I do not compromise any patient, just because I am able to do part
Posted By: Trina on 2007-06-03
In Reply to: I see where you are coming from - sm
someone else couldn’t, oh, well. My work looked at, graded just like anyone elses and I do not go under 98-99. When a post starts coming in they have a child at home, this is a reason why they want to work this to do that, this is where all the posts are coming from saying why are we not taken seriously as professionals. The people on here answer their own questions. Professionals are not employees trying to stay at home babysitting, home schooling, running errands for their friends/families, and the list goes on and on. It comes not from me but from all the others complaining about the fact not taken seriously and your post is same theme. No one should feel bad about the per cent line I get because I have worked for the same place for almost 20 years and the work to me is like taking candy from a baby, so easy so therefore I can really pour on the steam. Icing on the cake, wouldn’t have it any other way.
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My compromise...
My hubby is also off the next two weeks for plant shutdown for which he gets fully paid but us - we don't work, we don't get paid  ....so I work part-time at MQ and pt at our local hospital at home. My compromise was to take off 2 weeks from our local hospital. I will still work my required part-time shifts at MQ and have every other day off with the family. At least with MQ I can do extra work (if there is any) but getting up early in the a.m. when all the guys are sleeping from staying up all night cause they are on "vacation". I am the only female in a house of 3 males (my hubby, a 16 yo and 14 yo) so I always have to be the "adult". But at least this way he knows to plan stuff together on my time off - oh ya and when I'm working - I booked things for him to do - take the car in for maintenance, take the dog to the vet, etc. Share and share alike  .
May a compromise would be (sm)
To come up with some kind of straight for her normal to compensate for pulling it up and preparing the report with it...if it's totally the same from top to bottom. However, if there is even one change to the normal, then it would convert to your normal line rate.
Maybe a compromise?
I was the same way at her age with the makeup and wanting to fit in with my friends. My mother forbade me from shaving, but everyone teased me about my hairy little legs and armpits, so I did it anyways. Mom didn't notice until a few months later. She also didn't want me to wear makeup to school, so I learned about makeup from my girlfriends and bought it with my own money. I got teased over the makeup, too, because it looked horrible. Black eyeliner, blue eyeshadow. Maybe you could get her some "unmakeup" to use? Try the shiny lip glosses with no color and some of the pale nail polish colors. Teach her that makeup is something to enhance your natural beauty instead of replacing it. On the one hand, we don't want our daughters to look like the latest pop stars. On the other hand, being teased by other kids is not a good thing. At least she's not shoplifting "streetwalker" clothes at the mall and changing in the school bathroom. I never did that, but my friends did.
Here's a compromise for ya! -sm
How 'bout we let the Indian transcriptionists have all the thick-accented, impossible-to-decipher INDIAN DOCTORS to transcribe, and leave the American-born docs (whom they probably have more trouble understanding, anyway) to us?
Sound like a plan?
I think that's a very fair compromise, Sheri. nm
nm
I'm willing to compromise. Is there a company that only includes(sm)
basic patient info in the headers and footers and does not include all of the headings as a template? What I've found is that these two companies have gone from originally just basic patient info in the header footer (which I don't expect to get paid for) to basically making the entire report a template and we're just basically filling in the blanks and hunting and pecking for the headings. This, I feel, is just not right. The excuse being used is that "it saves us from having to type that information." It would actually be quicker for us to type it - even without an Expander - than to be doing it this way.
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.
The easy part is making the decision to leave, the hard part is
actually doing it. Been in your shoes and it took me a year and a half to leave after I had made the decision to do so. It was the best thing I have ever done for myself and my girls. I had family and friends and a counselor telling me what needed to be done and I knew what needed to be done but until I had the courage on my own to do it I stayed. One day, we had an argument and he spit in my face and that was the last straw for me. Even though it is something that I will NEVER forget, that day is also a day I will never forget because it is the day that I took my kids and left. I am a single mom of 2 and have been single and supporting us for 5 years now. I have been healing ever since and still am to this day. You can do this. I know that if I hadn't have left and I would have stayed one of us would be dead by now or both.
What's up with the CMT part A and part B exams?
I thought it was all one test. How can a half a test last 6-1/2 hours? If anyone knows, please share your info! Thanks!
Does anyone know if you are a part time employee for 1 company and part time IC for another can you
still claim deductions for IC on your income tax even though you are one of each.
Depends on how part time the part time jobs are.
You can do it. You just have to work out a schedule you can live with.
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.
Patient doing/during dictation
This just really annoys me! I can understand why busy doctors feel the need to dictate while they are with patients, but still, it is very annoying!!! I dictate for a pediatric neurologist, who is a wonderful dictator himself, very easy to understand. BUT, he dictates during the office visit and sometimes the patients are talking at the same time he is, does he stop the tape NO, does he repeat what he just said NO and then changes what he is saying sometimes based on their comments. Some of these children are very young, very disruptive, and very LOUD. He will also have the parents dictate their address sometimes, do they spell their crazy sounding roads NO. ARRRRGH. Anyone else have this problem or am I just having a hormonal day?
I guess I should just be thankful he doesn't take me to the bathroom with him any more often than he does!!! (and YES he does!)
dictating while seeing a patient
I must be weird because I never had a problem with the doctor dictating while seeing his patients. I worked in a busy clinic where one of the doctors pumped her breasts while dictating, one would eat hard candy and comment about the patients under his breath, one would tell dumb jokes in the middle of his dictations. We (the transcriptionists) got even with them one year at Christmas by publishing a little booklet of all their bloopers. We even got our raises that year!!!
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