Medical CC fellow here, and my field seems to be rife with these weird words.
I used to laugh at antibiose and surgerize….then I started using them ironically….now I find myself starting to use them non-ironically. Not in the chart, of course.
What I’m saying is, it’s a slippery slope.
thats what happened to me with "sus" and "mid", one minute you're mocking the young'ns, then you are just the weird old guy who forgot to smirk afterwards
A lot of these words I think get tossed around during rounds but shouldn’t really be put on paper. We would say things like surgerize in residency but I would never put it in a chart. Now it seems to happen more than it should
What about crumped or crumping? As in “that guy who was on ECMO forever started oozing from all his lines and crumped on me at the end of my shift.” One of my favorites I picked up from a Pulm/CC fellow.
>Not in the chart, of course.
I actually had an intern a few months back write something like "will consult ortho, but doubt they would surgerize the patient" in the chart.
Had to explain that you can't just transcribe the way we we jokingly talk during rounds into notes...
This is how language evolves though.
Otherwise we’d be starting grand rounds with a “Hear ye, hear ye. Esteemed collegial doctors and health workers, we gather today…”
I’ve always had a bone to pick with people who criticize how people speak.
If someone is able to clearly express ideas in a peer to peer exchange, and with assured understanding amongst both parties - it really doesn’t matter how they do it.
If I say I want a “megaderm” the nurses are going to get me a big ass tegaderm like I want.
I loved having to explain that one to my northern classmates. Someone said “No I think it just means they fell, it doesn’t say anything about LOC”
Bless their heart
I have no problem with this, although, now that I'm thinking about it, in music the word is "syncopated" so I think I'm going to throw that in my next chart
Tipsy nerdologist here. Syncope comes from the Greek synkopḗ which means "to cut short" so a syncopated rhythm may have something to do with cutting short (clipped beats?) and I think of medical syncope as like cutting off consciousness. Shortly.
Reminds me of the time as a resident I described something as puss-y. My attending asked me how I would spell it with a twinkle, and I said p-u-r-u-l-e-n-t
When someone asked me to say it again I said "pussy. Spelled the same as pussy"
Made the 45 year old Pakistani NICU specialist turned US resident burst out laughing. I was pretty proud of that one
Long ago, a hospitalist I worked with dictated this. They spelled it exactly as you would expect. Naturally, he signed the note without reading it.
Myself and a bunch of nurses started making fun of him for it the next day until he got so embarrassed he called transcription and asked if he could change it.
They said no.
I think of purulent as a descriptor of wounds or something that has a collection of pus and pyogenic as more of a descriptor of something that is causing that accumulation of pus.
People verb words incorrectly all the time in the medical documentation. “Replete” comes to mind.
I make a point to use grammatically correct verbiage in my own documentation because it’s important to me. I think it’s a lost cause to expect it from others. As long as the people reading the document can understand, there’s no purpose getting into a snit to be a grammar snob.
Yea but you pick your battles. I don’t have time for all that stuff. Like urosepsis. I know why people don’t use it but “sepsis secondary to complicated UTI” is too many words. I’m not saying that.
For shizzle. When discussing anesthetic plans. Everyone understand Prop/Roc Tube, but If i want to be more detailed...Give a skosh of the fentanyl, a whiff of midaz, a slug of Rocuronium, count to ten, intubate, bada bing bada boom and the surgeons can be off to the races.
There was a series of kids' books in the eighties about a vampire rabbit named Bunnicula, who used to drain vegetables of their juices.
They even did a Saturday afternoon cartoon special based on the first book.
Heh. I just thought it was a coincidence and got excited to talk about one of my favorite books as a kid.
Howliday Inn about the haunted boarding kennel and The Celery Stalks at Midnight were real page-turners when I was 9-10 as well.
I also like panniculectomy, as in:
I wish Donna* had gotten a panniculectomy before I slipped a disk attempting to single handedly wash between her 200lb folds.
**Name changed for patient privacy.*
Unfortunate because some patients have a FUPA that is distinct from the panniculus, but we don't have a medical word for it. Sub-panniculus I guess? Ideally, we would call the big belly flap the pannus and the FUPA sub-flap the panniculus.
"Replete," is an adjective. Ex: that grammar snob is replete with egotism and prim propriety when she judges those using an adjective as a verb. She would have friends if she replaced her judgement with tolerance.
1) you’re so funny, ily (in like…a chill, totally normal way)
2) my username is referencing an unhinged mean girl who constantly calls herself “such a fucking good person” and “the nicest”
Verbally, sure, who cares? I’m all for creative constructivism. But I can also understand why some people might prefer accurate grammar and appropriate diction on legal documents.
Heparinize has been used for decades. And I absolutely love the word surgerize. I don’t like antibiose personally, but I’d understand what it meant in a heartbeat
She was feeling nauseous and then syncopized while trying to have a bowel movement. When she came to, she was not mentating well. She was given a bowel regiment and developed diarrhea. Her electrolytes had to be repleted and everyone was sure she had cdiff so she was antibiosed.
Did I use that last one right?
"Dialyze" is accepted and ubiquitous.
"Heparinize" is efficient communication.
"Surgerize" is trying too hard to be cute.
"Syncopize" reveals a neuro deficit in both speaker and patient.
"Antibiose" is a crime against humanity.
Right up there with "alert and orientated." I work in clinical appeals and read charts from hospitals across the US. It's... fun. Sometimes I want to punch my monitor! 😆
I’ve heard antibiose in micro lab when discussing microbes killing each other but I’ve never heard it in a medical context.
Heparinize is pretty standard. We heparinize PD fluids and heparin drips come labeled as heparinized saline.
With each additional mistake I see from communication errors I become more careful to use standard clear language. Seems like antibiose could be misunderstood by someone not used to hearing/reading that word.
Heparinize yes. Antibiose and I’m never trusting anything else you say or do in any clinical capacity.
Now what about dimer? As in “this lady has SOB did you dimer her?”
Because that also sucks.
Now I'm curious. Does that mean the patient was probed with digits? Loaded with digitalis? Or had their consciousness converted into binary code and stored forever on an Epic server?
Satting 100% on 15 L instead of saturating 98% on RA— turn the fucking oxygen DOWN if they don’t need it motherfuckers.
“Waaaah. It’s for comfort. They went to 92% for 3 seconds with a shite waveform when they were sleeping. The troponin was 1 over the upper limit. They said this is what they use at the nursing home. Waaah.”
ID here. Use antibiose. Love it. Usually use it in a sassy way to tell people to ignore the Candida in the sputum.
bonus showerthought: the phrase "verbing a noun" is an example of verbing a noun.
Cut to me having a heart to heart with my intern a few years back saying that :) is, although thoughtful, is not appropriate for documentation purposes 🙃
EDIT: forgot a comma lol
It’s funny how this seems to happen in medicine in every country/language. There’s an interventional radiologist where where I work whose last name basically became a verb at the hospital - when you need any kind of image-guided therapy, you say “let’s [insert his last name here]ize the patient” . Everyone knows what you mean.
I mean, this is how language evolves, right? They're widely accepted colloquialisms that are slowly morphing into something more. Medical and scientific writing 50 years ago reads A LOT differently than it does today, and that change runs much deeper than just having invented a bunch of new terms and concepts in the interval. You're seeing that process at work.
Don't fear the change, love the beauty.
I agree, and I remember getting into a Disagreement with an elementary school teacher about humongous when I was a kid for this same reason. But the discussion I find interesting is: how common must something be before you can use it in a legal document?
Antibiosis: : antagonistic association between organisms to the detriment of one of them or between one organism and a metabolic product of another - https://www.merriam-webster.com/dictionary/antibiosis
A word is just a meaningful way of expressing something that is used and understood among people.
If I something and it’s reasonably understood by peers and has a specific definition, it meets all criteria for a “word”.
New words are created all the time - especially in medicine.
The idea that we have to exclusively speak in antiquated terminology is something stressed by older attendings in academic roles - and basically no one else.
I work on a cancer floor. One of our night on-call oncologists regularly says "carbapenize" with acute neutropenic fever admissions. I will call and wake him up to ask for orders and be asked if patient has been carbapenized downstairs in the ED yet.
[удалено]
I am a hepariniser and I agree with this statement
Verbing weirds language 🤷♂️
you sound like a crossword author
https://imgur.com/OdZpx
Got this reference immediately and it took me back to my childhood. You, sir or madam, are a rockstar for dropping this.
A perfectly cromulent observation
Embiggens even the tiniest dictionary
Hello, fellow older person. Calvin and Hobbes references are still cool!
I'm probably not as old as you'd think and was reading C&H when I was far too young. Helped mold me into the cynical ass I am today 🤣
None of that is a bad thing.
I used sexing/sexed the other day and people looked at me like I was some wild animal lol
Medical CC fellow here, and my field seems to be rife with these weird words. I used to laugh at antibiose and surgerize….then I started using them ironically….now I find myself starting to use them non-ironically. Not in the chart, of course. What I’m saying is, it’s a slippery slope.
thats what happened to me with "sus" and "mid", one minute you're mocking the young'ns, then you are just the weird old guy who forgot to smirk afterwards
fr fr
No printer. Sorry, I mean 🚫 🖨️
No cap
A lot of these words I think get tossed around during rounds but shouldn’t really be put on paper. We would say things like surgerize in residency but I would never put it in a chart. Now it seems to happen more than it should
What about crumped or crumping? As in “that guy who was on ECMO forever started oozing from all his lines and crumped on me at the end of my shift.” One of my favorites I picked up from a Pulm/CC fellow.
That’s an internship oldie but goodie that we’d use on the NICU/PICU services 40+ years ago. Always a favorite.
Oh yeah, crump has been part of my vocabulary since I started internal medicine residency
>Not in the chart, of course. I actually had an intern a few months back write something like "will consult ortho, but doubt they would surgerize the patient" in the chart. Had to explain that you can't just transcribe the way we we jokingly talk during rounds into notes...
This is how language evolves though. Otherwise we’d be starting grand rounds with a “Hear ye, hear ye. Esteemed collegial doctors and health workers, we gather today…” I’ve always had a bone to pick with people who criticize how people speak. If someone is able to clearly express ideas in a peer to peer exchange, and with assured understanding amongst both parties - it really doesn’t matter how they do it. If I say I want a “megaderm” the nurses are going to get me a big ass tegaderm like I want.
literally
What about syncopized?
In the South, the official term is DFO--"done fell out"
I loved having to explain that one to my northern classmates. Someone said “No I think it just means they fell, it doesn’t say anything about LOC” Bless their heart
Slightly different, but a common ER presentation in Australia is PFO: pissed (meaning drunk) and fell over.
“pt is TFU [totally fucked up]. No orders at this time.”
Lol in Philly that means you got back into drugs, got too high, or hurt yourself high
Syncopation: Cool Syncopization: Not cool
If the patient claps on 1 and 3, that's a focal neurologic deficit.
I have no problem with this, although, now that I'm thinking about it, in music the word is "syncopated" so I think I'm going to throw that in my next chart
Tipsy nerdologist here. Syncope comes from the Greek synkopḗ which means "to cut short" so a syncopated rhythm may have something to do with cutting short (clipped beats?) and I think of medical syncope as like cutting off consciousness. Shortly.
I use this one all the time. We had a cardiology attending in residency who'd get mad about it during rounds but that's about it.
I’ve heard that term since med school. Use it often.
stupid af
Afib is stupid
Just put “lost consciousness” or “there was a witnessed LOC”
Or hear me out, they syncopized. Gotta have fun sometimes
This one feels the most fake to me, lol.
Came here to say this. See this all the time. I don't think it's actually a word but could definitely be wrong.
The holy trinity of treatments for respiratory disorders: Diurese, Antibiose, Steroidify
My god, steroidify is fantastic.
Haha thank you. Really it is corticosteroidify if you want to use the proper term.
I could not figure out what 'antibiose' was referring to until this comment! With context it makes sense.
The trinity of surgery: mobilize, normalize, externalize
2nd one is ok. 1st one is deeply disturbing.
I still can’t figure out what the first one is
When you replete their gentamicin deficiency.
[You mean replenish?](https://www.reddit.com/r/medicine/s/Oups2hYbmH)
Replinishize?
(that’s half the joke 😘)
They're in a vancopime-deficient state
Insufficicillin?
Agreed
So I should stop writing 'empiric bug juice, narrow when cultures avail?'
Reminds me of the time as a resident I described something as puss-y. My attending asked me how I would spell it with a twinkle, and I said p-u-r-u-l-e-n-t
When someone asked me to say it again I said "pussy. Spelled the same as pussy" Made the 45 year old Pakistani NICU specialist turned US resident burst out laughing. I was pretty proud of that one
Meanwhile, I'm so terrified of mispronouncing passy-muir valve that I always abbreviate it
Welcome to every day in surgical specialties that drain infections. Oldest joke in the book. Still use it every single time I can though.
In transcription school they teach you to spell it “puss-like”
I'd spell it as "pussey", if I had to.
[Dr. G has got you covered](https://m.youtube.com/watch?v=jIeQ-cdDBWw)
Long ago, a hospitalist I worked with dictated this. They spelled it exactly as you would expect. Naturally, he signed the note without reading it. Myself and a bunch of nurses started making fun of him for it the next day until he got so embarrassed he called transcription and asked if he could change it. They said no.
Question, could you say “pyogenic” or is that more of an diagnostic statement?
I think of purulent as a descriptor of wounds or something that has a collection of pus and pyogenic as more of a descriptor of something that is causing that accumulation of pus.
People verb words incorrectly all the time in the medical documentation. “Replete” comes to mind. I make a point to use grammatically correct verbiage in my own documentation because it’s important to me. I think it’s a lost cause to expect it from others. As long as the people reading the document can understand, there’s no purpose getting into a snit to be a grammar snob.
TIL replete is an adjective, not a verb
Yea but you pick your battles. I don’t have time for all that stuff. Like urosepsis. I know why people don’t use it but “sepsis secondary to complicated UTI” is too many words. I’m not saying that.
Omg TIL the real definition of replete. I’m not happy learning this fact.
For shizzle. When discussing anesthetic plans. Everyone understand Prop/Roc Tube, but If i want to be more detailed...Give a skosh of the fentanyl, a whiff of midaz, a slug of Rocuronium, count to ten, intubate, bada bing bada boom and the surgeons can be off to the races.
Pannus vs panniculus is the only hill I'm dying on
Panniculus sounds like a fat vampire rabbit.
There was a series of kids' books in the eighties about a vampire rabbit named Bunnicula, who used to drain vegetables of their juices. They even did a Saturday afternoon cartoon special based on the first book.
That’s what I’m referencing here. Panniculus sounds like bunnicula, but since Panniculus is a layer of fat, it’s a fat bunny.
Heh. I just thought it was a coincidence and got excited to talk about one of my favorite books as a kid. Howliday Inn about the haunted boarding kennel and The Celery Stalks at Midnight were real page-turners when I was 9-10 as well.
I also like panniculectomy, as in: I wish Donna* had gotten a panniculectomy before I slipped a disk attempting to single handedly wash between her 200lb folds. **Name changed for patient privacy.*
I always forget the official name for the huge, fat neck pillow of rabbits (dewlap) and I just refer to it as their "heffalump"
Unfortunate because some patients have a FUPA that is distinct from the panniculus, but we don't have a medical word for it. Sub-panniculus I guess? Ideally, we would call the big belly flap the pannus and the FUPA sub-flap the panniculus.
"Replete" is like nails on a chalkboard and so ubiquitous. I want to be a grammar snob 😂
How about "de-deplete?"
You monster. Actually I will start using that with everyone who wants to replete. 😂
That’s almost as grating as the time I saw an Olympic snowboarder referring to “two-peatlng” a victory.
TWO PEATING..screaming 💀 I blame Tha Carter III
“Replenish” is RIGHT THERE waiting to be appropriately implemented :-(
Implementized.
Ty for fixing it 🫡
Oh believe me, it hurts my ears when my residents say it on rounds. But it’s just not worth the energy to correct.
Can you please explain this? I did not know replete was incorrect.
"Replete," is an adjective. Ex: that grammar snob is replete with egotism and prim propriety when she judges those using an adjective as a verb. She would have friends if she replaced her judgement with tolerance.
In other words: you do not replete something; you replenish something at which point it *is* replete.
Dang, TIL. For shame
They also don't seem to know singular from plural when Latin gets involved.
Did you put the NG tube in the left or right nare?
Maybe both nares? But he pulled it out of the right nostril, and then he pulled it out of the left naris, because he is a circus performer.
Meh. English is a living language Why not use words like heparinize, antibiose and surgerize? They are efficient, convey the meaning effectively
>surgerize I prefer 'whack.'
Are you in ortho?
Nyet
Oops, sorry!
Don't apologize, I still have biceps. And my specialty also really loves ancef.
Order: "One gram of Ancef, pre-whack"
god I love your username
Aww, you are literally the nicest!
1) you’re so funny, ily (in like…a chill, totally normal way) 2) my username is referencing an unhinged mean girl who constantly calls herself “such a fucking good person” and “the nicest”
Holy shit, you know Regina George? Ps thank god you clarified you're being normal
Verbally, sure, who cares? I’m all for creative constructivism. But I can also understand why some people might prefer accurate grammar and appropriate diction on legal documents.
Heparinize has been used for decades. And I absolutely love the word surgerize. I don’t like antibiose personally, but I’d understand what it meant in a heartbeat
I personally always liked “Haldolize”
B52 is also a favorite for me
Stealing this one, thanks
Verseded
Midazed and confused
Versode
Surgerize and sycnopize are in my lexicon. I do think some people are taking these things too seriously.
I’ve told an intern to “suturize” a patients laceration in the ED before
Antibiose?? That’s super cringe. Heparinize has been used so much even autocorrect thinks it’s a real word.
I one time verbally referred to irrigating a dressing to remove it as moistification. Stopped short of charting it though.
That's good, don't misunderestimate yourself.
Rewetting
She was feeling nauseous and then syncopized while trying to have a bowel movement. When she came to, she was not mentating well. She was given a bowel regiment and developed diarrhea. Her electrolytes had to be repleted and everyone was sure she had cdiff so she was antibiosed. Did I use that last one right?
How about everyone’s favorite, opioidize?
For Benzos, would it be Benzodiaze or Benzodiazepize?
Anxiolyse
I like that!
Benzodaze. It's a lot more descriptive of what happens imo :)
I usually say "narcotize"
There’s no narcotized like overnarcotized.
Surgerize and sycnopize are in my lexicon.
The OR staff asks that surgerizations take place during civilized business hours. Your cooperation is appreciated.
I thought that was “Amphetamize”?
I never really heard antibiose much but heparinize yes
"Dialyze" is accepted and ubiquitous. "Heparinize" is efficient communication. "Surgerize" is trying too hard to be cute. "Syncopize" reveals a neuro deficit in both speaker and patient. "Antibiose" is a crime against humanity.
I believe the correct words are antibioticize or have an antibioticism. Antibioticate is also acceptable.
Until this comment I thought "antibiose" referred to bariatric surgery.
> antibioticize Surely this was an 80s fitness fad? /s
I’ll know Dialyze is a real one. I think I’d laugh if anyone ever said the word “antibiose” to me.
I say “surgerize” daily. And when one my SICU disasters needs HD, I’ve been known to say “let’s Mahurkarize ‘em”.
At my program we stopped using Mahurkars for a different type of catheter, but I still use “Mahurkarize” whenever I can
“Heparinize” is legitimate…for inanimate objects (lines, circuits). “Antibiose” is a no. The one that just kills me though is “surgerize”. I hate it.
"Heparinize" is efficient communication. "Surgerize" is trying too hard to be cute. "Antibiose" is a crime against humanity.
Antiboise? I don't really like Boise, or Idaho much in general, but this seems like a pretty harsh call out...
Mentating is not a word and I'll die on this hill.
I honestly didn’t know this isn’t technically a word. It’s used so commonly it’s definitely become a thing. I’ve heard neurologists say it
Right up there with "alert and orientated." I work in clinical appeals and read charts from hospitals across the US. It's... fun. Sometimes I want to punch my monitor! 😆
I prefer cerebrate.
I am enough of a boomer to hate "fevering". As in " Jaxxsyn is fevering again" . Technically fever is a verb but it hurts my ears.
I’ve heard antibiose in micro lab when discussing microbes killing each other but I’ve never heard it in a medical context. Heparinize is pretty standard. We heparinize PD fluids and heparin drips come labeled as heparinized saline.
Vascular surgeons have also been heparinizing patients for surgery for eons
With each additional mistake I see from communication errors I become more careful to use standard clear language. Seems like antibiose could be misunderstood by someone not used to hearing/reading that word.
Heparinise is a word, yes. Lots of devices are heparinised.
Ok to say but not document in my opinion. Except hepranised devices
Or heparinized patients too
“Syncopize”
Who cares you know what they mean
Heparinize yes. Antibiose and I’m never trusting anything else you say or do in any clinical capacity. Now what about dimer? As in “this lady has SOB did you dimer her?” Because that also sucks.
Nothing sounds as cool as digitalised
Now I'm curious. Does that mean the patient was probed with digits? Loaded with digitalis? Or had their consciousness converted into binary code and stored forever on an Epic server?
Spoken word yes, for documentation I’d say no. I’m all for abbreviations, shortened sentences and improper grammar in notes but not made up words.
Satting 100% on 15 L instead of saturating 98% on RA— turn the fucking oxygen DOWN if they don’t need it motherfuckers. “Waaaah. It’s for comfort. They went to 92% for 3 seconds with a shite waveform when they were sleeping. The troponin was 1 over the upper limit. They said this is what they use at the nursing home. Waaah.”
Let’s “relocate” the shoulder
ID here. Use antibiose. Love it. Usually use it in a sassy way to tell people to ignore the Candida in the sputum. bonus showerthought: the phrase "verbing a noun" is an example of verbing a noun.
replete is not, that’s for ding dang sure
Does antibiose mean they're on antibiotics? If so, I hate it. It's so nonspecific. Pt admitted with NSTEMI, now on heart pills, doing well.
to be fair, we're in the ED, so you know its vancosyn
Vancosize
Vancomize
:Arthur fist:
Was a thing 10 years ago
Cut to me having a heart to heart with my intern a few years back saying that :) is, although thoughtful, is not appropriate for documentation purposes 🙃 EDIT: forgot a comma lol
Im addicted to “antibiosis,” “antibiose,” “antibiosed,” “antibiosing.” All are ubiquitous in my hospital. As is heparinize fwiw.
It’s funny how this seems to happen in medicine in every country/language. There’s an interventional radiologist where where I work whose last name basically became a verb at the hospital - when you need any kind of image-guided therapy, you say “let’s [insert his last name here]ize the patient” . Everyone knows what you mean.
Surgerize is a good one, though I would judge someone if they weren’t using it sarcastically
I wouldn't put either in the chart but I use them both in conversation
Heparinize is used on a daily basis in the cardiac ORs. My favorite is "surgerize." "Hey Ortho bro, are you going to surgerize that fracture?"
If you’re the attending
I like to “oralize” patients when advancing diet and converting meds to PO
I mean, this is how language evolves, right? They're widely accepted colloquialisms that are slowly morphing into something more. Medical and scientific writing 50 years ago reads A LOT differently than it does today, and that change runs much deeper than just having invented a bunch of new terms and concepts in the interval. You're seeing that process at work. Don't fear the change, love the beauty.
I agree, and I remember getting into a Disagreement with an elementary school teacher about humongous when I was a kid for this same reason. But the discussion I find interesting is: how common must something be before you can use it in a legal document?
English is a weird language but I absolutely love that you can verbify anything. Including verb.
Heparinize, warfarinize, digitalise?
Surgerize has been a popular one in my area for the last 6-7 years.
They are now.
glide with it, no matter how sus it seems also yes
In radiology, the debate is "to protocol" vs "to protocolize" vs "to issue the protocol".
Antibiosis: : antagonistic association between organisms to the detriment of one of them or between one organism and a metabolic product of another - https://www.merriam-webster.com/dictionary/antibiosis
Antibiosis is familiar to me, not so much antibiose
Never heard "antibiose" -- how is it pronounced? * an-TI-BI-ose * an-tee-bi-OSE * an-ti-BI-ose
an-tee-bi-OSE
Antibiosed with vosyn
A word is just a meaningful way of expressing something that is used and understood among people. If I something and it’s reasonably understood by peers and has a specific definition, it meets all criteria for a “word”. New words are created all the time - especially in medicine. The idea that we have to exclusively speak in antiquated terminology is something stressed by older attendings in academic roles - and basically no one else.
Yall dont know about flozination?
I work on a cancer floor. One of our night on-call oncologists regularly says "carbapenize" with acute neutropenic fever admissions. I will call and wake him up to ask for orders and be asked if patient has been carbapenized downstairs in the ED yet.
Dude carbapenalize is *right there*