I had a doctor using her breast pump while dictating. sm
Posted By: nm on 2006-03-20
In Reply to: Has anyone breast fed while trying to work at home, can you do this and still work full time? - memt
Reminded me of my granddad's dairy.
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Breast pump?
Can one of you younger women enlighten me about electronic breast pumps? Today I was typing a report and heard the term for the first time. Are hand pumps not used anymore? This patient received an electronic breast pump from WIC.
You're certainly out of the breast pump loop. LOL I used an
x
Doctor not dictating. sm
I obtained a client in December. He says he is slow in dictating, but he nor his partner have not dictated all month. I tried to inquire, but he insinuated that my feelings are hurt and that if I didn't like it maybe we should end our working relationship.
I found this odd behavior, especially since he sought me out. Should I drop him and his partner, since they are not dictating? How long do I wait before I drop him?
Doctor is dictating while watching
All I can here is zoom, zooom, zoooom. He paaaaaaaaaaaaaaauses for long stretches while he watches. It's driving me crazy. I keep getting report after report by him.
I was transcribing a surgery once, the surgery was over and the doctor was dictating
from anesthesia yet. Anyway, the surgeon dictating stopped dictating and said "Hey Mary - is this one big enough for you?" It was obvious he was talking about the patient's PENIS! I thought HOW EMBARRASSING! I hope they didn't make fun of my anatomy when I got my tubes tied!
s/l Desitronix insulin pump
Can anyone help me? How close am I???
disetronic insulin pump. nm
x
I only used a hand pump for last pregnancy sm
But I WAH and never really left my son. I used an Avent Isis - a really great hand pump.
Now, for working moms, they recommend a dual electric pump - if you are nosy and want to check them out, 2 of them are called Medela Pump In Style and Ameda Purely yours. The electric ones are supposed to (hopefully) get more milk faster, as both sides can let down at the same time. In addition, it cuts down pumping time doing both at once.
I am pregnant again right now and don't plan on going electric if I can help it :) I'd much rather feed right from the tap!
Here's a link for you:
http://store.babycenter.com/category/feeding_nursing/breastfeeding/breast_pumps?stage=
Did you know he wears an insulin pump?
Poor guy...he is looking better though!
breast prostheses
It's McGhan style 68. Here is the link. Scroll down about 1/3 of the way down the page and you'll see it. Hope this helps.
breast biopsy
I had a breast biopsy a month ago (stereotactic), and for what ever reason, I'm still having pains underneath my breast where the incision was made, my question is, should this still be hurting ? Also, can the marker they placed move ? I know it sounds dumb but it just feels weird in the center of my chest. Thanx for any help. 
Breast cancer
Does any one on this board know where I might find a sample report with regards to breast cancer? Any tips greatly appreciated. I want to be sure to get all of the stages ect. right on and though I have MT experience this is my first shot in the area of breast cancer clinics.
Breast Cancer
Thank you for your kind thoughts. I was diagnosed with invasive ductal carcinoma. I had a sterotactic biopsy last Wed. I had one 4 years ago that was clean and assumed this one was too. Yikes!! That didn't happen. I was given an option of mastectomy or lumpectomy and radiation. That's the good news, as the tumor is less than 5 cm. I'm really scared. I recently moved to Virginia (about 60 miles south of Roanoke) so I haven't made any friends and no close family nearby. Luckily, I'm close enough to the local hospital and work at home to be able to go for the daily radiation treatments for 6 weeks. Surgery is scheduled for next Friday and then the wait to find out if the cancer has spread, what type, the extent of the treatment, etc. I really do appreciate everyone's kindness and prayers. I will also buy a copy of the book tomorrow. Also have a really good to reason to march with all the "pink" ladies now :-) Bless you all for your kindness
Breast Cancer
Thank you so much for your words. Of course, I was so unprepared, and my world is not what it was 4 days ago. My only son is graduating from college on the west coast in mid June (I'm on the east coast) and it will be cutting it close to get my tired butt on a flight, but I'm determined to make it :-)
Breast discharge
I saw my doctor today for breast discharge, amber colored, from several ducts in the right breast. I am having a mammogram Friday. My doc did not feel any lumps. I am very nervous.
Has anyone had an experience similar to this and have some possibly reassuring words for me?
Thanking you all in advance.
Okay -- so, was the breast exam for
the driver's license or the work permit????
A breast cancer warning sm
Let me tell you a true story. I am hesitant to tell it because I want every woman to have a mammogram and to be tested as often as possible. In 2000 a surgeon I had trusted for 30 years read my path report of a biopsy he did for a suspicious small lump. The pathology report came back as "atypical ductal carcinoma insitu which some may call atypical hyperplasia." This surgeon literally yelled in my face "You have breast cancer and that breast has to come off." Due to the fact that friends of mine had suffered lymphoma and other complications from mastectomy, I asked him again if mastectomy was the only answer. He was extremely stern with me and said it was, and my only other alternative would be lumpectomy with radiation and he would not guarantee it. Due to other problems of health issues in the family (serious) I wondered about my ability to type or transcribe again. I even asked him to keep it from my husband until I decided what to do and he called my husband in his office (my husband was very ill at the time). I called my health care provider and asked about a second opinion, they said get as many as I was comfortable with. I was referred to the head of oncology at another facility (IMPORTANT) and he referred me to a breast surgeon. I told her that I had read Dr. Susan Love's Breast Book and I read about surgeons leaving "dirty margins" from the first biopsy and questioned if lumpectomy would be just as good as mastectomy. I told the second surgeon (a breast surgeon) I had heard of a physician from "Dr. Susan Love's Breast Book"who practiced at Vanderbilt University in Tennessee. The new breast surgeon did the second operation which was removal of the rest of the "dirty margins" and my slides were sent to Vanderbilt. Their opinion was that no further treatment would be necessary. The breast surgeon called a tumor board meeting and it was their opinion that they were not sure if I did indeed have "breast cancer." The radiologist who was at that tumor board meeting said she would not radiate me since they were not sure it was cancer, as if I did get cancer back in that breast, she could not radiate me again. By the way, the first surgeon whom I had trusted for 30 years told me to "to go ahead and listen to your neighbor and your hairdresser and you'll be back here with more cancer and it will be too late for you then because we don't know what's in the rest of that breast!" He also was very angry that the other doctors told me I had every right to have a plastic surgeon present at operation to install Expanders should I decide to have a mastectomy and want plastic surgery down the road. He was very upset with that and upset at the fact that I would have had my own plastic surgeon of my choice. He wanted that mastectomy done "last week" were his very words. Well, it's 2006, I have had 6 month mammos on that breast and yearly mammos on both breasts since 2000. I did have a needle aspiration for the tiniest lump in that breast which was benign, then I had a stereotactic biopsy on that breast because I was watched closely for 5 years, that biopsy was insufficient for diagnosis, so I underwent another surgical biopsy in 1/05 which turned out to be "atypia." So, whether I am a fool for not having the mastectomy, I can't really say, but I can say that I did question, read, study, make my own decisions. I did not have a mastectomy in 2000, I still have that same breast (a bit smaller, but who cares?) and I still have negative mammos every 6 mos. except for the two ? findings later on. I refused tamoxifen for my own personal reasons, although it is the treatment of choice. I am very, very reluctant to tell this story for fear of just one woman letting a cancer go undetected. On the other hand, I am telling it here (now for the first time) because I want women to know they have a right to make a decision with regard to their own bodies and ask intelligent questions. You have every right. Just be sure you get many high-level opinions. By the way, I did get put on a lot of prayer lists as well. I do believe God helps those who help themselves. I will never be sorry for the chances I took and the choices I made. I hope that trusted old surgeon is NOT right (my new breast surgeon says he is from the "days of yore"}. The important thing is to get tested, get more than one opinion and please, please, if you believe, pray, and talk, talk, talk, and read, read, read. Learn when to say "yes" and learn when to say "no". I hope I didn't scare anyone, but there is hope and help out there for those who are willing to use their intelligence. For any of you who think I did it for cosmetic reasons -- absolutely not! I would not have even wanted expanders for further plastic surgery. I am a grandmother, not interested in body beautiful. I was the sole source of income due to an unfortunate circumstance with my husband and we would both have been "down" at the same time. I did it because I had to at least ask what my options were. So far, so good. Please pray that I did the right thing and please know that you too have "options" to consider. Please be sure to go to a "different" facility for a "different" opinion, not the same as the one who diagnosed you. I sure hope this helps someone some day, but please, please if the second opinion says the breast must be removed, then you will absolutely have to listen and you will do fine. My new breast surgeon said if it were ever necessary, she could remove both breasts, freeze and save the nipples and do a reconstruction for her patients if they desired it down the road. There are tons of new options for us out there. But ASK!. My message to you is GET CHECKED, and make those checkups regular, there are clinics that will take you for free. I hope if they do find something, you have as good a result as I did. Please go, and please ask questions and get other opinions. Good luck and God bless. Hope I helped someone today but I really, really do not want anyone to miss anything that could kill them, so be aware that this is only my story, but it's true and it may give someone else with atypical ductal carcinoma in-situ some help, hope and understanding.A mastectomy is not a bad thing, not in today's world, but I want you to know that there are tons of options for you and I hope you take advantage of the best ones for you, God forbid, you every need that kind of help. You may E-mail me but I won't "practice medicine without a license," I just want to share my experience and strength with you and urge you to get tested soon!
The baby has to eat, whether breast or bottle
feeding. This is a time in their lives that you will only have just once and no matter how much you wish to have it again, it will never be. I breast-fed my youngest 30 minutes, every 30 minutes it seemed. It can be done if you have the right attitude and you have some flexibility in your job and your SO is willing to help out.
Whole turkey breast is good, too. sm
Pork roast tastes good, too, but I have a small rack at the bottom of mine that it sits on so it isn't in grease. I have also done whole chickens with lemon juice. Tasty.
breast will turn into mush? lol
.
she just learned she has breast cancer
did you think about that?
Clarification - I did not mean breast exam sm
was required, only that an exam was required in NY for a minor to get a work permit. Personally, my kids have gone slightly over 12 months in between physical exams, and I was assuming that this girl's exam was probably overdue. Therefore, she was getting more than just a routine "Stick out your tongue, let me listen to your chest, you're okay to work" type of exam solely for the permit and instead had to have a more thorough exam. That being said, I don't care how old my daughter is, as long as she is a minor, I will be in the room with her during an exam. Same thing for my son.
Actually, I can REFUSE to have a breast exam done on
me by a doctor, and I always did. For me this procedure is much too intimate.
crockpot turkey breast question
I just got a crockpot, have not really used one much. I want to cook a boneless turkey breast. Have looked at recipes online, most have no liquid added. The idea of leaving it on low at home, while I'm a work, (with no liquid) makes me a little nervous. Comments? TIA
I had a little breast addict too. Thank goodness for her swing!
nm
I can understand why women want breast reduction
done, because this is actually not only a cosmetic surgery.
The weight of hevy breasts can cause back pain, shoulder pain and a lot of other pains.
Had I heavy breasts, yes,I would also opt for this surgery. But I think I would 'chicken out.'
Call your doctor - this is not a doctor forum! nm
x
You know the difference between God and a doctor? God doesn't think he's a doctor. nm
X
breast augm... s/l McGann's Dial 80 prosthesis? nm
x
Has anyone noticed lately that there has been a lot of people diagnosed with breast cancer?
or is it just my imagination?
Reference books/sites for breast cancer (sm)
I just started with a breast cancer surgeon. I am wondering if anyone can recommend some good reference material for this. Thanks.
A breast exam is mandatory for a driver's license??
I cannot imagine a state where it is mandatory for a young girl getting a driver's license to have a breast exam. That just sounds, as does the pressuring you state by the doctor for the cervical cancer shot, so farfetched to me that it is completely unbelievable. I read very well, thank you and am unbelieving of most of what you have posted. Sounds like not only are you stressed but you have some mania going on there.
A breast exam is mandatory for a driver's license??
I cannot imagine a state where it is mandatory for a young girl getting a driver's license to have a breast exam. That just sounds, as does the pressuring you state by the doctor for the cervical cancer shot, so farfetched to me that it is completely unbelievable. I read very well, thank you and am unbelieving of most of what you have posted. Sounds like not only are you stressed but you have some mania going on there.
No breast exam required in Tn and Ga for driver's or work
NM
A breast exam is required for a driver's permit in your state?
--some pervert state senator would dream up. What state do you live in? THAT I would be angry about.
What state requires a breast exam for a driver's license?!?!
nm
If they are dictating what you do with it,
Furthermore, whose to say they won't take it back!!!!???!!!
someone dictating for him
here is one for the books - have a sub-intern dictating for attending - dictates the following - "Dr. _____ states that the patient has a history of "what did he say "quinaquina" failure.. I am not sure if that is the correct spelling."
well he would not - it is chronic renal failure. Now why is he even trying????? - thankfully at the end of the report the attending who apparently was sitting next to him by this point, corrected him when he dictated it again. I give up.
that might be why the doc is dictating sm
all this old stuff. Doc may have gotten caught and fined for not having charts up-to-date. I a hospital, docs get their hospital privileges suspended if the charts are not caught up
They said Drs. not dictating on this account
nm
I tried re-dictating to Dragon...
I bought the latest best version, souped it up with KnowBrainer and devoted 3 solid months to training it to my voice and building a huge vocabulary. I could still type circles around it. Editing is extremely bulky and slow. Also don't think you can have your docs dictate a page and then train Dragon to do their speech direct. First of all, they will expect you do to charge less since "the computer" is doing all your work. Second, you will be spending tons of time doing further tweaking and training to get Dragon anywhere near up to par to actually get any production out of it. All of which is not only frustrating as h---, but you don't get paid for it. Now, don't take this to mean that VR won't take over transcription. Big companies use a different platform with the Dragon engine - one in which they have spent a lot of time figuring out how to make it quick and easy to edit...oh, the end is in sight, all right...
Dictating while being tickled
I have one MD who on three occasions has dictated while being tickled! I can't help but laugh along, but it sure makes me wonder who the heck is in there tickling him!
Dictating and driving
Can you hear me now?? I have a physician who dictates while he drives,and by the way, his dictation goes in and out so unable to get really what he is saying.
Is this a child dictating?
I once had a doc say "I asked the patient to pee in a cup". I forget what I changed it to but I cannot stand the word "pee" and refused to use that. It is so vulgar (of course got the approval from my supe first on the change).
Child dictating
Both my Ped doctors say poop and pee. Is this going to be the industry norm? Maybe we won't have rhinorrhea any more, just snotty noses, and a few owies, ouchies, and boo boo's. lol
Transcriptionist dictating into VR
I read an article about this years ago. A local Transcriptionist would listen to a report and dictate it into a VR program she had on her computer so all she had to do was edit rather than type because she had carpal tunnel so bad. It worked well enough for her that she could remain employed. I didn't know her or have a chance to meet her, unfortunately, but she inspired me to take the VR class through Office Careers at the local junior college. Like most people in the class, I found out pretty quick that I didn't have the voice for the software. It just didn't work well. Plus you have to retrain it any time you get a cold, allergies are acting up, yell yourself hoarse at her kid's football game, etc., because your voice quality has changed and the program doesn't recognize you as you anymore. At the time, she was working with reports on tape and whatever word processing program was popular at the time (WordStar, WordPerfect, Word). I'm not sure if you can use VR on your computer (or the one supplied by your employer) with the Internet platforms that provide the voice files now. It would probably be an added complication your company's technical department wouldn't want to deal with unless they were forced to as a "reasonable accommodation" under the Americans with Disabilities Act.
People dictating
That is as annoying as the dictators trying to say a last name that is 13 letters long, can't even pronounce it, but they continue to use it throughout the report....they can't just say "the patient." Geez!
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!!!
Really does not have to do with the doctors dictating
because I have found eScription for so reason seems to hear the ESLs much better than the English speaking dictators a lot of times. Having said that, I think the system you are using has volumes to do with it from what I read on these posts. Which system do you use, if you don’t mind me asking?
Actually, if he hates dictating sm
and he is NOT alone in this, you could suggest his coming up with normals for stuff he says all the time and then dictate around those. This is a joint effort with the physician because he will have to sign them and have what he wants in them. You don't negotiate a lower fee for this either, btw, since it takes time to drop them in and to come up with them in the first place.
If he has some F/Us for say a total knee, then he could have a total knee note like: Pt is ____ days postop. I removed the staples from the ____ knee. Pt is to return in ____ weeks' time for followup.
WIth the above, you would drop in the canned text and he could dictate Ms. Josy Blow is 10 days out, had staples, return in 2. Or just 10, right, 2 on his end. I have normals provided by the company I work for, then I have many of my own. Some are a full note because they rarely vary. Some are parts of notes. Some are just shells with headers. ANYTHING not to have to type it all! While you have no problems typing them for him, he doesn't like to dictate so yes, you can help him solve his problem AND cut down your work and worry.
Don't interrupt the doc while he's dictating!
I'm doing this GE doctor and there's a nurse or OR tech who keeps asking him questions. Then he can't remember if he's dictating a colonoscopy or an EGD!!! He loses his place and has to start all over again!
I'm pulling my hair out with all the "uhhhhh, uhhhhhs" and then I have to listen to him get short with her and her get snippy with him and then he can't remember if he took biopsies or not, if he's in the colon or the stomach. He is clueless! Just let him get his rhythm going and leave the man alone!
Okay, I've had my rant for the day!
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