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Clarification - I did not mean breast exam sm

Posted By: HappyFlaMT on 2009-02-16
In Reply to: From NY Dept of Labor, exam is required sm - HappyFlaMT

was required, only that an exam was required in NY for a minor to get a work permit. Personally, my kids have gone slightly over 12 months in between physical exams, and I was assuming that this girl's exam was probably overdue. Therefore, she was getting more than just a routine "Stick out your tongue, let me listen to your chest, you're okay to work" type of exam solely for the permit and instead had to have a more thorough exam. That being said, I don't care how old my daughter is, as long as she is a minor, I will be in the room with her during an exam. Same thing for my son.


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No, I doubt that a breast exam is included in the physical exam for a driver's licence..sm
Since when did they start to ask for a physical exanm to obtain a driver's licence?
This must be new, I never was subjected to a physical exam, only an eye exam.
That's weird.
Okay -- so, was the breast exam for
the driver's license or the work permit????
Actually, I can REFUSE to have a breast exam done on
me by a doctor, and I always did. For me this procedure is much too intimate.

A breast exam is mandatory for a driver's license??
I cannot imagine a state where it is mandatory for a young girl getting a driver's license to have a breast exam. That just sounds, as does the pressuring you state by the doctor for the cervical cancer shot, so farfetched to me that it is completely unbelievable. I read very well, thank you and am unbelieving of most of what you have posted. Sounds like not only are you stressed but you have some mania going on there.
A breast exam is mandatory for a driver's license??
I cannot imagine a state where it is mandatory for a young girl getting a driver's license to have a breast exam. That just sounds, as does the pressuring you state by the doctor for the cervical cancer shot, so farfetched to me that it is completely unbelievable. I read very well, thank you and am unbelieving of most of what you have posted. Sounds like not only are you stressed but you have some mania going on there.
No breast exam required in Tn and Ga for driver's or work
NM
A breast exam is required for a driver's permit in your state?
--some pervert state senator would dream up. What state do you live in? THAT I would be angry about.
What state requires a breast exam for a driver's license?!?!
nm
clarification

The original poster asked a question, which I answered. The examples I gave of actual reports have nothing to do with demonstrating my superiority, nor were they meant to make fun of anyone, but were simply to show the types of problems I personally encounter on a daily basis (all from MT’s with 5+ years experience in radiology, and including one supervisor) .  Expanders are great when properly used, but I think there comes a point when one becomes to dependant on technology and complacency sets in, causing avoidable mistakes.  Spellchecker’s are also wonderful, but what is the point if it is not being used?   


I am well aware I am not perfect, nor can I think of anyone that is.    I currently read an average of between 400-600 reports a day and I’m sure I occasionally miss something.   I care about the quality of the work that I do however, and my first priority is to each patient when I read his or her report.  It’s not just another medical record number, it’s someone’s mother, father, sister, brother, son or daughter and they deserve the best I can do, and their medical care depends on it.  I’m not rich, hell I’m a month behind on my house note right now due to an emergency, but it can’t be just about the money, if it is, it’s time for a change.


Clarification please
When you guys are taking about SE - you just mean an employee and an IC is the independent contractor -- correct? 
Clarification
It is not my understanding is that making MT an apprenticeable occupation will REQUIRE all new MTs to become apprentices before they can be hired. If that were the case, I would oppose it myself. My understanding is that if MT becomes an apprenticeable occupation, that will provide incentives to employers or others to start apprenticeship programs and hopefully provide some assistance to the MTs who will go through those programs. Certainly the concept of apprenticeship for MT is a great idea and very much needed to provide more opportunities for MTs to get the experience they need to get a good job. How we go about making that happen is, of course, where the crux of the matter lies.

I can tell you from personal experience that not all graduates of the "top 3 schools" are ready to work. In fact, I would say that is the exception rather than the rule.

When I hear people criticizing apprenticeship/externship programs that pay new MTs a small line rate while they are getting experience, I have to ask, what's the alternative? The fact is that many new MTs cannot get a job, period. That means not only are they not getting paid, they are not getting any experience--the experience they have to have in order to get a job! So to me, the opportunity to get experience at ANY rate of pay is better than nothing at all.

Jay
Clarification
I just wanted to clarify my comments on the subject in case anyone things I'm advocating your storming in the office with guns ready. LOL When I say "force her hand," I mean do your job and billing as usual. IF she's getting ready to end your contract, make her be the one to do so by keeping your end of the deal, rather than you walking out on something you've worked hard at. Also, when I said I'd be tempted to mention their vacation/inability to pay you, I meant just that. I'd be tempted. (I was merely venting.) As someone said, this is a business situation. I'm sure you'll act appropriately, especially if you happen to come face to face with the doctor, who seems to think highly of you. There really isn't much you can do besides business as usual and then decide what's next should things worsen.
Pay clarification
I should state that the MTs in question do not work in the hospital but rather as independent contractors for a national company. We are paid by line count.
IRS clarification.
See link below for differences between IC, employee, etc. Hopefully, this provide information to those on the board who have questions regarding this issue.

http://www.irs.gov/businesses/small/article/0,,id=99921,00.html
Clarification
My friend said at work at the hospital, things were pretty much just that, work, where you could ask the doctors, other staff questions.  They took bus trips off the compound to go shopping and such, and that is when you had to wear the burka.  You could not speak or make eye contact with a man (unless he was your husband), once they left the compound.  I think she worked for an eye hospital.  At work, you had to be covered at least to cover your elbows with your shirt and of course no skin at all showing anywhere else.  My friend said they paid for your nice apartment, and all you had to buy was your food, so you could save most of the money and bring it back.  She said it was not for everyone, with the strict rules about male/female, etc.   I am still looking for Nellie.  Hope you are well.
A little clarification. sm

I consider a line 65 characters with spaces.


Clarification
Sorry...I failed to mention that I have the WP 5.1 documents saved to a flash drive.  I am trying to search the flash drive for a last name, for example, through Windows, but the documents are WP 5.1 documents.
This is for your clarification.

It hosed me financially and she had the gall to tell me she wasn't responsible for my financial situation. When you are the one holding my paycheck, you are.


The statement above is made by the poster.  It is simply stated in other posts that the MTSO paying late is not responsible for this particular poster's financial situation, and this is true.  No one has stated yet that the MTSO should not pay on time or an MT should tolerate it, but the fact remains that it is not the MTSO's responsibility to plan an MT"s finances.  I feel sorry for the sick child, but please let's not make excuses.  I know plenty of people with sick children that still financially plan.  Come on - I think this is all out of context here. 


for clarification
I could clearly hear the patient in the background. She spoke English. her son was also trying to interpret for the doctor repeating things like throwing up etc. If a doctor can't understand that - then English classes are necessary. This was an emergency clinic, so she had no where to go apparently at the time she needed to be seen. Personally i would have left.
You are so right. Thanks for the clarification.

Clarification please
Your printer usually prints in the font that you are typing your document in, what exactly do you mean??????
Clarification
No. I have done MT for 15 years but STOPPED it approximately 2 years ago. I should clarify that.
clarification

Let me clarify.......I'm finishing up my MT school.  I already have the BS degree...


Thanks!


Clarification.
FlashType is proprietary software owned by MTStars.com and it's Owners.

We in all respects along with Source Code etc, own the software legitimately.

We advise all those who are claiming that software belongs to them should follow the legal recourse (if they have problems with software ownership) rather posting messages on boards.

Thanks,
MTStars Administration.
Clarification
The SR/ASR that my company is using is not on the client end. The clients dictate as normal. This software we use will listen to the recorded dictation and then spit out a report for us to edit.
CRUELTY CLARIFICATION

To the multiple posters below, regarding the thread on farm animal cruelty.  First of all, I believe you. Second of all, me and many like me don't have access to video and/or cannot watch the video.  Yet, we still want some facts. I was not able to pick up fact based on the thread.  Here is what I found out -- VERY INFORMATIVE by the way, and I appreciated reading it -- but there were still questions in the air. Can someone please CLARIFY, by way of simply stating the facts, what is going on with each of the following animals, so that we, AS CONSUMERS WHO MOSTLY SHOP AT BIG CITY SUPERMARKETS, can make an INFORMED CHOICE based on these facts:


1.  Chickens.  Know they live their lives squashed and get heads severed off via rotating razor blades.   True, false, anything missing?


2.  Veal calves.  The cruelest fate of all (besides french geese for fois gras or however you spell it).  Tiny crates, water deprivation, light deprivation, no straw, no way to move the extremities.  And how are they killed?


3.  Regular calves, and cows for meat.  How are they killed - really?  I think the general public thinks they get a humane bullet in the head.  Is this not true?


4.  Dairy cows.  Their fate?  And aren't they treated a little better (fresh air, etc.) for dairy vs meat?  Please inform.


5.  Pigs.  We know that they eat, we know they are dirty, but assume that they, too, get room to roam, and are killed with a bullet BEFORE being cut up.  Is this true?  If not, how different? 


6.  Anything else we need to know about?


So very, very much appreciate a WRITTEN answer to those of us who have no access to / cannot go the video route.  BIG THANK YOU IN ADVANCE.


For: clarification for Kate
I was referring to working as an IC for a service. Some services offer IC, SE and employee status positions.
1099 clarification
The person who paid you, need to have the 1099 post marked no later than 01/31.  The person who paid you needs to supply copies of the 1099s to the IRS no later than 02/28.  Do no confuse these dates.  If you utilized (mind you not employed) ICs, then you too need to have their portion fo the 1099s post marked by 01/31 and the portion that is to be filed with the IRS by02/28. 
clarification on outsourcing

What I meant to say was they outsource a lot of the dictation to India.  Should have clarified that.


Thanks for the clarification and additional information.
x
clarification-had no formal training in....

working for MDs/transcription but came fully experienced into the medical and then MT field by working years prior in secretarial/typing/administrative assistant work....


not like I came into the MT biz with no training whatsoever...hence, I needed to clarify my original post...


 


breast prostheses
It's McGhan style 68. Here is the link. Scroll down about 1/3 of the way down the page and you'll see it. Hope this helps.
breast biopsy
I had a breast biopsy a month ago (stereotactic), and for what ever reason, I'm still having pains underneath my breast where the incision was made, my question is, should this still be hurting ?  Also, can the marker they placed move ?  I know it sounds dumb but it just feels weird in the center of my chest.  Thanx for any help. 
Breast pump?
Can one of you younger women enlighten me about electronic breast pumps?  Today I was typing a report and heard the term for the first time.  Are hand pumps not used anymore?  This patient received an electronic breast pump from WIC.
Breast cancer
Does any one on this board know where I might find a sample report with regards to breast cancer?  Any tips greatly appreciated.  I want to be sure to get all of the stages ect. right on and though I have MT experience this is my first shot in the area of breast cancer clinics.
Breast Cancer
Thank you for your kind thoughts.  I was diagnosed with invasive ductal carcinoma.  I had a sterotactic biopsy last Wed.  I had one 4 years ago that was clean and assumed this one was too.  Yikes!! That didn't happen.  I was given an option of mastectomy or lumpectomy and radiation.  That's the good news, as the tumor is less than 5 cm.  I'm really scared.  I recently moved to Virginia (about 60 miles south of Roanoke) so I haven't made any friends and no close family nearby.  Luckily, I'm close enough to the local hospital and work at home to be able to go for the daily radiation treatments for 6 weeks.  Surgery is scheduled for next Friday and then the wait to find out if the cancer has spread, what type, the extent of the treatment, etc.  I really do appreciate everyone's kindness and prayers.  I will also buy a copy of the book tomorrow.  Also have a really good to reason to march with all the "pink" ladies now :-)  Bless you all for your kindness
Breast Cancer
Thank you so much for your words. Of course, I was so unprepared, and my world is not what it was 4 days ago. My only son is graduating from college on the west coast in mid June (I'm on the east coast) and it will be cutting it close to get my tired butt on a flight, but I'm determined to make it :-)
Breast discharge
I saw my doctor today for breast discharge, amber colored, from several ducts in the right breast. I am having a mammogram Friday. My doc did not feel any lumps. I am very nervous.

Has anyone had an experience similar to this and have some possibly reassuring words for me?

Thanking you all in advance.
Clarification: 1200 lpd x 5 days/week...
1200 lpd x 5 days/week =
MQ: $0 incentive
Spheris: $24 incentive/week

Ok, I didnt post this, another JWA did. just wanted clarification.

A breast cancer warning sm
Let me tell you a true story. I am hesitant to tell it because I want every woman to have a mammogram and to be tested as often as possible. In 2000 a surgeon I had trusted for 30 years read my path report of a biopsy he did for a suspicious small lump. The pathology report came back as "atypical ductal carcinoma insitu which some may call atypical hyperplasia." This surgeon literally yelled in my face "You have breast cancer and that breast has to come off." Due to the fact that friends of mine had suffered lymphoma and other complications from mastectomy, I asked him again if mastectomy was the only answer. He was extremely stern with me and said it was, and my only other alternative would be lumpectomy with radiation and he would not guarantee it. Due to other problems of health issues in the family (serious) I wondered about my ability to type or transcribe again. I even asked him to keep it from my husband until I decided what to do and he called my husband in his office (my husband was very ill at the time).  I called my health care provider and asked about a second opinion, they said get as many as I was comfortable with. I was referred to the head of oncology at another facility (IMPORTANT) and he referred me to a breast surgeon. I told her that I had read Dr. Susan Love's Breast Book and I read about surgeons leaving "dirty margins" from the first biopsy and questioned if lumpectomy would be just as good as mastectomy. I told the second surgeon (a breast surgeon) I had heard of  a physician from "Dr. Susan Love's Breast Book"who practiced at Vanderbilt University in Tennessee. The new breast surgeon did the second operation which was removal of the rest of the "dirty margins" and my slides were sent to Vanderbilt. Their opinion was that no further treatment would be necessary. The breast surgeon called a tumor board meeting and it was their opinion that they were not sure if I did indeed have "breast cancer." The radiologist who was at that tumor board meeting said she would not radiate me since they were not sure it was cancer, as if I did get cancer back in that breast, she could not radiate me again. By the way, the first surgeon whom I had trusted for 30 years told me to "to go ahead and listen to your neighbor and your hairdresser and you'll be back here with more cancer and it will be too late for you then because we don't know what's in the rest of that breast!" He also was very angry that the other doctors told me I had every right to have a plastic surgeon present at operation to install Expanders should I decide to have a mastectomy and want plastic surgery down the road. He was very upset with that and upset at the fact that I would have had my own plastic surgeon of my choice. He wanted that mastectomy done "last week" were his very words. Well, it's 2006, I have had 6 month mammos on that breast and yearly mammos on both breasts since 2000. I did have a needle aspiration for the tiniest lump in that breast which was benign, then I had a stereotactic biopsy on that breast because I was watched closely for 5 years, that biopsy was insufficient for diagnosis, so I underwent another surgical biopsy in 1/05 which turned out to be "atypia." So, whether I am a fool for not having the mastectomy, I can't really say, but I can say that I did question, read, study, make my own decisions. I did not have a mastectomy in 2000, I still have that same breast (a bit smaller, but who cares?) and I still have negative mammos every 6 mos. except for the two ? findings later on. I refused tamoxifen for my own personal reasons, although it is the treatment of choice. I am very, very reluctant to tell this story for fear of just one woman letting a cancer go undetected. On the other hand, I am telling it here (now for the first time) because I want women to know they have a right to make a decision with regard to their own bodies and ask intelligent questions. You have every right. Just be sure you get many high-level opinions. By the way, I did get put on a lot of prayer lists as well. I do believe God helps those who help themselves. I will never be sorry for the chances I took and the choices I made. I hope that trusted old surgeon is NOT right (my new breast surgeon says he is from the "days of yore"}. The important thing is to get tested, get more than one opinion and please, please, if you believe, pray, and talk, talk, talk, and read, read, read. Learn when to say "yes" and learn when to say "no". I hope I didn't scare anyone, but there is hope and help out there for those who are willing to use their intelligence. For any of you who think I did it for cosmetic reasons -- absolutely not! I would not have even wanted expanders for further plastic surgery. I am a grandmother, not interested in body beautiful.  I was the sole source of income due to an unfortunate circumstance with my husband and we would both have been "down" at the same time. I did it because I had to at least ask what my options were. So far, so good. Please pray that I did the right thing and please know that you too have "options" to consider. Please be sure to go to a "different" facility for a "different" opinion, not the same as the one who diagnosed you. I sure hope this helps someone some day, but please, please if the second opinion says the breast must be removed, then you will absolutely have to listen and you will do fine. My new breast surgeon said if it were ever necessary, she could remove both breasts, freeze and save the nipples and do a reconstruction for her patients if they desired it down the road. There are tons of new options for us out there. But ASK!. My message to you is GET CHECKED, and make those checkups regular, there are clinics that will take you for free. I hope if they do find something, you have as good a result as I did. Please go, and please ask questions and get other opinions. Good luck and God bless. Hope I helped someone today but I really, really do not want anyone to miss anything that could kill them, so be aware that this is only my story, but it's true and it may give someone else with atypical ductal carcinoma in-situ some help, hope and understanding.A mastectomy is not a bad thing, not in today's world, but I want you to know that there are tons of options for you and I hope you take advantage of the best ones for you, God forbid, you every need that kind of help. You may E-mail me but I won't "practice medicine without a license," I just want to share my experience and strength with you and urge you to get tested soon!
The baby has to eat, whether breast or bottle
feeding.  This is a time in their lives that you will only have just once and no matter how much you wish to have it again, it will never be.   I breast-fed my youngest 30 minutes, every 30 minutes it seemed.   It can be done if you have the right attitude and you have some flexibility in your job and your SO is willing to help out.  
Whole turkey breast is good, too. sm
Pork roast tastes good, too, but I have a small rack at the bottom of mine that it sits on so it isn't in grease. I have also done whole chickens with lemon juice. Tasty.
breast will turn into mush? lol
.
she just learned she has breast cancer
did you think about that?
Need some clarification on C-phone dictation and some websites for urology sm
I will be covering the transcription for a urology clinic.   I was briefly told that the doctors dictate to a C-phone that  goes directly to a base office.  Then the file is e-mailed to their office where they can access the dictation.   Does this sound right or are they accessing the file from the base office through FTP and then downloading it.  Also, doesl AOL work OK to access files or do you need another FTP provider.  Not sure how they are doing the work, but any help would be appreciated.  Need some good website for urology,  Just want to be prepared.   Always ask the experts!  Thanks. 
crockpot turkey breast question
I just got a crockpot, have not really used one much.  I want to cook a boneless turkey breast.  Have looked at recipes online, most have no liquid added.  The idea of leaving it on low at home, while I'm a work, (with no liquid) makes me a little nervous.  Comments?  TIA
You're certainly out of the breast pump loop. LOL I used an
x
I had a little breast addict too. Thank goodness for her swing!
nm
I had a doctor using her breast pump while dictating. sm
Reminded me of my granddad's dairy.
I can understand why women want breast reduction
done, because this is actually not only a cosmetic surgery.
The weight of hevy breasts can cause back pain, shoulder pain and a lot of other pains.

Had I heavy breasts, yes,I would also opt for this surgery. But I think I would 'chicken out.'