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

Serving Over 20,000 US Medical Transcriptionists

Diagnosis of perimenopause versus adrenal fatigue? I'm getting very confused on where to turn

Posted By: next for help with these symptoms. SM on 2006-02-28
In Reply to:

To me, my symptoms coincide exactly what to me seems to be perimenopause, but also seem to be some adrenal fatigue as well. Wouldn't adrenal fatigue be a natural result of the perimenopause hormonal fluctations, i.e., very lethargic and listless, insomnia, mood swings, energy swings, fuzzy brain? I'm getting conflicting advice and opinions and just don't know where to turn anymore. I just want this fixed, and didn't think it should be that hard. I went to this GYN my sister referred, but he seemed to me to be rather clueless and had me do some antithyroid antibody tests and put me on fish oil and folic acid! No hormone testing whatsoever. Then, I talked to a pharmacist locally who also deals with women on this same issue (my sister too), who has a Ph.D and consults with the MD. I took her test and she diagnosed me with severe adrenal fatigue, but again, I think this is probably just a result of the hormones messing up. Any advice? I don't want to do a lot of unnecessary testing that insurance doesn't cover, such as the saliva test. I'd appreciate any advice. I'm thinking to just go maybe just go my my PCP and get on an antidepressant or something.

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

adrenal fatigue vs perimenoause

I had adrenal fatigue from excessive blood loss from a miscarriage; the symptoms were entirely different-feeling from menopause/perimenopause. 

I do second the black cohosh, as well as 'dong quai', which is a Chinese women's herb.

I was on HRT, started feeling 'hinky' about being on all those hormones, and just stopped them on my own; titrated the HRT down, and then started with the black cohosh and dong quai.  Completely stopped the hot flashes, and fatigue and 'fuzziness' I was feeling. 

I had a hysterectomy at 29, 5 years ago. I have the exact same symptoms. There is never anything wrong with me according to a couple of different doctors. BTW, I'm already on an antidepressant. The best thing I've found to help is vitamin-B complex and black cohosh. It's not a miracle cure, but it helps.
Just turn it off and wait for the electricity to dissipate and then clean it and turn it back on. nm
How do you fight fatigue?

I find that after a certain amount of hours, say 4 or 5, my arms and hands turn to jelly, and my body gets sore and fatigued from sitting in a chair. It is to the point where I actually dread working. And it's not because the work is hard, because it isn't. It's because it takes a lot of of me physically.

My question is, what are some tips to help fight fatigue? It's almost to the point where I want to only do MT for 4 hours and find another job to do for 4 hours a day, one that doesn't demand so much physically. Although I wouldn't mind doing this until I retire, what it does to your body pretty much has made that not an option for me.

Fighting fatigue after 4 hours
When you work 3rd shift - it is even worse.  But getting up and stretching works - don't nap because you won't wake up till morning!
Actually the flu is a 10 day to 2 week episode, with fatigue often lingering
after the symptoms begin to go away.  The way to tell if it's a cold or a flu is that a cold is usually from the neck up, the flu causes body aches, fatigue, coughing, etc.  Also, the duration.  Colds go away much sooner than the flu.
65 character line versus gross lines versus pay by word

I am checking into other options for transcription.  Can anyone tell me how to compare all of these types of lines & also payment per word?  I know companies use different scales, so I wondered how they compare.  I have been paid on a 65 character line with spaces, but I may be making a change in the future - don't want to get burned.

Thank you in advance!

I have wrist, arm and hand fatigue too. Have to watch the yoga - because some postures
Turn down such low low offers, turn industry around. sm
The way to figure is how many lines an hour do you do. There are 13 lines characters in a line (65 line length)
So say you TRY to average 4 pages an hour say 34 lines a page equal 139 lines, times your line rate.
139 X 4 cents a line = $5.56 an hour

and what if you don't do 4 pages even less.

MTing hourly hourly output is not very predictablel, so ya never know and predict what you can put out each hour.

If the MTs continue to accept, that is what the going rate will continue to be. Yes, Yes, it will. Just keep looking. Email for general lowest to highest line rate prior to testing and resume, just say it saves time on both sides and it DOES. Why waste time. Soon, the message will get out there.
Turn off puter, wait a min, turn on with delete key pressed down, then hit delete key NUMEROUS times
I am so sorry for your diagnosis...
I am reading your post with tears in my eyes. That so hit home with me. I don't want to have my kids growing up thinking our house is "normal" as messy as it is. God bless you and I will pray for you. I'm going to make some changes in my life today.
LOL!!! How about this diagnosis... sm

 And I quote - "History of injury of the poisoning at specified place."  I always have to correct this guy's grammar and tense, but what the heck do you do with something like this?!  I typed it as is and sent it on! 

Yes, I did go to the ER and my diagnosis was:

Complicated migraine.  And I am all better now.


Can I get some opinions before I make an appt with a doctor?  Have been having mild fleeting pains in my llq, probably about a week and a half, sometimes midabdomen, the last couple days it has slowly moved upward, now kind of in my chest but still just a mild dull ache - possibly pulled a muscle?  Don't think it is anything serious but is getting more prominent, any ideas?  Thanks.
So sorry about your diagnosis. sm
Why do you think she spread it around?  Concentrate on your diagnosis, treatment, and healing.
So sorry for your diagnosis..sm
you must be beside yourself. My sympathies!

as for the coworker, I can only comment that you had asked her to let you know, which she did. Perhaps she left off the part about the breast cancer because she did not want to be the one to tell you or let you know that. She wanted your doctor to do that. I really don't think she was doing anything wrong...other than maybe every body knows now. you know how that goes.

secondly, and I have said this before, transcription has HIPAA laws, which are a good thing, but because of a situation just like this one, I truly believe that if a Transcriptionist happens to know the patient involved, she should be able to respectfully decline to do that person's transcription. Just as in choosing a jury for a trial...if the prospective juror knows the person on trial, he should not have to be placed on that case. It would save an awful lot of this type of thing from happening, and everybody being *all up in your business*. Personally, if I received a dictation from someone I knew, I would not even want to do it. What is in those files is none of my business.

that is just my thought though.

I wish you all the best on your recovery. May the Lord hold your hand through it all!
Recent diagnosis of MS

Hang in there!  You can overcome a chronic illness and empower yourself.  It ain't easy, but doable.  Been that way for 12 years now.

Just make sure you file the disability with a disability attorney. SS is very well known for denying claims usually twice, then court before they grant it.  This waste many many months and tires us that are already tired, out.  You need all your energy to fight the disease, not for your rights to supplemental income you've paid for all these years. 

Your children will also receive dependent benefits until they reach 18, so again, get an experienced dis. atty.  Hang in there

Also, see what diagnosis code
they used to bill.  Might have been billed as a screening and that's sometimes a no-no as far as getting things paid.  Obviously, you can't lie, but see if she had any symptoms at all that might justify the test.  
sorry for your diagnosis..congratulate you on..sm
your wanting to raise your boys to be good housekeepers. I wish my husband's mother had taught him so many things..just simple little things about the house..like closing cabinet doors. No, truly I understand your thinking and even though I have not been diagnosed with cancer, I think about all the crap I've got stuck out in the shed that I need to get rid of so nobody else has to come along and get rid of all that crap for me. It's a lot to deal with for people who are grieving anyway.
Good luck and just said a prayer for you.
ADHD diagnosis
When our son was having trouble in school, we brought him to an expert in the field of ADHD, and after hours of testing he made the diagnosis, and, then after that got an IEP at the school. Every state is different in their different programs, but they all have to provide help for children with special needs. Our son was at a college at another state, they had his IEP and went there for two years, came back home and is at another local college and they told him he never should have had a full load of classes and he is given extra time for testing, etc. The school system should have a special needs department, like they do here in my state and you can contact them about extra help for autism, learning disabilities, etc. It makes a big difference in getting the kids all the help they need to succeed and not fail in any of the schools. Also, I believe the Americans with Disabilities web site can help also.
Very sorry to hear of your diagnosis...sm..

Like the other poster said, think positive and go forward from here with what you need to do. 

1.  You asked her to let you know if she typed the report so she did so that's not a violation.  It could be a violation if it wasn't emailed through an encrypted email program but I wouldn't make a stink out of that.

2.  She should know the rules and should know it's a major violation to blab to the department so if she has any brains in her head, she'll keep her piehole closed.  I wouldn't worry about it right now or jump to conclusions, but if you do later hear that others in the department know, I would report your suspicions to her supervisor. 

Are there any steps you can take at this point to keep it under lock and key so no one else finds can read your report in that department?

Beyond that, I wouldn't worry about it and would focus on licking this temporary setback.  I wouldn't worry about what's going through her head and why she isn't contacting you anymore.  She sounds flakey.  Focus on you and your family.

My sympathy as well on your diagnosis

But as a radiology MT you know that the treatment for breast cancer has advanced considerably and many women go on to live long, healthy lives after breast cancer treatment. So focus on the positive for the now.

As far as your coworker, I understand the desire to know the results of your tests, but yes, she should have told you to ask your doctor for the results instead of sending them to you.  Then, if she gave the results to anyone else, the HIPAA violation would be entirely on her part.  I don't know if you have spoken to her since she sent you the report, but it is possible that she was either caught sending the email or she talked to someone about it and was reprimanded for the HIPAA violation, therefore she is now afraid to talk to you at all because she does not want to risk getting fired. (Just one possible scenario.)

Your best course of action is just not to worry about the opinion of your coworkers. You have a job to do, and that is to concentrate on getting well.  Don't let this distract you.  Focus on what is important, and "don't sweat the small stuff".

Good luck!

Sorry to hear of your diagnosis
Unfortunately this happens when you have your tests done at the same facility where you are a patient.  I am also a product of feeling like "every knows".  It is not fair to you, but I feel in hindsight now I would never choose to go where I worked to have testing done unless I didn't mind that the people I worked with know of my personal health information.  It is a common thing in hospitals and physicians' offices for people to snoop and want to know your business and unfortunately, this isn't always a positive thing.  If you need other tests I would suggest trying another institution and also mention this to the physicians who care for you, but they may say the same thing - that you should NOT have asked a former coworker to let you know of your results.  Only the physicians have a right to that information and the right to relay that to you.  I fortunately did not have breast cancer, but my incident stemmed from having a mammogram.  My boss posed as a friend in the mammogram department the day I had the lumpectomy.  Yeah right, some "friend".  She was just being nosey and wanting to know when I would be returning to work because the typing was getting backed up.  Again in hindsight, I will never step foot in that hospital again for anything in regards to my health.  I go to a different hospital/radiology department from now on.    Good luck with your health and best wishes to a resolution to your anxiety.
proper diagnosis!!! for my exhusband too...LOL...sm
but it isn't really funny and I'm not really laughing.....it was him or my sanity, as I posted below, and my sanity won out but you have put the proper diagnosis on it because I've been saying for 20 years, he was/is a passive aggressive.....always pointing the finger, placing blame and never looking inside himself as maybe it's him who is/was the problem......(also a triple virgo male *LOL* sun, moon, rising-ascendant). 
Spelling out abbreviations in the diagnosis
when told specifically not to is not following instructions.
Thanks to both of you...verbatim account. Has to be as dictated unless in diagnosis.

We do use dx for diagnosis, and all the short cuts expanders
I am on XANAX. I did not think my clinical diagnosis would be on report.
When given this diagnosis, the first thing you want to know is how far it has spread. It can mean life or death. My doctor was OOT for two more days and I was panicking. I needed to know if it was abnormal so I could begin thinking of what the future held. I am not thinking RATIONALLY!!!!!
Question versus gross lines versus 65-character lines....

I have always charged or been paid by 65 or 60 character lines or per letter or space typed, but have never been paid or charged per gross line.

What is the advantage of this?  If I were to charge 11 cents per 65-character line including spaces, what does this figure out to for an average line rate and how do you do this calculation? 

I'm wondering if it is financially beneficial for me to bill by gross line or to keep it the way I have it.  I do know some accounts will only pay per 65-character line, as this was the deal my first own account I recently acquired.  They were adamant on a 65-character line, but didn't specify with or without spaces and I personally would never not charge for spaces.

Thanks for explaining this.  I appreciate it and hope everyone has a speedy day.

Last week I've been diagnosis with Multiple sclerosis and I did sm
go to file my disability and found out what I would get paid if approve, I am working 7  days a week, 24 hours a day off and on.  My husband is deceased and I have two kids to raise and one must do what they have to do.
I am sorry but you must have me confused with someone else.
I don't cherry pick.  However, I am very interested in increasing productivity.  If you have something to say along those lines that would be more helpful.  Thank you and have a blessed day.
I am sorry but you must have me confused with someone else.
I don't cherry pick.  However, I am very interested in increasing productivity.  If you have something to say along those lines that would be more helpful.  Thank you and have a blessed day.
WAIT A SECOND.....someone is contradicting themselves here by saying MQs debts are not high either - HELLO! What is all this talk then about what they owe in legal fees?
Confused about
Is it just me or did NM just answer her own post above?  sm nm? two people?  one person?
I think that you have that confused. A gameport is 15 pin, or db15 and a serial port is 9 pin, or db9. This is important to know when troubleshooting the problem. javascript:editor_insertHTML('text','');

I'm confused...
On what basis/grounds would a college have to sue someone who opens a transcription school? I know that the US has gone to the dogs but...uh...I don't think a college has any legal recourse towards someone for opening a school.

I don't mean to be mean, but you sound kind of flakey.
This is where I get confused.
An instinct is an inborn tendency.  If you have the instinct to be gay, you are gay.  Whether you act on that or not isn't the point.  It says somewhere in the Bible that thinking of the sin is as bad as doing the sin.  Not acting out as a homosexual doesn't make you not gay. 
You are confused...

it's happening before your eyes and you cant see it.



A little confused...
What does failing a test have to do with technology. You obviously were able to transcribe the dictation because you had to have submitted a test in order for it to be scored. No, they don't take off for taking your time unless they specify that you must complete test by X time. It's the quaility of the work that you type that counts. If you've been doing this for as long as you say...what's the problem?

Every company has some sort of platform. Are you hoping to find a company that allows you to use a typewriter?
I just visited their website. If you click on "jobs" it states that MTs get 2 weeks paid vacation and sick time which accumulates immediately after hire and that MTs can make from .06 to 0.12 a line.

BUT, if you look at the employee handbook (which MTs have to read and sign), it states that MTs make between .06 and .075 a line and that you have to work for them for a year before accruing any time off.
I'm confused
I would like to help, but I don't understand the question at all.  I think all the pay rates you have mentioned sound good.    Not sure about the benefits.   Benefits was THE deciding factor in the job I took.
I am confused by the fact that you can be an employee, work 8 hours/day for five days, Monday through Friday, and not be compensated for OT if working more, i.e weekends.   In the "real" work world you are required to get OT if over 40 hours.  I do not understand how this plays out as being okay.   Help me understand.
Now I am confused....
I get no benefits, no taxes withheld, so how exactly am I an employee?  If my husband does contract work for one company for the year he is still a contractor. 
Personally, I enjoy working at home. There are plenty of companies out there that you can work from home for. I would just really push the hospital about getting you set up at home. Tell your boss you cannot work OT and that is that. You have another job. Tell her if she wants you to work to pay you extra and that you would be losing more money by working for them on OT than working for your other co. (I would definitely play the $$ part). Sometimes then they will give extra incentives. If not i would go over her head!
Need help, so confused
I use short cut for windows as an expander.  Today was the first time I ever checked the statistics.  When I divide the total characters, including those put in by short cut, then divide by 65, my line count is 2415, (which is about what I used to do on my old job) if I take the total characters only transcribed, not the ones inserted by short cut, I get 1611 lines.  The line counting program for my job gives me 1600 lines, does this mean that I am not getting compensated for anything put in my shorthand?  If that is the case, then this is really discouraging and maybe I need to stop using my shortcut?  Can anyone tell me if I am figuring this incorrectly.  Any info will be greatly appreciated.  Thank you in advance
What do you think the issue is then.  My friend transcribed a report in Courier New 12 and got a line count.  She then highlighted the same report and changed the font to Times New Roman 12, and she said that the lines were half of what the Courier New 12 was.  I'm confused.  She is totally new to this company, and I think she is being ripped off.  She said that she figured she made $348.00 for working last Saturday and Sunday at 8 cents a 65-character with spaces line count.  She found out today that she only made $174.00.  Any explanation?
Not as confused....sm
Thanks! I'll look into both options. Dragon looks more affordable. The others look very pricy for a one-man-band. I'm making calls now to see. :)
More confused.
Keystrokes wants me to have one, they are going to supply it and it is worth $500. I can't imagine why I would need to have one. It takes forever to get emails back from them so I thought I'd ask here before I spend time emailing them.
I'm confused....
Why is it on every post on this board someone feels the need to start an argument? I am not a MTSO, I am one person, looking to bring on another person for this account. This account will pay 14 cpl. I don't see where there is any bashing going on here.
I guess I am confused. I have read on the board where I guess some services pay minimum wage no matter what your line count is.  I just think this sounds weird.  Again, to me you get paid for what you actually produce.  I am just wondering, as I begin a new position next week with a MTSO.
Really Confused now
So why am I getting a 1099 that doesn't show my company paying anything at all? I'm paying all my taxes every year.