I hate the ones where child abuse is suspected or
Posted By: me, too on 2005-07-24
In Reply to: Vietnam - msbeanctr
the injury could have been avoided entirely if the parents hadn't been so stupid, like a young child without a carseat in an MVA. I used to hate the death summaries at my old job, especially on young people.
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Not about child abuse, but...
...a pretty funny story. A friend was working with her horse when he tossed his head, smacked her in the face and broke her nose. By the time her hubby got her to the ER she had a huge shiner, a huge nose and was swollen and black & blue on one side of her face, plus had wrenched her shoulder.
Various hospital personnel began asking her how it had happened. About every 10 minutes somebody else came in to put her through the whole horse story again, and this went on for a couple of hours. Then a cop showed up and asked her the same stuff and also spoke with her husband, and then it dawned on her that this whole time they had been trying to shake her story. They thought her HUSBAND had belted her!
And about a week later she got a visit from a social worker just to make sure she was 'okay.' Far from being upset about this (although it was annoying to have people bothering her constantly in the ER) they both thought this was pretty hilarious. And they figured that their tax dollars were not being wasted and their county agencies were doing what they should be doing.
I don't believe in child abuse
or drug abuse, but I don't refuse to type reports involving child abuse victims and drug overdoses.
This seems a little out there to me. Don't get the logic.
Child abuse reports
I too have typed the child abuse reports and I go through an array of feelings. I just cannot believe what some people can do to other human beings -- much less an innocent child. I know that after I type those reports, those kids will be forever damaged at the hands of someone they love and trusted. Sad stuff.
I did child abuse reports for 2+ years then quit.
I did a report on one kid, just learning to walk, who had the little feet stomped on by mom's significant other. That was the beginning of the end for me with that job. Of course mom kept significant other and lost the kid.
I had to get up and walk away and go back to it.
I honestly do not know HOW you got through your report.
Child sexual abuse cases - used to do them sometimes where I used to work - sm
now do a lot of Trauma ER, it used to bother me a lot, but not anymore unless its kids. Guess I am getting used to all the gunshot and knife wounds in the city nearby, that is sad in itself.
Must have been hard to do that....in the past I have done a lot of child sexual abuse reports - sm
and they were no picnic. After my mom died, it also seemed I got a lot of congestive heart failure patients (what she had), and now since Jen's diagnosis of Wilms, I did 2 letters last weekend on two other kids with Wilms at the same clinic we attend.....what freaked me out was the Stage II child had a 3 place recurrence at the completion of his chemo, while a Stage IV child was just fine.....Jen is Stage I....and then at her ultrasound this week the doc was extremely thorough (more thorough than the last one, same doc too) and it made me a bit uneasy as he did stuff this time that he did not do last time. But he said all was well, said they get faked out a lot by shadows where the removed kidney used to be that looks like recurrence so they have to be extra careful and rule out that possibility. But the child abuse ones, when I used to get them, were definitely depressing, can only do so much of them.
It's one thing if there's infidelity, substance abuse, physical abuse,
neglect of the family, verbal/emotional abuse, gambling, criminal activity, drug dealing, or other addictions. However, temporarily being a bonehead isn't a crime against the marriage.
Love psych notes. HATE, HATE, HATE, HATE,
HATE ER notes.
Go to NBC10.com - Our local news has "Wednesday's Child" which is a child for adoption.
Every Wednesday they introduce a child who needs a home and a family. There should be some information there as these kids are up for adoption.
www.NBC10.com -
Hope that helps!
Just as I suspected! Thanks so much! nm
I suspected this
I had this problem a few years ago - I switched to a split keyboard and didn't have any more trouble... until just the last week or so... now, I'm getting that old familiar pain. . not sure what to do at this point. . .
i suspected as much
Thanks for the info. I kinda figured as much, but I wanted real live opinions. It's disappointing, isn't it? The hospitals were going to voice recognition or selling out to companies who were off-shoring (or both) when I left - with little consolation OR compensation to those of us on this side of the pond. It's a shame when so many of us are/were so dedicated.
As I suspected! Like myself sm
everyone thinks the BOS is a crock! I wonder if the folks who wrote this piece of crap even know their own rules? When AAMT first started (either very late 70s or early 80s) I thought it was going to a REAL professional organization. As it turned out it is nothing but a money grubber that changed its name and sold us all down the road to off shoring. I haven't for years and NEVER EVER will give another dime to this organization. Neither will I work for a company that uses it for "the standard" in MTing.
Thanks for all your comments and keep em coming.
WRONG! A child that has a fear of discipline = a well behaved child.
I have a beautiful, intelligent 11 year old daughter that hasn't had a spanking in 6 or 7 years and probably only 3 her entire life. She is very well behaved and I get compliments on her behavior constantly. When she does get out of line all I have to say is, "Shall I call your father?" Call it what you want, it works. She respects and obeys me and her father. Why??? For fear of the facing the consequences of misbehaving. Having a total lack of fear or respect for authority is exactly what's wrong with Generation X/kids today. I turned out just fine as did my siblings. Why?? Because my parents took "time out" to bust our a$$es whenever we got out of line.
Is that clear enough for you???
I'm sorely underpaid, just as I suspected.
Grrrr....
A good friend died of cancer that I suspected years before
because of a test he had and he had asked me to get a copy of, which I did, but not being "qualified", it said possible metastasis, I just told him I couldn't get it for some reason, and to talk to his doctor. His doctor, for some strange reason said it was "normal". I then asked him to get a copy of it himself, but he didn't. My husband told him to go to another doctor. It took several years, but he eventually was diagnosed with cancer after having a seizure, (it had spread to his brain) and he died a few months later.
The bottom line is, we're really not qualified to diagnose or advise people. I do feel terrible guilt for it, (you should've seen me at the funeral) but there's nothing we can do. If a doctor doesn't diagnose something properly, even if WE KNOW, there's still nothing we can do about it. We don't have the capacity to treat them and nobody is going to listen to us.
I hate DocQSribe, I hate DocQScribe, I hate DocQScrbe, I hate DocQScribe, I hate DocQSribe.
NM
Love cardiology, hate podiatry. Hate discharges, but
nm
I hate those but I hate trauma notes on children even more sm
I used to work for a large hospital that saw a lot of children for various horrible things.
The very last one I did was a 12yo boy who had hung himself while his mother was at work. She thought he was in school. The doctor cried, I cried (as I usually did) and I just couldn't handle that anymore. That was the longest report I swear. Short in lines but the length was almost an hour. The doc didn't pause the machine, she cried, horrible gut wrenching sobs, and I did too, right along with her.
Some abuse QA
This is certainly not everyone's case (in fact, it is a very, very small percentage) but we have MTs who send stuff to QA rather than research. Some of the blanks I get are plain medical terminology 101. Some can be found by typing a single word in Google and finding the appropriate reference.
It is unfortunate that the lazy MTs have made it bad for all MTs. QA penalties have had to be instituted because of this abuse.
Another point I would like to make, you say you are sending work to QA for correct patient name spelling - we do not have a census and are working at home like you, so we do not have access to patient's names. If the physician does not spell the name and it does not come up on the report, do not send it to QA. I'm sure your company has a policy for dealing with names - when they are not given, not spelled properly, etc. Find out what that is and follow the procedure. That should eliminate unnecessary blanks to QA.
QA abuse
In ANY business you are going to find the rare but ever-annoying case of incompetence. It's easier in this line of work because of the remoteness and anonymity that comes along with it. This mind-set is eventually exposed for what it is. Then the rest of us go on and do our professional best. :)
I didn't have the same abuse, but have a lot
of the same feelings. I was sexually abused at 8 months - though didn't learn this until I was almost an adult. I was reading my chart at the doctor's office, because he was always an hour behind and I found it it there. I had been abused when I was 5 and 6 and I remembered that but has suppressed it for the most part. I started therapy and was seeing a therapist, but had to see a psychologist once so they could sign off on reports for insurance to pay. The psychologist said I was making it all up, that it didn't really happen and that I was just attention seeking.
I tried therapy again and I was getting to the point of finding out who abused me when I was so young - I knew who it was at 5 and 6, but not before, and I felt it was my father and I just couldn't deal with it, was having severe panic attacks so I quit therapy. I'm overweight, have poor self-esteem, I'm very judgmental, distrustful, and just overwhelmed. I don't use my trauma as an excuse, but I'm not happy and I want to be happy and I think when that happens most of the other issues will resolve. I don't drink or do drugs though, but I guess food is my escape.
spouse abuse
Yes, I have talked to the police, but he was married before and living in NC and I believe he may have a record there. He is a real slick one. He put scratches all over himself to try and make it look like I hit him. I have never had anyone do this before and he is a sick individual. I am sure he has had prior incidences.
We were only married for 6 months. I refuse to let anyone hit me, no matter how much I love them.
Thanks for your concern.
Spouse abuse
I was wondering if anyone could tell me if there is a way to find out if someone has a previous record of spousal abuse.
My husband hit me and I cant afford a lawyer but make too much money for Legal Aid. I want to do this on my own. I just need to know if there is a way to find out this information from a different state. Are these files open to the public? Or does a lawyer have to request these things?
Thanks so much for your help!.
My ULD was suspended for abuse too.....
I was so surprised but at least I know I am not the only Transcriptionist in the US to have this happen to. Lisa, I e-mailed you.
What, do you think?? I abuse my dogs, LOL
Like the post below, my dogs know when the collar is on/off, turned on/off. They are very smart. And, I do know the difference between just barking or something approaching. My dogs are very much loved and very well taken care of. I don't think you know the correct use of a shock collar at all.
Who said you abuse your dogs? Why be
x
abuse comes in many forms
This truly is abuse. You may not have visable body scars but mental abuse is just as bad if not worse as physical abuse. I'm not sure there is help for your husband but you need to get out of this relationship for your own sanity. A tiger never changes his stripes. I had been in relationship that had the same elements. I worked all day and would teach a class at night and we were to dress in a professional manner and I would be accused of having an affair. (Huh, like you have the time and energy.) I had the courage to get out and have now married a man who respects me and treats me as an equal partner. Is that not what a true marriage is, a partnership. If you do not have family to help check with you local Women's Help Center possible that could be a start. I wish you the best and hope you have the strength to more forward and leave him in the dust.
Sexual Abuse
You don't even want to go there. It is not in your scope of practice as a Transcriptionist sitting in a room somewhere to determine sexual abuse.
For you to go over a physician's head and report it because "you" suspect it is a good way to get yourself at least fired, in essence you are saying the physician did not practice according to the law.
Sexual abuse
As a survivor of sexual abuse, I can tell you that I wish someone had made a report. This was back in the 70's when it wasn't widespread knowledge, wasn't talked about. I honestly think that my mother was relieved he wasn't bothering her. Everytime I was taken to the doctor as a teenager (which wasn't very often) my mother would go in the room with me. The doctor sometimes would tell her she could wait in the lobby, and there was always a nurse in the room. I never got to ask questions that were burning in my teenage brain, I never got any help. I think my mother was afraid I would say something. This was after she found out about it and acted like it wasn't happening. He started when I was 13 and stopped when I was 18 when I threatened to cut his you know whats off.
I know in the performance of our jobs that we can't say anything about the things we learn. But hopefully the doctor stood up for this young person and did the right thing. I wish mine would have.
dog abuse in China story
Listen . . . .what is your real posting name anyway?
My priorities are not your concern. It is a well known fact that people who abuse animals easily go on to violent behavior against people. If clubbing innocent dogs to death doesn't bother you, it should. There are much better ways to deal with a rabies problem than that. Perhaps instead of ranting about my priorities, maybe you could put your energy toward helping create a solution for the abuse of innocent childern or one of the other million problems going on in the world. What ARE YOU doing to help make the world a better place?
These same people abuse ambulances too!
I typed a note on some woman who called the ambulance because she stubbed her toe! Geez, hope nobody in her town was having a heart attack at that time...
I would do it just to save my hands from further abuse! nm
nm
Reporting sexual abuse?
If we are transcribing a report that we believe to be a sexual abuse case, are we required to report it if the physician does not? Is this a breech of confidentiality and a violation of HIPAA?
reporting sexual abuse
This is hard to talk about. Two weeks ago my daughter woke me up to tell me her friend "had" to talk to me. I was asleep, not very happy with 17-year-old drama. Long/short the girl's father had been sleeping with her "until she turned 16". At that point apparently she told him she would tell if she did not get her own bedroom....she then went on to say the reason she "had" to tell someone is that the night before she heard him through her wall now with her 14-year-old sister. There were two other little girls in that house - the mom had apparently moved 60 miles away and gave this monster custody while she found herself or whatever. When the girl started telling me the rest of the story, I was stunned. I am so visual that as she spoke my skin began to crawl - I wanted to beg her to stop with the chilling details, but I knew she needed someone to tell and I was it. I felt like a victim myself. It was the creepiest story ever. She went on to spill details that made me 100% sure she was telling the truth (like....he got really, really angry when he found out my sister had started her period) that type of thing. By the time she finished her gut-wrenching story, my own daughter looked at me and said...mom...you are just staring....Ended up calling a Sexual Assault Hotline. Next morning I was driving home and there were 7 police units in front of this creep's house. The mom came and picked up all the girls, thank God.
I think what happened to the MT who read this sexual abuse case is the same thing that happened to me -- somehow in even reading or hearing about it -- you become somewhat of a victim yourself -- a victim of just how sicko the * of the world can get. Thanks for letting me vent. The friend of my daughter stays in touch and says she is much happier. I am going to watch in the courts and make sure that this sicko does not get off lightly -- let em just try that...not on MY watch.
I don't watch fear factor. They abuse animals. I also have better
stuff to do with my time then watch someone eat pig intestines.
cover with thiamine and (s/l) serafellon for alcohol abuse
Got no help on word board. Running out of time.
Thanks in advance
Their control obviously isn't putting fear in those that abuse the information though. nm
nm
Sweety, this is abuse. Get thee to a counselor, the dude is sucking you dry.
The twit I just divorced got to the point that if HIS annoying me didn't work, he'd pick a fight, put the kid in the middle and then laugh as I tried to save the kid from that kind of abuse.
Ditch the B---d. And get into counseling.
Is anyone watching Hell's Kitchen? If you think MT is hard, watch this show. The abuse of the
wannabe chefs is second only to MT abuse by the nationals. Really, to work in a kitchen in a restaurant seems the hardest job ever pressure-wise. I say this after watching "The Restaurant" and "Hell's Kitchen" reality TV. I wonder what the pay is to subject yourself to this agony and pressure.
I don't hate AAMT at all, ks. I don't hate
their book. In fact, I love the BOS2. It is not a regular grammar book at all - there are hundreds of issues in it that are point specific to MTing and medical field. I have dozens of regular grammar books, too, for other purposes, and they are not similar at all. I purchased the BOS2 when out job interviewing for a few months. Every single employer wanted me to have my own company, and they all tested off of it. Several used it in their daily work, and I have found it priceless over all. I think its even on sale now, but $89 is not a lot for a professional tool that we should use if required, or if a newbie. MTs who don't like to buy books are not very wise in the big picture. Its like shooting yourself in the foot.
Its not the animal lovers fault about abortion and abuse of innocent children, it's the fault...
of our government to allow such a law. The innocent dogs being killed over the so-called rabies roundup vs. shortage of "beef" have no government to help protect their rights to live so the humans have to step in and protect their rights and the humans should protect the human's rights as well to live, but when a government passes laws, etc., you can only fault the government; afterall, they have the final decision.
Are you the one with the ill child ???
If so, please realize that the stress of an ill child can be devastating to a marriage. Unfortunately many men deal with this kind of thing by drinking. My best friend in the world went through 4 yrs of fighting leukemia with her little boy who became ill at 12 months. Her husband turned into a total and complete jerk, drinking, and eventually becoming abusive to her. A major medical illness can pull people apart. On the other hand, it sometimes draws people together, but less often. I had our third child extremely premature and she was critically ill for 2 months and then spent another 2 months in the NICU, 4 months total. It was a big stress, but fortunately we weathered it okay. Some people are not so lucky. My first thought is that all this nonsense with your father, and his mother, and wills and money, and all the rest is just something to fixate on. It may very well NOT be the source of the current friction in your home and your marriage. Maybe some counseling if you can get him to go, would be in order. My best to you and your family.
It's no wonder--with a child like you...
your mother probably ripped her own uterus out, and that will be the one and only post to this person. It was just too easy!!
Why would you do that to your child?
/
New car for my child
My 17-year-old did get a new car for his birthday for several reasons: He has never given us a bad time about anything, he has a 4.2 GPA, and did a 2,210 on his SAT (the new SAT),is headed to the college he had his eye on for several years now (asked for and got early acceptance letter) and he has been working part-time since he was 14 years old.
We decided to get him a new car because he will need it for school (it's a few states away and we want him to have something dependable) and because he has really gone the distance and worked very hard to get to this point.
I'm really not bragging here, these are just our reasons. He didn't get a fancy racing car, just something that is nice and dependable and made us comfortable.
Anyone whose child has gotten the flu?
Symptoms of coughing, fever, chills and sweats, no appetite, hurts all over, sleepy. Grandson has been this way for 5 days, 2 visits to the doc, lost 2 lbs in 5 days (which for a little guy is a lot). X-rays show no pneumonia. What can we do? Any ideas gratefully appreciated.
Think about the child
and the fact that it is not wanted. Funny I did not hear one mention about adoption in this post. Sometimes abortion is the best choice (IMO).
Let's do think about the child
Adoption has been mentioned in some of the posts, but you may have missed it. A person who kills somebody else may be thinking of many things, but the actual well-being of the person he or she is killing is certainly not one of them. Everyone is "not wanted" by somebody else at some point in their lives.
The best defense for a child...
As heart tugging as they are, accurate transcription is sooooo important for any person, there is a lot at stake and your best effort at triple checking what you have typed is our little helping hand at helping those seeking help. Flag ANYTHING you doubt, if you get lost in the "he said, she said," someone else will too and calling attention to those items WILL HELP to ensure the reports are easily read and understood. Keep up the good work, the job we do IS IMPORTANT! Any complaint or abuse is paperwork, paperwork, paperwork, just be sure those you do are the cream to help those who in need.
different child, different methods
I am the mother of two 20-year-olds, 1 boy and 1 girl. I can tell you from first hand experience the type of discipline depends on the child. My daughter, she might have had 2 spankings in her whole life. She could be talked to and punished in other ways that worked. My son, on the other hand, about every 6 months he would be due for a spanking and then he was fine again. I have learned from experience, never say that you will never do something or that you will not do something. If one thing does not work, believe you will go to spanking if it means saving your child.
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