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I hope it's okay to post here. I'm not a medical transciptionist, but I might as well be, as our printing company does forms for a hospital and I am expected to be familiar with medical terms and spell them correctly. This hospital is a big account for us and every time there is a problem, they threaten to pull their account, which puts my job on the line. Anyway, there are a lot of middle-persons between me and the hospital that give me incomplete and/or conflicting information. On a form I was assigned to set up recently was the word "PREIOPERATIVE" which I contend is not a word, so I changed it to "PREOPERATIVE". Now one of these middle people is telling me to change it back to the way the hospital had it spelled, which I believe to be a misspelling. "Cardiovascular" and "metabolic" were also misspelled on this same form. Please help. Is it possible that "PREIOPERATIVE" is a valid medical word that I have never heard of and is not in my medical dictionary, or am I correct that that this is misspelled?