My nurse said most patients make calls with their cell, no problem
Posted By: nm on 2007-09-09
In Reply to: When I had a baby 2 years ago.. - Msla MT
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I just forward my calls to my cell and answer that way...
if important. Or I can just get the call on the computer through my email.
If you have a cell phone, why not use that for your LD calls and CX the LD on the land line?
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I transfer my calls to cell phone during work. nm
nm
Not an MT's job to make those kind of calls...
in the first place. You're contributing behind closed doors. I would find another job.
They do make house calls to fix tractors -sm
at least Sears does. I'd look into it if I were you. I think the price would be worth it in the long run. We are in the boonies, and had trouble with our tractor (bought at Sears) and they came here and fixed it. We could have loaded it up on our trailer and taken it into town, but they came to us. As for attaching the trailer to the truck, do it when it is empty first of all, much, much easier, this way you can shift the trailer about by hand if necessary, hard to do but very possible, impossible to do if loaded though. I haul our trailer (small one 8 x 10) on occasion, and a 17 foot boat now and then, and have attached both loaded and unloaded. Still no good at backing up, but I am learning. ----I am planning a trip to the Nick Hotel too, Summer 2007 or 2008, saving up for it first, then will figure out when we are going!
I definitely feel like we are dealing with the same person! I think I need to make some phone calls
and put a stop to her! I cannot stand the idea that she is out there still scamming people like she scammed me!
Happens all the time. Make phone calls for more definite action. nm
s
I agree. The silly phone calls just make the worries worse, if
nm
He calls me daily whining that he doesn't have any money. Then calls me names when I
a check. He hasn't looked for a job, hasn't even read the want ads, I'm sure. He told me he realizes he can't live without me. My paycheck is what he can't live without! I feel so humiliated and angry sometimes that I put up with him for as long as I did! 
we should just once, as patients (sm)
go to the dr's office and waste THEIR time!!! Let them know how it feels for a change. But then again, the doc wouldn't wait two seconds on a patient, now would they? Wow, whatta double standard!
Patients
On a really bad day, I feel like a vampire for making money off of other people's misfortunes.
Maybe sometimes we have too much time to think! I don't know.
Just because 2 patients have the
same dx does not mean they are treated the same and symtoms are the same in many dxs. Do you have your degree?
Well, too bad that they have 30 patients - sm
to see so they don't want to spell things out. Do they cut corners on patient care, as well, when they have 30 patients to see - or is that reserved for us peon MTs? So they're "frustrated" with 30 patients - well, cut your patient load! We're not paid to "guess" or have to look up everything they don't feel like spelling, especially other doc's names. Just won't do it.
By the way, I wonder if they know how many documents we have to type a day (30 maybe?) to even eke out simple minimal wage - but that's OK, I suppose, compared to their 5 or 6-figure salaries.
Just give everybody the bum's rush because you have 30 patients. Suppose we did the same?
A party for our patients...
Every year, the staff in our clinic takes it on ourselves to throw a party for our patients. We all cook finger food, make snack trays, cookies, baked good, cheezes, bread, meat trays, the works. We have breakfast foods and lunch foods. We decorate tables in our lobby to spread this out on. We usually do this one day a week for the four weeks before Christmas so many patients will get to enjoy it. We have coffee, hot chocolate, orange juice, cokes and punch. We have fruits and dips....something for everyone, even diabetics. The patients are touched that we go to the trouble and we are touched by how much they love it! These patients have gone through enough suffering with their diseases and some are elderly and don't have family members. Some tell us this is their only Christmas! We have been doing this several years now and the patients are beginning to tell us to be sure we appoint them to return on the days we are having our "Christmas spread." I just thought I'd share the Christmas party that means the most to me... and this is definitely it! Just the look on their faces as they are enjoying it is Christmas to me.
It is not our job to judges the patients sm
or why or where they seek treatment. It is our job to transcribe the dictated reports. If you don't like the healthcare system, then go out and change it.
Just how many lives do YOUR patients have?
Apparently mine have more than one because I have one dictator who likes to use the following phrase: Patient was told that he might have death and loss of current life. 
Now we have to insist patients
being treated are actually examined before treatment is rendered?
Wasn't it bad enough medicine when ER docs would proclaim a diagnosis before exam, only to have to backpedal after taking a look?? I guess if they are going to do things in that order, doing physical exams is going to result in their looking stuupid, so their solution is not to do that part.
Big grrrr.
If the patients were aware of that, they could
nm
Do any of you ever feel sad for the patients?
Maybe it is because I am on my period and am more emotional than usual, but today typing all these terminal cancer reports is making me want to cry. I feel so sad for the patient and their families. I just cannot imagine being told that I only have a few months left of my life. And the doctors sound so cold about it. I know they are very used to it....I just know that I could never be a doctor. I could never get used to telling someone they are going to die.
A question regarding patients' rights
I was just wondering this. My mother was recently sent to a "liver specialist" who is local gastrointestinal doctor because of concern over persistently elevated liver function tests. He drew a LOT of blood work on her and only told her that it looks like she might have a fatty liver. He set her up to come back in six weeks to "get the results of her lab tests." SIX WEEKS! With her being very concerned, of course, we immediately searched the net and found out that fatty liver occurs in patients 1). who drink alcohol (she never has), 2). Patients who are overweight (she is not) or 3). Patients with diabetes (she hasn't got that, either). It says that a liver biopsy is how they find this out. He never mentioned doing one of those. My question is.. would a physician want to wait 6 weeks to find out lab results? You know it doesn't take 6 weeks to get the results back, they probably had them back within a day or two. In the meantime, she is stressing big time about what could be wrong. 
Not sure when doctors graduate their patients but
I have boys and we stopped when my oldest was 11 because they always made them strip down to their undies for checkups and checked their privates and I didn't feel that was necessary and my boys hated it.
No thanks. Anorexic geriatrics patients don't do it for me.
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Very true, but a list of patients?
An invoice by the patient? Some clients need to do their own book keeping. It is bad enough you have to worry about the content of the reports. To have to retype a patient name into an invoice with the line count is utterly ridiculous especially as an IC. IC's get taken advantage of. As an IC, yes you should be charging for "everything". If you're an employee, they can put it under "other duties as needed". Business is business. If it takes more time, that takes more money. End of story. Don't do nothing for nothing. Your clients sure do not. They go all this time with this Transcriptionist with her invoicing and then all of a sudden decide they want each patient name and line count? Cut me a break. You don't think there should be a charge for that? You can work for free, but I certainly WILL NOT! To make statements like be paid to walk to the computer is really being a bit of a smarty pants in my opinion. Keep it to yourself if you want to work for free, most people don't! Have a great day making nothing to do A LOT!
I read it... does it mean US patients would have to travel - nm
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A lot of physicians refer to their patients
as heterosexual or having same sex partners, it is very relevant in some aspects, as in exposure to AIDS/HIV, etc.
New Doctor, some patients already typed
I got a new doctor. They girl who had been working for him left him in a big mess, undone dictations, etc. The office gave me a flashdrive to do with about 30 patients on it over the holiday weekend. Today they've told me ten patients had already been typed, how did I want to handle that? It seems they don't want to pay me for these. My husband says to bite the bullet and not charge them, since this is a new account and I'd like to keep it, is possible. What do you think? I know it's a land of confusion there from what is done to what is not done. Thanks!
It's called BEING FAIR TO PATIENTS
. Why should patient care suffer?! The patients haven't done anything wrong, even if management sucks. I thought that's what MTs were ultimately hired to benefit, the patients.
How does outsourcing dictation allow doctors to see more patients?
In an article in the MT News section, it states this. Do they really need to see more patients? Most of them herd them in and out like cows.
And that is because the GYN forgets to tell his patients that when changing pills you have to use an
alternate method of birth control for a month until the new level of hormones in the pills kick in, whether higher or lower. That is how come so many get pregnant on the "pill." The facts...my cousin is GYN and he tells all of his patients that.
Just wondering, for you MTSOs, about how many patients/reports per day...
For, say, an orthopedic surgeon, or a family practice doctor. Or, maybe, how many minutes of transcription on average per day.
THANKS.
these are the docs that I don't think care about their patients. my opinion. nm
ss
The clock does play into how much time is spent with patients
The way the CPT codes bill insurance have guidelines for the physicians built into them that give amounts of time spent with the patient (in addition to certain information covered in the ROS/PE), especially in consultations (whether inpatient or out), hospital discharge codes and critical care time (inpatient or out).
Yes, that computer is in fact billing the insurance company because it not only saves not having to pay an MT, it bypasses a billing clerk (eliminating that salary), and if the doctor's office space is paid for by a hospital, that file is sent to the hospital's database where a *scrubber* compares what the MD submits versus coding guidelines. If it is an independent office, the MD can upload all that day's billing before he walks out the door and leave it unattended to update patient accounts and reconcile the days money intake.
In a nut shell, your doctor is no longer just practicing medicine. Your MD is doing the documentation and billing and saving money on two warm bodies.
I understand your concern as I see it more and more in today's medical care, but yes, this is the way things are going. I am fortunate that my MD has been very computer literate for a long time, so the amount of time he spends with his laptop is minimal. Once he enters the info, he kicks his shoes back and we chat and get into a deeper discussion both professionally and personally (we've known each other a long time). Give your MD a chance to play catch up to what he or she is doing with that computer and you should see a more relaxed physician soon.
Good luck.
We need actual examples of patients harmed by outsourcing
to take to the media. Then we could probably get enough interest for someone to do an expose on it.
I do reports all the time where patients have asthma, COPD, emphysema, and
even cancer and continue to smoke. In our local paper they are following a woman in her battle with cancer. She continues to smoke, as does her husband. They were broke before the cancer diagnosis, having to borrow daughter's babysitting money to pay bills. Just think how much money they've blown on cigarettes.
I've even known one man with a trach who smoked through his trach.
I wasn't clear. I guess patients' names is what irks me the most. SM
and you know how famous they are for dictating "Krenazcyssky, Jane, that's J-A-N-E.
neat web site 'chemo angels'. Help cancer patients
http://www.chemoangels.com/
Doctors patrolling themselves? What a joke! They barely have time to see ALL their patients....
Doctors today are totally incompetent for the most part. YOU cannot worry about it when it comes to transcribing their gawd awful reports. THAT is between the patient and the doc. Just knock the report out as fast as you can and make sure it's accurate and then after that, forget about it.
The docs make the big bucks - you don't! Let THEM worry about things that will eventually catch up with them, one of which is called the Karma bug, and that little bug ALWAYS bites those who don't deal fairly right in the butt! And big time, too! 
I have gotten a few calls - sm
I actually have not minded that I have not taken a job with the ones that I have called, but one person did ask me for my opinion on what I liked about the companies I have worked for and what I didn't like and what exactly would be the ideal home position. I liked that she took the time to listen and took notes. Although we both felt I would not be a fit for their company (hours and work schedule weren't good for me) I actually enjoyed sharing and hearing her feedback.
The Q calls it ASR too.
nm
Actually, I was never a nurse.
However, I was a certified lifeguard (among other things) before I got into MT. I do well enough at it that I quit my fulltime federal job to stay home with my kids. They fly around the house while I type.
<img src=http://www.mopspace.com/flying%20monkey.jpg">
I was a nurse and became an MT...
without attending a formal MT school, however, I had a mentor who was a small MTSO. She gave me the tapes (the 80s) and I muddled my way through it. But it was not office notes, it was hospital work. Big big difference. And, it took me 2 yrs to be up to snuff with all the accents, dictation styles, and vast range of hospital reports. It was by no means a "snap."
Does this look like Ask-A-Nurse? These are MTs here, and
lots of them aren't even good at that, let alone doing triage over the Internet for your son.
I have a nurse
that says "just put" before every sentence...I've considered typing "just put" LOL.
I also have another doctor that says "At the present time" every other sentence.
Oh and then there is one that likes to be cute and say 78-year-young patient
but the most annoying thing to me of all are the doctors that dictate half a report and then start over at some random spot for absolutely no reason but say everything differently so you have to retype the whole freaking report!
If they could hear the garbage we make into nice pretty finished documents they would definitely pay more! I guarantee they don't ever listen back and see what they are saying!
Oh one more...
the doc i'm typing right now leaves words out. "Attempted (to) contact Dr. SoandSo (he) could not (be) reached."
*sigh*
how old is too old to become a nurse...sm
I have been contemplating my life and was thinking about going back to school to become a nurse, but I will be 48 this year and I was wondering at what point a person is getting too old to go into nursing due to the physical strains. Just curious. 
Nurse....
In my bio class (prereq for nursing) there is a woman who is 50. I don't think you're ever too old. Another thing, not all nursing jobs are physically demanding. It just depends on where you choose work.
why not ask a nurse or two?
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urgent calls
That would work, with the cell phone. I have my house phone line and the extra phone line for work only. The company I work for has toll-free access, so I don't need toll call or long distance service, and it runs less than $20 a month.
I also like having caller ID so I can also see who it is, and the answering machine so I can hear why they are calling. If it's urgent or important, I take the call. Otherwise, I don't answer it. You wouldn't believe how much productivity it eats to answer the phone every time it rings.
I believe they know the pay is so low they wouldn't get any calls.
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ROBBED at least once. Some calls
Especially the "TD" where his knees, shoulder, elbow, hand and ball hit outside the line and then he scooted it in w/ a wide-eyed guilty look. And, Hawks would have done better if Stevens could catch.
Sweet reverse play by Steelers though and long run by Parker.
And very cute commercial w/ the Budweiser colt.
calls from India
Have received three phone calls from India...I can tell by the accent (I transcribe a lot of Indian doctors). The first two calls were just stuttering around, wanting my name, etc. The last one was Sunday night at 9:00 p.m., woke me up. I was furious and asked him if he knew what time it was. He said he had no idea, but started with that "your name please", etc. I yelled "don't ever call this number again", and I hung up. I have passed this around at work, and some people are getting calls from India...I think they get us off the computer some way. Anybody else having this happen?
calls from India
I wonder if they are trying to recruit? They make me so mad...the last time he said "your name please" I told him it was none of his freaking business!
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