what makes you think it will affect us?

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          • what makes you think it will affect us? - nm

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Hi.  I am doing the H&P portion of a dictation and it states that the "Leuden affect is appropriate".  Has anyone ever heard of this? Leuden or Luden.  Thanks for the help!!

cathy

stand by that.  Sure, an MT under the influence may get it right, but I certainly would never want to take a chance on that. 

It's all about resposibility and realizing the critical nature of medical transcription.  As an MTSO, I would not want an MT drinking while working.  Period. 

If I hired someone and found out they drank while working, they would be out the door. 

Here is a rule of thumb my boss taught me: 

Affect - (a verb) "to change or alter".

Effect - ( a noun) "a result".

You will very rarely use "affect" in the context of a sentence, but it will come into play every once in a while.

Affect can also be a noun, as in "patient's affect", effect can also be a verb as in "to effect a result".

Hopefully this will help, although I guess everything is subject to interpretation: 

AFFECT is a verb meaning "to influence" or "to pretend or imitate".  EFFECT can be a noun OR a verb.  As a noun, it means "result".  As a verb it means "to produce a result". 

In your particular sentence, it is being used as a verb...so which one to pick?

Without knowing the rest of the record, I would have to go with "effect" because I'm guessing (again..limited knowledge) that the doctor is indicating that if the bleeding doesn't stop, he has to do a hysterectomy.  If the hysterectomy has already been done, or it is planned, than surely, further bleeding could "affect" the planned surgery or something that happened during the hysterectomy.

Without more information, it's a crap shoot!... I'm sure that was as clear as mud. 

1/cent for no reason....I'm telling you the CHECK is fulfilling

some legal purpose.  Please run this past an attorney again.

I will try to call Drew, Eckl et all on Monday myself too.

You can use Ctrl + Shift + hyphen and Ctrl + Shift + Space for the hard hyphen and hard space.  If your work platform has overwritten these Word settings you can reassign keys for them.  Both commands worked for me in the beginning but IS did some sort of upgrade on my work computer which disabled my hard hyphen (Ctrl + Shift + hyphen).  I tried reassigning it back but no go, so I reassigned Ctrl + H.  Works like a charm plus saves me from hitting the extra key.  I know you can ESP words with hard hyphens.  I don't remember if I tried with the hard space or not (oldtimers!!). I'll have to try tomorrow at work because my interest has been piqued.  For the hyphen, I highlight the words with the hard hyphen, hit Crtl + Ctrl for the ESP box to come up, and then give it a short.  I'm going to try this with the hard space tomorrow to see if it works. 

OS = offshore

You know, people........ it just makes me want to cry out loud!  I am getting more angry as we speak.. you have all heard from me before about this business, but I'm going to be VERY frank and spill my guts right here in front of you and the whole MT world, hoping that someone who is in the right position will read it and HAVE THE GUTS to make a stance. (Can you say "hospital board of directors?") This is something that AAMT (or whatever the daylights they are now) should be doing for us. It's about time these "high and mighty" doctors listen up!

We are a family of hard-working people who practically have to become doctors just to transcribe these stinking reports.  I don't know about all of you, but I DON'T MAKE A DOCTORS' SALARY! I truly believe that all of you as well as myself try every day like the devil to do the very best we can to participate in patient care and earn a decent living, but as I have said a million times if not more, it is nearly IMPOSSIBLE and at this time, there ARE NO ANSWERS TO ALL THIS CHAOS.... 

Actually, I take that back... there are a couple answers..We are all reprimanded for the incompetence of the doctors.  THEY ARE NOT GODS as they would like to believe they are. They put on and take off their pants just like we do and when the he _ _ are they going to take some responsibility?  I, for one, am NOT afraid of them and if I had the chance to do it over again working "in-house", I would have the guts to tell them how bad they are right down to their burping, farting, yawning, chewing, mumbling, whispering, non-English speaking two-sided faces.  Let us not forget the 50 second operative note that should have been dictated clearly in 10 minutes.  Yes, they're busy, but the bottom line on this issue is that they don't want to do a surgery and BE TOLD to go and tell someone about it, so they dictate like their hair is on FIRE. IT JUST MAKES ME SICK.  It's part of THEIR JOB.  If they don't do a good job, how the sh _ _ do they expect us to do a good job!

Let us not forget QA.... We are punished and yelled at for leaving blanks........DUH! and I just hate the thought of a QA person (whose quality of work I don't even know), making corrections to my work - and don't tell me that at times, they are guessing... AND WHOSE NAME IS ON THE REPORT - OURS !!!!!!!!!!  In the end, if there was a lawsuit, we'd most likely be the ones to have to answer to THEIR blunders.  I would rather make my own mistakes and have to answer for them than have one or two opinionated QA people telling me what I did wrong... one telling you one way to do something and another telling you a different way.  I say, "leave the stinking blanks and let these JERKS" remember whose country they are living in.

BOTTOM LINE.......... Make the doctors more responsible... after all, they want to get paid and couldn't without us.  I say, "stand up and be heard", tell them to get with the program and most of all, SPEAK DISTINCT AND PROPER ENGLISH!!  THIS IS AMERICA, NOT PAKISTAN.

Please don't get me wrong.  I love what I do and for the right dictating physician (s), it is a gratifying experience.  Something has GOT to change. Thanks for listening... we're all in it together.  We need some mercy...   it's a thankless job  and   !