And that is because the GYN forgets to tell his patients that when changing pills you have to use an
Posted By: Spice on 2006-03-02
In Reply to: Hee hee not for my daughter it wasn't cheap. Zak is 3 now. lol. nm - Becky
alternate method of birth control for a month until the new level of hormones in the pills kick in, whether higher or lower. That is how come so many get pregnant on the "pill." The facts...my cousin is GYN and he tells all of his patients that.
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
My husband forgets important dates though the kids help to remind him - sm
He has never forgotten Valentine's but all we do is cards usually. Granted I am sure for a little while it was not a favorite date of his as his first wife left him on Valentines day....guess she wanted to make a statement/impression. He came home with some things for her to an Dear John letter and an empty house.
OTC diet pills
My daughter was able to lose about 10 pounds on Dexatrim - that is before they had to change the formula - our best results have been with Atkins for quick weight loss - 7-14 pounds in a week in our family. Lots of meat and cheese - and no cheating.
Not any more. I put my pills in applesause sm
on a spoon and take them that way. Had an obstruction once from potassium irritation (vomiting, unable to eat, and just plain painful) and doc recommended taking them with applesauce or yogurt. I do it faithfully twice a day for the last 13 years. Too painful of an ordeal to go through it again. Now, they always go down.
Anybody out there taken any of the new diet pills with
Just curious if any of these work or if they are a scam like most others. If anyone has taken any pills that work let me know. (I know they are not good for you)
I've got my BP pills, but that is just what the poster is talking about isnt it?
I get my dogs heartworm pills there, save a ton of money - sm
I also get my Frontline there too. They save me hundreds of $$$ every year. Same exact stuff the vet sells, just cheaper, I imagine they can sell it for less because they buy it in bulk. Go for the savings, you and your dog will be very happy.
Well, there's your problem! You're using blood pressure pills instead of birth
control pills!! See - BP pills are for your heart - BC pills are for your - well, surely you must know!
You're very welcome!! I had a great time, too! Took a couple of extra BP pills!!
You have a great weekend!!! MomMT - where did she go?? Too much cookies and milk, maybe? Bye, Guys!!
I have had pills get caught going down from not enough water and they have left a residue that burne
//
we should just once, as patients (sm)
go to the dr's office and waste THEIR time!!! Let them know how it feels for a change. But then again, the doc wouldn't wait two seconds on a patient, now would they? Wow, whatta double standard! 
Patients
On a really bad day, I feel like a vampire for making money off of other people's misfortunes.
Maybe sometimes we have too much time to think! I don't know.
Just because 2 patients have the
same dx does not mean they are treated the same and symtoms are the same in many dxs. Do you have your degree?
Well, too bad that they have 30 patients - sm
to see so they don't want to spell things out. Do they cut corners on patient care, as well, when they have 30 patients to see - or is that reserved for us peon MTs? So they're "frustrated" with 30 patients - well, cut your patient load! We're not paid to "guess" or have to look up everything they don't feel like spelling, especially other doc's names. Just won't do it.
By the way, I wonder if they know how many documents we have to type a day (30 maybe?) to even eke out simple minimal wage - but that's OK, I suppose, compared to their 5 or 6-figure salaries.
Just give everybody the bum's rush because you have 30 patients. Suppose we did the same?
A party for our patients...
Every year, the staff in our clinic takes it on ourselves to throw a party for our patients. We all cook finger food, make snack trays, cookies, baked good, cheezes, bread, meat trays, the works. We have breakfast foods and lunch foods. We decorate tables in our lobby to spread this out on. We usually do this one day a week for the four weeks before Christmas so many patients will get to enjoy it. We have coffee, hot chocolate, orange juice, cokes and punch. We have fruits and dips....something for everyone, even diabetics. The patients are touched that we go to the trouble and we are touched by how much they love it! These patients have gone through enough suffering with their diseases and some are elderly and don't have family members. Some tell us this is their only Christmas! We have been doing this several years now and the patients are beginning to tell us to be sure we appoint them to return on the days we are having our "Christmas spread." I just thought I'd share the Christmas party that means the most to me... and this is definitely it! Just the look on their faces as they are enjoying it is Christmas to me.
It is not our job to judges the patients sm
or why or where they seek treatment. It is our job to transcribe the dictated reports. If you don't like the healthcare system, then go out and change it.
Just how many lives do YOUR patients have?
Apparently mine have more than one because I have one dictator who likes to use the following phrase: Patient was told that he might have death and loss of current life. 
Now we have to insist patients
being treated are actually examined before treatment is rendered?
Wasn't it bad enough medicine when ER docs would proclaim a diagnosis before exam, only to have to backpedal after taking a look?? I guess if they are going to do things in that order, doing physical exams is going to result in their looking stuupid, so their solution is not to do that part.
Big grrrr.
If the patients were aware of that, they could
nm
Do any of you ever feel sad for the patients?
Maybe it is because I am on my period and am more emotional than usual, but today typing all these terminal cancer reports is making me want to cry. I feel so sad for the patient and their families. I just cannot imagine being told that I only have a few months left of my life. And the doctors sound so cold about it. I know they are very used to it....I just know that I could never be a doctor. I could never get used to telling someone they are going to die.
A question regarding patients' rights
I was just wondering this. My mother was recently sent to a "liver specialist" who is local gastrointestinal doctor because of concern over persistently elevated liver function tests. He drew a LOT of blood work on her and only told her that it looks like she might have a fatty liver. He set her up to come back in six weeks to "get the results of her lab tests." SIX WEEKS! With her being very concerned, of course, we immediately searched the net and found out that fatty liver occurs in patients 1). who drink alcohol (she never has), 2). Patients who are overweight (she is not) or 3). Patients with diabetes (she hasn't got that, either). It says that a liver biopsy is how they find this out. He never mentioned doing one of those. My question is.. would a physician want to wait 6 weeks to find out lab results? You know it doesn't take 6 weeks to get the results back, they probably had them back within a day or two. In the meantime, she is stressing big time about what could be wrong. 
Not sure when doctors graduate their patients but
I have boys and we stopped when my oldest was 11 because they always made them strip down to their undies for checkups and checked their privates and I didn't feel that was necessary and my boys hated it.
No thanks. Anorexic geriatrics patients don't do it for me.
x
Very true, but a list of patients?
An invoice by the patient? Some clients need to do their own book keeping. It is bad enough you have to worry about the content of the reports. To have to retype a patient name into an invoice with the line count is utterly ridiculous especially as an IC. IC's get taken advantage of. As an IC, yes you should be charging for "everything". If you're an employee, they can put it under "other duties as needed". Business is business. If it takes more time, that takes more money. End of story. Don't do nothing for nothing. Your clients sure do not. They go all this time with this Transcriptionist with her invoicing and then all of a sudden decide they want each patient name and line count? Cut me a break. You don't think there should be a charge for that? You can work for free, but I certainly WILL NOT! To make statements like be paid to walk to the computer is really being a bit of a smarty pants in my opinion. Keep it to yourself if you want to work for free, most people don't! Have a great day making nothing to do A LOT!
I read it... does it mean US patients would have to travel - nm
.
A lot of physicians refer to their patients
as heterosexual or having same sex partners, it is very relevant in some aspects, as in exposure to AIDS/HIV, etc.
New Doctor, some patients already typed
I got a new doctor. They girl who had been working for him left him in a big mess, undone dictations, etc. The office gave me a flashdrive to do with about 30 patients on it over the holiday weekend. Today they've told me ten patients had already been typed, how did I want to handle that? It seems they don't want to pay me for these. My husband says to bite the bullet and not charge them, since this is a new account and I'd like to keep it, is possible. What do you think? I know it's a land of confusion there from what is done to what is not done. Thanks!
It's called BEING FAIR TO PATIENTS
. Why should patient care suffer?! The patients haven't done anything wrong, even if management sucks. I thought that's what MTs were ultimately hired to benefit, the patients.
How does outsourcing dictation allow doctors to see more patients?
In an article in the MT News section, it states this. Do they really need to see more patients? Most of them herd them in and out like cows.
Just wondering, for you MTSOs, about how many patients/reports per day...
For, say, an orthopedic surgeon, or a family practice doctor. Or, maybe, how many minutes of transcription on average per day.
THANKS.
these are the docs that I don't think care about their patients. my opinion. nm
ss
Other than Slim Fast has anyone had any luck with OTC diet products or diet pills? nm
x
The clock does play into how much time is spent with patients
The way the CPT codes bill insurance have guidelines for the physicians built into them that give amounts of time spent with the patient (in addition to certain information covered in the ROS/PE), especially in consultations (whether inpatient or out), hospital discharge codes and critical care time (inpatient or out).
Yes, that computer is in fact billing the insurance company because it not only saves not having to pay an MT, it bypasses a billing clerk (eliminating that salary), and if the doctor's office space is paid for by a hospital, that file is sent to the hospital's database where a *scrubber* compares what the MD submits versus coding guidelines. If it is an independent office, the MD can upload all that day's billing before he walks out the door and leave it unattended to update patient accounts and reconcile the days money intake.
In a nut shell, your doctor is no longer just practicing medicine. Your MD is doing the documentation and billing and saving money on two warm bodies.
I understand your concern as I see it more and more in today's medical care, but yes, this is the way things are going. I am fortunate that my MD has been very computer literate for a long time, so the amount of time he spends with his laptop is minimal. Once he enters the info, he kicks his shoes back and we chat and get into a deeper discussion both professionally and personally (we've known each other a long time). Give your MD a chance to play catch up to what he or she is doing with that computer and you should see a more relaxed physician soon.
Good luck.
We need actual examples of patients harmed by outsourcing
to take to the media. Then we could probably get enough interest for someone to do an expose on it.
I do reports all the time where patients have asthma, COPD, emphysema, and
even cancer and continue to smoke. In our local paper they are following a woman in her battle with cancer. She continues to smoke, as does her husband. They were broke before the cancer diagnosis, having to borrow daughter's babysitting money to pay bills. Just think how much money they've blown on cigarettes.
I've even known one man with a trach who smoked through his trach.
I wasn't clear. I guess patients' names is what irks me the most. SM
and you know how famous they are for dictating "Krenazcyssky, Jane, that's J-A-N-E.
neat web site 'chemo angels'. Help cancer patients
http://www.chemoangels.com/
Doctors patrolling themselves? What a joke! They barely have time to see ALL their patients....
Doctors today are totally incompetent for the most part. YOU cannot worry about it when it comes to transcribing their gawd awful reports. THAT is between the patient and the doc. Just knock the report out as fast as you can and make sure it's accurate and then after that, forget about it.
The docs make the big bucks - you don't! Let THEM worry about things that will eventually catch up with them, one of which is called the Karma bug, and that little bug ALWAYS bites those who don't deal fairly right in the butt! And big time, too! 
My nurse said most patients make calls with their cell, no problem
x
How do they think that changing their name....sm
would matter diddly squat in the industry? If their rationale for considering it is because no one knows who they are then changing the name isn't going to change that. Seems silly that members and supports would be asked to pay for the costs of changing instead of focusing on marketing.
CHANGING COURSE
Well, after the reading and research I have done, I think I agree with one writer that stated that at the rate things are going now in the transcription world that in 5 years 80% of us will be out of jobs!! Either through technology and/or offshoring!!
So, instead of waiting for another axe to fall on me...I have been chopped up enough by the MTSOs...... I am hoping to decorating cakes for a living!!!
I am waiting to hear back from a local bakery where I just interviewed.
I have taken all the Wilton cake decorating courses and have done quite a few birthday, wedding, and mother's day cakes in the past...I definitely am not Duff or anyone at Charm City Cakes, but it is something I truly enjoy doing and it was my "therapy" that got me through a divorce about 10 years ago.
So, I will be working 8 hours a day only, get immediate feed back, paid hourly and not production, and hopefully will be able to transition into this job permanently....
So, I hope and pray that I am wrong about the future of this profession for which I have worked so long and hard....but the stress now is almost unbearable and ain't worth it no more!!! 
Changing Course
That is a great idea. You might work into doing some on the side and go into business for weddings, etc. I had a friend who did that and make good money. She was in great demand too. If you get a business of your own, you would make a lot more and could probably do a lot of it sitting.
Probably not...just changing
I work on a VR account, and trust me, there will always need to be people behind it checking what the computer types. There are just certain things that need an actual brain to decipher that a computer just cannot pick up.
Oh, I am not changing what I said
because again, have not seen it ever used with lung.
Oncology because of the always changing...sm
meds. And I have to admit, though I have done ortho a lot in the past and know it well, I just don't like it.
Anyone know anything about changing sim on cell?
Can you remove sim card on Sprint phone and put in a T-mobile? Please help if you can for I am a "technically challenged MT."
We are changing the company.
Watch and see. And all your rage and CAPS can't change that. The lawsuits, the SEC, the shareholders, the clients. We are all changing the company.
Changing Careers
I absolutely LOVE medical transcription work. It is the best kind of work for me. I have always, up until five years ago, made plenty of money to support my family (I am a single 45 year old mom).
However, I have become very scared. So, I have 80% decided that I have to go back to school and start over. It makes me sick, but I can't watch my pay decrease every year like this.
I really, really, really want to continue MT work, but it just doesn't feel secure for me anymore.
AND - changing careers at my age is also scary, but I have a friend who did it at 50-something years old, so I guess I can, too.
Who's changing the subject?
and so am I.
Try to keep up.
This is changing the subject a bit, but.....
What about birds? If people had a bird that they had in a cage, and not let FLY for exercise, is that a bad pet-owner? Most bird owners that I know of, have birds in a cage and they let their birds poo in a cage on the paper in the bottom of the cage.
What about cats? Cats are domesticated animals just like dogs and some people NEVER let their cats go outside. They let their cats do their business in a litter box.
I just don't see any difference in this and using the potty pads, and like I said, I have used potty pads with previous dogs I have had. They do not smell if you pick up the dirty pad right away, which I do when at all possible. It's the dog hiking his leg on the furniture which is NOT acceptable to me and I agree--it stinks and I have a terrible problem going on with this---I try to clean it up as soon as I can, but he is definitely ruining my floors and thus why I was asking for advice on the hiking of the leg. We need new floors (carpet) in our house anyway and we are planning on replacing them soon but I need to get the dog re-trained somehow before we get the new flooring or else I'll still be in the same boat I'm in now. I've just got to figure out how to retrain him back to the potty pads. Wish me luck!
Have a nice day!
Jen, seriously, the face of MT is changing. sm
Get that degree. Trust me on this. Yes, it's nice sitting home in jammies with the kids. I did it a lot of years, but I made way more money then than now. Things are changing drastically and fast in this field. Get the degree.
You are changing your position.
I breed Yorkies and was in the pet care business for over 30 years. Of course, you love your pets and they have a place in your family but you do not let a dog growl at you, as you stated. One of your original posts you said if a dog growled or bit, oh well, dogs have bad days, too. That gives a very different impression than the one you are trying to make now.
|
