I agree, IMPRESSIONS (with an 's') does sound weird. sm

• IMPRESSION(S): heading - jenn
  • I agree, IMPRESSIONS (with an 's') does sound weird. sm - I've got plans, lots of plans
  • Wow - I think she's wrong. It is an impression whether there are multiple - points or not.
    • thanks for the affirmation...I'm gonna take your advice! -nm - jenn

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Please help me with the wording of this letter that I am seriously considering sending to one of my offices:

Please inform Dr. XXX that in the future any dictations that are done in the swimming pool area, karate room, cafeteria or other public venues will not be transcribed by this service.  This decision has been made due to the fact that the dictation is difficult to hear and understand because of the amount of background noise.

Additionally, I believe this to be a breech of the confidentiality of patient records that are mandated by HIPAA and I do not agree to be a part of such violation.

Any future dictations that are submitted by this physician which have been done in the above-named situations will not be transcribed by this service and will be immediately discarded.

Thank you for your understanding in this matter.

Sincerely,

(end)

There is a new doctor in one of the practices with small children and she's one of those who is trying to be supermom. (That's a whole other issue.) I have transcribed for two other (male) doctors in this practice for over 15 years without anything like this. I have twice now asked the office manager to tell her about this situation and it improved for a short while but today I had 18 minutes of very loud swim practice in the background. Her solution appears to be talk louder and I've got one HUGE headache after listening to her. I don't understand why she has to be right there instead of even finding a quiet spot to do this while the kids are occupied but she apparently thinks they can't be out of her sight. (I know they're unsupervised, either; I can hear the coach shouting.) Among the reasons listed above, I really want to say that I think this is just flat out disrepectful of both patients and myself but I don't think it is wise to get that personal. I really don't want to lose this practice but I honestly am not willing to put up with this nonsense from her anymore, either.

Thanks in advance for any HELPFUL suggestions you might have. If you're not willing to help, that's fine, too, but please keep the mean stuff to yourself.

I am having problems with my sound on one of my computers.  Several different ExText program have been on it so I don't think it is the program and the sound is just now as clear as on my other computer.  Has anyone switched (disconnected the internal sound care and replaced) to a new sound card?  Did it make a difference. 

Everyone on this board is so knowledgeable, I really appreciate you.  You have helped me many times. 

I didn't transcribe this one, but a doc I worked for was telling us about this man in the ER with a gerbil (s/p?).... you know the little furry animal...stuck in his rectum.  Apparently the gerbil was put in his rectum using a paper towel cardboard tube-thingy and got stuck behind a gas bubble in his intestines!!!!

I don't know what ever happened to that man, but I hope he went for some serious counseling after that...

When I'm typing along with my Instant Text along the bottom I'll occasionally (too much for my tastes) lose letters, especially when I type a period...I'll lose the last 2 or 3 characters of the previous word.  It's really bizarre.  I have no other problems with IT when typing in Word all by itself or any other program, so I assume it's just a problem when I'm using the ExText with IT.

I like going back into the old documents.  It takes a bit sometimes to load different things but it's good overall.

Its so weird, this happens to me too..

I wonder why though?

I won't give out my phone number, but yet I invited an internet friend of mine from Australia to come and stay with me for a couple of weeks while she was in the states. 

I'm happy to report that her visit was absolutely wonderful and she did not turn out to be a serial killer, as my daughter had portended :)

My son has chronic eczema. He had so many food allergies when he was small. We were told he would "grow out of them" and, for the most part, he did. His major allergy was, and probably still is CORN.

Now everything you buy has corn syrup or cornstartch or corn something in it. Even the dyes in Kool Aid have a scientific number, which is actually a corn biproduct of some sort.

As you can see, I have done my homework about corn. My first time shopping for him "corn free" a decade ago took me almost 3 hours.

Unfortunately, cold weather aggravates his eczema and we live in the Northeast.  He has  been to the best dermatologist  in the state and has 4 meds that keep it under control. However, he's 15 and he goes and eats pizza with his friends (no pizza sauce ever made without corn syrup - you have to make your own out of tomatoes). McDonalds, etc, everything is loaded with it.  I only found 1 local breadmaker that actually has white bread without corn syrup in it.

I clicked on the New MT board, and the Google ad (right above the messages) that popped up was "DEATH PENALTY"  ..... NOW I'm scared

a kind, loving, pure, and forgiving community who look out for themselves. They are hard-working, self-reliant, and do not worship anything green.  My aunt married a Dunkard (a Mennonite sect) and I would stay with them every summer, and was taught many a lesson. I absolutely envy them (which, of course, is a forbidden word). LOL

For those who care, there are 2 funds set up through the Fulton Bank branches. One is called the Nickel Mines Children's Fund and the other is called the Roberts Family Fund. They are accepting donations until Nov. 1 and there is a committee of 9 Amish who will be taking care of the proceeds of the fund.  I'm not sure of any of the addresses, but for anyone who would care to donate, you can go to WGAL-TV on line and find the addresses and correct names of the fund.

I'm wondering if anyone has seen this before.  It's just too weird and I have worked for doctors (mostly general practice) for 20 years.

My son is 20 and he has these really weird looking discolorations on his left arm. They are flat, pink, scattered and in many different dimensions from the size of a pencil eraser to an actual small squares. They are not raised, don't itch or hurt, but they've just been appearing slowly and are now covering more areas of the arm.

He works in a kitchen at a nursing home, but the spots appeared before he got this job. The nursing home said he needs to have this checked out before he comes back to work on Tuesday (he has tomorrow off).

Rundown on his health history is that he is asthmatic (not enough to be on meds)and coughs a lot. Unfortunately, he is a very heavy smoker and I've been trying to get him to stop. He has cut down, because he's living at our house now and smoking is outside. He doesn't cough as much, but still coughs a lot.

He is 6 foot 4 inches and weighs 135 lbs. He eats constantly and never gains weight, but he's been like this since he was in grade school. He has a confirmed diagnosis of thalassemia and also has symptoms of what may be Marfan's Syndrome.

One last thing is that he had months of unprotected sex with a girl he was in love with until he found out that he wasn't the only one she was sleeping with, so he left her and moved back home for the time being.

Any ideas would be helpful.

I can't sleep in if I know I can, but wish I could when I can't. I set my alarm (which I never have to do) for 8:30 this morning and got up at 5:20. If I hadn't set it, I might have slept until 7:00, but I highly doubt it.

Funny thing is it never matters what time I go to bed, whether it's 8:00 p.m. or 1:00 a.m

Hubby was born around midnight and has worked the graveyard shift for nearly a decade, as he could never get out of bed in the morning for work. He goes to bed between 8:00 and 10:00 a.m. and sleeps until dinner.

Two sons, both born at night who would sleep until 4:00 p.m. if they could.

Two daughters, both born in the a.m. that "sleep in" when they can, but never past 9:00 a.m.

This is too weird. Now I'm thinking I should have been born around 9:30 a.m. Then I could sleep until 7:30.

I can, however, nap on demand. I say to myself, "Okay, time to sleep for an hour now" and I'm zonked out for an hour, never longer, no alarm clock. Weird.

Boneless ribs in the crock pot.  I'm not as creative as you though.  The lazy way is to broil for 15 minutes, dump the ribs in the crockpot. pour a bottle of your favorite barbecue sauce on them and go back to work. :)

Low 8 to 10 hours, high 4 to 5.  They were sooooooo good.