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I've typed LOTS of reports on trampoline injuries

Posted By: Dreamweaver on 2007-03-30
In Reply to: Keep your kids off the monkey bars - The Gingerbread Man

Some of them VERY severe, including head injuries when the person bounced off the trampoline and landed on his/her head.


ANYTHING can be dangerous if you aren't careful.  Way back in the disco era, I typed a report on a guy who had fractures of ALL FIVE metatarsals - from dancing!! 




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I've typed such reports
Well not celebrities so to speak, but I've typed reports where they state the patient is being seen under an alias name right at the beginning of their dictation and the alias name is the one in the ADT screens. They deserve some privacy and still abide by HIPAA like the rest of us.
I have typed acute care for about 15 years now, and lots of ESL
docs included in that, but I can usually average 1600 to 1800 lines per day, and that is without PC problems, or new ESL dictators that I haven't typed before...
Are these reports typed by machine or offshore
x
I've always verified every line I've typed (I have my ways) -sm
If you're supposed to be paid a certain $/line, that's what you should be getting no matter how they do billing unless of course it's specified in YOUR contract with THEM.

BTW, I've never caught a company cheating me ever.
I typed so many stomach cancer reports that I swore I had it.
I mentioned my stomach pain to the doctor while I was in for a checkup.  It turned out to be a hiatal hernia!  I've learned to trust my instincts.  If it hurts, there's a reason and it's not all in my mind.
in 1994 I typed IME reports and was paid $5.00 per page, wish I had that now!
nm
For years I typed innerspace instead of interspace - who knows how many reports! nm
nm
I have always typed mg/dl and I've been
transcribing early 20 years and have never heard anything about KCl.  I currently work for a service that has a very rigid account and we have had to change several things to avoid confusion, though they have never mentioned this one.   I would think it would be a personal preference.  We use BOS as a rule of thumb, but on Tuesdays and the holiday following the third Saturday of the monh between 8 and 10 we do it this way, and then doctor X wants it done this way, which is totally different from standards, not a coherent dictation but he wants it his way. 
If they know they've been typed.

Why can't you skip over those patients since obviously they know other girl typed them. 


Do not transcribe for free!  Ever wonder why the other girl left? 


 


Considering a company with lots of ER reports...
have never done these. Are they harder than acute care hospital?
Lots of psych, comp & pen reports, sm
Urology, domiciliary notes, general surgery, clinic notes, etc. I didn't think it was too bad at all. I liked the long comp & pen notes myself. The psych ones in particular would be 20-30 minutes of dictation on average for me. Some days I'd get slugged with them, but I certainly didn't get them daily.
oops, should've typed since 1964 !! NM
x
I'm not in QA, but I've always typed it P.r.n. if it starts a sentence, sm

as in 1.  P.r.n. ibuproben.  If you were typing out the Latin for pro re nata, that's how you'd do it (or at least I would), i.e.  1.  Pro re nata.  


However, I agree with "fixing" it when allowed.  Some accounts are strict verbatim, others are what I call "smart verbatim," where they let you fix things to make sense, be grammatically correct, etc.


I've Typed Insurnace Transcription, Also
I got a break from doing medical transcription for a couple of years doing insurance transcription, also, but this was in-house at a third-party insurance company.  Most of the adjusters' reports were quite lengthy, but pretty basic.  Nothing too difficult at all.
I've not only typed, them, I've had a few, myself! LOL
.
Slow day for me. Typed two reports in two hours. Anyone else having unusually slow day?
dd
I've had lots of experience with this...sm

as a foster parent.  Here's some suggestions for you:



  1. Don't negotiate a kid's negative behavior like that counselor recommended all of the time - make negotiating  a rarity instead of the actual standard rule.  YOU are the parent and in charge, not the child.  If you negotiate then they'll always think that life is a big negotiation pool. 

  2. Be consistent.  Set up the house rules and consequences/rewards and even write them out for the child.  For example, set up a sticker chart and every day the child brushes his teeth without being told twice to do so he gets a sticker, and when he gets "x" stickers accumulated he gets a small prize.  In my house we have what is called a  grab bag, which contains items that I got at the dollar store.  The grab bag is  a dark laundry bag and the child cannot see in there - they have to reach in there and grab a prize out.  On the other hand - anytime the child misbehaves, i.e. does something to make the younger sibling cry on purpose, they lose a sticker.   Kids his age usually do well with having to obtain around 10 stickers to get rewarded. 

  3. Talk with the teacher about what is going on and ask them to try techniques to help build his self-esteem.  Oftentimes they'll do things like this by asking your child if they'd like to be the team captain for a game.  A lot of schools have school counselors available for free, so if this is available ask the school counselor to also spend time with him.

  4. Socialize your child as much as possible with other kids.  Sports are great for this and allows them to burn off energy.  Playgrounds are superb as well. 

  5. I also love the John Rosemond stuff - he's great on getting kids negative behaviors turned around.

  6. Most importantly make sure your child knows you love him.  Spend a few minutes each day snuggling/loving on him or at least trying to.  There will be days he'll be refractory to this but other days he'll appreciate it. 

  7. Never speak negative about his biological father to him or when he can hear you.  Kids don't understand when they have a parent that is bad and things like this often cause them to misbehave more.  I've had kids come to me whose parents were horrible parents/people yet the child still loves them. 

  8. Don't forget to take time out for yourself.  Enjoy that bubble bath!

Feel free to e-mail me if you have any further questions.  Good luck!


Falling off trampoline
They don't have to fall the trampoline to get hurt. They break bones, twist muscles, tendons, on impact with the trampoline. If they hit the coils that hold the trampoline onto the frame and the coil comes loose, they can suffer puncture wounds to the eyes or other parts of their body.

People need to teach safety measures to their kids when they are on a trampoline and never leave them unsupervised on it. It can be fatal.
Monkey bar injuries
Actually there is more than broken bones that occur. When my daughter was 7 she was not tall enough to reach the steps after she crossed the bars and while trying to reach her hands slipped. She ended up falling and straddling the step(bar), which resulted in surgery 9 hours later, after 7 pelvic exams, at the Children's Hospital. She tore both sides of her urethra from the impact. While waiting in recovery I was commenting to the nurse that I could not believe playing on the playground at recess ended us up in the hospital, she said they saw the same injury numerous times a year and most schools take the monkey bars out when they replace the playground equipment. Ours did.
have you tried a rebounder? (mini-trampoline)...
Depending on your ceilings, you can bounce right in front of the TV! My boyfriend bought me one at my request.

Just research on the net...lots of benefits...even with bad knees, etc. you can bounce. Almost effortless, and very affordable as well. No other equipment to buy, no shoes even needed...

Like anything, though, you have to do it and stick with it. Yoga is awesome, too, when I have time...

Above all else, I still find walking the best...just 1-3 miles whenever I can do it--about 3/week...
I think I've seen some of your reports...
  Just kidding you.  I don't see a problem with a glass.  Now a bottle would be another story. 
if you've seen some VR reports
it's not just a matter of adding some punctuation and a wrong word or two. Many times what comes through is a largely bunch of nonsense, with many completely wrong terms.  Someone who is not an MT could not correct/edit these reports.
I've taken on lots of odd jobs, even nonMT ones, to pay debts.
I've waitressed for friends with bar/restaurants through the holidays, but not this year. I've been trying to find a weekend MT job or 2 hours per day, but no luck. I've sold stuff on Ebay, too. Do you have a significant other? How many hours are you working versus your SO? Being a Mom is a fulltime job, too.

Lately, I've been doing the ebay thing in the morning before everyone gets up, working my regular shift, then doing my extra job in the evenings and weekends. I definitely feel stressed. It's not enough money quickly enough. Everyone else is fighting for work, too. The house is not as clean as I'd like it. I have to run to the post office and box things up every day, and that's not great money either. The kids are acting up because they always do this time of year and they want more attention. It's all depressing.
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.
Oh really? That's why it's a fact that Zarqawi was treated in Baghdad for injuries.
x
I've been on Celebrity and Princess. Loved them both. Lots of info at cruisecritic.com. nm
/
I've used both. Prefer Shorthand for being able to hold entire reports in an abbrvn. nm
s
BBQ, slaw, cornbread, ham, casseroles, lots of veggies, chicken pastry, lots of desserts!! BIG fami
.
Lots of inexpensive decorations at Big Lots. Had a party last year.
s
LOTS and LOTS of video tapes and DVDs.
x
The MR reports were being filed. Referring physicians/medical care providers reports were not.
This is a hospital radiology department with in-house MTs and a clerk who is in charge of the report distribution.
The two sentence normal reports will balance out the 3 page reports.
I am Wendy too
I use EXText with my current job and I've used at a couple of other jobs I've had. I've ne

used DocQscribe, but I have used Meditech, Cerner, Vianeta, the Precyse platform (I can't remember the name), Dolbey, and  Lanier platform I think was called Cequence (?). 


Out of all the different platforms I have typed on, I have liked EXText the best.  In my opinion, it's very user friendly, easy to learn, and I really like ESP which is the built in abbreviation expander.  Plus it is very easy to create your own normals which I love.  My fingers literally never leave the keyboard because there are macro keys for everything.  You can use your mouse if you prefer or learn the function macros.  I love it.  I think I'm more productive on EXText than with any other platform.


Just typed in an HP

Under the ROS the heading "Special Senses: Unremarkable"


I once typed for a doc who had
now that was funny!
Maybe that ad was typed by VR... or by an
It irks me no end that our country has shipped off a job to India/Pakistan, etc., that used to be considered important to the medical field, and which fed and housed many of our country's middle-class citizens. So now these foreigners are living the comfy middle-class life, and here I am, trying to rent an apartment and finding that my MT monthly gross pay doesn't qualify me for ANYthing that even distantly resembles a decent middle-class apartment. The only ones I can afford all have "Se habla espanol" in the ads, and of course you know who lives THERE! It's all the non-English-speaking illegals that we've pretty much given carte blanche to come ruin our country, after having done a real number on their own. I hope Uncle Sam enjoys paying for food stamps, welfare, and subsidized housing, 'cause that's where I'm headed unless this profession turns around.
Never typed an ESL??...sm
Now that is strange. As many ESLs as there are. And using the q.d. and h.s. they must have worked somewhere that they didn't use BOS.
--I think she has already typed them.
x
Only typed verbatim twice
once for a Russian infectious disease MD. After one week of strict verbatim reports, evidently she got a talking to by the senior partner and her style became acceptable.

The hospital is one of the larget and most respected hospitals in the US. All residents much pass a week-long course dedicated strictly to how to chart, how to document, how to dictate. Each resident must personally sign his/her own name daily on a log in sheet and anyone who misses a day does not get to start with the rest of peers. One day is devoted SOLEY to HOW TO DICTATE and accepting full legal responsibility for the dictation. They have to sign an agreement that the hospital will not provide legal support if their documentation falls short of their standards and the resident has to provide his/her own funding against any lawsuit. If they dictate a reversal of pulse rate/respiratory rate, I could switch them, but I had to send it to QA who attached a note to the dictator covering the MTSO from any repercution.

Best dictators I EVER had!
I typed in my sleep once...sm
it was a late shift, about midnight (which is late for me) and I got up to go downstairs, move around, stay awake, came back and found I had typed something about a TV in a box...? So it can be done!
Proofing as you go...as in looking at what you typed?
Doesn't everyone? Or do some MTs watch TV or look up in the air while typing? LOL! That is not proofreading - proofreading is double-checking a finished document.
No, it was a report I typed. Now will you tell me off
a
I typed ENT for 6 years and
charged 14-16 cpl but that was about 4 years ago when you could charge that. I printed everything and picked up, delivered. I eventually had to drop the rate down to 10-12 cpl to keep the docs and then they found someone who would do their work for 8 cpl.

I think you are in the ballpark as well. Good luck.
I have to agree -- not only have I typed ERs for sm

people with cold symptoms, flu, snotty nose, etc., and wondered "why in the heck are they in the ER?," I have also witnessed it firsthand while waiting in the ER with my mom.  She had congestive heart failure and towards the end we made frequent trips to the ER when she ended up unable to breathe and no doctor's office open.  They always ended up admitting her anyway.  But I watched the same thing that the poster below mentioned -- nonemergent cases clogging up the works because they treat the ER like a doctor's office. 


And yes, there are "special circumstances" and such, but that was not the situation you were addressing.  Sorry for the attacks you received.  You just put in writing the thing that many of us have been thinking for quite awhile.


I HEAR ya, but only because you typed it.
I am with you. They really are clueless, aren't they!
Oh, okay, like not something we have never TYPED in a report before then...


 


Gotcha!


dictated / typed
Doctor says "jiddo, jiddo, jiddo" - what does this mean"  Why.... 0-0-0 - OMG. The things we put up with for no money.
"Qualified MT" just typed ...
Arthrosclerotic heart disease. This is an MT claiming to have 5+ years experience and wants to be paid .10 per line.
Any test I have taken I have typed
verbatim exactly because you do not know what they actually want. Also, need to follow BOS guidelines on tests as most MTSOs use these.
Sorry, typed the above without glasses
x
I recently typed an EGD....sm.
The patient had choked on a piece of meat and had it lodged in his throat. The whole report for some reason by hands did not want to type food...always foot. I felt pretty confident that I did a good job correcting all of them and sent the report on.

Two days later the doctor sends it back and asks me to change it. No big deal, must have made a different mistake....NO I was so mad at myself that I sent this report that stated "foot was removed from the esophagus". It was embarassing then but now it is pretty funny to me.