I had a surgery followed by complications (sm)
Posted By: Mimi on 2006-03-13
In Reply to: Gastroenterologists ripping us off. My mother just got her bill - A rip-off
that turned into a 3-week hospitalization, about 1 week was in the ICU. When I got the bill it was $150,000...total paid by my insurance company was about $55,000. My portion was $100.00. Don't make too many assumptions based on the bill, it's not an accurate picture.
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Nope, can't do, too many complications
Back to square 1.
Expander Complications
I am wondering how you all handle alternate patterns for expansions when they conflict (keeping them straight). I have lots of them created and so many times I have to deviate from my normal pattern because another word, words, or phrase has already been designated for a particular one. The problem comes in when I am typing and trying the different versions to figure out which it is OR if I have even made one for it all thus far.
It is not bad if I type one or two accounts and not so many dictators in a shift, because then I typically use the same ones enough to get a good flow going; however, shifts when I am doing 3-5 accounts and numerous dictators, I have quite a bit of trouble. It seems I spend too much time checking, fumbling, creating, etc. and never get a good typing flow going.
In using the theory that I should make a glossary for everything (every which way it is dictated), I spend time checking to see if I have made one for so many words (and phrases) that it often feels like a waste of time and endless battle. - Plus, it seems like as time goes on (I've been doing this just over a year), I find better combinations (easier for me to type, or due to new words phrases) and tweak many I have already made. I can see how it might all come together in a few years, but right now it gets frustrating and takes up time.
I recently purchased the Saving Keystrokes book. My main pattern is typically a bit differnt but some are the same and basically the same idea. She agrees that we should create endless expansions, but does anyone else find this a problem?
Can those of you who feel you use them a lot tell me what percentage of your typing is expanded and what percentage is straight typed? Also any answers to the other issues I have mentioned with this would really be appreciated.
Sorry this is such a long and rambly post, and thanks so much for your help!
She has had to have 5 surgeries on her right eye due to complications of LASIK. sm
I don't know if that has affected her facial features at all, though.
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!
New job first, save sick time, then surgery or surgery first?
I’d like to go back to medical secretary work. I’ve had cortisone shots in my ECU tendon 3 or 4 times and was warned not to have too many or my tendon could rupture. It’s been very weak for a year or so and my left wrist is smaller than my right wrist. I can’t type at all with my left pinky so I think it’s ruptured. I have Word auto correct and Instant Text set up so I very seldom type As, Qs, or Zs. I haven’t had surgery because I have my own account, no subs, a DD in college to support, and no disability insurance and didn’t want to take time off work for surgery. I do have medical insurance though my DH.
I’m debating whether to get a job, save up sick time, and have the surgery while getting sick time pay or have the surgery first without any sick time pay.
I’ve done medical secretary work before. I figured if I use Word there I can save their Auto Correct and transfer mine. If they use EMR, I can make my own shorts to stay away from Q, S and Z. I could only accept a job where I don’t type for more than an hour straight, which is what I do now. Then I started worrying about what if I have to use someone else’s computer? What if I unexpectedly have to type more than an hour?
I think I have cold feet about getting a job outside the home after over 7 years at home AND I’ve had cold feet about having surgery! Can someone help me think this through logically? I can’t think straight when my feet are cold.
I held both of my parents as they died from complications of smoking.
I told my children they were free to smoke after they did the same. There's not one smoker among my extensive circle of friends and associates, thank goodness.
Surgery/Plastic Surgery Transcription
Hello. I am considering taking a position in the field of plastic surgery. Can anyone recommend a way to pick up on the terminology FAST?
surgery
My son is having it on Friday in Dallas by the doctor who invented it. He has guaranteed it will work for him even with his astigmatism. He said he underwent five solid hours of testing today and the doctor told him to stay away from the 500. per day, 15-minute exam places.
If you do not want surgery,
You can have your dentist make a nightguard for you, and a chiropractor is also helpful for manipulation. For a quick fix, albeit temporary, you can go to a pain management physician for steroid injections into the temporomandibular joint. If treated, symptoms can abate without surgery. Hope that helps.
LOL and even after ALL that surgery...
x
Eye surgery
My son had this done last summer when he was 4. You can E-mail me if you have any questions.
Had surgery
I just had this surgery last week. Go to the surgeon and have him submit it to the insurance company. If your BMI is near 40, and/or you have other medical conditions as a result of obesity, most insurance companies will cover it; although some do make you jump through hoops to get it done. Just have to work with them.
Surgery
Just to let you know the condition I am in, and I am not looking for sympathy here, but I had a major foot surgery. I was born with clubfeet. I had to undergo a calcaneal reconstruction due to bone damage, and I underwent an Achilles lengthening and reattachment. I was totally non-weightbearing of the right foot for 8 weeks, and then another 8 weeks of rehab. Again, my doctor did not want me to go back to work yet, but due to the insurance and FMLA situation at work, I had to go back.
I am just belly aching I guess, but it just seems that this other FMLA person gets away with murder. I am more than willing to work 4 to 6 hours a day, as my foot withstands it, but it would mess up my insurance coverage, which is the only reason I have stayed at this facility for as long as I have. Such is life!
I just had the surgery - sm
I waited way too long before taking steps to stop it. Good for you for doing this now. Make sure to get an ergonomic keyboard and mouse. They have new ball mice (is that right for multiple mouses??) that is supposed to be really good at preventing cts. Taking breaks and wearing the splints at night are the keys though I think. Hoping that you can stop this in its tracks.
IMO, you should have the surgery before
trying to hold down a typing job. I need some surgery too (different type) and don't have disability insurance. I am trying to hold out until the stimulus package check comes (I know, I shouldn't hold my breath) and will use it to pay the bills while I am laid up. I also have health insurance, so that is not an issue, thank God. Good luck!
Brain surgery... ha....sm
when I thing of some of the doctors I've known over the years, we could probably learn brain surgery before they could learn transcription !
Lasik eye surgery...
Has anyone ever had it?
Lasik eye surgery
I had it done about 5 years ago and it was AWESOME! I could see better than 20/20 almost immediately after the procedure! After wearing glasses since age 8-9, it was absolutely amazing to be able to SEE clearly!! I'd recommend it to anyone who's dependent on glasses 24/7.
Lasik eye surgery
Hi, I had it 4 years ago, my husband is far sighted and had it done 8 years ago, my sister had it and we are all THRILLED!!!
Gallbladder surgery????????? nm
:)
You swear to never have another surgery sm
because you know exactly what they will be doing to you.
Surgery in India
I saw a clip on TV a while back about this. It followed an American woman who had a hip replacement. She was very pleased with her care and the outcome, and the price.
Thank you all, my first back surgery!nm
Orthopaedic surgery
What is the best reference book for orthopaedic op notes?
Plastic surgery at 28?
x
No surgery...it's the hair
Believe me...my hard drive is loaded with pictures of Clay. I've seen him in concert multiple times...many times right up there in the first couple of rows. I've got every performance, every appearance downloaded on my computer. I've looked at the face a thousand times or more. Plus, believe me, he'd have a hard time hiding plastic surgery from the Claymates. It's the same face...the same nose..the same ears...the same eyes. It's the longer darker hair, down over his forehead like we've never seen it, that makes him look different....and that's had me not working and needing a cold shower all day. I loved him before (can you tell )....but man, he's got me going even worse with this new look.
I know 3 people who have had the surgery and
all have had complications 3+ years after the surgery. They were all done in different locations (states) and by different doctors. All 3 were done open, not laparoscopic because if there were any complications it is easier to fix during surgery. My niece, who is one of them is now bulemic. My 2 girlfriends have had tummy trouble since that eventually require hospitalizations to drain hernias, abscess, etc.
Lap band surgery
Has anyone had this surgery recently. My insurance says it absolutely will not pay for this but the surgeon says he can get approval from any insurance company with his documentation, do you think this is possible? Has any one had an insurance company say no and then authorize it later?
Wish I was doing ortho surgery!!
....I like bones better than organs!!
need plastic surgery
Thanks very much for the info. I am having breast implants removed actually so want to make sure I find a doctor who really knows what he's doing. I appreciate your input. I will talk to some of the nurses; that's a good idea.
Not working in surgery but
she said she typed the surgery schedule (if you have seen them, that is the patient's identification, room, etc. and what type of surgery they are having)- that I would think would not be dictated and then she said typing and entering surgical reports into the computer. Hmmm, don’t really understand that.. entering. Yes, it can be done without much training, that is sure but one only has to look to see what our profession is coming to and the outlook is bleak, to say the least. We hardly ever have a raise, almost unheard of, we just have to type faster and unless working just on operative notes, you need something else. I would not spend a whole bunch of money not knowing what I was getting into, but that is just the frugal side of me. Maybe since they are training her, they can pick up some of the cost she will be out to get started??
Surgery dictation
A friend passed along my name to a lady who does medical billing for a surgeons office, and they are looking for a Transcriptionist also. This person asked me if I knew of the following: Do you know of any good toll free services to use for dictation? I'm not sure what she means?? Any input would be greatly appreciated.
Thanks,
Cheryl
vascular surgery
even i have difficulty with this field, but i know enough to Google words and even bring it to their attention if i am just not sure. i write them down after and i don't forget. i told her to do the same. she does have the new dorland's in her computer. the administrator called me because i recommended her for the job and she trusted me and hired her without really testing. i figured since she had worked in transcription for years, she would know better. i did tell her to call them during business hours and ask for clarification. remind me never to recommend someone.
is the Donald doing surgery now?
today while editing voice recognition....
"patient had tube Donald surgeries...."
knee surgery
half days for a week. Should have stayed off the full time but did rest when I at home.
When comptemplating podiatry work the surgeon said no work for two weeks till off the pain meds due to thought processes possibly being affected.
At the time of my surgery I was not an MT, but
was doing a lot of writing. I was back to normal as soon as I had my stitches. I missed 3 days of work and really could have gone back the next day, but was recently married and just took advantage of having a surgery to have some down time. After a week the stitches were pulling and I had discomfort until they came out at 2 weeks and I was back to normal activity after that. I found I did lose some strength in my operative hand. I was the one that could open those stuck jars, can't do it anymore, but I had surgery 20 years ago this year and all is well. I do get some discomfort if I work a lot of hours, like now when I have been working OT for months, but after some rest it is better.
They have perfected techniques now and although the surgery wasn't a major surgery when I had it, recovery time is shorter these days.
Bariatric surgery
My employer is strongly considering outsourcing, so I'm looking for a national company with insurance that will help pay for laparoscopic surgery.
bariatric surgery
Blue Cross/Blue Shield covers the lap-band, not sure which one you are considering. Go to lapbandtalk.com to search for and ask insurance questions if this is the one you have chosen.
MD-IT has listing for surgery
Go to MTJobs, and the sixth listing is for MD-IT. They are looking for full-time employees for surgical work. Good luck.
kidney surgery
I am facing kidney surgery in the very near future to cut out a urethral stricture from my single kidney (congenital). My doctor informed me this is a relatively common procedure but that it is not a surgery one can just bounce right back from. I'm just curious if anyone can tell me whether you've had this surgery or know someone who has, and know their recovery rate and prognosis. He also told me there is a 2% to 3% chance this could not take and the surgery might have to be repeated. My doctor told me one month after the surgery I will have to have a second surgery to remove a stent that he will temporarily place. He said I will be in the hospital overnight (for the initial surgery) and then probably won't feel like doing my regular activities for at least two weeks. Thanks for any information.
I had the surgery and have been symptom free for
15 years now. Yes, it was painful, more painful than childbirth for me, but I had really easy labors and deliveries. LOL Probably the worst pain came from my toddler bouncing on me and bashing my wired shut jaw with his hard little head. I darn near passed out one time. I lost 30 pounds in six weeks thanks to the pureed diet. I still hate soup, milkshakes and pureed foods to this day. I had to carry wirecutters in my front pocket in case I aspirated. On the positive side, my symptoms are gone. The cosmetic results were great, too, because I don't have the overbite and receding jaw now. It was worth it.
Gallbladder surgery last night? (sm)
You better get to job hunting. You just got fired over on the company board!
Didn't know about plastic surgery, but...sm
I can't like his music even a smidge less because of how he wants to look. His music makes me smile, makes me want to dance, and can even change my bad mood in an instant! I get a lot of teasing from my friends for liking this guy's music, but I dont' care! My stepson (8) wants to learn a John Mellencamp song so he can play it for me on his new guitar! My husband is also learning to Play Guitar, and has mastered Pink Houses just for me! I get alot of Love and Happiness from being a Mellenhead!
WestchesterMT, right on!
Stedman Surgery Book
Will post on equipment board, too. How would I obtain an overnight delivery of a surgical word book? I have done some orthopaedic clinic notes for about 6 months and PT for about 5-1/2 years, but am interviewing for an in-house position for an orthopaedic surgery group today, yep, today. Everyone tells me there will not be much I haven't heard already, but I'm not sure about that.
TIA
Spinal stenosis surgery
bilateral laminectomy and medial facetectomy, decompression __________ equina. This is the second time tonight and I cannot catch the word prior to equina...any help>
operate is to perform surgery -
procedure is more like EGD
be sure your insurance will cover surgery AFTER sm
he's going to lose so much weight the skin will be hanging and a lot of insurance companies will not pay for "cosmetic" procedures like tummy tucks, etc. to get rid of the excess skin. Just be aware. Good luck!!
Corrective Eye Surgery Question
Who has had RK and LASIK? I could save for a few years and pay for the LASIK or I could get the RK done and it would cost me a whole $10, my insurance pays the rest. My sister says no way, RK isn't good enough. I've talked to several people who have had RK and they love it, had no problems. I don't know as many who have had LASIK but the few I do were happy as well. What's the difference and any advice on which way to go? TIA!
best surgery word book available
http://www.hpisum.com/home.ihtml
The Surgery Word Book can be ordered off this site.
Elective surgery vent
Why is it that I volunteer to work both Thanksgiving day and the day after so everyone can be off (I'm only 1 of 2 MTs on my large hospital today), and what operative notes am I transcribing? Liposuction and blepharoplasty - elective surgeries.
Now, give me the history and physical reports on little old people with respiratory distress or slip and fall hip fractures and I'll feel as though I am really contributing to the care of someone who NEEDS it.
My 3 yo was up all night Wednesday throwing up from a stomach virus, but I still worked my shift yesterday, but had to cancel my plans to have my family over. So, we moved the festivities over to today to reduce the chances of the virus spreading, and I have a higher line committment today, still have to do all the cooking and entertaining, and I am doing vanity notes!
AAARRGHH! I hope these ladies pigged out yesterday as their farewell to all the fat getting sucked out of them today!!
Thanks for the vent
I had surgery a while back and the doc knew I was an MT
I went back for my postop visit, and he asked if I wanted to see my Pre-op note. I said sure. LOL He dictated, "The patient is an extremely pleasant and intelligent 45-year-old white female who looks much, much younger than her stated age."
Then further down under Social History he dictated: "The patient is employed as a medical Transcriptionist and will probably read this report."
LOL I wonder what went through the MT's mind when she heard that!
:)
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