Yep, my son's doc charged 111.00 for a 3 minute visit to tell him he had a kidney stone.

• Doctors documenting hours worked - eyetype
  • That is how they get their complexity up...nm - Billing!
  • I totally agree, it reminds me of lawyers. nm - MQ2
  • getting paid - se
  • Docs have the right to document their time - JW
    • You know, your post reminded me of the fact that... - See message
      • You're right .. and here's 1st-hand knowledge -- sm - A
  • Yep, my son's doc charged 111.00 for a 3 minute visit to tell him he had a kidney stone. - What a racket.
    • Stop going to the doc, then! Oh, you NEED them though, huh?! LOL nm - MT
  • where I work - JayRae
  • yes, your cranky; the patient visits are actually coded sm - ex coder
  • I have some docs that say totals if counseling is - omt
  • My ER docs do it alot - ugh
    • And in view of the fact that........ - See message
  • Yes, you're cranky. The docs may be instructed to do so to appease Medicare or other such entity. - nm

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Isn't it just amazing that teens will go to all lengths to help a friend, but you ask for help w/chores and it's like you pulled out their wisdom teeth with tweezers!  Needed help cleaning carpets...they were probably growing the cure to cancer after all the kids tromping in my house...told them ALL/friends and kids that they WERE GOING to do most of the work with the cleaner..."Oh cool...OMG, you could literally see black and white from all the areas they missed..."why do WE have to do it"...Well,  I could probably pick up each of yours DNA all over and for sure, MY friends do not track crap all over.

Another issue is how most adults in our community/teachers, neighbors etc, tell me just what great kids/nice polite/helpful I have and i find myself RE-introducing myself and connecting to my kids...yep, that's who they're talking about..and I guess they wipe off that nice attitude when they hit the front door....guess I should'nt complain on that one.  Better than getting nasty complaints about them

When is the last time you hung around at an elementary school?  Yes, all the little boys in kindergarten and first grade race around after school trying to smack each other in the butt or the crotch.  I don't know why they do it.  I don't like it, and I don't tolerate it.  I even tell the other kids in front of their parents to knock it off.  Don't even tell me to watch my generalizations because I've seen it with my own eyes.  It doesn't make them little perverts.  It just means some parents need to teach their kids about boundaries and inappropriate touching.  My kids never, ever did it until the other kids at school did it to them first.  I do not like it one bit, and I told the parents of the other kids.

Let it go. 

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. :)

     This is a personal question, not exactly related to work.  I am going in circles with at least 2 doctors now (and several unrelated specialists) who are not concerned about my lab values, but from what I have looked up, it seems they should be doing something, even if it is just explaining what is going on and why.

Since August last year, my GFR has been 55-59, and from what I've read, that means kidney damage.  I am still on indomethacin, which I believe can contribute to kidney damage.  I don't know what else could be contributing or what might make things better, or if like they say, it's "within normal limits" and "nothing to worry about".

Any input?

He was extremely happy to be off the dialysis and looked quite a bit healthier for a span of time (kidneys do things the plastic tubing just can't), but he only lived an extra 3 years and had to take lots of antirejection meds in the meantime, was in and out of the hospital a lot.

I agree with the person who posted below about talking to a physician about the downsides. Find out exactly what quality of life most transplant recipients have and how many extra years most of them receive. This is a big decision. It will change your life and probably in ways you can't fathom yet.

Wish I could give you better answers. It's so hard to watch people we love suffer.

the first time.  Tell them if you have to spend time to listen, then that's at a rate of $20.00 an hour in addition to the transcribed lines minus the reports they think are already transcribed.  This way, you are paid to listen.

How much more of this are you going to take Lisa?  My dear, you are letting them walk on you.

Are you being paid for the "meeting" in the morning? 

I can thank C-Bay for losing my job, too. 

Look, you are going to need to draft a contract to bring along in the morning.  Otherwise, you will be working for free, and this practice will drive you insane. 

You need to figure out what works best for you and set the ground rules.  You simply explain to the office manager that this is how you will be doing the work and what you will charge, etc. 

At some point, you will have to hold this office accountable for the work they give you and stop working for free.

If you are picking up flash drives, then they should not expect you to report back on patients, etc., which is time consuming unless they would agree to a flat hourly rate for listening and sorting out dictations and then a lower line rate. 

I know, I have a big mouth, but please, don't let them take advantage of you.  As I said in your last posting, they will continue to abuse you if you allow it. 

There are plenty of companies online hiring right now.  www.mtjobs.com - have you checked there?

for DH to come in and find out the results of the MRI, doctor never touched him.   It could be worse, we could have not had insurance at all.   DH and I weren't exactly thrilled with the doctor anyway (can you imagine an MT going to support their spouse and not being allowed to ask questions until the doctor gives you permission - LOL). 

My biggest and best suggestions are to type a specialty that interests you and try to keep up with the report.  In other words make it a challenge to diagnose and treat the patient before you're through with the report.  I use an online timer set for 45 minutes.  I'm not allowed to do anything but type during those 45 minutes.  If I'm feeling a compulsion to research something that I found while checking on a word, I write it down and give myself 5-10 minutes between 45 minute sessions to do exactly that.  I also take medication (adderall) without it I would be completely lost.  I also have to make myself use the interest as little as possible.....too many shiny things to take my attention away.  The good thing is that usually ADD people are exceptionally bright and innovative, so I can accurately produce in 4 distracted hours what most can produce in 6-8 diligently working.  However, can you imagine what your line count would be like if you stuck to it the whole time??

So, to summarize:

1.  Try to find an MT job that interests you.

2.  Use a timer to limit your distractions.

3.  Take medication.

4.  Avoid the internet for reseach if at all possible.