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Had to ammend the blood thing ... sm

Posted By: sickofit on 2007-11-29
In Reply to: In our home, we call it the Red Rule - see message - Kim

Once she was proficient at cleaning and dressing minor scrapes (9 or 10), I had to ammend the blood to lots of blood, but by then, it had become a running joke. It now stands at massive amounts of gushing arterial blood, and she wonders why she can't break her neck, but a broken skull with brains oozing out is okay. Needless to say, she has a bit of a sick sense of humor. She's a great kid, though.

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Patient may ammend
A patient has the right to ammend a medical report if they so choose. I agree that we have to type what they say.

This will be seen by more people than just the transcriptionist, doctor and patient; however, as the coder will see it, chart auditors will see it, medical secretaries compiling charts will see it and the list goes on. I work in a hospital as well as at home and the report will always being in the chart. If that patient comes to the ER again, the next ER doctor and the nurses caring for that patient will probably see the report. Insurance companies can have a copy of the report if they need it.

HIPPA does not mean total and complete confidentiality. Alot of people think HIPPA has made the chart more private than it used to be. It is a "portability act." That makes it easier for insurance companies and other people caring for the patient to gain access to those records. Just my 2 cents.
Yes to all the above - they need some new blood
Blood Test
Could it just be that his CEA is elevated? The rise in CEA would be used to determine if treatment is working. Just a thought.
blood thirsty
Call me all what you will, but I don't understand why Barney is being bashed here?

Hey BARNEY - I really don't think ya did anything wrong.

I suppose I better watch what I say or I could be crucified next by some of your blood hungry people!
blood clots
It happened to me earlier this year, right out of the blue--pulmonary emboli--and with no real risk factor other than sitting still doing long hours of transcription. Everybody stretch and move around--it's important!
I'd recommend getting CMP and other blood
tests and going from there.  If you get a physical and they do the blood work, should be covered under insurance. 
The blood can be from implantation, but...
it can also be a sign of miscarriage of ectopic pregnancy.  I have had three pregnancies.  During the first pregnancy I started having spotting at about 5 weeks that got heavier, and I ended up miscarrying.  The second pregnancy I started spotting at about 6 weeks, but went on to have a full term healthy baby.  The third pregnancy I started spotting and kept this up for 3 weeks.  When I started having pain in my lower right side they found that I had an ectopic pregnancy.
Some companies try to squeeze blood out of you
and as long as someone does it, that makes them think they can continue to do it. I would not do it for free. If they ask you to do it, then tell them what you charge. If they don't buy, then they are not worth working for. That's why all the industry rates are going down, down, down. Too many who just continue to work for free or low wages. We have to stand up for ourselves or the industry will just keep going down as we have seen it for a decade.
Do you take blood pressure medication? sm
They can make you extremely tired, too. I take Toprol XL and have for 13 years. It peaks about 3 hours after I take it I have trouble staying awake at the PC from 6 am to about 10:30 am. I literally fall asleep with fingers right on the keyboard. It was so bad that I finally changed to the afternoon shift. I asked my doc about it and he said try taking it at night. Well, that brought on the headaches I was trying to avoid. He said to take 1/2 in the a.m. and 1/2 in the p.m. No dice, still had headaches. He won't change my pills, says if it isn't broke, don't try to fix it. He wants to keep my pressure on the low side. My only solution was changing shifts and now I don't fall asleep at the keyboard anymore. I can get 10 hours of sleep at night but still fall asleep about 3 hours after taking that medication. I'm fine if I am up and about and doing things but sitting at the keyboard is another story.
Dad has blood clot in his lungs
Please pray for my daddy.  He and my mother and younger brother went on a 10-day, 3800 mile trip to Mount Rushmore.  He started having chest pain and arm pain while he was gone. He went to the doctor when he got back and they found out he had two blood clots that were in his legs and had traveled to his lungs.  He is in the hospital and they are trying to stabilize him on Coumadin.  He is 49 years old.  They said that they stopped every 2 hours for a break, but drove some distance every day but one.  I am worried about him, please pray for him.  He is not in any pain and is resting, reading and watching TV.  I don't want to lose my daddy.
What is it they're looking for in the blood? Drugs?
No spin. No blood pressure problems.
I'm not complaining about an Indian MT taking good work from me and I don't know anyone within the company who gives out that information anyway.  I do believe you might resolve your issues by telling the whole story because at first glance it just sounds like you are complaining and really don't want a solution.  If that's the case I am sorry for you.  I am also sorry for you that your source came up with an "Indian MT" taking your work who only wants American doctors to cause your blood to boil.  Not only does this intruder come from India but she leaves you with the lousy Indian dictators.  Not that you sound prejudiced or anything.  But do you really need all that info to perform your job?    Or is someone trying to stir you up like that higher source you have within the company.  Maybe they want you to get mad  and quit!  Be careful who you believe and IF your source information is valid what are you going to do with it but fret?  That's not a good thing friend.
Did he have blood work w/his job physical? Maybe they missed something. nm
I love my vet, the only blood work she does is an occasional - sm
heartworm test, about every 2 years. Only take the dogs (and cat) in for shots, no extra or unnecessary stuff. She is cheap (and good) too, compared to where we used to live. I'd say if there is a hint of a problem, then yeah it should get monitored. But if there is nothing wrong, then why? Once every few years should be adequate I would think for blood work. As for teeth cleaning, I have only done it once with 1 of dogs because she was going to be out anyways getting some teeth pulled, a tumor removed too, so we had her teeth cleaned. As for my other dogs, forget it, that is what Milk Bones and Dentabones are for. I already spend enough on shots for 3 dogs, Frontine, heartworm pills, special dog food for the 1 dog, etc. Some vets do whatever to get more $, others though don't get greedy (country vets) and think of the animal, not on pumping up their bottom line. If you aren't happy with your vet then either tell them you only want the 1 x a year visit, shots only, none of the extra crap, you can say NO, it's your pet. Or find another vet. Though we are in the boonies, we have 2 vets within 2 miles of each other, who are both very reasonable, go into town though and you pay a lot more.
Is this your flesh and blood grandchild you are talking about?? sm
If not, how could people who "wanted to be teenagers" literally dump the child on your doorstep?  Sounds like you resent that poor child much more than the people getting what you call "vanity" surgery.  Gad, what a sad, awful attitude you have.
He drew my blood for my marriage license - engaged to someone else
True story. My husband was the one who was drawing my blood for my marriage license. I was engaged to someone else, and back then you have to have your blood drawn before you got married. When I sat down, he said to me "are you sure you want to get married before you and I have a chance to get to know each other?" I cracked up and realized he was right - I needed to get to know him before I got married to somebody else. We have been married 24 years - 4 children and 2 grandchildren.
MAs take vitals, draw blood, give injections, etc.

PAs have the mostly the same authority as a doctor EXCEPT writing narcotic prescriptions they need their suopervising doctors signature.  I used to work in a doctor's office as an MA for a PA.  Hope this helps!!!

Yes - it was explained to me that this happens when the egg implants in the uterine wall. The blood
Had this with all of my pregnancies.
i gave blood, sweat, and tears as a QA person -
I tried for over a year with a very lame lady who supposedly graduated from one of the *top 3* schools and was a former nurse. She had a terrible ear, little to no comprehension, and was clueless on how to even use her reference books! She was hands down the worst MT out of dozens of people I worked with. The point is this - You can usually tell pretty early if someone is worth training or not. What does your gut say?
blood or visible bones?! lmao - I love it!
Well, there's your problem! You're using blood pressure pills instead of birth
control pills!!  See - BP pills are for your heart - BC pills are for your - well, surely you must know! 
I can't imagine any father not wanting to make sure his flesh and blood
Might also be your thyroid or Lyme disease. Insist on blood work! nm
For extra cash I just started donating blood plasma SM

to BioLife, owned by Baxter. They pay about $50 a week for this (put on debit card). Does anyone else do this, and what other things like this is anyone aware of? It's not as gross as it sounds, just like giving blood, and they separate your plasma from the blood and give you your blood back.

That doesn't matter. A quick blood test, NOT 3 hours, would have settled that question.
blood tests aren't bullet proof either. Must be matched up with history and sx. But you knew that
Not a word help question: Would menstrual blood mixed with urine cause increased microalbumin? (pl
My 21-YO daughter has type 2 DM, but it is very well controlled by diet alone.  She just had some lab tests done (blood and urine), and they called to let us know her urine microalbumin was slightly elevated.  However, she was on her period when they did the urine test, and she said there was definitely blood mixed in with her urine because of this.  Does anyone know if this would affect the microalbumin result?  They want her to start taking a small dose of lisinopril, but she doesn't want to and wants to wait 6 months for the next test.  Her hemoglobin A1c and other values were "perfect" according to the nurse who called, but we are waiting for the actual results to come via mail. 
Ebonics: Not a black thing or white thing. (sm)

I don't think there's any cause to get upset or defensive here.  Look it up on line...even colleges are offering courses in Ebonics!  ...well of course they are more sociology-type courses, but still, people are PAYING to learn about the why's and how's of this "other" language.

A quote from one of the sites I found:

"UT-Austin's "Introduction to the Study of African American English," teaches students that the sentence, "Nobody didn't leave" is not "mainstream English with mistakes," but rather a legitimate English dialect. "Ebonics: Myth and Facts" and "African-American English" are both offered at Harvard. Penn and UCLA also promote Ebonics as a legitimate dialect in, "Introduction to African American and Latino English" and "Afro-American Sociolinguistics: Black English," respectively."

Here's the link: http://www.academia.org/campus_reports/2002/september_2002_2.html


happens quite often i would test again or go see your GYN for blood test which is more accurate
Best thing - I am my own boss and my own emloyee, worse thing - I am my own boss and my own


A "man" thing? What the heck is a "man thing?"

"I was told it was a "MAN" thing and everyone does it (i guess all men)"

whenever anyone takes an action and relates it to a whole gender and then tags on everyone does it....well, I guess there's your answer

And the best thing of all, it's
Thanks gj...the only thing I can tell you...sm
is that I just worked some overflow stuff and kept looking until I found what I wanted. I am lucky enough not to have to depend on my income right now, so I was able to be much more picky. If you would like more info, let me know and I can email you. Hope all works out well with you and thanks for the good wishes.
one more thing sm
I was only referring to the bitter ones here who work for MQ, not all MQrs.  I am one of the MQrs, ya know! Please get your facts straight before you post a response!
One more thing... (sm)
Tell her if she is willing to travel, there are PLENTY of jobs for traveling coders.
I just had to add one thing (sm)
You need to stop thinking you are owed, whatever the situation may be.
Hard work does pay off and if you're working for the wrong people, there are many more out there. I've found a lot of "wrong people" in this business, LOL.

one more thing...sm
I suck at OP notes...does this matter?
And I too heard from companies I didn't even know existed!

I was told by a couple of them that they don't post on this board because they received calls and resumes from people who did not read what the positions were for and it was a nightmare. They made requests for no overseas need apply and of course, overseas would call and apply. If it was a certain requirement, say 5+ years experience, newbies would apply. Just things like that.
same thing
This profession is going to hell in a hand basket.
The only thing I have to say is sm
why on earth would anyone stay with ANY company if they are treated so poorly?  A good MT still has a whole lot of options.  Assuming these complaints about SS, MQ, KS, Spheris, whatever company, are true, why do people continue to work for them?
one more thing
Go you for watching something that is hard to watch and for trying to inform yourself and others, please spread the word, what an idea to get this into schools, but probably will never happen. There are many videos out there that you can purchase for nominal fees and hold private showings for friends and family members, one person tells one person and so on, keep the information flowing!!!!
one more thing (sm)
If you are talking about disability insurance on your mortgage, credit account, etc. be very, very careful when you purchase it.  Read the fine print on the contract.  A friend of mine is terminal and had disability insurance on a number of her accounts.  The one on her second mortgage is still paying.  She had one on a credit card and those weasels charged her $15 every month for the insurance fee, paid $16 on the balance of her credit card each month, and then after a year said they were done paying!  Read the fine print!!
My dad is going thru the same thing....
From what I was told he is having all checks made out to her estate and not him personally (he is the executor).  She had some stocks ($2000-$3000).  If the checks were made out to him he has to pay tax on them but if they are made out to my grandmother's estate then she is responsible but since she did not make enough money in 2005 there will be no taxes taken out.  I may be wrong but that is my understanding of the situation. 
VR may NOT be the Next Big Thing...
MedQuist has been trying for years to push VR on the hospital radiology department I transcribe for and they absolutely REFUSE to use it. MQ was always like "try it, you'll like it" and I believe they did try it one day and that was it. MQ finally gave up. So there is hope for us all yet!
My son did the same thing.

He was in football and really did well.  Everyone in the family always talked about how great he was with football.  Then he decided to quit one day.  I was so disappointed because I knew he could have gotten a college scholarship.  It is SO tough to be supportive of someone when you think they're making the wrong choice.  My Dad got on my son's case about being a quitter and an underachiever.  He really came down hard on him, so I had to defend my son.  In defending my son, I changed my own thinking.  I realized that although we give birth to these adorable little babies, they are their own person.  They're going to do things that we would have done differently.  What can you do?  You can't impose your will upon them.  We all have dreams for our children.  However, their dreams are more important than our expectations of them.

My son just did the same thing...

to him and we all had to adjust our schedules to accommodate him and he just quit.  This was going to be his senior year on the varsity team.  Unfortunately, he did not participate in anything else for his whole high school career, so now he has no activities resume.  You can't tell him anything though.  He does do extremely well in school and takes several APs as well, but it was disappointing.  He was going to try to get an internship with our local hospital, but of course, that never panned out.  Now he works about 15 hours a week and hangs out the rest of the time.  His attitude is getting really crappy too, but his father won't do a thing about it.  He took his car the other night, but gave it back to him the next morning.  Yeah...that really taught him a good lesson :(!  He has been really frustrating me lately.  He is a great kid and when he is good he is the best, but when he isn't, he is just unbearable.  He's not into drugs or drinking or partying and is a homebody, so I guess I have no real complaints.  Maybe it's me not handling his new "adultness."  pheww....that was a vent and a half! 

Same thing here
Arizona-- not even in the HOTTEST part. Couldn't stand to live there any more. I am anxiously awaiting fall, too.
Going through the same thing.
It is VERY frustrating.
I did the same thing...
There were 3 different times I have done this.  Twice, I needed to be out of town and once last month when my daughter had surgery. It wasn't so much the money as making my minimum lines for my phone reimbursement, which I am still waiting for after 6 months of putting in the second line, but that is a whole other thread!
and another thing
That's how I even learned what a macro, expander, acronym was - when I worked for MQ/TL 10 years ago.   These are tools now thare are quite invaluable to me.  $120 investment was worth.  Sounds like a lot, we probably spend that on the first two isles in Wal-Mart.......
same thing

happened to me.  I canceled the credit card.  Also recently when I had to find a new physician/medical group, I asked if they outsourced to another Country and if they did I did not choose them.  I wonder how many patients would stay with a physician/medical group if they knew their records were going somewhere else, granted some have no choice.