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I love my vet, the only blood work she does is an occasional - sm

Posted By: Laura E. on 2006-02-07
In Reply to: OT: Changing face of veterinary medicine (sm) - catlover

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.

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Love Dictaphone's ExText here, even with its occasional glitches. nm
I have occasional migraine headaches. I can miss a day of work and SM
make it up, no problem. I am glad I work at home during those times.
blood or visible bones?! lmao - I love it!
Did he have blood work w/his job physical? Maybe they missed something. nm
Might also be your thyroid or Lyme disease. Insist on blood work! nm
I can see an occasional day but
I know his grades are awful. I don't see any way possible he can pass his grade this way. How long can a school put up with this on a 16/17 year old? I sure would hate for him to drop out because then I'd have to listen to his ruckus 24/7.
I've done it on an occasional hour here and there
When I was working for one MTSO that had a lot of normal templates, I looked forward to the oupatient surgery days because I could get 800-900 lph for up to 3 hours at a time, but could not mantain that consistently. I was able to do about 500-600 lph consistently if I worked the evening or graveyard shift where I could hit a groove. I've been MT'ing for over 15 years and have been using my Expander 10 years. This was an acute care setting and covered 3 hospitals.
Question about 7-year-old son - occasional vomiting

Please help! :)

My 7-year-old son has had very occasional vomiting that is associated with no other symptoms. This started 5 weeks ago and he has gotten sick a total of 3 times. He vomits one time and he is fine. No fevers, no diarreha and nothing food - specific that I can link this to. This does not occur quickly after eating. Generally, it is an hour or two after eating. He eats and digests his food properly at all other times, so this is confusing me! He saw his doctor 2 weeks ago and was started on a trial of Zantac. I give this to him in the mornings before breakfast. Today, he got sick again (just one time) and he is perfectly normal now. I did contact the doctor and we did go to the hospital for an abdominal x-ray. I am waiting on those results right now and I guess that I am a little confused about this situation! He has never gotten sick like this before. He never even spit-up as an infant. I have never noted any food allergies or intolerances but now I am starting to wonder. Has anyone else had any similar situations like this? Thanks in advance! :)

Explaining my occasional bitter-/crankiness
I confess, I am one of those that will occasionally toss a snide comment in. I don't think I have ever gotten to the point of being brutally mean, but I have been snippy. And it may be petty and it may be unnecessary, but, in my case anyway, it stems from a frustration when obvious newbs post a question that at least in my mind seems simplistic (based on the s/l they are able to provide) and should either be a common knowledge type thing or else easily findable. After a day of plodding through ESLs, rapid-fire dictators, or reports that have more chromosome testing than I have chromosomes, I do get a little cranky when someone who probably only makes $50 less a week than I do posts on here asking what 'conjecture hard fail your' might be and respond in a somewhat less than mature way.
Don't feel too bad ... one of my dogs reacts similarly to the occasional STRANGE man!
... especially when she was younger and she was our only dog. I'd be walking her in the park and some guy would ask to pet her, and maybe 1/10 men would cause a frenzy of love to come over her. She would throw herself at his feet, practically moaning as he scratched her belly. If I'd have been single this might have been useful, but I'm married! Very embarrassing.
I think she is talking about full QA review not occasional blanks with a new dictator.
As a newbie I was off full QA at the halfway through day 2 working on acute care. However, I had an excellent trainer/mentor available to answer any questions, and I could send unlimited blanks to QA.

Now when I work on a new account, even with a new platform, I am off full QA within a day. If the platform instructions and account specs are clear, it should really not be a problem.
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.
Had to ammend the blood thing ... sm
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.
What is it they're looking for in the blood? Drugs?
I work PT and LOVE it!
I think what you may be looking for are actual experiences from people who have done this on a part-time basis, not as a full-time career. I'll tell you...it is very possible to do part-time to supplement your income, and it can be very enjoyable (and even somewhat rewarding) IF you find the right fit as far as specialty, employer, schedule, etc.

I started an on-line course about 4 years ago, it took me just under a year to finish it at a very casual pace, and I found a position as an IC when I was about half-way through the course. Over the past 3 years, I have applied with about 10 different companies and have received employment offers from the majority of them. I have a very good work ethic and track record, have never been a "job hopper," and it has paid off in this field, as this caliber of employee seems to be a rarity and it is therefore appreciated by employers.

I currently am working about 15 hours a week, make about $350 a week, and I love it. I won't lie, though, and tell you it was a piece of cake to get to this point. I had to work hard and "cheap" for the first year, but now I am so glad I did. It is actually very relaxing for me, and I look forward to working. However, I do not have a baby OR a full-time job. I have a husband who makes good money and supports the family and provides insurance and financial security. However, someday should I ever need or want to work full-time I at least have that option available.

I worked full-time (plus some) in a professional office for about 15 years, but after my first child was born I cut way back and have NEVER regretted it. My kids are now teens and pre-teens, and my time with them has been precious, to both me and to them. They are very well-adjusted, confident kids and have made me very proud.

Good luck with your decision, and I'd say "go for it." You seem like a very level-headed person with a lot of drive and ambition. Sorry about all the "negativity" on this board; you just have to learn to consider the source sometimes and read between the lines. It's really too bad, but there's no use fighting it; some people will just never be happy I guess.

Best wishes!
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.
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.
I would love to proof your work and see how that looks but I am sure you will tell us you are 100%.
I love the company I work for - sm
MDI-MD.  Flexible schedule, wonderful and friendly staff and supervisors, pay always on time. 
I also work on eScription and LOVE it.
because I LOVE transcription work.

I am 60 years old and neither need the $ nor the bennies, I just love doing transcription (of course with the caveat of having all the appropriate demographics provided as well as clearly enunciated dictation).  Doubt, though, that you can understand this.

I would love to work inhouse, but...
those jobs are getting scarce. I would like to know how all us newbies are supposed to start in-house when those jobs have all been outsourced.
Can you share who it is? I would love to work for either sm
them or whoever gets their accounts. That way, I know that it will not go offshore. If more health systems do this, we will be in good shape down the road.
If all docs love your work, and only one is - sm
complaining about the bill, I would NOT lower my prices! Chances are he is more of a pain to transcribe than the others, too -- am I right? Stick with what you're doing, don't let them (or him) intimidate you into selling yourself cheaply. You are most likely already worth more than you're charging! Why work harder for less money, especially when you're very familiar wih the docs & their dictation, you do good work, and they AGREE you do good work? Sticking to your guns (AND raising your rates when your cost-of-living and other overhead go up) is one way to weed out the bad apples in the customer-pool. They can be easy replaced; your time, health, and financial security cannot. And finally, you just KNOW that they're raising THEIR prices to their patients every year. Some of that should be trickling down to you, as well. If not, you're being cheated.

LOVE them-- won't work without mine.
Don't ya just love having to work when the Superbowl is on? OMG....
Too many of the docs dictating are obviously watching the game and NOT paying attention to their dictation....pausing way too often, repeating themselves, stopping to say, "WHooooooo" 


Just go watch the stupid game and THEN do your dictation! 


Done venting. 

I work on eScription and love it.
With the part-time position I have using eScription, straight transcription I average about $27-$28 an hour and with VR I can average up to about $34-$35 an hour. It did take me a little time and concerted effort to get there, though. I had to learn to keep up with the dictation and I have to really pay close attention but even with difficult dictators, I still do as well or better with VR than straight transcription.

I get 10 cpl for transcription and 5 cpl for VR.

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?
I agree. Love Canadians, but we need our work here.
What about their socialized med system? No work for them there? Nope, I love Canadians as our neighbors, but I agree we need to keep it in the USA.
I work in Meditech and love it. Like anything else, you have to get used to it. There are two vers
is awesome. The other is OK but it depends on the hospital. I worked at home for a hospital that used it and it was slow. I work for a service now that uses it and there is no lag time at all. It is radiology, so that might make a difference, not sure.
I work with eScripting doctors and love it. sm
However, some of them are such conscientious dictators AND the machine has them down so pat that, if they were in charge of their own dictation--like independent practitioners--routing their reports through an editing service might turn out to be completely unnecessary. Office staff could give them a quick glance-over instead. I know nothing about the business end of this, just what I'm seeing on the screen.

And, yes, I was also really intrigued to see that some of the most horrible-sounding dictators quickly developed a very good working relationship with the machine. For sure, accents are totally irrelevant as the machine doesn't know they exist--if a practitioner can't get his tongue around h's and r's and always pronounces "heart" as "et" the machine thinks that's the way it's supposed to be pronounced--by that doctor.

I do much prefer editing over transcribing-fits my skill set better, but undoubtedly fewer editors than transcribers per report will be rquired in future.
Yes and absolutely worth it. I love to work
outside when weather permits.  I don't do it every day because hooking up and unhooking and having to carry everything gets to be a pain, but I do it on occasion.  I also like to travel, which is why I got a laptop to start with.   It allows me to work in the car or a couple of hours a day wherever we go so there is still some income, but I also have time to enjoy time with family.  
sorry...not a great experience. I do love the work,
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
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.

Yes, I work for one and love the work.
IF by PT you mean Physical Therapy -- it's EASY! I love PT, don't get it where I work now tho
I work in-house for doctor's office now and Love My Job!
Good Luck.  I accepted an in-house position at a doctor's office after being laid off from a very large hospital. It is wonderful to be able to go and ask the doctor questions and get feedback directly from them.  It really is the way to go now instead of working for the really big transcription companies.  I feel like I am appreciated.
Does anyone use a Herman Miller Aeron chair for work and if so, do you like/love it? nm