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No one has mentioned neurology...

Posted By: TGIT on 2007-07-19
In Reply to: What is your favorite specialty to type and why? - Just Curious

I love neurology, psych, ortho...okay, just about everything but ophthalmology. ER is fun too...get the drunks and crazies...


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Neurology H&P

HEART: is regular rate and rhythm, no murmurs Carotids, no bruits bilaterally or indication _______ sharp discs bilaterally.


EYES: Grade 2 __ visual fields.  ____ are intact, no nystagmus.


 


I've been stuck on this for a few days now. It doesn't seem to matter if I slow down the dictation or raise the volume. I just plain cannot hear what she is saying. Any suggestions?


Thanks


Leah


Neurology H&P

HEART: is regular rate and rhythm, no murmurs Carotids, no bruits bilaterally or indication _______ (sounds like winebergers) ____ (sounds like fundo )with sharp discs bilaterally.


EYES: Grade 2 full visual fields.  ____ ( grades?) 3,4,6 extraocular muscles are intact, no nystagmus. Pupils equal round reactive to light.


 


Thank you for the EOM suggestion. That's exactly what it was.


The other 2 I'm still lost on though. I've googles winebergers and that obviously wasn't it. Haha. Anymore suggestions? Thanks so much!


Neurology H&P

HEART: is regular rate and rhythm, no murmurs Carotids, no bruits bilaterally or indication _______ (sounds like winebergers) ____ (sounds like fundo )with sharp discs bilaterally.


EYES: Grade 2 full visual fields.  ____ ( grades?) 3,4,6 extraocular muscles are intact, no nystagmus. Pupils equal round reactive to light.


 


Thank you for the EOM suggestion. That's exactly what it was.


The other 2 I'm still lost on though. I've googles winebergers and that obviously wasn't it. Haha. Anymore suggestions? Thanks so much!


Neurology H&P
I know it's a bit jumbled up. I was waiting to see what the blanks are and then I usually go back and clean it up. I'll put in the subheadings and appropriate punctuation when I'm done. I've just found that way works for me. Do you have any better suggestions? I'm totally open. I was thinking it was fundi too since it talks about the discs afterwards.
Neurology H&P
No, no, no. You totally didn't hurt my feelings. I'm still new at this, so I'm open to feedback. Punctuation is my downfall unfortunately.
Neurology H&P

You were right about the cranial nerves heading. Thank you so much.  I was able to get it figured out from there. It was nothing like it sounded. I can't believe I got it.


NEUROLOGICAL: Orientation and language are normal. Fundi with sharp discs bilaterally. CRANIAL NERVES: II full visual fields. III, IV, VI extraocular movement muscles are intact. No nystagmus


Now I have 1 more question. Does this sentance make sense? I just hate neurology. haha.


Strength is 5/5 on her upper and lower extremities including proximal 1 distally.


Neurology H&P
Thanks for catching that. I actually changed it to movement and forgot to delete muscles. Good thing I haven't sent it back yet. :-)
going rate for neurology mt
I was approached and asked to submit a bid for neurology transcription.  They are in a bind and need someone immediately.  This is an ESL dictator, and the account is in the Midwest.  TAT would be 24 to 48 hours.  Any idea what the going rate would be?  I was thinking .11 cpl.  Your thoughts?
Psych here too, and neurology,
but that's probably because I do so much of it! There is really no one specialty that I dislike, I guess.
S/L Perfifth study per neurology?

I can't seem to find anything.  Any suggestions?


 


Thanks!


I swear I had a neurology doctor

who would dictate into the late hours, sometimes almost hour-long dictations, and I could periodically hear the cork coming out of a bottle of wine...guess we are not the only ones that are tempted


Neurology, neurosurgery, infectious dz..

I have HPI Orthopedic/Neurology book (sm)
With that and google, I was able to pick up ortho in no time. It may sound daunting, but a lot of what they say is repetitive and 6 months to a year from now, you'll be wondering why you worried :)

Good luck!

Nilan Beroni Maneuver (neurology)? NM
z
Have you tried Stedman's Neurology/Neurosurgery book? sm
I have a third edition(2003) I could sell you cheap ($20 including postage if you live in the continental US). The fourth edition (2006) is the latest. Just e-me if you're interested.
The hamster release I typed was on a pediatric neurology note. nm
:P
you mentioned everything you could
think of except the pay.  How IS the pay??? 
I should have mentioned...
I get paid by the report! ARGH!!!! Its weird how most MT's get paid by the line and hence love long reports while those of us paid by report LOVE short reports! We have this one new doc who never says more than a sentence or two at the most unless its a CT or MRI, in which case he says four or five sentences....love it!
Actually, as mentioned below
I have worked for MQ, twice! Before and after DQS. As I said, it's up to whomever as to how they want to count lines (divisor, footers, headers, numbers, spaces, symbols, etc). It is not DQS - It is DocQmanage, which runs DQS!
Did you see SE or IC mentioned

I didn't.


So if they don't address me I don't pay attention.


And all they addressed in that letter was Full time and Part time employees.


Looks like somebody else mentioned this above. sm
I keep an eye on it when I transcribe since I've changed it in my expander, but haven't yet run into the cc in combination with prostate, but I'm sure it'll happen.
I don't think anybody mentioned
Harrison Ford -- I love his movies.  One of my favorites is Regarding Henry.
It had nothing to do with what you mentioned
and I will NOT post it, it's just too nasty.
to add to what the others have mentioned ... sm
If you charge a gross line, you might consider how many characters/spaces possible you wish your gross line to be made up of. For instance, if your font is New Times Roman 12, your possible characters per line will be less than if it were New Times Roman 10. And if your margins are 1 inch, that's a whole heck of a lot of typing to make up a line in New Times Roman 12. My gross lines are made up of a *possible* 65 spaces/characters per gross line, no matter what font/size they see. If you go this route, gross line and calculate this way, make sure your clients understand how you are charging so you don't have any conflicts.
No I just mentioned RP because
there was a dramatic difference. It made me wonder if there was something better than ES to play dictation with.
yes...but I should have mentioned...

That I do primarily VR.  I just bought an ergonomic keyboard (MIcrosoft) and while I think I would get used to it at some point, I'm not sure it's the best choice for someone who does 95% VR.  So actually I need thoughts on this as I am pretty much hating this new design and am working on my old one.


 


You can say that again. Sorry I mentioned it.
:
Ok, I should have mentioned.....
it would be working for the SAME company, not two jobs, just my one job, but working here in my own state most of the time and then for 2 weeks every few months or so in another state. I know it wouldn't be my employer's business if I were to get another job at the different company.

I was wondering if I had to let my employer know that I would be working from a different state now and again.
You also mentioned that

you are new to the game, so I thought I might recommend some good quality headset earphones.  I found them yesterday and fell in love with them immediately.  I've had a lot of earphones trying to find just the right fit. Nike Vapor adjustable sport headphones.  might check with www.philips.com  They have 3-way adjustments and the sound quality is magnificent! Can you tell I am sick of bad quality earphones?  :)
have a good experience instead of bad.  Its a long haul if you choose this as a career and you have to take care of yourself.


I don't know if this has already been mentioned here, but
on the other job board, there was a job listed that wanted 10 years experience!!! Good luck with that one...
Have you mentioned to them...
that you would like to visit them more often but it will require them having internet service?  Being the type of work that we do, you have the option to travel anywhere and still work as long as you have a pc/internet service...just as you explained it to us, have you explained it to them in that fashion?  How much will it cost for you to get internet service?  A friend of mines visited me and she had a lap top with an air card and.  she told me that if someone near you has a satelite that you could tap into (not stealing) but somehow you would be able to tap into their service provider and get internet service.  Speak to someone about how the air card works?
Like you mentioned, there are many
variables. I was told by the person who trained me that average is about 3-4 times the length of the dictation. Usually, clinic work is pretty easy, and with the same docs all the time, etc., it could very well take less time. Of course, with poor sound quality or difficult dictators, etc., it could take longer.
That is why I mentioned the supplements...
If you are healthy, from the inside, I think it shows on the outside...

One of my favorite female performing artists is Emmy-Lou Harris:  She is also stunning, for her age.  She is a natural beauty, who when she was quite young was a beauty queen, but I have noticed the last few years she is doing what I see a lot of older women do, just as you mentioned, dressing a little too 'hip', too much makeup. 

A lot of her appeal was her no makeup look, long straight hair, and jeans, in my opinion.  With her gray hair now she is even more drop-dead stunning, only I wish she would not dress so 'loudly' - not that she is anywhere NEAR what you are talking about - haha...

Ick - I know exactly what you mean with some of these women...  classic 'change of life' symptoms... 

In all fairness, though, the advertising market knows just how to do this to women - and they are merciless with 'telling' women how to look, and changing the style every week so they can make huge mounds of money...

Another 'trend' I see more and more is older women with much younger guys...  Yikes, for me, I am terrified already of losing a man to someone younger, imagine he is in his 30s (his prime), she in her 50-60s (menopause, hair brittle, spots on your body, tired, mood swings, etc etc - no need to go there, smile) and he is surrounded by these 18-20-somethings who are completely aggressive and thrill-seeking (with aspirations of being strippers and prostitutes from how they look)...ya think???  Are these relationships solid?  I imagine a few are based on real emotional/love, but...what a trip!

If you have mentioned within the Post
that it's in-office position, no worries. Board is for every sort of Jobs. I have seen many on-site and hospital jobs on this board before.
Each of the companies you mentioned
per year -- I am certain that Equifax does, and believe the others do also. They will charge about $8.00 for subsequent reports within a year. I believe consumers now have a right to access their credit scores as well, but I do not think this can be done for free. I would inquire with these companies as they should have the info. on that. Anyway, you will at least know from the free reports whether there is anything negative that you need to clear up.
I think the FREQUENTLY mentioned ones
if you'll check are the ones who are talked about on this board quite often. The good ones are only talked about infrequently, that's the only point I got out of this whole thing. Can anyone name 1 company that called them after a month and offered them ANY raise at all. I'm interested if anyone can. I only know from my own experience that I only get raises when asked and have only had 2 in almost 10 years and they weren't more than 1/2 cent, so I think the author of that is correct in their viewpoint.
Expunging is the best bet, as mentioned below. sm

It may depend upon the type of felony, but a friend of mine had a felony DUI, but he straightened his life out, and after 5 years was able to have it expunged from his records.  His attorney told him that for all intents and purposes, he could then say "no" when asked if he had been convicted of a felony, unless it had to do with the military or top government type jobs. 


The law may vary from state to state, but it would probably be in your best interest to check it out.



Good luck!   


When this was mentioned last week, I went to sm
Amazon and read reviews on it. Some people raved about it, but others claimed it was garbage. Too much hiss.
I have all the same issues you mentioned as well.
I guess everyone else is thrilled with the new version or just does not use it? May be my last year wasting my money with them unless I hear they have made dramatic improvements for next year.
I am glad you mentioned this
as many people often glorify having their own accounts/ own business. Been there/done that and I learned that the most important thing to me is the freedom and ease of taking time off without all the worries. To each her own, I guess :)
Maybe she had that typist mentioned below...
You know, the "slapping pooperectomy" one?!    Still kills me!     
I am about midway between yours and the one you mentioned. sm
do you speed up the docs you have been doing? i do have one doc i have done for about 2 yrs and i can do his speed at 225% because i know him so well. i average about $45/hr on his work. i find the faster i have the speech going, the faster i work/type. do you have Expanders with sentences/phrases or just words here and there? i have entire sentences and paragraphs that are frequently used.
your very welcome. you mentioned the other gal was hired sm
so she could possibly take some home to do it so i thought well why can't you take some home too, at least temporarily until you are better healed with your feet. you could put in 4 in-house, go home and then late that evening maybe put in another 4. i think breaking up your time at the computer into some sort of split shift would be the best thing for you and your feet. but do check into the requirements (maybe not asking the lady over you as she seems to not want to work with you). it typically is not 40 hours at all places.
Not the OP, but you had me there until you mentioned clicking.
s
Dont you think dr would have mentioned that if
x
He would have mentioned it so it was clear it
x
Yep, I mentioned my other job quite a few times
I work for an insurance company doing accident transcripts. In fact, that's what I'm doing tonight.
No, for all the reasons you mentioned.
for those same reasons, i refuse to be a member, though i too was originally. AKA AAMT is like congress today, self-serving, not representing "the people."
MT needs to be mentioned or else we go unnoticed again.....
We have been in the basement with no windows long enough. 
I think the MT business needs to be mentioned...
but maybe not the entire jest of the letter. Like a poster below said, if it's not mentioned, we'll go unnoticed again. A lot of people don't realize their records are being sent out of this country. I'm going to do some research before doing a letter, but I'm hoping to find some info regarding how many MT jobs are being sent overseas, just as a part of the overall number. I think it will come out that we actually are a big part of the grand scheme of things and it is a big deal - regarding jobs and security.

She mentioned somewhere in this story that
The doctor and his wife don't seem to care how far behind the dictation gets. It sounds to me like the doctor's wife just doesn't want pay for transcription anymore. Perhaps the nurse might want to consider getting another IC job with a different doctor? Then it no longer matters to the nurse whether she's more stressed during the 8 hours of employee-time, at least she'll have a separate stream of income from a different doc. And eventually the doctor may realize there's a major problem, but by then the nurse will be in a position to negotiate a better IC rate or better working conditions (or both).