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Acute rightknee pain

Posted By: Boomer on 2005-11-18
In Reply to:

Has any other older MT had the sudden onset of acute right knee pain:  This morning all of a sudden I am experiencing extremely sharp pain in my right (foot pedal leg) knee, anyone else ever had this?


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When I applied looking for acute care, Jane told me it's 70% clinic and 30% acute. nm
s
I feel your pain. If at teaching hospital, great pain. SM
Some doctors do give standard discharge summaries, so you could just make copy and then pull it up. It is not easy, especially when they give 20 lines of lab results.
I went from acute to Rad back to acute - sm

I thought it was far worse going from Rad back into acute!  Difficult! 


I think Rad is such a well-rounded specialty - you learn all the body parts.  I don't think you will have any trouble going into that.


Good luck to you!


1/2 rad and 1/2 acute care
Does anyone have an acount where they do some radiology and some acute care?  Do you get paid differently for rad/acute care on this account?  I get paid the same and have one radiologist that slows me down considerably (I transcribe for 2 radiologist alternating weeks).  I make 1/2 with him than what I would make doing acute care or the other radiologist. 
rad/acute accounts

I am contracted with a hospital to do acute acare and radiology.  I have been understanding that radiology usually is made more.  Doing both do you get paid the same for both or bill differently for radiology?


Thanks


I do acute cares and can do 250...
not sure what you mean by copy and paste. I have text Expanders and "normals" that I use that really help, they are built into Chartscript or it may be called SoftWeb and you can add all the shortcuts you want. I am trying to learn the abcdz system of short cutting.
In no acute distress (NM)
.
Acute care

Can someone please explain acute care setting in detail?


Yes, and also known as acute care. (sm)
To me, the next thing would be OPs right after doing radiology, because you have lost most of your drug names by now. But it is hard to break into OPs, especially exclusively. You would also likely do well with (office) orthopedics or gastroenterology. I'm not saying you can't do acute care, but you would want to be in-house with a mentor nearby for the easiest transition. The drug names and all the various mispronounciations will be a thorn in your side.
I do know that the acute care...
would benefit me in the long run because I would have more opportunity to learn more. I currently do not take on the variety of work that you do, hence, the boredom. I only do discharge summaries on a regular basis and just started with consults and H&Ps. I have yet to do any regular workload of OP reports, etc.

I have always been interested in the psych field. Maybe that is why I think that I would be more interested in doing the transcription. Also, yes, I am on the hardest account we have. Thanks for the input though.
Acute care, 0.07 and 0.075....maybe??
I was hired making 0.08 cpl doing acute care for a national right out of school. Personally I think your numbers are a little low compared to what I have seen out there.
Acute Care & QA
I guess that is where my problem lies.  If I send a blank to editing/QA, I do not get the corrected report back so I never know what was filled in for the blank. Obviously, that hinders the learning process quite a bit.  Since I have only worked for 2 companies (the first one I could view my corrected reports, second one not), I am wondering if this is the norm. 
how many lph on ave is everyone doing in acute care? sm
i know there are lots of variables. i am just looking for a general idea of about where most people average, lph. TYIA
Acute care is
all the basic work types found in a hospital, H&Ps, consults, discharges, op notes, cardiac reports, the whole shebang.  The work is so varied and you get to touch on just about all the specialties, especially if it's a larger hospital.  
acute care
Just to clarify, in no way did I mean that as an accusation that she was misrepresenting herself.  I wanted to make sure she knew the difference between acute care and clinic work, as she seemed new to the world of transcription outside her experience with her doctor for the past 3 years.   
Clinic and acute are very different.
I think acute care is much easier personally, but I've done mostly clinical stuff for 8 years now.  I've only done acute care for a few months but I think it is much easier.  Of course, my old clinic had every type of doctor known to man lol.
Acute care...nm
.
I would go with acute care, only because
I have a short attention span and doing clinic notes day in and day out would put me to sleep. It is bad enough when I get a bunch of monotone dictators, but it helps when they talk about something other than GERD and immunizations. JMHO.
acute care........

why did you go to acute work?
nm
acute care
I started with a company back in June of last year as a newbie.  Due to a terminal illness, the owner sold the company in August.  The company who bought the business kept me on, which I am thankful for.  When I hired in with the original company before they sold out I transcribed clinic reports for a general surgeon who was an awesome dictator.  When the other company bought it out they said they no longer had that account and put me on acute care.  A huge hospital with tons of doctors.  A lot of ESLs.  Doing everything from H&Ps, consults, op notes, discharge sum., cardiac caths, sleep studies, etc.  Needless to say I was lost.  I am so thankful for the opportunity but isn't this a bit much for a someone with not much experience.  Anyway I came to find out later I was lied to and they still had the clinic account but gave it to someone with much more experience than me just because they didnt WANT to do acute care.  Now since I know they still have the account they let me do leftovers and use me for when no one else is available to do the clinic account but otherwise I have to do acute care.  Shouldn't a company give accounts based on the exp. level you have not what another MT wants to transcribe?  I think I should have gradually worked my way up to an account like this acute care account.  It is a very difficult account which slows down productivity a lot.  That and I am only making .065 cpl.  Which I know I have to start somewhere.  But on an account like that it is hard to make any money.  I don't have a lot of experience with companies but have you ever known a newbie to do a difficult acute care account when there was more appropriate accounts available?
radiology from acute

Hi.  I did acute and everything else for 20 plus years, and after my last loss of job to voice recognition, I got a local job near me that was radiology.  I had done radiology but not the CTs, MRIs, and everything else like the procedures.  Radiology is good, but there's one problem the jobs are scarce and there are so many rad MTs trying to get the job that it is hard.  The other problem I am finding, is that after losing this radiology job to voice recognition, (2nd time losing to this), I have been doing the radiology for 3 years now, the most thing out there is hospital, acute care, I am finding it so hard to get back into that and make any money.  I am so used to radiology now.  So if you are making good money on acute now, I would stick with it, and just do radiology as a side or something unless you have such a good offer that you can't pass it up.   That's just my opinion. 


Acute Care?
Subject: Acute Care?

I have been applying for jobs but all or most of them say Acute Care experience.  I am not sure what that means?  I have been with a small company for almost 3 years now and type several different docs for them.  What is acute care?  Sorry.  May be a dumb question but this is the only place I have worked since I started transcribing!  thanks.
acute care

I could be wrong but I think acute care means you have experience transcribing the basic 4.


You can try searching "what acute care means" here on these forums.  Just type it in the search box up above.


acute care
It means you have experience typing hospital reports, i.e., discharge summaries, H&Ps, consults, operative notes, and the like. If you type doctor's office notes that is considered clinical, not acute.
Acute Care?
What about in hospital acute care patients? Will all their records also be generated via EMR or is that the plan in the near future also?
Unfortunately, they do not have acute care.
It baffles me that my experience does not seem to even be considered. I am a quick study and I learn and retain well. I really want to expand my horizons and I am open to suggestions. I am a good Transcriptionist with 99.8% accuracy and I am motivated, yet I just keeping running into wall after wall. Would testing on company websites be helpful at all? I don't want to waste my time, but I am almost desperate.
Acute vs. Clinic

I cut my teeth on acute care - real baptism by fire - and by comparison clinic would have been an easier start for me working from home, but I'm glad for the experience.  Acute is so much more technical that, if you're willing to do it on production, you should be prepared for the income hit that can come with the learning curve.  If you can go in-house to get the experience, I'd suggest that.  However, if you want to continue from home, keep knocking - with your years of clinic experience, I'm sure someone will give you an opportunity.


Rad Vs Acute Care
I've done both and, to be honest, I think it depends on your dictators, their use of normals, the length of the reports, etc. I've had rads that will blather on for 12 minutes (yes, 12) on an essentially negative CT abdomen and pelvis. And it's not 12 minutes of dictation. It's 12 minutes of start/stop dictation, with lots of pauses and dead air time, which is a total line killer. I've also had rads that have a normal for this type of report, have it blown in, fill in a few blanks, and wrap it up. I've also had dictations that show up as a 6 or 7 minute total time dictation, only to find the first 3 minutes are actual dictation, the rest of the time is "Transcriptionist, go back up and where I said...", and proceed to spend 3 minutes changing the first 3 minutes of dictation (always a delight). In an 8 hour shift with the right dictators, I can slam out about 1900-2100 lines of straight transcription in Rad; on the other hand, I've had 8 hour shifts where, depending on the dictators, I've been doing good to eek out 1400 lines.
Having done both rad and acute care, I'd say it's a crapshoot as to which one actually pays more. There are a lot of variables with accounts and it's difficult to really differentiate which of the two would pay better. It all comes down to the account...doctors' style of dictating, usage of normals, ESL physicians, etc.; the same things that impact one's line count on an acute care account.
Good luck to you. I really think with the right account, you'd see your line count increase dramatically.
I did rad then acute care...sm
Did Rad work for about 4 years then switched to acute care elsewhere.  I worked in-house for about a year and that helped me a lot.  As GothMT said, it was overwhelming, but now I definitely prefer acute care. 
Do you do acute care and
there are people here who tell you the certificate is not worth much, employers are wanting experience. It would seem if you are working 2 days in the transcription department, what is wrong with working more or do they not have any more than 2 to keep you occupied?
Low pain...Low pay
Well my subconscious typed pain instead of pay. So you see I am aware of the pain of receiving low pay but it is not my intent to disgrace the field of medical transcription.
I know your pain
My genetic donor has had more wives than I can count, literally. He has seen my children maybe 3 times and the oldest is 25. We were passing through Myrtle Beach and I called to see if we could stop in and see him and she said no, her daughter was coming in and there was no room for us. So now I have not seen him in 14 years. He's 75 now. I check the obits now and then to see if he is alive and found that she had died in August (she was 83). My oldest son and his wife laughed at me because I was smiling when I read it. Knowing him, he is probably remarried by now. I don't waste time "inconveniencing" so-called loved ones. I'd rather just be at home with my children.
pain...
How old is she? If she's having pain after BMs, she needs to see a doctor. I am an expert on this topic, having suffered with abdominal pain most of my life.

She could have endometriosis, adhesions caused from a variety of things, lactose intolerance (though usually this does not cause pain after BMs), a food allergy,a cysts, etc., etc......

Urge her to go to a GYN, who probably will refer her to a GI if the GYN workup is negative.

Good Luck to her!
I know your pain
I have had two miscarriages before.  My heart aches for you.  I know just how you feel.  I am so sorry.
Ear pain
Does anyone suffer from severe ear pain on the outside of the ear?  I have it to the point of not being able to wear my headset on that side and would like to know what others have done in the past.  No infection, just cartilage pain.
I had ear pain
until I started using Dictaphone head phones. Very soft and they don't put a lot of pressure on the ears.
I don't have ear pain but
I do have tinnitus. Can anything be done about that?
ear pain
I just wanted to share my experience with earaches,one time I woke up in the middle of the night with a severe earache. So I looked around the house to see what I could take. Found nothing,so I was in such pain,that I took a swig,and only a swig of whiskey,seagram 7 the pain went away,and never came back,that was about 20 years ago,I don't drink,this was a 2 year old bottle given to us by one of my husband's buisness associates one christmas,however the bottle dissappeared when my mother in law moved in 10 years later. So I am wondering if it would work on the outside of the ear,rubbed on with a cotton ball.
pain
thanks. I was wondering if there was something that I could place on the chair seat. Can you pick this up at drug store?
I so know your pain.
Have you tried using one of those wraparound microwave gel packs made for the back. I could not live without mine.
leg pain
I'm suffering the same right now. Have been with leg elevated all day. I had to not work tonight because of it. You need to walk and don't sit for so long a period of time. Get up every hour or so and move around a little. I get carried away and sit for too many hours at a time, now I'm in real pain today. Take some aspirin or ibuprofen. Raise leg with warm compresses. If not better soon, see a doctor. Just remember to walk a little every day. I haven't been but guess I'm going to start.
Right arm pain?

I have noticed soreness in my right forearm - I guess around the extensor digitorum muscle location.  The only change lately is that I have started using a different computer mouse.  The only difference in this mouse is that it is more reactive and works better than the last.  I did order a wrist support wrap today from TranscriptionGear, thinking this would help, if indeed it is the mouse.  I have also started to use more Keystrokes instead of the mouse. There have been no injuries or strains that I can remember.  I have taken ibuprofen.  I was wondering - has anyone had this symptom from transcribing? 


Pain
I had the same thing a month ago and bought a splint for carpal tunnel. I wore it at night and it seemed to help. I also got a squeezy ball. Hope it helps you!
I know your pain
I have been in transcription for over 15 years and worked doing QA for over 8.  I started recently with a company and have been having an awful QA experience.  Red all over my reports coupled with constant threats.  I dread opening my emails in the morning.  Corrections like sometimes not putting two spaces behind a colon or period, only one, wording phrases the way they are in there samples which are then suddenly changed in the QA, things I blasted about saying I have been told numerous times when I haven't been told once...it's been really awful.  I can see why now when I left my prior supervisory position of over 10 years so many of my transcriptionists were in tears and a few even left the company.  I still keep in touch with several of them.  I never get a kind word or anything from this company, only negative..we'll see how things go.  Keep your chin up.  Everyone makes a mistake.  You've learned from it and now won't make whatever crucial mistakes were on your reports in the future.
I know your pain

I've not had a single email from mine and have been with a company 7 months now. I do special projects and such and never get so much as a thank you.  When I started too, not a single question was ever answered. I even asked to be linked up by other people on the account via messenger and got no response.


When I managed I was always available by phone, messenger, email, etc.  I made sure questions were answered immediately and I even checked my mail when my shift was over and people could call me any hours day or night.  I never wanted anybody to feel like they were just "out there" alone.


 


Right Arm Pain
I just started doing VR a few days ago. I am using the arrow keys a great deal and started having severe pain/achiness in my right arm. I have tried ibuprofen but it doesn't really help. Does anyone have any other suggestions? I am really wondering if I am going to be able to complete my shift today. Thanks in advance!
pain in the $#*^$
Yea, but considering my work is only a few hours of audio a week (less than 10) it wasn't as bad as you think! But now that I need/want to go full time I am NOT doing it without some kind of foot pedal!
I am newbie with some Acute experience...
and I was sent a from a company in quicktime so I cannot use my foot pedal the sound quality is horrible (you need good sound for ESL, at least I do) so if someone is going to send you such a bad test what makes them think I would even want to work for them?????  Is it just me???
Can you apply for both acute care and rad at MQ?
/
I just learned rad after 16 yrs of acute care.
just by having a couple of good reference books and some live body to ask a few questions of has been all that I've needed.  It's different, but like anything else, after a while they're just saying the same things over and over again.  No different than just doing a different specialty in acute care.  I can't imagine needing to go back to school for radiology.  That's overkill.