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Last year I got repetitive stress injury..sm

Posted By: Old MT on 2006-01-31
In Reply to: those of you with hand pain, carpal tunnel, tendinitis - related to typing...? sm

have been working on and off as an MT for 20 some years. One year I worked radiology and I can remember actually putting out 200 reports one day. I never got carpal tunnel with the keyboard but could get it with the mouse. About two years ago, I had a busy stint where I was probably working 6-7 straight hours, then my fingers began to hurt. First it was the thumbs, then it was all my fingers. Just ached. Not arthritis, because joints were not red or swollen. I even bought a parafin bath, tried NSAIDs. Finally investigated on the internet to find out I had repetitive stress injury. I stopped typing (fortunately I own a small MTSO) and just let my fingers rest. To this day, two years later, of almost NO typing, all it takes is about 3 hours straight typing and it's back. I've decided I've hurt my fingers irreparably and any further damage I do now, I will just pay for later with arthritis or something. Sorry to hear about your disability.




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Repetitive Stress Injury Neck
I am in bad shape with my neck and I thought maybe I could come here for some advice before I go to my doctor. I have an injury there already, but I thought it healed.  I do 8 to 10 hours a day of typing and computer work.  I do sit in an ergonomic chair, but I have very bad neck pain still...primarily on the left and it is a sharp intermittent pain.
Repetitve Stress Injury
Thanks so much for the help and advice.  Yes, I do have the screen eye level but I might be able to adjust a few things.  I think the doctor is my next stop however.  One thing I notice is maybe I need to get to stretching more between dictations.  I have a tendecy to focus on the work for too long.
Repetivie stress injury neck
I had fusion at C6-7 15 years ago, with release of nerve entrapment. Now I also am getting the same pain back in my neck and arms from transcription. I have been on muscle relaxants and pain killers. My desk is ergonomically correct as is my chair, level of screen. My screen is eye level. I may need another MRI, as it is now affecting my neck/shoulder. I am going to try a back cushion to see if that will help me. There are several stores that sell these and they are not too expensive. I know the pain, it is horrible and I feel for you. I would just try to see what your doctor can offer you. Cortisone injections do work as does physical therapy. Good luck and I hope your pain is gone soon.
...to prevent carpal tunnel and other repetative stress injury. nm
s
by boring I mean very repetitive...
but easy to normalize.  They use these tables for different degrees of muscle movement and stuff.  Maybe you could get a sample from one of the other MT websites.
Repetitive = easy, so no, they usually don't make more.
But there are exceptions to every rule, of course. As was stated in another post on radiology, the software is usually maddeningly inefficient, so sometimes it is hard to find and retain MTs for certain facilities. But the reason the software is bad for MTs is that they usually bought it with the hope they could change over to VR, thereby putting most of the MTs out of work. Radiology can be fun if you find a place where you can work in-house, have the skills to win the respect of the radiologists and learn to be able to read their minds, which helps you a lot when they misspeak.
Macros are recordings of keystrokes and commands that are repetitive. sm
A lot of people are confused on what a macro actually is. They are used to insert templates/boiler plates into documents, but the recording of the commands in the sequence they are used is the actual "macro."
Personally, I am more productive with OPs because much of OP notes are repetitive and it is easy
create abbreviation expanders.  I like radiology too for the same reason, but I'm not quite as productive with radiology because the reports are so short.
be careful all of you - you could be pushing yourself into repetitive use syndrome formerly carpal t
and then your ability to earn an income is jeopardized.... I know because I have walked in those shoes.
Macros are better suited to repetitive tasks like formatting.
I have a macro to create a different second page of a letter with header info., another one that will update formatting from documents created using a different Normal template so they conform with mine, another one for highlighting, etc. They really can be timesavers.
while recovering from an injury, (sm)
I purchased and used Dragon. Cost me about $1000 by the time I purchased the nice microphone and software. If you don't mind the time it takes to "program" your voice and other features, re-listen to each dictation and copiously edit, and put up with all the quirks of the voice recognition, it is so-so at very best. It did allow me to keep my job and work while injured, but I certainly would not purchase it again if I were healthy and didn't have a real need for the product, as it probably took me 11 hours to complete what I could in eight by transcribing the old-fashioned way ... um, the one with all the wonderful Expanders we have available ;)
insult to injury
It is just the Pits! I would not want to work for them if I had any other choice at all. If no one works for them, they will have to change or do it all themselves! Yahoo.
My son also had a traumatic brain injury
Please let me know if you do find the answer to your question. My son, who lives with his father, has become a drug addict. He will not return to school or work; he is only interested in getting his SSI check and whatever else he can get from the government and everybody else. Please let me know if you have any answers. I do know that I went to college with a learning disability (ADHD), and I not only asked the professors to put me in the front and center seat but also had free tutoring for math classes when I needed it (I kept losing my glasses). They offer free tutoring through Student Services for a variety of handicaps. Good luck!
And adding insult to injury,
I have a few that dictate like they're trying to keep it all a big secret; ironically, it usually sounds like they are trying to keep their voices down so they don't disturb the people having the LOUD conversation 5 feet away! Hello, get a clue! Gaaaah!
Adding insult to injury,
it's IC (independent contract) work with an insultingly low line rate. If I were going to take THAT big a pay hit, it had BETTER have one KICKER of a benefits package attached to it. No, thanks. Don't call me and I won't call you.

In addition to the various fees charged if you don't jump through all their hoops (and they were a bit fuzzy about whether those fees would still be assessed if the failure to complete the required work was THEIR fault not yours, there was also some verbiage in their contract that sounded like they might require you to use a dedicated computer--i.e. you can't use the computer you use for their work for anything else. Naturally, they do not supply this dedicated computer. Excuse me, if I own the computer, I can do whatever I bloody well please with it.
Interesting article on MSNBC regarding repetitive motion strain and malaise.
http://www.msnbc.msn.com/id/9814810/
R hand and R rotator cuff injury..but I did it

Well, I broke my right hand years back, around 1986, and still went to work, without a cast, cause I had to work..Would work till it hurt too much and made me nauseous, then would go to the ladies room, get cold water on a towel, put it on my hand and go back to work.


In 2003, I tore my R rotator cuff.  Opted for no surgery as I do not have insurance..Had to still work, Im the only *bread winner*..Put my R arm in a sling..took lots of ibuprofen, rubbed my shoulder with Ben Gay..Sometimes had to pick up my R arm and place it on the keyboard cause my arm couldnt do it..When I got on the keyboard, I was find..it was just lifting to my keyboard..It was hell..but what could I do..I will not rely on a govt program, never have, and I had to make a salary, have no family to depend on, would never ask my friends..So I did it myself..R shoulder still hurts sometimes, especially when I sleep..but I was able to get through it and you will too..


Son suffering from traumatic brain injury.

My son was hit by a car 7 years ago and sustained a traumatic brain injury. He was in a coma and went through over a year of rehabilitation. He was 15 at the time and finished high school, went on to Junior College and has just finished a year at a state university. He has struggled with learning disabilities and short term memory problems since the accident and has barely passed his classes. It looks as though this was his last semester at school because his grade point average isn't high enough to let him continue school. He will be put on academic suspension. He wanted to go away to school so badly and worked so hard to make it and I know he will be so disapointed when he finds out he won't be going back in the fall.


He is definately a miracle and I thank God everyday that he is alive but I don't know what to do to help him anymore. My question is "Is there anyone out there with a similar situation who can give me some advice on where to go from here?"


anon - the almighty $ will show in personal injury/malpractice cases. (nm)
-
don't stress too much about it (sm)
It's really not hard to learn at all.  It may seem overwhelming, I mean all the manuals they send you about it, but honestly, I haven't even opened them, except during training...which BTW, I didn't get paid for...but that's another issue! Anyways, it's fine...I only use the built in expander also, and I like it! You'll be fine...don't stress over it.  Good luck!
stress
I either play with my dog, walk or read something that requires no brain!
Stress
Does anyone have any suggestions on how to relieve stress? I work 8-10 hours a day, have a 5-year-old and a 6-year-old, and a husband who does not believe MT is a real job, and major financial stressors.

I have been slowly losing my hair over the past 6 years which I believe may be due to hormonal shock (2 babies in quick succession) and then stress and maybe adrenal fatigue.

I am hoping a stress-free living will help me regain myself and my hair! Thanks.
The pay is really good, but the stress so-so!
I do have some great MTs that I QA for and I bless them every day LOL. The title is nice on paper, yes. I don't plan on being in this profession forever, but since I do have some type of supervisory under belt, that will be good.
Hand stress

I've transcribed since 1983.  You can lessen hand stress if you observe how you hold your hands as you type.  When I was in my twenties I noticed that there was a real difference in the way I held my hands and how the older transcriptionists (they had their wrists up and hands pointing down at the keyboard).  I have always had my wrists laying on something and my fingers are going up.  I have never had one bit of carpal tunnel or pain whatsoever.


Stress in the office
I'm one of the unlucky ones NOT at home, but still in the office. The stress level in there is making us all sick, both physically and mentally. I would get out of MT and learn to do something else if I didn't think that by the time I finally got through school, I'd be too old to be hired.
Yes, but no. I used to stress over it when we had to eat two meals
between my parents and the in-laws. Then I started hosting, but that was stressful because it was expensive and a lot of other reasons that I won't get into. DH and I got into an argument because he's upset that I refuse to host this year. I've done it for the past several years. We don't have the money and half of our house is ripped apart for repairs, plus I have to work both Wednesday and Friday while all the in-laws are off those days. I don't care. I quit. They can do whatever they want to do. I'm tired of being a people-pleaser.
reduce your stress
i guess you have someone sharing the load. it is hard to reduce your stress level if you are the breadwinner, caretaker, and housekeeper.
STRESS ECHO
Agree with the other poster. More than likely, in my experience, the tech just didn't do a good job and that is why the images are not clear.
What do you do for stress reduction?
I am 100% stressed to the max, all the time. I wish I wasn't so high strung and jittery. So what do you do to relax and reduce stress? I need ideas.
stress reduction
I have lots of hobbies that I enjoy soI can easily immerse myself in one of those and forget my troubles for awhile.  My favorite hobby is scrapbooking.  I also go to the gym daily and that helps reduce stress as well.
Less stress so true
A few of us on this particular discussion feel the same way. I have felt only a tiny degree of stress working overnight transcribing. It is the only luxury time just for me. This is why I switched. It is so quiet. I am not scared the kids will bug me or husband or some emergency at school etc. I love my work at night I get the stats and ops and they are so interesting. I must say I would have died early if I kept days and or second shift because the family has needs. Now, at night I am 100% me and transcribing, my productivity is great. So, if I get cancer I would be surprised because I think that stress makes a person open to all kinds of diseases. To you night owls out there enjoy your peace and quiet, this is your "me" time!
job stress. die or get fired.

i am quite upset.  one of my co-workers passed away.  we here all know it was from job stress, but we are not to admit it and were repremanded so by our superiors.  basically it came down to "die or get fired".  lucky for her she died before she could get fired.


now i am sitting here at work today wondering what the heck am i supposed to do? we cannot talk about the job stress and that is what did her in, but she was sick and getting sicker and this is why she passed away.  she was sick and getting sicker from the stress dawg-gone it. 


nobody gets it.


tuesday she told me that a lot of her sickness had to do with wondering if she was going to have a job or not and what would she do if she got fired?  she was beside herself with worry.  she worked her for 25 years, and was a good employee and excellent Transcriptionist until the new supervisor took over and started ragging on her like a pit bull dog and his prey.  and this is a catholic hospital.  i guess this is the new christian work ethic.


i need to vent.  any comments would be appreciated but since i am at work please make them nice.  i have had enough bad stuff happen around here today.


 


 


 


 


 


Mine are in year-round thank goodness! They've started their new year 2 months ago.
x
Union diesil mechanic - good pay, great benefits. We swap year to year on who brings home more sm
money.....but I am an IC and he has all the benefits...health insurance/dental that the company pays for, pension plan, 401k, etc.  Factor all of that in and he makes way more than I do.
Exactly! The money was great, but the stress...
and long hours were certainly not worth it.  I still don't get why JJ or whoever would care about anyone's bb name.    Personally, I have more important things to get my panties in a twist over.  We all have our hangups I suppose. 
Stress and long hours

So, you're saying that you got tired of the stress and long hours so you bacame a TRANSCRIPTIONIST!  You crack me up.  Everybody knows that as a Transcriptionist there is never any stress or long hours.


Morning stress reducers

When my kids were young, there were a few tricks I used to cut down on hectic mornings.  I didn't make sandwiches ahead but I did prebag chips and cookies and place is a drawer.  That way just had to reach in and grab a couple of bags and lunch was halfway prepared.  The night before, kids always picked out the clothes for the next day.   And there was no changing minds that morning either, or they lost 1/2 hour of TV time.  Also, backpacks got loaded up the night before and placed by the door.  A little extra thought and effort the night before made mornings a little less hectic.


LOL! And stress will kill you or make you
now have some incurable, difficult to treat, chronic, crippling, painful disease brought on by stress!


If you think you have stress now, wait until you are a teacher.
s
Anyone with experience with stress echo?
Does anyone know what it would mean to have a stress echo where everything was normal at rest, person exercised normally to 99% of predicted with minimal symptoms, and at the end of the test echo images were not clear.  Tech then said this was the wrong test, and of course, lips were sealed as to what that meant.  Anyone with any knowledge of this or experience?  Thanks.
Personally, I like the lack of stress and no (sm)
flippin' academic politics, or driving to 5 different colleges each week, teaching one course at each as a part-time lecturer. I've preferred spending my time homeschooling my equally gifted children, writing for a couple of feminist pubs, and working on local grassroots politics. Working at home as an MT allows me to break up my day and do all those things, while being the sole breadwinner. Works for me.
Never said she was big...maybe it is stress, not on an eating schedule, whatever.
Not that she needed to at all; she just did! Sorry!
He's using the puter to relax & de-stress, same as you. - nm

Because those who have someone else to contribute to the household have enough stress?
nm
Turn it in and don't stress. Companies that

have several reports for you to transcribe have different degrees of difficulty.  One may be ESL, one may be dictating on a cell phone on his car, one may be trying to do a 15 dictation in 3 minutes, etc.   Leaving a blank is definitely better than guessing.   They are just trying to get a feel for your skill level.  Okay you can't do the ESL or the speedy doc, but you can do the orthopedic doc with ease.  


They may need someone for a difficult account and maybe you won't get that job, but they may need someone for clinic notes, or maybe an easier account and you would do well with that.   You'll get paid less than if you could so the slurring doc without blanks. 


With the slurring doc listen to the report one time time all the way through.  Don't try to fill in any blanks.  Next go back and listen again, this time trying to fill in blanks.  You may be able to get one or two of them this time around.


If you don't pass/get hired at least it was one more experience you have had. 


I don't test well.  I can ace the transcription part, but if they have questions on the test I may not do well.  I had one test that was timed and I was really freaking because I didn't know some of the answers without looking them up and the test timed out on me before I even finished it.  They still offered me a position.


One thing is for sure, you won't get the job if you don't turn in the test. 


 


 


you really should see someone about how to handle stress constructively...
and stop reading the boards for a while. sounds like implosion is emanent.

good luck with that.
I have heard that this can often be caused by stress.
In the early years of my first marriage, my husband soaked the sheets nightly. He was in the middle of a nasty divorce and child custody case. When those issues resolved, the night sweats disappeared.
I want your job. :( simple, ok pay, no stress. LUCKY. nm

It is no doubt stress related
and you can relieve it by getting up using a bungie cord under your feet and pull up and down on it. This stretches your shoulder and arm muscles is a stress reliever. You need to strengthen your abdominals also as sitting weakens the back and abdomen. Get an exercise ball. Those can be great little stress relievers. You may even try standing at your computer by raising the keyboard and monitor. This keeps one awake and refreshed also. Eventually, the pain will dissipate. Take daily walks if you can and definitely stretch every day for at least 1/2 hour. Swimming good, too. Hope this helps.
to cowgirl - Last I knew, last year the job paid $25,000/year no taxes, etc.
The hospital was bombed about a year ago, but not a lot of damage, very minimal damage.
44-year-old WF, M, Texas, 3 grown kids, just had 26 year wedding anv.
nm