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the Valium in addition to lowering the Oxycontin as I stated

Posted By: one more thing on 2006-06-10
In Reply to: 2.5 mg to 5 mg Valium, lower dose by 1/2 tab a day until - reply

in my prior email. The Oxy is what you want to wean slowly 1/2 tab a day until the last few days do it 2 days in a row, then 1 day in a row, then every other day, then every 3rd day, then off. That is a little clearer and it does work and you won't have any side effects at all with the 2.5 mg or 5 mg of Valium once or twice a day. Then get yourself off the Valium the same way but you would not have been on it too long to just go off, but always best to wean.


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Take a Valium
If these boards have a terrible reputation, it's because they are full of people who are incredibly defensive. "Oops" or "Thanks for pointing this out" will do nicely if you make a mistake. "Get a life"? It's this kind of nastiness & hostility that gives a board a bad reputation, not someone pointing out an error.
Oxycontin
Should really be off this in 6 weeks or less, unless still getting physio and finding it painful. Going through full range of motion now is more important than an addiction later. If physio not painful, then must get off this stuff, as it is addictive. Withdrawal causes emotional agitation and anxiety - no fun.
What works for me....Valium OR Xanax..sm
that'll get the kinks out!
2.5 mg to 5 mg Valium, lower dose by 1/2 tab a day until
you are off. You should have no problems. I went through that after major illness and surgery with no problems whatever. If you do this diligently, stick to your guns, last couple of days do same doses for 2 days rather than 1, then go to every other day, then off, you should be fine with no withdrawal
Oxycontin withdrawals
I have fibromyalgia and went to an internal medicine doctor for over 10 years.  He prescribed prednisone 120 mg and then I went through every anti-inflammatory medicine that was out at the time.  I finally got fed up when he prescribed my 17th medicine (I was taking 16 medicines every day - for varying ailments) and went to a pain management specialist.  That was 5 years ago.  He did some injections and then prescribed Oxycontin and Vicoprofen and Soma.  I am trying to get off of the Oxycontin because it makes my head fuzzy and I have no life, other than transcribing because of it.  I was on 3 a day and have gotten myself down to 2 but have withdrawal symptoms.  Does anyone have suggestions on how to deal with this.  At one time they prescribed me catapres to help when I tried to get off of it because of what it was doing to my life - that did not help at all.  I know that when I am off of it completely that I will be back in pain again, which I was for over 10 years, but I think that maybe it will be worth it - or that maybe the Vicoprofen will alleviate the pain.  I had no idea when he prescribed it what it was or how addictive it was - they never told me, just that it should decrease or end my fibromyalgia pain (which it has).  It is causing me problems with my husband and children, and I rarely drive because I do not want to be pulled over for anything and tested for drugs, since I have so many in my system.  I was told the first time that I wanted to get off that it would take at least 3 months - I have also read where hospitalization is necessary - I am just looking for answers.  Thanks a lot for any help.
Oxycontin nwithdrawals
I have a doctor - but because of the size of their practice all of the patients see a nurse practitioner. The only time you see the physician is if you are having an injection done or some other procedure. They actually doubled all of my prescriptions last month without even telling me. I checked with the pharmacist and saw the prescriptions myself - of course, I am not taking them as they prescribe - otherwise I would be totally nonfunctional. thanks for your advice. Maybe it is time to seek out another physician.
So what are you going to do when they keep lowering

the pay even more?  Keep working for the "good" company?  I would never work for $.075 per line.  That's what I made when I first started out.  Let them go offshore if that's all they can afford.  They get what they pay for.  Personally, I'm worth more than that.  I'm not so desperate for a job that I'll sell my soul to the devil and put my kids on welfare.


Tell me, what other industry lowers wages in exchange for doing the more difficult work after the easy stuff has been offshored or sent to VR?  Doctors are paying less for transcription, but they're raising the price of an office visit, too.  We're charged more and paid less by THEM at the same time.


OMG. That's disgusting. Especially after just lowering our pay.

Percocet is one form of OxyContin - just not as strong
I've been on these for five years now and don't look forward to the pain again, but I have got to get my head cleared.
thing and think!? hehehe.. Again, refill your Valium and good luck!
x
Lowering IC Line Rates

As we all know, line rates for ICs continue to fall due to offshoring and other issues involved.  I can no longer quote a decent line rate or I hear the phone slam in my ear. 


Therefore, I've decided to do what I have to do to compete and get accounts, which is lower my line rate to 10.5.  Naturally, I am not going to give this large cardiology group a 65-character line for that rate.


What do you feel is fair for me and the group line character-wise for 10.5 cents line?  I was thinking of a 50-character line.  Your opinions, please.


Thank you!      


My point exactly. If lowering costs is an issue

Hey! For all you who blame MQ for lowering the bar in the industry, driving the cpl rate SOOOOOO low
How do you fathom that one?? The small MTSOs are charging peanuts, while MQ is charging 20 cpl.  And these companies are SMALL - I know.  So, hmmmmmm...maybe big bad MQ isn't to blame for that condition in the industry? Interesting, very interesting...sounds more like the small MTSOs have plummeted our salaries into the dirt, if this is supposed to be an example!
Lets try this again. With all the big nationals running us out or work and lowering our wages what
do you suggest.
RE: Addition
Just added onto my house (my office) and did some remodeling throughout the whole house.  Just hired construction company and told them what I wanted.  I live in a small town though, may be different than where you are.  Not so many codes and all.
Yes, I have even seen it q1h prn in addition
to qid for rescue relief.
d~
In addition,
As far as costs, you would have the initial cost of the C-phone if the company does not provide it (check Ebay, also sometimes used ones on the classified board here) and the monthly cost of the unlimited long distance.

If you only have one phone line at home, this will tie up your line as busy while you are working, so depending on your situation you might want to add additional phone line (although if you have a cell phone, this wouldn't be necessary)

Can't help much regarding the unlimited long distance, but I believe it runs from $25-50 per month. Be careful though on choosing your plan and make sure it is truly unlimited (some have limits even though they are called unlimited). I have seen some horror stories on this board about people getting huge bills for hundreds of dollars when the companies found out they were using the plan for working. If you post a question specifically regarding unlimited long distance, maybe some others can give some input as to what companies are good for this, ones to avoid, etc.
In addition
You should be able to toggle between windows (the one you are working in and Goolgle) by using alt-tab. If you have several open, just hold alt down and keep clicking tab until you get to the window you want. :)
in process of new addition
VINYL/congolium (spelling?) all the way. We had ceramic tile and it was a light color, stains, slippy but most of all COLD. We love the congolium flooring (nice vinyl) we put in and are doing it on our new addition.
In addition to posts below,
read the Word Board here.  You can learn what MTs hear and what the actual words are.  There are other word boards but am not allowed to post the sites.  Google to find others.  And keep applying to anywhere and everywhere that will let you test. 
in addition to prev ?
what if they dictate one med as per day and the next one daily?  What is the correct way to do this?
how long, on average, average a knee replacement would one be on Oxycontin?(sm)
My DH recently had knee replacement surgery a month and a half ago.  The doctor has been prescribing oxycontin 30 mg this entire time.  Husband has been trying to wean off of it and is down to 10 mg.  He asked the doctor if he could come off it completely and the doc said to "just keep taking it."  His next visit is in two months.  With all the discussion lately about pain medication addiction, is it normal to be on this medication for this long and for the doctor to say "just keep taking it?"  How long should one be on this med?
Speaking of remodeling, has anyone ever done an addition?
We'll be adding 350 square feet to our home and moving some interior walls around.  I was looking at some of the home design computer software on eBay because I can't figure out what I want to do with the kitchen and entryway.  Anybody have experience with doing this kind of project yourself?  We do have pros to do estimates, give advice and finish the hard stuff, but I don't want to mess this up.  Any thoughts?
MT in addition to other health care job?

I know that there are MTs out there that are MTs along with another HC job, but have never heard anything specific.


I am about to start MT school but in about 2-3 years the opportunity for me to go to school to become an RRT will present itself (it might not again for another 5 yrs past that point).  It (being an RRT) is something I have wanted to do for a while, but only as PRN or part time work because of the shifts, the ages of my kids and my dh's work schedule (out of town a lot and weird hours).  Because of that, I figure I could work as an IC (obviously 20hrs/wk or less) during RRT school and nights and weekends when I am not at my RRT job. We move every couple of years and IC work (for a national at home) could also serve as a steady income source while I find another RRT position (which could conceivably take a while considering my limitations regarding work hours outside my home). 


Since I obviously do neither job right now, I don't know how realistic my expectations of this are.  Does anyone juggle these two jobs?  I know its most likely nurses that do this, but I welcome anyone's comments.


I definitely plan on going to MT school, because its available now, the work will be there, and being an MT is an excellent fit for me. Just trying to plan ahead - I know dh will want to know if I am giving up plans to go to RRT school because of this.


Thanks.


They should definitely ask. I have a lap top in addition to my work computer and it is for the..sm
kids and anyone else who wants to use my computer.  I'm not saying I'd never let anyone use my computer, but I'd have to trust them because this is my livelihood.
In addition, we have queued the ad to be removed
but it usually takes a few days for it to remove. 
ADDITION TO PREV. POST

I forgot to mention that the company does not pay footers and headers so I was told to use the number 24" instead of 26 and multiply that by the number of reports i do in a day; 24 is the number they use because they say 24 lines is the number of average lines for the reports I do, which is Urgent Care.  We use Dictaphone ExText and we used to be able to look at our "statistics" for the day now when I try to access that feature it says " You do not have access to this feature."  Any comments or opinions would be appreciated.  I smell something fishy here.


trying to run scandisk on ME addition. It keeps restarting. sm
A message pops up that says "ScanDisk has restarted 10 times because Windows or another program has been writing to this drive.  Quitting some program may enable Scandisk to finish sooner." I do not have any other windows opened. I vaguely remember before having to go in and turn stuff off that is running in the background (this is an older computer I have not used in awhile) in order to get the scandisk run without it restarting. I cannot remember how to do this. Any ideas?
I've heard all of that, in addition
to being sworn at and called every name in the book.  An egotistical neurosurgeon who was famous for throwing his instruments all over the op room and abusing the nurses/techs, decided to spew his venom on the MTs one day.  I gathered everyone around and we all listened and laughed and said what a jack@ss.  Then my boss called the HIM director.  About 2 weeks later Dr. Wonderful was not working there any longer.  I don't think it was just our complaint, but cummulative transgressions by this jerkwad.
I agree. And in addition to not making much
who has the TIME to pursue all that studying, class-and test-taking, and meeting-attending? I sure don't! As it is, I spend way too much time at this job, scrambling to make enough lines at low pay to pay my bills.

And I've never been much of a 'studier', either. (I'm more of a 'doer'). Which is why learning from books has never been that beneficial to me - it's too much information all at once, most of which I won't use within a short enough period of time that I'll remember what I learned. (AKA: 'use it or lose it'). However, I learn every day on the job, and that knowledge is more likely to stick, because I'm actively using that piece of information on the report or account I'm working on at the time.

You're right about AHDI not being for American MTs. It's all about making the big bucks.... for THEMSELVES! And when has their 'success' in business ever trickled down to the MT? How about NEVER?

If nothing else, the CMT requirement that some MTSO's have, or their affiliation with AHDI, are good reasons to avoid working for those companies. If an employer is in bed with AHDI, chances are their MT's are never going to see anything but higher workloads and ever-declining pay, not to mention speech recognition editing, and bottom-of-the-barrel ESL trancription jobs. Think of the large, more successful MTSO's we all know and work for. How many of them have passed rewards down to their MT's after having a successful business year? No, instead they hire MORE management, or give current management more money, or go out and buy themselves a small MT company. The workers never come out ahead.

'Back in the day', I once worked on-site for a couple of great small MT companies who gave cash bonuses to top producers each month, and when they had a good business year (which was usually always, back then), the MTs got such unheard-of things as BONUSES, and even RAISES! Imagine that!


In addition to your credit card receipt you should

get a printout of your payment and if they don't offer it, ask for it.   Be sure to check right away that they are showing you paid and if you have a receipt your payment was put in the system, which should eliminate this issue in the future. 


Billing an insurance company will give the insurance company a good laugh and will probably create further problems. 


Well that stinks, my vet just built an addition onto the "house" she was using - sm
It is now basically 2 houses connected with a wide hallway. She has 1 partner, who she has had for the last few years, and has not changed her services/prices at all. She now does have a $25 visit fee but you only have to pay it once a year, if you are regular customer she won't charge you for it everytime you come in. She does not charge for putting an pet to sleep either, as long as you are a regular (She knows us pretty well, I was there a lot with my old dog). She is very helpful to me, recently boarded our 16-y/o schipperke though she has not had her shots this year (my normal kennel would not take her since she was not current on her shots -- was due in 9/05) but as she is on her last legs I see no point in getting her vaccines. The dog is deaf and blind, having kidney failure very slowly but seems happy and my DH can't bring himself to put her to sleep yet. Our vet agrees with us on this point too.
I would like to know the answer to that question also, in addition to attempting to
comprehend the madness behind the motives of some posters who feel it is more therapeutic to mock than become masters of medical transcription.  The latter is the purposes........Isn' it??!!!
In addition to "port" settings, also try different ports or USB connections sm
on your computer. Mine would not work in the USB plugs in the front of my PC. Mine also would not work on laptop if I was going through a USB adapter to allow more USB outlets. I had to plug it directly into a USB port on the laptop. Mess around with it, updating your settings and doing the wizard each time. Also, reboot and see if it works. If not, try another port/setting.
In addition to the Soft Flex gloves I recommend...sm
an ergonomic keyboard (the old Microsoft Elite PS-2 is my favorite and I have three stockpiled); but, the thing that has made the most difference for me has been typing with my keyboard in my lap. I have rheumatoid arthritis and osteoarthitis in my hands, as well as CTS. Transcribing with my keyboard in my lap has been a miracle for me.
In addition to maintaining a certain level of production, my service - sm
also requires that we stay below a certain percentage of reports that are sent to QA, and if we go above that percentage we lose our benefits eligibility.

On the surface, that seems reasonable. However, our service has a no-blank policy, for one, which means that ANY blank in any report is automatically routed to QA, no matter the reason. They also come up with all sorts of other reasons that we should route things through QA, the majority of which are out of the control of a competent MT, and those are counted against us, too.

So, essentially, we're penalized for errors and omissions made by others.

Isn't that special?
She probably cares because as long as she is on 100% QA, she is receiving a lower wage, in addition
to holding up her eligibility for benefits (if she is entitled to them).
welcome; i printed it out and have it hanging beside my desk. current AAMT BOS, electronic addition
:
Keep busy out of the house in addition to your job. Volunteer. Take a class. Walk a dog. Be open
s
OP also stated.....

"obviously upper middle class"....so that does definitely have a bearing on the response made.  There are so many variables here as well as trying to compare almost apples and oranges.  I'm very sorry that happened to the little girl, but they knew she had been already for for 14 hours; they don't even know where Holloway is; she was in a foreign country when she disappearing and said foreign country is not sharing any information.  There is a big difference between these two cases.


With all that being said, I do absolutely agree on one thing; there has been way too much coverage on Natalee Holloway.  I don't believe they will ever find her.  It was much too easy to throw her weighted body into the ocean or, maybe she was sent into South America to be used as "whatever they wish to make her do".  I haven't heard any reports on incoming or outgoing flights from Aruba during that night have you?  All it takes is a little single engine plane to do the job.  


What I stated before was---
I don't object to people breaking into food stores for water or food, but why do they need to steal TV sets, break into people's homes to steal jewelry, guns, etc. That is STEALING, folks, like it or not. Why do they need to steal TV sets now when there is no power to begin with??? If they were just taking items that they needed to survive, that's one thing, but to take advantage of a horrible situation is reverting to the law of the jungle. The fact that these IDIOTS are SHOOTING AT THE PEOPLE WHO ARE TRYING TO HELP THEM IS A CRIMINAL ACT! As I have said many times before on this board-- a situation like this brings out the best in some people and the worst in others! The ones who are doing all the looting, shooting, rapes, etc. already had that mentality and are just using this as an excuse. They are not helping anybody by doing this, including themselves.
Yes, it should be stated that 500 lph
Not many people can crank out 500 lph and if they do, it's because the account has many normals and templates. That's rare, especially in acute care.

Even if you could transcribe 500 lph, 6 cpl is still WAY TOO LOW. Do not accept that rate of pay unless you feel that's all your work is worth.
Who stated they took the AHP
I am actually a graduate from one of the top 3 schools, never had any problems finding a job after school. It is a disappointing field to get into, people expect you to work like a worker in a sweat shop. I especially feel bad for people who have been in this business for many, many years, have the CMT credential and don't get the pay they deserve. In all actuality, it doesn't matter where you got your training or your credientials, you still don't get paid what you are worth.

However, I am glad I researched the schools 3 years ago before getting sucked into one of the diploma mills.
As stated below...
...the pedal you currently have should be compatible to play .wav files.
I had one the other day that stated
Patient was given an insect at 150 mg per hour for 12 hours. Yuk!
It's Transolutions, as stated above.
/
Excuse me, but as has been stated
very different. I'm happy that you have a good one, but we don't all get bonuses...even if we have excellent QA. So how 'bout gettin' off the high horse and jumping to conclusions when you may not have all the FACTS?
As I stated right at the beginning....

If it were ME, I would be blaming myself.  Each and everyone of us are responsible, one way or another, as to what happens in our lives.  Too many people over the past so many years find it much easier to place the blame elsewhere.  That is one of the problems with our society.  I was "accused" of being an over-protective parent as my child grew up, but guess what, he never, ever even came close to an incident such as that, or close to being kidnapped or any of the other things going on in the world; didn't fall down steps; wasn't involved as a passenger in a car accident, wasn't around drug users or "bad" people, because I PAID ATTENTION...I didn't allow accidents.  Accidents are only LACK OF ATTENTION and lack of common foresight! 


Also, my "over-protectiveness" did not in any way inhibit my child's growth.  He is a Gunnery Sargeant in the Marine Corps and handles great responsibility well and has the foresight and the attention needed to prevent accidents! 


As for the driver of that car, I'm not trying to "take their side"....I'm just saying we don't know what the circumstances were....my goodness, we have all run over something in the road at one time or another and when the weather is inclement or it is dark, sometimes you don't know what it is.  I would certainly hope that if they knew it was a child, of if they find out through newscoverage that they ran over a child, that they will come forward.  I'm sure that at least 99.9999% of people out there will not willfully run over anyone.  Perhaps he/she looked down at the dashboard or the left rear window for just that one second and felt a thump as he car moved on.  Probably wondered what it was but had no idea whatsoever that it was a child....why would any driver in their right mind think that a 2 year old was out on the highway at 2:00 AM or midnight or whenever it was????? 


as stated below, sounds like
office mangers padding their own pockets, NOT MQ policy... I would take it all the way to corporate
You have just stated my feelings exactly. nm
xx
The letter I got clearly stated that you can opt out
of ASR and do strictly MT. I was told when I trained on DEP that at some point there would be a reduction for those doing ME. I see no reason to bail, as my office, at least, was up front with me. It's unfortunate if some offices were not.