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We are having record thunderstorms here in NM this  Aug.  My dog is outside in her fenced yard while I am at work in the daytime.  She has a dog house and  a covered area. She goes literally nuts when it thunders.  Sometimes I can get home to let her in, but not always.  The vet gave me Clomiprizine today (50 mg capsules) to give her in the morning.  I don't know, should I try something more natural, or try giving her half. Not sure what to do, don't like the idea of tranquelizing her but she will try to chew through anything to get out and is in danger of hurting herself, or getting run over if she does get out.  Any suggestions?   

I would like opinions from everybody but especially those that have 20+ years experience in MT.  What are your opinions on the Book of Style?

This is my opinion.........I think its a bunch of crap!  Seems to me a few people got together and decided to come up with this BOS and then put it on the market as "the law" of medical transcription. Of course they make money from it.  I have wondered who gave this author or authors the authority that everything they say to do is correct and anything that deviates is incorrect?  

On top of that, every now and then they decide to change it MTs learn this baloney all over again, thus more money for them.  I see so many questions and comments on here about the BOS that it seems to me it has become the
"end all, be all" in the medical transcription profession.  Horse puckey!

I literally have seen companies especially the BIG ONE let excellent MTs get away simply because their test scores were not what the "X" wanted with the reason being a comma here and a comma there when the content was EXCELLENT!!!!!!!!!!!

If I were hiring folks again, that BOS would go out the window and I would take an MT based on their MEDICAL TRANSCRIPTION SKILLS!  The preferences for punctuation and other things can be learned on-the-job.  Not all companies think the BOS is the BIBLE of Medical Transcription.  Personally I think BOS is a crock!.

I forgot though, AAMT started all this and they are not AAMT anymore.  That tells me a whole lot too!  Money, money money!!!!!!!!!!!!!!!!!!!

Even my QA person can't get this one, so I thought maybe someone here might have an idea.  Podiatric.......the doc says, "The patient relates that approximately four months ago, the patient stepped into a hole and twisted his foot.  He heard a pop and has since had intermittent heel pain.  The patient does relate ______  dyskinesia with pain on extended periods of weightbearing." 

Once, it sounded more like prosthetic, only without the "r" sound, and the second time maybe even like postatic, which I know is not a word.  Any help would be much appreciated as he has gotten me on this twice already. 

Were it my personal account, I'd just call him and ask him! 

Not doing that is what has made the world go upside down right now.

If I am paid 7/cents a line and my cost of living is based on 12/cents a line plus

benefits, it's almost impossible to keep working for that company who is paying

7/cents a line.

It's pretty simple.

America still demands that we live an "American life style - no sh^t in the rivers, building codes, codes on how many people can live in a dwelling, high insurance rates, etc etc"

well, paying all that and making what a company is paying a peoples who don/'t have those demands is insane.

It's a simple question to our leaders?

Do you want us to live like the third world country? or do you want to give us ability to make salaries to pay for the LIFE STYLE America is demanding we do.

Frankly I'm sick and tired of paying for free loaders of any color.  When I saw Laurie Duh (don't know how to spell her name) on Fox yesterday report that one of the homeless from New Orleans........went out and bought a LOUIS VUITTON PURSE

with the $2000 she got..........I STARTED SCREAMING and if I could have gotten my hands around the neck of the idiot who thought it was a good idea to give these people the money in the first place I would have strangled him.........and then I would have done the same to the woman who bought the purse.

I'm sitting here in pain from a bad tooth and no insurance.........and she bought a purse.........LOUIS VUITTON.

p.s. Billfolds in Louis Vuitton start at around $600 and the purses are around $1500 to $5,000.

Has anyone else seen the news item about the man who intentionally put 12 nails into his head with a nail gun?   Isn't putting this on TV a violation of this man's privacy?  Even mentioning that he did it, or putting his x-ray/CT scan on for all of us to see?  I know it's a news item, but it is medical, and I'm sure HE didn't give his permission for this to be aired.  Any thoughts?  (He is doing well and expected to recover).

http://www.extremepumpkins.com/

Wanting to go to work for a new company. What I am getting is - voice files failed to load- object does not support this method.

I would like to know- has anyone experienced something similar and if so any suggestions? Thought maybe too much on my computer or ?? Thanks so much.

could someone give me some tips/inside info on how i can get into this field on a part time basis? i have 9+ years of medical coding/billing experience - 4 yrs. specializing in OB/GYN and over 5 yrs. PT/OT and Orthopaedics. is it possible to get hired on experience alone and no classes or certification?

thanks!

My theory is that the majority of MTs working today are in their 40s or 50s and are female.

Am I correct? We shall see....

No work for basically 2 weeks on either my main account or backup.  Can't help but wonder how many new hires have plenty.  I've been sitting here with absolutely nothin' for nearly 10 days and even tried on the weekend.  I love the account, but a girl's gotta eat!

Anybody else, or just my accounts?

When I moved to Washington State and Qwest became my phone company I signed up for the unlimited small business plan.  Now all the sudden they say they have switched me to Qwest Choice Business because of the high volume of my LD calls.  I explained to them in the beginning what I used the business line for and they said it was unlimited (around 85.00 a month is what it was coming out to), without notifying me they switched me over and sent me a bill for over $400.00.  I went balistic on them.  They said they would look into it since I have signed up for a different plan and take care of it.  I just got my new bill and it is even higher. 

Anyone in the Northwest that can direct me to a phone service for my transcribing needs??????

Spheris just changed and is doing away with our primary accounts.  All jobs now will be received per TAT, which means a drop in line count again.  I've been with them almost six years, but seriously thinking about a change.  I've gone thru all their changes, each one dropped my pay check; can't take many more of these. 

I'm tired of being penalized because I forgot to put an "s" on the end of a word.  I understand quality, but geesh, come on, be realistic!  I'm tired of being put on accounts that I can't make my line count just because they're out of TAT.  That's not my fault, that's their fault for taking on more accounts than they have MTs for.  Sorry, I'll get off the pulpit.

I have searched the net and found so many companies; i.e. MedQuest; Spectra; MTC; RK Master; ALL Transcription, etc.  Anyone have information, good/bad, about these or other companies?  Any suggestions? 

For me, I have 30 lbs. to lose!  Oh boy!  Quit smoking four months ago and indulged in food.  My appetite was insatiable at times.  At this point, I am going to give everything I have for the next three months to getting this weight off.  Being 30 lb. overweight at 47 is doing nothing for my self esteem and I do not want to spend money on a new wardrobe...

Anyone else with lifestyle changes planned for 2006? 

Lately when I proof my work, I don't remember typing things near the beginning of the report and thinks it is something I forgot to remove from a macro.  Then I have to re-listen to that part to verify; wasting time.

I didn't use to do this and don't know how to stop. - Any tips? 

For years and years they told me,
Be careful of your breasts,
Don't ever squeeze or bruise them,
And give them monthly tests.

So I heeded all their warnings,
And protected them by law.
Guarded them very carefully,
And my bra I always wore.

After 30 years of astute care,
My Doctor found a lump.
She ordered up a mammogram,
To look inside that lump.

"Stand up very close" she said.
As she got my boob in line,
"And tell me when it hurts," she said.
"Ah yes! There, that's fine."

She stepped upon a peddle.
I could not believe my eyes!
A plastic plate pressed down and down,
My boob was in a vice!

My skin was stretched and stretched,
From way up under my chin.
My poor boob was being squashed,
To Swedish pancake thin.

Excruciating pain I felt,
Within it's vice-like grip.
A prisoner in this vicious thing,
My poor defenseless tit!

"Take a deep breath", she said to me,
Who does she think she's kidding?
My chest is mashed in her machine,
And woozy I am getting.

"There, that was good", I heard her say
As the room was slowly swaying.
"Now let's have a go at the other one".
Lord have mercy, I was praying.

It squeezed me from up and down,
It squeezed me from both sides,
I'll bet she's never had this done,
Not to her tender little hide!

If I had no problem when I came in,
I surely have one now.
If there had been a cyst in there,
It would have popped, Ker-pow!

This machine was designed by man,
Of this I have no doubt,
I'd like to stick his balls in there.
And see how they come out!

Hi -  I am starting a new position at a psychiatric facility; will be working three 12-hour days (!)...on initial review of work environment/computer system, etc., they have their "own" program that their "team" set up, but it has NO spell checker, not even one for "general" words, much less a medical one...the other woman who is scheduled to start with me kept on saying, "why is there no spell check... I have never heard of that".... in my opinion, it saves a lot of time having a spell check, we are going to ask their "tech guys" who set up the program if one can be installed, but unfortunately I don't think that is going to be an option, ?...what is your opinion? would you work with no spell check, with a place that is backed up about 1-2 months?...(or have I just gotten too 'spoiled" with working at home with all the "gadgets" that make transcribing faster and more accurrate....less frustrating.  Thanks for your time.     Jen

Anyone out there know Dictaphone EXText?  You need two phone lines, this is a dial-up account with a toll-free number.  E-Mail me and I can give you all the details. Great paying account.

Thanks!

 Hi,

 Has anyone tried MP word?  se

I would like some line count pros to help me figure this out, please!  During the recruiting process I specifically asked how I would be getting paid and I was told "per line which includes 65 characters including spaces, footers, headers, and any norms pulled into the report."  I downloaded the FlashCount program from this site and started comparing this line count against the company's.  So far, It "appears" that I'm getting shorted about 100+/- lines/day and they are using more like 74 characters with spaces.  What is the difference between cpl and gross cpl?  How would you interpret their explanation for how I would be paid?  Is the FlashCount program accurate enough?

Thanks!

May be taking on a new account where the Doc may Fed X the tapes and I send back through E-mail. What is everyone ideas of free encrypted mail and even ones that you pay?  I tried to convince him digital and then FTP site but I think he is from the stone age and would not adhere.  If there are any other ways to send files(completed) let me know.

Thanks

I want to become more proficient in op notes and ESL.  Is there a company that would be willing to work with me so that I can learn this?  I am not a newbie, with over 6 years hospital/clincial transcription experience, but we have very few ESL and the op notes are covered by others.  This is something that I really need and want to exceed in.  Can anyone point me in the right direction?

Thanks!!  Marceia

Dictated:  The patient's insurer will be contacted. 

ASR:  The patient's Ensure will be contacted. 

If you think that can be done, I have some Bosco that would like to talk to you.