I don't post here super ofte, but I could use some thoughts

• I don't post here super often but I could use some thoughts (m) - MT
  • You're not the only one. - Backwards typist
  • I never worked as an IC, but - Me
    • Reply to all who responded - A little different
  • I don't post here super ofte, but I could use some thoughts - ej
  • I too am an IC who has worked for 2 doctors sm - Ladeedah
  • I don't have any of my own clients...sm - blondie_1147
  • I have had this happen too s/m - MI-MT
    • Thank you - Alice

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Seems to me it would be a great X-mas gift.  I found one of my brother (now 55+) when he advanced from cub scouts to boy scouts.

I tried to check out a couple of websites, but it's all Greek to me.

I'm in the process of fighting the planning/building of a super Wal-Mart down the street from where I live, which is out in a rural neighborhood, about 4 miles from town.  I liken this incredible increase in Wal-Marts across the US as very similar to what is happening in the MT world.  Wal-Mart gets something like 80-85% of their merchandise from other countries--it's just like outsourcing!  Think of all the jobs that have been lost to this in our country.

I understand what some of you are saying about not having the money to pay a few dollars more on whatever it is that you want to buy, but it's no different from transcription!  Those who are outsourcing the transcription to foreign countries are very similar to what Wal-Mart does with its suppliers.

Where does this leave our country?  It's certainly scary for the future of our children in the United States.

I hear everyone out front watching and having a good time.  Well, they probably think I'm upset because I have to be back here working, but secretly I'm GLAD I have to work.  I'd rather watch reruns of Mayberry RFD than football.  I'd even rather have to work! 

when my computer starts to drag, i just run that program.  it usually clears it up pretty quick.  i should probably do it on a daily basis, but i usually end up doing it once every couple of weeks. 

the other poster might be right, though.  you may need more memory.  have you always had this problem or just lately?  did you install any new programs just before this started.  if not, i would think it's just adware slowing you down and the super antispyware should help.

While I feel empathy for her family wondering what happened and wanting closure, frankly I'm tired of hearing about the case on the news, and that we have tied up FBI and even the military resources to look for her.  We have people that go missing in the US every day... and people visiting countries disappear - and you only hear about the ones who have families that are rich or well connected with the media. 

In my town there's a college girl who has been missing for over a week and it finally made the newspaper in a small blurb today.  This girl missed a flight to visit her family for a vacation and hasn't been seen or heard from since then, and her family says this isn't like her and that she was excited about the vacation.  Are they getting the attention this chick in Aruba is getting?  No.... because they're an average middle classed family.

I do know how you feel.  There are a few things I've done to cut that type of sress down...

I'm not sure what your company is like, but for mine, we have a primary account, and many people also have secondaries (mine is so busy that I don't usually need back-up work, so I have one major account).  It pulls from several clinics, but with a pool of about 20 or 30 dictators, after awhile, you get the hang of even the hardest ones.  There are some dictators that are just really bad, and I struggle with.  When I can't figure something out, rather than spending 10 hours searching and struggling, I use blanks.  I give it a good faith effort, as best as I can, and then I move on.  Since I usually clip along at a good pace and am pretty confident in 99% of the work I do, I don't let myself feel bad for sending something to an editor, if I truly don't know what it is.  Of course, I do the research, but if I'm looking for something for more than a few minutes, it's been too long.

You may need to look for a different account/specialty or even a new company, if you think that is the problem.  I know that, at one point, I ended up moving from a difficult but high-paying account to an account that paid less, but I was more comfortable with.  I ended up making more with the lower-paying account, because I wasn't having to stop every 2 seconds, and I wasn't tearing my hair out, and ending up in tears at the end of the day.  Of course, people should move up as they feel ready for that, but perhaps you need a workload that doesn't create so much extra work for you.

Those are just some thoughts, but you CAN do it.  Be proactive in finding a situation that works for you.  You are more of an asset to your job when you are comfortable and not stressing and struggling.

Hang in there!

 I would want to know what type of docs run the clinic - whether anesthesiologists, physiatrists, ortho, neurology, etc, as this will guide the typical direction of the dictation.   Because pain med Rx writing is always under scrutiny, there will probably be a fair amount of repetition for every pt on medicolegal issues.  Most, but not all, of my experience is with neuro/physiatry-based pain management.   For both these, I found the doc more likely to do further workup, which leads to much longer and involved reports. In the middle would be those docs who do extensive review of the patient's history and only minimal further testing.   The extreme other side of the coin are those, what I call, in/out pain clinics where the pt shows up every 30 days, re-signs their drug contract, has their BP checked and leaves with a new Rx.   I would always expect the initial H/P to be extensive and the f/u notes relatively brief.  Typically lots of phone call documentation and referral/followup letters or information.   Anesthesiologists lean more toward a lot of injectable therapies, blocks, epidurals, etc., at least initially, putting more of an op bent on their practices. 

As far as interesting, pain patients are very repetitive in their complaints and their needs.  Typically,  by the time a pt gets to a pain management practice, the cause of their pain has already been extensively worked up.  There are true chronic pain sufferers and those who are drug-seeking only.  Things do get interesting with the latter because they are very creative when it comes to trying to con or manipulate the docs.   If I were in your shoes, my first question would be what speciality of docs run the clinic.  As far as job security, it is way up there for legit practices.  More often than not, the average family doc is not willing to prescribe pain meds beyond a certain amount of time/quantity and feel forced to refer the pt to a pain  management practice in order to protect themselves from the medicolegal aspects of the business.    Hope something here helps - best of luck to you.