Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

Can anyone explain smoking hx to me?

Posted By: Mama of 2 on 2006-01-17
In Reply to:


I just typed this:


"The patient has an approximate two to three history of smoking two to three cigars per week."


I also have never understood that, for example, "25 pack year history".


Anyone want to enlighten me??




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

Another day of not smoking


 


YES....


I am on day 9 of no smoking. I am
Birthday is next month and I have a goal to make it to my birthday and then will extend my goal from there. So far, so good. Hopefully continues.

Congratulations to you.
I would like some of what you both are smoking, please.
x
I would try smoking
z
Smoking...
That is good info.  Thank you so much ... am disappointed because he does not really want to quit ... I will never understand how someone can claim to know how awful the health-related issues are to smoking, and yet somehow "justify" in their heads that the enjoyment they receive from smoking totally overrides any potential "risk" they may have "down the road" from their smoking ... for me, it just does not compute.  Oh well.  I will never, ever give up on giving him encouragement and pointing out all his precious cigarettes deleterious effects.  Wouldn't be able to go to sleep at night, if I didn't.  Thanks again. 
Not offended...You just keep smoking that

x


Quitting Smoking
I have been smoke-free for 14 years and actually didn't want to quit but had to have major surgery and couldn't smoke in the hospital so I really had to quit before. I got the Habitrol (3 stage) patches which were Rx then and one other "trick". A stranger said what helped her was to chew on those Twizzlers black licorice sticks. She said that the residue left a residue not unlike the tar from cigarettes. I smoked 3 packs per day and even got up at night and smoked for over 20 years and no one was more surprised then me that I actually quit. My husband still smokes but not around me or in the house or my car.

I know it's tough. Good luck to you!
quit smoking tip
peppermints helped me a great deal...especially candy canes because I could hold them as a substitution....went back to the garbage during a nasy viscious divorce & now can't afford nor want to smoke anymore so I'll be joining you!  don't want to look or smell like this anymore
Quitting Smoking...sm
Hello, I'm an exsmoker who smoked for 25+ years, and I've been a nonsmoker now for 12 years. The only way I could do it was cold turkey, but my hint was I kept an unopened pack of cigs in my purse, and when the cravings came (which they did, something awful for about 3-5 days), I would look at that pack and tell myself that I got this far (8 hours, or 12 hours, or 24 hours) without opening it, and I could go on. I threw the pack out after about 2 weeks, and never looked back. The smell now actually makes me sick. I must admit that I still have a craving after a meal once in a blue moon, but it soon passes. Please hang in there. You CAN do this!!! Good luck. I wish losing weight was even half as easy as quitting smoking was...and that wasn't easy at all. Take care of yourself.
do you not know the dangers of smoking?????
Just kidding, i too am a smoker.  Hate it soooo much but at the same time i look so forward to that smoke on the drive home from class.  I have smoked in my house, I try not to  because of the smell, but if i'm stressed emotionally, i turned to my good friend 'the pack'...my new method of quitting this time...POPCORN!!!  I will buy bags of it and when I get the urge to smoke, i will chow down.  It could work because its hand to mouth motion, a bit self destructive and i also look forward to eating it.  good luck to me!!!  Target has the best popcorn too, very salty.
Well, I quit smoking but now I'm fat

It has been about two months since my last cig.  But dang, I am porky now.  At 47, this is NOT a good time to put on extra weight.  I know i should go for walks, eat carrots and drink water.  I guess the motivation isn't there. 


It is hard to believe I gained 20 lb in two months but my oh my I have.  You should see my face!  Chipmunk cheeks.  and my clothes, even the baggy ones, don't fit any longer.  I bought a new outfit last month and it doesn't fit any more. 


 


HELP!!!


I know what you mean, I quit smoking
joined a fitness center and was very diligent about going every day. But, the scale has went up anyway. I am pretty much at a loss as to what to do. I do not want to start smoking again, I feel much better since I quit.

Congratulations to you.
Another fella smoking on O2.
  Duhhhhhhh!  Nearly burned off his face.  Ouch!   Think he'll do it again?  Ummm...yep!
I quit smoking


No point to this message; just thought of it and am congratulating myself. 


Smoking lines there! Wow!! I can't even
s
Yes I have used it to quit smoking!! sm
Five months now without a cigarette; however, the nausea was very bad for me. I only took the Chantix for 1 month and had to stop. I couldn't take the nausea any longer. I even tried Zantac with it and still nauseous most of the time.

Anyhow, I quit June 12, 2007 and still without a cigarette. It really does work. The nausea and weird dreams were my side effects. My sleep pattern was broken up for the month with the dreams. I smoked 1-1/2 packs a day for 20 years, started when I was 16. Now with the help of Chantix am smoke free.

I tried all the other forms such as the patch, gum, etc and nothing really worked like this did. I have no withdrawal symptoms or mood changes whatsoever. I did seem to laugh a lot and sometimes inappropriately while on Chantix; however, since I stopped taking it, I am back to normal.

Good luck with whatever you decide. I am now worried about gaining more weight and taking the weight off that I gained over the past few months since I quit. Being nauseous, I found myself eating pretzels all the time to try and settle my stomach, very fattening.
The only evil I find about smoking is. . .

How darn hard it is to quit.  I have tried everything.  Patches, gum, Wellbutrin, Zyban, cold turkey, etc.


Don't buy them by the pack anymore.  We (my husband and I) roll our own.  Buy a can of tobacco and have a little machine and thought that would deter us, but noooooooooo. $8 a week compared to over $8 a DAY.


We do keep trying so there is hope that someday, hopefully within the next 6 months, we can say see ya!  Yeah right.


 


risks uf using smoking marijuana
besides the social implications there are many researched medical reasons not to. Just a few:
http://cyber.law.harvard.edu/evidence99/marijuana/Health_1.html thats just one web site. There are plenty more
Furthermore, smoking pot dries up you mucous membranes promoting cavities and tooth decay, does cause respiratory ailments and I sure as hell don't want to meet someone driving whose judgement has been impaired with pot any more than I want to meet someone whose judgement has been impaired by alcohol. Please substantiate your claim that it is LESS harmful than alcohol
It won't take cancer to quit smoking. Try
ASTHMA, a common problem for smokers. When you can't breathe when there is a strange odor around such as perfume, you won't get near a cigarette because if you do, you won't be able to breathe. You will cough, and choke and gasp for air and feel air hunger when you sit down. It is not a fun way to live, and I absolutely LOVED my cigarettes, a real hard core addict to nicotine.
Husband and I both quit smoking on same day
We tried separately in the past alone and he quit for 6 months and then went back to smoking. I even smoked with the patch on and almost had a heart attack, not a good thing at all. We both want to quit and we hope that we will be able to do this. I think I have some patches left in a drawer around the house and they worked for my husband. I have been smoking for 40 years and he the same amount of time. I will go to the Stop Smoking Center. We figure we could save ourselves 70.00 a week or more but not smoking and that is one of the reasons to stop. Thanks for your encouraging words. You and your husband should be proud, my doctor told me it is like kicking a cocaine habit, which is sooo addictive and I agree. I smoke most believe it or not at my desk. My husband is going to repaint my office and put up wallpaper, one wall is yellow from the smoke, grosses me out and my kids. Thanks again.
Well, I quit smoking last year when I became pregnant
and it was relatively easy for me to quit because I had a good reason. I know what you mean about taking smoke breaks. What I do is after about an hour, I give a friend a call and talk for about 5 minutes. It is nice to catch up and also takes your mind off the cigarette.
Whatever happened to all of y'all who were quitting smoking?
How's that going? 
Me, too. I quit smoking in October 2005.
Time to lose weight, although we had tons of food out yesterday.
he has been smoking on and off 1 pack of cigarettes for 5 years.
should be good for him.
Has anyone here (or anyone you know) had luck with Wellbutrin for smoking cessation? nm
x
Chantix - Anyone use it to quit smoking? I am most concerned sm
about the nausea.  I have been hearing it is pretty bad for at least 1/3 of the people who have used it.  I have a generally touchy stomach as it is.  Please post your comments here or by email
I have a feeling that will be the exact same solution for me to quit smoking! I'm really sorry fo

what you're going through with this, and do admire your funny response and post today. At least you will get to enjoy the benefits of your uncluttered house, which is the same state mine is in and drives me crazy, but just have to look the other way most of the time.


I held both of my parents as they died from complications of smoking.
I told my children they were free to smoke after they did the same. There's not one smoker among my extensive circle of friends and associates, thank goodness.
In 1990, when I started as a MR clerk, SMOKING was allowed in Med Records...
can you imagine, and with all the charts laying around...it is so comical now to think of it...

That lasted until about 1992 I think...

That is not all that long ago really, to go from electric typewriters to smoking being practically outlawed...

they say MT will change more in the next few years, than it has in the last 100>>>>!
Friends tried hypnosis for smoking. It lasted for about 2 weeks then wore off. nm
m
Pack years = packs smoked per day x years of smoking - sm
25 pack-years = 25 years of 1 pack a day, or 12-1/2 years of 2 packs a day.

I don't think pack-years applies to someone who smokes only cigars. But I don't know for sure.
Please explain further.
What do you mean by WT? Do you paste report into a Word Document?
explain please
what happened?
Could you explain please exactly what you mean?
I want to be aware of anything I may not know about.

I just ran a numbers check in Word, using "Tools" "Word Count" for all my work I did yesterday and the numbers were exactly the same - characters with spaces divided by 65 - except it appears the company software does not round up so you may lose a line there. Otherwise, they were exactly the same.

Thanks so much.
That's what I was trying to explain the other day -

I was hired to hold a sign at a construction site.  I was offered more money than I was making at MQ after being with them 6 years.  I have been doing MT for years and years, and my skills are non-marketable.


AT the construction site:  I don't have to know computers, buy one, keep up with one, be responsible for one, have the internet, deal with updating computers to satisfy a company.


All I have to do is show up.


At MQ they wanted more and more and more.  Buy more equipment, know proper English, type fast, no errors, NO RAISES, no work most of the time (their solution was more accounts, what a joke!), offered tech support/make an appointment, offered QA/make an appointment/we will call you within 48 hours.


The way I see it is MQ is covering itself with NUMBERS of transcriptionists.


They don't care if we make a living, only that their dictation is done.


They are going to go through us like water/we can't make a living/ok, they kick that girl to the curb and bring in the next MT/and so on.  IT'S NUMBERS, BABY!


They think because they have some sort of "idiot program" going where you supposedly can hire a warm body to clean up jibberish spit out by a voice recognition machine, they can hire 1000 indians or girls with borderline education (after they have driven any experienced MTs who were making anything near livable wage away), and pay them pennys they have the answer to medical transcription and still charge megabucks to hospitals and they will make the king's ransom in profit because they have little or nothing invested (remember they just got rid of the 1-800 phone numbers saving millions of bucks), and now want to pay pennys for editing.


Well, I am off to hold my sign for $10/hour PLUS BENEFITS AND WORKMAN'S COMP, INSURANCE, RETIREMENT, HOLIDAYS.  And I will look  back in every once in a while at whoever stays in this business while MQ takes it down the tubes.


Hey "bumed" you have it right.  And I'm afraid it's not going to turn around until you see piles of blitzed MTs over in the corner.  It is a non-career and thanks to the suits they have brought the quality of medicine down below putrid.  Get out.  Don't spend any more money to accommodate these profiteers.  Look out for yourself.   Think outside the box.  Right now the world is a little upsidedown because everything for the moment is "bottomline".  It can't go on this way forever or we will all be dead from "bottomline" thinking.  And while it is turning around, look here and there - and don't let MT take you down with it.  Good luck to all of us.


 


That would explain it....
So she is stuck at the age when she was molested, which would be about 6.  Poor Yuck!  I feel sorry for Yuck!
Perhaps you can explain this to

HOUSEHOLD INCOME DOWN, POVERTY UP:
MORE THAN 1 MILLION FELL OF MIDDLE CLASS IN 2004

Before President Bush took office, under Democratic leadership, income was on the rise, jobs were expanding, and the economy was booming. Today, the Census Bureau announced that real household income has decreased in 2004, falling for the fourth consecutive year. Since the beginning of the Bush Administration, household income has declined nearly $1,700. Over 1.1 million people fell out of the middle class into poverty in 2004, an increase of 5.4 million people living in poverty since Bush took office. Despite this, Republicans still have no plan to help struggling middle class families. Democrats are fighting to create jobs and keep good paying jobs here at home.
HOUSEHOLD INCOME DROPPED SINCE BUSH TOOK OFFICE

Household Income Declined by Nearly $1,700 Under Bush. For the second consecutive year, median household income declined: income dropped last year by $93 -- down to $44,389. In real terms, median household income has declined by $1,669 since 2000. [U.S. Census Bureau, 8/30/05; Table A-1]

African Americans And Latino Household Incomes Have Declined by More Than $2,000 Under Bush. Real median household income did not increase between 2003 and 2004 for African Americans and Latinos. African American households had the lowest median income, at $30,134--down by $2,273 since Bush took office. Median income for Hispanic households was $34,241 in 2004--down by $2,141 since Bush took office. [U.S. Census Bureau, 8/30/05; Table A-1]

Average Earnings by Women Declined by About $330 in Real Dollars During the Past Year. The median earnings of women declined over the past year, from $31,550 to $31,223. [U.S. Census Bureau, 8/30/05; Table A-2]
1.1 MILLION PEOPLE FELL OUT OF THE
MIDDLE CLASS AND INTO POVERTY IN 2004

Number of People Living in Poverty Increased by 1.1 Million in 2004. Approximately 1.1 million people fell out of the middle class into poverty in 2004, an increase of 5.4 million people living in poverty since Bush took office in 2001. The poverty rate has increased from 12.5 to 12.7 percent over the past year, increasing for the fourth consecutive year. [U.S. Census Bureau, 8/30/05; Table B-1]

Nearly 1 in 5 American Children Lived in Poverty During 2004. 13 million children lived in poverty in 2004, an increase of about 1.4 million since the beginning of the Bush Administration. This comes on the heels of a 730,000 increase in the number of children living in poverty in 2003. [U.S. Census Bureau, 8/30/05; Table B-2 ]

Disproportionately High Number of African Americans and Latinos Live in Poverty. Nearly 25 percent of all African Americans (9 million) lived in poverty in 2004, an increase of over 250,000 over the past two years. Nearly 22 percent (9.1 million) of Latinos lived in poverty, an increase of almost 500,000 over the past two years. [U.S. Census Bureau, 8/30/05; Table 3]

1.9 Million More Americans Enrolled in Medicaid in 2004. As 1.1 million Americans dropped out of the middle class and into poverty in 2004, the enrollment rate in Medicaid increased from 12.4 percent of the population in 2003 to 12.9 percent in 2004. Without the safety net of Medicaid and SCHIP for people who dropped into poverty, the health insurance numbers would be even worse. [U.S. Census Bureau, 8/30/05, page 16 ]
NEARLY 46 MILLION AMERICANS LACK HEALTH INSURANCE: NUMBER OF UNINSURED INCREASED BY SIX MILLION SINCE 2001

Today, the Census Bureau announced that the number of people without health insurance nationwide increased to 45.8 million, the fourth consecutive annual increase. A total of 800,000 Americans became uninsured last year - many because fewer employers offer health insurance to their workers. As a consequence, American families are paying higher and higher health insurance premium - which are expected to double under Bush's tenure by 2006. Yet, Bush and Congressional Republicans lack a real plan to address the problem.
ONE IN 7 AMERICANS LACK HEALTH INSURANCE

Nearly 46 Million Americans Are Uninsured--Increasing for the Fourth Year in a Row. The number of Americans lacking health insurance increased by 800,000 last year--and by 6 million since Bush took office in 2001. Today, a total of 45.8 million people are uninsured--roughly one in seven Americans. [U.S. Census Bureau, 8/30/05; Table HI-4]


Should not have to explain
We are allowed to do things for ourselves once in a while.  It seems ridiculous that we have to "explain" how or why we are doing something because we feel guilty.  I think it is great that you are able to do what you can do living in Florida especially with your hurricaine season being what it has been.   I think it is great and go and have a good time.    
Would you please explain what
you mean by "they/"  Who are they?  Do you mean newbies, anybody choosing to answer your ad, experienced MTs, dogs, cats, what? That is such a generalization.  Explain yourself.
please explain ...
I thought ERs are generally very short reports. Nowadays if we get paid by the line, you can't earn much for a short report. How does that work ?
Can someone please explain the
I can't find anything written in plain english on the internet. Thanks for your help.
Explain, please? I don't get that. What does it mean? nm
x
CMT - please explain
You've said this once before. Please explain.
Could you explain why? mn
x
I would just ask her and explain why (sm)
you would like to have the jacket, and I'm sure there would be no problem with her giving it to you.  However, if she for any reason becomes resistant to it, then I would say just drop it.  Things like this have a tendency to snowball and can cause resentments for a lifetime. 
Can anyone please explain to me why...
it is sometimes YEARS before a discharge summary gets dicatated?  Within the past few weeks, I had a report dicated 4 years after the patient went home.  This morning, the last 3 I have done by the same dictator are from 2004.  What is up with that? 
Explain please

Explain -- is 12 to 13 cpl low or high?  I am low at 11.5 to 13 cpl with my own accounts and two I/C's.   Most services here in the Oregon area are between 14 to 18 cpl in Oregon/Washington.  So I am curious do you laugh because we are low or laugh because you don't believe anyone could be receiving that much?  What do you think the Nationals charge?


Patti


Seems like you better ask them to explain better; but (sm)
I wouldn't pay them anything for the "privilege" of working for them.
Can you explain how to do this? I was just looking (sm)
at the help screen today on this very thing but I'm getting dense and do not know how to do it.  I tried and it was a disaster. Right now I have everything in AutoText, and sometimes, it loses a normal.  I would appreciate the info. Thanks.
okay to better explain my POV

I have not been on this site in almost a week as I have been busy with other things but visited yesterday and today, only glancing at certain threads casually.  The "I really wish" thread caught my eye and still I did not read it all the way through.  As the moderators here have often said, if you don't like the negative stuff, ignore it and get the good stuff.


When I posted the comment about the emoticon, I actually was thoughtful about the use of an emoticon indicative of a negative emotion leading a message about negativity.  That struck me as curious, not as argumentative, struck me as a contradictory debate.  Perhaps I should have put more in my posting but I tend to cut to the quick and what I said was a synopsis of what I was thinking.  I didn't berate anyone or insult anyone.  I made an observation and thought I was opening a door for the post to go in a different direction.


To put it better, I still have not read all the negative stuff over the last few days, nor am I interested in doing so. As this thread grew and became more, well, less caring towards other posters, I posted what I did to point out maybe, just maybe, some of the negative stuff would go away if it weren't thrown out for fodder.  An emoticon like   or could perhaps been less conducive to feeding negativity that the one posted, if in fact the original poster wanted to breed positivity on the board.  I do find it ironic that name calling came about because of a thread wishing negativity would go away.


I'm throwing this out for discussion, not to   .


Let me explain this to you.
The point here is that he is stating that he has dictated the report but is not reading it when he gets it back to sign off on. That does not necessarily mean that he is NEVER going to read it ever again. Lots of doctors do not read the reports right after they are dictated and they just sign off on them. There could be an error in the report, but they would never know it because they don't read it at the time. Six months later when the patient comes in again, the doctor may read the report then, but he certainly isn't going to remember what he dictated six months ago and if it is all accurate. It is more common than you may think.