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Medical Abbreviations

Take two aspirin and call Ben Casey.

Dear Word Detective: I’ve been reading your articles for seven years, both for the humor and the knowledge they contain. Recently, I have been unable to determine the origins of a term: “gtts.” It is an abbreviation for the word “drops,” commonly used in the health care sciences (nursing, medicine, and the like). Other abbreviations used are “prn,” which stands for “as needed” and “stat,” which stands for “immediately.” I am eagerly hoping that you will answer my question. — Eric Desquitado.

Seven years? Wow. You should cash in your frequent flyer points. I believe you may be entitled to a free cat. Maybe two.

It may be a sign of something that prior to reading your question I had never, as far as I recall, seen the abbreviations “gtts” or “prn.” I have, of course, heard “Stat!” shouted by hyperventilating actors on TV shows with a medical theme, although the last one of those I watched with any regularity was probably “Doctor Kildare.” By the way, whatever happened to those cool white tunics doctors used to wear on TV? All the doctors I’ve seen in recent years have been dressed like lawyers in lab coats. Nice tie, Doc. I hope it’s machine-washable.

“Stat,” as you say, means “right now,” and is simply an abbreviation of the Latin adverb “statim,” meaning “immediately.” “Prn” does indeed mean “as needed,” and is an abbreviation of the Latin phrase “pro re nata,” which literally means “for the thing born” or, figuratively, “for the affair arisen.” The phrase has been used in non-medical contexts to mean “for an occasion as it arises” since the 16th century (“It was formerly left to the crown to summon, pro re nata, the most flourishing towns to send representatives to parliament,” Blackstone, 1765). “Prn” scribbled in a doctor’s prescription is, fortunately, always translated by the pharmacist to “as needed” on the medicine label.

“Gtt” or “gtts” turns out to be a remarkably interesting little abbreviation. Used to mean “drop” in prescriptions, it’s short for “gutta,” Latin for “drop” (“gtts” stands in for the plural, “guttae”). “Gutta” is also the root of our modern “gutter,” which carries raindrops away from our roofs and sidewalks. It’s also the source of the word “gout,” an unpleasant disease thought in ancient times to be the result of an imbalance in the four “humours,” fluids believed to be essential to the health of the human body. The connection between another sense of “gout” and “gutta” is more direct — we speak of “gouts” of blood meaning large splashes or spurts of blood from a serious wound.

Kleptocracy

Rhymes with “Palliburton.”

Dear Word Detective: I am writing a research paper about the Democratic Republic of Congo, and I keep coming across this factoid in various sources — that the word “kleptocracy” was coined to describe the regime of Mobutu Sese Seko, who ruled the country from the mid-60s until 1997. Trouble is, when I went to look it up in the Oxford English Dictionary (OED), their first reference for it was from 1811. On the other hand, every other reference was from the 1960s and 70s, when Mobutu was at the height of his power. So, I’m wondering: Was “kleptocracy” an obscure word which became well-known because of Mobutu? Or does this factoid have no basis in fact at all? — C. Sullivan.

Good question. Incidentally, I find it interesting that you are using the word “factoid” in something close to the sense Norman Mailer meant it when he invented it in his 1973 book “Marilyn.” Mailer defined “factoids” as pseudo-facts, “… facts which have no existence before appearing in a magazine or newspaper, creations which are not so much lies as a product to manipulate emotion ….” Unfortunately, USA Today and other news outlets have since used “factoid” to mean “interesting little fact,” a perversion that must please the famously irascible Mr. Mailer no end.

“Kleptocracy,” for those unfamiliar with the term, is “government by thieves,” from the Greek “kleptes,” meaning “thief,” plus “kratos,” meaning “rule, power.” Kleptocracy is one of a number of governmental forms usually deemed undesirable, including “plutocracy,” rule by the wealthy (“ploutos” in Greek), “oligarchy,” rule by the few (“oligoi” plus “arkhein,” to rule), and “autocracy,” rule by just one person (“auto” being Greek for “self,” also found in the term “autism”).

“Kleptocracy” was definitely not invented to describe Mobutu, although my OED lists 1819 rather than 1811 as the first use found so far. The question seems to be why it was used so rarely before 1968, the date of the next OED citation. Certainly dictators, oligarchs, autocrats, plutocrats and even quite a few democratically-elected rulers have robbed their citizens blind in the intervening years, yet they were not called “kleptocrats.” I think I’ll leave that question to the political scientists.