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I am on XANAX. I did not think my clinical diagnosis would be on report.

Posted By: I am not thinking correctly on 2007-03-30
In Reply to: Yes but you asked for her to tell you. - MT in MT

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!!!!!

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At my clinical sites,...sm
the physicians' handwritten orders are transcribed by the unit clerk into the MAR (medication administration record), or if they are using Meditech they get transcribed into Meditech, again by the unit clerk. Nurses are very savvy on drugs and doses and are expected to question anything that is, well, questionable. A nurse is liable for administering the wrong drug even if the doc ordered it wrong. Both clinical sites I have been at so far were Magnet status - that is a hospital that has undergone extensive credentialing to show superior nursing care. Magnet hospitals have the lowest nurse:patient ratio, which has been directly linked with less deaths and better patient care... just my two cents.
Clinical depression
You better believe depression is real! It exists in my family and among my closest friends, and it is a painful and frustrating disease. Diabetes is often used as an analogy to compare to depression. I think it is a good one because a) diabetes is a real illness and no amount of "sucking it up" will help the body produce insulin, b) it can be treated with medication but not usually cured, and c) lifestyle adjustments coupled with medication help most diabetics feel better and function well. The same are true of depression.

Have you checked into a local county/city community services organization? There should be something available that charges fees according to your income. You need not be on welfare or Medicaid to be eligible. Go through the local government pages of your phone book and see. Call any social services type number and they can put you in touch with what you need.

Are you able to consider borrowing money from someone for a short time? Once you are under treatment you will certainly be able to pay it back quickly as you have all kinds of ability to make a living; it is just that your illness has made you disabled currently.

Also, please try to talk to someone sympathetic personally. The human touch of personal contact is so superior to what can be offered on-line. You could tell them what you have said here, or if that seems to be too strenuous, print out your post here and show it to someone, let them read it. It might break the ice and allow you to feel more comfortable speaking to them about it. The person you talk to need not be the one with the answers, right now they need to be the one who will listen and encourage you.

Many of us will continue to listen here as well, but you really need a live person in front of you to open up to at some point. It really will help, if you can do it.

My thoughts and prayers are with you for your success in treating this awful disease.
Beats my clinical setting..
I'm shut off in a 12 X 12 room, hearing loud voices outside my door, file clerks running around hunting charts and griping every minute, nurses flitting about hunting "stuff", the office manager laughing loudly outside my door while she flirts with the doctors, and my WeatherBug is calling for the heat index of 115 for my area!  I'll trade with YOU! 
Unusual clinical history...
"The patient is status post gunshot wound to the head now complaining of headaches." Yes, bullets tend to cause headaches, I'm sure!
Jan, take a Xanax, please...
No one is attacking anybody.  I simply said I did not think his/her post was funny... that's it.
billing on clinical psych narratives
I am an IC and am being asked to give a quote on transcribing some narrative/office notes, etc for a clinical psychologists office.  In detail, it is a 1" margin around the page and there are headings on a template that you fill in either one word phrases or paragraphs.  It did not look that difficult.  I would have to pick up tapes, e-mail reports back on a daily basis an so I believe that gas and time doing so needs to be counted in.  I am needing some advice on how to propose either by the line (gross or otherwise) or page (either full or half etc).  Any advice would be greatly appreciated.  Thanks in advance. 
I am outspoken and not shy but after 30 years in a clinical setting, I LOVE being by myself. nm
Clinical versus Acute Care - why do companies
advertise for clinical MTs and then send you a test for acute care?  I was told it was the only tests they had.  I've been down this road before.  Once you pass the test they place you on acute care and come up with excuses about clinical.  Sooner or later they'll get the hint - when MTs apply for clinical that is what they want to type.  No more testing for acute care for me - when I apply for clinical. 
What works for me....Valium OR Xanax..sm
that'll get the kinks out!
I can symphathize with you panic, but even on Xanax,
Are you crazy? How can you offer ME A XANAX???
Didn't you read my so many posts this afternoon on the Gab board regarding this HORRIBLE drug Xanax which causes hallucinations, nightmares, zombielike conditions, is addictive etc..

You got me rolling again.

You get a Xanax, a double dose for today, so that you do not only see 1 ghost of your grandmother sitting on your bed, but 2 and maybe your grandfather's too!

You are blabbering only nonsense, take 2 Xanax
and go and have some scary nightmares!
Maybe you took them already, therefore your senseless postings!

MissAnthrope or Xanax - would you please reply

Would you email me about Van Belkum?

Oops, Phenergan and Xanax...I meant..
Nice to xanax is chillin tonight..:-)
Good grief, you started this all. You should have just waited. Xanax to the rescue. nm
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.
You do not need the 1099. You just need to report the income. Report the company/person ...sm
to the IRS for not sending out the 1099. 
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
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 charge the same amount for a "normal" report as for any other report.
You still have to listen to the dictation and change anything that's different.  I had one woman try to pull this on me.  She'd dictate, "Just pull up my normal, but change this, change that, switch that around, move that, add this, delete that, and change the other."  Then she'd only want to pay me what equated to $.03 per line.  She wanted 1:1 on her dictation to transcription ratios.  I told her to take her cheap account down the road because I'm worth more than that.
Diagnosis of perimenopause versus adrenal fatigue? I'm getting very confused on where to turn
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.
Oh, a report just came in. A report actually just slid in, can you believe it. Hip Hip Hooray. I

had better get that sucker typed before it gets out of ONE MINUTE TAT.

If you are careful with putting the correct report in the correct report shell and patient, you will
not have any problems. I only take away this option when someone is careless. There can be NO room for error on this. One mistake can be very serious. Many do it well though, so just double check and you will be fine.

You should type them. I usually type them in parentheses following the diagnosis.
Yes...Every Report
I have to admit, I proofread EVERY SINGLE REPORT. But I always have gone for overkill, and I am new. My one and only QA score was 98%. While I am proofreading (long reports), I sometimes stand up and stretch, or run and grab a snack or lunch so I don't feel like it is so much a waste of time. I suppose I will have to get to the point where I don't proofread every report, or I will never make any money! I may have to rethink my strategy if and when MQ increases their line quota for part time employees. Rumor has it at 8,000 lines per pay period, and I am only managing 6,000 and working long hours just to do that. Got to figure SOME way to speed up!
I get paid per report, $1.30, includes all accessions/requisitions -
for instance in one report if doc says this is an MRI of the Head, neck and 3d multiplanar I get 1.3 for each. I use Shorthand and I have eight years experience. I do anywhere from 80-120 reports a day.
There was a report in AL, I think, that there was

a live alligator swimming around the flood waters there in one area. The newscaster kept saying it was live and nobody would come out and was avoiding that area until it disappeared. It's probably waiting somewhere quietly for its next dinner to walk by.

Two of my accounts are in New Orleans and I have typed hundreds of patients with abscesses that tested positive for MRSA over the last few months. The way the city is now cannot be helping this at all. A few of the docs I do are automatically  treating for MRSA now w/o getting the culture report just because they've seen so many cases.

right! Fox would report a

That would be real news there.

No, the woman bought a LOUIS VUITTON with the money she got

(debit card).


ONE report probably
so they will need to add more MT's...LOL! I feel for all of you.
Per Report
The highest I have heard of anyone paying per report is $2 with most paying less than that. Hope that helps.
Pay by report?

Hi, all:  I've been getting my own small clients here and there, and I've had a request for a proposal to radiology reports for a small radiology group.  Their current vendor is charging them by report, not line.  Anyone have any idea what to charge by report?  I've done some calculating with regard to average lines per report, and I'm thinking of offering to do it for $3 per report.  Any idea if this is too high or too low???  Any input is appreciated........


Per report

Working as an IC you should be charging $2 per report, that is what I charge my clients.  Good Luck!!!

I saw a report that said . . .
Heart rate 80 permanent. Do ya think he said per minute?
Report changes
Has anyone ever had someone go in and change your reports?  I don't mean change a small word or the wording of a sentence.  I am talking about taking out information and putting in information that the doctor did not dictate, making the report incorrect for the patient's records?  I found this happening to my work and need information on the legal ramifications, as well as how to handle this. 
report changes

I work at home for a service, but not as an IC.  I found work changed by having a temporary copy on file - then the QA changes/corrections - and then relistened and found changes made that affected the whole report, different medications, different procedures and PMH, etc.  Information that will probably one day go on to another physician that is incorrect and that I did not transcribe, but with my initials on the report.  Of course, I realize that once the physician signs it that the liability is on him, but it's just inconceivable that someone would do this.  I saw this happen one other time when I worked in house and one Transcriptionist didn't like another one and this was done in order to try and get the disliked employee fired.  However, it did not involve my work then.  I keep thinking that MTs all think ethically and with a legal obligation to the patient, but I know in reality that to some it is just a job.  I am tetering on talking to the company and/or the account manager, especially since I have everything in black and white - the first report - the QA corrections - the changes to the report after it came back to me, etc.  I'm just looking for some guidance on how to handle the situation.