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well, i've hesitated having a procedure done

Posted By: sm on 2008-10-08
In Reply to: My work is SO slow...sm - blondie_1147

in large part due to the economy. Probably there are a lot of people that are holding off on elective surgeries along with other unessential spending....


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I have hesitated in answering this question--sm
simply for how it will be perceived, but someone below mentioned something about not caring for elders if there had been abuse. My mother physically and emotionally abused me from the day of my birth. She never wanted another child and made no bones about letting me know that my whole entire life. I have had difficulties all my life in developing and maintaining loving relationships with anyone, be it male or female, my whole life. My father died three years ago now and my mother has tried to force herself on all of her kids since then, expecting us to take the place of our dad and provide her entertainment and socialization. I must mention that my mother is a raving alcoholic with violet outbursts when she is drunk. My sister and first child has always been the favorite, but she lives 200 miles away. My brother and youngest child had enough of her demands and expectations when she moved to his same town after my father passed on. He has moved 500 miles away now and has washed his hands of her. She has since moved to within one mile of me and now I am "expected" to do everything for her that she needs. I have no warm and fuzzy feelings for her due to past treatment of me, but I do what I can for her out of pure responsibility. She cannot drive anymore, so that is left entirely up to me. My sister comes around only on holidays, but that is about it. I have contributed financial support when needed, I take her wherever she needs to go, but on my schedule not hers, and I have had her tell my siblings and other relatives that I won't do anything for her and that I absolutely refuse to, which is definitely not true. I gave up defending myself. I do what I have to do, but not because I want to. I will not see her in a nursing home. I do not feel they are appropriate, but she is still my mother, no matter what water has crossed under any bridges. She is 78, mourns my father's passing, and wishes for death every day of her life. She is needy and demanding and I hate that, but I do what I have to do.

this is just my story and I am not wanting to start any arguments here. Just venting, I guess.
there is good and bad in every procedure--sm
I suppose and everybodies experience is different. If you decide to do it, I wish you all the best. Keep an eye on those cells. My father died of cancer that began with esophageal cancer, two years ago. Both my brother and I have reflux problems, as well, so I do worry about it. Good luck to you in your decision.
Any MTs around that have had the LASIK procedure and how are you doing?

Please post a response


What does elective procedure got ....
nm
Very simple procedure
Download your voice files from the email to directory (folder) on your hard drive (usually should create special one just for this) you know you will always use for docking these recordings. Then open ES and click on the Load square at top of program. This will open the directories on your computer. Go find the one where you just downloaded the email recordings to, click on the one you want to bring into ES (one by one or batch). Then click the "load" key at the bottom of that screen and you should see them coming into the ES window. Takes a while for them to install if they're long. It's only complicated the first time!
not painful and very quick procedure but...sm
But......a person needs multiple sessions and that's where it gets very expensive.  The plastic surgeons I work for did it and the one who does not own the practice charged me 50%.  I went twice and didn't go back and yes, the chin hairs recurred.  It is nonpainful and fast procedure FYI.
operative report vs procedure
I used to think I understood the difference between these two types of reports (operative versus procedure). Somehwere along that way, amidst dozens and dozens of account profile specifications, technology advances and MDs who always key in the OP code regardless of report type, I am not so sure anymore. I would like to try to elicit a consensus on how transcriptionists distinguish between these two report types and what criteria they are using to do this?
The prep is worse than the procedure, believe me. nm
x
Anyone familiar with Spark procedure ...
relating to bladder suspension?  Can't find on internet.
s/l two 4 x 4’s peripad and mesh panties.......PPH procedure
s
prep worse than very easy procedure....nm

Read the policy and procedure manual, maybe something is in there.
I do not believe there is a law, but you could check with the labor department.
Sorry, you said Edit Script - think same procedure applies though.
I think the same thing applies, go find where you downloaded it and click on the setup file. All programs will not self-install. If I remember correctly you have to find the install or setup file to start it manually. Sorry for the mix up in programs. Good Luck again.
Yep - nearly always start their para's w/ capped heading of procedure to be described.
x
Do you give a discount for standard procedure notes? SM

I have an account who asked me to provide them with a form that could use for standard outpatient procedure notes.  I personally feel that there are too many variations for them to use one paper form and offered for me to do it for them at a discount since almost the entire thing would be a standard that I don't have to type in its entirety.  This account is a great account and I figured it isn't a big deal say to chage 25 cents instead of a $1 (example) for the form since I only have to type a couple letters to pull up the form and insert any changes.


I really don't know the easiest way to keep track of this discount or what amount to discount.  Any ideas?  I'd rather see me getting a small amount for doing the form then to get nothing for them using a paper form.  Plus, the account is newer to me and I thought it might look like a plus for me to offer them a discount and to make their life easier by not having to dictate the entire note.


Thoughts...ideas???  TIA


 


 


it is SPARC sling bladder suspension procedure. nm
x
not sure about Neer procedure, but this is a great site for samples...
http://www.mtsamples.com/index.asp

-----I have not personally checked all the reports here but the site seems reliable...

Did you try to Google Neer procedure/impingement, etc?
Does anyone know of a good site to find sample op/procedure reports
I have found very few sites that have sample op reports.  Anything would be appreciated.  Thanks
That's funny, I *love* ER's. Also Ops, procedure notes. Can't stand anything LONGGGGGGGG. n
.
Could you post the entire sentence? Is "parogy material" something used in the procedure or
something encountered during the procedure?
Ridiculous. It's not a medication or a procedure she's questioning. This is a moral issue.
She is way out of line to question transcribing that. You're comparing apples to oranges.
I use EXText with my current job and I've used at a couple of other jobs I've had. I've ne

used DocQscribe, but I have used Meditech, Cerner, Vianeta, the Precyse platform (I can't remember the name), Dolbey, and  Lanier platform I think was called Cequence (?). 


Out of all the different platforms I have typed on, I have liked EXText the best.  In my opinion, it's very user friendly, easy to learn, and I really like ESP which is the built in abbreviation expander.  Plus it is very easy to create your own normals which I love.  My fingers literally never leave the keyboard because there are macro keys for everything.  You can use your mouse if you prefer or learn the function macros.  I love it.  I think I'm more productive on EXText than with any other platform.


Spell as best you can or blank them and keep going. I've passed many tests when I've left blan
s
As you can already see, you've come to the wrong board! By using the word professional, you've
excluded about 99% of the population of "whatever" it is that hangs on these boards. Certainly not professional for sure! But you sure are doing a good thing for someone! Its the thought that counts. Sorry you met the dregs right at the start.
HELP! I've turned my screen sideways, I can't straighten it up. I know I've seen sm
this before, but I can't remember what it is.  Do you realize how hard it is to read sideways?  TIA.
I've lost track of how many people who've asked about it to NOT
.
I've always verified every line I've typed (I have my ways) -sm
If you're supposed to be paid a certain $/line, that's what you should be getting no matter how they do billing unless of course it's specified in YOUR contract with THEM.

BTW, I've never caught a company cheating me ever.
I've used it. It's the worst piece of crap I've ever seen.
seriously. I wouldn't wish them on my worst enemy, or their Vianeta program. Awful, just awful.
Wait until you've been there six months and if you've improved
quality and quantity, I'd say go ahead and ask.  Otherwise I'd say annually...  good luck
I've seen the same every place I've done acute care, and
pointing out dangerous or repeated errors (often in normals for goodness sakes!) never got the result I expected. When I would press the issue, supervisors said if the dictators didn't complain, then the mistakes must not matter!

It didn't matter if the MT changed what had been a cardiac med in the beginning of the report to an antifungal by the end - I kid you NOT! One poor girl used facial for fascial and fascial for facial!


I've used a few expanders, and of those I've used, all must be "coded" to get things lik
One thing I do to get around this, is to create a macro and then link the ShortHand command to the macro. It works for me, but I do the same five clients every day and only have about 20 or 30 macros/Shorthand commands that work like this. This may not work well for you if you have lots of formats and hundreds of docs.
I've been doing this doc for many years, so I've learned how to function with him. sm
I can tell what's a stutter, what's another word, what's just an "uh." Years of experience will get you through a lot.
Wouldn't want to do his charts all day, of course, but a few per day aren't bad. I haven't had to send his to review in a long time, but they do take a little longer to shuffle through.
I've worn contacts for 30 years. I've had both
hard and soft.  My vision is much better with the soft ones than they were with the hard ones.   When I first started trying contacts soft ones were still new and they couldn't get me to 20/20, so I went to hard.  Hard were okay until my eyes started changing shape and then I could no longer wear hard ones.  The soft should give you better vision as they conform more to the shape of your eye. 
I've been a bully; I've been bullied.
I used to sell a lot on eBay. There are some people who buy high-priced items and play games with you. I've had to call them repeatedly, report them to different agencies. It's not fun. You put time and money into the business of selling, and there are people out there who live to manipulate the system and cause trouble.

And, I've been bullied by buyers who made unreasonable demands, insist that they pay by check when you clearly state you don't accept them. It's not fun, and is one of the reasons I don't sell anymore. People!

I've also bought from some sellers who I would not deal with again because of their unprofessional attitude.

But, overall, ebay can be a great place to be.
I've become the man I've always wanted to marry.
I live alone, am 46, never married, no kids, just dogs horses and chickens and just got done building a new house out in the boonies away from the rat race. (Used to live in Manhattan) Couldn't be happier. Selfish maybe, but never out of time, never stressed, and I don't take anything out on others. There's something to be said for being alone but not lonely. I'm not looking for a man to "make me complete." They only sap me of my time, energy and money (how little of it there is with MQ). I consider myself lucky getting to choose my time with friends, and not just stuck with a deadbeat partner. Ladies especially: Be strong and allow yourself to be independent. Any old man will not make you stronger!
You know I've done the grilling...I've tried it all...
And I find the best way to cook steak is in a good quality thick-bottom nonstick pan on top of the stove. I found this trick on the internet. I heat the pan on high and when nice and hot, throw on the steak, no butter and no oil. It browns almost immediately, cooks fairly quickly, and seals in the juices - tender, moist and delicious!!!! It doesn't even need seasoning but salt and pepper before cooking. ;)
I've not only typed, them, I've had a few, myself! LOL
.
I've done that already!


I've actually done that, seems

like it's slow getting the needed information.  Thought I could do some research on my own. Thanks!



I've seen this too (sm)
and it took me a while to figure it out, but because of a particular acct this gal was placed on I was able to figure it out.  She is top notch when works at her usual pace, but when she has something better to do she will leave her work until the last possible minute and it is crap when she turns it in.
i've got 3 going right now and have for

several months. 7 days a week, 6a-6p then a little after my son goes to bed. 1 full time w a hospital, two part time. all are from home.  i'm dumping the hospital one today and going full time at one of the current part time and i will probably get rid of the part time one once i know the new full time will work out. did that make sense???


no life, but had to be sure before left the full time job......


I've been through a few

of these things and where there's smoke, there's usually fire.  MRC acquired Medifax (both swore it wasn't going to happen), MQ acquired MRC (both swore it wasn't going to happen) and lastly, I was working for ddi when the owner sent out an email adamantly proclaiming that ddi would NEVER be sold.  I think it was a week, maybe two, and guess what?  Another email stating what wasn't going to happen had just happened.


For all MQ-ers, I wouldn't worry about it.  Life goes on.  So what if Spheris does buy MQ...I doubt individual MTs will see much change except the signature on the paycheck.  I guess I worked for MQ about 3 years or so after they acquired ddi and not a thing changed until I was transferred to another office and the "new platform."  They were constantly out of work, not to mention the line count going to hell in a handbasket.  I didn't have time to sit around all day waiting to see if they had a report they needed typed,  so I moved on.


So....please everybody, cheer up, it isn't the end of the world coming or anything like that.


Now I've seen it all...
Just got a check from corporate for...hold on...1 cent. Yes, thats right - 1 CENT. I don't know whether to laugh or cry. Actually I didn't think you could even WRITE a check for a penny. Oh well, I guess a penny saved is a penny earned. Rotten bananas to MQ, I say.
That's it...you've got it.
Does it make you feel better attacking someone you don't know like that? AND insulting a huge group of people you don't know anything about? They're not the enemies, nor am I.

Who did you vote for? Was it someone who said "Offshoring is good for America"?

THAT, my friend, is your enemy.
YES! I've been up since 4:00 a.m.
because the dogs were barking in the living room at something outside in the yard.  Hubby just made me lunch of a tuna sandwich and minestrone soup.  I'm done working today, so I've got three hours to go take a nap.
I've been with them for a while...but...
even the starting pay is very, very good. 
I've still never had a NEW new car.
I don't see the point in it.  They lose their value so quickly.  Plus, why would I want to drive something that's worth half what my house is with all the nuts on the road?  And insurance and licensing costs are so high, too.
I've done max 200 per day. nm
x
I've never tried that!
I like to make soy candles in Mason jars. It is a hobby that I absolutely love! Last summer I sold them at the local farmer's market and gave some as Christmas gifts. It's a lot of fun!
we've all been there

I dont really understand what is going on but i think we have all been in that situation where you try do something nice or helpful and ended up regretting it. it makes things difficult for future references because it causes us to be hesitant when trying to be helpful or nice in the future, which is one of the few explanations i can think of for ppl who never seem to be nice or helpful. maybe they have tried in the past & got burned by it and now they are bitter.


anyway all you can do is move on and try not to let other ppl & their negativity get to you. don't let their issues change you as a person. you did the right thing by deleting the rude email, don't waste your time on it.


I've had that before, and I

also noticed, looking back, that the very first thing that happened was I was suddenly extremely fatigued before it happened.


Reminded me a little of labor pains.  I'm glad you're feeling better.  I know that when it hits, it knocks you right on your butt.