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emergency room visits

Posted By: ER MT on 2007-02-02
In Reply to: Does anybody understand the meaning of EmErGeNcY room anymore? - april

I have often wondered this exact same thing. A lot of people go to the ER who have no health insurance or no primary doctor. 


I had one woman bring her child in because he made a funny face after eating a sour fruit candy, I mean come on! 




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Emergency Room
I type ER notes at my current job and I get the same thing.  I bet 90% of my reports are for sore throats.  I actually had one a few weeks ago for a cold!  Come on now people!  Everyone knows there is no cure for a cold!  That is why most of us cannot afford health insurance.  I had a couple bring a baby to the ER because it spit up during the night (just once).  Come on!  Babies do spit up.  Natural.  This happens.  Buy a baby book! 
Emergency room notes! nm
x
Emergency room report

What sort of background do you need to learn ER reports? 


Does anybody understand the meaning of EmErGeNcY room anymore?

I cannot understand why I type SO many ERs with trivial chief complaints such as:


sore throat - cough - pimple - splinter - blister - farted - (okay, maybe I'm exaggerating a little, but COME ON people!)


The most recent ccx.....Can I take a laxative? Not constipated, just needs to know if she can take a laxative along with her hypertension med. Thought she better go to the ER to ask.


Why are these people allowed to be such a waste of ER resources?


Just a pet peeve....wondering if anyone agrees with me.....perhaps someone else who has spent hours in an ER waiting room for something or other.


 


Acute care work is operative reports, consultations, H&Ps, emergency room, DS basically the type of
dictation found in a hospital setting as opposed to a clinic setting in which you just type office notes and minor procedures.
A nice sunny room just for me in our finished lower level. Love my cocoon room.
:+
I have never had my own room. I shared a room with my sister, went away to college sm
and had a roommate (whom I am still close to) for 4 years, moved back home and back to sharing a room with my sister while she went to a local college and then got married. In fact, after 17 years of marriage, this is the first time in my life that I have had my own dresser, not just the top two or bottom two drawers!

I could never live alone. Not for fear but for loneliness. I like my alone time but I love to have people around.


Visits to MTSTARS...sm
How many times a day, on average, do you come to this website?  Just curious.
Chiropractor visits
I take myself and my two boys (14 and 8) to the chiropractor every 4 weeks. It is just to keep us "tuned up". My kids notice a difference in themselves if we miss a month. They actually like going because it makes them feel so much better. I would be concerned about it if they are going every week though. If you are paying for it, you should have the right to ask about it.
9 YO Chiro Visits

As an insurance claims specialist, there are two issues here.


1) Since the mother works for the chiro, it is likely he would not bill the mother for treatment. And, if he did approve of professional courtesy by not charging the mother, then any claim to insurance would be fraudulent in the first place. This will be a policy provision in your own insurance policy.


2) The mother is probably filing fraudulent claims. You MUST speak to the Chiro on a personal and confidential basis. I would either try to contact him by phone, or send a certified letter where only the chiro can sign for the letter. Then you have proof that he received it. It won't take long for the provider to find out if the mother kept the money.


3) Filing a false claim is unlawful and can result in treble damages. You bring it up to your carrier and if it is truly a false claim, you could be entitled to part of the recoupment, if that happens. This could even potentially be a police matter of embezzlement.


4) 50% of all doctor's office will expeience some form of theft by an employee. I've seen it time and again.


No matter what, it doesn't sound right. And since the boy obviously hasn't been to the chiro in a while, it is very suspicious. Since you pay for the insurance and presumably the difference not covered by insurance, you have EVERY right to get involved. Furthermore, just as an innocent bystander, when you know someone is breaking the law, you have an obligation to report it. Don't be intimidated, find out what's going on. Best of luck.


Cyndee Weston


 


 


You might try a few visits and then switch to
Massage therapy. I too have muscle spasms in my neck and I have done both chiropractic and massage therapy. I have found that a good 1 hour massage does wonders!! and the effects last longer than what the chiropractor does. Sounds like a luxury but to me its preventative maintenance in this line of work. When I'm crying because it hurts so bad to hold my head up straight I can't very well type!
Limiting MTStars visits! LOL.

But one must check in from time to time throughout the day. Only trouble is, I find myself using that time to also check my e-mail, do a bit of browsing. Amazing how those the clock ticks quickly and the minutes can add up. 


if the average person who visits the doc
Only knew where their private records were going, I think there would be an uproar to say the least. 
sounds like my clinic visits ... sm
When sick for a visit, have done very interesting things with bodily fluids (including regurgitating on the doc). When rattled, have screwed up HPI and ROS. Have had conversations with other patients/office employees during my visits. Used to take at least 1 small child for every visit (one doc even let her play games on the computer while doing my exam, a tech let her help place EKG leads, and a radiologist let her help "read" a mammogram). Now that the small child isn't so small, have answered her calls during doc visits. They do put up with that and more. Seriously, I'd rather type about a pelvic exam than do one, especially if yeasty. Your post actually made me appreciate the doc more and be more tolerant of the way they dictate.
yes, your cranky; the patient visits are actually coded sm
due to time spent in the room. this is to document to CYA if needed. so remember, the more you talk in the room with your doc, the higher bill you will see. like office visit, regular; office visit extensive, etc.
I have Blue Cross through Webmedx. Office visits are $20. nm
x
Husband's plan has no deductible, just copay and pays just straight up to 12 visits a year.

I do have a high deductible for mine, I think $5000 but the important thing to me is that I only pay $35 office visit copay. The deductible only kicks in on lab, x-ray etc.. and I have prescription coverage. The other thing you have to consider, as I also work in a physician's office doing medical billing, is that there are substantial contractual adjustments if you are with a BC plan. Say, your bill is $100 and the "allowable" from the insurance company is $75, that means that your doctor's office has to adjust off the extra $25 and you are not responsible for that; whereas, if you had no insurance, you'd have to pay the whole $100 out of your own pocket, no discount there.


Sorry, but if I have an emergency, I would rather have an
RN or RNP around than a fellow MT. It is easy to know the words to use, but putting things into actual use and practice is a different ballgame. Why do you feel so insecure that you have to challenge someone else? You know your field, they know theirs, and let it go at that. This is a child's game.
Not an emergency?

You don't have grandchildren? The only family the girls could live with was the two grandmothers. I only had one child and her husband is also an only child. The military doesn't care what happens to your kids when they send you. Oh wait...I know....we could have put them in a foster home....why didn't I think of that? Any OTHER grandmothers don't think caring for your babies is not an emergency in time of war?


 


If emergency, take your PC and go live where
x
usually you can fight or there is a clause for emergency sm
situations that you can go to the nearest hospital for emergency and i would say it was emergency or you wouldn't have went to the ER. fight it; you pay the benefits, you should get some help.
Computer emergency. Question...
I turned on my extra computer next to my work computer and got a black screen that says "operating system not found"  What the heck happened?  It worked fine yesterday and shut down normally.
Daily emergency work as IC...

Is it normal for an IC to be called often for emergency reports that need to be completed within a short amount of time - one to two hours.  Is this normal practice?  I get these calls fequently and it makes it difficult to complete the work I was doing, and/or I may be out on my own time when these phone calls come in.  I tend to work best in the evenings so I do most of my chores, etc., during the day.   


 


 


Poll for IC's - do you have emergency backups for your equipment - sm
I'm wondering how much is enough - I just got a new keyboard so I have my old one for a backup.  Now I'm wondering if I shouldn't have emergency back-ups of my other equipment - C-phone, foot pedal, etc.  Anyone else have this?
Be sure to check your local emergency services regarding 9-1-1 sm
Just saw a news story that 9-1-1 is not set up yet on these systems to pull up the home address with the phone call. Just an FYI.
Call the police...the non-emergency number
most communities have noise ordinance laws. If the cops show up enough times they will stop. Trust me, I've done it. I had a neighbor that used to blast music at the wee hours. I tried the *nice neighbor* tactic of asking him not to do that becuase I have a child and we need to sleep, etc. Well, that didn't work. He worked 2nd shift and believed it was his *right* to blast his music whenever he wanted. After I called the cops a few times on him...he stopped, and I haven't heard so much as a peep out of him since!
Emergency question for brilliant computers techs. sm
I just had a weird experience with my computer.  The screen looked like it was shaking.  I thought it was in Word at first, but the desktop was doing this also.  It was like a wavy line was going down the screen, part of it would jump a little bit, then below it some more would jump.  It was almost like a wave pattern to the side, I could see the edges of the screen moving in and out.  I thought I saw this yesterday once or twice, but decided it was my eyes.  It wasn't, this was definitely real.  It lasted for approximately a minute.  Is this something to worry about?  TIA. 
Dinner and pets aren't the same as a medical emergency. Capiche?
x
Not unless it was emergency surgery for bleeding, perforation, etc. Food would contaminate the
n
No offense, but I hardly doubt kids 6, 8, and 9 in a real emergency would be savvy enough to handle
their cell phones properly while some creep is carrying them away.  And they're away from you with cell phones at that young age?? Oh my! Please reconsider. Perhaps you're feeling false security from a cell phone. 
Don't forget the "good Mayor" who did not follow standard emergency procedures
But he sure is quick to throw blame on everyone else. 
Emergency over... Kid hadh left an empty floppy disk in the computer.
x
Well, not really. In college I did a gruelng intership at a local express emergency clinic and got p
gas, lunch, uniform, etc., AND the head doctor ended up sexually harrassing me! I kid you not! So, I don't think anyone without any experience getting paid 3 cents to learn MT in their own home setting is half bad.....It could be worse. They could ask you to do it for free.

PS: My college major was nursing.
NO, THERE IS NOT ENOUGH ROOM
in the insane asylums for all us newbies !!!!!!
Seriously,I do turn the speed up one notch from the middle for one or two excellent dictators, but any more than that, and most dictators would sound like chipmunks!!
I have room -- do you?

Looking at all of those thousands of displaced, hardworking, honest people and families you have to know that their homes and jobs are simply gone.  They will need to start over elsewhere.


Can someone create an information bank of those of us willing to offer housing availablity (such as an extra bedroom) on a short-term basis.  Sort of a temporary arrangement for the family to have shelter and food while looking for a new job/home etc?


Is there an agency for this?


I'm a room mom too...I always sm

order from Oriental Trading Company.  Tons of inexpensive crafts for all ages.  Sometimes the teacher will take up a 50 cent or 1 dollar donation from each child to cover the cost, but generally I just pay for it myself and write it off as a donation.


 


Get a room
x
I have my own room
used to be the third bedroom. Just recently budget decorated (yard sale finds, etc) it in a moderate retro look, black/gray computer, black accessories, peach wall and funky 1950s barkcloth curtains and bulletin boards (can't live without a place to tack up reminders, etc), black iron and oak bakers rack, painted a tall chest of drawers black to hold office supplies, black bookcase and two dark oak desks. Sounds kinda of dark with all the black, but it is realy quite light with the peach on the walls. Going for a more clean, streamlined look (Previously had country birdhouse decor). Even with my own office, I'm constantly fighting paperwork!! Ugh!
When I was room mom.....
I coordinated parties, helped out with field trips, that sort of thing. I had student names and their parents and telephone numbers so I could call around if I needed help with something (like a Christmas party). Also, to introduce yourself, send a note home with each child introducing yourself and letting them know if they have questions, they can call. I had parents call me just to find out my thoughts on different things going in the class. I loved being room mom. You get to know the kids. Also, let the teacher know that you are available to help her. Good luck!!
room mom

Oh boy, does that bring home memories! I was not a success....the first thing you do is take a Valium an hour before you go! Seriously though, talk to your co-mom, then the teacher, ask her about the dos and don'ts of parties, etc. I think the thing that got me the worst was the little chairs I had to sit on! Lot of trouble getting down on one, then getting up!


The little ones (I'm talking kindergarten) are excited to be there, they get noisy, and there are a lot of them! Also, there are always one or two that cry at first, one might go somewhere and cover up with a blanket and stay there the entire time, sucking his/her thumb! Of course, somebody always wets their pants or worse in the beginning. I thought I would lose my mind, but I kept smiling!


Best of luck! Remember, your offspring will be so happy and proud that you are there, so hold the banner high!


 


room mom sm

In addition to coordinating parties, etc., the room moms at my daughter's school usually have some kind of a get together so that all the moms can get to know each other.  Also, it gives the room mom a chance to go over things that will be happening in the class. 


Last year, we had a little "party" at the room mom's house with snacks, etc.  That was a great way to get to know the other moms.  The teacher usually meets with the room mom before the get together at the beginning of the school year.


The room mom also asks for volunteers for any party, field trip, etc.  We always have plenty of volunteers which makes the room mom's job a lot easier! 


Hope that helps!


Too bad she's not in the same room with you
so you could ask her if there was something you could help her with so you could both get back to knocking out the reports.
got room in that bag for me too??? --nm
nm
Agree! There's room for everyone. :) nm
xxx
chat room
On the main board, menu on the left says "chat". I have clicked on it several times and it always says no one in the room.
there is enough room on this board for a little bit of everything.
dd
In AOL chat room.

Chat room
Just wondering why there is so few in chat room.  Whenever I go to chat, no one is there. 
She is in our utility room, so she is out
of the rain.  We have a chest freezer in there which puts out heat.  We also have our hot water heater in there, which puts out heat and we also leave a light on for her, which generates some heat.  She has room to lay down and stretch a little, just not as much room as a big dog really needs.  
Have radios in every room -- all do it. nm
*
Always room for improvement

I do agree that they have areas where they need to improve but I promise you that they are working hard at making changes for the better for the good of the MTs out there.  I'm sure I'm going to get slammed for coming to their defense (I can take it), but I just find it a bit hypocritical that so many people are so quick to bash them but yet don't hesitate to send folks to the organization when they need something such as the QA Document.


I probably shouldn't have jumped to conclusions (yes, I'm guilty), as I don't have any idea if those who posted above referring this person to AAMT are pro-AAMT or not.  But, still want to say hooray for seing SOMETHING positive being posted on this board about AAMT.  No, they are not perfect but they have achieved great things and greater things to come, I feel confident.