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I hear wrong dosages all day long from nurses who dictate for docs -

Posted By: misty on 2007-01-24
In Reply to: Local news story about nurse in ER SM - Sally Forth

Maybe they are just misspeaking, maybe they really do not know? Really alarming!!!


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Please understand, being that you are younger than how long I have smoked, docs
used to ENCOURAGE it - I am sure others can remember.  Doc sitting with a pack of cigarettes in his shirt pocket and suggesting it for best stress reliever.  Do I blame them?  No, not at all.  I truly feel that cancer is such a huge money machine that medicine would be hurting poorly if a cure was actually found (or disclosed).  And, as you have not smoked before, you are entirely correct in that you cannot understand.    
I think old docs may still have them but I haven't seen younger docs with
t
ok Mommie Dearest - anything YOU dictate

If actors could dictate, who could you type all day?

Just looking for fun here.  I'm usually on the Medquist board where the only fun is the occasional ASR blooper.


What actors have a voice that you could listen to/transcribe all day?  For myself, I'm a sucker for a United Kingdom accent.  I was going to say English, but Sean Connery would have hit me up the side of my head!  In additional to our man Bond, I'm partial to Patrick Stewart, Derek Jacobi, Michael Caine and Sam Neill.  What about you?


There is a nurses PDR also
I like that the PDR for nurses, American Drug Index, which is my favorite, and Quick Look Drug Book.
Doc trying to dictate while watching a ball game. Ya sure...wish I
s
As transcriptionists and nurses, I would think
we are held to the same standards of patient confidentiality and I sorta found this strange to discuss. My elderly aunt had medical issues- I was not allowed to discuss and have feedback on her condition with her physician or his staff - I could only tell them my concerns as they sat and listened and then they handled things from there.
Time for a long, uninterrupted heart to heart. Sorry to hear
s
My doctor has 2 nurses working in his office. nm
x
accounting is awesome and nurses have to touch sick people -nm
x
Docs
Have you ever been to a doctor's office and the nurse asks you some pertinent information, and you might say "I have had a TAH&BSO" or a D&C, and the nurse will say "What is that?" I just freak, I know I have been doing this for 20+ years, but sometimes I wonder if the nurse is really a nurse- yes I know some can be aids or physician taught, but I think I would just take the info down, reassure the patient and find out what it was when I left the room.

Yes I have tried to tell a doctor who may be filling in for my reg doc what has helped with migraines and severe back problems, and I swear they will give me something totally different because they think I am drug seeking. If they would just really listen or look at what you do on the occupation sheet which they make you fill out, things might go a little smoother in everyone's life.
ESL docs have got to be the funniest!
I have one who always says "patient lives alone at home by himself." Another one seems beyond being able to use correct medical terminology for bodily functions. All his patients "poop" and "pee." The kids also have "snotty noses."
They say docs won't treat them?
geez, I'm afraid...
You would be surprised what docs can
get away with in a hospital setting. Been there.
don't believe the docs....Jerry Lewis has this

Sorry for your news and I know this doesn't answer your question (yet), but I have to say just because an MD says someone has used up 2 out of 5....doesn't make it sure that's going to happen.....many people live beyond what the doctors say.....


Jerry Lewis has pulmonary fibrosis and was a mess a few years ago (and IS aging) but is doing much better he said in comparison to that time....


As for what I'd want to do?  Just be with the ones I love the most and do some traveling........making sure to say the things to the loved ones prior to my demise...in other words, making sure I got it all out and cleared all the air if there might be air to clear.......and so that all questions from everyone would be answered prior to my demise, to leave nobody with unanswered questions about just about anything and everything....


Reminder:  MDs are not god(s)......they have been wrong....they told my friend her father had *6 months to live max*, and he lived on another 3+ years....


My docs seem to be playing catch-up. I see it as
x
I know, most docs really don't adequately warn you (sm)
I went from having a moderately light, 4 day period, to having a very heavy 7 day period! I also had a lot of the other symptoms associated with post tubal ligation syndrome. I wish I had done more research first! I think it is better for him to have a vasectomy - far, far easier and less recovery time too.
Docs need to warn more about complications sm
Docs sometimes do not explain complications of drug interactions, they are way too rushed. Also, the drugs were prescribed in another country. The label on the Xanax said 2 mg, not strong enough to kill anyone. Lots of side effects from Ambien, although used correctly, it's a wonder drug. First time I was bluntly told I had "cancer" and needed surgery "yesterday" I couldn't sleep and Ambien 5 mg was a lifesaver to me, I went to sleep within minutes and woke up refreshed with no ill effects, it is a wonder drug to me, but many in my community have gotten into trouble with the law from mixing it with alcohol and doing terrible things. It sounds like this person was very distraught and it was an accident, pure and simple. He was a talented person who was going through so much pain. He loved his little girl so much, it must have been heart wrenching for him. I am not going to judge him, I just hope he and his family can be at peace if that is at all possible in this cruel world (for the family) and in the next (for him). God bless them all!
I think if they penalized the docs signing off

fewer people getting it.  I worked an oncology office and we had people all the time wanting these forms filled out.  Yes, some were legitimate, but the majority were people with anemia, thrombocytopenia or status post their cancers in complete remission.  My doc never signed unless the person absolutely was entitled to it.  I think if more docs got a backbone and quit signing off on these, you'd see a lot less people getting disability. 


It's the normal instinct for Americans to "take what they can get", but what excuse do the docs have for signing off on it? 


First off, what kinds of tests have the docs run???....sm
When my son Adam was 14, he came down with severe aches, light sensitivity, sore throat off and on, EXTREME FATIGUE, etc. His doctor suspected mono and did a Monospot to check this out, complete white count with diff, and also EB virus serologies. and Yup, he did have mono, it took a couple of months to get him over the worst. Lots of rest, good eating habits, and multivitamins is all you can do until the virus gets erradicated. And no contact sports or heavy activities, because the spleen gets very enlarged during mono and they worry about rupture with a blow, etc.

If no tests have been done, I would get a good pediatrician ASAP who will do a CBC with diff, white count, sed rate, UA, EBV serologies and Monospot, and get him diagnosed!! The ear thing may or may not be a part of this, could be a concurrent illness on its own, but if he has been this sick this long, "guessing" at the etiology is wasting time, you need to know for sure what exactly is wrong with your son to treat him properly.

Not trying to be an alarmist, but have raised two and my third is 11 right now so have been through the Streps, pneumonias, my third baby was born with vesicoureteral reflux and needed prophylactic antibiotics the first year of life (he outgrew it right after that, thank God, but we spent 8 days of he!! in the hospital as they put the 3-week old through spinal taps and ALL TYPES of tests, two weeks in hospital with my little girl at 5 years with severe double pneumonia, etc!). Hopefully, if it is mono/EBV, he will recover really quickly, but YOU also need to put your mind at rest, too! Take good care of each other, and update us, okay??? God Bless
Agreed! Hear, hear...amen, sister!
x
Most docs stink these days. And they think everyone is a hypochondriac
if they can't figure out what you have. Good luck to you and I hope you feel better and you find a decent doctor (good luck with that too!)
but I do believe fibro can be a catchall diagnosis when docs can't (sm)
figure out what's wrong with you!
Working my butt off, all my docs went nuts -sm
have about 180 minutes of dictation to do.......interuptions galore over the weekend so hard to work! Hope to watch the game though, we will see, definitely watching half-time as I love Tom Petty and have since I was 12! (so 30 years). Cannot wait for that especially since not sure if I will go to see him on his upcoming tour as he is coming to my area on a Sunday and kids want to go too, but they would have school the next day and the show is about 90 minutes away from me. So not sure what I am going to do yet.

I hate when the docs say foul smelling diarrhea
when does diarrhea ever not smell foul??? I also hate when they say creamy white sputum - makes me throw up in my mouth a little.
Older than stated age, pendulous breasts, and docs who...
use elderly for anyone under 70!
Depends if it is long with pregnant pause um no. If it is long and juicy like an op YEP! Short ones
x
I had it during my pregnancy a long, long time ago. Husband
aa
You ead my response wrong, terribly wrong
I am trying to ask what does she think it will help, not being nasty- tell me and I will try this. I would stand on my head and gargle peanut butter if I thought it would help - I wanted to know why a letter? They are thumbing their noses at the courts - commanded to appear- I was there and they werent.
How long is too long to wait for Pap results?
This is a follow up Pap for an abnormal one a few months back.  I have waited for the results for over a month and have called the office once.  Any advised about being a patient patient - LOL.  Its hard when your in this business, I think anyway, not to be more aggressive about stuff like this.
Do You Hear What I Hear and Little Drummer Boy
I love the holiday!
Hear, hear! I'm with you too, same boat. -nm
nm
Did not hear about the porn but did hear
there might be a conflict about her babies going home with her when they were able to be dismissed. You can hardly blame anyone for questioning how she will take care of them. From what I have seen, she hardly seems stable enough to do that.
I hear ya........

nm


Look - I know this is probably not what you want to hear, but
I speak from experience - and many advice experts will say the same thing - if a man is interested in you, he will ask YOU out. Just like if you go out with a man and at the end of the night you ask him to come into your home, and he doesn't - then he's not that into it. It doesn't matter what he has going on in his life, men make time for women they are interested in! They are never that busy that they cannot call you - that's just a lie. They make the time to talk for one minute because THEY ARE INTO YOU!! If you have to ask a man out, think about it - what was wrong with him?? WHy couldn't he approach you? He knows how to open his mouth and say "hey, I don't know if you're single or seeing someone, but I was wondering if you .... "

Don't ask him out. Let him pursue you. It's old fashioned, but hey, it still holds true.
I am so sorry to hear that. It does cause
actual physical pain to lose a special pet. I have wished I could cut my heart out to end it, or be PTS alongside my poor dog. What a shock to lose such a young cat. I am sorry.
sorry to hear that, don't know what to say...sm

Sorry to hear this happened to you, don't know what to say, but this has never happened to me, and both my CPA and the other person, a corporate estate tax person, say that I'm legal and nobody has come after me or notified me that I am in the wrong.... 



I hear what you are saying
Personally, the wrinkles start showing in my face if I am too thin. I need a little weight on my to look good...unfortunately, it is all on my hips and glutes...LOL
You are what you eat, so I hear
and if a person wants to be a supersized so be it. Got off Cokes on my own after marrying my hubby, used to drink loads of those and I never feel like I am not living by the way I eat because I also love sweets and if I want I have them. I just don't care for any of my foods supersized, be it a drink or a hamburger, just too much to consume for me and the amount of calories you get plus the fact of it just not being that healthy for you. I would put my delicious food up against any fast (fat) food place any ole day. I just like taste with my food.
So sorry to hear that....
Our cat is getting older now, and I hope she lives forever, but....   I'm so sorry for your loss!  It is truly a loss to lose a much-loved pet!  Take care...  my thoughts are with you today....
I am so sorry to hear you are going through this.
But with her compression fractures, and probably the COPD also, there was no way the MDs could have coded her. Her bones (and probably lungs) wouldn't take it. At least that's what they told my grandfather about my grandmother when she had leukemia. He found out the doctors made her DNR without talking to him, and he found out after she passed away.
Now hear this.....

Just called the courts and on my way there now to swear out warrant for arrest of the person writing the bad check. Talk with you later.


I hear ya

This situation sounds a little iffy to me, too. If it walks like a duck and quacks like a duck....


Sorry to hear this
about your new tile floors honey bear.  That is too bad.  It is very frustrating!
I want to hear...
.. the end of this story.. The AUDACITY is appalling...
I hear ya
I feel the same way - I'm not really close to anybody outside of my husband/children/parents (which is my choice) and this was kind of a big step for me to hang out with an old friend which is why it is so disappointing. I have huge trust issues with friends and this is just another instance where I kinda feel like I'm getting shafted.

I also don't feel comfortable taking my children around a new boyfriend (they have known each other a couple of weeks) who I don't know anything about.

Thank you for replying and I'm very sure you are not repulsive! Like you said, a lot of people are just so selfish nowadays and those of us who actually consider others feelings before doing things are the ones who get hurt.
Sorry to hear that
hope you are able to work things out.

I am curious to know the name of the restaurant that you wanted to visit.
I hear you!

I seem to have more and more of those days as I grow older lately.  Good thing the caffeine doesn't affect my sleep, though.


If I hear same one over and over, that will do
xxxxxxxxxxxxxxxxxxx
I'm sorry to hear about your FIL.
Maybe this article will be helpful.

http://www.medscape.com/viewarticle/534592
Sorry to hear about Arf . . .
I've visited your web site before (very cool site, BTW!) and all of your animals look so happy there.  Arf is a beautiful cat, and it's good to know he's got a mom like you to love him, especially right now.  Hope this transition is smooth and painless for both of you.