boss this to me the other day and really has a lot of good info; sm
Posted By: nn on 2005-08-10
In Reply to: HELP. can never remember...stages are roman??? classes are ??? grades are ???? HELP - nm
cancer classifications
stage and grade
Lowercase stage and grade.
Use roman numerals for cancer stages. For subdivisions of cancer stages, add capital letters on the line and arabic suffixes, without internal spaces or hyphens.
stage 0 (indicates carcinoma in situ)
stage I, stage IA
stage II, stage II3
stage III
stage IV, stage IVB
Use arabic numerals for grades.
grade 1
grade 2
grade 3
grade 4
Aster-Coller
Staging system for colon cancer from the least involvement at stage A and B1 through the most extensive involvement at stage D.
The patient's Aster-Coller B2 lesion extends through the entire thickness of the colon wall, with no involvement of nearby nodes.
Broders index
Classification of aggressiveness of tumor malignancy developed in the 1920s by AC Broders. Reported as grade 1 (most differentiation and best prognosis) through grade 4 (least differentiation and poorest prognosis).
Lowercase grade; use arabic numerals.
Broders grade 3
cervical cytology
Three different systems are currently in use for cervical cytology: the Papanicolaou test (Pap smear), the CIN classification system, and the Bethesda system.
The Papanicolaou test uses roman numerals to classify cervical cytology samples from class I (within normal limits) through class V (carcinoma).
CIN is an acronym for cervical intraepithelial neoplasia and is expressed with arabic numerals from grade 1 (least severe) to grade 3 (most severe). Place a hyphen between CIN and the numeral.
CIN-1,CIN-2, CIN-3
or CIN grade 1, CIN grade 2, CIN grade 3
A cervical cytology sample that is within normal limits in the Bethesda system corresponds with a Pap class I or II; Bethesda's atypical squamous cell of undetermined significance (ASCUS) corresponds with Pap class III; Bethesda's low-grade squamous intraepithelial lesion (LGSIL) corresponds with Pap class III and CIN grade 1; and Bethesda's high-grade squamous intraepithelial lesion (HGSIL) corresponds with Pap classes III and IV and CIN grades 2 and 3. In the Bethesda system, the next higher level is labeled simply "carcinoma," corresponding with Pap class V and with "carcinoma" in the CIN system.
Clark level
Describes invasion level of primary malignant melanoma of the skin from the epidermis.
Use roman numerals I (least deep) to IV (deepest). Lowercase level.
Clark level I into underlying papillary dermis
Clark level II to junction of papillary and reticular dermis
Clark level III into reticular dermis
Clark level IV into the subcutaneous fat
Dukes classification
Named for British pathologist Cuthbert E. Dukes (1890-1977). Classifies extent of operable adenocarcinoma of the colon or rectum.
Do not use an apostrophe before or after the s. Follow Dukes with capital letter.
Dukes A confined to mucosa
Dukes B extending into the muscularis mucosae
Dukes C extending through the bowel wall, with
metastasis to lymph nodes
When the Dukes classification is further defined by numbers, use arabic numerals on the same line with the letter, with no space between.
Dukes C2
FAB classification
French-American-British morphologic classification system for acute nonlymphoid leukemia.
Express with capital M followed by arabic numeral (1 through 6); do not space between the M and the numeral.
M1 myeloblastic, no differentiation
M2 myeloblastic, differentiation
M3 promyelocytic
M4 myelomonocytic
M5 monocytic
M6 erythroleukemia
FAB staging of carcinoma utilizes TNM classification of malignant tumors
See: (TNM staging below).
FAB T1 N1 M0
FIGO staging
Federation Internationale DE Gynécologie et Obstétrique system for staging gynecologic malignancy, particularly carcinomas of the ovary. Expressed as stage I (least severe) to stage IV (most severe), with subdivisions within each stage (a, b, c).
Lowercase stage, and use roman numerals. Use lowercase letters to indicate subdivisions within a stage.
Diagnosis: Ovarian carcinoma, FIGO stage IIc.
Gleason tumor grade
Also known as Gleason score. The system scores or grades the prognosis for adenocarcinoma of the prostate, with a scale of 1 through 5 for each dominant and secondary pattern; these are then totaled for the score. The higher the score, the poorer the prognosis.
Lowercase grade or score, and use arabic numerals.
Diagnosis: Adenocarcinoma of prostate, Gleason score 8.
Gleason score 3 + 2 = 5.
Gleason 3 + 3 with a total score of 6.
Jewett classification of bladder carcinoma
Use capitals as follows:
O in situ (Note: this is the letter O, not a zero)
A involving submucosa
B involving muscle
C involving surrounding tissue
D involving distant sites
Diagnosis: Bladder carcinoma, Jewett class B.
Karnofsky rating scale, Karnofsky status
Scale for rating performance status of patients with malignant neoplasms.
Use arabic numerals: 10, 20, 30, 40, 50, 60, 70, 80, 90, 100. (Normal is 100, moribund is 10.)
TNM staging system for malignant tumors
System for staging malignant tumors, developed by the American Joint Committee on Cancer and the Union Internationale Contre le Cancer.
T tumor size or involvement
N regional lymph node involvement
M extent of metastasis
Write TNM expressions with arabic numerals on the line and a space after each number.
T2 N1 M1
T4 N3 M1
Letters and symbols following the letters T, N, and M:
X means assessment cannot be done.
0 (zero) indicates no evidence found.
Numbers indicate increasing evidence of the characteristics represented by those letters.
Tis indicates tumor in situ.
Tis N0 M0
The TNM system criteria for defining cancer stages vary according to the type of cancer. Thus a stage II cancer of one type may be defined as T1 N0 M0, while one of another type may be defined as T2 N1 M0.
Staging indicators are used along with TNM criteria to define cancers and assess stages. These are expressed with capital letters and arabic numerals.
grade GX, G1, G2, G3, G4
host performance H0, H1, H2, H3, H4
lymphatic invasion LX, L0, L1, L2
residual tumor RX, R0, R1, R2
scleral invasion SX, S0, S1, S2
venous invasion VX, V0, V1, V2
prefixes
Lowercase prefixes on the line with TNM and other symbols indicate criteria used to describe and stage the tumor, e.g., cTNM, aT2.
letter determining criteria
a autopsy staging
c clinical classification
P pathological classification
r retreatment classification
y, yp classification during or following treatment with multiple
modalities
suffixes
The suffix (m) (in parentheses) indicates the presence of multiple primary tumors in a single site. Other suffixes may be used, such as the following in the nasopharynx:
T2a nasopharyngeal tumor extending to soft
tissues of oropharynx and/or nasal fossa
without parapharyngeal extension
T2b nasopharyngeal tumor extending to soft
tissues of oropharynx and/or nasal fossa
with parapharyngeal extension
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No, as an IC, I am my own boss. I contract out my transcribing services, but I am my own boss.
:)
Okay, Thanks for all the good info
I am so glad I checked the chat line here before I quit for the day. Thanks for all the helpful info. I think the major problem with MQ and the employees and why so many are so upset is that they leave us in the dark so much. Plus, every office seems to operate by a different formula, which gets some people understandably upset. AND, MTing as a career is definitely NOT what it used to be, meaning a respected, good paying career. With nationalization, the pay has decreased, there is offshoring, which MQ participates in, AND, most of all, we all seem to be no more than an employee number now instead of a valued employee! Hey! I'd better get down from my soap box and go join the family before hitting the sack! Thanks again.
Looking for Info, good or bad, regarding
TC Transcription out of Florida. Taking on a second position with them and wondering if anybody has had any experience with them. Good and bad appreciated, if any. I posted on the company board but did not get any response (that could be good or bad).
THANK YOU! You have given me some good info!
I was just looking for information and not just opinions. Your post was very helpful. Thank you again! 
Good info - Thank you! (nm)
x
really? Good info, thanks.....sm
Thanks :) - I do have great skin and told I look 15 years younger than I am...*LOL* - I like hearing that 
good info - thanks !
thanks to all of you for the good info!
I appreciate you taking the time to give me the tips! Now if I can just get used to the fact I will have an empty nest 
Good info here. As for the mail........sm
I just write "refused" on the envelope and put it right back into the mail. It may take a couple of times for them to get the message, but they will take you off their list if you do this.
any info good or bad would be appreciated
on JLG and All Type. Speaking with one, actual offer from the other but not sure about either. Concern for more is flexibility which they both promise, but I heard that one before.
Lots of good info Ace...Thanks. NM
nm
just need a few good pieces of info
from what i understand, name, address, ph#, esp w/SS#, birth date, maiden name .... everyone should definitely educate themselves about this, as its very widespread now.
Best thing - I am my own boss and my own emloyee, worse thing - I am my own boss and my own
:P
surgical equipment info is good
nm
Some good info! Would you mind another question?
Do you know what causes the discrepancies in character counts between Word and Dictaphone (specifically ExText)? I have been wondering about this for a while. The line count at my company is 65 characters including spaces. TIA 
any bit of info is good to know; ignore the post below
nm
Good cardiology info site?
I don't think you'll get a good answer from the info...
you provided. It varies too much from location to location.
I've seen some MTs on here that say inhouse in their area make less than $10 an hour. Our local starts newbies (providing they pass the tests) at $16.79 an hour.
Need some good oncology sites. Any info appreciated. nm
x
Bells palsy and chronic headaches? Does anyone have any good info or help out there? sm
Unfortunately, I have had Bells palsy for the past 8 years. I got it while pregnant and had a pretty severe case. I was extremely sick with that pregnancy and then ended up with the Bells palsy. In fact, my baby quit growing after I got the Bells palsy! Thank God I was about 32 weeks when I got it. Anyway, over time the symptoms have not been as bad. For the most part to look at me you couldnt tell I had the Bells--until I smiled at you. Then, of course, you would know it. I have regained some use of muscles, but not all. I have been able to get my eye to close, but it is not tight, so I still battle with dry eye every night/morning. My forehead has been completely "dead" since this happened. Even electric stim could not move the muscle! Whenever I get a headache it always seems to settle on the dead part of my forehead. My headaches have been increasing lately, and currently I have had a headache for five days! I have tried Advil, Tylenol and Excedrin Migraine with no relief. My neurologist cant see me until January since I havent been to him for years. I can not afford an MRI right now and have no desire to start taking any type of pain med. Does anyone have any experience with Bells or have any ideas. I was wondering if a TENS unit might help. I have been reading about that on the internet. Sorry this is so long. Thank you for any help. As you can imagine, I am having a very hard time working all day at my computer with this!
do a google search-were many hits and should find good info--nm
//
Do an archive search - good info posted a few weeks ago.
nm
A good place to get reasonable, objective info regarding ADHD is CHADD
just keep it in mind for the future. www.chad.org. Also there are some informative videos at coolnurse.com. About 10 videos regarding ADHD. you will have do a search on the site but it's worth it. If it's in her father's family it could be possible that she has it, and if so, you needed to get educated about it and be her advocate. School systems respond very well to confident, well prepared parents who come in to meet for a plan that allows for reasonable accomodations. I've been doing it for years.
Emdat platform?? Good, bad or ugly? Any info is appreciated. Thanks in advance. NM
/
Thank you fellow MT. I love that site.....good source of info without the complaing....
Thanks again.
Thank you fellow MT. I love that site.....good source of info without the complaining....
Thanks again.
Tell your boss
Tell him exactly what you told us - that you were researching for the name and that is what you came up with. You did nothing wrong and I'll bet the doctor will be very appreciative. Good catch on your part!
Per my boss.....
It would be 250,000
Boss?
What happens after the holidays? She sobers up and re-hires all of you?
And, I thought nothing for Xmas was bad! :)
I used to have a boss like that (sm)
She was actually running the company, a new franchise in a big city, and between her other duties, she typed. She would be there at 4 a.m., sometimes 3, and leave at about 9 p.m. every night. That is a sickness. The best part is she didn't need the money - seriously - she didn't even need to work. They were very well off, and her husband had a great job. She finally had a heart attack, but that was after years of those hours; believe it or not, she didn't even go into the hospital for her heart attack - the doctor said it was "mild" so she came to work half days for about a week, cause the place couldn't run without her. Now THAT is sick.
I would think so. You would tell your boss ...
if you worked in an office. I have always let several people know when I am going to be away, just to make sure I'm covered.
Have a great vacation!
Boss
I am sorry to hear this, but I have worked in-house and encountered the same type of boss. I left and did not look back and that same boss is there and things have gotten worse under her administration. My ex-coworker has been transcribing for nearly 20 years and is one of her best employees, but yet she treats her like a dog -- go figure.
Boss
Sounds like she is trying to get you to quit - I went through this with one boss - an MTSO - who was really losing all of her accounts and did not want anyone to be able to collect unemployment. She tried everything, changing people's accounts, denying them bonuses, taking away work and queuing it to other people, you name it - she did it. Thicken up your skin if you like your job, but don't expect her to change. I'm sorry that you have to go through this, as it makes for a stressful work environment -of course at some point that might be able to be changed to a "hostile work environment" at which time you need to go to EEOC. Come to think of it, I would give them a call anyway and report her.
Boss
I bought the Boss too and I love it! I had considered Dyson, but so expensive, and glad i settled on this one - i'm impressed!
boss
I had one that i worked for a little bit longer than you and when I gave my notice she told me she would take my resignation now. Boy doesn't that make you feel like just another #.
I think it might be a boss
Upon further research I think it might be a carpal boss or bone spur because it is very hard and painful, unlike a cyst. I'm going to see my rheumatologist in a couple of weeks and ask him. I have a bad feeling that it might need to come out because my hand is getting stiff. But as long as i can type I'll hang in there.
I think you must have my old boss! Just like you, all of us
Notify your boss
Depending on the company you work for, you might get results. It's very frustrating when you see something that needs changed but are powerless. When working for Edix, I had a patient that had the exact same condition my son has and there was a new treatment that had saved his life, yet her doctor did not know about it and she was at the point of being near death and only in her 20s. I emailed my supervisor and asked them to please notify the doctor of the information I sent and they said nope, no way, against the law. That was nearly 3 years ago and still bothers me wondering how the patient turned out.
Do any of you consider QA/editing to be your boss?
I understand that they critique our work, etc., but I never really considered them to be our "boss". I already have one supervisor, now it looks like I have a few more.
I am my own boss and my own employee. nm
:}
I'd tell me to discuss it with his boss
You gotta be r-e-a-l careful when you're talk state laws. The boss might consider him "problematic." I mean, how much money are we talking about in terms of travel from the boss to the client? If he's getting, say, $10/hour and it's a 15-minute drive ... For $2.50, I would just let it slide.
I'm an IC and work exclusively for one company, which makes me a statutory employee by IRS law. However, I'm making a high line rate, so I'm more than willing to leave things as they are and pay 100% of my social security tax.
This is one of those "silence is golden" situations.
Boss asking for normals
Is anybody working for a company where your boss is asking you to share your NORMALS. Be very careful. My company is asking us to share your normals and come to find out who they want us to share with, overseas. Also asking questions like, who are the best dictators, etc. Also experiencing block of work just disappearing. Several hours just gone. Anybody else.
I wonder if you have the same boss lady as me...
She is terrible. She constantly acuses me of things I am not doing and then when I call her on it, I never hear any more about it. Never an apology. I have tried to speak with her on the phone but she won't and it's always by e-mail which is so frustrating. I have been slammed so many times I can't even count any more. I just never know from day to day whether I'll have a job or not because I never know what I will be accused of next. Oh the things we put up with to make a living in this business
She's the boss, applesauce.
:=
OMG... sounds like you have my old boss! n/m
:)
I'd ask your boss for them or the doctor for -
examples. If you cannot get any that way I'd just use the standard SOAP format for PT.
If you are IC, this person is NOT your boss.
x
Being my own boss is worth that!
x
As employee, you do what the boss (Dr) wants.
x
Apparently your boss is not looking at
the work flow. Next time you are asked, tell your boss that if you could pick and choose you would be doing more work too. The boss needs to handle this, if he/she won't, there is not much you can do.
I would not hesitate to tell your boss
especially since she has asked you why this person does so much more than you. Also, you have proof!
Don't worry about opening up a can of worms - it needs to be open. You need to be honest with your boss when she questions you to cover your tail! I wouldn't worry about the other person - she's made her own bed and now she should lie in it.
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