I am sure when the clients get professionally transcribed reports and the doctors find our
Posted By: Are you serious? on 2007-10-01
In Reply to: MTs are always complaining of not being seen as professionals - Speaks for itself
reports accurate nobody is thinking of pajamas or sweats. The home environment just allows us to be a little more relaxed and take showers, etc. on our own schedule. What in the world does that do to undermine what we know and do? As far as what others think of our job in a home environment walk a mile in our shoes, or slippers, whatever the case may be.
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Wacky and demanding clients during
s
Transcribed lots of them, never had one sm
They usually use lidocaine, but it still sounds pretty painful. However, if your mom's doctor thinks she needs one, then I would strongly encourage her to have it done. She could take Tylenol or ibuprofen before the procedure, and if she has Xanax or Valium, she could take one (or her doctor could prescribe one for her). There are several diagnostic imaging tests that they encourage patients to take pain relievers and/or tranquilizers ahead of time. It can really help.
I transcribed a Candy Caine once. sm
There was a doctor in the town I used to transcribe for named Dr. VonSick. Ironic?
There is an accounting firm in the next town over named Cheatham and Goleno. Cheat em? Not my accountant!
You could ask them for your reports and
upon reading them make a decision as to whether you think it is "more" on a benign side. I ask for copies of all lab work, path reports, MRIs, whatever and I keep up with them to know for myself about diagnosis, are my labs in range, etc. Maybe seeing the report and reading it will help you make a better decision.
Sad reports sm
I have worked on many cases which were extremely sad. I was always a very caring person and when I started transcribing some of these sad cases, I wanted to quit. My supervisor said, "You can't get involved." I thought she was a horrible person. After many years and many sad stories, I found I got hardened but not without telling myself that I was actually helping the patient by giving them an accurate, caring record to accompany them on whatever journey they took.After becoming an independent contractor, I also worked on oncology for years when pick up and delivery were part of the scenario. I saw beautiful people disintegrate before my eyes and die. One was a beautiful young woman who got married during her treatment and died. When my own younger sister was diagnosed with lung cancer, I was able to answer some of her questions to the best of my ability, talk about her funeral, etc., as she only had 18 months. Years ago, I would probably have had a breakdown just at the news. Did I become, "hard hearted?" No! But I matured in some strange way. My hubby in later years took over some of my deliveries to the oncologist and could not tolerate seeing patients in the waiting room. It was only then that I realized how I had grown and matured. I am sure some of my family wondered why I did not turn into a crying machine at family funerals, etc. What I did do was have the ability to go to the funeral home, arrange for burials, funerals, etc., in a professional manner. I do not understand it myself, as I was always a crier. I just have to tell myself that I have graduated, matured and have gotten to the point where I can help others without falling apart. Who knew?? I think I have been given a gift and my responsibility is to carry on with grace and dignity. I call it "grace in the bank." Never thought I would see the day when I could handle my own bad news, i.e., "You have cancer, you have breast cancer and that breast has to come off!" (My answer: "When?" Doc: "Last week.") My action - 2nd and 3rd opinions. Outcome - I kept my breast, was told by 2nd and 3rd opinions that after tumor board consults, there was only a question of cancer, DCIS changed to atypical cells. Seven years later, I am still here, no sign of cancer, no mastectomy,no drugs or radiation -- just atypia. Since then, watchful waiting and 6 month visits. How did all this come about? Maturity, just mature decisions and a clear head. So hang in there. Whatever doesn't kill you makes you stronger (and wiser). True story. DO NOT ignore your breasts or any other part of your body, but be a consumer in health care. You would not buy the first car you see on the lot. The maturity and wisdom you will gain will help you and your family in the future. You will be stronger, wiser and a help to everyone if you can overcome the emotion. One of my saddest cases - a psychiatrist had to testify in writing her decision to recommend taking away custody of a child from two retarded people who had married and conceived a child. They were not taking proper care of her through no fault of their own. She was crying while she dictated and so was I. Life is not easy. Just remember you are in the "helping profession" and if you don't pat yourself on the back for doing a great job, I will! Don't take it personally, just do your best job ever and the patient will benefit from your perfect medical record. Manage that stress now; it will pay you back in the future. Hang in there.
I do op reports - sm
I had only been with this account for two weeks or so, and I wish now I had known how to save it for myself. The doc was describing, I think, a laparoscopic cholecystectomy. Somehow, he says, the CO2 line got hooked up to helium and after insufflating the patient's abdomen, the patient began to rise up off of the operating table, and they eventually had to have step stools brought in to be able to reach the patient to complete the operation (I was wondering why they didn't just tie the patient down!). Anyway, the operation finished, the abdomen was deflated, the patient sank back down to the table and the surgeon closed and the patient went to the recovery room in stable condition. Something seemed a little hinky about the whole thing and I notified the transcription supervisor. The date on the report? April 1, 2003.
It was Consumer Reports who said it, actually, LOL
I'm not a bagless fan because I don't want to go outside every time I dump my vacuum cleaner. I don't see how to control loose dry material when you remove it from the cannister. I don't want to reach in there, and it seems like just dumping it into a trash can would cause clouds of dust to rise. Just my thoughts on it, but it was Consumer Reports who didn't think Dyson or any other bagless was the best for pet hair.
yes, they might charge you a bit for reports...sm
but is always worth it to have them.........*S*.....my friend in Florida just had a cardiac catheterization and wanted his reports, and they charged him $11 for them DIRECTLY after the procedure...*sheesh* - cannot believe it......
Not what the reports are saying. They're
saying the highest numbers are in 'healthy' young adults and that's one of the signs of a pandemic.
Been watching reports on TV all day on this.
Sounds really scary. The worst and most alarming report as the worry about spread through the folks traveling to work on the subway systems and public transportation. The last report by Dr. OZ was that they would know more by Friday and be updating things then. Have a local hospital here in town reporting one case and waiting for test results.
One report said if things get really severe, they will close businesses and doggone it all - we work from home, will still be working, and bet the ERs and hospitals will have more reports than ever.
I used to type ER reports.
They were quite, um, interesting. Lots of strange occurrences that increased around the time of the full moon each month. I had one doctor trying to dictate a drunk/drugged patient with foreign object removal, but he couldn't stop giggling through the entire report. He even apologized for giggling.
You should read what some of the VR/ASR reports
come up with. On the other board someone mentioned that ASR came up with a diagnosis that the patient had HIV, which was never even dictated, and she did not know where it came from. Can you imagine if she had not caught that and deleted it.
I have heard you can put explanation on some reports, ie,
x
Free credit reports
A lot of people don't know this, but you can get FREE annual printed copies of your credit reports online in seconds from the 3 major credit companies.
There are a lot of online companies out there saying you can only get this information if you pay for it and try to get you to sign up for some type of credit services. Not true.
''This central site allows you to request a free credit file disclosure, commonly called a credit report, once every 12 months from each of the nationwide consumer credit reporting companies: Equifax, Experian and TransUnion''.
www.annualcreditreport.com
is the official site to help consumers to obtain their free credit report.
Hope this helps others : )
But they can say I need xx reports/lines in 24 hours.
x
Whatever HP printer you can get for your money. Try Consumer Reports for some
s
The company writing the 1099 reports that
They have to report the 1099s they distribute.
I personally have great disdain for tax evaders, which is what you are if you don't report your income.
I pay my taxes and report all of my income fairly and accurately. Those who don't are commiting a criminal act against me as a taxpayer and against the government.
Sending your 1099 in a black envelope would be a protective measure, prevening others from easily viewing information through the envelope. Not quite as underhanded as you seem to want to believe. :)
Poll: short reports or long ones?
which do you prefer?
I like short ones myself, I get bored with the long ones.
Funny, the majority of reports I type
Sure are a bunch of them being born with congenital abnormalities that require a lot of surgery and long stays in intensive care! But of course, let's drive up our own health care costs by pulling out all stops to keep them healthy from birth! Glad to know MY smoking and eating is causing the crisis (although I pay MY taxes and health care premiums), not free health care to thousands of new illegal aliens every day!
I type pediatric reports all the time, and from what
I've been reading, it can easily happen as early as 8, or as late as 14-15. (I was 13, myself). 10 is a tad young, but certainly not abnormal. If I had a daughter going starting her menses, I'd get her something like "Always", the pads that have sticky wings on them that attach them to underpants. No annoying, visible, uncomfortable belts! She may be a tad young for tampons, but maybe when she's a little older that could be an option too. I just wish they had those stick-on pads when I was a teenager!
I type reports of women in their 40's delivering all the time.
111
Scary reports on Eladil possible side effects, though. (sm)
From FDA website:
Possible risk of cancer: As noted in the Elidel Cream label and patient Medication Guide, although a link has not been made, rare cases of cancer (for example, skin and lymphoma) have been reported in patients who use Elidel Cream. The manufacturer is conducting studies to examine the risk of cancer. These studies may take many years to complete.
Doctors don't always know
Unless there is a close proximity to eating a new food or being exposed to something unusual and then developing a rash, a lot of times it is impossible to determine what the culprit is. It could be anything from a new brand of cereal to someone's cologne where he works. They will only send him for allergy testing if he continues to have repeated problems.
Oh, but doctors are much
too important to see people for ear infections and sore throats, especially for just a copay, LOL.
For something routine yet urgent like that, I don't mind seeing an NP, but I don't like waiting 3 hours at an urgent care when I have strep throat with fever and chills.
And I want my medical professional trained in this country and speak English I can understand.
My current doctor is usually pretty good, but her office hours are short, closing at noon on Friday, but if I call her after that she will often call something in or advise after hours if she's on call.
But what is it about skin problems? I don't care if it's a PCP or a dermatologist, if you have a problem with itching or nonhealing wounds, I can't get any respect or real help. What's the problem?
I have many doctors who say is
instead of are. One more I hate--"This is a patient that" instead of who. We should all know that patient's are people unless you transcribe for a vet.--an libary
Why do doctors do this?
First they make you wait out in the lobby and then they make you wait in the examining room. I don't mind a wait as long as I can be in the lobby and talk/see people. I despise having to wait for a long time in the exam room. I get lonely.
I wish the nurses could time it so you only had to wait in the examination room 5-10 minutes.
I think Consumer Reports mentions cameras in the gift issue. See if
s
i refused to go out with doctors
as i sure didn't want to be married to one...(didn't want that lifestyle) but wish you the best!
I know and have worked with several doctors
Actually as a Transcriptionist I was glad because so many times you'd get Dr. Smith (if they got married, then which one?) Well, if they keep their maiden name or at least hyphenate it that made my life a lot easier. I think it also may have something to do with the fact that if they are in practice, everything must be changed and imagine the expense? Also if they are well known, they maybe do not want to jeopardize that. As long as the couple is happy, and he is not offended, I think it is just fine. Congratulations! I would address the letter Drs. April Cox and Richard Grant. JMO. 
I know!! Aren't there any other doctors? - LOL (sm)
It's our little half hour escape to fantasy land!
I know doctors don't always have the answers
I've been in the medical field since 1971.
I was just venting a little - we were so relieved it wasn't bedbugs, and we were hopeful that we would find the real cause and be able to eliminate it. It was kind of a let-down when we didn't.
As far as we know, my husband hasn't been exposed to anything unusual at home or on the job, and his food intake has been normal - nothing unusual.
The only thing we can think of is we moved into this house late last summer, so he did mow the grass a couple of times, but of course different things grow and bloom in the spring than in late summer and fall. He does generally have the usual allergies involving itching eyes, runny nose, sinus congestion, etc., but he has never had a reaction like this. He was a Boy Scout and went camping and hiking all the time, so I know he knows what poison ivy looks like! And it doesn't look like poison ivy rash.
Maybe somebody out there has had a similar experience and can help us - let me describe his symptoms. It usually starts out as a series of small red bumps that are in a fairly straight line. For example, in the crease of his right arm, there are about six little red bumps going straight down (proximal to distal) from the crease in a space of about 1.5 to 2 cm. There is another line, about 1 cm medial to that one, running up the arm (distal to proximal), about the same distance. When he scratches them (he tries not to, but sometimes you just gotta), they appear to turn into one big linear welt.
Any ideas? TIA. And many thanks to those who have been following our "saga". 
I can't stand doctors like that who won't
listen. At least a colonoscopy is good for about 10-15 years, LOL.
The doctors told us our son was going to die.
That was my worst Thanksgiving ever. It was in 1986.
DEAR DOCTORS
It has come to my attention that you all have a severe god complex disorder. While you may think that you are amazing and immortal, that does not mean that I hang on every burp, fart, yawn, snort, sniffle, gag and chewing noise that comes out of your body.
I know you may not realize that there is a LIVING BREATHING person at the other end of your dictation, but there is. One who is extremely grossed out by your bodily functions.
Also, if you don't understand already, time is money for us. Every minute you spend umming and hmming and shuffling papers, is money we lose. Every minute you spend flirting with the nurse who has just walked in the room is equal to about 11 lines of dictation for us. So please, say what you have to say and HANG UP.
So lets review: before you come in to dictate from now on please eat, clear your throat, blow your nose, use the restroom, take some Bean-o, get your papers in order, close the door (preferably lock it so the nurse can't come in), and get your thoughts in order. Then pick up the phone.
Thanks!
Your MT
As far as I know, doctors are allowed to do this
in certain states, but they still need the approval of the nearest relatives.
They do this if somebody is terminally ill and the patient himself expresses the wish that their life should be ended.
She can always change doctors. You
do not have to see the one they send to consult or whatever. It is the patient's right to choose their doctor (of course, as long as they are in their insurance plan).
Doctors here are down playing it.
They are telling us it is no worse than any other flu you get. They also say the worst is over. However, my daughters Girl Scout trip they were supposed to take tomorrow still got cancelled as with a lot of UIL events.
Doctors do not always listen
I needed bilateral ear surgery (typmanoplasty and mastoidectomy) not too long ago. The physician left it up to me which ear to do first, depending on my pain and hearing. I chose the left due to the amount of pain and drainage.
I reported to the hospital (a very prestigious teaching hosptial - in US New and World Reports top 5) that morning and the OR consent form stated the wrong ear. It said the right, rather than the left. I explained to the resident it was wrong and he proceeded to ARGUE with me, that I should just sign the consent form. I finally asked to see my own surgeon prior to signing and he agreed with me and changed it and reversed the OR equipment etc.
In my case it would not have made much difference since I needed 2 surgeries any way.
But what about the older, scared, and confused patient with no family there?
Maybe the patient did state the prima donna physician did not listen.
One of the main doctors I work for
goes into a lot of detail about the patient's complaint and even what they think might be wrong wtih them. He also mentions personal things like if going to college, recently had a death in the family, etc. Hopefully you have typed a few of those and you can tell her that some doctors really do listen. Good Luck!
Guns versus doctors
Doctors
(A) The number of physicians in the U.S. is 700,000.
(B) Accidental deaths caused by Physicians per year are 120,000.
(C) Accidental deaths per physician is 0.171.
Statistics courtesy of U.S. Dept of Health Human Services
Now think about this:
Guns
(A) The number of gun owners in the U.S. is 80,000,000. (Yes, that's 80 million)
(B) The number of accidental gun deaths per year, all age groups, is 1,500.
(C) The number of accidental deaths per gun owner .000188.
Statistics courtesy of FBI
So, statistically, doctors are approximately 9,000 times more dangerous than gun owners.
Remember, 'Guns don't kill people, doctors do.'
FACT: NOT EVERYONE HAS A GUN, BUT ALMOST EVERYONE HAS AT LEAST ONE DOCTOR.
Please alert your friends to this alarming threat. We must ban doctors before this gets completely out of hand!!!!!
Out of concern for the public at large, I withheld the statistics on lawyers for fear the shock would cause people to panic and seek medical attention!
the doctors overdosed him can't blame him if he
now refuses to take it!
We'll have to swap doctors
For unclear reasons, the accent that gives me trouble is a Hispanic one (and I lived in CA for 20 years, so it shouldn't!). When the family watched the movie Bend it Like Beckham, the kids had to get me to translate both the Britsh and Indian accents into American English so they could follow the story.
Doctors with attitudes and other issues
Just got back from the neurologist's office. This is a doctor I have seen now approximately 3 times. I try my best to furnish any and all reports I think necessary for a physician either prior to seeing them for a particular issue or when I see them such as recent MRIs, lab tests, office notes and the like from another physician's office that I think might be pertinent to why I am seeing the present doctor.
Have foot issues (along with a couple other things) but 2 weeks ago I called 2 different podiatrists offices where I have recently been asking that they fax (given number) office notes to the neurologist. Both offices I had visited for the same exact foot issues, no diagnosis and no help. The neurologist did not have the information requested from the 2 other offices this morning, 2 weeks later. When I told him had lots to talk about he said well start. I did and then he told me I was supposed to have told all that information to the person who took my blood pressure, checked my reflexes and so on. Well, not a mind reader here and I told him had the other offices done as requested, then maybe he would have some information before him to go by.
Why, why are people not doing their jobs? It has nothing to do with the economy (this was happening at least 5 years ago when the economy better) but people are so slack now days it just ticks me off. Blowing smoke out ears as I write this.
Find a lawyer, find out where you would stand - sm
in the event of a divorce/separation, regarding custody, house, etc. Custody was my main concern as well since I lied on numerous occasions about the finances. Where I am I was told that would not factor in to the custody at all. I can prove that I am my kids caregiver 90% of the time, I ferry they around everywhere, help with homework, get ready for school, meet at busstop, etc. I could also point out my husband is an alcoholic, self treats his depression with alcohol instead of getting proper medical treatment, has threatend to kill himself (or me) numerous times (though he always says he was joking and did not mean it.....that is his standard answer to everything, or that he never said that). Now I do love him enough to deal with all that because deep down inside my DH is full of it, luckily for me, he has never followed through on anything he says he is going to do. But I thought my confession would be the straw that broke it all and send him over the edge. He still is angry with me, I am sure he will be for a long time, but is keeping it together pretty well, though he has said the stress was going to kill him, now he know how I felt I guess. I am sorry your husband is such a smuck. I feel like a dog sometimes with the sex demands, have to do it the night before he goes out of town....he will be traveling a lot for work for the next 3-4 months, which I am more than glad about, much calmer here then, though it gets tiring for me but as he is not really helping much right now it really won't be much of a change. As for yours going on 5 day weekends.....have you considered having him followed, sounds like there may be some infidelity afoot, and if so that would strengthen your case in the event of a divorce and custody I would think. Sounds a bit fishy going out until 1 a.m. and his frequent trips. My DH fishes too, but he goes 2 miles from here with one of our male neighbors, they shoot the breeze and he gets to unwind some which I encourage. Very rare weekends with a buddy of his, I am talking once every 2 years, which again is fine with me. Start keeping track of all you do, when he is home, where he supposedly goes, with whom, etc. He cannot show he will be a responsible dad if he is never there or never interacts with his own kids. My DH would probably suggest I take our older daughter and he the younger, spliting them up, he has the same perception, the oldest is mine, the youngest is his. Our younger daughter is much easier to deal with, our older daughter drives him nuts and she is only 10. My younger one (8) knows something has been going one though, and worries we will divorce, which she does not want. She is very perceptive for her years. I hope that if you do go the divorce route, which would actually probably be best in your situation, that it all works out for you and you get your fair share of assets, etc. Make sure before you do anything like that you have all your ducks in a row, so talk to divorce lawyer. I talked to one for 45 minutes, cost me $160 but was worth it to set my mind at ease. Good luck.
Most doctors I know prefer women that are open....sm
and not trying to act like someone they aren't. Just treat him like a regular person and hopefully you'll have a great time.
Doctors who spell out simple words,
and leave you hang out to dry on the most obscure term or referring physician spelling if it is an odd name. I'll be darn though, they will spell out "the" t-h-e, p-a-t-i-e-n-t, but never the hard stuff... . ????? I wonder why? People using cell phones when they are driving and not paying attention. People that pull out in front of you, and then go 5 mph. I hate it when the grocery bagger puts all the soap products in with my meat or food goods! Great, now the roast smells like Dove Cucumber and Melon bar soap? Hubby is going to think this is delicious!!!!! UUGGHH!
Seek another opinion - alot of doctors are
hysterectomy-happy. I've typed many reports where women had hysterectomies "just in case." Seek another opinion or even two more opinions.
We need DOCTORS in charge of our health care,
!
I don't understand the ethics of the doctors involved
xx
She should check with her doctors, there are other meds that might not cause diarrhea.
Such as Prevacid, Aciphex, Protonix, or Nexium. (The GI doctors I work for say that any of these should be taken one hour before breakfast.)
Or Zegerid can be taken at bedtime. H2 blockers such as Tagamet, Pepcid, or Zantac also might help, they can be taken at bedtime. Her doctor or a pharmacist would be able to tell her if there's a problem with any of these while taking tamoxifen.
Also, it's important to eat the last meal of the day early and not lie down for at least a few hours after eating.
She could elevate the head of the bed (just putting more pillows there doesn't help) or get a wedge mattress or possibly one of those wedges to put under her pillow(s).
Disregard the ' in doctors ... whoops. No Message
Need an autopilot tuneup.
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