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Feb 27
2011
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Mind Your LanguagePosted by: Dr. Sridhar V on Feb 27, 2011  |
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Time and again it was stressed about the importance of a proper language to be used whether in
Radiology practices (radiology report) or be in Clinical practice (Clinical diagnosis as mentioned
In the requisition form by clinicians)
Ultimately the aim is to have a proper language communication so that patient is benefited and region of interest is thoroughly assessed.
Are Abbreviations and Acronyms a must?? I always wonder.
Does not it remind you of a quiz program?
It may be a time saving formula for one party …. However it is likely to be a time consuming for the other party concerned.
Confusion from clinicians
A few examples
I am giving a few examples where ref clinicians have given diagnosis in the form of abbreviations.
1. RAPTAHBSO
Very long abbreviation indeed!
It reminded me of Raptocos Bret and co, a pharmaceutical giant.
The doctor meant recurring abdominal pain with total abdominal hysterectomy and
Bilateral salphingoopherectomy.
2. Pain abdomen. Concentrate AA
My initial understanding was that I am supposed to look for or rule out Aortic aneurysm.
Later it turned out to be Pain abdomen concentrate on affected area!
3. Another requisition came with clinical diagnosis of PA with RV...
I thought patient is having some cardiac problem.
Guess…. What it means? Pain abdomen with recurrent vomiting.
4. Clinical diagnosis- Post thyroidectomy F/u
F/u? I was disgusted since F/u sounded a dirty word.
The correct diagnosis successfully made, was......Post thyroidectomy for follow up
5. RAPSAIO
Anything to do with RAP hit songs?
As you struggle to decipher. You realize that you are dealing with recurrent abdominal pain
With sub-acute intestinal obstruction
6. DID
I was told that it is a high time I refresh my knowledge of medicine.
The ref man conveyed to me that he meant digestive disorder.
With these kinds of jugglery of words......
Who is wasting whose time?
Who is benefited?
How much time one is able to save and how much time the other is able to fruitfully waste?
Clinicians often complain that Radiologist has not reported as per their expectations regarding solving the problem of the patient. They feel most of the time report by a radiologist is More of description rather than stuff!!
This is the fate of radiologists.
How this radiologists fate is different from that of patients who understands nothing.
Confusions from Radiologists
A few examples
1. BOOP, IIP, UIP, DIP, COP, RBILD etc.
Radiological diagnosis a bit confusing.
Nobody knows whether these terms belong to Histopathologists or Radiologists .And that who is Better trained to make these diagnoses.
2. HOMOGENEOUS AND HOMOGENOUS
Which is correctly spelled in radiological terms?
Homogeneous.....means internally uniform or composed of similar parts. Apt to be used in
Radiological description of lesions.
Homogenous....is a technical term in biology, meaning 'sharing a common descent and thus
Corresponding in structure'. For example, the forelimbs of mammals and
Fishes are homogenous. Source: Maven’s word of the day
Many times we come across homogenous in most of the radiological descriptions!!
3. PNEUMONITIS / INFILTRATION
Can we use pneumonitis in radiology reports?
At one stage, Pathologists used to say that it is their domain.
How about the term ‘infiltrate’?
What meaning it conveys?
Benign or malignancy?
4. SPLITTING OF THE CALYCES
One radiology report came as ....Rt Kidney showing splitting of the calyces.
What exactly the author means? I am not sure.
Does it mean division of the calyces into many pieces or simply he meant hydro calyces?
5. SLICES vs. SECTIONS
Some CT reports read............Thin contiguous slices (axial) taken,
While other CT reports read...Thin contiguous sections (Axial) taken
Which is correct?
It is said ....SLICE refers to Tissue specimen whereas Sections ref to an ‘Image’
6. DIGITAL RADIOGRAPHY vs. COMPUTERIZED RADIOGRAPHY
Majority of the places one finds computerized Radiography, but strangely everybody boasts
that they are equipped with digital radiography and in fact many ref clinicians
innocently demand digital radiography
7. ACCENTUATED BRONCHOPULMONARY MARKINGS
How accurate we are in predicting accentuated broncho pulmonary markings? After all the
appearance of the broncho pulmonary markings depend predominantly on
the technical factors.
8. ATHEROMATOUS AORTIC ARCH / ATHERMATOUS ABDOMINAL AORTA.
If this is mentioned by the radiologist….they are frowned upon, since it is anathema as for as cardiologist is concerned. What is wrong in describing so when one finds a tortuous abdominal aorta along with wall calcifications?
I request the esteemed members to share their experience.
Finally the whole show reminds me of the popular British Comedy TV serial ‘” MIND YOUR LANGUAGE” Students from different part of the World speaking English in their own fashion based on their mother-tongue, does not matter whether the other party understands or not.
Also enjoy these.
Singlish (Singapore English)
http://www.youtube.com/watch?v=NIW8WfqoJUA
Hinglish (Hindi version of English)
A few examples.
subah subah chai peene ki aadat hai (Hinglish translation- Morning, Morning in the habit of drinking tea).
Aap ka Subh naam Kya Hain ? ( Hinglish translation-What is your good name ? instead of ‘May I know your name’ ) Looks like there are people with 'BAD' names
‘And some more funny ‘Desi Englis’
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Dr. Sridhar V
said:
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... Thank you Alok for your feedback Initially I thought you were ref to DDS DD Sports channel TGA Transposition of Great arteries. I had a pleasant surprise , when I realized that you proved me wrong on both the points. Now there is some interesting development , may be of some interest to you. One entertainment channel has realized your potential and plans to recruit you as the 'Quiz Master" in their popular 'quiz for all' programme, with tempting offer of Rs.100000 per hour .But there is a hitch , the Condition imposed is that.... you should forget Radiology. BIC Ball In Your Court. |
Alok Varshney
said:
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... No thank you Dr Sridhar, I have no desire to become a celebrity and leave good old Radiology, meager though the hourly earnings may be  But I think almost all of us are guilty of using shortcuts/ abbreviations at some time or the other. Most of them are used so commonly that any medical person immediately understands what they mean (MI, VSD etc). However some are specialty-specific and requires familiarity with the subject. So many are specific to the place one trains as a resident, and the habit never dies (I remember someone had collected and published a glossary of abbreviations at our medical college). Still, some people do tend to manufacture their own abbreviations, which generally alludes to their laziness or bad English spellings. But as long as humans are being trained as medical professionals, there is bound to be inhomogeneity. I just ignore them and do my job... After all, what goes of my father... (mere baap ka kya jaata hai )  |
mukesh
said:
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... well, both of you seem to be having GSH. . . . . . . . (Good Sense of Humour ) i think using abbreviations is a necessary evil.... however we should tried to minimise this AFAP (as far as possible).. carry on .. this is amusing |
Dr. Hirak Ray Choudhury
said:
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... I agree with you Dr Sridhar. Often improper language stands as the sole culprit in causing mistrust, more so in the case of a radiologist. Proper and clear descriptions reflect the radiologists confidence and gains trust of the referring doctor. ---Dr.Hirak Ray Choudhury. |
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Blogs are a great way to share your experiences ideas with others.
Feedback from clinician is very importantn"Disease dont follow textboooks nowsda...
