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Doc says to cut out caffeine completely- and I hate the Decaf. nm

Posted By: MLS on 2005-07-26
In Reply to: One CUP of coffee? Why would you deny yourself that? nm - Becky

nm


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I buy decaf and caffeinated, and mix one scoop of each. It tastes really good too! nm
nm
Love psych notes. HATE, HATE, HATE, HATE,
HATE ER notes.
IV caffeine!! (sm)
It might take a little while for your body clock to get used to working nights, but eventually it will switch.

It actually happened to me the same way as you. My air conditioning broke and out of pure necessity I switched over to nights. This was before scheduling was requested, so I basically started working when the sun went down for as long as I could.

Five years later and with a/c I made many attempts to try to get back on a "day" schedule to no avail. When they started asking for schedules, I just decided to go with nights. Why fight it?

Tips? Hmmm... At first I'd take little cat naps at my desk when I felt like I couldn't keep my eyes open and that worked pretty well.

If I feel myself getting drowsy, I walk around a bit.

I keep the TV on (no sound) and it seems like just glancing at it every once in a while helps the time go more quickly. Don't ask me why. At 3:30 a.m. I watch game show network (What's My Line). It helps to perk me up because it's so cool to see the B&W oldies. After it's over, I only have about 3 hours left which goes pretty quickly.

Be sure you do sleep long enough when you go to bed in the morning and at first try to take a 45-minute nap about an hour or 2 before you sign on at night.

Another thing that helps me now is that it's summer and my daughter stays up all night too. It helps to know I'm not the only one conscious in the house (less lonely?). She doesn't bother me or anything, but it's nice I can hear her music or visit her if I need a break.

Okay, this break is up! LOL.

Good luck!


No, not anything but caffeine
I don't even take my B vitamins because even they are known to make me tired! Even when I take a migraine relief capsule I get tired. Does the 45 minute nap give you the second wind? Maybe I could try that instead of struggling. Sometimes I think the coffee makes me even more tired. Tonight I am trying water and it is working a bit better. I am going to try opening a window. Afraid the radio or TV would wake up the family even though I am in another room! Thanks for your help.
Does green tea have caffeine? nm
x
None. I try to avoid caffeine.
nm
Caffeine is addictive and...
I finally got off of caffeine. I had a hard several days with horrible headaches and just almost feeling hung over. I know I was having caffeine withdrawls, but I stopped drinking it because of having thyroid issues and having PVCs. I will tell you this... Just because you think you shouldn't be tired because you sit all day and type and do reports, does not mean you can't experience extreme fatigue in doing so. I worked in a casino for 13 years and did nothing but stand and walk. I made the transition to strictly working from home a year ago, and I really believe this work makes me more tired than the casino ever did. I find it is hard for me to focus sometimes as well while working. I find my mind wonders and focuses on things I need to be doing besides transcribing and it is very irritating. I know how you feel little lady. :)

Paulette
caffeine motivation
ok I feel sooo unmotivated to work even when I am right in front of my computer. I am just off task, thinking about other things. I lack the focus and brain energy to type. When I drink strong coffee or energy drinks, I am way more focused and productive. I enjoy typing and get lots done when I have been using caffeine. What is going on here?
Caffeine is also highly addictive

I love the stuff!!!!   Caffeine doesn't necessarily make you feel better, though, it just makes you feel less bad.  That's something I read somewhere that always struck a chord with me.  I'm not fit to speak to until I've had at least a hit of caffeine in the morning and don't even start on the headaches I'll get if for some reason I go a day or two without it. 


Do you take vitamins on a regular basis?  Despite the so called research that says that vitamins don't really do that much, I have found that if I go for several days without taking my supplements then I get really draggy and have a horrible time focusing.  If I remember to take them, then I do pretty well and have a much easier time focusing and getting work done.


Unlike right now when I should get started working and am playing on this board. 


black tea has just a tiny bit of caffeine, to help in weaning...
x
Energy drinks. Caffeine and sugar, sm
and all kinds of vitamins. I like the Sobe one. I even drink it in the morning now, instead of coffee.
Caffeine and sugar had negative effect

My experience with trying to remain alert during 3rd shift:  I was trying to perk myself up with caffeine and sugar, but also found that I actually became MORE tired as a result.  Apparently, there's a biochemical explanation for this, due to the effect of caffeine and sugar on my insulin/blood sugar response.  Both caffeine and sugar cause an initial rise in blood sugar, but then a serious slump in blood sugar occurs, causing me to be even more tired than before.  So, I gave up the coffee and, after 3 days of withdrawal symptoms with horrendous headaches and fatigue, am having much more success staying awake during 3rd shift.  I have also found that a protein drink or snack is a much better solution.  Also, I am told that there are stimulants that do not affect the central nervous system as caffeine does, such as guarana, which I have not tried yet.


Also, it took me at least six weeks to adjust my body clock.  I figured out that I had to sleep at the same time every day for several hours, at least 7, and couldn't just take a few naps during the day and then expect to stay awake at night. 


The only reason I choose to work at night is because the pay is better; otherwise, I wouldn't do it.  I look forward to someday having a decent account with a decent pay with a 24-hour turnaround time.  I realize this is a fantasy.


 


I hate DocQSribe, I hate DocQScribe, I hate DocQScrbe, I hate DocQScribe, I hate DocQSribe.
NM
Love cardiology, hate podiatry. Hate discharges, but
nm
I hate those but I hate trauma notes on children even more sm
I used to work for a large hospital that saw a lot of children for various horrible things.

The very last one I did was a 12yo boy who had hung himself while his mother was at work. She thought he was in school. The doctor cried, I cried (as I usually did) and I just couldn't handle that anymore. That was the longest report I swear. Short in lines but the length was almost an hour. The doc didn't pause the machine, she cried, horrible gut wrenching sobs, and I did too, right along with her.
I don't hate AAMT at all, ks. I don't hate
their book. In fact, I love the BOS2. It is not a regular grammar book at all - there are hundreds of issues in it that are point specific to MTing and medical field. I have dozens of regular grammar books, too, for other purposes, and they are not similar at all. I purchased the BOS2 when out job interviewing for a few months. Every single employer wanted me to have my own company, and they all tested off of it. Several used it in their daily work, and I have found it priceless over all. I think its even on sale now, but $89 is not a lot for a professional tool that we should use if required, or if a newbie. MTs who don't like to buy books are not very wise in the big picture. Its like shooting yourself in the foot.
I had one of those. If you have a completely sm
level back yard, you should do okay with yours. My yard had a slight slant to it which made the pool lopsided which made it very susceptible to collapse. Since I lived in South Florida at that time, I could never use the pool past May because the water was as hot as bath water.

They require a filter change weekly and lots of chemicals. The rim will easily get holes in it, so be very careful, especially if you have dogs that like to jump in and out. And never sit or lean on the edge, or your pool will quickly collapse. If you expect heavy rain, better drain at least 2 inches out of it beforehand.

Strongly advise getting a cover for it!
They are completely different - sm
Smartype is geared toward medical transcription specifically and is much more user friendly than Intellicomplete.
While VR won't take over MT completely,
With VR, one MT can do the work of 2-3 MTs doing straight transcription. So while there will still be MT jobs, there will be less of them. At the same time, you have MT schools churning out new grads willing to work for 1-2 cpl just to get their foot in the door. One MT company is so actively recruiting they are placing ads on Craigslist to get new students. Meanwhile, they have a ton of new grads complaining on their forum every day that they can't find a job. Things are definitely changing in this industry and it is not for the better.
I completely agree
These ESLs work hard to learn the language before they come here, many learning it through their school years, come here and legitimately and legally set up their practices (I haven't heard of any doctors complaining that their jobs are being taken by foreigners), and they still have to fight for any respect.
you are welcome and I completely agree with what you are saying!
it seems that so many like to twist around the Word or leave parts out that are uncomfortable. 
I disagree completely. Please SM
It is MY job to ensure MY work product is as error-free as possible. Just because I get paid piecemeal does not give me license to just send it to QA for the sake of make a few extra pennies.

As far as your statement on the influence on our paychecks, you're right on -- but for a different reason. Because of higher quality, you will qualify for incentive plans, be offered more variety in worktypes, and when the chips are down STILL HAVE A JOB.

I NEVER want to be paid by the hour again, regardless. Minutes are NOT tick-tocking away at my pay! I'm too fast AND skilled to ever limit myself in that fashion again!
Completely understand now -- wish
I was still in house.
I understand completely...
Every morning she jumps onto my desk, goes behind the monitor, on top of the printer, comes down the printer (which by now is beeping from her stepping on the buttons), then she steps in front of the monitor and bumps her head into mine. She will not let me work until I get up, go into the kitchen, and open a can of the most gosh-awfulest smelling food.

This is a ritual...what a way to start the day! :)
I agree completely!!
When I first started typing for MedQuist, if there was a difficult doctor, I would skip over it. As time progressed, the more typing I did, the better I got and didn't want to skip over reports, I wanted to be able to type whatever came up! If you NEVER type these heavy accented doctors, you will NEVER learn to do them. I agree with you "Got the Letter" and am waiting for my phone call!!
I agree with you completely

when EVERYONE criticizes how the government is run and how they do things? Why put your life and those of your family in jeopardy waiting on the government to help you. What happened to PEOPLE helping each other?  People seeing that their elderly neighbors get to safety? People pulling together to solve these issues? Why do so many seem to be waiting to see what the government can do for them??  The government has enough problems!  I certainly would not rely on the government for ANYTHING!  Do these people want to government telling them what to do in their everyday lives?  If so, move to a country with no democracy! 


 


  I'm finished for the time being.. but WAKE UP PEOPLE!


I agree with you completely

and believe me, they don't give a patient a discount because they feel guilty. They don't give the employees yearly raises. While they (and the 2 office managers) get their bonuses and go buy brand new cars, SUVs, boats, vacation homes and, yes, even airplanes, they have plenty of employees struggling to make ends meet. One employee (that I know of, a newly divorced woman) recently took bankruptcy and our insurance is so bad that most of us can't afford to even go to the doctor as we have $2,600 deductible for a single person!  I would NOT feel guilty one bit!  


  


I completely agree with you . .
Did you see Tanya Tucker's reality show? I loved that. There's one about roller derby girls and a new one is coming out about rodeo cowboys - sounds exciting to me.
I completely agree - sm

I love it when they say thank you.  It makes me smile every time.  It also makes me smile and chuckle a little when I get one that will laugh at themself when he/she gets tripped up on their words.



I agree completely
Sad but so true.
This is completely not true

If you read the instructions of any of the federal returns about the issue of filing for an extension, it will tell you that you can file a form to ask for time to get the finished return in to them (until August 15 I believe), but you must send in what you believe you owe with the form filing for the extension.  If at the time of filing the actual return, you still owe money, then the issue regarding penalties and interest comes into play.  If you fail to file a return or an extension request and you expect a refund, you have up to 3 years to file the actual return with no penalties.


Just remember, you still must pay what you believe you owe when you file for an extension.


Have I just completely lost it?...
Sometimes when I am working if I get a doctor with a sexy voice I try googling him to see if I can find a picture.  Every now and then I do find a picture but most of the time I am disappointed with how they look.  Does anyone else do this?
That is completely unethical.

That service found you that job. They trained you on that job. They did your QA on that job. And now the doc's office wants to go around the service and hire you direct, and obviously cheaper?!  First of all, know that if they can replace you cheaper, they will. Second, I hope it's a really, really good stable job, because you will be blacklisted among MTSO's and never work again... Talk about ungrateful.


Clueless but not completely
I’m somewhat clueless and really don’t know what to do.  I have over 5 years of distant (1973-1978) orthopedic experience, before MT was a hot item and have been working as an IC for one person for 2.5 years, doing mainly Urology and Urology-related Radiology.  I have not had formal MT training.  In reading all these board messages I don’t totally get it, i.e. Acute care, what is it? I just found out what the Basic 4 are.  I feel like a moron even though I know I’m not.  Nonetheless, I’m not getting enough work, have submitted a few resumes to a few sites.  Am wondering if I need to get formal training/certification.  I was lucky to get what I did without the certification, but I’m ready to go further in terms of specialities, OP reports, consultations, etc.  But, I am apprehensive about the whole enchilada.  Is anyone out there who has been in my shoes?  Any advice and/or recommendations would be appreciated.
I agree with you completely!
And now that many companies are cracking down on and checking quality due to client complaints and sloppiness, I would bet many MT line counts will be going down real fast.  Remember, haste makes waste... and slow but steady wins the race!
Not completely true
You can work IC or temp and still draw unemployment just have to report what you make.  If it is more than 1/2 of your weekly pay, you then begin to lose 1/1 dollar and when you eventually make more than what your weekly entitlement is, you lose it completely.  But she will have to actively be looking for work and AVAILABLE for fulltime work.  Just like insurance forms it is all in the wordking.  Available and looking for work.   I have drawn years ago when I used to be an employee and still worked temp jobs.  If they ran over the amount I did not file for that week and drew nothing.   My brothre-in-law last year was laid off as the CEO of Smukers jam as they closed  his plant.  They kept him on as a consultant as an IC and when he worked he did not file and when he did not he drew his unemployment.   It went on for a year as he was entitled to 26 weeks and because of him working off and on it lasted for a year.  You just have to report the earnings. 
Completely addicted to that
Craigslist. I have bought several very nice items off lately including 2 Persian rugs, 1 for $75 and the other for $95, both large, the last 8 x 11. Fantastic buys. I absolutely am in love with it.
Oh, I completely agree. (sm)
I've also seen 20-year MTs who proudly announce that they don't know the difference between there, their and they're, and it doesn't matter anyway. (?!!)

It is appalling. But those people also rarely post on boards because it's just a job they put in and they don't usually want to use a computer or talk about work outside of work (in my experience).

Maybe if somebody had let them know differently in the beginning, they would have chosen another career or taken the time to learn the English language.

You are only the second English major MT I have come across, and the other one is the best MT whose work I've seen.


Completely agree
Always have two companies, at least.
i completely agree.
"Assault" may sound nicer than "rape" but it's NOT the same thing. It's the MT's job to accurately record the doctor's words, pretty or not. Of course we may correct grammar but certainly not the meaning of a document.

These are sometimes used as legal documents and that should always be taken into account.
I COMPLETELY agree.
I mean, it's not as though we have nothing else to do! These tests take a long time and unless you have no job, they are much too time consuming. The worst is when you don't pass after spending so much time.

Also, you go through the grammar, etc. and then come to that?!

I think a couple of carefully selected files will tell them everything they need to know about your skill level.

NO. Not lazy at all!
I completely concur.
.
By the way, my keyboard completely different from the other 2
NM
Agree completely. Sometimes I am not even
sure if I am talking to the same person when they do not use their same initials or names with every post.
This is completely untrue. SM
I emailed a response while they were looking for moderators. I received a wonderful email with no broken English giving me all the sign-in information needed as well as complete instructions. It was NOT signed by Dr. Ahmed. I will not give out the name, as they clearly stated they do not want that known until this whole mess blows over. I will, however, delete any more of these outright lies I see on this board.
I agree completely (sm)

As another poster said, our bodies "know" when we have typed a certain number of lines.  Having worked for various transcription companies, I found it difficult to even reach the minimum lines with many of these places.  I feel very fortunate to have found an MTSO that is honest.  Guess what, I am transcribing over 2,000 lines in 5 or 6 hours!  I am saving every penny possible because I know it will not last forever.  


Time to do something completely different

You've turned completely inward.  Time to look outward.  Walk outside your four  walls and walk away from cyberspace - they'll still be there when you come back.  Talk face to face with people.  Go for a walk to somewhere completely different each day.  Volunteer somewhere in your community.  Befriend and be helpful to your neighbors. Sitting in the dark online 18 hours a day is a habit that can't be good for anybody - face it and change your behavior, or you will inevitably be forced out of your hideyhole into the world anyway.  You can either embrace, choose and take charge of changes, or wait until you have no choice. 


This may sound a little weird, but try using feng shui to rearrange your apartment - it can make a difference.  Just moving my work space to a different part of the room worked for me (my productivity greatly improved).  Good luck, and don't let this beat you.


Completely up to the client

At my first job I typed disc because that's what they wanted.  On the next job half the clients wanted disk and I went nuts keeping it straight.  At current job all clients want disk.  I put it in my ShortHand to change disc to disk, because of the bad habit I learned at the first job.  If I should get another account that wants disc, I will make them a separate shorthand tab and try to remember to switch to it when I get one of their jobs.  It sure would help if all clients agreed on this issue.


I agree completely
Well said. It's been said time and time again there are no grammar police on this board but they're here all the time just the same.
have you tried your new job out before completely quitting?
nm
I COMPLETELY AGREE!

nice post!