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I AM A PSYCHIATRIST. You are too much in others business and this reflects the inability to tend

Posted By: Busy MD'ing on 2005-08-08
In Reply to: Seen a psychiatrist for this problem? - what a mixed up mess u r.

to your own problems. I suggest you schedule an appointment to see why you butt your nose into other peoples issues and leave yours to fester and grow. Get off the computer and phone your health care provider. I am too Busy MD'ing to solve your problem over the internet. I am just here to see how I can make my dictation more pleasing to MTs and I can't take care of your psych problems here. Once again, too Busy MD'ing.


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Have no problem with camp - its what she said about night time that reflects her real
parenting attitude.  She gets a double bonus cause they're tired at night and she doesn't have to deal with them.  That's the horrible statement, but the one she REALLY meant. Now that I called her on it, she's gonna change it to they bake cookies or sing by the camp fire together at night....Please!
....doesn't mean she needs a psychiatrist.
x
Seen a psychiatrist for this problem?
x
mine were both girls - and I even had to have a psychiatrist for - sm
one of them. Of course, you know how psychiatrists can be - always blaming the parents for the social dysfunctions of the beagle!
Have you ever heard the Asian psychiatrist

on Law and Order dictate?  He's pretty good.  I'd do his reports.  He's a dream! 


Good psychiatrist terminology site
http://medicaltranscriptionwordhelp.googlepages.com/psychiatricterminology

It's an excellent guide
I briefly talked to my uncle, who is psychiatrist, about Tater. His recommendation was to take her
to a pediatric psychiatrist for a thorough evaluation and then the appropriate referrals and/or medications can be started. There has to be an indepth evaluation why Tater is the way she is. It could be that her mother was never abusive towards her, but it could be that Tater may be showing the early signs of schizophrenic disorder and what we perceive as lies to us are realities to her. At any rate, shipping the child off may not be the best answer, but to get her the adequate help. I feel for your friend, because it is not easy to deal with a "problem child" but now Tater's Daddy and your friend are legally responsible and accountable for the child.
Unfortunately it is legal..so yes it is business and they will continue with bad business practices
x
I tend to do that
with the fast talkers. I notice that I type faster. Too funny about turning blue though....gotta remember to breathe. :-)
I tend to agree.
I am concerned because someone I know transcribes for the doctor I use. But then again, I know the entire office staff, and I have heard the receptionist talking about patients when she was having lunch in a restaurant. Although I hate outsourcing, and I do worry about terrorists sabataging the systems and causing information to be lost, I don't really worry as much about confidentiality as much as I do with local MTs.
DH will be right over. I tend to toss them out, myself.
zz
I tend to agree with you sm
I used to like her a lot too, but not anymore. Funny, she got rich in this country, courtesy of us.
I tend to agree with you

I agree.  When Angelina Jolie first started bringing to the forefront the terrible African situation, I think that changed the entire focus of this country.  Unfortunately, with that also came complacency.  At least, I give her kudos for bringing up subjects we, as human beings, didn't want to face.  But that was then and this is now.


So...I guess, as just a lowly humble human being, I will throw my hat in the ring and see where it falls.  For me alone, I will feel better just knowing I tried.


Have a great rest of your day!


 


Because surgeons tend to be
fast, succinct dictators. Because there are very few drugs to dictate, and the surgeon is familiar with all of them (as opposed to trying to dictate lists of meds as the patient wrote them in a history). Because surgeons tend to do the same sorts of procedures over and over, and the smart, efficient ones learn to dictate the same reports over and over so they won't leave anything out. That means an MT who gets him frequently can make normals to use over and over and save time. If an MT is fortunate and the software is very, very good, she can put jump codes in so she can jump from one particular spot to the next to fill in details that change. An example would be doing cataract surgery, where the main thing that changes is the IOL specific information. Because surgeons usually hate to dictate, so the reports are often as short and efficient as possible. Because it's not psych (or whatever the MT hates most, lol).
I tend to agree with you. sm
Many times, I was called in the wee hours of the morning to type a stat. This was years ago, and it could have been any time. I never questioned my employer's right to ask me to type a stat even when it was not my shift or even when I was not working that day or that weekend. If there was no one else available and the client was calling with a stat pre-op, then somebody had to type it.
Posture. How many of you tend to sit on one leg while working?

I cannot break this habit.  I do not think about it until my knee starts aching midday.  Do you practice good posture?


Unfortunately we as women tend to be raised to think that
our lives aren't complete unless we "have a man". Men, on the other hand, are raised to value their careers, educations and be as financially successful and independent as they can be. Therein lies the problem. We're supposed to dream of a big wedding, they're supposed to dream of being president of a huge corporation.

Moms, raise your daughters to be independent, educated and successful and if someone fits into their lives after they are, that's great; and if not, so what?
Yes, I tend to only respond to ads that list how

It seems like posts tend to disappear...
every once in a while. lol
No, I tend to hold grudges though I have become - nm
more tolerant in my old age (40, ha, ha). I told my husband only 2 things would ever make me divorce him, (1) he cheated, (2) he ever hit me/abuse. So far so good, though some verbal abuse has happened though much of it is due to circumstances at present but if it continues or grows worse I will seriously consider leaving and I suspect a nasty divorce would ensue (2 kids involved) and I'd be entitled to over $100K....money is what he loves most so it would get dirty I am sure. But hopefully it will never come to that.
My "on" days tend to be when I don't (sm)
have bills waiting to be paid, dishes needing washed, errands to be done or in-laws asking me to do things for them. Not that I stop and interrupt my shift to get up to do those things, but I think the underlying stress distracts me, no matter how hard I try to fight it.

I saw some postings on another board about listening to classical music helping them concentrate. I tried it and it doesn't work for me (I keep stopping to listen!) but that might be worth a shot.
I made my business your business by posting and...
I totally respect everyone's opinions. It is easier for others on the outside looking in. That's why I pushed the "post reply" button yesterday. I trust my fellow MTs and I know the more I read from you all, the more confident I am becoming. I just need that final push, not from him though. I also wanted to let you all know that the physical abuse while I was pregnant was documented by my doctor and the hospital. I only wish I had known then that it is a felony to abuse a pregnant woman. I also photographed my face from a couple of weeks ago and told several people in my circle. I had such high hopes for us. Now...not so much. I'm not saying that I won't try to get him to church, but I realize that God can only do so much for someone who isn't listening. j
Business is business. Internet forums are
.
I tend to agree with this. I was thinking this earlier--sm
when I read the OP, but everyone seemed to conclude that it was none of her business what the other employee did. However, in my opinion, if the MTSO found out about it from another source, and believe me, she would eventually, it could come back on the other MT as having known about it and said nothing. Everything in this world, these days, is a cover your butt situation. If you knew about it and said nothing, then you are just as much to blame as the one who was doing it....against the contract with the MTSO. Protect your own interests first, and do not worry about the one who is doing wrong. silence is condoning her wrong doing and that makes you (the other MT who knows about it) just as guilty. JMO. So, I guess I am on the side of the MTSO. Sorry.
I now work for an MTSO, but when I was inhouse we did tend
to send the difficult dictators out (our supervisor did this). That is just part of working for an outside service. We do not get to pick and choose we get what they choose to send.
I tend to proof my reports as I type,
during pauses in dictation I read the paragraphs above and also while spellchecking. Unless it is a difficult report, I do not relisten.
Some who do ops tend to speak faster than lightening sm
I also see it as an excuse for a CYA for them. You have to watch them dictate to appreciate this, there's no need to talk that fast. You almost have to use their boiler plate op as they are unintelligible. They can always say, "That's not what I said." I don't trust those guys. Some ops are great, interesting, some are totally boring and monotonous, all have good and bad points. Psych reports are interesting but if you do them long enough you start to go "batty" - or perhaps it's just me. I like a mix.
I tend to agree with the above poster. I know, for a fact, that some hospitals sm
have inadequate QA people. Heck, where I worked, it was nothing for a newbie transcriptionist of
maybe 4 months to QA another newbie of 1 day, hired right off the street with no training or eductation in transcription. Sad, but true. I had 1 QA person, there for over 40 years, and 2 QA people there for 6 months. How fair is that? I referenced the BOS many times. They didn't even know what it was.
40-year-olds tend to make much better students
than 20-year-olds!

In four years you will be 42 years old either way. Do you want to be 42 with or without your Batchelor's degree? :oD


Tell 'em typing fool, because I tend to agree with you. nm

5 minutes tops; if not tend to waste too much time - sm
google what you think it may be, or key terms in the phrase and usually you can figure it out that way pretty quickly.

People tend to "embellish" the answer to this question, especially on this board.
Some people seem to feel a need to impress strangers on an anonymous message board. Sad, but true.
We had two different sizes. The problem is they tend to flatten out instead of standing upright. sm
So if you buy one that says it is 42" deep you really only get about 36-38" deep out of it. You are better off to buy a different kind of pool. We bought one that is a kit, but has a frame to it and is much, much better than the ones with the blow up ring. It is made by Intex and it is blue also, but made of a tough liner type material. It has a metal frame that you build (only took 45 min. to put it up)and it actuall stands up like a real above ground pool. Very nice and not much money..about 350.00 at Walmart for the whole kit, pool, filter, et cetera.
I wouldn't, those illiterate management types tend to stick together.

The next one might be dumber than the first one.


Disagree...ESLs tend to dictate graveyard shifts....nm

As far as company VR for critical care it is not very good and I agree with the other poster. I tend
to leave little words in or if I have to take a lot of words out an extra word gets stuck in. It is a mess. If you are speaking of your own person VR at home to help I know nothing about that. With companies at this stage of the game you will not increase your productivity as you think.
I live in Buffalo & little kids tend to call me Miss Debbie. nm

Keep contact at a minimum. Self doubt hits and it is when we tend to fall back into the web
Good luck to you. Expect highs and lows. Best to get professional counseling so they remind you of who you are and where you want to be when he tries to convince you that you are crazy.


I find you do tend to skip maybe a word sometimes when you dont reread. I guess

your brain doesnt keep up or something.  I dont know what causes that.


For a business ad?! A business that deals
''Transcriptsis'' x2

''with good track record''

''serve our clients of all sizes'' (I know what they mean, but I just think the wording is funny)

''strive to achieve highest possible quality'' (once again, they never met an 'article' that they didn't hate)

''all departments including H&P...'' (or a comma, for that matter)

Unforttunately marriage problems tend to follow you into the next marriage...sm
seems like marriage is more about being the right person than marrying the right person.
Is that really any of your business?
I would think that it would be very wrong of you to spread the information you found on Google while searching for the patient's name. Are you 100% certain that it is the exact same person you are transcribing? Even seemingly oddball names can be duplicated and how would you look spreading around gossip? Even if it is court-documented, it really is not your story to tell, IMO. I would love to know who is telling you to put it on the news. That is about the craziest thing I've heard in a while, although quite good for a laugh.
MT business
It depends on how large a business you want.  There are still some small accounts, (10,000 to 18,000 lines) per month that are still on tape that you can get.  Also the digital is not that hard but I will not pay for anyone to transfer my files, I can do that.   I do not have a phone in system but if someone were to ask I would probably start out with the ones that charge so much per minute and use their system until I knew for sure the account was staying.   Where are you located, have you networked with anyone in the area?  Are you set up for tapes as well as digital?  If you start out alone, you have no back-up, you have to do everything.  When you hire I/C's sometimes they are dependable and sometimes not.   You will not earn much off of them if you want to keep your accounts.   You will not be able to charge as high as the larger companies nor go after the larger accounts at first.   It is a fine line as to having enough help and enough work and that is why you hear the complaints all the time, "We have run out of work" as you have no control over how much or when a doctor dictates or if he takes time off.  But would I give it up, probably not as the money is good to me.   You can E-mail me with any specific questions, I have been doing my own small MTSO for over 20 years.   Been through it all, ups, downs, good times, bad times, and everyting in between.   My accounts have been with me from 6 years to 20 years so I feel that they are pretty stable. 
Well I am sorry that you are using this business as sm
your excuse, but hospitals pay their people for holidays and if by chance you have to work them, they pay you time and a half.

I do not know why a business owner cannot take these things into consideration when setting up a business. This is a business just like any other business and if you have employees, those employees need to be given the same consideration as any other business. IC status is different, but I find using the nature of this business as an excuse just a little weak.

A good business head would enable you to provide benefits for your employees and if you have already made up your mind it does not, then I think probably it is because maybe you need someone else to do that figuring for you.

I am not being mean in saying these things, but even small business owners I know are able to work it out that a holiday is a holiday (whether you have to work it or not) and an employee needs to be compensated in some manner. To me, there is no excuse for not doing so.
new business
My opinion would be to let them either work at home or at the company.  I prefer to work at home, but some people may not.  As far the pay issue--when I started doing transcription I made .06 cpl and I think that is a fair rate.  Hope I helped
This is really none of my business, and I know that,
but the more I read of your story, the more absurd it becomes to even think of staying with this man.  I'm truly sorry.  I know how hard it is to leave, as I had to that in my former life, and believe me I wanted my marriage to last "til death do us part," but that ain't always possible.  I too TRUST in the Lord with ALL of MY HEART and SOUL, and as I said, sometimes it just ain't possible.  The Lord will guide you through this.  Guess it is just that as an outsider it is easier to see the forest for the trees.
Been there on business
I used to work retail management and my company had a resort there. I have been there several times to meetings and we always had some time to do things. I always enjoyed it and would like to go some day just for pleasure. There is lots to do there.
New business
I have a small transcription company that kind of fell into my lap, luckily.  It has been a year now, we have five girls and are doing a really good job with one large account.  I had tons of experience as a transcriptionist, but never as a business manager, so I took my time.  Now I am looking to get more work.  Anybody have any thoughts as to how to reel them in?
I have been in this business for
always been cherrpickers and probably always will be, just like bad drivers,  you can't get away from it.  I have given up and just do what comes up.  Saying anything doesn't seem to help.
I would say the same - none of your business
nm
None of their business......sm
I am an IC for 3 companies, and pick up another prn. They just want the work done as agreed up front...none of their business how many or who else you work for.