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#1
Sun Aug 9, 2015, 09:19 AM
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Meaning of DNS
I was recently hospitalized in a VA Hospital. The notes list my code status as: DNI, DNR, DNS. I know what DNR (Do Not Resuscitate) and DNI (Do Not Intubate) mean but I am wondering what the DNS means. I have searched the Internet and haven't found an answer. Any ideas??
Cheers Data
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Prostate Cancer: Treated in early 2013 with HDR Brachytherapy. MDS-RCMD: Oct 2014. Biopsies: 46,XY,t(7;18)[2]: 46,XY,del(7)( q22)[3]: 45,XY,-7[6]: 45,XY,-7[10]: 45,XY,-7[13]. HSCT in April 2016. Last edited by Data : Sun Aug 9, 2015 at 03:07 PM. Reason: Spelling correction 
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#2
Sun Aug 9, 2015, 12:41 PM
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Hi Data
Maybe it means "Did Not Specify", as in they did not have your wishes for DNR or DNI.
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58 yo female, dx 9/08, AA/hypo-MDS, subclinical PNH, ATG/CsA 12/08, partial response. small trisomy 6 clone, low-dose cyclosporine dependent
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#3
Sun Aug 9, 2015, 01:23 PM
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DNS medical meaning is...
DNS: On a prescription, Do Not Substitute. If a physician orders a particular drug and writes DNS on the prescription, that tells the pharmacist not to substitute a generic version or any other drug for the prescribed drug.
Gooogle is your friend sometimes - do a search for DNS -medical 
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Ric: Low-risk MDS (blasts <4%); 4 cycles Revlimid no positive response; PRBC transfusion dependent; so far, 392'units' over 8 3/4 years; BMB #4 (15/04/01) shows evolution to AML (blasts 20-30%  ) 47,XY,del(5) (q22q35),+21[24][cp24]/46,XY(1).
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#4
Sun Aug 9, 2015, 03:06 PM
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Thanks for the replies
They did have my wishes for DNR and DNI - they were specified in the "code status" section of my records. This wasn't related to a prescription so I doubt Do Not Substitute would be applicable. I did do a search on DNS Medical and didn't find anything related to codes such as DRR and DNI.
Thanks Data
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Prostate Cancer: Treated in early 2013 with HDR Brachytherapy. MDS-RCMD: Oct 2014. Biopsies: 46,XY,t(7;18)[2]: 46,XY,del(7)( q22)[3]: 45,XY,-7[6]: 45,XY,-7[10]: 45,XY,-7[13]. HSCT in April 2016.
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#5
Sun Aug 9, 2015, 04:45 PM
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Hi Data. I can see why not knowing would bug you; it would me as well! I'm a n RN and DNS would usually mean Director of Nursing Service, but that wouldn't fit your context. I texted a niece who is an RN and we will see if she knows.
  addendum: sorry, she had no other ideas either.
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Margaret, age 68, dx MDS 5 q- 5/09- now RCMD; also MGUS. TP53 and TET2 mutations Last edited by maggiemag : Sun Aug 9, 2015 at 09:42 PM. Reason: new info
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#6
Mon Aug 10, 2015, 09:23 AM
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Margaret, Thanks
Margaret,
Thanks!! You were exactly right - I was mainly curious. I remember in the ER the doc was asking me about CPR and intubation but I can't remember anything about something that would start with "S". Thanks again. Data
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Prostate Cancer: Treated in early 2013 with HDR Brachytherapy. MDS-RCMD: Oct 2014. Biopsies: 46,XY,t(7;18)[2]: 46,XY,del(7)( q22)[3]: 45,XY,-7[6]: 45,XY,-7[10]: 45,XY,-7[13]. HSCT in April 2016.
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#7
Mon Aug 10, 2015, 12:36 PM
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How about....Do Not Suction? I know it caused my mother in law a lot of distress and pain when they attempted to clear her at her end of life. I think it depends on how invasive /aggressive it is.
Be sure to let us know when you find out.
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Marlene, wife to John DX w/SAA April 2002, Stable partial remission; Treated with High Dose Cytoxan, Johns Hopkins, June 2002. Final phlebotomy 11/2016. As of July 2021 HGB 12.0, WBC 4.70/ANC 3.85, Plts 110K.
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#8
Mon Aug 10, 2015, 03:17 PM
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Marlene, Thanks
Marlene,
Thanks. That makes about as much sense as anything I have heard or thought of. If I ever have to go back to the VA Hospital (hope not) I will ask. Thanks again. Data
__________________
Prostate Cancer: Treated in early 2013 with HDR Brachytherapy. MDS-RCMD: Oct 2014. Biopsies: 46,XY,t(7;18)[2]: 46,XY,del(7)( q22)[3]: 45,XY,-7[6]: 45,XY,-7[10]: 45,XY,-7[13]. HSCT in April 2016.
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#9
Mon Aug 10, 2015, 04:27 PM
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None of make sense but look at 22 possibles at http://www.allacronyms.com/_medical/DNS
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