question: Why do doctors say "GSW" when it contains more syllables than "gun shot wound"
comment: We usually write it rather than say it. We use a lot of acronyms for speed in documentation.
passages: BULLET::::- Tekoa, Washington –
  
  BULLET::::- Telocaset, Oregon –
  
  BULLET::::- Terre Haute, Indiana – (also )
  
  BULLET::::- Tewksbury, Massachusetts – traditionally
  
  BULLET::::- Thames River (Connecticut) - intuitive , rather than familiar , as in the River Thames
  
  BULLET::::- The Dalles, Oregon –
  
  BULLET::::- Thibodaux, Louisiana –
  
  BULLET::::- Throop, Pennsylvania -
  
  BULLET::::- Tieton, Washington –
  
  BULLET::::- Tigard, Oregon –
  
  BULLET::::- Tillamook County, Oregon – or locally
  
  BULLET::::- Tok, Alaska –
  
  BULLET::::- Tooele, Utah –
  
  BULLET::::- Topsail Beach, North Carolina –
  
  BULLET::::- Touchet River, Washington
  
  BULLET::::- Toutle River, Washington
  
  BULLET::::- Tow, Texas –
  
  BULLET::::- Towson, Maryland -
  
  BULLET::::- Tripoli, Iowa –
   BULLET::::- Shoshone, Idaho –
  
  BULLET::::- Siuslaw River, Oregon –
  
  BULLET::::- Skagit (name of a Native American tribe and various locales in Washington) –
  
  BULLET::::- Skamokawa, Washington –
  
  BULLET::::- Skaneateles (Lake, village and Town, NY) -
  
  BULLET::::- Sol Duc River, Washington – also spelled Soleduck
  
  BULLET::::- Spokane, Washington –
  
  BULLET::::- Staunton, Virginia –
  
  BULLET::::- Stehekin, Washington –
  
  BULLET::::- Steilacoom, Washington –
  
  BULLET::::- Study Butte, Texas –
  
  BULLET::::- Suisun City, California –
  
  BULLET::::- Swarthmore, Pennsylvania –
  
  BULLET::::- Swansea, Massachusetts –
  
  Section::::Place names in the United States of America.:T.
  
  BULLET::::- Taliaferro County, Georgia –
  
  BULLET::::- Tanana, Alaska and Tanana River –
   BULLET::::- Vienna, Georgia, IL, OH, and SD –
  
  BULLET::::- Visalia, California –
  
  Section::::Place names in the United States of America.:W.
  
  BULLET::::- Waelder, Texas –
  
  BULLET::::- Wahkiakum County, Washington –
  
  BULLET::::- Wallowa, Oregon, Wallowa County, and the Wallowa Mountains –
  
  BULLET::::- Waltham, Massachusetts –
  
  BULLET::::- Waukesha, Wisconsin -
  
  BULLET::::- Waxahachie, Texas –
  
  BULLET::::- Waynoka, Oklahoma -
  
  BULLET::::- Wayzata, Minnesota -
  
  BULLET::::- Weippe, Idaho –
  
  BULLET::::- Weiser, Idaho –
  
  BULLET::::- Whitemarsh Island –
  
  BULLET::::- Wilkes-Barre, Pennsylvania – , , or
  
  BULLET::::- Willamette River, Oregon –
  
  BULLET::::- Willapa River and Willapa Hills, Washington –
  
  BULLET::::- Woburn, Massachusetts –
  
  BULLET::::- Woonsocket, Rhode Island –
   BULLET::::- As in other areas, the interdental fricatives and are often realized as stops, and or affricates and in Philadelphia speech. This variation appears to be a stable class-stratified feature with the non-fricative forms appearing more commonly in working class speech.
  
  BULLET::::- The yew–hew merger can be found, as in New York City, in which words like "human" and "huge", which begin with an cluster, the is commonly deleted giving and .
  
  BULLET::::- Consonant cluster reductions, such as removing the "t" sound from consonant clusters, so that "mustard" sounds more like "mussard," or "soft" like "sawff."
  
  Section::::Linguistic features.:Pronunciation.:Phonemic incidence.
   BULLET::::- The euphemisms "Rose Cottage" and "Rainbow's End" are sometimes used in British hospitals to enable discussion of death in front of patients, the latter mainly for children. A similar phrase used is: "transferred to ward 13", as hospitals in the UK routinely do not have a thirteenth ward.
  
  BULLET::::- American hospitals may make an announcement regarding a "Mr. [or Dr.] Strong", as code to alert orderlies that a patient or visitor at a stated location is in need of physical restraint.
  
  Section::::Other.
   In other cases, a semantic shift has resulted in quite different meanings attaching to the same word in Ulster Irish and in other dialects. Some of these words include:
  
  BULLET::::- "head" (southern and western ; elsewhere, is used to mean "skull")
  
  BULLET::::- "mare" (southern and western ; elsewhere, means "horse")
  
  Section::::Phonology.
   BULLET::::- Marathon, Texas –
  
  BULLET::::- Marquam, Oregon –
  
  BULLET::::- Marquez, Texas –
  
  BULLET::::- Marseilles, Illinois –
  
  BULLET::::- Martinez, Georgia –
  
  BULLET::::- Mattapan (neighborhood of Boston, Massachusetts) –
  
  BULLET::::- Maury County, Tennessee –
  
  BULLET::::- Mazatzal Mountains, Arizona -
  
  BULLET::::- McGaheysville, Virginia –
  
  BULLET::::- Mebane, North Carolina -
  
  BULLET::::- Medina, Ohio, WA and NY –
  
  BULLET::::- Mentor, Ohio – ()
  
  BULLET::::- Mesa, Washington –
  
  BULLET::::- Methow, Washington –
  
  BULLET::::- Mexia, Texas –
  
  BULLET::::- Miami, Oklahoma; TX –
  
  BULLET::::- Micanopy, Florida –
  
  BULLET::::- Michigan –
  
  BULLET::::- Milan, Illinois, IN, MI, MO, NH, OH, TN, and WA –
  
  BULLET::::- Minam, Oregon –
   BULLET::::- , "minute" (elsewhere , , , etc., and in Mayo Gaeltacht areas a somewhat halfway version between the northern and southern versions, is the word "móiméad", also probably the original, from which the initial M diverged into a similar nasal N to the south, and into a similar bilabial B to the north.)
  
  BULLET::::- , "when?" (Connacht ; Munster , )
  
  BULLET::::- , "what is?" (Connacht ; Munster , , , Scottish Gaelic )
  
  BULLET::::- , "cabbage" (southern ; Scottish Gaelic )
  
  BULLET::::- , "weir" (Connacht , standard )
   BULLET::::- Some medical nicknames are derogatory, such as GOMER for "Get Out of My Emergency Room".
  
  BULLET::::- Emergency rescue workers or police officers may say, "There is a 'K'," to mean a dead body. Valtteri Suomalainen reported "eksi" (from ), in use in hospitals in Finland.
  
  BULLET::::- Code Pink in some hospitals can mean a missing baby, and the initiation of an all staff response.
   BULLET::::- With the tip of the tongue and the throat
  
  BULLET::::- Between the lips and the tip of the tongue
  
  BULLET::::- In the middle of the tongue
  
  BULLET::::- By the tip of the tongue
  
  BULLET::::- By the tongue, which lies flat and stretched, and by the teeth (ii. 3)
  
  The letters are distinguished, moreover, by the intensity of the sound necessary to produce them, and are accordingly divided into:
  
  BULLET::::- Mutes, which are unaccompanied by sound, such as Mem
  
  BULLET::::- Sibilants, such as Shin, which is therefore called the "hissing shin"
   BULLET::::- Picabo, Idaho and Picabo Street –
  
  BULLET::::- Pierre, South Dakota –
  
  BULLET::::- Piceance Creek and Basin, Colorado –
  
  BULLET::::- Placer County and Placerville, California –
  
  BULLET::::- Plano, Texas –
  
  BULLET::::- Plymouth, Massachusetts as elsewhere –
  
  BULLET::::- Point Mugu, California –
  
  BULLET::::- Pojoaque Pueblo, New Mexico –
  
  BULLET::::- Port Hueneme, California –
  
  BULLET::::- Pompeii, Michigan –
  
  BULLET::::- Poth, Texas –
  
  BULLET::::- Poughkeepsie, New York –
  
  BULLET::::- Poulsbo, Washington –
  
  BULLET::::- Prague, Oklahoma –
  
  BULLET::::- Puget Sound, Washington –
  
  BULLET::::- Purgatoire River, Colorado – , also spelled "Picketwire"
  
  BULLET::::- Pulaski, New York -
  
  BULLET::::- Puyallup, Washington –
   The Bureau of Medicine and Surgery (BUMED) became the central administrative headquarters for the Navy Medical Department, and those names became interchangeable. The general order of 26 November 1842, which defined the duties of the new bureaus, charged BUMED with:
  
  BULLET::::- All medicines and medical stores of every description, used in the treatment of the sick, the diseased and the wounded;
  
  BULLET::::- All boxes, vials, and other vessels containing the same;
  
  BULLET::::- All clothing, beds, and bedding for the sick;
  
  BULLET::::- All surgical instruments of every kind;
  
  BULLET::::- The management of hospitals, so far as the patients therein are concerned;
   BULLET::::- Milngavie, Dunbartonshire –
  
  BULLET::::- Loch Muick, Aberdeenshire –
  
  BULLET::::- Moray, Morayshire –
  
  BULLET::::- Penicuik, Midlothian –
  
  BULLET::::- Peterculter, Aberdeenshire - , usually shortened to Culter (pronounced similarly) but note that the nearby town of Cults, Aberdeen is pronounced straightforwardly
  
  BULLET::::- Ravenstruther, Lanarkshire – or
  
  BULLET::::- Ruthven, Aberdeenshire –
  
  BULLET::::- Sanquhar, Dumfries and Galloway –
  
  BULLET::::- Sauchiehall Street, Glasgow –
  
  BULLET::::- Scone, Perthshire –
  
  BULLET::::- Strathaven, South Lanarkshire –
  
  BULLET::::- River Teviot, Scottish Borders, and all names derived from it –
  
  BULLET::::- Tillicoultry, Clackmannanshire –
  
  BULLET::::- Udny, Aberdeenshire -
  
  BULLET::::- Wemyss Bay, Inverclyde –
  
  Section::::Ireland.
   BULLET::::- "herb", a word with origins in Old French, is pronounced with a silent "h" in the United States (generally speaking, anyway. It is the most common pronunciation there, although the "h"-pronouncing pronunciation is used there too, although it is often perceived as incorrect). The same was true of the United Kingdom until the 19th century, when it adopted a spelling pronunciation, with an audible "h".
  
  BULLET::::- "Ralph", originally pronounced or in the United Kingdom (at least in England), is now often pronounced .
   BULLET::::- 'MB BS' for schools currently or previously part of the University of London (King's College London GKT School of Medical Education, Barts and The London School of Medicine, St George's, UCL Medical School) and also Norwich Medical School, Hull York Medical School, Imperial College School of Medicine, University of Central Lancashire, and Newcastle University.
  
  BULLET::::- 'MB BCh' for Cardiff;
  
  BULLET::::- 'MB BCh' for Swansea requires a first degree;
  
  BULLET::::- 'BM BCh' for Oxford,
   BULLET::::- Minot, North Dakota –
  
  BULLET::::- Missouri – or
  
  BULLET::::- Mobile, Alabama –
  
  BULLET::::- Mogollon Rim, Arizona -
  
  BULLET::::- Monson, Massachusetts –
  
  BULLET::::- Montague, Texas –
  
  BULLET::::- Montpelier
  
  BULLET::::- Montpelier, Vermont and others
  
  BULLET::::- Montpelier, VA –
  
  BULLET::::- Moscow, Idaho, TN –
  
  BULLET::::- Munday, Texas –
  
  BULLET::::- Mulino, Oregon –
  
  Section::::Place names in the United States of America.:N.
  
  BULLET::::- Nacogdoches, Texas –
  
  BULLET::::- Nahant, Massachusetts –
  
  BULLET::::- Naselle, Washington –
  
  BULLET::::- Natchitoches, Louisiana –
  
  BULLET::::- Nederland, Texas –
  
  BULLET::::- Nenana, Alaska and Nenana River –
  
  BULLET::::- Neodesha, Kansas –
  
  BULLET::::- Nespelem, Washington –
  
  BULLET::::- Netarts, Oregon –
  
  BULLET::::- Nevada –
   BULLET::::- Nevada County, Arkansas; IA; IN; MO and TX –
  
  BULLET::::- Newark, Ohio –
  
  BULLET::::- New Berlin, six locations in the United States – (see Berlin)
  
  BULLET::::- New Orleans – ,
  
  BULLET::::- New Madrid, Missouri – (see Madrid above)
  
  BULLET::::- New Prague, Minnesota –
  
  BULLET::::- New Tripoli, Pennsylvania -
  
  BULLET::::- Norfolk, Nebraska –
  
  BULLET::::- Norfolk, Virginia –
  
  Section::::Place names in the United States of America.:O.
  
  BULLET::::- Ochelata, Oklahoma –
  
  BULLET::::- Ochiltree County, Texas –
  
  BULLET::::- Oconomowoc, Wisconsin – /oʊˈkɑːnəməˌwɑːk/
  
  BULLET::::- Ojai, California –
  
  BULLET::::- Olathe, Kansas –
  
  BULLET::::- Ontonagon, Michigan –
  
  BULLET::::- Orcas Island, Washington –
  
  BULLET::::- Ouray, Colorado –
   BULLET::::- Owyhee River and Owyhee County, Idaho –
  
  Section::::Place names in the United States of America.:P.
  
  BULLET::::- Palacios, Texas –
  
  BULLET::::- Palermo, North Dakota –
  
  BULLET::::- Palestine, Texas –
  
  BULLET::::- Palo Gaucho Bayou, Texas –
  
  BULLET::::- Palouse, Washington –
  
  BULLET::::- Paso Robles, California -
  
  BULLET::::- Pass Christian, Mississippi – or
  
  BULLET::::- Pawtucket, Rhode Island –
  
  BULLET::::- Peabody, Massachusetts –
  
  BULLET::::- Pearrygin Lake, Washington –
  
  BULLET::::- Pedernales River, Texas –
  
  BULLET::::- Pend Oreille County, Washington and Pend Oreille (also Pend d'Oreille) River – , (see also Ponderay, Idaho).
  
  BULLET::::- Peru, Indiana -
  
  BULLET::::- Pfafftown, North Carolina –
   BULLET::::- Singular "sastruga", plural "sastrugi" (from Russian): new Latin-type singular "sastrugus" has been used sometimes
  
  BULLET::::- Singular "syringe", from plural "syringes"; the original Greek singular is "syrinx"
  
  BULLET::::- Singular "tamale", from the plural "tamales"; the original Spanish singular is "tamal".
  
  BULLET::::- Verb "edit" from "editor"
  
  BULLET::::- Verbs "euthanase" or "euthanize" from the noun "euthanasia".
   BULLET::::- Neilson wrote that the "ancient pronunciation" of broad "bh" and "mh" as , especially at the beginning or end of a word "is still retained in the North of Ireland, as in Scotland, and the Isle of Man", whereas "throughout Connaught, Leinster and some counties of Ulster, the sound of is substituted". However, broad "bh" or "mh" may become in the middle of a word (for example in "leabhar").
  
  Section::::Morphology.
  
  Section::::Morphology.:Initial mutations.
   BULLET::::- Tualatin, Oregon, Tualatin River –
  
  BULLET::::- Tucson, Arizona –
  
  BULLET::::- Tulare, California – or
  
  BULLET::::- Tuolumne River, Meadows, and County, California –
  
  BULLET::::- Tygh Valley, Oregon –
  
  Section::::Place names in the United States of America.:U.
  
  BULLET::::- Uhland, Texas –
  
  BULLET::::- Utley, Texas –
  
  Section::::Place names in the United States of America.:V.
  
  BULLET::::- Valatie, New York –
  
  BULLET::::- Valdez, Alaska –
  
  BULLET::::- Vallejo, California – , locally
  
  BULLET::::- Veneta, Oregon –
  
  BULLET::::- Verdi, Nevada –
  
  BULLET::::- Vergennes, Vermont –
  
  BULLET::::- Versailles, Illinois, IN, KY, MO, OH, and PA –
  
  BULLET::::- Vici, Oklahoma –
   BULLET::::- Strait of Juan de Fuca, (divides part of Canada from United States)–
  
  BULLET::::- Julian, Pennsylvania –
  
  Section::::Place names in the United States of America.:K.
  
  BULLET::::- Kalaloch, Washington –
  
  BULLET::::- Kamay, Texas –
  
  BULLET::::- Kamela, Oregon –
  
  BULLET::::- Kamiah, Idaho –
  
  BULLET::::- Kearney, Missouri, NE and NJ, as well as Kearney Street in Springfield, Missouri –
  
  BULLET::::- Keechelus Lake, WA –
  
  BULLET::::- Keweenaw County, Michigan –
  
  BULLET::::- Kissimmee, Florida –
  
  BULLET::::- Kleberg County, Texas –
  
  BULLET::::- Kosciusko, Mississippi –
  
  BULLET::::- Kosciusko County, Indiana –
  
  BULLET::::- Kountze, Texas –
  
  BULLET::::- Kure Beach, North Carolina –
   BULLET::::- "Renapi" (also spelled "Renape", meaning "Real People") represents the true term of self-identity for the sachemships who spoke the r-dialect of the PEA-A region.
  
  BULLET::::- "Wampano" (also spelled "Wappinger", "Wampanoo", "Wabeno", meaning "Easterner") refers generically to the sub-tribal Renapi/Lenape Dawnland Confederacy, also known today as the Wappinger-Mattabesec Confederacy.
   BULLET::::- In Norwegian, is generally pronounced , but since the 19th century, there has been a tendency to spell it out as ; it may still be retained in personal names, though it is fairly rare, and occurs mostly in foreign words and SMS language. Usage in Danish and Finnish is similar (while Swedish, on the other hand, makes frequent use of in native words as well as in loanwords).
  
  BULLET::::- In German, generally pronounced ; in native words, however,such as "Ochs" or "wachsen", the cluster is often written .
   BULLET::::- According to some, the name of Quartzsite, a mining town in Arizona, was spelled wrongly. It should be Quartzite, after the mineral quartzite.
  
  BULLET::::- Zenith – Arabic "zamt" was misread; in Latin letters, at the time, the letter "i" was never dotted, so "m" looked like "ni".
  
  BULLET::::- Arab, Alabama – This town in north Alabama was named Arad, after its founder, Arad Thompson, but the name was misspelled on a US Post Office map as "Arab", and the misspelled name stuck.
  
  Section::::See also.
  
  BULLET::::- Dyslexia
  
  BULLET::::- Eye dialect
  
  BULLET::::- Grapheme
  
  BULLET::::- Official script
  
  BULLET::::- Orthography
  
  BULLET::::- Phonetic spelling
  
presuppositions: Doctors say "GSW." doctors say GSW rather than gun shot wound.
corrections: While doctors write "GSW" for efficient documentation, they usually say "gun shot wound" in conversation. They usually write it rather than say it.
raw_presuppositions: Doctors say "GSW." doctors say GSW rather than gun shot wound.
raw_corrections: While doctors write "GSW" for efficient documentation, they usually say "gun shot wound" in conversation. They usually write it rather than say it.