Just as above, the physician said the patient fell
Posted By: See inside on 2009-04-12
In Reply to: in my experience - sa
and ordered CT scan and the doctor absolutely checking for confusion. The doctor repeated and I listened back to it, intensely. That was said, VR picked it up and how would a newbie know (brain, confusion, could be in some cases, right) it was contusion they were looking for? I did, changed and finally the physician said the correct word, contusion. I also have the VR putting in Dr. Pannicus and the like. Yep, you need to know what things mean, not just typing in words.
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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.
Fell sorry.....
BRAVO!!!!!! 
I kind of fell into it
It's for a local insurance company. I have a friend who works there, and the service that they used was charging a lot. She knew I was looking for a part-time job to supplement my income (at that time I was working out of the home as a legal secretary). We started out working on it together, and then she stopped and I do all the tapes now. It's good money. I've been doing it for about 7 years.
How dumb are you? Evidently you fell from somewhere.
x
Maybe it was where you post fell .. I thought
that you thought I was telling you that.
OH WELL I'M CONFUSED NOW. ROFL
I meant no harm or bother to anyone.
My babies are in bed. I'm going there, too. I think I'll just stay quiet for a while.
My husband fell back on ME. SM
He had his own auto repair business and I bought his parts half the time.
If a pill causes an abrasion while going down, it can fell like it is still there. nm
x
I got the same email regarding pay....ALMOST FELL OUT OF MY CHAIR
You have got to be kidding me!!
I do the same thing! I have fell asleep at ...sm
my keyboard before. It sucks trying to wake yourself up. I haven't found anything really that helps me that much.
okay, thanks, I thought it was always Fri when it fell on a weekend...
nn
she fell out of the stupid tree and hit every branch on the way down
she fell out of the stupid tree and hit every branch on the way down
I fell down my steps in MARCH of 05 and my tailbone still ...
hurts a lot of the time. Both soft and hard chairs are hard to get out of, depending how long I have been sitting. My sister said about trying an inflatable pool ring, but there aren't many to be found this time of year!
DH refuses to watch it again- says we fell for all the hype - about (sm)
the show being a "classic" . People on we barely knew. We kept waiting for it to get "good". Then the ending!!!!
Holy cow is right. Is he dead??
Bahaha! Oops. I fell out of my chair.
You're not really a brunette, are you?
Thanks for the giggle.
Mother fell and broke hip Sat, sent home by ER doctor
who said it was only bruised. Hospital calls Tuesday afternoon and says she actually had a broken hip and needed surgery. In the 3 days before the nursing home found out it was broken, she fell again. Has anyone ever heard of the radiology dept taking 3 days to read films? It was Memorial Day weekend, but even so I don't think it should have taken so long.
So true, when I worked inhouse, the doc fell asleep
while dictating and actually continued to dictate while asleep "we packed the leg wound with BBQ sauce and grilled it". The service typed it as such and flagged it. Boy, was doc ever embarrassed. His fault for doing 50 charts at a pop.
EditScript/Escription - Fell in love with it the first time I used it
x
disks in C-spine, then huge metal fan fell on back of head!
That is when the real pain began. A rhizotomy is where they cut the nerve roots to relieve the pain (anterior) or muscle spasms (posterior). I just had neurectomies, and my head has been worse for the last two months. The neurosurgeon was unable to get left side because my occipital nerve was entangled in the artery, but he got the right. Now I cannot feel the right side of the back of my scalp; however, I am still having a lot of pain! So much for that.
Wear scrubs, they're comfortable and you fell like you getting dressed for work See message.
Go to a local scrub shop, you can get a big bag full for about 100 bucks
Monkey bars aren't the problem. I never once fell off. Neither did my brother. Kids need to climb
c
Per my physician....
"All the antibiotics in the world will not clear up your sinus problems because you need to dry your sinus passages out." Get those little red Sudafed tablets and take the maximum dosage for several days. Also, try avoiding dairy products to see if that's a trigger. I can't even eat Ranch, mayonnaise or gooey cheese anymore because it triggers postnasal drip with that irritated ticklish throat and cough.
This is a physician saying this
The patient was tooken to the operating room. OMG, please keep me from screaming!! Where did you go to school, or did you finish?
Get another physician
NM
Not OUR job, it is the physician's and/or
x
EMR physician
I need quick advise. I worked for 4 physicians, one used EMR (partially) the others still use tapes. The EMR physician does not like to read his dictation and the three mouse clicks to sign his documents is too much. The physician has a high school graduate opening up the notes, reading them, editing them at her discretion and then SIGNING them. I informed them that to the best of my knowledge this was 100% illegal but they are still doing it. I have been doing this for some time, but did not think the rules had changed.
see what I mean? LOL ... physical not physician...
x
Your own physician tells you that you know too much. nm
//
I saw an xray the physician had
that showed a Gator-Aid bottle up this guy's rectum. The wife wanted to know if he had accidentally sat down on it. He had to have it surgically removed. And then again, there is the one I typed on where the person was an alcoholic, had drank dog shampoo and when arriving at the ER was blowing all kinds of bubbles.
Physician Websites
Here are a couple good ones:
www.healthgrades.com
www.doctorpricing.com
The physician put his comment in
quotes and it should have been transcribed. I would get more offended about incorrect dosing of meds you hear in reports if I had the option to pick my battles, but the fact is, you are a Transcriptionist who is being paid to transcribe what the physician says. You really have to leave your personal stuff out of it. And, if you are the patient, and you are crass enough to be so rude and foul then you deserve to see it in black and white.
This sounds like an ad placed by a physician's
I cold called thinking they may consider an at-home MT, which yes they would be fine with, but they thought event $1.00 per page was pricey since the in-house MT could easily type 20 reports an hour, so they were doing the math. They figured by my charging per line that I would make way too much. Of course, I told that person very politely that I would work for no less than $3.00 per page if that's how they were looking at it and that I charge for production. So maybe this office expected the same thing your hospital does. However, if you type 3 MRI reports, then you're done for with the expectation of 20-25 reports per hour. All I can say is the hospital advertising this way must have a lot of normals and only perform plain x-rays and not any kind of special procedures or MRI/CT.
A physician shared this one
with me...
The patient was in a cute dress... (medical Transcriptionist error....)
Physician Letter
Opinions on this please: Most of my physicians dictate where they would like new paragraphs to start in their letters to other docs. However, I'm just starting with a new person and she didn't specify. She told where she would like periods, quotations, etc. but she never even once dictated that there should be a new paragraph.
I'm tempted to just put the breaks where they seem correct, but I'm not sure if that's the right thing to do.
Any suggestions?
Physician Finder - a useful one
you can search using different criterias, might be helpful for u ppl
use the link below
http://doctor.webmd.com/
Try the AMA Physician Finder
You can do a "sounds like" search by state, and by specialty. Somewhat tedious, but you can generally find them when all else fails.
Here's the link:
http://webapps.ama-assn.org/doctorfinder/html/patient.html
Exactly why I quit using my last physician.
I would wait close to an hour in the waiting room only to feel ignored once I got into the exam room. My doctor spent more time on the computer than he did with my exam. I finally got tired of this and changed doctors.
How do you know the physician hasn't
reported it. No, I do not believe it is our place to do so.
are you sure the physician HASNT sm
reported it? I don't think (I am quite sure) that our scope of duties does NOT involve any of that. Would be real tempting to report though wouldn't it?
Actually, throw out the BOS and use the physician's preference.
I learned that disc is eyes, disk is computer disk, and disc/disk for back is up to the account preferences. The doctors do not care what some stupid AAMT BOS book says because it's THEIR notes and they aren't regulated by the AAMT.
Work hourly for physician. Need help..
I wonder if someone could tell me how they created an invoice when being paid hourly doing transcription. I tried using MP Count but it only calculates using line counts. Thanks for any help.
I worked at a 25 physician multispecialty
clinic as an audit clerk to the transcriptionists (counted lines by hand back when we used typewriters). I picked up some terminology by reading clinic notes as I was counting. I took a terminology and anatomy class and my boss let me take tapes home to practice on. When there was an opening, I tested and got in! I also worked for an ENT doc (who was desperate for a transcriptionist) part-time in the evenings while I was learning to transcribe.
Then the dictating physician needs to spell it out instead
of expecting us to be psychic. I used to waste so much time at my old job trying to find the proper addresses for these yahoo CC physicians. In the meantime, the dictating physician mispronounced, didn't spell, and didn't even give a clue where the other doctor worked. I had to check the company physician list, the hospital physician directory, Anywho.com, then Google. And that was even if I could spell it properly! One physician in particular couldn't pronounce properly. He would put extra Ns and Rs throughout the name. How was I supposed to find it? And I got chewed out by QA for not being psychic enough to figure it out.
I worked in a physician's office as well.
Normally they get paid only a percentage of that. If your mother has insurance she can pretty much disregard that initial bill. The hospital my parents used also chopped off a large amount due to their fixed income. The worst part about this system is that people with no insurance and who do not qualify for the indigent write-off have to cough up the whole thing.
Are you seeing a sleep physician or just thinking
If you're having a rough time with sleep, make sure you see a sleep medicine doctor (if you already have, please excuse the following). Family docs are great but a sleep doc will know much, much more about it. There are a lot of things you can do to improve your sleep routine and they can do a sleep study or have you fill out a questionnaire that will tell them more about your sleep habits. Provigil should only be tried as last resort with a diagnoses of narcolepsy or when all else has failed. Plus, there are a lot of different wakefulness-promoting meds, such as Ritalin mentioned above, and Provigil may not even be the right one for you.
If you already are seeing a sleep doc, you can ask to try something else if you are leery of Provigil. Sorry for being presumptious, but I just want to be sure you are not jumping to medicine first because it's wise to try other methods before resoring to an Rx.
Seek another physician as fast as you can sm
the one you have obviously does not have your best interests at heart, nor does he care. Any good physician with an ounce of brains knows exactly how addicting OcyContin is and should not keep any patient on it for the long term. You should also seek a rehabilitation clinic for addiction problems. You can't do this by yourself. I think they have outpatient clinics, but you need help and you need to get it soon. Good luck.
be sure to give this feedback to the physician.
If you transcribe for a private physician and he wants
cc then use that. However, most MTSOs and facilities go with Joint Commission recommedations or BOS. You only need to find out what is required by your employer. If your employer wants you to use cc it is fine. You do what they want. mL is the correct abbreviation for milliliter. I have been doing this for almost 30 years and you would not believe some of the changes AAMT/BOS have made, but we just have to go with the flow.
Need physician locator website!
I've been using the NCIH website when I have to search a specific state for a provider name, but that website is now gone and apparently is not going to be back. Argghh.
If anyone has any good websites to do physician or provider search by name by STATE (not city, too often don't have that information), I would be grateful if you could share it! TIA. 
You should make it clear to the physician that
there will be an editing charge for any changes or additions once a report has been completed and submitted. I charge an hourly rate for such.
Instructions for physician dictation
1. At the beginning of the dictation, take the deepest breath you possibly can and then try to dictate the entire report before you have to inhale again.
2. When dictating a particularly difficult word or phrase, please turn your head and speak directly into your armpit.
3. If you have to sneeze or cough suddenly, please remove your head from your armpit and sneeze or cough directly into the microphone.
4. If you must eat while you dictate, please stay away from foods such as marshmallows, bananas, and pudding; apples, pretzels, and celery are much better choices.
5. Please do not stop dictating when you yawn; it throws off our rhythm.
6. Do not stop dictating in the event of a minor background noise such as an office party, the janitor’s vacuum cleaner, a screaming infant, etc.; again, it throws off our rhythm.
7. Talk as fast as you possibly can. Fair is fair, after all, and we type as fast as we can!
8. Dates of admission and discharge are not important for old H&Ps or discharge summaries.
9. Abbreviate whenever possible. Everyone loves a mystery and we are trying to learn new skills, such as mind-reading.
10. Finally, be sure to wait until the end to tell us what kind of report you are dictating, or to "scratch" this dictation since it was already dictated.
Find Physician Link
Hi All--Wanted to share
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