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seizures - 2 hours long

Posted By: kathkeane on 2006-07-05
In Reply to: Could use some personal input on infant seizures. sm - Gram

My daughter had grand mal seizures since age 18 months (after her immunizations of course). She had them until she was 4 1/2 and then they restarted at age 12 (when we were living near a nuclear plant) - University of Wisconsin has the best ped neuro program, Harvard has another. The child does not suffer normally -- onlookers suffer more than they do if it is any consolation. My experience with the entire medical field of neurologists has been substandard -- look until you find one you trust. Beware.


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I must say, I work long hours, sometimes 12-14 hours a day.
I thought it was important to mention that. However many hours it takes to get the work done is what I do. Some days 12 hours, other days 6 hours and sometimes 14 hours. So, I guess there really is no easy answer.
Stress and long hours

So, you're saying that you got tired of the stress and long hours so you bacame a TRANSCRIPTIONIST!  You crack me up.  Everybody knows that as a Transcriptionist there is never any stress or long hours.


How long on average (hours) does it take to type

I know it depends on lots of things such as difficulty, typing speed, expanders, etc.  Just looking for how many hours people have worked to get to 2000 lines.


Long hours of dictation for translator
Hello. I do transcription for a medical translator and it is very lengthy work and yesterday I spent 14 hours working on medical journal articles. I use MS Word and have only used the autotext feature for inserting regularly dictated words. Is there a better program out there that is easy to use and reasonably priced that will help me not have to do so much repetitive typing. I make a lot of tables and charts too. Any help would be great.
At least 1 whole POT OF COFFEE daily if not 2. Work long hours. nm
x
I work long hours and keep distractions to a minimum sm
and very, very luckily was assigned an account that was an excellent fit.   I'm pretty sure you all won't believe me anyway and I'm not sure why I bothered to respond  but my "secret" is just hard work and dumb luck.  Plus I do Radiology and for me that is a big part of the equation.  
I work whatever hours I want, as long as I have the reports back in TAT...
I have assigned doctors...
seizures
My daughter had seizures at 9 months old. (She has special needs) She is now 21 and has been seizure-free for over ten years. No meds.
First, while a baby is having a seizure, you should put them in a safe place, like the crib or on the floor on a blanket. Somewhere where they are safe and will not hurt themself and lie him on his side so that any saliva from his mouth can drool out. I always tried to time the seizure. Sometimes, it takes trying different medications to find the one that works. Seizures are difficult to diagnose. Any fever associated with them?
Keep a log book on when he has the seizures. Good luck and if I can help in anyway, please let me know. I know seizures can be terrifying to watch.
My son HAD seizures.....(SM)

When he was five or six he was eating a granola bar and all of a sudden he couldn't talk and he started drooling.  I called 911 and the paramedics came.  They thought he had choked.


The second incident happened when he was playing a video game.  This time his left cheek started twitching, he couldn't talk, and again was drooling.  I called the pediatrician and they thought it was related to playing the video game.  I took him to the ER and this is what the doctor said (I will never forget this)...."it is not a seizure" and he jerked his arms and said "this is a seizure."  He was describing a grand mal seizure.  My mom is a nurse practitioner so I knew from her that there was more than one kind of seizure (I wasn't an MT at the time). 


I then went to his pediatrician who referred us out to a pediatric neurologist.  The neurologist felt it was a partial simple seizure and ordered all of the usual tests, which confirmed the diagnosis.  He was put on Depakote 100 mg and had only one more seizure in two years.  We tried taking him off the Depakote during the summer (while he wasn't in school) and he had a seizure.  He then was on Depakote for another year seizure free.  We took him off the next summer and he has never had another seizure.  Some people use the term he grew out of the seizures, but actually his brain re-routed around the affected area in his brain that was causing the seizures.  He is now 13 and he is still seizure free.


My advice is to seek a second opinion.  It never hurts.  You can even seek a third opinion.  Different doctors have different ways of treating patients.  Research his disease on your own and also look for alternative treatments other than the norm.  I know my son's seizures weren't grand mal, but they scared us so.  We are so thankful his body corrected itself and he no longer has them.  I'm cautious with him injuring the area of his brain that was damaged and always tell his coaches and teachers about it just in case.


I wish you and your family strength and courage.


It has a lot of uses, another being for seizures...
My doctor suggested I try it when nothing else worked. I had to start at a real low dose because it made me very sleepy. I am on 300 mg, which is still a low dose, but that is the dose that seems to help the most without the side effects. I also take Wellbutrin too though. Every time I would see a doctor, they always tried just one pill. Finally a psychiatrist told me that one pill wouldn't work because I have several different things going on, so a combination of meds would be more appropriate. I had already been on the Wellbutrin for months. She at that point added the Neurontin. I could tell a difference right away.
DSR for seizures.

DSR: The patient died of seizure well without complication.


Dictated:  The patient tolerated the procedure well without complication. 


TRILEPTAL AND SEIZURES

My 20 year old daughter was just diagnosed with partial seizures.  We could not wake her up on Sunday morning and had to call the paramedics.  My question is does anyone take Trileptal and is there side effects or are you having success with it.  Are you able to drive?   My daughter says her lip goes numb when she first takes it.  I have done research but I would like to know if anyone had first hand experience with it.  THANKS IN ADVANCE.


Many thanks to my OP on infant seizures. sm

I apologize for not getting back to you sooner, but I went on a mini-vacation the afternoon that I posted my original message and lo and behold, I found things to do that didn't have to do with being on my computer.


One thing I'm happy to report is that my grandson laughed the other day.  First time we've heard him laugh in a couple of months, which was before he started having the seizures..  My 11-year-old daughter has a stuffed monkey that makes kissy noises and then squeals like a monkey when you push a button.  We tried it and he smiled, laughed and kicked his little feet.


He doesn't just sit and stare like he used to, so I guess we're making progress.


At any rate, thank you all so much for your input.  It is very much appreciated.



Could use some personal input on infant seizures. sm

If any you are dealing with or have dealt with seizures with infants, I could sure use some help. 


My grandson is now 8 months old.  He started having seizures a few months ago. (Incidentally after having the usual immunizations).  We all knew something was "wrong," but all that he did at first was roll his eyes back and was referred to pedi ophthalmology and was diagnosed as normal.


Then he started rolling his eyes and tensing his whole body up and then it got worse.  He stopped smiling, stopped making eye contact, etc.  It wasn't until he had a seizure in front of the pedi that something was done.  Supposedly.


After being admitted to the hospital and undergoing EEGs, he was diagnosed with seizures and sent to a pedi neuro specialist.  He's on meds and he's better, but he still has them and there is no way to pinpoint why, where or when he is going to have them.


The poor little guy just suffers so during his episodes.  There is no warning.  He just starts crying in a strange cry.  If I have him with me, I go grab him, hold him close and talk to him and rub his little head and tell him "almost done, almost done." He cries and I cry and then 2 minutes later it's all over.


I hate this.  It breaks my heart, as well as his mom and dad's.


Sorry to be so long, but any input outside of a medical professional standpoint would be helpful and I would  very much appreciate it.


Thanks


 


Gack! Is nursing your idea or his? Nursing is highly demanding and long hours.

I'd check with a college counselor/advisor on programs they have for women over 30 to return to academia and enter new careers.  Then I'd ask to take some career tests to see what your interests are and what you'd be be suited for.  Also, there is scholarship money available for women over 30.  Ask about it.  


Since I've already raised my kids, I'd also like to state that jr. high and high school are the years our kids need us at home the most.  Those are the years they can get into the most trouble if left to themselves.  If he's already 9, why not just enter college part-time to finish in about 6 to 7 years?  But definitely go talk to a college counselor.


IC sets their own hours. As long as the work is done by the deadline, you decide when to work.

For us slow pkes---my best would be 3 hours, worst 6 hours - just depends on the dictator ,
I have to look up (i.e. Dr. names, addresses)...I have to do a lot of that and it majorly slows me down, without all that and good not too horrible dicators, in 1 hour I can do anywhere from 15-20 minutes of dictation.
But in transcription, if you are good at what you do, you can do 8 hours of work in 4 hours. So eit

you slice it, both companies will still get 8 hours worth of work out of you.


That is the problem I've been having lately being an MT.  Companies want to pay us on production and they set minimum productivity standards, but want us timed in for 8 hours a day.  My thinking is, if they want 8 hours of work out of me, pay me hourly with production incentive.  If they want to pay me on production and tell how much I have to produce in an 8 hour period, then when I hit that mark, I should be able to call it a day even if I've only worked 4 hours.


Seems these companies want it both ways and it is simply not fair to us MTs.  JMO, tho.


If it's my fav doc with lots of shortcuts, 1-1/2 hours to 2 hours max
x
I see, we sit at the keyboard for 40 hours and then throw on 20 more hours
Is this how you do it? Me? I got a PT job so that if my FT job didn't have enough work to meet my needs financially, the two jobs together would.

They hired me to work a specific shift and that is what I am working. If they want me to type after I clock out, then I will happily do so.
I do 2000 lines in 6 hours - so maybe 3 hours - nm
x
typing 8 hours a day or 40 hours a week
is TOUGH.
on my wrists I mean.
and not getting any benefits... and for a salary of less than 30K? not really worth it...
I hate Instant Text. It is expensive, long long learning
curve, and too much distraction for me.
How long should I wait after applying for a position before I follow-up. It has been as long as two
without hearing from some.  Just wondering if I should send an e-mail to follow-up to see if they received my resume or not.  I don't want to offend anyone but feel two weeks should be long enough for someone to at least acknowledge my resume and that I have applied for a position.  Right now I would accept anything even a note saying no thanks.  Any advice would be appreciated.  I haven't had to apply for a job for the past 10 years so I am a bit rusty at this.  Thanks again for any advice. 
Congrats! How long have you been a MLS and how long did you study for the test!

Please see message. I have three daughters with long, long hair.
I also have long hair down to my waist and my three girls have hair that long too. My daughter brought them home from school last year. I was devestated and grossed out!!!! I have never had to deal with lice. Anyway, we did the treatments and two of my girls broke out in a severe rash with the OTC stuff. Their little heads were so sore!! I thought I was being meticulous with eggs, only to find them hatching again down the road. A nurse at the pediatricians office suggested I try oil to suffocate them since my girls were allergic to the lice solution. I bought a huge bottle of veggie oil and dumped it on all three heads, plus my own. I then wrapped the heads in platic wrap and then a towel. I left this on for 30 minutes. It takes a while to wash out the oil, but we never, ever had the lice or eggs again!!! If you try this, make sure you put on an old shirt and put a towel around your shoulders. Obviously we were desperate, but we all have such long hair and very thick hair so I was willing to try anything. And I figured there was no chemicals involved so that was pretty safe. And it sure did help my littles ones since their scalps were pretty raw from the solution. Hope this helps and Good luck!
It's been a long, long time since I've used a C-phone, sm
but I do think jobs can be paused.
I had a problem with this for a long, long time sm
I have always worked days, like from 6-3. Over the last few years, it didn't matter how much sleep I got, I became real groggy between 7 and 11. Really shoots the day. Talked to my doctor and he said my blood pressure pills were the culprit but he refused to change me to another brand or dosage since I have multiple aneurysms (2 in the brain). My BP has been stable for a long time and he wants to "keep it on the low side". I tried taking them before I went to bed instead of early in the morning, but then I had headaches all day. So, I am changing to a night shift for a few months so I can sleep when those pills kick in and so far it is working pretty good. I stay mostly awake during my shift and die when I hit the bed from 6 am to 10 am, then I lay down again later in the afternoon for 2-3 hours. I still get 6-7 hours of sleep, it's just split up during the day, plus I am mostly awake now when I sit down to type. I don't have to deal with the heat in my office, either. It tends to warm up real fast in here with the south sun on the house and 2 pc's running all day, even with the air conditioner on.
Way back when, a long, long time
ago and in a galaxy far, far away, I had my own accounts also and some years cleared $75,000.  Yes it can be done, but you need to have your own accounts.  Also lots of delivery, and other duties involved.  I work for a large national now and make much less, but I got tired of accountants, having to deal with hardware problems, deadlines, driving deliveries, printing, printers, etc.  So I decided to simplify my taxes and stay home and just type.  Don't have to worry about computers either, because the company will just send me a new one. 
Long, long files. Seemed like they'd never end! I'd never go back to VA again. nm
s
I've been doing this a long, long time...

I used to make $70,000 and up a year and did so for most of the late 80s and 90s (one girl used to make six figures a year working 7 days a week!)  Because we were making more money than the supervisors and Medical Records Directors in hospitals, they began to switch to transcription services which were sprouting up all over the place.  Plus AAMT came into existence and even though in the beginning it claimed it was to fight for transcriptionists (although assured us it was NOT a union), they eventually morphed into an organization that was more management friendly.  They developed the "guidelines" and the 65-char line.  That was the beginning of the end for those high-end wages.  Then all those mickey mouse transcription schools popped up, and now outsourcing overseas.  YES, we're complaining. 


Been in this biz a long, long time, 30+ years and....sm
I love/loved MTing. However, things have changed so much during these years. The job definitely gets easier; don't have to look up much, can decipher ESLs much easier, in other words, you get pretty comfortable with things and you have confidence in yourself. The more experience you have the easier the job, but....

I actually made more money 10 years ago!! We didn't have speech recognition and you actually got paid for headers/footers, demographics, carbon copies, etc., you got paid for what you did fairly; today, I am not so sure.

You will feel burned out at times, but that passes and you find you like your job again.

Good luck to you!!
A long, long time ago, I was going thru
a really bad time emotionally and physically. I was suffering, and my transcribing suffered. I assure you - if you are to the point of not paying your rent, literally, and needing food stamps, there is something else going on in your life than current transcription rates. We are all in this industry and many are thriving, most getting along comfortably. If you are literally to the point of food stamps, you honestly would be a fool to continue. I blamed it on my job, on my line rate, on everything but the honest truth that I was ill and was NOT working as I should or could. It is a really sad thing that you keep spreading this propaganda that MTs in our culture are doomed and now destined for food stamps. Food stamps are not something to toss around lightly, as you would know if you ever had to use them. Please let's not be quite so dramatic. Again, if you are really in those dire straits, you really need to face that MTing is not the fit for you, personally, and do something about it rather than blame our industry. You dwell on the past, but we can't do that. While you may have made other wages 20 years ago, may I remind you that we were pounding away on IBM Selectrics using layers of paper and bottles of white out, going crazy trying to rewind tapes over and over to get that dang word, with no idea what an Expander was. Technology is fantastic. Things have changed, but things are still great in this industry, and in this world. Those who change and can adapt will be fine, but you need to recognize that most of us are not ready for food stamps.  
Sure did...you been around for a long, long year

That was PT at EACH. Isn't PT up to 32-35 hours?
She could be working 70 hours a week to make that kind of dough.  Ergh, not me, no how, no way, uh uh.  I'm happy with the 35 hours total that I've been putting in lately.
hours
Contracted to work 8 hrs M-F but I usually do more, may be 1.5 after baby is sleep. If I have to work on Friday nights I can make my personal quota in 5.5 hours.
12,000 AND 40 hours
No, 12,000 not enough. Must do 40 hours to be full time.
About 6.5 to 7.5 hours. (nm)
.
40 hours?
I got a letter from my office but it stated the 12,000 lines or 10 or 6 for staturatory. It stressed lines, not hours, Massachusetts office, great supervisor.
About 6 hours from me-- they are way out there! - thanks for the tip
x
Here, here! But it won't take us 8 hours

but 14 hours to get a decent line count.


Hours

If you are an employee and have a schedule to work, then you should work all of your hours. Generally services don't hire you to do so many lines per day (although you will always have a minimum goal), but to work 40 hours/week as a full time employee. One of the biggest problems is those who agree to a schedule and then just decide they don't have to work it. If you can get your "quota" in 6 hours, what will be expected is that you simply are able to do more work on that day.


And BTW, never any such thing as a dumb question! :)


PT here, do 25 hours over Fri, Sat and Sun.
nm
7-1/2 to 8 hours
I work 7 1/2 to 8 hours a day, 5 days a week, make 5000 a month.
About 12 hours . . . (sm)

That broke down to 1881 lines in my usual overnight shift (I've done 1950 before but usually average more like 1200-1400/shift), then far less productive the rest of the day as I had both children home (daughter homeschools; son was sick).


Thank you all for being so very encouraging.    I didn't expect that . . . I've seen other posts about production where the OP got hammered for bragging.


My method is normals; I save a copy of practically every report I transcribe (no patient info, just the body).  Even if I only do the same dictator twice, I save a lot of lines on headings, especially since my primary account has highly formatted headings.  While I love Instant Text and have been using Expanders for 12 years, I believe the combination of normals and expanders produces far greater productivity.


Think the service will notice?  I love them dearly, but they've been in a sparse-communication mode of late.


1600 lines/day is great!  The service I work for says their top MTs average 1300-1400/day.


12 hours
is a LONG day transcribing - more power to ya!  I keep mine about 6-7 hours and that works for me!
usually 24-48 hours but not....N/M
#
Already did - hours ago - did you get it? *l*..nm

in 3-1/2 hours: 500 first job/90 second =
.
If you have the hours they have to pay you for them, it is
the law.  You can call the Labor Board and they will gladly get your money for you.  Be sure and keep good documentation in case they protest. 
few hours?
The trainer was supposed to call at 8 a.m. to get me set up and started. I, of course, was all nervous while waiting. He finally called around 9 and announced he hadn't had his muffin yet and would call me back. I didn't bother to answer the phone after that.