Did you change you clothes detergent or anything?- sm

• I need some help fairly soon please. DH has - Jacy
  • Oooh "help fairly soon!" Hello, William Shatner, it's Rescue 911! - ura drama queen!
  • Carpet cleaner? Flea spray? Chemicals used inside his car? Restaurant food? New vitamins? Cold - medicines? nm
  • Did you change you clothes detergent or anything?- sm - Laura E.
    • Fingers aren't working yet.....your clothes detergent - -nm - Laura E.
  • It does sound like an allergic reaction... - MTG
    • Thank you, both!! I will call and see how he is doing - OP
  • Have no idea what it could be, but if he has any (nm) - wheezing or difficulty breathing, go to ER, ASAP.

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a vinegar rinse and then do a final rinse.   This might drown the fleas or at least stun them.  If dog is light colored you might be able to see them and pick them off when dog is wet.   If you have a dog brush, brush it outside and you might get some off that way.  If you have tea tree oil you can put some around its neck area or on a collar if you have one.   This is a fairly strong smell though and we've always had to wash it off the same day, though lots of people swear by this.   I can't think of anything else you can do with stuff you already have around the house. 

We adopted 3 kittens from the shelter and have never had a flea problem, but now we can't seem to get rid of them and my dog is on 3 different treatments and I still find an occasional flea.  She has developed a sensitivity to bites too and scratches all the time and can't take prednisone because she has Cushings.

Growing up we had a tri-colored Pembroke corgi.  He was the sweetest thing and I still miss him terribly, 30 years later. 

Just wanted to say that a lot of people from our church (Northridge Baptist) are sending clothing, canned food, as well as soap, shampoo, baby things, etc., down to the Missions in every city because people are so WITHOUT anything!  There are soup kitchens everywhere that have people waiting out in the street, and on top of that? We are expecting another hit here pretty soon, towards next weekend of another hurricaine! I don't know really how much more people can take but I know I went online and sent a fax to Montgomery, Alabama, to Richard Shelby (Alabama's Representative there) and I'm waiting to hear from him to give us information about more placed to help. As soon as I get some information I will post again.  As someone said, there are plenty who just haven't gotten anything yet, and we don't even know where or who they are!  Thank everyone for helping; it sure pulls a *country* together when people are searching and needing support and they get it from others who they don't even know!  To them? Those people are heros (and the paper is just too busy to report on anything good; they are busy writing about all the horrible things to add to the disaster of it all).  Thanks for letting me vent!  Alabama MT girl

nm

In your place, I would seriously consider changing providers if there were others available in your area, but I'd ask around about their service quality first.  It may not be any better.  If there are no other providers, then consider changing your service package to a business account rather than residential.  They're usually more expensive, but they also tend to get faster service if there's a problem.

Last summer, I had no electricity for 3 days due to severe storms, but there were some 600,000 in the same boat with me.  We just had to wait it out.  It's a downside of working at home.

The skimpy little outfits the girls get away with wearing to SCHOOL, just boggles my mind.  Heck, most are shorter than my old gym clothes...remember those days?  Girls could not even be SEEN by the boys in our gimmies...modesty is not in these days it seems...and the boys

Well when my son tried the baggy britches, I did just that when he was going up the stairs in front of me...pulled the d&%$ things down, one warning..catch you like that again and you will be wearing a uniform

I find fashionable, barely worn, name brand clothes. It really is fun!! I couldn't imagine paying for new clothes anymore!

It's a little harder to find good kids' clothes at the second hand stores, but I have found some really nice ones that are real bargains.

The clearance racks are my best friends - often times I can find things there cheaper than on consignment or at Good Will.

Another thing I do is that I have a friend whose daughter is 1 size smaller than my daughter is, so in return for me giving her the hand-me-downs she will occasionally buy my daughter something new or give me the amount of money that I'd get if it went to consignment, and I don't have to deal with waiting for a consignment check. 

If your kids/you like named brand items for clothing eBay can be great.  My sister buys my nephew's Abercrombie clothes on eBay for usually around $10 a shirt - these are shirts that normally sell for $35-45 in the stores.  

Another thing I do is that I have a friend who wears the same sizes that I do and we have similar clothing tastes, so we often do "clothes swap" where we'll swap out some jeans, shirts, etc.  That way it sorta seems like you're getting something new. 

reflect GA as your residence.   In my state you have 30 days to notify DMV of an address change.    You don't have to be head of household to claim office expenses and can claim in GA if you meet the criteria needed for a home office. 

From someone who has BTDT be sure you have a legal contract with your renters, even if family member and do a video of your house before you leave for your protection.  Also you might want to look at getting some additional insurance.  I had a trusted family member living in my house for a year, rent free in exchange for upkeep, and they practically destroyed the house, which is why I suggested the above. 

This was in vital signs.   The pt BMI was 35.  She/he changed that to PMI....... 

Anyone else have any QA mistakes they'd like to share?

Everything that i have gotten from them lately has been AAMT and nothing else. 

We can now compete with China.  What a mess this is.

You say that the Indian MTs are willing to do ESLs and harder work types? First, what I have heard is that they are often sent the easy stuff, but only the companies that send work overseas know the truth. Secondly, the Indian MTs are most likely trained and have lots of support and feedback to be able to do the harder work types and ESLs, as you state they are doing.

How many MTSOs here are willing to take the time to train new graduates? Most ads say at least 3 years of experience if not 5 or more. Going to one of the top schools is not enough. We all know that. We still need time to transition from school to the real world because transcribing real reports versus reports in school is a totally different thing. If more companies were willing to give the new grads a few weeks or months, then the quality of the workforce in America would be better. We all know that this is a profession that requires lifelong learning to do it right. How many MTs actually spend the time to read up on procedures, drugs, other specialties to understand better what they are transcribing?

Somebody needs to get the doctors to dictate better. The way some doctors dictate I honestly do not understand how they expect anyone to understand them. They should be forced to undergo training. It is not only a matter of making life easier for an MT it is also a matter of ensuring that the correct report is being established. If the doctor dictates by speaking clear, at an acceptable speed, in a quiet environment, this would result in a large number of reports being transcribed faster and with the correct terminology, dosages, drug names, diseases. If reports can be transcribed faster, this would mean more money for the MTs and MTSOs.

How many MTs out there actually proofread their reports before they submit them? How many MTs are more interested in being able to say they can type 200 or more lines per hour versus saying they proofread every report and make only 150 lines an hour? I have seen reports that started out with a latex allergy and at the end of the report it had turned into a Lasix allergy. I have seen reports for a female patient with "he" and "him" mixed inbetween. These are clear examples of not proofreading. How often is mcg typed instead of mg or left foot evolves to right hand? These things can be dictated incorrectly by the doctor and that is when we have to leave blanks for this to be corrected. We can only do so if we actually listen to what is being said, proofread and check these things before we submit the report.

If someone is paying for poor quality, don't you think they would choose to pay the lowest price for that poor quality?

The basic problem here is that way too many jobs in too many fields have already been outsourced to other countries, and if no one speaks up, then soon there might not be any jobs in the USA. Outsourcing is not only an MT problem.

I see that there a large number of problems in the MT world. Who is really still interested in the quality of a medical report? Hasn't it all just turned into a matter of spending the lowest amount for a report to be transcribed? Also, why do so many MTs switch MTSOs so often? How can it be good for the companies and how can it benefit the MT? Who controls what an MTSO does? Why are MTSOs so afraid to approach a lousy dictator? When you consider how much time and frustration is involved in trying to figure out what some of these dictators are saying, wouldn't it be better to approach them and convince them that they need to do better? How many MTs are out there that have no training at all?

At the end of the day we should all be interested in producing an error-free document to ensure patient safety. "We" includes the MTs, MTSOs, and the dictators. "We" need to work together to find a solution. "We" need to look at ourselves and be honest about what we do to ensure a high-quality document. The MTSOs need to look at what they are doing, and the dictators need to think about what they are doing. There should be rules and regulations but also an organization that oversees these and takes the appropriate steps.

I do believe that there should be a law against outsourcing medical reports overseas. All reports should be done in the USA. I also believe that greedy people have turned this profession into something different than it should be. For each and every person involved in creating a medical document the patient should be the most important part of this document and ensuring that the correct information is being put into that document. How many MTs, MTSOs and dictators are doing that?