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Serving Over 20,000 US Medical Transcriptionists

I used to type ER reports.

Posted By: former ER MT on 2009-05-06
In Reply to: two here: saddest and wierdest - XanaX

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.


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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
Type 1 requires insulin, type 2 does not - sm
that is the basic difference. Type 2 can be controlled by diet changes and/or medication (pills). My MIL has type 2 which runs in her family, no one is obese either. She controls it with diet and medication. Your dermatologist I think is wrong. Doesn't your husband know which type he has?
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. 


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.


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.


I am sure when the clients get professionally transcribed reports and the doctors find our
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.
I think Consumer Reports mentions cameras in the gift issue. See if
s
I would type

MEDICATIONS: Zocor and Ambien.

OR

MEDICATIONS
1. Zocor
2. Ambien

And

DIAGNOSES: Hypertension and chronic heart failure.

OR

DIAGNOSES
1. Hypertension.
2. Chronic heart failure.


Depending on which looked better in relation to the rest of the report. But that's just me. :-)
Not my type either..
I do like the scruffier male type image - kind of like that actor who plays "House"
Always. I can't type without it. nm
nm
I had to type it in...
the address bar but could not find the Pantene link to click on.
It's 3 a.m. to type or not to type

Need some ideas about insomnia.  Don't want to take those sleeping pills. I used to begin work at 3 a.m. and worked split.  But, recently changed to day because I found if I got a good night's sleep my line count and disposition was better.  Lucky to get day because it takes a lot of years usually to get it.  But, now I find myself up at 3 anyway and for the last 2 hours have been surfing the net, mostly here and e bay.  I know that if I typed some now I would be no good during the day and not get my usually good line count during the day that I usually get.  BTW: Today is my day off, but I still plan to work and obviously hyper because I can't sleep now.  Any suggestions on how to get off this overnight shift pattern? Been doing this insomnia overnight thing for about 2 years, and I like the quiet (3 kids and a husband) in the middle of the night, but worn out.


Please suggestions for an insomnia. And forget the warm milk, please YUK LOL. Thanks for your help. Maybe with your suggestions in a week or so I can get off this 3 a.m. pattern. TIA.


 


If you don't type why are you here?
Just leave!!!!!!
anybody out there ever type

What are the rules you apply to yourself for taking sedatives and drinking while at work?  Does happy hour ever start early? 


Wow, when I type
for a typing test (trying to get a job), I get so nervous I can barely type and practically pass out. Any tips on how NOT to do that.

I could never type 104 wpm anyway, but I type much worse when trying for a job. Gulp!
Well who is going to type MJ and FF?
That hospital was one of ours, so I told my DH that the docs will type it themselves as to not to get a leak out to the press.  Sad times, sad times.  I am in the Midwest now, not to worry about celebs.  Pretty interesting day it was in the land of transcription.  JMO. 
Ever have a day when you just cannot type
I had one of those days yesterday where I typed dyslexic all day and it's spilling over into today.  Man, this sucks.  Normally I never have more than one uncoordinated day every few months.  Argh.  It's frustrating! 
We have to type it if dictated. I do this..
MEDICATIONS INCLUDE:
1.
2.

DIAGNOSES INCLUDE:
1.
2.


I didn't type this but...

During a report, this derm doctor who speaks in this odd monotone voice went on a diatribe (off the record) about a patient using something called "Boudreaux's Butt Paste."  He had never heard of it, and neither had I until his report.  The dude was HILARIOUS!  He went off on a tangent, talking into the mic as if he were talking to another person, asking what it must be like for someone to go up to the pharmacy counter and ask for butt paste, and why on earth were they using butt paste on their face...and oh it went on for a good couple of minutes!  I was actually laughing so hard I had tears down my face!  Months later I found a tube of it in the baby section of Target and was tempted to mail him a small tube just for giggles, but then I thought maybe that would get me into trouble, so I didn't. 


That was my most memorable and most fun report and I will never forget it.  The dude should do stand up comedy, he was THAT funny!


Good times


it was a *duh* type question. that's all. nm
nm
But I am certainly horrified when I type
a report of an facial x-ray on a patient who has been punched in the face.

They do it on TV and the movies all the time, and it only results in bloody lip, lost tooth, bloody nose, or broken nose. The reality can be much worse and quite horrifying to think just a punch with a fist could do that kind of damage.
No. It's a personality type to try to fix
things. A fixer (a male trait that some women have) doesn't realize it when a person is just asking for sympathy, not actual help. They think that by coming up with a practical solution, in this case, an honest way for you to make some cash and everybody to enjoy a little pampering for a small price, she has helped solve your problem. She has no idea this would be offensive and hurtful to you. If you complain she will be shocked because she honestly thought you were asking for help.

I had to figure this out because I have this trait and it's really hard for me to tell if somebody wants help or just a pity party.


LOL!! You should try to learn to type with them ;-) nm
x
Why can't you type Restuvus here?
Obviously am I missing something?
LOL SO TRUE! That is so true. Especially if you type and type
and forget the catheter in that your boss sent you with the computer and company policies booklet. LOL.
What type of mixer do you have?
ty :)
Sorry! What type of machine do you have? :)
ty
smart type
I had someone tell me that Stedman's smart type was the way to go as far as spell checker and speed typing program. what do you use? and have you used it?
no clue what I was trying to type- sm
under influence of cold meds......think I was trying to type "I was born in 1965".
What type of shipping?
If the person ships it media mail for the book, it will take up to three weeks for you to receive it. Regardless, one week is not really long enough to file a complaint or start contacting the person. I have been doing business on ebay, buying and selling once in a while, and I know you cannot expect your items so soon...especially around Christmas.
if your ex is the type of person who would allow (sm)
an evil witch stepmother to deny his children things... and would not even bother to get his own child a Christmas present, why would you regret not staying married to him? If that is who he is, that is who he already was. If he cared about his children he would do better by them now. I think you did the right thing by divorcing him.
do you type with those nails??
your pup is freaking adorable i love all dogs :)

are you an MT? My nails are long but not that long! :)
What type of kitchen mop do you use?
I am really frustrated with my kitchen mop right now. I have a cermanic tile floor that has to be mopped at least once or twice a week (when I feel like it). I can't find a mop that I like and gets the floor clean. Just curious what type of floor you have and what kind of mop do you use?
type drunk?
No but it wouldn't be the first time someone was dictating drunk. Happens more often than anyone would like to admit.
How do you two type with nails?.....
I am always filing mine short so they don't get in the way.
It is so hard to type
when your Boxer constantly wants to "box" the foot pedal!!


What type of advice?
There are pros and cons to each. Upside of craigslist is that it's free, all the proceeds come to you, and usually people come and pick up the item(s). Downside is that you get your day interrupted with phone calls, strangers come to your house, and potential buyers limited to your geographical area.

Upside of ebay is that you post it and forget about it for a couple of days (assuming you have a clear, concise ad). Your item is for sale across the nation/world. On the downside, you pay ebay fees and paypal fees when you sell your item. You have to box it up and either take it to the post office or arrange shipping. You may be stuck selling something at a price you feel is less than it's worth. You also potentially have people not paying or backing out after winning and we you have to go through the whole procedure again.

I think it's a matter of weighing which factors are more important to you...convenience, larger potential audience, and whether the fees are worth it.