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Hardest: Dental surgery. Easiest: Cardiology, OPs. sm

Posted By: MT on 2006-01-24
In Reply to: Poll: hardest and easiest work types. I enjoy... - wc

Most interesting: Psych.

I think it's generally whatever you get the least of that you'll find the hardest. I used to hate OPs, GI procedures, and cardiology, but eventually got used to them and found they are repetitive (aka good money makers!).


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Op reports by far are easiest for me - hardest is Oncology. nm
x
Poll: hardest and easiest work types. I enjoy...
orthopedics and psychiatry.  Do not like cardiology, oncology. 
Dental/Oral Surgery

I need a some good dental/oral surgery reference books.  These books would have to include also the names of dental instruments and how they are most often packaged together and what the names of the packs are.


Can somebody help me with some links to some good books that would not only include traditional reference material but also the additional information I am needing?


Thanks, Anne


Dental/Oral Surgery

Thanks


Anne


I feel the same way when I do eye surgery or dental reports. sm
Get a good anatomy book, study it, and keep it on hand. It will really help in the future.
I was transcribing a surgery once, the surgery was over and the doctor was dictating
from anesthesia yet.  Anyway, the surgeon dictating stopped dictating and said "Hey Mary - is this one big enough for you?"  It was obvious he was talking about the patient's PENIS!  I thought HOW EMBARRASSING!  I hope they didn't make fun of my anatomy when I got my tubes tied!
New job first, save sick time, then surgery or surgery first?

I’d like to go back to medical secretary work.  I’ve had cortisone shots in my ECU tendon 3 or 4 times and was warned not to have too many or my tendon could rupture.  It’s been very weak for a year or so and my left wrist is smaller than my right wrist.  I can’t type at all with my left pinky so I think it’s ruptured.  I have Word auto correct and Instant Text set up so I very seldom type As, Qs, or Zs.  I haven’t had surgery because I have my own account, no subs, a DD in college to support, and no disability insurance and didn’t want to take time off work for surgery.  I do have medical insurance though my DH. 


 


I’m debating whether to get a job, save up sick time, and have the surgery while getting sick time pay or have the surgery first without any sick time pay.


 


I’ve done medical secretary work before.  I figured if I use Word there I can save their Auto Correct and transfer mine.  If they use EMR, I can make my own shorts to stay away from Q, S and Z.  I could only accept a job where I don’t type for more than an hour straight, which is what I do now.  Then I started worrying about what if I have to use someone else’s computer?  What if I unexpectedly have to type more than an hour?


 


I think I have cold feet about getting a job outside the home after over 7 years at home AND I’ve had cold feet about having surgery!  Can someone help me think this through logically?  I can’t think straight when my feet are cold.


Surgery/Plastic Surgery Transcription
Hello. I am considering taking a position in the field of plastic surgery. Can anyone recommend a way to pick up on the terminology FAST?
possible dental lab job?
Has anyone out there in MT land ever worked as, I guess you would call it, a dental lab person?  I have a possible job opportunity to do this, making dental appliances, etc.  It seems to have a high turnover, as the job ad in is the paper a couple of times a year.  The ad always says, "someone who is good working with their hands, likes arts&crafts".  Wondering what info someone might have who has done this?  Evidently the pay is pretty good at this dentist office, although I think it is piecework $17-25/hour. 
Dental
I hate dental reports.  Why in the world do they say tooth #A - A is not a number!!
dental
A is a baby tooth. They are numbered A,B,C and so on until through T. We have to use the letters on insurance forms.
Dental Trancription
If you dont want it it do!!!
I don't like their dental plan. nm
nm
Any dental transcriptionists out there?

I transcribe all ops, and I have an oral/maxillofacial surgeon, but no samples on him.  Is there anyone doing this type of transcription who might be able to send me a few good samples of dental surgeries? 


Thanks. 


Dental insurance
Can anyone recommend a good company for dental insurance?

TIA!
Hardest for me are the NE (i.e., RI, NJ and the like)
Shoot, I used to date a guy from NJ and almost fell over laughing when he asked me out of "cwaffee" LOL.

I'm a Texan too :-)
One of the hardest, IMO
Been doing oncology now for 17 years. One of the hardest parts is the drug regimens.. and they are ever changing, such as the protocols and study drugs. The next hardest for me is understanding the chromosome analyses. I've got some really good websites I could share with you if you would like. Best thing is to have good references and websites.Good luck in your decision and just post here if you need websites. 
You'd have to stick to oral/dental, because how much do you know about
obstetrics, hip replacements, craniotomies, heart bypass, etc. , etc., not to mention all the medications that have nothing to do with dentistry?
Whatever is easiest for you is the
most productive for you. I use ABCZ and then my own abbreviations that are easier for me to remember.
Yes it is one of the hardest things to do.
:(
I think this is sometimes the hardest part
of the job, that it is at home. I did it out of house and I enjoyed it more there, maybe I was a little less productive but I am a social person. I had to adapt and it has been hard. I am forcing myself out more but there are weeks when we are on cut off when I don't leave for 3 days, feel like Howard Hughes sometimes. hahahah.
The hardest is whatever you aren't
used to. Discharge summaries have a lot of drug names, but the good thing is that it is the last report dictated (ideally), and with with many systems you can see the earlier reports for drug names and other terms.

I would say some of the most slurred dictation happens during the physical exam section of the H&P, but if you can see the dictator's previous reports are viewable, you can make normals. Lots of times they say the same thing every time, so that's an opportunity to use a normal and save yourself keystrokes.

So these are some reasons there are no pat answers.
Dental hygienists make a LOT of money!
If you have any not yet in school, in all reality it would be better for you to wait till they are in school and then try to take classes during the day.  Trying to do MT, go to school and raise kids is not easy at all.  You have to make it work.  Research how much hygienists make.  Research schools in your area.  Check into financial aid.  Work it out and THEN go to your DH with your well thought out plan and emphasize the PAY.  If your kids are preschool age, tell him you want to start once they are in school. 
I do not like cardiology as well. nm
b
cardiology
I used to type for a cardiologist that instead of parentheses would say "clothespin".
I am new to cardiology and wonder if there are
Thanks!
New to Cardiology

Get Stedman's Cardiovascular & Pulmonary Words incudes Respiratory


ISBN 0-7817-3056-2


 


Good Luck your expeience will grow quickly.


 


Sue Kelly


Need help from Cardiology MTs
I was just put on an account that has tons of cardiac reports, lots of echos and cath reports that I have never done before.  Can anyone suggest good references or websites that can help me with this?  I'm having a hard time verifying guidwire and stent names.  I have 2 surgery books and Stedman's Cardiology, but I can't find everything I need to look up and I'm so overwhelmed.  Any suggestions would be greatly appreciated. 
the easiest way to decide (sm)
Is to ask yourself how you would feel if the tables were turned... then you will have your answer. And also, the best piece of advice I ever got was "if you have to ask, you already know the answer".
One of the easiest ones I've ever done, wish I still had it!!! nm
x
The easiest way would be to break into...sm
acute care for the same company you do clinic for if they have acute care available. If not it is going to be hard. The company you are currently with would be more likely to train you to do acute care because they know what your capabilities are.
You will want to sway the easiest way for you

If it is a one-doctor practice, you want to purchase the handheld. 


Try www.transcriptiongear.com for options regarding either FTP or call-in system depending on the volume. 


www.vancedigital.com offers an FTP site that is easy to use and you pay on usage; fairly inexpensive.


I would suggest for tapes that you give them a list of courier services because once you start to pick and drop off work and tapes you'll lose valuable time.


I like to get out during the week so I do deliver but the pay is awesome and I can't bring myself to not pick up, plus it allows me to network.


Sticky notes a great idea.  I was actually thinking a pen with my business name on it, but haven't gone that route as of yet. 


Good luck to you.


I agree, that's the easiest &
cheapest way to go, partition the HD.  You could even have separate HDs if you wanted to.  I have had both setups over the years.  Of course, I'm married to my "tech person" - lol.
first night of each week will be hardest
The first night of the week you work is always the hardest, especially if you have slept a normal night. Try to get a nap that first night before you start your 3 days. I always kept caffiene pills (like No-Doze) handy. I didn't take them often but once in a while they would come in handy just to get me through the night. Also, take a shower before you start as if you are starting a regular day. If you get enough sleep during the day after your shifts, you shouldn't have too much of a problem. My problem was I neve was able to get very much sleep, which is why I had to rely on the caffiene pills at times. For some odd reason when you work third shift you don't seem to need as much sleep either. Good Luck.
Hardest lessons to find out after BK

   I thought health insurance was too expensive when I changed from employee to IC.  I had emergency surgery and afterwards lost everything when I could not pay the bills.


  First, sit down with every debt you owe and categorize everything - credit cards/loan companies/nonsignature debt/mortgage/car/medical/taxes, etc.  Each type of debt has a different relief route typically.  These are things to expect:  Whether you enter a credit counseling program or BK, credit score will be damaged for years - how bad is relative to what you attempt to obtain credit for in the future.   With BK in particular, depending on what state you live in, most major insurance companies will not sell you a home owner's policy until BK is discharged in 7+ years.   You may also have increased car insurance rates.  Depending on your personal circumstance, you need to check with your insurance companies.  For instance, Nationwide will not sell the homeowner policy until after discharge.  You need to ask whether your state uses credit for car/home insurance rating.  Earlier posts are correct - student loans, Federal and State taxes are exempt from BK laws - if these are part of your debt from past years, you need to talk to both your state and the Fed about your options which might include an offer in compromise.  If your student loans are just coming due, you need to talk to the company about options.  If you have older student loans, most can be deferred with added interest and penalties.  Some employers are now running credit  checks in the application process - yes they can and will use that information in the hiring process.


     The "new" BK laws mean that your debt will be reviewed and if you can pay back a portion, you will be required to do so - but this is major legal mumbojumbo, so my ultimate advice - do your homework and find the best BK or debt relief attorney and pay a consult fee before you make any drastic moves.  They may try to 'sell' you a BK filing (obviously, that's how they make their money) but you need to pick their bones for all the info they can give you relevant to your state. 


     Lastly, 35k of debt with 35k of income is doable but you would have to knock your school time down to nominal or put it on hold altogether for a while to avoid BK and not assume any further debt.   Whatever happens, do not let your medical insurance slide or any other policy which safeguards long-term- it may seem worth it up front but I can tell you it is the single worst decision you can electively make.   Best of luck to you.


 


   


Think oncology is one of the hardest specialities.
vv
Agree...Hispanic is the hardest!
I've done everything from Indian to Asian and never had a problem with those...but Hispanic accents always throw me for a loop. For instance, I have one MD now that pronounces "violation" as vee-o-lit-on. Took me forever to figure out what she was saying not to mention her grammar was horrendous!
I've been doing lots of dental notes. Not boring at all
when you think about the ease and money you can make cuz they always say the same things. I'd take it.
Is anyone out there transcribing for Cardiology?
Just wondering if it is fairly easy to catch on or a pain in the butt? I might take a position but I'd like to know if I will be able to handle it as a newbie? What do you think?
HELP! cardiology question

when dictating...He has a dominant _______ (circ) which is 100% occluded....colaterals for a AV ______ (circ)


what is circ? circumflex artery?


Capitalization of Cardiology
I was taught (and it is required by my company) that you capitalize a word not usually capitalized when it is used as an entity as it is in your example (used to mean someone in the cardiology dept). A good example is when a doc says "An orogastric tube was placed by Anesthesia" you would capitalize anesthesia, as it refers to a person and not "the thing" of anesthesia. If not capitalized, it calls to mind some kind of anesthesia (endotrachial, perhaps?) placing the orogastric tube. Capitlizing it adds clarity.
Cardiology MTs will laugh at this

I found this on YouTube yesterday and wanted to share. It's done by med students and is reall well written and funny. I don't do cardiology, but still got a big kick out of it (and learned some things).


Diagnosis Wenckebach -


http://www.youtube.com/watch?v=GVxJJ2DBPiQ


? zny best cardiology sites?
?
Thanks! I have the cardiology/pulmonary sm
book and that covers everything mostly I need but sometimes its easier to just get it off the internet.
Thanks! I have the cardiology/pulmonary sm
book and that covers everything mostly I need but sometimes its easier to just get it off the internet.
Oncology - by far is the hardest for me. New protocols every day to learn. nm
x
which accent do you find the hardest to transcribe?
I do okay with Oriental, Greek, Indian, most European accents.  However for some reason when it comes to Spanish docs, forget it ! It just sounds like gibberish to me.
I love the Asians, because they TRY the hardest, and it usually comes out funny. nm
x
Hardest thing was marker keys
But after about a week, I got the hang of them. Actually, that is THE thing that makes IT worthwhile for all the other features. Just choose keys that are easy for you to use.

Also, I used the expansions I had at the time from the old Expander and created a glossary from those, so my familiar expansions were already there. Once I got the hang of the marker keys, then I started utilizing more of the features.

I love my IT!
My hardest was a woman from Spain - very, very fast! NM
x
Unfortunately, CS seems to be the easiest debt to skip out on
You'll get into more trouble if you bounce a $25 check. I have used one of those private agencies because my ex had moved out of state and once that happens, if the ex doesn't want to pay and moves around in jobs, you can pretty much forget about getting anything.

The private agency works a lot faster, but the contracts are very complicated and you are pretty much signing up for the life of the CS obligation; otherwise there has be nonpayment of CS for a year before you can end the contract. And yes they take a big chunk of money but at the time I thought it was better than getting nothing at all.

But in the end, once payments have been established, the private agency ends up filtering the payment through your local CSEA anyway.

I think your best bet is to use some kind of locator service and if you can get a good address provide that to your local CSEA.

I wish they had an "America's Most Wanted" for deadbeat dads/moms. It's amazing to me that it is seemingly so easy to stop paying, change jobs, and just not be found.