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I type for cardio docs. EVERY patient has been a smoker or continues to smoke. Hope you'll quit

Posted By: soon. Good luck! nm on 2005-12-14
In Reply to: I have a feeling that will be the exact same solution for me to quit smoking! I'm really sorry fo - waiting for catalyst

s


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Yes, I'm a smoker. Have tried to quit a couple of times but can sm
never seem to get it done.  Would love some to hear success stories and how people have quit.  HELP!
Quit before I got married. Fiance told me "no way would I marry a smoker," and I was smitten.
Marlboro Reds. I smoked all throughout high school and college before that. Was highly addicted. Had to go for a smoke break between classes.

It's been 10+ years since quitting. Cold turkey. Don't want it, don't want to smell it, won't eat at a restaurant that allows smoking. Fortunately (sorry smokers) in GA, all restaurants are smoke-free now. I like it that way. Can enjoy food better.

BUT, I have a completely different problem that is probably killing me - I'm addicted to sugar and carbs. Highly. Wake up craving it. 40+ pounds overweight. Hate every minute of it. No matter how hard I try, I absolutely cannot stop eating the "white, starchy" stuff. So, the cigarettes may not kill me now, but food might. Sad.
OK, if you'll admit to it. Are you a smoker? sm
................and if you quit, how did you do it? 
Yes - smoke 1-1/2 packs per day. Tried and tried to quit to no avail.
I enjoy my nicotine - sad to say.
3-1/2 years experience, type cardio only on clinic account, and make 9 cpl nm
nm
How'bout docs can't decide if patient...sm
is a He or She, goes between genders throughout the course of the dictation.  (Especially with ESLs, who really need to get their grammar straight, much less their enunciation).  Hate to send my loved ones to this doc...can't tell if it's a "he" or "she". 
Hope I don't meet this patient on the road...sm
"Her job involves a significant amount of ... in addition, working on a cell phone, typing and driving."  This could explain some of the drivers I've encountered recently, shew...
MQ is a trendsetter. We should all be concerned about this. They probably hope many will quit.
dd
Yes I did type the STAT. It is not the patient's
evening.  You have to understand that I am a professional.  I will not refuse to do work as that adds fuel to the fire.  I'll get my money in due time.  This field is full of pay-laters!  I'm not the only one waiting for my check, I'm sure. 
here's another - now I'll quit
http://www.medword.com/contract1text.html
You may be able to type, but thank God you aren't in the room with the patient!
Can you say horrible bedside manner?
These docs think a machine can type their work, sm
So why should we bother to clean it up? They want the cheapest transcription possible, they deserve it, and yes, years ago we WERE expected to know everything. Now they think a machine or anyone can transcribe their work. The doctors deserve it.
Your job is to type what the doc says, not diagnose the patient and decide how to treat them.

Kind of arrogant to put your 9 months to one year education (estimated length of an MT program) up against a doctors 10 years of education, dontcha think? 


He may be an incompetent boob, but that's not for you or me to decide. It's up to the patient or their family members to decide to get a second opinion. 


Tell him fine, you'll quit your job and he can figure out
me no end the amount of guilt and burdens we women allow ourselves to take up trying to be all things to everybody--in other words, Superwoman. Tell your DH to not just present you with a problem in order to heap one more thing on your shoulders, but to come up with a solution for it! I am sick & tired of us being expected to roll up 3-4 jobs into one. Being a mother itself is a full-time job, taking care of & managing your home and/or marriage * activities of daily living is another, and we have to help bring in the income too! No wonder women are so sick and stressed out all the time, me included.
I know a group of Docs (GPs) that type their own notes!!! OUCH! nm
x
Just say it's not going to work out, quit, and send the stuff back. Not like you'll be using t
s
Thanks, I'll be transcribing too so I really hope it does
Thanks again.
Great ... I hope you'll post and let us know how you like it! :-) nm

Okay, I'll bite and respond but I hope it isn't over your head
Here is what I did. I've had ST for years. I got the updated Stedman's ST. I don't know if you have the comuter skills to do this and this is why I am concerned you still think it's over your head or I'm not trying to help.

All the words in ST are also in the spellcheck. If you use ST, the words on put on your document from Smartype are spelled correctly AUTOMATICALLY. The Stedman's ST was overhauled in 2004 and has all the medications and surgical terms up until then. Now, if you want those words in your own spellcheck without buying their spellcheck, you can add the ST words into your dictionary in two ways.

The first is as you type and spell check at the end of each report.

The second is to convert the ST program into a text file (please go to productivity board for help doing this if you don't know how). Once it is in a text document, run your spellcheck on the entire document and add all the words at one time to your own spellcheck. This may take 2 full days of doing nothing else as the text file is huge. Also, you would need to take out any abbreviated forms first (anything where xxx=xxxxxxxx) so you don't add abbreviated words to your spellcheck. That takes another day's work.

Now, to update from 2004 to today, go to prescribing reference, register and copy all the new medications from the last 2 years onto a blank document, run spellcheck and add those to your spellcheck.

Now go to the Stedman's web site and sign up for the 30-day free trial and letter by letter copy their surgical word list onto a blank document. Run spellcheck to add those words to your spellcheck.


So now ask yourself, if it takes me 5 days to get a spellcheck I didn't have to pay for, how much income did I lose, how much time not getting a job did I lose and was it worth saving a few bucks?

Your choice. I've been around the block a time or two and know that trying to cut corners on how you earn your money isn't smart in this business.
As for wrapping......that's another ball game (hope to do it all tonight, we'll see). - nm
x
I'll be here! Good luck tonight!! Hope you have work
galore!
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and really, if this thread continues....sm
We should be taking this to the Medquist board/forum here and not on the Main Board where we currently are.....
The Saga Continues

An update for all the sweet strangers who encouraged me when I needed help (not calling you 'strange' - just here-to-fore unknown.)  I still have gotten no response from my request for a reimbursement.  They did overnight me a dictionary from Amazon after more than a month, but I had already told them not to do that - that it was over by then.  And even that was after they received all my forwarded emails from the BBB, and the FTC, and the AGO, and the internet complaint dept of the CPA.  So I fear I'm going to have to move forward with an attorney.  All I can say is that while I've had a horrible experience with this school, I have developed a fondness for transcriptionists and hope to be among you soon - when I succeed in getting my refund and start over.  So thank you!


Dianne


the saga continues

Hi Diane...what a cruel thing to do to you. Would like to suggest a community college course and perhaps working partime in a doctor's office. One can pick up a lot  working in this way...and doctors love to explain and teach most of the time! Get as much knowledge under your belt, and get the course done at a community college....you'll be all set in a few short years. Also, many of these colleges send you out on an externship...and you will learn a lot there too!


 


My very best to you Dianne.


Continues to play
I have the start/stop USB pedal and it continues to play when I stop the foot pedal. Sometimes it just continues for a few seconds, and sometimes it just keeps playing and you have to push on it many, many times to get it to pause. GRRRR!

What company did you order your new one from? I may break down and buy another one. :(
Thank you Cardio

cardio help
last heart cath showed inferior s/l hypercafid diffuse CAD.

Thanks!!
cardio help
Could be, i'll go back and listen...thanks!!
I am not a smoker, never have been
 TO YOU!!! GOOD LUCK!!! I'm sure this is a decision you will LIVE TO NOT REGRET!  I'll be thinking about ya and praying for ya!!! Way to go!!!  THREE CHEERS TO QUITTERS!!!
Smoker
Is it okay to email you? Maybe we can help each other. This is harder than I thought it would be. I'm doing the cold turkey bit, as I was advised to do so.

Grrrrr.....what's that old saying about biting 10-penny nails? I could do it, I tell ya! And, my brother told me all he wanted to do was sleep, sleep, sleep when he quit and I cannot sleep to save my life. I know that doesn't make sense, as nicotine is a stimulant.......just need someone to talk to during these rough days, I guess.
Former smoker
I quit a few years ago.  I won't lie, it was hard, but the wonderful feeling of becoming a nonsmoker is worth it.  It made me feel so good about myself and was the best thing I've ever done for.  At the time my son was a preteenager and I wanted to be an example for him.  There are more tools/groups available now than when I quit.  I contacted the Cancer Society, Lung Associatian and had them send me literature to refer to and reinforce my goal when I was feeling weak.  I also used the gum which helped.  The first time I quit unsuccessfully I was using the gum incorrectly, and really wasn't that motivated anyway.  I like our local nonsmoking phrase, "Never quit quitting."  Like myself, it takes some people more than one try at quitting, but that doesn't mean you have to give up or be too hard on yoursef.  Eventually you will succeed. 
Was a smoker, but....
I quit because I am pregnant. I do think I will not go back to smoking after the baby is born though.
Ha! I had a 2 yo smoker last night too..LOL

This doc dictated


This 52-year-old male with a 50-year smoking history.  Okay, I thought he was saying 15, I listened over and over, I had someone else listen too and he was saying 50!  I guess dude started puffing at 2 years of age! 


Stedman's Cardio book says 1/6
or 2/6, etc., page 219
Do a mix of cardio and muscle strengthening but note
there is NO such thing as toning your muscles! Tone is the resistance and tension your muscles have that you cannot control.


You either use the muscle you have or you create new muscle. The ONLY way to change your muscle mass is to create new muscle, which means tearing the fibers of your current muscle and growing new muscle fiber. To increase muscle mass you need to PUSH the limits of your current muscle mass. Creating more muscle mass increases your capacity to burn fuel/make energy (burn fat/increase metabolism). Also, this is measured in ounces, not pounds. Also, women in comparison to men have far less ease in increasing muscle mass unless hormones or steroids are involved. Really, ounces people. One more point, muscle fiber is muscle fiber. It doesn't turn into fat and fat doesn't turn into muscle. You create or lose muscle mass, you store or shed fat cells.


I could go on and on and on....so many myths out there about this kind of stuff. IMO, optimum exercise is a combo of cardio and weights. No pain no gain has some truth in it. If you don't push your body, and you only need to push it a little, you aren't doing much but using the muscle you already have and using the energy (burning the calories) you've taken in for the day and not the calories you've stored as fat.
P.S. - I'm alot stronger cardio-wise also
NM
ophthalmology and cardio; psych is depressing but not that hard.
nm
I quit once for 3 years, but then started again. (Quit cold turkey when I did)


DH will be putting baby back ribs in the smoker,
grandma's potato salad, corn on the bbq, and MARGARITA'S!!
Putting patient versus The patient (sm)
When did this "rule" come about? I've been an MT/Editor/medeical records tech/ART for 30 years - Never, ever was I told to put that. You cannot make the sentence be "The patient sent to Radiology" but you can put "Patient sent to Radiology."

Thats just insane.
I quit two months ago. I tried to quit for over a year, but I just had to be ready.
I tried the patch, NRT gum, Zyban, everything. One morning, I woke up and just quit cold turkey. There are some good online support groups out there that can help you when you're ready.
Tell him to smoke outside.
That way, he still gets his way, but you don't have to smell it in your house.
I used to smoke but..
I used Zyban.  I will be smoke free for 8 years in April. But it is scary how for some those medications end up causing such horrible effects. 
ALSO IF THEY WERE GOING TO QUIT SE, THEY WOULD QUIT ADVERTISING TO HIRE SE
And I have seen a new ad in the magazine Advance that has a sign on bonus for SE's, maybe just better pay, let's think positive!!
blowin smoke
Yep, AL the way to the bank.
Depends what you smoke.
aaa
Smoke at your computer? I believe it. I still do.
nm