Gastric bypass patient here
Posted By: OldieMT on 2008-10-06
In Reply to: Thanks guys! - Siren
Hi There,
If you would like to coorespond with someone who has been there, done that...please feel free to email me. Send me an email by clicking on the reply by email link as I dont want to post my email address here. I will tell you this though....I had gastric bypass surgery almost 6 years ago and have gone from a size 28 to a size 10 and is it absolutely the most wonderful thing I've done for myself. I KNOW where you are coming from as far as sneaking food and being depressed!!!
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He isn't getting the gastric bypass...
He decided against it. I can't remember why. Now he's just following a better diet.
C.C.
has anyone had a gastric bypass...sm
My husband has just been approved by insurance to have a gastric bypass, but I am trying to find other people who have had it and if they are happy or wish they had never had it done. He is an extremely large man with many problems including a massive stroke several years ago that makes it very hard for him to exercise at all, especially as big as he has gotten. I know this surgery will be a total lifestyle change for us, as our main pass time is going out to eat. I just want to know of any success stories, horror stories, whatever before we make the final committment to surgery. Thanks. 
Gastric bypass
I had gastric bypass surgery three years ago. It has changed my life. I am very happy and content, something that I never thought that I would ever say about myself. I had a lot of life styles changes to make, (like giving up chocolate), the consequences were horrible if I ate too much! I am enjoying my children and my husband  more than ever. If he follows his doctors instructions and does what he is supposed to do it will be successful for him. It is not easy, but everyday gets better. Good luck to your husband and to you!
I had gastric bypass 2+ years ago...
My experience has been tremendous. I am able to do all kinds of things with my kids and my mental well being made it more than worth my while. It is a huge decision to make and you must follow postop orders, especially the vitamin supplements. Be sure your surgeon is experienced, i.e. more tha 100+ surgeries. Mine was the pioneer in the field, an excellent surgeon. I had absolutely no complications and continue to feel great. There will always be some foods that my body does not agree with, but that's okay, life is good. This is a big "family" decision too because support is key. Having been heavy all my life, at 43 I am now a healthy person, which was my goal, to be healthy and live a long time for me and my family. All the best! Email me if you'd like
Medifast vs gastric bypass
I've done both. All the weight returned when I eventually went of Medifast. And because I was not able to change my eating habits after gastric bypass, I have regained almost all the weight I lost again (100 pounds). I can still only eat small amounts of food at one time, but I am an emotional eater and a grazer - being a grazer is deadly for someone who works from home.
Not only that, her husband is thinking of getting gastric bypass
and he's NOT that big, IMO.
Question for those who have had VBG and/or gastric bypass surgery...
I had VBG surgery some 4-1/2 years ago (which was a failure) and am suffering from continued regurgitation from getting clogged since the surgery. In the past couple of months I've developed regurg and some episodes of moderate to debilitating pain which may be esophageal spasms (per my PCP). He's sending me to a GI, but I haven't made the appointment yet. Anyway, my question is this...If you've had a bypass, do you have problems with getting "clogged"? How about regurg?
Is it typical to perform gastric bypass surgery if
a
Just had a doc say a guy with gastric cancer was...
admitted to the OB/GYN service. (I didn't miss something in my training, did I?)
You might need to bypass the USB hub and plug directly in. sm
I have had this problem with other USB devices. I just switch around until I find one that will work in hub. I don't use EMDAT so don't know if that's the problem. Maybe someone else can shed some light on this.
weight loss and bypass
Hi! Several things here - 1)You are on COBRA now, is the insurance your husband has group or individual? If it group and you are on COBRA, then you are considered covered with no lapse in coverage and they HAVE to take you! I don't think they have to cover you if it is not a group policy.
2) Gastric bypass - my brother had one at 605 pounds. I need one, but my insurance wouldn't cover and I can't afford it, so I won't do that. But if you live in Arkansas, I have the name of a fantastic doctor - the one that did my brother's!
Don't you have to have insurance to have the bypass surgery or the lap band? sm
It may take her more than 4 months to even get a start on checking into surgery.
My understanding is that you have to have exhausted all other weight-loss options before you can even THINK about surgery. Then you have to have psych eval, CPE, lab work etc. The BMI also plays a part as well as various co-morbidities. If she has until 2/2009, it may very well take that long just to get into a doc, surgeon, psych etc. and then the insurance company has to authorize it to boot.
Good luck Siren, I hope all works out well for you.
Putting patient versus The patient (sm)
When did this "rule" come about? I've been an MT/Editor/medeical records tech/ART for 30 years - Never, ever was I told to put that. You cannot make the sentence be "The patient sent to Radiology" but you can put "Patient sent to Radiology."
Thats just insane.
Is the patient
x
patient name
It's surprising your company lets you put the name in the report. The trend has been to use "the patient" instead of the name.
The patient is...
The patient is a 2-month-old elephant.
The patient is a 2-month-old infant.
Work from India.
The patient will . . .
be maintained on a clear liquid diet. He is specifically instructed that beer does not constitute a clear liquid. (pt in for alcoholic gastritis) Still chuckle every time I think of that one!
Also that few MDs can say a patient is
slurring without stuttering or slurring the word, "slurring."
the patient
The client preference is to type "the pateint" To be even more exact, my account instructions state: "NEVER put patient's name in the body of the report, even if it is dictated. Always put 'the patient.'"
Usually if it's a no patient name
allowed either.
yea, but me as a patient...
when i asked to have copies of my medical records, i was APPALLED at the crap that was in them, by this I mean the errors ran rampant throughout, even if it was just a capitalization error, or incomplete sentences (which i consider errors).
I did not like what I saw at all, but would the average person care, if it doesn't change the meaning?
Patient logs
We are required to do a log for each batch of reports that we do. I will fill the info on the report and then control + end to the log and record the same info. Says time for me at the end of the whole document.
Patient info?
Where is my post on typing in patient information???????????
It took me 30 minutes to look-up a patient.
x
All FIVE of the patient's extremities....
Okey, dokey. This one's American, too.
Yes, and patient demographics.
I'm not going to compare myself to others, though. I've made a lot of progress, and that's all that counts. I've only been on this account for three months. Who's to say what I'll be able to do next year?
My doc would put that patient on protinix --nm
x
patient names
This is a problem that I am currently struggling with. My accounts are not 'searchable' and some docs don't spell out the patient's names. I have QC'd these many times with a note AND my e-mail address asking QC if I should be sending all these reports to them minus the patient's name, or send it to them GUESSING the spelling, or just spell the names phonetically and NOT QC them. About 15 requests now, and NO REPLY!! Very frustrating!!! Otherwise, the account is really good. I am new, so did not realize that other platforms gave credit for footers, headers, etc. I know on DQS you get a fair line count on just the body of the report. Don't know about the rest.
when I can't figure out the patient name (sm)
I just leave it blank because, like the other post said, I cannot get any feedback on what is protocol, so I make up my own. I aint gettin' paid enough to fool around trying to figure out what the dumb doc is saying!
Wow, I think I have PMS or something..I don't usually gripe this much! 
Patient Names
You'd be surprised how many facilities have the patient's name on the report. Its not that uncommon. Depends on the facility and the company you work for.
No patient transfered to the LSU
I'm in the procedure section where I cannot abbreviate...Help
RE No patient transfered to the LSU
ICU or CCU maybe - Intensive Care Unit, Coronary Care Unit, can't guess what LSU is in relationship to other than what was said above about football.
The patient is a male
The doctor said: "He denies bloody or cloudy urine, pain with urination and vaginal bleeding."
I crack up laughing and quote this to my husband, stating the patient's gender.
And his response was, "I hope so."
(think about it) 
This is actually between the doctor and patient.
Your job is to transcribe what the doctor wants. He's the one who needs to be compliant by having the paperwork in order to send these copies on. It's not your problem.
Probably something in patient care, maybe CNA. sm
They make about as much as I am making and with benefits on top of that at the hospitals around here.
Tks you all for being so patient. Looks like I'm out to buy WORD. I
computer and I don't see much, and nothing that says "autocorrect" or auto anything.
Yes, after being jerked around for several months now and starving to death I will feel better to get my feet on solid ground again with a local company that I know will be around and I know what the rules are (wink wink).
I'm off to find WORD. ((I don't know how people who have no time with computers at all, get geared up to work for MQ and do all this stuff with no help. I know a little bit/very little! and I just can't imagine just starting to work on a computer))
How old was your oldest patient? sm
Doesn't matter if it is someone you took care of or someone you typed a report about. I just did a report on a 103-year-old man and once while working as a aide, had a 104-year-old male patient. Cute as a button and sharp as a tack. Also had a 101-year-old lady at the nursing home. 
As MTs, our #1 priority is the patient, just
as it should be for doctors, nurses and health care professionals. I know how frustrating it can be trying to translate broken English, etc. I complain about it, too!! Sometimes I get so angry, because it actually takes money out of my pocket in that I spend so much time trying to "get it right" instead of just using my knowledge and typing skills typing dictation from a clear-speaking doctor with good English. Sometimes you want to just scream!!!  BUT, again, it is part of our job to provide an accurate and presentable medical document. I wish things were different, but it appears that we have to work with what we've got or learn a new profession.
That is my humble opinion. 
Pain Patient - Where are you??
I have been SO WORRIED about that lady last week who was withdrawining on her own from OxyContin and was gonna go alone to a hotel and float in their pool, supposedly with a load of VALIUM that was recommended to her on this board! Good Lord!! I just pray she is not dead. Seriously. I tried and tried to post, but was banned for some unknown reason. At any rate, if you are out there, please let us know you are OK. Also, PLEASE don't withdraw from these meds on your own - you can easily seize from opiate withdrawal - everyone is different, and no way should you take VALIUM. NO WAY. I am a huge pain management buff, being in the midst of it myself. Its not safe to do alone - I know - been there done that. The best thing to do is check yourself into one of the 3-day detox programs at any local hospital - no matter who your pain mgmt doctor is. I seriously doubt your doctor wants to keep you addicted, and if you called any authorities and reported that, he'd be in deep trouble. Narcotic scrips are one of the few heavily monitored items today. PLEASE DON'T TAKE VALIUM off scrip. There are outpatient meds like Suboxone - supposed to be a miracle pill. 1 or 2 pills a day, no withdrawal, no urges. Or you can get detoxed under anesthesia in a few hours. Or do the inpatient detox in 3 days with clonidine and possibly Ativan for anxiety. NO VALIUM. And they are set up for giving you the antiseizure meds immediately should you develop seizures, which is common. PLEASE tell me you are OK, and I have given you my email address if you want to write privately. I have been so worried about you. And I 100% totally understand.
PAIN PATIENT
www.pillsanonymous.com
Well, the patient does have some control, actually.
The patient can see another doctor without mentioning seeing this doctor, if he/she believes this MD's opinion is worthless. You can hope the best for the patient, but that's about it. Now if you worked in this MD's office as an employee or you were an IC (I am assuming you are doing hospital work and he is just one of the dictators), then you could decide you didn't want to earn your living from him anymore, but if you are in a service/hospital employee situation, then you just groan when you get him, call him ugly names if you work at home, type his reports, and steer your family and friends toward better MDs whenever possible.
I think most patients can recognize a jerk when they meet one.
The patient has never been pregnant
x
Sounds like she should be a patient there -
First of all, your supervisor(s)/lead(s) or whoever else is overseeing this dept. should be fired. Sounds like it's out of control - but if they are dumb enough to hire her - what do you expect???
If it is a quotation of the patient, I put it in ==sm
quotation marks. If it is not and just something the doc says, I try to change it without losing the context of the report. patient notes are no place for cuss words. I had a question about it one time and asked my supervisor. she said she wanted to know about it, so I flag it. I even had one doc cussing out the Transcriptionist during the dictation for misspelling a word on a prior document, which I thought was rude, because he has no idea which transcriptionist is getting his dictation. I told my supervisor about that too. He has not done it since.
We are not allowed to keep any patient sm
records on our computers, at all. They should be stored in the provider's files if they want to keep them for access.
The patient's status
I got one yesterday that the patient's status currently is deceased. Wonder if that status is going to change in the future.
Patient list.
I too get a faxed list. However, the physicians use the list first and mark the patients they have dictated on. Then I check off as I transcribe. They do not ask for the list back, but if I notice any that the physician has marked that I did not transcribe, I let them know. In my experience doctors usually swear that they dictated the note and tend to get upset if they have to redictate later. I have worked inhouse in medical records so I also know how frustrating it is when a note is missing. The tendency is usually to blame the Transcriptionist if a note is missing, so it is nice to have that list if something comes up. However, at this office a staff member there goes through and double checks to make sure that the dictation is there. It all makes for a good relationship with the client in my opinion.
Some places use the SS# as the patient ID #. (nm)
.
It might not be fair to the patient, but --sm
sometimes these referrals need authorization from the insurance company and those are never fast. Pain clinics are also booked up probably a month or so in advance with other patients, as well. I really do not think they are delaying care on purpose, just that sometimes these things take time. I know it is hard to be patient when one is in pain. maybe you could perhaps suggest a different pain physician who may not be quite so busy??
This patient with a history of
Aids is status post Pneumocystis carinii pneumonia.
Old patient records
Does anyone know when you no longer have an account what do you do with the old records. Can they be deleted because they are no longer your account or do you have to save them in case the account ever needs them? All their notes over the years have either been printed and delivered or emailed to them and I don't keep them past a year.
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