Asthma Allergy specialty
Posted By: Lisa on 2007-01-18
In Reply to:
I am working as an IC for a asthma/allergy specialist who has recently went into private practice. In the 10 months that I have worked for her she has changed the format of her PE, new patient, D/C, well all of her forms, several times. I have tried to explain to her that it is her practice and I will transcribe whatever information she feels is necessary to have in the permanent record (she does not do dictation, I transcribe from written report). Can anyone give me an example of final transcription for an asthma/allergy specialist, and possibly an example of the forms used? I would like to present these to her to compare so she can feel comfortable with what she is transcribing for the final record. I would really appreciate any help I could get with this. This is my first job and I want to keep this doctor satisified......Thanks!
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Allergy/Asthma Clinic Work
I am hoping someone can give me some insight on Allergy/Asthma Clinic work. How difficult is it and is it something that can be transitioned into easily? I have the opportunity to pick up some work but I've not done any Allergy/Asthma Clinic work. My experience has mostly been in Radiology/Ortho work but I have also done OB/GYN, Family Practice and ER reports. Thanks!
Inhalers are used for a lot of reasons besides asthma.
My Dad is on one for his COPD. My son was on one temporarily due to a severe viral lung infection. I have to get one every summer and wear one of those white masks because of hypersensitivity to forest fire smoke with bronchitis.
Does she have a problem with going outside? Too hot - too cold? Child with asthma, (sm)
I would say it's time for a serious talk, about maybe some other living arrangements.
I do reports all the time where patients have asthma, COPD, emphysema, and
even cancer and continue to smoke. In our local paper they are following a woman in her battle with cancer. She continues to smoke, as does her husband. They were broke before the cancer diagnosis, having to borrow daughter's babysitting money to pay bills. Just think how much money they've blown on cigarettes.
I've even known one man with a trach who smoked through his trach.
not an allergy.. only have the
when my skin gets really dry. the warmer months are fine.
allergy??
My daughter would complain of nausea and vomit only one time but never really appeared "sick", no fever, etc. This started when she was a toddler and at that time, I connected it to when she would eat eggs. Over the years, she would eat eggs but just small servings as they are not really a favorite food, and they didn't seem to bother her. She is 16 now and recently, she spent the night at a friend's house and the dad fixed a big breakfast and gave her a "plateful" of eggs. To be polite, she went ahead and ate them not thinking too much about it because, as I said, she has been eating small portions over the years just fine. That day when she ate the "plateful" she had a stomachache all day long, never threw up, but I still think it was related to the eggs. Other than a stomachache, that is all she would show.
Is there something that your son has started eating in larger quantities than before? Sometimes we can handle a small portion of something but the large portion plays havoc with the allergies.
allergy testing
We tried the Alcat test. Understand traditional medicine does not agree with this blood test, but it helped in our family. My daughter had had heart palpitations since she was a child, and no doctor ever seemed concerned, but they bothered and scared her. The test showed a moderate intolerance to red dye 40, and since she cut it from her diet, no more palpitations! It is pricey in my book, but it has helped us. www.alcat.com
Betcha THAT is an allergy!
Allergy Resources
I have an allergy account of my own and I know what you mean. Those tests/allergens can be tricky. I purchased the Stedman's Dermatology & Immunology Word book and I use it often. It has everything you need!
allergy to muscle? ASR
ASR: Allergy to muscle. (Well, there's a reason not to work out).
Should have been allergy to amoxil. 
I mean the actual word ALLERGY not the med itself
x
For the nickel allergy, you can paint
the metal with clear nail polish. I do that where my watch sits against my skin - one of my MDs suggested it.
I have very mild eczema, and my skin likes the new Ivory soap that has aloe vera in it.
Opinions please for Allergy work
I have the opportunity to pick up some additional work for an Allergy/Asthma Clinic. I have not done allergy/asthma work before. How tough is it and how easy is it to transition into? I have over 10 years experience but mostly in Orthopaedics, Radiology, Family Practice, OB/GYN, and ERs. Also, for this account I would need to pick up and drop off the work. Do you think I could ask for $3.00 a page? All opinions appreciated. THANKS GUYS!
Allergy Immunology and Rheumatology?
nm
Allergy tests reference?
Does anyone know of any good online reference I can use to look up allergy tests? Specifically looking for something where I can look up different types of weed, grass, tree pollens that may be tested with prick test or intradermal tests.
Anyone know a good web site for allergy testing? Thank you! nm
also, good chance its allergy related due to
season and naproxen not working. For headaches like that, I try over-the-counter Sudafed and/or Benadryl at night. I prefer Zyrtec-D, but if I'm out, I use OTC products as above. Often, one has to identify the source of the headache in order to get the right med. Headaches are very complex entities! Hope you feel better. Personally, I think headaches are the worse sort of pain, even compared to fibromyalgia, as I have that, too! Feel better.
I have one PA with a chronic allergy or sinus problem....
which is, of course, not his fault, but makes him very hard to understand. He has a very deep voice and likes to raise and lower the volume at random. And at least every other sentence, he says "Excuse me," like he made a mistake, but then just repeats what he said and keeps on going. He also likes to say, "Delete." a lot. I think he is even the one who dropped a "F" bomb on me one day.
Specialty
I will be graduating May 2007. I was wondering what your favorite specialty to transcribe is? So far from the assignments in school I like surgery reports and internal medicine. I did not care for dermatology very much. I had to many visuals in my head of lesions and sores.
What specialty will you be doing?
Have they hired you for a specific specialty?
This is my specialty sm
email me, we'll see what you have for IM and we'll connect. You can IM me anytime and pick my brain. I have done a ton of retinal surgeries, scleral buckling procedures, pars plana vitrectomies, YAG lasers...
Specialty dictation
Just wondering how many lines within 8 hours do you "speciality" transcriptionists type? Not acute care, not SOAP notes, just the specialty accounts?
I type for 11 different specialities that just feed into my "pool" of dictation randomly and am lucky to accomplish 1000 to 1200 lines within 8 hours -- any suggestions on how I can increase this number of lines would be greatly appreciated.
Every doc is different and you should not blame the specialty. sm
I do dictation for a podiatric surgeon and he is the most perfect dictationist one could ever hope for. He is a perfectionist about every thing, spells other doctor's names, spells other city names, spells out the claim numbers, etc. I would trade all my 11 docs for one more like him. it is not the specialty..it is the doctor.
Can be one specialty or multiple ......
xx
I was cornholed into a MT specialty
Does anyone know where I can get maybe some samples of op notes or radiology notes? I want so bad to further my career and unfortunately where I work I don't see that happening. I will be doing ER work until I die... which ER work is not bad, but I will never make any big bucks doing it unless I work for my company forever, that is if the Indian company dosen't take it all over. Thanks ya'll.
Mine are so bad I get Kenalog injections throughout allergy season. Really does the trick for your e
x
Cardiology is my favorite specialty (sm)
I can't say why, though. I just like the terminology and it just seems like it's easier to look things up maybe?
Be sure you have a good cardiology book. It will be helpful, but if you do caths and PCIs, etc. there are new instruments and stents that come out like it seems every minute, so having a few good cardiology sites and knowing how to search the web is a big help.
I ENVY YOU!! And good luck!
Would appreciate comments from any specialty transcriptionist
who transitioned to another specialty. Also, have been doing strictly psych transcription for 10+ years but would like to branch out, does anyone have a recommendation as to which direction I should be looking and learning? I don't mind hard work and have mastered a lot of dialects, but am clueless as to what direction I should be looking to better myself in the field.  
Which specialty have you found the most difficult and why?
I find cardiology to be most challenging.
Any good cardiology links or websites?
Just started ortho specialty... Does anyone
Thanks a bunch!
If it's a woman and specialty is ENT, I've done her.
She's truly awful.
Go down page to By Specialty, cardiology
http://home.adelphia.net/~ktm58/links.html
What is your favorite specialty to type and why?
I only have a year and a half of transcribing under my belt, but I have had the opportunity to do a few different specialties: General practice, pain management, orthopedics, physical therapy, endocrinology, psychology and oncology. I have liked them all for different reasons. I like psychology because it is always interesting, easy and I can make good money with it. But I also like orthopedics and oncology because they are interesting and challenging for me. Just curious what others like (and dislike too!).
I think specialty work would be easiest..sm
With family practice, you could see a number of diseases from all specialties, so you need to know the terminology for all. In specialty work, you would see the same all the time. For example, if you took on an ortho doc, you'd see all ortho, so you learn the terminology for that specialty only. Once you have that down pat, you could branch out into a new one and so on, gaining experience with each.
You will have a more well-rounded experience going with family practice over specialty, but as a newbie getting own accounts, specialty would be easier, IMHO. I don't really recommend starting as a newbie at home with your own accounts, but that's just my opinion. It's a lot harder because you won't have QA - the doctor will be your QA, and they can be a lot harder to face than an online QA person. You have to take criticism well, since it will come from a doctor most times (or staff member) and some docs can be blunt and even condescending. Just being honest based on my own experience. Maybe you could try some of the small MTSOs rather than national companies, where you might only have 1-2 QA people and aren't as stringent about BOS rules, etc.
If you find a local doc willing to take a chance, go for it, but don't expect it to be any easier at first than a national or working for another person. There are pros and cons to each. It can be hard to get either job without experience, but a local doc desperate for help might be more willing to take a chance. Depends on what the MT market is like in your area. If small town, good chance finding a client. If larger town with lots of MTs available, it will be harder.
When I worked for a vet. guy had dog allergy tested and dog was allergic to human dander. No kidding
:I
Ever come to like a specialty you used to hate, just because the dictators are so good?
In my case, it's cardiology. Used to CRINGE when I saw a cardiology report come up. But on my account, almost ALL the cardiology docs are great to transcribe. Now I actually enjoy these reports and have learned a lot about a specialty I used to hate!
Now, physical therapy will always and forever be my most detested specialty. I get really bored with all the stupid exercises and the patient saying his/her back hurts. Whose back DOESN'T hurt? The fact that PT on this account has some of the worst dictators certainly doesn't help any.
Heck yes, go specialty! Psych will never bore you!
your production will go up. Psych is different, but at least it's a specialty so you can get good at one field instead of having to do 50 dfferent specialties.
I check jobs in my specialty out of curiosity.
Have only applied for three in a year though and those were to possibly replace a PT job I have with a better PT job. The FT job I have I am content with for now.
Be careful not to become known as applying all over the place. This is when it is a good time to get information from the Company board when you see an opening. Be sure you want to be considered before you apply. It is a small MT world with the better companies. This is my thought anyway.
Could be by specialty, but usually walk-in clinic, stand-alone
s
Reply to get a good set of specialty books
When you say specialty books by Stedman's what do you mean exactly. I have a Stedman's Medical Dictionary and a Dorlands Medical Dictionary but what other books would I need to get? Thanks so much for your help.
I can understand stumbling over an unfamilar med, or one outside of their specialty, but (sm)
I have a number of docs who routinely mispronounce drugs that they have prescribed for the majority of their patients ... they've mispronounced (and often also misspelled) the same drugs for many, many years. It just floors me.
Oncology and some specialty AIDS facilities can be TOUGH.
nm
Is Radiation/Oncology a difficult specialty? I am going to be starting..SM
on a new account doing this specialty. I was wondering if anyone has any helpful hints for this specialty. Any know of any references that would be good for me to use? Are there any websites that would be good as reference? Any help would be greatly appreciated. TIA. 
Pt has had asthma her lifelong. Is lifelong correct?
TIA
what is your account and specialty on the account?
no one is watching. tell us all about osi.
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