Grandma would have just DARNED the patient back together!
Posted By: Administrator nm on 2006-09-18
In Reply to: you know... - allinadayswork
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Darned right, I'm angry.
Unless you're a billionaire, you should be too!!!!
HOUSEHOLD INCOME DOWN, POVERTY UP:
MORE THAN 1 MILLION FELL OF MIDDLE CLASS IN 2004
Before President Bush took office, under Democratic leadership, income was on the rise, jobs were expanding, and the economy was booming. Today, the Census Bureau announced that real household income has decreased in 2004, falling for the fourth consecutive year. Since the beginning of the Bush Administration, household income has declined nearly $1,700. Over 1.1 million people fell out of the middle class into poverty in 2004, an increase of 5.4 million people living in poverty since Bush took office. Despite this, Republicans still have no plan to help struggling middle class families. Democrats are fighting to create jobs and keep good paying jobs here at home.
HOUSEHOLD INCOME DROPPED SINCE BUSH TOOK OFFICE
Household Income Declined by Nearly $1,700 Under Bush. For the second consecutive year, median household income declined: income dropped last year by $93 -- down to $44,389. In real terms, median household income has declined by $1,669 since 2000. [U.S. Census Bureau, 8/30/05; Table A-1]
African Americans And Latino Household Incomes Have Declined by More Than $2,000 Under Bush. Real median household income did not increase between 2003 and 2004 for African Americans and Latinos. African American households had the lowest median income, at $30,134--down by $2,273 since Bush took office. Median income for Hispanic households was $34,241 in 2004--down by $2,141 since Bush took office. [U.S. Census Bureau, 8/30/05; Table A-1]
Average Earnings by Women Declined by About $330 in Real Dollars During the Past Year. The median earnings of women declined over the past year, from $31,550 to $31,223. [U.S. Census Bureau, 8/30/05; Table A-2]
1.1 MILLION PEOPLE FELL OUT OF THE
MIDDLE CLASS AND INTO POVERTY IN 2004
Number of People Living in Poverty Increased by 1.1 Million in 2004. Approximately 1.1 million people fell out of the middle class into poverty in 2004, an increase of 5.4 million people living in poverty since Bush took office in 2001. The poverty rate has increased from 12.5 to 12.7 percent over the past year, increasing for the fourth consecutive year. [U.S. Census Bureau, 8/30/05; Table B-1]
Nearly 1 in 5 American Children Lived in Poverty During 2004. 13 million children lived in poverty in 2004, an increase of about 1.4 million since the beginning of the Bush Administration. This comes on the heels of a 730,000 increase in the number of children living in poverty in 2003. [U.S. Census Bureau, 8/30/05; Table B-2 ]
Disproportionately High Number of African Americans and Latinos Live in Poverty. Nearly 25 percent of all African Americans (9 million) lived in poverty in 2004, an increase of over 250,000 over the past two years. Nearly 22 percent (9.1 million) of Latinos lived in poverty, an increase of almost 500,000 over the past two years. [U.S. Census Bureau, 8/30/05; Table 3]
1.9 Million More Americans Enrolled in Medicaid in 2004. As 1.1 million Americans dropped out of the middle class and into poverty in 2004, the enrollment rate in Medicaid increased from 12.4 percent of the population in 2003 to 12.9 percent in 2004. Without the safety net of Medicaid and SCHIP for people who dropped into poverty, the health insurance numbers would be even worse. [U.S. Census Bureau, 8/30/05, page 16 ]
NEARLY 46 MILLION AMERICANS LACK HEALTH INSURANCE: NUMBER OF UNINSURED INCREASED BY SIX MILLION SINCE 2001
Today, the Census Bureau announced that the number of people without health insurance nationwide increased to 45.8 million, the fourth consecutive annual increase. A total of 800,000 Americans became uninsured last year - many because fewer employers offer health insurance to their workers. As a consequence, American families are paying higher and higher health insurance premium - which are expected to double under Bush's tenure by 2006. Yet, Bush and Congressional Republicans lack a real plan to address the problem.
ONE IN 7 AMERICANS LACK HEALTH INSURANCE
Nearly 46 Million Americans Are Uninsured--Increasing for the Fourth Year in a Row. The number of Americans lacking health insurance increased by 800,000 last year--and by 6 million since Bush took office in 2001. Today, a total of 45.8 million people are uninsured--roughly one in seven Americans. [U.S. Census Bureau, 8/30/05; Table HI-4]
Darned right - people are in la-la land
we're "refusing" to work? Rely on the kindness of strangers, or what? People really need to get a grip on reality here.
jealousy is so darned unattractive.....sm
and get over yourselves - you're too obvious and too too jealous -
Patti - sounds exquisite - I live near Houseboats in the Intracoastal and have always sort of wanted the same floating type of home but instead I bought a 1500+ square foot condo on the water and is now worth close to a half mill......exlusive area of Florida! Now I have something to leave my child when I'm gone that appreciates rapidly in value (as probably yours does too). Congratulations on keeping it all after the divorce too!! WAY_2_GO_PATTI
darned, silly girl
t
how old is grandma?
One evening a grandson was talking to his grandmother about current events. The grandson asked his grandmother what she thought about the shootings at schools, the computer age, and just things in general.
The Grandma replied, "Well, let me think a minute, I was born before: television, penicillin, polio shots, frozen foods, Xerox, contact lenses, Frisbees and the pill.
There was no: radar, credit cards, laser beams or ball-point pens.
Man had not invented: pantyhose, air conditioners, dishwashers, clothes dryers, and the clothes were hung out to dry in the fresh air and man hadn't yet walked on the moon.
Your Grandfather and I got married first-and then lived together.
Every family had a father and a mother.
Until I was 25, I called every man older than I, 'Sir'- and after I turned 25, I still called policemen and every man with a title, "Sir.'
We were before gay-rights, computer- dating, dual careers, daycare centers, and group therapy.
Our lives were governed by the Ten Commandments, good judgment, and common sense.
We were taught to know the difference between right and wrong and to stand up and take responsibility for our actions.
Serving your country was a privilege; living in this country was a bigger privilege.
We thought fast food was what people ate during Lent.
Having a meaningful relationship meant getting along with your cousins.
Draft dodgers were people who closed their front doors when the evening breeze started.
Time-sharing meant time the family spent together in the evenings and weekends-not purchasing condominiums.
We never heard of FM radios, tape decks, CDs, electric typewriters, yogurt, or guys wearing earrings.
We listened to the Big Bands, Jack Benny, and the President's speeches on our radios.
And I don't ever remember any kid blowing his brains out listening to Tommy Dorsey.
If you saw anything with 'Made in Japan ' on it, it was junk.
The term 'making out' referred to how you did on your school exam.
Pizza Hut, McDonald's, and instant coffee were unheard of.
We had 5 &10-cent stores where you could actually buy things for 5 and 10 cents.
Ice-cream cones, phone calls, rides on a streetcar, and a Pepsi were all a nickel.
And if you didn't want to splurge, you could spend your nickel on enough stamps to mail 1 letter and 2 postcards.
You could buy a new Chevy Coupe for $600 but who could afford one?
Too bad, because gas was 11 cents a gallon.
In my day: "grass" was mowed, "coke" was a cold drink, "pot" was something your mother cooked in and "rock music" was your grandmother's lullaby. "Aids" were helpers in the Principal's office, "chip" meant a piece of wood, "hardware" was found in a hardware store and "software" wasn't even a word.
And we were the last generation to actually believe that a lady needed a husband to have a baby. No wonder people call us "old and confused" and say there is a generation gap... and how old do you think I am?
I bet you have this old lady in mind...you are in for a shock!
Read on to see -- pretty scary if you think about it and pretty sad at the same time.
This Woman would be only 58 years old!
I think grandma was right!! (sm)
Always put a few extra $$ away cut back on the grocery $$ and hide it in a safe place, not in bonds or CDs or stocks!!
I find it pretty darned disturbing.
.
Now, RG, you know we've got darned good reasons...
to be crying in our soup over there.
that USED to be in our MOTHER'S/grandma's...
That no longer holds true today....even if they are the owner, the rents go up, everything got terribly expensive......my lady who does my nails/feet and cuts my hair is the owner and the employee in her shop. Nobody else works for her. I do tip her and also at the Winter Holidays.
However, back in the 50s-70s, it did hold true - we didn't tip the owners.
We always have ours at my grandma's house
It's so fun. Almost everyone in the family dresses up, including the adults, and we play games and have a blast! Then we all take the kids trick or treating together. You know, through the years if it has been raining or very cold, sometimes the kids don't even want to trick or treat because we are having too much fun.
Practice what you preach, Grandma ...
Make sure you do charitable work both as a nurse and as an MT ... just "do your part" to spread charity here at home in the good ol' US of A.
You start...we'll follow. lol
Another "weird" one. My Mom basically checked out as a grandma.
She had no use for kids, and never paid mine a bit of attention. She was rather fond of my oldest, but never really the younger 2. She had her own stuff going on. Well, we lived our separate lives without a lot of communication. She would send a card with $5 in it now and again for my oldest, signed "Fondly, Grandma". Whatever. Well, according to the people who were with her when she died, she lingered for a few days, and kept carrying on about what a rotten grandmother she had been to my oldest daughter. Never mentioned the other 2, but that's not the point of the story! Well, naturally, I never mentioned this to any of my kids, let alone my oldest. About 2 nights later, my oldest came to me and said she had the "weirdest" dream, and how real it seemed. She said my mother had called her on the phone, and they had this loooooooooong conversation, like catching up on stuff, and how grandma kept telling her over and over how sorry she was - that now she realizes what a bad grandma she was, but that she would make it up to her someday when we're all together again...I nearly fainted. I then told her the story that was told to me about my Mom's last days...
Yes, thanks so much, just lost maternal grandma 3 weeks ago, will send to Mom
My Grandma was 98 years old, smoked like a chimney, drank vodka
screwdrivers every day, and ran one of the first newspapers in our state. She was blind as a bat but loved to knit blankets for all of us. I think that's why the yarn colors clash so badly! LOL
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.
With short arms, I need chair with shallow seat, good back support and high back. Want arm rests
:+
OK! I'm glad you're back down here. Now don't go back up there and read those evil posts ag
Okay? But I have to leave you now, sadly. Thousands of noble dictating doctors are anxiously awaiting my help with their "dictations"....They're all loading up on chips, drinking lots of soda so they can burp, and then have to go to the bathroom...You know the routine! Off I go to earn some pennies!! But, truly, I am thankful that I have a job! 
PS.. It apparently worked..I heard back and already submitted the paperwork back.
I'm not sure how many people they are hiring but you shouldn't stress too hard over it. Do the best you can.
I would not do them back to back - I have done 2 and 3 jobs at the same time -- all PT - sm
It is possible to do of course but you will burn out fast. Now I do one almost FT (about 30 hours a week) and the other is about 8-10 hours a week-- I still get beat doing that and that is w/o set hours. I find that the older I get the harder it is to work late and I am only 40! But a mid afternoon 30-minute cat nap helps a lot in order to keep going on busy days.
How do you set your computer back 1 day. I messed something up and need to go back 1 day.
NM
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.
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