnt=component
ltkr=left total knee replacement
rtkr=right total knee replacement
lcgo<=>LOCATION: Glenwood office.
christype<=>Christy PE
ooard<=>ordered, obtained, and rvwd
christyplan<=>Christy plan
christyros<=>Christy ROS
lrbp=lower back pain
hdabobc<=>He dns any bwl or bldr ch
mj=May
mj=medication
mjs=medications
christyros<=>Christy ROS
christyros<=>Christy ROS
christypmh<=>Christy pmh
christyneuro<=>Christy neuro
christyplan<=>Christy plan
christyplan<=>Christy plan
cotx=conservative treatment
hhnbobc<=>He has no bowel or bldr chs
shnbobc=She has no bwl or bldr ch
pscfd=Please see chart for details.
pnfr=pain-free
scs=spinal canal stenosis
dihe=disc herniation
nena=neuroforaminal narrowing
aah
aah
aah=-and-a-half
subde=subacromial decompression
cosh=cortisone shot
shou=shoulder
sedo=settled down
maot=medial aspect of the
navx=nausea and vomiting
mjl=medical joint line
mjl=medial joint line
dmasein<=>Distal motor & snsry ex nrm
prome=passive range of motion
dift
dift
diff
diff
diff=different
hwfuwmanb<=>He wl fu w me OAANB
nat=nature
nat=numbness and tingling
iwhhfu<=>I wl hv h fu w me OAANB
joef=joint effusion
iwhhrfuwm<=>I wl hv hr fu w me on
faaprom<=>full act & pass ROM
aaprom<=>active and passive ROM
impngm=impingement
gerasst<=>Gd exl rot & sprspnts tstg
aaorot<=>AP and oblique radgs of the
sci=subacromial cortisone injection
rab=risks and benefits
comsof=complains of
nfm=Naprosyn 500 mg
tpinbetw<=>T pn is nt bd en to wk hm
jlt=joint line tenderness
siatfeaf<=>Sh s abl t flly xtnd flx.
hhfsap<=>He hs fll spntin & prntin.
swwang<=>Sh wlks w a nrml gait.
sidw=She is doing well.
citfmttala<=>cms n td fr m t tk lk
gromita<=>Gntle ROM in ankl & hndft
lcc<=>LOCATION: Cary.
pttct=present to the clinic today
immub
pshub
wdnatbiad<=>who ds nt apr t b n act d
hallfootpe<=>Hall foot PE
wdpai=warm, dry, pink, and intact
rttct<=>returns to the clinic today
idtparf<=>I discd t phy rad fndgs
cciwg<=>Cast care instns were given
ootc=out of the cast
pbub
lofi=long finger
tenr=tender
ttpx
ttpx=tender to palpation
proub
kno=know
prub
indfi=index finger
fdc=first dorsal compartment
inspectj=inspection
ptp<=>protime and part thrombopt
ptp=pain to palpation
arom=AROM
aromx=active range of motion
prub
prub
hdanat<=>He dn any nmss and tngng
wnwa=well-nourished, well-appearing
tsai=The symptoms are isolated to
osii=overlying skin is intact
dira=distal radius
stdo=steroid Dosepak
bobc=bowel or bladder changes
tahw=Toe and heel walks adequately
pfrh=Pain-free rotation of the hips
nptp=no pain to palpation
pnfl=painful
christyplan<=>Christy plan
christypl<=>Christy plan
heuawa<=>He exprsd undsg d ws agrb
hawang<=>he amblts w a nonantlgc gt
teicb<=>Tex is conducted bilatera
tpisicwdm<=>Tp cnjctn w Dr. Mikles
rbaa=risks, benefits, and alternati
cifeo=comes in for evaluation of
rbaa=risks, benefits, and alternati
raaa<=>risks, benefits, and alterns
rbaa<=>risks, benefits, and alterna
ciffo=comes in for followup of
streg=strengthening
orifx<=>ORIFex
orifx<=>open reductj internal fixatj
ftsm=four to six months
ftsw=four to six weeks
tpiht=The patient is here today
thp=total hip replacement
ankmo=ankle mortise
cogginspmh<=>Coggins PMH
cogginspe<=>Coggins PE
e=examination
g=good
j=pain
j=joint
k=knee
m=medicaitons
u=using
dg=discharge
ch=chest
et=evaluation and treatment
eu=essentially unremarkable
urm=unremarkable
acj=AC joint
cogginspro<=>Coggins Procedure
rkp=right knee pain
qabb=quite a bit better
qabo=quite a bit of
atpit=at this point in time
ceub
paty=pathology
ccrc=Randall S. Crumpler, M.D.
ftm<=>Flexeril 10 mg one
lfm<=>Lodine 400 mg one p.o. b.i.d.
seu=She expressed understanding
wnr=with no refills
christylegpe<=>Christy Leg PE
disps=disc spaces
sgi=sensation grossly intact
shpob<=>She has 1 biceps, triceps,
shnbs<=>Sh hs negbilateral Spurling.
shnmaunc<=>S hs neg mdn & ulnr nerv c
semo<=>Skelaxin 800 mg one
seuawa<=>S exprd understg and ws agab
alaovot<=>AP, latl, & obiq vis of the
lolbnacd<=>lss o lrdoss b n act crtl
aalvot<=>AP and lateral views of the
dssd=dressed
dssd<=>dble streth Sterapred Dosepak
ufm<=>Ultram 50 mg
christyhp<=>Christy Preop HP
aaot=anterior aspect of the
alamvot<=>AP, lat, and Mrcht vws o t
lcga<=>LOCATION: Garner
hday=he denies any
alatv<=>AP, lat, and tngntl vws...
mmtr=medial meniscus tear
giwa=giving way
hhtpdp=He has 2 distal pulses.
hhfro=He has full range of motion
tkis=The knee is stable to
hlin=His Lachman is negative.
pis=PCL is stable
esw=excellent strength with
eaf=extension and flexion
iitffo=is in today for followup of
aalr<=>AP and lateral rads were obtai
CogginsPHP<=>Coggins Pre H&P
cogginssupartz<=>Coggins Supartz
asdev=assistive device
alfa=AP, lateral, flexion, and ext
stdub
fost=foraminal stenosis
rgtl=right greater than left
lgtr=left greater than right
tyfau<=>Thank you for allows us prtcp
iddm<=>insulin-dep diab mellitus
iddmx<=>insulin-dependent dia mell
hian=He is a nonsmoker.
hdaoo=He drinks alcohol
hhfofi<=>He has 5/5 iliopsoas...
hsigid<=>His snst is grssy ntct dstly
asub
dsaw=Disc spaces are well maintain
assub
christypl<=>Christy plan
christypl<=>Christy plan
sians<=>Sh nnsmkr. Sh dns alc
m=medicaitons
m=medications
m=medications
m=medication
wfuoaanb<=>wl fu o a an bss
lcco<=>LOCATION: Cary office
rlf=relief
pmshub
chiavettaplan<=>Chiavetta Plan
coinj=contraindication
coinj=cortisone injection
alamv<=>AP, lat and Merchant's vws
alamvot<=>AP, lat, and Mrcht vws o t
ltka=left total knee arthroplasty
rtka=right total knee arthroplasty
chiavettaPE<=>Chiavetta PE
lcdu<=>LOCATION: Durant.
dipr=disc protrusion
hhp1pa<=>H hs 1 ptllr d Acls tdn rf
rfvub
httpw<=>He tolerated the proc well.
pcpub
pcpd
albev=alcoholic beverages
avusion
latmal=lateral malleolus
bomes=bowel movements
bome=body mechanics
impsi=impingement sign
djdd=DJD
cwqoc<=>call w questions or concerns
swfuwm<=>she will follow up with me
otcai<=>over-the-counter ant-inflmtrs
emre<=>educl matls regardg ergon
iatmwihs<=>I antcpt th msrs wl imprv
bobf=bowel and bladder function
siegelros<=>Siegel ROS
siegelpe<=>Siegel PE
uex=upper extremities
medma=medial malleolus
thvo=three view of
thvo=three views of
trbu=trochanteric bursa
fmf=fifth metatarsal fracture
imgub
objub
paynerpts<=>Payne report
payneorthotics<=>Payne orthotics
qoc=questions or concerns
maslowhp<=>Maslow H&P
orifx<=>open reductj internal fixatj
orif<=>ORIFx
logelnedi<=>Logel nerve distrib
fime=fifth metatarsal
lttha=left total hip arthroplasty
rttha=right total hip arthroplasty
hinid<=>He nrovasy intact distally
pns=penis
vzld=visualized
ady=adenopathy
shistlt<=>Sh h intct snstn t lght tch
swroaanb<=>Sh wl rtrn o a as-ndd bss
pnmj
lifi=little finger
prpha=proximal phalanx
oots=out of the splint
gtft=given the fact that
stinsonrpt<=>Stinson report
ngas=Normal gait and station.
pmaf=Pleasant mood and full affect.
tstp=tenderness to palpation
pipjt=PIP joint
dipjt=DIP joint
liglax=ligamentous laxity
citab<=>comes in today accompanied by
yupmh<=>Yu PMH
yupe<=>Yu PE
dawap=Digits are warm and pink.
dawapw<=>Dgts r wrm & pnk w bcr
drau=distal radius and ulnar
carf<=>clinicl * radiographs findings
stmah=scar tissue massage at home
antiy=anti-inflammatory
hosj=hospitalization
locj=location
ihrnh<=>Yu natural history
conman=conservative management
orifx<=>open redctn internal fixation
knim=knee immobilizer
pata
pata
pata=patella
patr=patellar
impgm=impingement
impsig=impingement sign
dttf=due to the fact
rcr=rotator cuff repair
boab=bony abnormalities
dni=distally neurovascularly intact
ididwtp<=>I discussed in detail with
tpst=the patient states that
sptt=she points to the
ttad=three times a day
uoiia<=>use of ice in a 20 minute/20
smithpro<=>Smith injection
swltp=She would like to proceed.
uscts<=>Under sterile cnd skin ...
tpttpw=The patient tolerated this p
tpttpw<=>The pat tolrd this pro wl
dtsot<=>Duplicated the same on the
tprtf<=>The patient returns today for
cttcs<=>compared to the contrlat side
malex=medial and lateral epicondyle
ftfw=four to five weeks
mstai<=>make sure things R impg
tpawtp<=>T pt agrs w tx plan
plvs=pelvis
plvc=pelvic
rocheaders<=>ROC headings
atat=at that time
rpt=report
twmoti=two months' time
hwrffu=He will return for followup
tpaw=The patient ambulates well
wdol=without difficulty or limp
msifof=Muscle strength is 5/5
rtpas=are 2 and symmetric
tpas=2 and symmetric
siwkti=six weeks' time
rocheaders<=>ROC headings
rocheaders<=>ROC Headings
fioi=fish oil
omth=Omega-3
ythsa=younger than her stated age
bue=bilateral upper extremities
bitue<=>bilaterally int upr exts
ncl=normal cervical lordosis
tx5md=Toprol XL 50 mg daily
t5md=Topamax 50 mg daily
finad<=>feml in n apprnt distress
minad<=>male in no apparent distress
tiawdwnf<=>Ths s a wd, wn feml inad
tiawdwnm<=>Ths s a wd, wn male inad
tpawwdol<=>Tpt ambls wll wo dif o lmp
siattahw<=>Sh s abl t to hl wlk wo df
ible=in bilateral lower extremities
gapr=gastric protection
pfgp<=>Prilosec fr gastric protection
ltmq=Lipitor 10 mg q.h.s.
sthfm=Soma 350 mg q.6h. prn
hiattahw=H s abl t to & hl walk wo
atpas=are 2 and symmetric
bitl=bilaterally in the lower
aptp=and posterior tibialis pulses
inb=is negative bilaterally
onmoti=one months' time
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