I did child abuse reports for 2+ years then quit.
Posted By: omt on 2005-07-23
In Reply to: I hate those but I hate trauma notes on children even more sm - soft heart
I did a report on one kid, just learning to walk, who had the little feet stomped on by mom's significant other. That was the beginning of the end for me with that job. Of course mom kept significant other and lost the kid.
I had to get up and walk away and go back to it.
I honestly do not know HOW you got through your report.
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Child abuse reports
I too have typed the child abuse reports and I go through an array of feelings. I just cannot believe what some people can do to other human beings -- much less an innocent child. I know that after I type those reports, those kids will be forever damaged at the hands of someone they love and trusted. Sad stuff.
Must have been hard to do that....in the past I have done a lot of child sexual abuse reports - sm
and they were no picnic. After my mom died, it also seemed I got a lot of congestive heart failure patients (what she had), and now since Jen's diagnosis of Wilms, I did 2 letters last weekend on two other kids with Wilms at the same clinic we attend.....what freaked me out was the Stage II child had a 3 place recurrence at the completion of his chemo, while a Stage IV child was just fine.....Jen is Stage I....and then at her ultrasound this week the doc was extremely thorough (more thorough than the last one, same doc too) and it made me a bit uneasy as he did stuff this time that he did not do last time. But he said all was well, said they get faked out a lot by shadows where the removed kidney used to be that looks like recurrence so they have to be extra careful and rule out that possibility. But the child abuse ones, when I used to get them, were definitely depressing, can only do so much of them.
Not about child abuse, but...
...a pretty funny story. A friend was working with her horse when he tossed his head, smacked her in the face and broke her nose. By the time her hubby got her to the ER she had a huge shiner, a huge nose and was swollen and black & blue on one side of her face, plus had wrenched her shoulder.
Various hospital personnel began asking her how it had happened. About every 10 minutes somebody else came in to put her through the whole horse story again, and this went on for a couple of hours. Then a cop showed up and asked her the same stuff and also spoke with her husband, and then it dawned on her that this whole time they had been trying to shake her story. They thought her HUSBAND had belted her!
And about a week later she got a visit from a social worker just to make sure she was 'okay.' Far from being upset about this (although it was annoying to have people bothering her constantly in the ER) they both thought this was pretty hilarious. And they figured that their tax dollars were not being wasted and their county agencies were doing what they should be doing.
I don't believe in child abuse
or drug abuse, but I don't refuse to type reports involving child abuse victims and drug overdoses.
This seems a little out there to me. Don't get the logic.
I hate the ones where child abuse is suspected or
the injury could have been avoided entirely if the parents hadn't been so stupid, like a young child without a carseat in an MVA. I used to hate the death summaries at my old job, especially on young people.
Child sexual abuse cases - used to do them sometimes where I used to work - sm
now do a lot of Trauma ER, it used to bother me a lot, but not anymore unless its kids. Guess I am getting used to all the gunshot and knife wounds in the city nearby, that is sad in itself.
I quit once for 3 years, but then started again. (Quit cold turkey when I did)
It's one thing if there's infidelity, substance abuse, physical abuse,
neglect of the family, verbal/emotional abuse, gambling, criminal activity, drug dealing, or other addictions. However, temporarily being a bonehead isn't a crime against the marriage.
sounds to me like with your editing job you get these kind of reports. quit.
if you don't like it simply quit and start doing MT.
In the years since then my child has
gone on to a very responsible job, married (divorced though now, you know with these throw-away marriages the kids have now)and self-sufficient, carries their own insurance and know very well the importance of never letting it drop. The kid in college (3rd year) and told while at school over the phone by the head of infectious disease specialist at the hospital where I worked that tested positive for human immunovirus. The child quit school that very day, never returned and was so gung-ho up until that time about their schooling. I knew I had to get Cobra and get it quick and thank God we were able to have that bridge until over that horrific shock and he was able to gain his own employment. The child basically has done well but anyone working in this field possibly knows about the what ifs with this disease- it has been 15 years since then and I just pray for a lot more years for them.
quit 4 years ago
I tried unsuccessfully to quit about 10 times, but I wasn't really mentally ready to quit. I was smoking 1 pack to 1-1/2 packs per day when my now husband told me he wanted me to quit smoking. That was all the motivation I needed. I quit cold turkey. When I first quit, I carried around ink pens and pencils and held them just like a cigarette to keep my hand busy, and I kept lots of Lifesavers and gum with me at all times. I set aside the money that I was used to spending on cigarettes and instead used it for a vacation. I'm just like a little kid--the reward system works pretty well for me, so I just set little rewards along the way for myself so that I would stay smoke-free. Even now, I stay away from situations where I will be tempted to smoke because I still have cravings. Quitting is hard to do, but you can do it! Just focus on your specific reason for wanting to quit, and you will get there. Good luck!
I quit them years ago when they came out with ....
the TWS system. Prior to that I made a LOAD of money, very good pay. I'm talking the mid 90s. Then came TWS which was develope with one purpose in mind (I am convinced).... to rip the MT off as far as line count goes. That's the only reason they EVER come up with new software or platforms IMHO, to make more money for them and less for you. I had to leave. I couldn't abide by it.
Quit for 1.5 years and was....sm
Gained 30 lbs., BP went up, retained fluids, blah, blah. Smoked for so many years, I'm just not sure it's worth it. I know that sounds foolish but feel the damage is done anyway. Why be miserable???
I quit doing that years ago. It has never been worth it to me. SM
I think, though, that one reason is this. I worked for 15 years on a hospital platform that had NO spellcheck, NO NOTHING. I had to learn to proof as I went along. It gave me the terrible habit of backspacing when I make an error - something I've not yet learned how to avoid - I'd really like to type and have the spellchecker catch the errors because I think I'd be more productive, but it's turned into kind of like a facial tic, something involuntary!
I would never relisten to anything - unless it's something that gave me trouble while I was doing it - and when that happens, I leave blanks, go back to the first and listen.
I quit for several years and started again.....
I'm a moron. I hate it and I hide it from my kids. It stinks.
I quit in 1997...almost 10 years!!!--sm
I quit with the help of a subliminal tape which advertised being able to quit in three days with the aid of the tape and diet. I quit in one day and never looked back. I cannot seem to find that product any longer (dang!) but wish I could. I wish my mother would quit too. she returned to smoking after not having smoked for five years, the very day my dad died...he was not even cold yet and she had a cigarette in her hand! He had kept her from smoking because she had had a stroke prior and he wanted her to live. He died from esophageal cancer complications. I detest the smell...it makes me ill...and I can't stand being around people who do smoke because they smell like an ashtray too, as well as their clothes, hair, house, and car. it is gross. no offense to those who do, I just don't want to be around it. good luck to those who want to quit! by the way, nicotine is addicting, but it is not that chemical that keeps you going back...it is the other *drugs* they put in it to KEEP you addicted...almost like heroine. cigarette junkies. no one will control my life and death that way! JMO.
Quit 10 years ago because I ended up in the
hospital with an asthma attack. If you have asthma, you will not smoke. The way I did it was very short term use of the patch and 13 months of a low dose of Paxil. It kept me from having panic attacks from not having a cigarette. You probably know that there is more nicotine in all brands now than there was ten years ago.
I just quit this morning after 1.5 years...
... at the pay you mention. But it was a good education. Good luck!
I quit 2-1/2 years ago cold turkey
after smoking about 40 years. It was one of the hardest things that I ever did. To this day, I still want to smoke. I am really relating to feeling like you lost your best friend because that was the same thing that I said! I wish you well because it is hard to stick to it. One thing I did want to tell you is that you can get support from the American Lung Association (or was it the American Cancer Society). Anyway, they have people who can counsel with you, send you literature, can possibly hook you up with a local support group, plus they follow up with you to see how you are doing. The more I think about it, I think I contacted the American Cancer Society 1-800-227-2345 or www.cancer.org. Good luck! If I could quit, anybody can!
I too gained (30 pounds) when I quit 2 years ago. sm
What worked for me is the CORE weight watchers plan (no counting of points). It is amazing how much you can eat and feel satisfied. It is really not a diet but more a way of eating healthy. It isn't Atkins or South Beach, as you get to eat carbs such as ww pasta, potato, brown rice etc. It is very healthy and satisfying. The weight just fell off of me 2 to 3 pounds per week. I decided I couldn't see my self 'dieting' or counting points for the rest of my life, but I could live with eating healthy. This plan is the BEST I ever tried, and believe me, I tried them all. Good luck with losing the weight. It is great that you are smoke-free now.
I quit within 24 hours and again after 8 weeks in my nearly 25 years in the biz (nm)
dd
I've tried to quit 6 times in the past 6 years but
always went back to it. The longest I've quit was 3 weeks. My mom died from COPD and she had smoked from age 16. She really enjoyed smoking and although we kept trying, couldn't get her to quit until she was on 24 hour oxygen. She told me if she couldn't enjoy anything in life (smoking), why live. She died 3 months later.
I started smoking at 13...you know, the "try it, you'll like it" phase. We both tried to quit when I was 19 but we only lasted a day. There was only cold turkey then.
I've tried the patch (3 weeks off cigarettes), cold turkey, herbal meds, hynosis (only lasted 5 hours), you name it. I've used all the suggestions possible to no avail.
With a cigarette dangling from my mouth, I told my boys never to start smoking because they'd never be able to quit easily. Two took my advice, one didn't. He also tried to quit smoking but failed. He was on Wellbutrin for it.
My husband started smoking at 8 while working in a coal mine. He quit cold turkey 19 years ago. He was smoking almost 4 packs a day and one day he got so disgusted with it, he just threw them out the window of the car. Never touched one since and smoke from other people doesn't bother him.
He told me you really have to have the willpower and just get disgusted enough to quit. There's no other way. I guess I just don't have that willpower.
Quit after 2 years. If I wanted to work 8 hours a day, I would have stayed in the hospital. Seemed
to be working all day long just to make a decent living. Although, I wanted to be home with my kids until the baby was at least 5, had to breakdown and return to working outside the home, to make ends meet. Just to stressfull trying to make a good living with the rates they are paying now.
I have been printing my docs reports for six years - sm
I charge $4.50 per page for the original letters. I do not charge for copies because I am averaging about $120 for 30-60 minutes of work for each tape. If I started charging the copies with that, I would be making about $250-300 for 30-60 minutes of work, and my docs just will not pay that kind of money for transcription work that takes 1 hour of my time to do.
Now - trying to find someone to cover for me while I'm on vacation is a nightmare because NO ONE WANTS TO PRINT THE LETTERS. Go figure. How hard is it to print letters. The docs provide all the paper and envelopes and blank paper. I pay about $32/month for ink. But if I'm being paid $600-800/month for my transcription, $32 is practically nothing - a business expense.
Guess that means my husband is doomed....quit 15+ years ago (46 now)--GF had lung cancer
so either cancer will get him (his dad had bladder cancer, doing fine now but it did recur and lost his kidney about 10 months ago)...figure either cancer or cirrhosis will get him (drinks 8-12 "light" beers a day...for over 20+ years). So can you say semi-young widow?? (39). Naw....he will probably live forever, which is good.....lots of longevity in his family despite the cancer. Good.
I quit too after 10 years. Loved Healthscribe, can't make ends meet with Spheris. NM
For years I typed innerspace instead of interspace - who knows how many reports! nm
nm
Go to NBC10.com - Our local news has "Wednesday's Child" which is a child for adoption.
Every Wednesday they introduce a child who needs a home and a family. There should be some information there as these kids are up for adoption.
www.NBC10.com -
Hope that helps!
WRONG! A child that has a fear of discipline = a well behaved child.
I have a beautiful, intelligent 11 year old daughter that hasn't had a spanking in 6 or 7 years and probably only 3 her entire life. She is very well behaved and I get compliments on her behavior constantly. When she does get out of line all I have to say is, "Shall I call your father?" Call it what you want, it works. She respects and obeys me and her father. Why??? For fear of the facing the consequences of misbehaving. Having a total lack of fear or respect for authority is exactly what's wrong with Generation X/kids today. I turned out just fine as did my siblings. Why?? Because my parents took "time out" to bust our a$$es whenever we got out of line.
Is that clear enough for you???
I quit two months ago. I tried to quit for over a year, but I just had to be ready.
I tried the patch, NRT gum, Zyban, everything. One morning, I woke up and just quit cold turkey. There are some good online support groups out there that can help you when you're ready.
ALSO IF THEY WERE GOING TO QUIT SE, THEY WOULD QUIT ADVERTISING TO HIRE SE
And I have seen a new ad in the magazine Advance that has a sign on bonus for SE's, maybe just better pay, let's think positive!!
The MR reports were being filed. Referring physicians/medical care providers reports were not.
This is a hospital radiology department with in-house MTs and a clerk who is in charge of the report distribution.
The two sentence normal reports will balance out the 3 page reports.
I am Wendy too
Some abuse QA
This is certainly not everyone's case (in fact, it is a very, very small percentage) but we have MTs who send stuff to QA rather than research. Some of the blanks I get are plain medical terminology 101. Some can be found by typing a single word in Google and finding the appropriate reference.
It is unfortunate that the lazy MTs have made it bad for all MTs. QA penalties have had to be instituted because of this abuse.
Another point I would like to make, you say you are sending work to QA for correct patient name spelling - we do not have a census and are working at home like you, so we do not have access to patient's names. If the physician does not spell the name and it does not come up on the report, do not send it to QA. I'm sure your company has a policy for dealing with names - when they are not given, not spelled properly, etc. Find out what that is and follow the procedure. That should eliminate unnecessary blanks to QA.
QA abuse
In ANY business you are going to find the rare but ever-annoying case of incompetence. It's easier in this line of work because of the remoteness and anonymity that comes along with it. This mind-set is eventually exposed for what it is. Then the rest of us go on and do our professional best. :)
I didn't have the same abuse, but have a lot
of the same feelings. I was sexually abused at 8 months - though didn't learn this until I was almost an adult. I was reading my chart at the doctor's office, because he was always an hour behind and I found it it there. I had been abused when I was 5 and 6 and I remembered that but has suppressed it for the most part. I started therapy and was seeing a therapist, but had to see a psychologist once so they could sign off on reports for insurance to pay. The psychologist said I was making it all up, that it didn't really happen and that I was just attention seeking.
I tried therapy again and I was getting to the point of finding out who abused me when I was so young - I knew who it was at 5 and 6, but not before, and I felt it was my father and I just couldn't deal with it, was having severe panic attacks so I quit therapy. I'm overweight, have poor self-esteem, I'm very judgmental, distrustful, and just overwhelmed. I don't use my trauma as an excuse, but I'm not happy and I want to be happy and I think when that happens most of the other issues will resolve. I don't drink or do drugs though, but I guess food is my escape.
spouse abuse
Yes, I have talked to the police, but he was married before and living in NC and I believe he may have a record there. He is a real slick one. He put scratches all over himself to try and make it look like I hit him. I have never had anyone do this before and he is a sick individual. I am sure he has had prior incidences.
We were only married for 6 months. I refuse to let anyone hit me, no matter how much I love them.
Thanks for your concern.
Spouse abuse
I was wondering if anyone could tell me if there is a way to find out if someone has a previous record of spousal abuse.
My husband hit me and I cant afford a lawyer but make too much money for Legal Aid. I want to do this on my own. I just need to know if there is a way to find out this information from a different state. Are these files open to the public? Or does a lawyer have to request these things?
Thanks so much for your help!.
My ULD was suspended for abuse too.....
I was so surprised but at least I know I am not the only Transcriptionist in the US to have this happen to. Lisa, I e-mailed you.
What, do you think?? I abuse my dogs, LOL
Like the post below, my dogs know when the collar is on/off, turned on/off. They are very smart. And, I do know the difference between just barking or something approaching. My dogs are very much loved and very well taken care of. I don't think you know the correct use of a shock collar at all.
Who said you abuse your dogs? Why be
x
abuse comes in many forms
This truly is abuse. You may not have visable body scars but mental abuse is just as bad if not worse as physical abuse. I'm not sure there is help for your husband but you need to get out of this relationship for your own sanity. A tiger never changes his stripes. I had been in relationship that had the same elements. I worked all day and would teach a class at night and we were to dress in a professional manner and I would be accused of having an affair. (Huh, like you have the time and energy.) I had the courage to get out and have now married a man who respects me and treats me as an equal partner. Is that not what a true marriage is, a partnership. If you do not have family to help check with you local Women's Help Center possible that could be a start. I wish you the best and hope you have the strength to more forward and leave him in the dust.
Sexual Abuse
You don't even want to go there. It is not in your scope of practice as a Transcriptionist sitting in a room somewhere to determine sexual abuse.
For you to go over a physician's head and report it because "you" suspect it is a good way to get yourself at least fired, in essence you are saying the physician did not practice according to the law.
Sexual abuse
As a survivor of sexual abuse, I can tell you that I wish someone had made a report. This was back in the 70's when it wasn't widespread knowledge, wasn't talked about. I honestly think that my mother was relieved he wasn't bothering her. Everytime I was taken to the doctor as a teenager (which wasn't very often) my mother would go in the room with me. The doctor sometimes would tell her she could wait in the lobby, and there was always a nurse in the room. I never got to ask questions that were burning in my teenage brain, I never got any help. I think my mother was afraid I would say something. This was after she found out about it and acted like it wasn't happening. He started when I was 13 and stopped when I was 18 when I threatened to cut his you know whats off.
I know in the performance of our jobs that we can't say anything about the things we learn. But hopefully the doctor stood up for this young person and did the right thing. I wish mine would have.
dog abuse in China story
Listen . . . .what is your real posting name anyway?
My priorities are not your concern. It is a well known fact that people who abuse animals easily go on to violent behavior against people. If clubbing innocent dogs to death doesn't bother you, it should. There are much better ways to deal with a rabies problem than that. Perhaps instead of ranting about my priorities, maybe you could put your energy toward helping create a solution for the abuse of innocent childern or one of the other million problems going on in the world. What ARE YOU doing to help make the world a better place?
These same people abuse ambulances too!
I typed a note on some woman who called the ambulance because she stubbed her toe! Geez, hope nobody in her town was having a heart attack at that time...
I would do it just to save my hands from further abuse! nm
nm
Reporting sexual abuse?
If we are transcribing a report that we believe to be a sexual abuse case, are we required to report it if the physician does not? Is this a breech of confidentiality and a violation of HIPAA?
reporting sexual abuse
This is hard to talk about. Two weeks ago my daughter woke me up to tell me her friend "had" to talk to me. I was asleep, not very happy with 17-year-old drama. Long/short the girl's father had been sleeping with her "until she turned 16". At that point apparently she told him she would tell if she did not get her own bedroom....she then went on to say the reason she "had" to tell someone is that the night before she heard him through her wall now with her 14-year-old sister. There were two other little girls in that house - the mom had apparently moved 60 miles away and gave this monster custody while she found herself or whatever. When the girl started telling me the rest of the story, I was stunned. I am so visual that as she spoke my skin began to crawl - I wanted to beg her to stop with the chilling details, but I knew she needed someone to tell and I was it. I felt like a victim myself. It was the creepiest story ever. She went on to spill details that made me 100% sure she was telling the truth (like....he got really, really angry when he found out my sister had started her period) that type of thing. By the time she finished her gut-wrenching story, my own daughter looked at me and said...mom...you are just staring....Ended up calling a Sexual Assault Hotline. Next morning I was driving home and there were 7 police units in front of this creep's house. The mom came and picked up all the girls, thank God.
I think what happened to the MT who read this sexual abuse case is the same thing that happened to me -- somehow in even reading or hearing about it -- you become somewhat of a victim yourself -- a victim of just how sicko the * of the world can get. Thanks for letting me vent. The friend of my daughter stays in touch and says she is much happier. I am going to watch in the courts and make sure that this sicko does not get off lightly -- let em just try that...not on MY watch.
I don't watch fear factor. They abuse animals. I also have better
stuff to do with my time then watch someone eat pig intestines.
cover with thiamine and (s/l) serafellon for alcohol abuse
Got no help on word board. Running out of time.
Thanks in advance
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