I find infectious disease to be IMPOSSIBLE, with all the bacterias AND the meds.
Posted By: Among others. on 2005-06-30
In Reply to: what is the most difficult field to transcribe? - whatta think?
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infectious disease
I may possibly be starting an infectious disease account soon. I have already ordered a Stedmans dictionary, but was wondering if anybody has done any work in this field and have any advice, websites to check, etc. on this specialty. I want to gain as much knowledge as I can before starting. I appreciate any input.
infectious disease, but for some reason I also get
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I worked for an infectious disease specialist sm
who was asked his opinion on someone suing a company because he caught pneumonia from being cold, then hot. This specialist said you cannot catch cold or any other illness from temperature, just from a bug. A person could get hypothermic and then get ill, but it would have to be in extreme cases. Here, it was 20 degrees on Monday and Tuesday, and yesterday 81, and today 62. I'm staying away from people who are coughing and sneezing. Temperature changes have nothing to do with illness.
Oncology, Rheumatology, Pathology, Infectious Disease
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Need good organisms and infectious disease books/sites (sm)
I have Stedman's Organisms & Infectious Diseases, but it's out of date (2002) and an updated company has not been published. Does anyone recommend any books and/or web sites that can give me quick info including on meds for specific IDs? e.g., Stedman's lists HIV/AIDS medications alphabetically in the appendix.
Explain you took on 2 acct at same time but find it impossible to do adequate job for 2 accts.
:P
As Paula would say, Taylor is infectious!!
nm
Neurology, neurosurgery, infectious dz..
It's nearly impossible to get by even on
This biz stinks more every single day.
Not impossible more improbable.
I didn't say it was impossible. Just not the norm and harder to prove. As in this case.
they are already impossible to reach
18,000 lines and your rate increases by half cent, whoopee. MQ is a complete joke, a bunch of greedy, phony liars. This whole business is in the toilet and i'm just sorry I didn't start school for a dif career sooner to be out of it NOW. I'm gradually having to cut down on spending because my rate of pay is not up with the times, severe hand pain day after day, condescending technicians and supervisors. I feel trapped.
hahahaha - yup, it's impossible!!!!
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Appreciate your thoughts, but all of this is impossible.
For so many reasons. As one poster stated, these boards only reach about 10% of the MTs (very small number). I, among others, have written numerous letters. Heck, I even wrote to Obama, my congressman, major news papers, news programs, news magazines, etc. It does not do any good. I filed a complaint with the Employment Comission and Labor Board on the working requirements and procedures (that got me laid off).
Another very important thing to consider here is that not all MTs are unhappy. I was for a very long time, but I am quite happy with my working conditions and pay at this time (even though I do not expect it to last due to the industry evolvement). There are also more MTs than not who can not afford to do what you say is a good idea (strike or whatever). Some will lose their jobs as I did and even if they did not, they simply cannot afford to go without pay for any length of time. How effective would all of this be if only a couple of people from different companies did this? We all work for different companies, and again, they are not ALL bad, even though there are not many of those left. There is also the consquence of them replacing us with near-newbies at even lower wages, increasing the company profits, and further damaging the industry.
Our only hope was the AHDI and they stabbed us in the back. More offshoring is being done to cover the tax/cost implications currently in motion, again further damaging the industry. I just have to believe that it will evolve to its worst, and then swing back our way. Wishful thinking, I know but that's all I've got.
1000 lines a day, impossible? sm
this is not unrealistic. On a good day, I can easily do 16-1700 lines! A mere 1000 lines per day is NOT an unachievable goal, even for a newbie or semi-newbie. My company requires 1200 lines a day, which I believe is about average! 
I too felt like it was an impossible career
Now 8 years later, I'm glad I stuck with it. Before working at home, I worked for two years at a local hospital and that really helped me build my work experience and really helped when I went out on my own. By working at the hospital, I became familiar with the local docs and eventually got my own accounts with them. I had to let those accounts go because I moved, and now I am working for a small MTSO for the timebeing. I had no problem getting this job. I had applied to many different places and was overwhelmed with job offers. If you stick with it, it gets easier. You've invested time and money into this, have patience and see it through.
I have an idea. Let the MTSO do impossible
his business. Instead of expecting me to do him for 1/2 of what he is paying, let her do him.
Then it's impossible to comment on the QA's note. sm
There are, of course, situations where it's pretty obvious that an individual guessed at a term rather than either looking it up or leaving a blank.
For instance, when the MT uses a term that has no logical relationship to the subject being discussed, that's a pretty good clue that she did not look up the definition of the word.
I'm not saying that's what happened in your case; I don't know enough to say. What I would suggest is that you decide on one of two courses of action:
a. Let it ride. It's doubtful that the QA intended to insult you, although "please check the definition of terms that you're not sure of" might have been more diplomatic (or would you have liked that any better?).
b. Talk it over with the QA calmly. Let her know that you thought her comment was offensive and presumed something that wasn't true.
Either way, I'm sure you're already aware that it's always better to leave a blank than to use the wrong term - whether by "mistake" or by "guessing". I know that all of us take great pride in completing our work accurately and it just kills us to have to leave blanks (a wonderful attitude, by the way!), but sometimes its just unavoidable - and if you've done your reasonable best to resolve a blank without success you've done your job. Leave the blank and get a second set of ears on it. After all, the doc might have used a term that doesn't even belong there in the first place.
I hope you're able to resolve this conflict with your QA or get past it. I know how these things take approximately 63.795% out of the joy of your work! :D
Guess you do not believe that it is a disease, huh?
There isn't a disease that causes someone to take that first drink, first
cigarette, or first hit of whatever. I also think a lot of times "disease" is an excuse and not a real issue. I come from a very long line of alcoholics on both sides of my family. As as result I feel I have a predisposition to becoming an alcoholic, so I choose not to drink. Alcoholism may be a disease in some people, but it is curable. HIV/AIDS is a disease too that is 100% preventable. I don't have a lot of sympathy for people who refuse to take responsibility for their actions and want to blame everyone else.
I don't believe it starts as a disease. I
fully believe it starts as something to pass the time or forget problems, but then the body becomes dependent and then it causes disease.
Leyden's disease
is a clotting disorder occasion by an abnormality of Factor 5, according to the dictator, but I cannot get a solid spelling of this disease. Anyone out there heard of it?
Thanks!!!
Ah that must be the disease people have when the MDs can't
figure it out! They would NEVER say they don't know, right? I'm going through something similar. I know I have something going on, been sick for a few months, and never was before, and I mean, really never like this. They found a few little things so far but this MD really just can't figure it out, unfortunately. So, onto the next. I am confident that at some point I will find a good diagnostician that really knows their stuff, if any still exist. Hope you will too :)
I have Crohn's disease and have
had blockages after eating foods hard to digest. My Crohn's is locasted in terminal ileum. Had 2 feet of small intestine removed in 1998, but it came back in same place. It is very narrow and scarred in this area again. I have to be very careful about what I eat. I don't eat anything that has a peeling on in unless I peel it first. When I have a blockage, I have pain and then vomiting until it finally goes through on its own. Have been to ERs many times. It could rupture, and that would be very bad. If he has an intestinal blockage, it is very serioius.
LOL! Know just how you feel. They are near impossible to grow in SoFla.
aa
Yes its true. They seem to be setting impossible limits for everyone lately and you have to wonder
if they just want people to quit.
The best place to get experience is in a hospital. I think it is near impossible
to work from home without the valuable experience of working onsite with others around to listen and train.
The schools all hype everyone up on working at home, but it is not that easy!
had a dictator who would give me an impossible long-
unpronounceable name, like Thyvongngang Tamboyvonangouwengay - and then say "common spelling" like it was John Smith. Cracked us both up every time.
Impossible to give answer as it all depends
on voice recognition program, dictator, etc. I am working in such a lousy program lucky to get in 800 lines a day - it's the software - I spend so much time deleting what is there it is not even funny. I could type from scratch much faster.
OT-Anyone have polycystic kidney disease?
I have just recently learned I have polycystic kidney disease (my mother died of kidney failure) and the cysts are on my right kidney, adrenal gland and on recent CT, (only two months from my first one), I have now developed cysts on my liver too. The kidney cysts are bleeding. :( I have daily right-sided aching and back pain. My right kidney is deformed and I have reflux on the right as well as kidney damage from childhood.
My whole illness started out about eight months ago as benign paroxysmal positional vertigo and it was horrible with nausea, anorexia due to that, and significant weight loss. I had two Epley maneuvers that corrected the vertigo. A CT of the abdomen and pelvis was done and that is when the first cysts on the kidney were discovered which I was told were not concerning in someone in their 50s. In the meantime, I had started eliminating a couple of my Rx meds and the nausea stopped, and so I felt they were the cause of my nausea which in a sense I feel could still be true but perhaps more due to not metabolizing the meds appropriately due to kidney and/or liver problems but I do not know that yet. I do not see a urologist until 09/07 and will find out more then.
It is my understanding that this is a hereditary/genetic disorder and there is no cure and progression to kidney failure is quite high by the time you are 60 and I am 52.
I was just wondering if anyone else has this or knows someone who does and what info they may be willing to share.
Thanks so very much. :)
Does the patient have Paget's disease? If so,
that could explain prescribing it twice weekly.
One thing I've learned in life is it's impossible to
stand up for themselves. Maybe only 1 in 100 will even try. Sad to say, but we've brought a lot of this onto ourselves.
Thank you for response. :( I figured it was nearly impossible for transcribed lines.
I think my co. wants me to quit...
I was tested for Lyme disease when I first started with everything..thanks anyway. :( nm
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Lymphangioleiomyomatosis - LAM - never heard of this before but what a scary disease
They just reported on this disease on our local TV station.
http://www.geocities.com/HotSprings/2312/
"Lymphangioleiomyomatosis (LAM) is a progressive lung disease that strikes young women in the prime of their lives. The prevalence of the disease is not known but it has been estimated that there are a few hundred cases in the United States.
The disease is characterized by an unusual type of muscle cell that invades the tissue of the lungs, including the airways, and blood and lymph vessels. Over time, these muscle cells form into bundles and grow into the walls of the airways, causing them to become obstructed. Although these cells are not considered cancerous, they grow without the usual controls within the lungs. Over time, the muscle cells block the flow of air, blood, and lymph to and from the lungs, preventing the lungs from providing oxygen to the rest of the body.
Lymphangioleiomyomatosis is pronounced lim-fan-g-o-lie-o-my-o-ma-toe-sis. Lymph and angio refer to the lymph and blood vessels. Leiomyomatosis refers to the formation of the bundles of the unusual muscle cells.
Although there is no clear evidence for a hormonal abnormality, therapy has focused on estrogen reduction because of the population affected and includes tamoxifen therapy and progesterone therapy. Lung transplantation has become an established therapeutic option in patients with advanced disease. Recurrence of LAM has been reported in the transplanted lung of two patients raising questions about pathogenesis and suggesting a systemic component is involved.
The cause of LAM is not known. "
Alcoholism is a progressive disease. Your man will never resurface. nm
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A possibility would be ischemic bowel disease.
I wanted to learn it, but I fear the learning curve would be impossible. sm
 since I can't take any time off from the qwerty keyboard. How did you make the conversion?
At 53 working 2 jobs 80 hours a week is impossible. I tried it, it does not work!! (sm)
I have been at this business 30+ years and at one point worked 3 jobs and 2 were for hospital contracts with taxes taken out and the other IC. It gives you no life. My suggestion, if you need the extra $$ work your 40 during the week, then 1 or 2 nights 2 hours and then Sat/Sun 16 hours which would give you 20 hours. That is more than enough and will give you a chance to see if you want to make a job change. Have tried the 2 FT 80 hours and almost had a seizure over it. Remember if your not physically well you cannot do it all!
You must live in Calif - finding a good old doctor is nearly impossible here.
It amazes me. But, it is true. The stories I have heard are heartbreaking.
I blame it on the cap they placed on malpractice suits. Doctors here are complacent. In my town, we go to Stanford or UCLA for serious illnesses. It is well worth the drive.
How about yourself? I type a report on some horrible disease and think "Hey, I think I have that.
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It already has. I have to work from home because of disability due to chronic disease.
My physicians and visiting nurses are extraordinarily caring individuals who fortunate have (more so than I had previously thought, apparently).
Also, I can understand venting about a situation you feel you have no control over. I assume you desired sympathy or empathy or just someone to say, "I know where you are coming from," but to post incoherently and then lash out at those that reply is only going to add to your frustrations and negative feelings.
I am sorry you feel as though your health care providers don't care if you did, but I am sure that is not the reality of the situation. If you had taken the time to provide context to your rant, then you might have received the type of replies you were looking for, whatever that may have been.
Best of luck to you.
switched to miniatures-stronger, more resistant to disease and pests.
and now I actually like them way better than the standards.
Might also be your thyroid or Lyme disease. Insist on blood work! nm
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Good luck to you folks. I hope I can perk up soon. I thought I was the only one with this disease
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Corporate greed is a rampant disease that will end up killing the American middle class....sm
These people never have enough, there are no scruples, In God We Trust is just something printed on currency instead of being a moral principle carried down by our Founders...the French started a revolution over this. I hate all war and violence, but how do we stop global economy as being the tool which the corporate entities use to rape the middle class workers? Sorry for the rant, bad week....year!
Why don't you up the meds?!!!
Your quotes sure are priceless and quite original. You say the same thing, over and over and over again. So go take a shower and maybe the water will help you grow a thought.
Your meds may be the cause.
It could actually be the antidepressant causing the headaches, particularly if you aren't sleeping. Lack of sleep worsens my Wellbutrin headaches. When I was on Paxil, I woke up with severe headaches daily. It's either that or have debilitating depression. Something that antidepressants cause and some folks don't know about is a sort of movement disorder. One of the major complaints is jaw clenching during sleep, which could be one reason you wake up with the pain. I've cracked four molars doing this. I now wear a night guard, but I still have some pain. Do you have frown lines between your brows, neck pain, ear trouble, or jaw pain? Also caused by antidepressants are tics, overall body tension, etc.
meds for
I have been on Wellbutrin for about 4 years secondary to mild depression. The Wellbutrin really seems to have helped that. Then I started seeing a neurologist about a year ago for migraines, and he now has switched me to a different anti-depressant as he believes the Wellbutrin could be contributing to my chronic headaches, not migraines so much being chronic; those seem to have backed off, don't have them nearly as frequent, but I wake up almost every single morning with a dull, but painful, headache. He's had me on Zanaflex for quite a while, and that works okay to help relax me enough to get to sleep but I still wake up with headaches. I told him this at my last couple of visits and that is when he said he wants me to stop the Wellbutrin as he is wondering if that is causing the headaches. He gave me a medication, and I don't remember the brand name (and believe it or not, the brand name isn't on the med bottle where it usually says "so and so generic for ____". Anyway, this is called CDPX/Amitrip 5/12.5 mg. He wants me to taper off the Wellbutrin altogether by taking one in the morning (I take Wellbutrin SR 400 mg daily) and then one of the new pills at night before bed. Well, I started that about a week ago and this new stuff he has me on makes me so tipsy that I have to go to bed right away. It seems to help me sleep better as the Zanaflex wears off VERY early and then I still toss and turn all night (I've told my neurologist this on several visits but he just keeps telling me to "take more mg then.") I have 4-mg tablets and was taking up to 5 per night, but as I said, even that wasn't keeping me asleep for very long. It knocked me out, but then after 2 or so hours I wake up and then hard to get back to sleep. Anyway, back to the CDPX/amtitrip......I feel hung over in the mornings, and am very groggy, with just taking it right before bedtime. It takes me 2 cups of coffee to finally stop feeling hung over and I have never experienced that with Zanaflex. I know when I tell the doctor this he will tell me to take it earlier in the evening (we already had that conversation early on with the Zanaflex issue). But I cannot take it earlier because of mom responsibilities and having to work late hours. The new med (CDPX/ami) makes me start feeling loopy almost immediately, so I am forced to take it just before I literally am ready to fall into bed. I can't find this medication online; all I can find is CDP/amitriptyline (without the X). Anybody know what the "X" stands for? And has anyone else used this med so they can give me some advice? I hate being on so many meds, and am trying to wean myself off of whatever I see isn't working. Thus far, nothing has really helped with the migraines except for Fioricet. He wanted me to take the muscle relaxer at nighttime, thinking that if I was able to relax and get some good sleep I'd not wake up with a headache, but that just does not/has not worked for me. He gives me Fioricet, Lorcet Plus, and Phenergan (for the nausea I get with migraines, but that knocks me out, which, if I have a migraine, is great, but my husband has to be home to take care of the kids because I'm in a coma for a full 12 hours or so and the Phenergan makes me feel hung over as well.) He gives me 30 Fioricet a month, and it seems that if I can take one routinely each morning (I have tried this for a few days at a time) that seems to ease up the "normal" headache I have, rather than try not to take anything, but then I may need one later in the day and since I only have 30 it's hard to make them last if I take one daily, which I don't because of only having 30, but would like to because that routine seems to work. But I'm afraid to ask him to up the # of tablets per month because I type for a pain management doctor who tends to dictate a lot about drug-seeking patients and I don't want my doctor to think this of me!!! I know it sounds crazy, but it's got me so paranoid I'm afraid to ask! I hope this information is understandable....I know I've jumped back and forth...if anyone has any ideas or advice I'm all ears. Thanks!!
meds for
Thanks to you all. You know, I never thought about it being a sleep problem. I have never slept well through the night. I can remember a very few times when I actually slept through the night and woke up refreshed. I have always, always had a terrible time sleeping. I wake up every hour every night, except when I take the Zanaflex and/or the new anti-depressant, and then I wake up after 2 or 3 hours, but then every hour after that. Needless to say, I am so not rested in the mornings. Getting a sleep apnea study is an excellent suggestion. I will mention that to my doctor and see if he can refer me to someone. Thank you all again so much.
You can get meds for that. I know. I am an MT.
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especially meds
I am in the same boat. I am interested especially in how to use short cuts regarding meds and their dosages. Thanks.
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