s-wall of bladder

• s-wall of bladder - kims
  • ESWL - nm

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he told me it was caused directly by smoking.  He told me I would have to quit immediately.  I continued to sneak and smoke for the next two weeks while undergoing an extensive workup including multiple office visits, x-rays, 3 cystoscopies (1 in the office, 2 in the hospital), blood work, MRIs, CTs, bone scan,.....

I had an in-patient cysto on a Monday, and my oncologic urologist told me I had 4 bladder tumors that needed to be removed, but he wanted me smoke free for two complete weeks due to the extensive nature of the surgery.  I was discharged on a Tuesday morning and puffed my very last cig on the way home.  The next two weeks were spent crying...out of fear of what was going to happen to me as well as desperately wanting a cigarette and knowing I couldn't have one.  Following surgery (removal of entire bladder and lymph nodes, a complete hysterectomy, removal of most of my terminal ileum, and creation of a neobladder) I spent 1-1/2 weeks in the hospital and was too busy praying that I would die (morphine barely touched the excruciating, never-ending pain...) to even think about wanting a cigarette.  Today (18 months later) I am smoke free.  Every once in a while I'll think I'd like to have a cigarette, but then I remember all the terrible pain I had; I remember hearing my husband and daughter crying as they stood at my bedside; I remember the fear that gripped me; I remember hearing my doctor say if I smoke again I have a 70% chance of developing mets to liver, lung, or bone over the next five years.  By not smoking, I've given myself a $120 a month raise ($4 a pack x 30 days).

Hi fellow MTs:

Just wanting opinions.  I find some days, my fingers/brain are really "on" with transcribing, but then I have other days, where reaching my line count is a struggle.  Obviously, I'd prefer to all "on" days and I'm wondering if any of you have suggestions on being "on" more than off.

Thanks in advance and happy typing!

Whoever is responsible for this current economy in my opinion has just done us in...

This is from an Indian company (if you go to their site check out their job openings, all in India)

See below: 

With the economy in the US showing ‘no’ signs of recovery and with the ‘fourth’ largest bank going bust, companies which earlier had said an emphatic ‘no’ to outsourcing, will have to rethink.

High Capital Costs

The burgeoning ‘operational’ costs a company based in the US incurs for basic back office functions such as payroll processing, accounting, distribution and other important functions adds to the high capital cost of a product or service rendered by companies there.

A new ‘strategy’

A new mind-set is the need of the hour; entrepreneurs need to harness new technologies, outsource assembly lines across the globe to offset the high labor costs  at home, this trend adopted by some of the companies a couple of years ago has turned the corners for them, ever since they started moving some of their tasks to overseas companies based in India, operational cost were reduced by one third.

Internet the ‘messiah’

The vast avenues of communication made possible by Internet has made it possible for enormous levels of information that is exchanged, unlike the pre-Internet days where communication was possible only through a telephone, a fax or a personal face-to-face meeting, now entire board room meetings can be held on the Internet regardless of the physical presence of members.

Cost ‘benefits’ of outsourcing

When a company based in the US ships a $14 to $15 an hour transcription job assignment to India where a transcriber is paid just $1 an hour, consider the cost benefits the company will receive, in comparison to the in-house service maintained by the company.

How will ‘US’ benefit from outsourcing

US companies will be able to enjoy reduced costs, and the large profits that will result can be re-invested in new ventures or expanding the existing ones, thus the outsourced new contractors can in fact create new markets for American products, and displaced US workers will have the opportunity to find newer jobs in vibrant new enterprises. The US companies will have the advantage of developing newer products with better features and thus antiquated products or services can be handled by the ‘contracted’ offshore companies.

Advantage of a different time zone of an ‘offshore’ company :

The operations of a US based company will never come to a stand-still, even after the staff has left for the day, the off-shore company based in India will take over and complete your unfinished task, thus projects get a round-the-clock attention, giving the companies an effective lead in completing projects with a quick turn-around-time. Client is therefore assured of an ‘on time’ delivery of his project, and in the bargain the company will have the benefit of maintaining the customer retention ratio.

Why choose ‘transcriptionstar.com’ as your vendor

As a transcription company we have the process expertise and an effective track record of experience and knowledge, we also are very flexible in adapting to newer technologies and since our operations are India based, where employ wages are one fifth of the their counterpart’s in US, an effective price advantage can raise profit margins of US companies to new heights.

Avert ‘Costs’ from sneaking up and corrode ‘Savings’:

medicaltranscriptionsservice.com can effectively ensure that companies outsourcing transcription requirements to us can save 40% to 50% on costs, whether it is for applications for Business Transcriptions, Media Transcriptions, Legal Transcriptions or Medical Transcriptions, we are the ‘source’  that you can ‘outsource’ and avert costs from sneaking up and corrode savings.

Advantage outsourcing from India:

With a vast reservoir of English speaking university graduates and a vibrant democracy, India can virtually ‘clone’ the operations of US companies at one fifth of the cost, and still maintain the standards of quality required by clients in the US, remember it is time to act now than wait, ‘outsourcing’ is the solution.

“A Stitch in Time saves nine”

the ESLs, I can't get much past 1200 lines daily anymore.  Anyone else in the same boat?