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Serving Over 20,000 US Medical Transcriptionists

Be strong, but be careful. sm

Posted By: been there on 2006-02-03
In Reply to: He is already in trouble. - Jodi

He sounds like the type that knows better than to come to your house and violate a protection order, but you never, ever know and it's still early yet. Keep your doors locked.


My ex was "pre-protection order"  (i.e. many years back) and he got through the basement window and was sitting at my kitchen table in the pitch dark. I can still hear him sneer, "Did you have fun with your boyfriend?"


I was grocery shopping and my mother was watching the kids. I got lucky because he really didn't want to kill me, just control me.


He finally gave up on me when I found and eventually  married  a great guy that doesn't expect me to fold towels in high heels and "poofy hair".


Sad part of that story is that he also disowned his own kids. But, after 15 years, the kids have realized that it was neither my fault or theirs. Their "father" lives with me. Their "donor dad" is living 5 miles away, a recluse, and drinking himself to death.


I send him a case of vodka on his birthday every year. Just kidding! 




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Actually you need to use lacquer thinner - but be careful it has strong fumes - see inside
Pour it on generously and wear rubber gloves and watch your eyes. It will get most anything up, but might take the color too!

Some people are sensitive or allergic to it.


going strong.
reunited after high school at a local night club. I married a former classmate 18 years ago.
The BBB is not as strong as some like to believe
Companies join it if they wish - it is not a requirement - if you are a member and someone complains then they might get involved if it is something they can do - but I seriously doubt they would get involved in $$$ issues.  As far as I know - if your business is a member they make record of the complaint and whether or not the issue was resolved..... I would file a claim in Small Claims Court for the amount owed you by this company.
How strong is your ESL experience?
At least, in my area. But ESL? I don't care for ESL and I know I could not type ESL day in and day out. Something to think about??!
Keep strong. You can do this. Now, about the satellite,

you can move it with you.  If you move to a place where it isn't available, you're out of the contract easily.  My son actually moved to a place where when they tried to set the satellite they found that the neighbor's trees were an obstruction and you're obviously not going to ask a new neighbor to cut down or even into trees, so they let him off the hook, no problem.  The phone company should not be a problem as long as you're moving, again you can just move it with you, unless you're moving a long distance and then you'll just cancel this one and get another wherever you move to.


I do think you need to keep this in perspective with your kids.  They are losing their daddy (almost like he died to them) whether they feel good about it right now or not.  It really couldn't hurt for all of you to get into counseling.  Eventually it will be a problem for your kids when they "miss daddy" and they "forget" (and they will since they are of young age) how bad things were when you were together.  Of course, this is JMO and others might see things differently. 


You can do it, we'll all pulling for you and saying prayers for you and your children.


Stay strong!!
I started my son in preschool and he got so sick, that I decided to keep him home with me. I've been a Transcriptionist since before he was born and I figure I could teach him myself. I sent to the local educational store and got a few things. This worked out fine for the both of us. He became healthy and stayed healthy. I know you stated you didn't think you could do this but it's not that hard. On the other hand, when my son did start school I kept a close eye on his teachers. There was one teacher where him and her just didn't get along. He would come home totally unhappy almost every day of the week. I gave it about three weeks, then decided I would get him changed to another teacher. This worked perfectly. He is now in 4th grade and has been getting either honor roll or principal's honor roll every since. You are the master of your child's future, not the teachers. They are human and a few of them will not click with your child. I taught my son until he could start kindergarten. When he started kindergarten, on his first day he came home and stated "Mom I knew all the work in school. I did it all and it was easy." That was my shinning moment in life. Always remember you are the mother of your daughter and you have to make decisions for her, even though some people will tell you different. Your child's education is in your hands, not the teacher's. Now days we have too many children growing up too fast, especially the girls. She sounds like a real sweet child and is doing appropriate things for her age. One more note, every though you don't think you can teach her, you can. It is so much easier than you think. Even if you just get something for her to write her ABC's and her name would be a real plus. You can search online for things to give your daughter to do at home in her spare time. If she gets tired easily when writing then you can help her by giving her extra at home, just 30 minutes or less everyday to do. She will do just fine and will show that teacher one day that not only was she ready for school but look how far she has gone. STAY STRONG MOM, MANY PEOPLE HAVE BEEN THERE AND SURVIVED. YOU WILL TOO! Hugs to the both of you!!
yep!! VERY strong in numbers!!! nm

Yuban. Strong! nm
nm
but mine is 12 years old and still going strong.
x
Yeah I did. 13 years and going strong. :)

We are so proud of you...now STAY STRONG!!!
He will be trying to worm his way back into the household. Be firm, be strong! Set a time limit (in your mind, but to him also should he start begging) that you WILL BE SEPARATED FOR A SET AMOUNT OF TIME no matter how much he begs or how much you might start to miss him. Maybe 6 months or thereabouts. By that time, I think you will be SOOOoo glad you booted him out!

Please let your community's support system know you need a little help. Get the word out that you need a car. I'll bet a car shows up! Probably not a real spiffy car, but transportation nonetheless! Let your neighbors (if you have any)know what the situation is so they can be on the lookout for him and watch over you.

Please accept help and counseling from whatever community support groups there are to help bolster you resolve!!! If you have a neighborhood patrol (depending on your area...here, we have senior citizens that patrol neighborhoods in police cars, checking homes for people on vacation, etc) have them swing by the house often just to make a statement that someone is watching out for you. Even the police might do this if you are not out in the boonies. BEST OF LUCK TO YOU AND KEEP US POSTED.
You just stay strong, he will try to wear you out.
x
STAY STRONG, YOU ARE WOMAN.
NM
people just have strong emotions on it...it seems to be
a healthy discussion to me, albeit controversial...
5 years and still going strong, I have a back up one though- sm
that I use for travel, that is about 4 years old but only gets used about 20 days out of a year if that. That one gets abused a bit and still works fine though.
The answer to a strong business...
Your comments regarding "happy" and "unhappy" MTs are chilling.  When I, as an MT, see my physician I always ask for a copy of my chart note just to make sure that everything is "in order."  About 10 years ago, I found on one of my physician's dictation, just by accident mind you, that my weight was listed as 417 pounds; I weighed 135 pounds.  While that may seen insignificant, it was nonetheless an error!
You are coming across as being very strong armed
They are employees and they cannot just go in there and strong arm their way in and make demands.  They can sit and talk with them and tell them what they would like but if they accept the job as it is, that is what they took and must work with.  She never said, but if they are doing EMR's some of those programs will not work or read some of the word based commands or whatever you want to call them.  I have worked on three programs, two were semi compatible with Word and the other definitely not.  Could not cut and paste into it.  But I knew what I was getting into and if I did not like it, there was the door and I could leave.  Sounds to me as though the doctors have found out that they do not have time to do the charting and want them to catch them up.  They did not write the program to be transcription friendly probably.  Again, I agree that they should have some of these tools but you are coming across as though  you are pounding your fist and saying, just do this, this and this and it is the company's equipment and not theirs.  Sorry if I took you wrong but that is what I hear.  She does not have to take the job.   
probably heavy rains and strong winds
Your about the distance from the coast as I was in MS with Katrina and there was damage as far as 300 miles into MS..
Elliotts voice is not strong - Katherine is
inconsistent and forgets words -  So, I guess that leaves Taylor.  He certainly would be a "different" kind of winner.
Percocet is one form of OxyContin - just not as strong
I've been on these for five years now and don't look forward to the pain again, but I have got to get my head cleared.
My cure: Strong coffe with a No-Doz chaser.
.
They also hate us because we cannot stop telling them how rich and strong we are.
x
You are asking for trouble. Your marriage must come first as the foundation for a strong family. nm
nm
Strong java or melatonin depending on the position of the sun
dd
If you're nursing, get rid of all the gassy and strong-tasting
s
Encouragement for hard times - are you going to finish strong? sm
http://www.maniacworld.com/are-you-going-to-finish-strong.html  This is a very encouraging video.
Yep. Sure is common. If I exercise regularly, the palps go away. Strong heart
s
Tip: Keep a nicotine 7 mg patch in your wallet at ALL times. If you get strong urge, stick it on an
dd
Be VERY careful.
That kind of cruelty to animals is an indication of a very deep problem. You are a much better person than I would have been under the circumstances. I don't care what kind of sob story he tried to spin, I'd have sued him for everything he had for the false police report AND pressed charges for animal cruelty. At the very least, you might want to ask him to retract his accusations IN WRITING and send copies to the police department and the animal control folks, just in case the girl tries on some other type of false accusation to get attention. Your good heart is admirable and I am humbled by your charitable reaction, but at the same time, you must protect yourself, your family, and your innocent dog. JMHO.
Soy can also help, but you have to be careful...
as soy also can inhibit the thyroid  function.  One serving a day is all that is recommended to help with menopausal symptoms. 
Thank you! Be careful though,
horsewhipped for your "liberal agenda".
OSI be careful?
Why?
be careful
I wouldn't use a vacuum, some of the parts are tiny and you could end up sucking them up. The canned air is better, it won't damage anything.
Me, too, but be careful (sm)

I read something about a prostate being dictated as a _______ cc prostate, which needed to remain as is. Anybody know?


Seriously, he does need to be careful what he
nm
Be careful with that!
When you get paid by the line, you get paid by the number of lines times your cpl. Usually a line is 65 characters including spaces. When you get paid by the character, that can often (although not always) mean getting paid by actual character strokes--AND THAT CAN GET YOU BURNED. If you use an expander, as any intelligent MT would do, you won't be paid for the letters your Expander adds to the document--only for the actual keystrokes. For example, if you type "djd;" and that expanded to "degenerative disk disease," you would only be paid for four characters as opposed to the 25 characters you SHOULD be paid for. Some companies do it this way, some don't. Make sure you check it out COMPLETELY!
I'd be careful sm
$1.20 for plain films would be OK. $1.20 for MRIs, Angios, etc would be a rip off. Make sure you have a good mix of reports.
Be careful about doing this...
I've tried this and couldn't access anything with the control set to the highest (no nudity, violence, etc), but when control set to medium or mild, could access EVERYTHING...including nudity, violence, etc.  So for me, it didn't work that well...it is like all or nothing...good luck though
be very careful
From my own personal experience what they really probably want is to buy your clients and keep your name and reputation.  I worked for a small local company - they wooed the woman with promises of big money.  she had to sign a non compete contract so she could never get the accounts back - and most of them were very dissatisfied with the indian work and dropped the service - when they dropped the service - the indians said that negated the money they had promised her.  She didn't get most of it.  They are obnoxious - promise the moon.  They wanted me to stay on as QA - work was ghastly.  They expect you to work the hours that they do - very long 12-14 hour days.  Aren't very understanding about emergencies or vacations - they don't get them. 
be careful...
I don't use a code. If you live in a state that collects sales tax on services, you may end up owing money for that even though you are an IC. Every state is different and I got nailed before I moved for a bunch of $$. I fought it and won, but my attorney advised me to leave it blank on the tax return from now on or at least until it was specific enough.
Be careful
I worked for them for a short while. Lisa is rude and mean. There are some very nice editors though. It would be a nice place to get some experience but if you have other options, take them. The pay isn't great, no benefits. They also charge 5.00 for mispelled names, even if the report is only worth 1.25. Slow platform
careful
Verizon just won a lawsuit against them for stealing software or something....they lost and have to pay Verizon 58 million. Even if they do stay in business, that has got to reflect on their pricing in the long run.
Please be careful
Yes, the only way to make it in this business is to pound faster, pound longer and/or pound for more than one.  You are already having physical problems.  If you go the pound faster/pound longer route, they are only going to get worse to the point that you may not be able to pound at all.  Can you afford that?  Can you afford the medical bills?  You know the doc is going to tell you to back off the work.  Studies on carpal tunnel syndrome indicate that stress is often a factor - thus why some people can do this job for a long time without apparent problems and others can't.  You need to find a comfortable work zone and stay in it.  Scribbles is right.  How well you do isn't work ethic alone.  It also depends on how good, or at the very least, how stable your accounts are.  It's also about working smart.  Use your Expander to best advantage.  Use the platform and its keyboard shortcuts to best advantage.  Good luck, but be careful!
be careful of this
About 8 months ago, I got screwed up with a dell computer because the salesperson steered me wrong. I told him exactly I needed XP on it and he said that vista can work find with companies using xp, and this salesperon was in the US.  The computer he sold me was not compatable with companies using XP, and tech support told me they will help you take vista off and load xp on it but they are not obligated to give you tech support after XP is loaded.  At least that is what I was told.  After pulling teeth I finally got my account credited. 
be careful
If it's the place in Kentucky, I worked for them for a few months last year (and by the way have STILL not received tax info for the year - they have to send me SOMETHING, even though I was classified as independent contractor). Things went well for a while but every time you start making money with one account, they switch you out to another so it's constant relearning and it's a while till you can make any money. They switched me out 5 times in 3 months!!! Also, the owner is a little "odd" and another higher up told me she had some "problems". Be careful!
Be very careful about doing this
I do not think you pay for a business line (you may, but did not say) in which case if you tell them you are using the line for business, it may wind up causing you very big bucks. They could switch you from a regular line to a business line and I think that is ?? between 300 and 400 a month. I would not pursue this unless you are getting a business line in the first place and want to complain about it. BYW, I stopped service with them a couple of months ago because of the extreme charges to me (on regular landline, over 40 something a month, too much). I love my new internet with Charter, speech much faster.
I think I'd be careful
about piggybacking on someone's WiFi, especially from a business.  I think (don't have exact info) there have been cases of people being arrested for that.  I think it's kind of a gray area, but I believe there are fines and possibly prison sentence if you're caught.  But many say so it's there own fault if they're going to have it wide open for anyone wandering by, but I can see a business trying to get nasty if they find out someone is using their broadband or getting in and not paying at places.
Be careful

I coded, billed and posted before I was an MT.  I'd like to make 2 points here.


1).  Yes, you'll be guessing.  And you won't know if your guess was right (payable) or not unless you are actually posting what got billed and see what got rejected.  IMHO, coding is a guessing game that insurers don't want you to win, hence the constant changes in the rules.  If you can get your facility to send you to day seminars such as "Coding for Optimal Reimbursement", it may help.  Make sure your coding manuals are the VERY latest version, at the least.


2).  You can and will be held liable in cases regarding Medicare/Medicaid reimbursement.  According to the feds, "ignorance is no excuse" for making mistakes in coding, yet they refuse guidance to anyone trying to do it, annually giving out constantly changing vague rules that force you to guess.  They do random audits and they are quick to scream fraud at honest mistakes.  The feds are hostile to doctors and are basically setting them up to fail so they can scream fraud and demand ALL their money back someday.  They will not only blame the doctor and the facility, but the coder herself, and there can be heavy fines/jail time for offenders.  Has your facility addressed in any way what they would "do" in the case of an audit to help YOU, such as provide you with access to the facility lawers?  Or will they gladly push the blame onto their uneducated coders and let them take a fall?


So be very, very careful.  Be certain the reason for the exam matches the code. If someone asks you to change a code, make sure there is documentation to prove that code.  Example - "rule out DVT" may be the reason for the exam.  DO NOT use code for "DVT" unless the patient actually has DVT.  Otherwise use a screening code (they start with V, I think, its been a few years since I did this).  If that's not payable, too bad for the facility.  If you go ahead and put DVT and the patient does not have it - that can be construed as "fraud" by the feds.


Good luck, and CYA.


Be careful

I was told I had to use an adapter when I switched companies and had to switch foot pedals.  I had nothing but problems with it.  I would press on the foot pedal and nothing would happen.  I would have to slam my foot down 3-4 times to get it to go.  I happen to have a laptop with a docking station that has 2 ports so I got rid of the adapter.


Your monitor should be plugged into a video port not a serial port.  If you don't have a serial port, you can possibly purchase one.  If you have a desktop and you have an open slot then you can buy one and install it.  If you are not comfortable doing this yourself, see if there's a geek squad or something near you.


Be careful
I personally use a laptop but mine was one a company was getting rid of because of buying new equipment.  Whenever I go somewhere, I know the system that I will be using has the security I need.  I don't know about libraries or places that use WiFi but you should be using a network with a firewall to be compliant with HIPAA practices.  Laptops have become the way to go if you are ever going to use it elsewhere or if you want to get Wireless in your house you can work in multiple places.  Just be aware of your security levels.
BE CAREFUL

I just watched a video online from AmeriPlan and I shut if off when the host said, "What else of this value would only cost 95 dollars?"..be careful--you should not have to pay for a job.