Child sexual abuse cases - used to do them sometimes where I used to work - sm
Posted By: Laura E. on 2006-01-07
In Reply to: Depressing reports - A little bit sad
now do a lot of Trauma ER, it used to bother me a lot, but not anymore unless its kids. Guess I am getting used to all the gunshot and knife wounds in the city nearby, that is sad in itself.
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- Depressing reports - A little bit sad
- Child sexual abuse cases - used to do them sometimes where I used to work - sm - Laura E.
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Must have been hard to do that....in the past I have done a lot of child sexual abuse reports - sm
and they were no picnic. After my mom died, it also seemed I got a lot of congestive heart failure patients (what she had), and now since Jen's diagnosis of Wilms, I did 2 letters last weekend on two other kids with Wilms at the same clinic we attend.....what freaked me out was the Stage II child had a 3 place recurrence at the completion of his chemo, while a Stage IV child was just fine.....Jen is Stage I....and then at her ultrasound this week the doc was extremely thorough (more thorough than the last one, same doc too) and it made me a bit uneasy as he did stuff this time that he did not do last time. But he said all was well, said they get faked out a lot by shadows where the removed kidney used to be that looks like recurrence so they have to be extra careful and rule out that possibility. But the child abuse ones, when I used to get them, were definitely depressing, can only do so much of them.
Sexual Abuse
You don't even want to go there. It is not in your scope of practice as a Transcriptionist sitting in a room somewhere to determine sexual abuse.
For you to go over a physician's head and report it because "you" suspect it is a good way to get yourself at least fired, in essence you are saying the physician did not practice according to the law.
Sexual abuse
As a survivor of sexual abuse, I can tell you that I wish someone had made a report. This was back in the 70's when it wasn't widespread knowledge, wasn't talked about. I honestly think that my mother was relieved he wasn't bothering her. Everytime I was taken to the doctor as a teenager (which wasn't very often) my mother would go in the room with me. The doctor sometimes would tell her she could wait in the lobby, and there was always a nurse in the room. I never got to ask questions that were burning in my teenage brain, I never got any help. I think my mother was afraid I would say something. This was after she found out about it and acted like it wasn't happening. He started when I was 13 and stopped when I was 18 when I threatened to cut his you know whats off.
I know in the performance of our jobs that we can't say anything about the things we learn. But hopefully the doctor stood up for this young person and did the right thing. I wish mine would have.
Reporting sexual abuse?
If we are transcribing a report that we believe to be a sexual abuse case, are we required to report it if the physician does not? Is this a breech of confidentiality and a violation of HIPAA?
reporting sexual abuse
This is hard to talk about. Two weeks ago my daughter woke me up to tell me her friend "had" to talk to me. I was asleep, not very happy with 17-year-old drama. Long/short the girl's father had been sleeping with her "until she turned 16". At that point apparently she told him she would tell if she did not get her own bedroom....she then went on to say the reason she "had" to tell someone is that the night before she heard him through her wall now with her 14-year-old sister. There were two other little girls in that house - the mom had apparently moved 60 miles away and gave this monster custody while she found herself or whatever. When the girl started telling me the rest of the story, I was stunned. I am so visual that as she spoke my skin began to crawl - I wanted to beg her to stop with the chilling details, but I knew she needed someone to tell and I was it. I felt like a victim myself. It was the creepiest story ever. She went on to spill details that made me 100% sure she was telling the truth (like....he got really, really angry when he found out my sister had started her period) that type of thing. By the time she finished her gut-wrenching story, my own daughter looked at me and said...mom...you are just staring....Ended up calling a Sexual Assault Hotline. Next morning I was driving home and there were 7 police units in front of this creep's house. The mom came and picked up all the girls, thank God.
I think what happened to the MT who read this sexual abuse case is the same thing that happened to me -- somehow in even reading or hearing about it -- you become somewhat of a victim yourself -- a victim of just how sicko the * of the world can get. Thanks for letting me vent. The friend of my daughter stays in touch and says she is much happier. I am going to watch in the courts and make sure that this sicko does not get off lightly -- let em just try that...not on MY watch.
Not about child abuse, but...
...a pretty funny story. A friend was working with her horse when he tossed his head, smacked her in the face and broke her nose. By the time her hubby got her to the ER she had a huge shiner, a huge nose and was swollen and black & blue on one side of her face, plus had wrenched her shoulder.
Various hospital personnel began asking her how it had happened. About every 10 minutes somebody else came in to put her through the whole horse story again, and this went on for a couple of hours. Then a cop showed up and asked her the same stuff and also spoke with her husband, and then it dawned on her that this whole time they had been trying to shake her story. They thought her HUSBAND had belted her!
And about a week later she got a visit from a social worker just to make sure she was 'okay.' Far from being upset about this (although it was annoying to have people bothering her constantly in the ER) they both thought this was pretty hilarious. And they figured that their tax dollars were not being wasted and their county agencies were doing what they should be doing.
I don't believe in child abuse
or drug abuse, but I don't refuse to type reports involving child abuse victims and drug overdoses.
This seems a little out there to me. Don't get the logic.
Child abuse reports
I too have typed the child abuse reports and I go through an array of feelings. I just cannot believe what some people can do to other human beings -- much less an innocent child. I know that after I type those reports, those kids will be forever damaged at the hands of someone they love and trusted. Sad stuff.
I hate the ones where child abuse is suspected or
the injury could have been avoided entirely if the parents hadn't been so stupid, like a young child without a carseat in an MVA. I used to hate the death summaries at my old job, especially on young people.
I did child abuse reports for 2+ years then quit.
I did a report on one kid, just learning to walk, who had the little feet stomped on by mom's significant other. That was the beginning of the end for me with that job. Of course mom kept significant other and lost the kid.
I had to get up and walk away and go back to it.
I honestly do not know HOW you got through your report.
It's one thing if there's infidelity, substance abuse, physical abuse,
neglect of the family, verbal/emotional abuse, gambling, criminal activity, drug dealing, or other addictions. However, temporarily being a bonehead isn't a crime against the marriage.
Do you use child care so you can work? Write
x
I agree. Have grown child, but can work during their SM
school hours and in the evening. A split shift is highly productive.
Go to NBC10.com - Our local news has "Wednesday's Child" which is a child for adoption.
Every Wednesday they introduce a child who needs a home and a family. There should be some information there as these kids are up for adoption.
www.NBC10.com -
Hope that helps!
WRONG! A child that has a fear of discipline = a well behaved child.
I have a beautiful, intelligent 11 year old daughter that hasn't had a spanking in 6 or 7 years and probably only 3 her entire life. She is very well behaved and I get compliments on her behavior constantly. When she does get out of line all I have to say is, "Shall I call your father?" Call it what you want, it works. She respects and obeys me and her father. Why??? For fear of the facing the consequences of misbehaving. Having a total lack of fear or respect for authority is exactly what's wrong with Generation X/kids today. I turned out just fine as did my siblings. Why?? Because my parents took "time out" to bust our a$$es whenever we got out of line.
Is that clear enough for you???
Would rather have Bill and his sexual escapades...
than W with his useless and tragic war anytime...
She sounds bi-sexual, not lesbian, if she likes men too. As sick as it may sound sm
he is marrying her to fulfill his sexual fantasies. I mean, what man (with the exception of a few) wouldn't want their mates to be with another woman especially if it will involve him. I'm sorry to say that, mom. I really am.
Pray really hard that he not go through this the marriage. That's about all you can do. And if he does marry her, BE THERE FOR HIM unconditionally because we all know that it will not last.
Idaho case was botched in that a convicted sexual offender was out on the street to
kidnap this little girl and her younger brother. This is what the Arubans were protesting when people are saying they botched a case when this stuff happens in America.
In these cases, I always believe that God...sm
Being a God person (tho not religious) I believe that perhaps God has another plan for Dana and Christopher. I always believe that only the good die young.
I feel badly for their 13 y/o son. He has two half-siblings from Christopher's relationship prior to hooking up with Dana. I hope these two older siblings (22 and 26) help with Dana's 13 y/o son. I pray for all of them.
Dana and Christopher - R.I.P.
There have been cases
where boys in this age range die suddenly from heart problems. It just happened this year with a kid in college. When I talked to my family earlier, they said this is what they were thinking might have happened because it was said they thought he was just sleeping. It apparently happens more than people realize...pretty sad.
We don't hold people who are guilty long enough as evident in the Idaho case where the sexual
OFFENDER (a very real proven criminal) was given freedom to kidnap, molest and kill one of two children. Then again we have that society reject who TOLD the police he was a sexual offender and would do it again. He was free to kill the little girl in Florida. Now you hear our wonderful system cannot use his confession because he did not have a lawyer present. I see why the Arubans may think we are the pot calling the kettle black.
As for Mrs. Twitty, she needs to appoint a spokesperson before she does any more damage. I don't care how emotional she feels, she really is clueless about what is going on internally in the investigation and she needs to realize this and quit commenting.
yes these cases exist, but
in very small number compared with the legitimate serious cases; and the legitimate cases, as another here said, are still just the very TIP of the iceberg.
The 3 cases are all different. Lundsford
was an amber alert and they searched for the child for days before finding her. It also brought out, again, the inadequacy of the system for tracking sex offenders which frequently results in the death of a child.
Holloway was another missing person, but in a resort area where there is minimal crime, according to their reports. They were looking for the missing person.
My question is this? Why would a "little" girl be dead for at least 14 hours, but never be reported as missing by the parents or guardians. In your case, the body has been recovered. It is now up to the police to determine if there was foul play involved or if it was a natural death.
I really think you need to re-examine your motives for posting.
I am not referring to cases
such as you are describing, and I don't get why you're so defensive. Of course that splinter case that you described warrants an ER visit. I am referring to all of the reports that I type of cases that could easily be taken care of by a PCP and in no way should be considered an emergency. Relax...geez.
What about malpractice cases?
If the jury sees a report in "ebonics" vs standard English it - is not going to help that physician's case. When push comes to shove that piece of paper that he dictated/signed is his a vital part of his defense.
It doesn't matter what kind of care the dr gave, if it's not documented in a way that is acceptable to the community it will not "cover" him.
Laptop cases sm
So, I'm getting a laptop for work. Anyone know of cases where the laptop, keyboard, headset, and foot pedal will all fit into. If nothing else at least the keyboard and headset. I could always carry the footpedal seperate or use hotkeys. Something that isn't too terribly big if that is possible.
Thanks!
Robot cases
My MIL has been doing quite a few robot cases at the hospital, and I have never transcribed a report like that, and to those of you who have, how different is a robot surgery than just regular surgery?
In some cases, this is true...sm.
Personally, I don't mind doing ESL doctors or more difficult docs. I can now run through them just like any other. However, others in my company are not the same way. On many occasions I have been requested by physicians (of course this burns the other MTs) to do their dictation. With that I have many recommendations and have been promoted for that reason. I think it really depends on the company and the people.
In cases like that, sammypot
it seems the dictator should be spoken with so that he realizes exactly what has to be done and that a more sensible way to do it should be figured out.
I type legal cases...sm
and I've helped go through the medical records for the cases and I am apalled at the transcription of reports that I've seen for one large, low-paying company in particular. I've been a Transcriptionist for 15 years and I no longer am taken by surprise by the lack of quality work
It's obvious she didn't mean cases
that actually required ER attention. You are just stirring the pot.
In some cases, I think religion is just their latest addiction.
Didn't Stephen Baldwin used to have substance abuse issues? Seems like some of these people just trade in the substance for religion and pursue it with the same enthusiasm.
Yep, thanks. They bought cases of water before they left.
They are staying at a nice hotel and he is going with kids that he went to high school with and now they are all in college together. They remind of me of 50s kids, their idea of fun a lot of times is to go out for sodas and hamburgers or go to the game.
Although I'm sure there are legitimate cases of ADHD and autism out there,
I find it hard to believe that all the kids who are pigeon-holed into either category actually do suffer from either condition. They seem to have become a catch-all excuse for "my kid doesn't pay attention," or "my kid doesn't behave the way I'd like him/her to".
Our society has come up with so many lame excuses for so many things, and tends to need a "name" or a "title" for everything.
Maybe this child is just one who matures later than others, maybe she needs to have someone sit down with her and take the time to help her focus better instead of immediately labeling her with the condition du'jour.
A good line count is not possible in most cases.
I work on an average of 8 or 9 diffenent accounts a day, with as many as 16. Of course I was promised a "primary".
A FEW cases are probably genetic. The overwhelming majority are smokers.
c
Some abuse QA
This is certainly not everyone's case (in fact, it is a very, very small percentage) but we have MTs who send stuff to QA rather than research. Some of the blanks I get are plain medical terminology 101. Some can be found by typing a single word in Google and finding the appropriate reference.
It is unfortunate that the lazy MTs have made it bad for all MTs. QA penalties have had to be instituted because of this abuse.
Another point I would like to make, you say you are sending work to QA for correct patient name spelling - we do not have a census and are working at home like you, so we do not have access to patient's names. If the physician does not spell the name and it does not come up on the report, do not send it to QA. I'm sure your company has a policy for dealing with names - when they are not given, not spelled properly, etc. Find out what that is and follow the procedure. That should eliminate unnecessary blanks to QA.
QA abuse
In ANY business you are going to find the rare but ever-annoying case of incompetence. It's easier in this line of work because of the remoteness and anonymity that comes along with it. This mind-set is eventually exposed for what it is. Then the rest of us go on and do our professional best. :)
I didn't have the same abuse, but have a lot
of the same feelings. I was sexually abused at 8 months - though didn't learn this until I was almost an adult. I was reading my chart at the doctor's office, because he was always an hour behind and I found it it there. I had been abused when I was 5 and 6 and I remembered that but has suppressed it for the most part. I started therapy and was seeing a therapist, but had to see a psychologist once so they could sign off on reports for insurance to pay. The psychologist said I was making it all up, that it didn't really happen and that I was just attention seeking.
I tried therapy again and I was getting to the point of finding out who abused me when I was so young - I knew who it was at 5 and 6, but not before, and I felt it was my father and I just couldn't deal with it, was having severe panic attacks so I quit therapy. I'm overweight, have poor self-esteem, I'm very judgmental, distrustful, and just overwhelmed. I don't use my trauma as an excuse, but I'm not happy and I want to be happy and I think when that happens most of the other issues will resolve. I don't drink or do drugs though, but I guess food is my escape.
spouse abuse
Yes, I have talked to the police, but he was married before and living in NC and I believe he may have a record there. He is a real slick one. He put scratches all over himself to try and make it look like I hit him. I have never had anyone do this before and he is a sick individual. I am sure he has had prior incidences.
We were only married for 6 months. I refuse to let anyone hit me, no matter how much I love them.
Thanks for your concern.
Spouse abuse
I was wondering if anyone could tell me if there is a way to find out if someone has a previous record of spousal abuse.
My husband hit me and I cant afford a lawyer but make too much money for Legal Aid. I want to do this on my own. I just need to know if there is a way to find out this information from a different state. Are these files open to the public? Or does a lawyer have to request these things?
Thanks so much for your help!.
My ULD was suspended for abuse too.....
I was so surprised but at least I know I am not the only Transcriptionist in the US to have this happen to. Lisa, I e-mailed you.
What, do you think?? I abuse my dogs, LOL
Like the post below, my dogs know when the collar is on/off, turned on/off. They are very smart. And, I do know the difference between just barking or something approaching. My dogs are very much loved and very well taken care of. I don't think you know the correct use of a shock collar at all.
Who said you abuse your dogs? Why be
x
abuse comes in many forms
This truly is abuse. You may not have visable body scars but mental abuse is just as bad if not worse as physical abuse. I'm not sure there is help for your husband but you need to get out of this relationship for your own sanity. A tiger never changes his stripes. I had been in relationship that had the same elements. I worked all day and would teach a class at night and we were to dress in a professional manner and I would be accused of having an affair. (Huh, like you have the time and energy.) I had the courage to get out and have now married a man who respects me and treats me as an equal partner. Is that not what a true marriage is, a partnership. If you do not have family to help check with you local Women's Help Center possible that could be a start. I wish you the best and hope you have the strength to more forward and leave him in the dust.
Lots of cases where babies in NICU got sick from the nurse's nails. nt
anon - the almighty $ will show in personal injury/malpractice cases. (nm)
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dog abuse in China story
Listen . . . .what is your real posting name anyway?
My priorities are not your concern. It is a well known fact that people who abuse animals easily go on to violent behavior against people. If clubbing innocent dogs to death doesn't bother you, it should. There are much better ways to deal with a rabies problem than that. Perhaps instead of ranting about my priorities, maybe you could put your energy toward helping create a solution for the abuse of innocent childern or one of the other million problems going on in the world. What ARE YOU doing to help make the world a better place?
These same people abuse ambulances too!
I typed a note on some woman who called the ambulance because she stubbed her toe! Geez, hope nobody in her town was having a heart attack at that time...
I would do it just to save my hands from further abuse! nm
nm
I don't watch fear factor. They abuse animals. I also have better
stuff to do with my time then watch someone eat pig intestines.
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