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Just did MRI on tinnitus patient. See Message regarding acoustic neuromas.

Posted By: One-sided, eh? on 2007-01-26
In Reply to: anyone have ringing in ears? - mdlfcrs

Acoustic Neuromas:
Acoustic neuromas are small, slow growing benign tumors that press against or invade the auditory nerves. If your tinnitus is only in one ear, you should see your physician to rule this one out. An MRI will probably be required for a definitive diagnosis, but one contributor's ENT felt that an MRI wasn't warranted unless frequent dizziness was present. Acoustic neuromas are removable by surgery but involve a risk of hearing loss. Doing nothing should be considered an option by elderly patients since these tumors grow so slowly.


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When a patient has a russian name they speak with a russian accent, then - see message
the next patient has an italian name and they speak with an italian accent, then the next patient was a child and they spoke with a goofy (disney character accent), etc, etc. It's been like that ALL day. That's why I said I like to type the report in wingdings and see how they like it. ha ha
the underlying read-between-the-lines message of the insurance lobbyist's message was (sm)
to, yes, appeal the denied claim.  However, she lobbies for the insurance companies.  She comes across sounding like she's on the patient's side but in reality she is on the side of the insurance company.  The insurance company gets to deny whatever claims they want right off the bat.  That leaves the SICK patient (who needs the coverage NOW when they are sick) to have to go through the appeals process.  That could take quite a while.  Imagine a cancer patient being denied some form of treatment that is going to help them.  They now have to go through the appeals process (or pay out of pocket) in order for that treatment to be covered.  In the MEANTIME their cancer is progressing.  From the point of view of the insurance company, if they drag it out long enough they don't have to pay for it at all.  That same insurance lobbyist was on 20/20 a little while back and basically came right out and said that the insurance companies COULDN'T AFFORD to pay for coverage for sick people.  She's not on the patient's side.
If I were the patient I'd....sm
never be comfortable with what all this midwife is trying. It appears to me that the midwife is trying to play doctor - we've all seen it at times with nurses & PAs trying to be something they're not.

My OB group uses midwives and prefers that the midwives deliver all vaginal deliveries; however, I have insisted that a "real" doctor see me on my visits and deliver my baby when the time comes. I'm paying for a full MD service (i.e. they don't charge the insurance company less if a midwife sees a patient and/or delivers).
Be patient
I know it's driving me crazy too, but if I wait about 20 seconds or so it finally comes up.
The English Patient
What can I say except I adore Ralph?? :-) Sigh...
Patient - every time!!!
It was so bad that I even put it in my auto type and I even spelled it wrong there!!!!
Sounds good, then just be patient....sm

and please let us know when you are 6-8 weeks into using it....I so hope it works for you, it worked for me and 2 of my friends (they had lost their hair to chemo), one of whom finished chemo in November and has nearly 2" of growth all over her head now and thick!!  (post-Fermodyl)....



patient care - did you hear about this one?
June 13, 2007 — A woman is lying on the floor of a Los Angeles County hospital emergency room. She is throwing up blood. Family members say hospital workers ignored their pleas for help, so they called 911 from the hospital frantically seeking help.
A half an hour later, Edith Rodriquez, 43, a mother of three, was dead, leaving the family reeling. The county supervisor is outraged, and it's all been caught on tape.

At 1:43 a.m. May 9, Rodriquez's boyfriend, Jose Prado, placed the first call to 911 from a pay phone just outside the emergency room at Los Angeles' Martin Luther King Jr.-Harbor Hospital.

911 Operator: "What's wrong with her?," the 911 operator asked.

Prado: "She's vomiting blood."

The operator then questions why hospital officials are not helping Rodriguez.

Prado: "They're watching her and they're not doing anything. Just watching her."

Rodriguez had been to the emergency room on three separate occasions. Each time she was released after being given prescriptions for pain.

This time, she lay on the floor of the emergency room for 45 minutes. A security video shows staffers and other patients standing by as a janitor cleaned the floor around her.

Eight minutes after the first call, another call to 911 apparently comes from another person not related to Rodriquez. "There's a woman on the ground of the emergency room at Martin Luther King and they're overlooking her," the female caller says, "and they're ignoring her."

The operator asks the caller what she wants him to do and informs the woman to contact hospital personnel. The conversation then becomes tense as the operator lets the caller know he cannot send an ambulance to the hospital.

"I cannot do anything for you for the quality of the hospital there," the operator says. "This line is for emergency purposes only."

"May [God] strike you too for acting the way you are," the caller responds. The operator says, "No negative, ma'am. You're the one."

The county coroner ruled that Rodriguez died of a perforated bowel.

After listening to the tapes, L.A. County supervisor Zev Yarovslosky called the hospital's actions a moral and human breakdown.

Last week, federal inspectors declared that patients at King-Harbor were in "immediate jeopardy" of harm or death and gave the hospital 23 days to correct procedures or lose certification. It was the fourth time in less than four years that the hospital had received the warning, according to The Los Angeles Times.

"I hope it's a lesson to the rest of the community that when somebody's in trouble and the appropriated reaction is not to turn your back on that somebody," Yarovslosky said. "It's to put your hand out and see how you can help."

The supervisor of that second dispatcher said his tone on the call was inappropriate. The medical director of the hospital has been ousted for his handling of an unrelated lapse in patient care.

You're a very patient woman
I was too when I was younger, but not anymore. Good for you for teaching your daughters what not to do.

I think you deserve better. I doubt he appreciates you.

I have a couple of nieces who smoke and their houses never smell bad - they use air purifiers and anti-cigarette candles, but I'm not sure where they get the candles. They smoke, but hate the smell of stale cigs. Go figure.
just a liaison between the patient's and families...
and the nursing home, so if they are not addressing your needs, this is an appointed advocate--not employed by the nursing homes--whose job it is to address your concerns.
Hands down....The English Patient
Absolutely the worst movie I have ever seen.
Talk about a patient's privacy being intruded upon.
And who is paying for these ultrasounds?  Are these lawmakers going to support these children.  I think we've fought long and hard to make it our decision as women.  It is our body.  I'm sorry if I offend people who call it murder or whatever, but that is the choice a woman has to make, not some lawmaker.  Also, which health care provider (doctor/imaging center) is making the money off of this one?  Will the woman that is with child have to pay for this herself? 
Yes, dad was in the picture. He was kind and generous and patient.
He took her abuse for 30 years, and then he died. He wouldn't leave her. He and I were very close. My father gave me a great gift. He gave me self-confidence. I could write about him forever! But I can boil it down to this: A father who loves and cares for his daughter, and builds her up, increases the likelihood that she will have great relationships with men in her life. I've always had wonderful men in my life -- very good friends -- and especially my husband. My father had a lot to do with that.
So thanks for saying I'm a good seed, but my father was also a good gardener!

I had a patient's name a long time ago, Ima Piggee..nm
nm
there is a patient advocate or ombudsman in every state...
whose job it is to deal with things like this. the nursing home can give you the number and it MUST be posted somewhere. If you ask for this number, chances are, they will find the ring if at all possible because they do NOT want to deal with this type of mess, but you should definitely get in contact with him.
Dear Mother of an Adult Patient
Stop calling me to request prescription refills for your son. If he needs something, HE should call, not you. He is forty years old and fully capable of calling. Also, don't call me on Friday afternoon and ask me to put a Rx up front and then call me this morning and ask if I faxed it to some pharmacy. That's not what you asked me to do. And again... HE should call, not you. Also, calling me three times a day to ask if a company has called me to authorize your son's Rx is annoying. They won't call me. They will....Oh yeah. CALL HIM! Your voice annoys me. It's like screeching birds. In case you didn't get it, which you don't seem to, PLEASE STOP CALLING.

Thanks!
Be patient, kind, loving and understanding . . .
sounds to me like he is missing you and your mom/family life. He is probably hurting right now and needs you and for some reason he finds great comfort in being with you. My dad died 13 years ago and I loved having him around. I know your situation is different, but be the comfort he needs right now and I am sure this will end in time. He is looking for reassurance for something. Who divorced who? He is probably hurting a great deal right now even though he does have a new girlfriend. You won't regret being there for your father. Trust me.
Patient had heartburn after eating a "hot met"

this was in a report I transcribed a couple of days ago.  I left a blank because the client allows 2 blanks, but it has just been bugging me ever since.  It was an account in the southern US, so I wondered if it was something specific to that region (I've lived on the west coast all my life).  Can anyone satisfy my curiousity and tell me what a "hot met" is? 


I hate the phrase "the patient expired"
I have never liked that phrase...makes me think of spoiled milk or something. We don't come with expirations dates!!
Mainly speaking tongue in cheek, but he could remove patient info and let me listen.
:P
Message to Mom of 3 below.
Wow! First of all have to give you compliments on stating your opinion as I figure you knew you would get nailed.  I am also one that is a firm believer of kids have the ability to learn, sometimes through tough love and sometimes through every day simple life.  Although I would disagree with you about the "coat incident" I still can relate to you on trying to teach kids to take care of your things, etc.  I love my kids dearly, but I know at any moment I could be taken from this earth and I want them to be as prepared as they can be at 8 and 9.  I don't expect perfection, but when they do "screw up" I make sure they definitely know it (and remember it).  I think most people now do not appreciate children the way we do.  They are very intelligent if you give them the opporunity to be. They deserve respect just as adults do (when they earn it.... just like adults).  We have to teach them to be adults and it has to start somewhere.  Again, I don't completely agree with you, but overall I understand what you are saying.  Please ignore any misspelling in my post... I am using my husband's keyboard, which is "stiff as a board!)
Sorry, should be sm for above message
nm
See message...

I believe homosexuality is a sin, but I also believe that sexual preferences should be personal and private.  I would not refuse to shop at a store because a clerk was gay, but frankly, that is something that I shouldn't even know about a stranger.  A person's sexual behavior should be totally private. 


See Message!
I paid my balance off in full, received a finance charge statement of about $42. I called the credit card, and said I do not understand - I paid the balance in full, what is this charge for. Act like you need them to help you understand. They adjusted my account and took that finance charge off and said I will receive a statement of the adjustment and my balance is now 0.

It really all depends on how you handle it and in what way you speak to them. Try it that way and see if they will adjust it off.

Good luck!
See message
I just had my ovary removed due to a cyst and surgery went well, I did well postop and was relieved that it was over. However, just found out that the pathology report showed carcinoma and now I have to have a total hysterectomy and staging workup. Anyone been through this that can offer some comfort in what to expect? Thanks.
see message
Thank you for your suggestions. At least you give me suggestions other than telling me to seek therapy or bariatric surgery, which I would never consider anyway. I get defensive when I feel attacked for my opinions, thus the *anger* in my previous posts. I DID read your post thoroughly and I did note that you used to have a weight problem, as well. Anon upset me, and I guess I took it out on you. I apologize.

I will put in to use some of your suggestions, but just so you know, my one meal a day does not include snacking, either. I am busy working most of the day, have a lot to do, and the time just slips away before I realize I am hungry, which is generally around 3 in the afternoon. I may have a cup of coffee or tea in the morning, and sometimes water, but that is all. Some will find fault with that, as well, I am sure, but that's the truth. Again, thanks for your input. At least you are more pleasant about it all.
see message
Your symptoms sound similar to carpal tunnel, but it may be something else, too. If I may suggest seeing a neurologist? It sounds more like a nerve problem to me and it does not necessarily have to be in your hands or wrists. EMG nerve conduction studies on your hands may be negative, but I have done dictations from doctors who have patients with carpal tunnel with false EMGs and the docs call them false positives, meaning the patient actually has carpal tunnel, but the studies were not definitive for that. As the other poster suggested, it may also be neck related. Just get a second opinion from a different doctor, and be insistent on what YOU want checked. Some doctors are resistant to patient requests, so you have to stand up for yourself. good luck.
see message.....
When my 17 year old calico passed away a few months ago, I was with her, as well as my 20 y/o son, and it was very hard for us both to watch. My son couldn't stop crying...she was part of his entire life. We still have the 16 year old male with us, Oscar, who misses her very much. They always stayed in close proximity to one another...even though they still gave each other glaring looks at mealtime. He just hangs onto us all the time and it's hard to work because he insist on laying on my desk, in my lap, knocking everything off. He has never done this before. She always laid at my feet and talked to me and he laid up high. It's sad because he can't understand what's happened. She was his long-time partner.
see message
I would be careful...I am facing court for just this right now, due to old debt that I started accruing, due to being quite desperate and broke, after my bankruptcy was filed. I can file again but probably won't and don't want to, but still have to deal with the courts, this week actually. can't wait. bankruptcy is not the end of the world. you can get a credit card again and you can work on your credit. It stays on your credit report for ten years. how long will it take you to pay off that debt???
see message
He obviously wanted to be with her and you cannot fault him for that, I guess. It is never easy when someone in the family takes their own lives and those left behind never truly understand why or how that person was feeling inside. It is very hard, and I feel your pain. Cry, let it out, and then take God's hand. He will get you through it somehow. There will be a brighter day. They are together now. Maybe that will help some. God bless you and your family. {{{hugs}}}
see message--sm
you only have to look into your heart to know what is right and what is wrong. I am not going to argue religion with you. I have my beliefs and you have yours, or disbeliefs in your case, and I am not going to argue with you about who is right and who is wrong. Time will tell that, in the end. and no one said anything about someone coming into your room on your deathbed and preaching to you, personally. It sounds like you are so opposed to it because you may actually be wrong about it more so than you just do not believe. Good luck to you.
My message above should have had SM as there is more
/
See message -- going it alone
Think of a younger family member.  Well everyone thought I was nuts to take my almost 18 year old nephew with me to San Francisco as I could not do the "night life" but we had a wonderful time.  never walked so much in my life.  We have always gotten along but he is so easy to travel with and appreciative of it.  Went to a Giants game, did the Fisherman's Wharf almost everyday.  Got lost.  Took wrong buses and it was so nice being with someone that never got upset, enjoyed the little things and went with the flow.  We talk about it all the time.   I gave him so much money every day which was out budget for meals and "fun things" and he saw how the money went and if we did not spend much for breakfast it left that much more for dinner or something "extra".  He had to figure out what the tips were, etc.  It was great -- I did not have to handle money at all, left it all up to him.  He read the maps and got us around with buses, etc.   It was also nice that I did not have to worry about someone drinking too much and ruining the next day which is what my ex did more times than not.  Saw everything down there.  There is why I am thinking of taking him (now 19) and his 17 year old brother to Boston with me.   So think of taking a younger family member that will enjoy it with you if you do want to share some special time with them.   There are a lot of great teenagers out there that do like to spend time with adults.  
See message.
http://www.sydneyscloset.com/
YES!!! See message
Hey, this happened to us just about a month ago. My hubby needed his ASAP!! I called the Records place in Kansas (where he was born) and they were willing to overnight it to me. Now, the total cost including the certificate was 36 dollars and we didn't get it until after 5 p.m. (could have paid more to get it before noon) on the 2nd day (ordered it on Tues, got here on Thurs), but I ordered it after 4 p.m. too, so you could probably get it faster. good luck!!!
see message
I don't mean this to sound rude or harsh, but I would tell them to start saving up now for moving expenses in October. If they have the next four months to save, they could probably find another place to live and pay for security deposits and moving transportation, etc. This is not a good financial situation, it sounds like, and I really do not foresee acquiring a loan in time to purchase this home, not to mention them not being able to meet the payments if they do secure a loan. I would tell them to prepare for the inevitable now, so they are burdened with financial problems when the time arises, and it most likely will. To keep them from moving in with you, this would be the best route for all involved. It is not your responsibility to solve their problems. Good luck to you.
See message..
My friend just went through the same thing but because she didn't want to be alone, they stayed together until recently.  He was having an affair and the other lady divorced her husband which is when he decided he was not going to stay married to her.  I guess I'm saying this because I have seen what my friend has gone through with the other lady and if your husband feels that way, he might also find someone with the same interests.  It is better to separate/divorce before an affair than during/after, as in the case with my friend.  Good luck! 
No Message
If you look at the end of the subject, before you click on it and it says NM at the end, that means there's no message inside. I hope that helps and didn't confuse you more.
See message.....
Have you tried PetShed.com or other out of the country suppliers? I get mine for half the price. I also have several inside cats and this is much cheaper, even with shipping. Same pharmaceutical company making it, same med as in the US, just cheaper, because big pharma aren't buying the other countries.
sorry, there IS a message in there! sm
m
see message
I too have an old cat, nearly 17. She has moved into my closet and spends time between my closet and my husband's closet. Odd behavior. She mews very loudly all the time and I don't think she sees well. I believe if the cat wanted to go out, I would let him. He might want to die and you "find" him afterwards rather than watch him die. Sorry about your cat. My Sam is not far behind I am afraid.

see message
I am looking for Tabletops Gallery dinnerware, pattern is Winterland.  Kohl's has this dinnerware 80% off, and I love the pattern, but they had no plates.  They have cereal bowls, coffee mugs, and serving bowls, and that's all.  I'm mainly interested in the dinner plates and salad plates.  If anyone knows where I might find this dinnerware, please let me know.  I appreciate it very much!! 
To different message
Thank you for your reply....this is the kind of input that I was looking for without being bashed in the process....thank you....
See Message.

You need to talk to him as wife to husband, leaving the other people out of it. I mean completely, because if you mention them, he will get defensive.


Just talk to him about not being as close to him as you would like. Ask if there is something he would like to talk to you about. Let him talk. (Yes, I know, men are great talkers!). Try being calm. Good luck, because I wouldn't be, but try. Say you would like to make plans to do things as a couple. Say you might like to include other friends, if he would like, but don't mention that other couple. Make it all sound like it is between the two of you and only the two of you. Try to be very loving. If fact, I would go out of my way to show him how much you care about him.


See message
Can you email me and maybe can discuss a little more on the issues you and I both are having. Thanks!
see message
How do I do that exactly?
See message...

I understand what you are saying.  I am happy that we are all able to enjoy ourselves, but it is a bit hard to see a thread or two that get stuck in between.  You can always E-mail MTStars Administration and maybe they will make a separate board for games, or a Gab Board 2, that way everyone will get appropriate response to their threads and still allow a place for fun.


Moderator


See message...

Our Terms of Service are available at mtstars.com (look to the left).


Also, I would like to make you aware that as Moderators we are able to see IP addresses.  I can see that you are the same person who is continuing this argument.  You are also the same person who said something extremely crude to the Moderators approximately 2 weeks ago on the Medquist board...a place where you frequently create problems. 


Moderator


See message again...

I will address these posts and then the discussion will finish.


1.  Yes, we are able to see IP addresses, so we do know exactly who is continuing arguments -- I was referring to the person located in Mt. Laurel, NJ.


2.  There is more than 1 Moderator for this site.  As far as which Moderator deletes/edits/locks which post, I cannot keep track of this information.  If you are following the site TOS, there should be no problem with your post.


Moderator


See message...

You can E-mail the site Administrator and make this suggestion.


Moderator


See message
The other moderator is correct, there are 4 of us. We are not always aware of what has gone on with threads. From what I can see you did post the msg below, but it was not you who responded with the crude comments. That would be the same poster who WAS continuing the argument on the previous thread.

I do apologize for the accusations, but please understand we err too. We get just as worked up when people start fighting and writing rude remarks.

I am not familiar with previous experiences with you, so I will not comment on those.

I will say, though, that the moderator did explain not to comment on closed threads. There is a reason they get closed, and opening that door back up won't fix anything. Since the moderator explained it and this thread was still started, it's very easy to assume that you are trying to start an argument. If you aren't, that's wonderful. We don't like the fighting anymore than the next person, and we certainly don't like to ban anyone. We would much rather lock or delete posts and give everyone a chance to cool down. If time goes by and one starts posting the same things, we have to assume they are starting fights.

If you have any questions, feel free to email me.