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Need additional cardiac reference - have Stedmans - need something more detailed about heart caths,

Posted By: LAMT on 2006-12-20
In Reply to:

nm


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Are cardiac caths usually classified as
nm
I love procedures, colonscopes, EGDs, cardiac caths - this stuff earns me the good money, ESL or no!

cmt reference stedmans sm
My main reason for wanting to purchase the Stedmans course is to get the feel of the test itself.  This way I am not going in totally blind as to how the test is done.  I have read the description online, but would really like to have an actual pre-type test to give me a feel for the platform.  That is really what I am most worried about.  That and grammar.  I have a great accuracy rating, I am just worried about not passing and want to be as prepared as I can be.  With that being said is the person out there who was offering the book for sale.  I would like to know how much you would like for it.  Thanks. 
Stedmans for word reference, ADI or Quick Look for drugs.
I also like Tessier's surgical word book by Saunders and I'm pretty sure I have a Vera Pyle or two around here a well.
Cardiac tech here....

Not sure what you mean by weird heart murmur.  That should have been checked at least with echocardiogram.  I'm thinking mitral valve prolapse which can cause chest pain and exercise symptoms but is generally benign. 


At  your age and being female it is highly unlikely it is cardiac disease.  They would probably do an EKG while you're having the pain and check enzymes. 


Chest pain is very very common and often is not cardiac.  It's cause is unclear, sometimes costochondritis, sometimes GI, sometimes just unknown.


You still need to see a physician very soon to determine if NSAIDs or other simple meds (Protonix) are the answer or more tests are needed.


Go back to school and be a cardiac tech.
I would if I wasn't so freakin' old.  And poor, thanks to this sinking ship of a profession.  
Thank you for that detailed explanation!! - nm
.
more detailed answers
Jill's mother (or so she always thought) came to visit because she had cancer and she wanted to tell Jill that she was adopted in case she didn't live (she did live). Jill went searching for her mother, found this woman that said she was her mother (she wasn't). This was someone Kay knew from long ago. Any how the woman finally let Kay know that she was Jill's mother. This caused Kay to have a stroke. Everything finally came out because Mac (Kay's granddaughter) was going to marry Billy (Jill's son). Of course they found out just after their wedding ceremony that they were first cousins, and thus their love was forbidden. Needless to say, neither Jill nor Kay were thrilled with the truth, but they have been working on their relationship.

As far as Abby goes, Diane Jenkins had stolen what was thought to be Victor's donation to the Sperm Bank in order to produce another heir for Victor. There were 2 samples and Ashley stole one and used it on herself, and thus produced Abby. The other sample Diane used for herself and produced a child. However, it turned out not to be Victors, but by a stroke of luck, it turned out to be Jack's (he had been having a testicular cancer scare, so he just put some stuff aside just in case).

As you can see, I watch too much TV during my lunch break. LOL

Thank you for the detailed information. NM
x
Some detailed instructions for you. sm

I believe I understand what you're trying to do. Try following these steps.


Open a new blank document and set the margins as you've been instructed (File, Page Setup, Margins). Next, click on the tab for Layout. Make sure Section starts has New Page in the box. In the next section, Headers and Footers, make sure none of the boxes are checked. Change the measurement from edge for the Header to 1". In the Page Section for vertical layout choose Center. In Preview Section make sure that Whole Document is selected. Click OK.


Now, Go to View, Headers/Footers. Type the information that you want into the Header area. Don't worry that it looks like the Header area is larger than it should be; it will shrink as your letter grows. Save this as a document template (.dot)


Now, whenever you use this template, just type your first letter, use Ctrl+Enter to go to the next letter/page. The Header information will show at the top of each page and each letter will be centered on the page for you.


Personally, I believe how detailed
the original instructions for the account are when the account begins on the program is vital.  I used to hate all the account specifics, but the more detailed they are, the less questions you have and together as a team we will make less mistakes.  This will lead to everyone doing it the same way and the VR learning correctly the first time.  I worked 2 hours and can to 400 lph strictly editing.  I didn't think it could be done either, but this is also an account with very little ESL.  So there are many, many factors to getting a good lph rate.  Hope this helps.
Cardiac Clinic - no do not capitalize; Cardiology - yes as it is referred to as an entity. nm
x
Thank you for your detailed instructions...think I found it
f
Thanks so much for the great detailed info!
Well, the 911 thing was that its not hooked up to my local 911 anymore, and has to go thru their emergency center, who will forward my info to my 911. Only danger is that if I can't speak, I might be sunk. I have anaphylactic reactions at times, so got a little nervous about that end.  But I've never been able to be kept quiet for long to date! ;-) Near death or not, I can still talk! Well, I guess I'll go along with it and give them a try. I love their ads, and the cost is great. I, too, always have the unlimited plans with other companies, which ALWAYS cost me more each month for no reason!! Thanks again! Happy Vonage!
Clinic notes are less detailed normally
than acute care/hospital reports. They are limited to that 1 speciality with only sparse mentioned normally of other medical conditions not pertaining to the clinic visit. However, in acute care, you have to be aware of drugs, generic versus brand, correct dosages, all types of medical conditions, problems, side effects, lab values (a working knowledge of correct and invalid values dictated in case the doctor is in error), and "all" specialities. That is just a few of the things required for acute care transcription.

Many MTSOs looking for acute care MTs will not consider someone who has only been in a "clinic" per se because the MT has only been possibly working in 1 speciality. You need a broad overall knowledge to work in acute care as you never know from 1 report to the other what is going to be thrown at you. In the clinic setting, the MT can be isolated from anything new that has cropped up, especially if in a clinic for a number of years.
3 additional?
Not too bad. I've seen the help wanted postings and wondered about them. I'd love to do the VR but have a bad back and can't sit 8 solid hours.
additional info
Hope this helps.

http://ergo.human.cornell.edu/ergoguide.html
additional thought
well, and I was having red flags pop up in my mind as well because on their website www.unitedtran.com, there isn't even a physical address if someone wanted to inquire through an alternate route, they leave no phone numbers to contact, only general email addresses. So, I really appreciate all the input tonight! Thanks!
additional info
Not sure about the driving yet.  She said she had a computer guy that might can get me set up from home.  She wants me to type into her computerized chart instead of just on paper if possible.  I have 17 years experience, it's clinic notes for the most part, maybe some letters here and there.  I was going to go with 65 count line including spaces and headers.  I am in Tennessee in a rural area, just a small doc's office.  I
Some additional thoughts SM
I'm curious about what you've decided and agree with Searching's excellent post; but for whoever else is reading, it's inspired me to emphasize a couple of things I'd have liked someone to point out to me.

One, the future of this field is editing, not transcribing, emphasizing a different set of talents and skills. Just what the differences are I don't know as it's not discussed nearly enough, but they're there. Fewer people will handle more reports, getting in and out of them very quickly. Anyone thinking of entering the field should try to assess as quickly as possible whether the abilities to read fast and edit grammar and punctuation on the fly are there. Don't transcribe for two years before finding out.

Second, some are going to disagree with me, no doubt, but school is much, much less valuable than the same weeks spent actually working full-time. This is definitely one of those learn-by-doing jobs, so examine why you're going to school. If it's to get a credential to show an employer you're ready to start learning, okay, just definitely don't turn down a chance to actually spend hours with headphones and a keyboard for it. Buy a set of med terminology flashcards.

Regarding what else one might look to school for, though, trainees should bring a pretty good understanding of grammar and punctuation to the table with them and not need school for that. If more than a quick brush-up of basic "rules" is needed, that could be an warning sign that talents lie elsewhere. Or maybe not, but be aware. Similarly, not reading very much could be another since reading imprints written language patterns in a way spoken language doesn't.

Last, more and more people are paid by production, not the hour. $0.0425 per line edited, or whatever. Do 300 lines per hour for a total of 3 hours actually spent working, be prepared to gross $38 that day. Do 850 lines per hour for 8 hours, gross $290. So although being a demon typist will always be extremely valuable, also be prepared to use every advantage technology offers to get as fast as possible. Get a word Expander and use it. A lot. Learn to write macros. And so on. Best wishes.

What the other reasons might be for some people tearing their hair out over low pay and others feeling basically satisfied with their incomes I also don't know, but the ones mentioned are very important.
Once again --- IC taxes - YOU only pay 7.5% SS additional
The only ADDITIONAL taxes you pay is the 7.5 for the SS tax.  When you are an employee all OTHER taxes are withheld by your employer.  As an IC you control the withholding of your taxes as you are the employer.   You can find many deductions that you can take as an IC to make up that extra 7.5%.   It just makes my teeth grind when someone says that now as an IC you must pay your own taxes, no employer pays your taxes except for half of the social security tax.  All rest is deducted from your pay.   My first and second year I did see a CPA but now I use Turbo Tax and do it myself.  But keep track of any and all expenses related to your business so you get the NET income down as far as you can,  going to the bank, buying of supplies, telephone, internet, mileage.  I find that I have more usable income having my own business than if I were an employee.  But again, everyone look at your paycheck stubs and see how much you made before your employer PAID your taxes and afterwards -- gee is someone seems that the taxes came out of YOUR check and they did not pay them out of theirs.   It hurts to see that 15% taken away but just get your net income down as much as you can.   So if at 10 cpl you were an employee you would need to add approximately .0075 cents or after deductions about 1/2 of a cent to pay for your 7.5 percent social security tax.   Anyway that is my math for a Saturday. 
Did your computer come with a packet of additional
software?   I have an HP computer, about 4 years old, that came with several disks of extras, one of which was WORD 2000. 
Thanks for the clarification and additional information.
x
Additional info on SS taxes

As above post says, you do have to pay the employer and employee portion of the SS taxes.  BUT, you then deduct the employer portion of those taxes on your 1040 at the end of the year.  It's a pain because you have to shell the money out up front, but you get the deduction for it.


So, really, there's no difference in the taxes.  It's just a difference in how and when you pay them.


My computer has additional ports on the sm
front. Maybe yours does, too. Odd that you only have one on the back but maybe I'm not getting the picture.
WordzXpress gave additional pay for more difficult
adf
I agree with you - 1000 lines is wonderful additional help! sm
It is too bad you have hooked up with a person who does not value family. I always put family first. I used to not do that, and I regret those years.

I would establish borders with her - sounds like she needs it.
Depends on each company, but usually incentive pay is only on the additional lines. Ask to be sure.
s
The help file tells you how to create additional dictionaries and, yes, they do get full. nm
xx
Thanks...so much for Stedmans nm

I should have googled it.  Thanks again.


Stedmans
in Word click on Tools when you fully expand this option it may list Stedmans here if not then Click Tools then options and spelling and grammar and Stedmans should be listed under your custom dictionary.

Feel free to email if you need more assistance.
Stedmans's
hi. Stedman's does run in the background. as long as your word dictionary is set to CUSTOM.DIC, it will be using it. There may be a folder in program files, and that is a good thing, in case you want to uninstall it. If you check your "add and remove programs" it may be listed in there, as well. as long as your medical words are not being underlined in red, you are fine.
I use Stedmans and
it works fine with Vista
Stedmans
Thanks for the links.
You can try Stedmans...

Here is a link to Stedmans @ Work:  http://www.stedmans.com/AtWork/section.cfm/27


Moderator


Stedmans CMT
Has anyone here purchased the Stedmans CD to ready for the CMT exam.  I am thinking about purchasing and was looking for some feedback about that one or any others some of you have tried and found that worked for you.  I understand the exam is very difficult and I really want to take it and pass it for that matter LOL.  Any help and guidance is much appreciated.
about stedmans
Hello, I just went to Word 2007, which is very helpful but now I have no Stedman's. My Stedman's is very old. I was wondering if anyone knows where to get Stedman's O7 or 08 cheaper than 99.00.

Thanks so much. Have a wonderful holiday.

Jewels
wp and stedmans
Go into your wordperfect and open the spellchecker. There should be a tab for user dictionaries. Open that and insert new dictionary. There should be 3 with the stedmans title. Use all three
stedmans or you can
or you can just run the disc again and download it into your wordperfect. It should ask you what program you want to put it in
stedmans
Yeah, I know, that's kinda what I'm thinking too. It's the only one I've used in all of my MT career, so kind of afraid to purchase something else. Thanks!
How did you get Stedmans SpellChecker to
Did you have to change some settings somewhere?  Please give me the details because when I try to install it it just quits the install process.  Thanks so much
Please help - Stedmans/WP 5.1 question...
I recently switched to a new computer (Windows XP) and for some reason I cannot get my Stedmans spellchecker to work.  I use WP 5.1 dos and my Stedmans is version 6 for dos.  In WP location of files, it shows Stedmans correctly but when I run spell check, some really ancient version shows up.  Any ideas?  Thanks.
Stedmans GI & GU words
third edeition Is a good one. Been doing nephrology for 7 years email if you need to.
You NEED the spellchecker. Go stedmans.com and get
s
I rarely use my Stedmans
Its so much easier just to type in what your looking for!  I must have 20 books just sitting on my shelf!
Don't buy Stedmans Path/Lab CD!
I'm SO mad at Stedman's! I finally decided to go electronic and bought a med/surg equip CD and a path/lab CD. No problems with the former, but the latter will not work and disables MS Word! And I'm not the only one, as you can Google it on the internet and others are having the same problems. Somehow it interacts wrongly with different virus/spam protectors and will start throwing pages and pages of licensing cleanup alerts into your task manager, disabling your word processing. I called tech support last Friday and they said they'd get back to me. I called them back Tuesday and they said they still hadn't figured it out. I called them today, still nothing, so I got mad and returned the stupid CD for the book. Six days of "trying to figure it out"???? He had said before they could install an unlicensed copy since the licensing was the problem, but then days later said they couldn't figure it out.

They also send you an invoice saying your payment is due by X date (with the return envelope and the space to fill in how much you are paying of the total) when you've already paid by credit card. They also charged almost $20 shipping for 4 CDs that weigh a few ounces. I'm NOT happy!
Meditech and Stedmans
Does anyone use Meditech and Stedmans Medical/Pharmaceutical Spellchecker together?  I just purchased Stedmans to use while typing in Meditech and now someone told me it would not work? I have not tried it yet though.   I will keep Stedmans though to use in Word so no big money loss.
Need help with Stedmans speller

My Stedmans keeps not loading or something.  It was working fine when I quit work Friday night.  Then yesterday it would not work.  I finally did a system restore and it worked after that fine.  Then today, same thing, it will not work. 


Can someone help me out with any suggestions?


my stedmans lab book lists
it as alpha1-antitrypsin deficiency, both the older edition, and also the new edition
The Stedmans Word of the Day calendar.
nm
word97 and stedmans or cust dic

not sure if this is right place, but HELPPPPP......


when I am working in word97 or any word I guess, under tools do I have the Stedman dictionary checked or the custom dictionary checked.  How do I know which should be done?  


 


feeling frustrated