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I worked for an infectious disease specialist sm

Posted By: nm on 2006-02-19
In Reply to: This is terrible....It was - NCMT

who was asked his opinion on someone suing a company because he caught pneumonia from being cold, then hot. This specialist said you cannot catch cold or any other illness from temperature, just from a bug. A person could get hypothermic and then get ill, but it would have to be in extreme cases. Here, it was 20 degrees on Monday and Tuesday, and yesterday 81, and today 62. I'm staying away from people who are coughing and sneezing. Temperature changes have nothing to do with illness.


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infectious disease
I may possibly be starting an infectious disease account soon.  I have already ordered a Stedmans dictionary, but was wondering if anybody has done any work in this field and have any advice, websites to check, etc. on this specialty.  I want to gain as much knowledge as I can before starting.  I appreciate any input.
infectious disease, but for some reason I also get
x
Oncology, Rheumatology, Pathology, Infectious Disease
nm
I find infectious disease to be IMPOSSIBLE, with all the bacterias AND the meds.
x
Need good organisms and infectious disease books/sites (sm)
I have Stedman's Organisms & Infectious Diseases, but it's out of date (2002) and an updated company has not been published. Does anyone recommend any books and/or web sites that can give me quick info including on meds for specific IDs? e.g., Stedman's lists HIV/AIDS medications alphabetically in the appendix.

OP Specialist

I have a friend that feels the same way.  She loves them.  She copies most of the notes, attaches the surgeon's name to it and a brief description and saves them.  She says they dictate the same (practically) and she reuses a good portion of the note.  Does this make sense.


 


Kathy


The last specialist I saw regarding my TMJ, sm
suggested that if I didn't proceed with the recommended surgery and braces, to simply hook my thumbs under my mandible and pull my jaw forward and hold it there for a few seconds. I found this helps more than anything else I've tried, and it's cheap, too.

As for neck and back, my physical therapist suggested raising and lowering the typing chair several times a day to prevent a "freezing posture" which is what causes our pain. He also suggested getting up and moving around every hour.

During my break, I find it very therapeutic to go outside and pull weeds. This dissolves any aggressions I had with difficult, clueless dictators, uses different muscles, and makes my yard look better.

My eye doc suggested to frequently gaze at a distant object during the course of the day to prevent eyestrain.

Another great exercise for the shoulders is to clasp your hands behind your back and just rest there a few seconds. Repeat each time you feel strain coming. This helps a lot, too!


As Paula would say, Taylor is infectious!!
nm
Neurology, neurosurgery, infectious dz..

I 100% agree with the ES Specialist...
If the pretyped text document one receives on the computer is full of mistakes, it is diffult and takes a lot of time to correct it. Confusing, I would say.

If it does not contain errors, it's a breeze!

But usually it has a lot of errors, whole sentences that do not belong there and are not included in the voice file.
Medical Language Specialist

That is our title, Medical Language Specialist, which really throws people.  When asked to define what that is, tell them you translate medical dictation to document form, be it hard copy document or electronic docment, to provide pertinent medical information for patients, physicians and hospital staff.  See their reaction.   


Of course when they say "all you do is type," ask them to spell esophagogastroduodenoscopy as an example of the terminology you use.  That usually shuts them up.  (Smile)


Taiwanese ophthalmologist/retinal specialist
he was horrible. i scrubbed for him too, and when he dictated, he tried to do good but in surgery, he was horrible!
have always considered myself transcriptionist 'ist' is a specialist. nm
mm
Just stating, "I'm a medical language specialist" usually stumps them (nm)
x
I would say a GI is the correct specialist and keep switching until you find one who helps you. So
//
Guess you do not believe that it is a disease, huh?

There isn't a disease that causes someone to take that first drink, first

cigarette, or first hit of whatever.  I also think a lot of times "disease" is an excuse and not a real issue.   I come from a very long line of alcoholics on both sides of my family.  As as result I feel I have a predisposition to becoming an alcoholic, so I choose not to drink.   Alcoholism may be a disease in some people, but it is curable.  HIV/AIDS is a disease too that is 100% preventable.   I don't have a lot of sympathy for people who refuse to take responsibility for their actions and want to blame everyone else.  


I don't believe it starts as a disease. I

fully believe it starts as something to pass the time or forget problems, but then the body becomes dependent and then it causes disease.


Leyden's disease

is a clotting disorder occasion by an abnormality of Factor 5, according to the dictator, but I cannot get a solid spelling of this disease.  Anyone out there heard of it?


 


Thanks!!!


Ah that must be the disease people have when the MDs can't
figure it out! They would NEVER say they don't know, right? I'm going through something similar. I know I have something going on, been sick for a few months, and never was before, and I mean, really never like this. They found a few little things so far but this MD really just can't figure it out, unfortunately. So, onto the next. I am confident that at some point I will find a good diagnostician that really knows their stuff, if any still exist. Hope you will too :)
I have Crohn's disease and have
had blockages after eating foods hard to digest.  My Crohn's is locasted in terminal ileum.  Had 2 feet of small intestine removed in 1998, but it came back in same place.  It is very narrow and scarred in this area again.  I have to be very careful about what I eat.  I don't eat anything that has a peeling on in unless I peel it first.  When I have a blockage, I have pain and then vomiting until it finally goes through on its own.  Have been to ERs many times.  It could rupture, and that would be very bad.  If he has an intestinal blockage, it is very serioius.
OT-Anyone have polycystic kidney disease?

I have just recently learned I have polycystic kidney disease (my mother died of kidney failure) and the cysts are on my right kidney, adrenal gland and on recent CT, (only two months from my first one), I have now developed cysts on my liver too. The kidney cysts are bleeding. :( I have daily right-sided aching and back pain. My right kidney is deformed and I have reflux on the right as well as kidney damage from childhood.


My whole illness started out about eight months ago as benign paroxysmal positional vertigo and it was horrible with nausea, anorexia due to that, and significant weight loss. I had two Epley maneuvers that corrected the vertigo. A CT of the abdomen and pelvis was done and that is when the first cysts on the kidney were discovered which I was told were not concerning in someone in their 50s. In the meantime, I had started eliminating a couple of my Rx meds and the nausea stopped, and so I felt they were the cause of my nausea which in a sense I feel could still be true but perhaps more due to not metabolizing the meds appropriately due to kidney and/or liver problems but I do not know that yet. I do not see a urologist until 09/07 and will find out more then.


It is my understanding that this is a hereditary/genetic disorder and there is no cure and progression to kidney failure is quite high by the time you are 60 and I am 52.


I was just wondering if anyone else has this or knows someone who does and what info they may be willing to share. 


Thanks so very much. :)


Does the patient have Paget's disease? If so,
that could explain prescribing it twice weekly.
I was tested for Lyme disease when I first started with everything..thanks anyway. :( nm
/
Lymphangioleiomyomatosis - LAM - never heard of this before but what a scary disease

They just reported on this disease on our local TV station.


http://www.geocities.com/HotSprings/2312/


"Lymphangioleiomyomatosis (LAM) is a progressive lung disease that strikes young women in the prime of their lives. The prevalence of the disease is not known but it has been estimated that there are a few hundred cases in the United States.


The disease is characterized by an unusual type of muscle cell that invades the tissue of the lungs, including the airways, and blood and lymph vessels. Over time, these muscle cells form into bundles and grow into the walls of the airways, causing them to become obstructed. Although these cells are not considered cancerous, they grow without the usual controls within the lungs. Over time, the muscle cells block the flow of air, blood, and lymph to and from the lungs, preventing the lungs from providing oxygen to the rest of the body.


Lymphangioleiomyomatosis is pronounced lim-fan-g-o-lie-o-my-o-ma-toe-sis. Lymph and angio refer to the lymph and blood vessels. Leiomyomatosis refers to the formation of the bundles of the unusual muscle cells.


Although there is no clear evidence for a hormonal abnormality, therapy has focused on estrogen reduction because of the population affected and includes tamoxifen therapy and progesterone therapy. Lung transplantation has become an established therapeutic option in patients with advanced disease. Recurrence of LAM has been reported in the transplanted lung of two patients raising questions about pathogenesis and suggesting a systemic component is involved.


The cause of LAM is not known. "


Alcoholism is a progressive disease. Your man will never resurface. nm
x
A possibility would be ischemic bowel disease.

How about yourself? I type a report on some horrible disease and think "Hey, I think I have that.
v
It already has. I have to work from home because of disability due to chronic disease.
My physicians and visiting nurses are extraordinarily caring individuals who fortunate have (more so than I had previously thought, apparently).

Also, I can understand venting about a situation you feel you have no control over. I assume you desired sympathy or empathy or just someone to say, "I know where you are coming from," but to post incoherently and then lash out at those that reply is only going to add to your frustrations and negative feelings.

I am sorry you feel as though your health care providers don't care if you did, but I am sure that is not the reality of the situation. If you had taken the time to provide context to your rant, then you might have received the type of replies you were looking for, whatever that may have been.

Best of luck to you.
switched to miniatures-stronger, more resistant to disease and pests.
and now I actually like them way better than the standards.
Might also be your thyroid or Lyme disease. Insist on blood work! nm
s
Good luck to you folks. I hope I can perk up soon. I thought I was the only one with this disease
x
Corporate greed is a rampant disease that will end up killing the American middle class....sm
These people never have enough, there are no scruples, In God We Trust is just something printed on currency instead of being a moral principle carried down by our Founders...the French started a revolution over this. I hate all war and violence, but how do we stop global economy as being the tool which the corporate entities use to rape the middle class workers? Sorry for the rant, bad week....year!
Every company is different -- I worked FT for one as an employee but worked a split shift - sm
So I never took breaks. I would work 5 hours, break for about 4 hours then do another 3. Another company I worked for did not care what hours you worked (IC) but wanted a min. amount of work each day, 500 for PT and 1000 for FT-- BUT they paid you by how many lines an hour you put out, the higher the lph the higher up the scale you made per line in pay; they have since changed everyone to a flat rate with incentive. But bottom line, if you are an IC it does not matter what hours you work, though many ask for a schedule and ask you to stick to it, they just want you to meet line requirements daily, i.e. 1000 per day, 1200 per day, whatever it is.
I got up early, worked during naps, and worked when DH got home.

You have to be disciplined to make yourself work when baby is napping instead of maybe watching TV or doing housework, etc.   


I might also go the route of having a teen come into your home, or either trying a mother's morning out program at a local church/daycare.   I've been home since my youngest was born and he has never been in all-day daycare, but I did have him in a mother's morning out program 15 hours a week at a local church.   It didn't help a lot with my work schedule because I had an older son in school and was a room mom and tutored other kids, but that might be an option.  The only problem with the mother's morning out program is they are around other kids and tend to pick up every germ.  I finally took my DS out of the program because he stayed sick.  You were supposed to keep them off if they had green nasal discharge and I did, but no one else did.  Every time I got him well after 2 to 3 days back he would be sick again.  Other than that it was very good for him because he would not have had a chance to be around kids his age otherwise. 


Any rose gardeners out there? Good roses that are disease proof and smell good?
I heard good things about Knockout Rose but they don't smell too much like traditional rose.  Supposedly blooms all season. 
I worked on that system when I worked there...
The thing that chapped my hide about that TWS was that they designed it so that all the headers of each section of the report were canned and thus you were not paid for them, even though you had to take your hand off the keyboard and mouse down a list of paragraph headers to chose the one you needed.  Just racking up more profits for themselves.  Ticks me off.
that is what is being worked out, and has been worked on for the last few years already...only
why are we just hearing this now? I know voice recog has been around, but this is entirely different. This will also make coding and billing obsolete.

Don't know why, but it just bothers me that one of our 'own' is the one pushing this...and she is also connected with AAMT. Do they support this, and if so, what is their advice I wonder to the MT?

Perhaps that is one question for their website (I do not subscribe to their mag or credentials...)

Thanks, for the input!
Thanks, that worked for me! nm
xx
TY, TY, TY, that worked. nm
 
This one worked for AT&T. I was trying to pay
my bill in advance, but you cannot just do that, you have to talk to the credit department. Well, too bad, I no longer use AT&T.
I did not say I worked for SS. I don't know
even know what company SS is? I work for a company where I get paid for spaces. As for transcribing about 65% ESL charts, I typed the same 2 doctors over and over yesterday who love to stat their charts. I had nothing but them my first 3 hours of work. I was beginning to think that all the other doctors had quit and left them to do everybody's work because I had nothing but them. It seems on Saturday and Sunday my work is filled with nothing but ESLs because they are the only ones who like working on weekends. The rest of the week is not so bad but the weekends are the worst for ESL coverage.
OSi is probably the BEST I have ever worked for - sm
I have worked for OSi for almost a year now, and they are BY FAR the most flexible, best paying, most caring management, and have never felt like I was "just" a transcriptionist.  There are so many bonuses, GIFTS out of the blue.... great company, very stable...
I worked for them
Briefly, it was a major problem. From the training to the getting back with me to helping out and getting things staright. They have a lack of management skills to say the least. I left them due to this. Maybe things would be different for you.
Good LUCK
I worked for a nut (sm)

who always wanted perfect documents.  Even worse was when I found out there were other MTs making a bunch of mistakes and leaving a lot of blanks on the same account!  So I was to do perfect documents while the others were turning in crap?  No less than 8 mistakes or blanks on one page?


I finally wisened up and quit.  They're always behind and looking for people, I wonder why, duh.



 


I also worked for DDI...
when MQ bought them out.  I stayed with MQ for about 6 months after that and then moved on.
this is what worked for me...

When I worked 3rd shift, at first I tried going to bed around 10 in the morning and getting up around 5 p.m. when my husband got off work.  However, it got to the point that I felt like I didn't have a life at all.  I didn't have time to run any errands or even do simple things like clean my house because all I wanted to do was sleep.  What worked best was when I started staying up until around 2 p.m and then sleeping from then until around 7:30 p.m.  That gave me time to do everything I needed to do during the day and feel like I was able to function, and getting out in daylight instead of only being awake when it's dark definitely improved my mood, too. 


It took me a good 2 months before I got adjusted to 3rd shift, but I actually ended up enjoying it more.  If you do decide to go to 3rd, put up dark curtains, blinds, whatever you need to do to make your room feel like nighttime when you're trying to sleep.  Also make sure you turn off the ringers on your phones because there are always people who don't understand what it's like to work nights and will call you when you're trying to sleep. 


As far as staying awake during your shift, make sure you get up and move around every so often, keep the room very bright and a little cool, and keep the Mountain Dew or the coffee handy.  Go luck! 


that worked, thank you!

This worked for me
I had trouble getting paid as an IC until I did the following:  I started billing on the 1st and 15th of each month.  I put a 10-day balance due date on the bill.  There is a note at the bottom of the bill that says if any balance is carried more than five days past the due date, the old balance PLUS the new balance is due before transcription services are resumed.  Its a bit aggressive, but I was tired of making less because of paying late fees on my bills.  Since I started this policy, I'm paid ON TIME by all of my docs. 
I tried everything and this is what worked for me
I had beige carpet, too, tried Resolve, OxyClean, dishwashing soap, etc.  The only thing I didn't try was a special cleaner specifically for red stains (Red Out I think it's called), but it was $10 a bottle and I had only one stain.  What finally worked for me was saturating the stain with club soda, then lying a dry washcloth on top of it and applying a warm iron on top.  It draws the stain up into the washcloth.  You could try a paper towel, too.  I had a big spot that was a few months old by then, so I had to repeat this twice I think, but it finally came out.
what worked for me

Just look at the symbol:    < >

The widest part of the symbol is next to the larger number:  7 < 9
9 is larger than 7
The smaller part of the symbol is next to the smaller number:   10 > 8
8 is smaller than 10