My boss asked me to think about taking on a pain clinic. Can anyone tell me sm
Posted By: Nervous on 2005-11-12
In Reply to:
if they have done it in the past? Is it easy? Interesting? Are the reports normally long or short?
TIA
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What do you wish you had asked before taking your job?
Hindsight is 20/20. We all know the basic questions about line rate and so on. Now that you're in your current job, what questions do you REALLY wish you had asked before taking it? (please, I'm looking for some serious specifics about numbers and hours and ASR-related questions).
I know nothing about ASR and am wondering what questions are important to ask a recruiter. So please share!
One important question I've learned to ask is whether I'm switched to part time status if I can't meet the line requirement. That's a biggie!
Thanks, :)
I typed both Rad and Clinic, just asked to be put on when a Rad account came open.
nm
I found pain clinic to be very boring, but you can rack up a lot of lines with all the repetitious
s
nm would you mind if I asked where you work and what type of work hosp, clinic ?
x
No, as an IC, I am my own boss. I contract out my transcribing services, but I am my own boss.
:)
I feel your pain. If at teaching hospital, great pain. SM
Some doctors do give standard discharge summaries, so you could just make copy and then pull it up. It is not easy, especially when they give 20 lines of lab results.
Best thing - I am my own boss and my own emloyee, worse thing - I am my own boss and my own
:P
clinic is not walk-in or ER notes; it is clinic
could be a small clinic with just famiy practice, internal medicine, maybe physical therapy, or it could be like mine, large, every speciality, cardio, nephro, neuro, ortho, endo, surgery, ENT, podiatry, ophtho, derm...
every question asked on here could be documented in some book. So? cant a question be asked?
x
Tell your boss
Tell him exactly what you told us - that you were researching for the name and that is what you came up with. You did nothing wrong and I'll bet the doctor will be very appreciative. Good catch on your part!
Per my boss.....
It would be 250,000
Boss?
What happens after the holidays? She sobers up and re-hires all of you?
And, I thought nothing for Xmas was bad! :)
I used to have a boss like that (sm)
She was actually running the company, a new franchise in a big city, and between her other duties, she typed. She would be there at 4 a.m., sometimes 3, and leave at about 9 p.m. every night. That is a sickness. The best part is she didn't need the money - seriously - she didn't even need to work. They were very well off, and her husband had a great job. She finally had a heart attack, but that was after years of those hours; believe it or not, she didn't even go into the hospital for her heart attack - the doctor said it was "mild" so she came to work half days for about a week, cause the place couldn't run without her. Now THAT is sick.
I would think so. You would tell your boss ...
if you worked in an office. I have always let several people know when I am going to be away, just to make sure I'm covered.
Have a great vacation!
Boss
I am sorry to hear this, but I have worked in-house and encountered the same type of boss. I left and did not look back and that same boss is there and things have gotten worse under her administration. My ex-coworker has been transcribing for nearly 20 years and is one of her best employees, but yet she treats her like a dog -- go figure.
Boss
Sounds like she is trying to get you to quit - I went through this with one boss - an MTSO - who was really losing all of her accounts and did not want anyone to be able to collect unemployment. She tried everything, changing people's accounts, denying them bonuses, taking away work and queuing it to other people, you name it - she did it. Thicken up your skin if you like your job, but don't expect her to change. I'm sorry that you have to go through this, as it makes for a stressful work environment -of course at some point that might be able to be changed to a "hostile work environment" at which time you need to go to EEOC. Come to think of it, I would give them a call anyway and report her.
Boss
I bought the Boss too and I love it! I had considered Dyson, but so expensive, and glad i settled on this one - i'm impressed!
boss
I had one that i worked for a little bit longer than you and when I gave my notice she told me she would take my resignation now. Boy doesn't that make you feel like just another #.
I think it might be a boss
Upon further research I think it might be a carpal boss or bone spur because it is very hard and painful, unlike a cyst. I'm going to see my rheumatologist in a couple of weeks and ask him. I have a bad feeling that it might need to come out because my hand is getting stiff. But as long as i can type I'll hang in there.
I think you must have my old boss! Just like you, all of us
Notify your boss
Depending on the company you work for, you might get results. It's very frustrating when you see something that needs changed but are powerless. When working for Edix, I had a patient that had the exact same condition my son has and there was a new treatment that had saved his life, yet her doctor did not know about it and she was at the point of being near death and only in her 20s. I emailed my supervisor and asked them to please notify the doctor of the information I sent and they said nope, no way, against the law. That was nearly 3 years ago and still bothers me wondering how the patient turned out.
Do any of you consider QA/editing to be your boss?
I understand that they critique our work, etc., but I never really considered them to be our "boss". I already have one supervisor, now it looks like I have a few more.
I am my own boss and my own employee. nm
:}
I'd tell me to discuss it with his boss
You gotta be r-e-a-l careful when you're talk state laws. The boss might consider him "problematic." I mean, how much money are we talking about in terms of travel from the boss to the client? If he's getting, say, $10/hour and it's a 15-minute drive ... For $2.50, I would just let it slide.
I'm an IC and work exclusively for one company, which makes me a statutory employee by IRS law. However, I'm making a high line rate, so I'm more than willing to leave things as they are and pay 100% of my social security tax.
This is one of those "silence is golden" situations.
Boss asking for normals
Is anybody working for a company where your boss is asking you to share your NORMALS. Be very careful. My company is asking us to share your normals and come to find out who they want us to share with, overseas. Also asking questions like, who are the best dictators, etc. Also experiencing block of work just disappearing. Several hours just gone. Anybody else.
I wonder if you have the same boss lady as me...
She is terrible. She constantly acuses me of things I am not doing and then when I call her on it, I never hear any more about it. Never an apology. I have tried to speak with her on the phone but she won't and it's always by e-mail which is so frustrating. I have been slammed so many times I can't even count any more. I just never know from day to day whether I'll have a job or not because I never know what I will be accused of next. Oh the things we put up with to make a living in this business
She's the boss, applesauce.
:=
OMG... sounds like you have my old boss! n/m
:)
I'd ask your boss for them or the doctor for -
examples. If you cannot get any that way I'd just use the standard SOAP format for PT.
If you are IC, this person is NOT your boss.
x
Being my own boss is worth that!
x
As employee, you do what the boss (Dr) wants.
x
Apparently your boss is not looking at
the work flow. Next time you are asked, tell your boss that if you could pick and choose you would be doing more work too. The boss needs to handle this, if he/she won't, there is not much you can do.
I would not hesitate to tell your boss
especially since she has asked you why this person does so much more than you. Also, you have proof!
Don't worry about opening up a can of worms - it needs to be open. You need to be honest with your boss when she questions you to cover your tail! I wouldn't worry about the other person - she's made her own bed and now she should lie in it.
I manage my former boss's websites (he has 2), --
other than that, sell some stuff I don't need anymore on ebay now and then...did about $200 a month for about a year.....got rid of most everything though I really wanted to dump...have a few things now I need to list so maybe I will get lucky this month!
boss this to me the other day and really has a lot of good info; sm
cancer classifications
stage and grade
Lowercase stage and grade.
Use roman numerals for cancer stages. For subdivisions of cancer stages, add capital letters on the line and arabic suffixes, without internal spaces or hyphens.
stage 0 (indicates carcinoma in situ)
stage I, stage IA
stage II, stage II3
stage III
stage IV, stage IVB
Use arabic numerals for grades.
grade 1
grade 2
grade 3
grade 4
Aster-Coller
Staging system for colon cancer from the least involvement at stage A and B1 through the most extensive involvement at stage D.
The patient's Aster-Coller B2 lesion extends through the entire thickness of the colon wall, with no involvement of nearby nodes.
Broders index
Classification of aggressiveness of tumor malignancy developed in the 1920s by AC Broders. Reported as grade 1 (most differentiation and best prognosis) through grade 4 (least differentiation and poorest prognosis).
Lowercase grade; use arabic numerals.
Broders grade 3
cervical cytology
Three different systems are currently in use for cervical cytology: the Papanicolaou test (Pap smear), the CIN classification system, and the Bethesda system.
The Papanicolaou test uses roman numerals to classify cervical cytology samples from class I (within normal limits) through class V (carcinoma).
CIN is an acronym for cervical intraepithelial neoplasia and is expressed with arabic numerals from grade 1 (least severe) to grade 3 (most severe). Place a hyphen between CIN and the numeral.
CIN-1,CIN-2, CIN-3
or CIN grade 1, CIN grade 2, CIN grade 3
A cervical cytology sample that is within normal limits in the Bethesda system corresponds with a Pap class I or II; Bethesda's atypical squamous cell of undetermined significance (ASCUS) corresponds with Pap class III; Bethesda's low-grade squamous intraepithelial lesion (LGSIL) corresponds with Pap class III and CIN grade 1; and Bethesda's high-grade squamous intraepithelial lesion (HGSIL) corresponds with Pap classes III and IV and CIN grades 2 and 3. In the Bethesda system, the next higher level is labeled simply "carcinoma," corresponding with Pap class V and with "carcinoma" in the CIN system.
Clark level
Describes invasion level of primary malignant melanoma of the skin from the epidermis.
Use roman numerals I (least deep) to IV (deepest). Lowercase level.
Clark level I into underlying papillary dermis
Clark level II to junction of papillary and reticular dermis
Clark level III into reticular dermis
Clark level IV into the subcutaneous fat
Dukes classification
Named for British pathologist Cuthbert E. Dukes (1890-1977). Classifies extent of operable adenocarcinoma of the colon or rectum.
Do not use an apostrophe before or after the s. Follow Dukes with capital letter.
Dukes A confined to mucosa
Dukes B extending into the muscularis mucosae
Dukes C extending through the bowel wall, with
metastasis to lymph nodes
When the Dukes classification is further defined by numbers, use arabic numerals on the same line with the letter, with no space between.
Dukes C2
FAB classification
French-American-British morphologic classification system for acute nonlymphoid leukemia.
Express with capital M followed by arabic numeral (1 through 6); do not space between the M and the numeral.
M1 myeloblastic, no differentiation
M2 myeloblastic, differentiation
M3 promyelocytic
M4 myelomonocytic
M5 monocytic
M6 erythroleukemia
FAB staging of carcinoma utilizes TNM classification of malignant tumors
See: (TNM staging below).
FAB T1 N1 M0
FIGO staging
Federation Internationale DE Gynécologie et Obstétrique system for staging gynecologic malignancy, particularly carcinomas of the ovary. Expressed as stage I (least severe) to stage IV (most severe), with subdivisions within each stage (a, b, c).
Lowercase stage, and use roman numerals. Use lowercase letters to indicate subdivisions within a stage.
Diagnosis: Ovarian carcinoma, FIGO stage IIc.
Gleason tumor grade
Also known as Gleason score. The system scores or grades the prognosis for adenocarcinoma of the prostate, with a scale of 1 through 5 for each dominant and secondary pattern; these are then totaled for the score. The higher the score, the poorer the prognosis.
Lowercase grade or score, and use arabic numerals.
Diagnosis: Adenocarcinoma of prostate, Gleason score 8.
Gleason score 3 + 2 = 5.
Gleason 3 + 3 with a total score of 6.
Jewett classification of bladder carcinoma
Use capitals as follows:
O in situ (Note: this is the letter O, not a zero)
A involving submucosa
B involving muscle
C involving surrounding tissue
D involving distant sites
Diagnosis: Bladder carcinoma, Jewett class B.
Karnofsky rating scale, Karnofsky status
Scale for rating performance status of patients with malignant neoplasms.
Use arabic numerals: 10, 20, 30, 40, 50, 60, 70, 80, 90, 100. (Normal is 100, moribund is 10.)
TNM staging system for malignant tumors
System for staging malignant tumors, developed by the American Joint Committee on Cancer and the Union Internationale Contre le Cancer.
T tumor size or involvement
N regional lymph node involvement
M extent of metastasis
Write TNM expressions with arabic numerals on the line and a space after each number.
T2 N1 M1
T4 N3 M1
Letters and symbols following the letters T, N, and M:
X means assessment cannot be done.
0 (zero) indicates no evidence found.
Numbers indicate increasing evidence of the characteristics represented by those letters.
Tis indicates tumor in situ.
Tis N0 M0
The TNM system criteria for defining cancer stages vary according to the type of cancer. Thus a stage II cancer of one type may be defined as T1 N0 M0, while one of another type may be defined as T2 N1 M0.
Staging indicators are used along with TNM criteria to define cancers and assess stages. These are expressed with capital letters and arabic numerals.
grade GX, G1, G2, G3, G4
host performance H0, H1, H2, H3, H4
lymphatic invasion LX, L0, L1, L2
residual tumor RX, R0, R1, R2
scleral invasion SX, S0, S1, S2
venous invasion VX, V0, V1, V2
prefixes
Lowercase prefixes on the line with TNM and other symbols indicate criteria used to describe and stage the tumor, e.g., cTNM, aT2.
letter determining criteria
a autopsy staging
c clinical classification
P pathological classification
r retreatment classification
y, yp classification during or following treatment with multiple
modalities
suffixes
The suffix (m) (in parentheses) indicates the presence of multiple primary tumors in a single site. Other suffixes may be used, such as the following in the nasopharynx:
T2a nasopharyngeal tumor extending to soft
tissues of oropharynx and/or nasal fossa
without parapharyngeal extension
T2b nasopharyngeal tumor extending to soft
tissues of oropharynx and/or nasal fossa
with parapharyngeal extension
But ultimately the doc is the boss...so you do it their way if they insist they want it a certain wa
d
I'd inform the boss of this and if he refused
to pay, I'd turn him in to the labor board and then I'd quit but just like MT world there will always be someone willing to work for free thus nothing ever changes with making employers do the right thing.
Boss Yelled at me - no apology
 I worked for a lunatic like that once. File a complaint with EEOC for her "creating a hostile work environment". This may change her tune to a sweeter one.
I think your boss was saying transcribe verbatim,
as in p.r.n before the drug was dictated, and you changed the order. Not to be a witch, but the other poster is not correct - ibuprofen is not capped. You are right that PRN should be p.r.n. - it is a latin abbreviation, but MANY MTs cap stuff like that. One of my peeves...
My boss has one. Doctor prescribed it. nm
She said her shoulder pain, sore fingers and wrists are gone. It is highly recommended for those with RSI. She said worth every penny, but did take 2 weeks to get used to it.
An old boss used to make up words (sm)
She was so proud of herself and tried to use "big" words. She would throw her head back so proudly and say things like we needed to make sure we were "oriententated" on "autholization". Yes, she said it the way I spelled them. Those are just a couple of examples. Memorandums were no exception. I took one of them and highlighted in red once all the errors with a big red F. Shameful. In our meetings, I had to look down to keep from making eye contact with anyone. I would get the giggles if I didn't.
I think My boss wants me to quit (vent)
She won't give me my incentive pay. I have typed 1400 to 1500 lines per day for the last six weeks which is up from 1100 to 1200. The deal is, if I can type this consistently for six weeks then I get paid 0.95 per line instead of 0.9. Well I have done that. She says, no you have not typed that for 10 days in a work period. I asked her, "well, how can I when you pull me off sometimes to file because of lack of work. She says, well, I just cannot give you the incentive. 
Also, she stuck me in an office with one of the most obnoxious coworkers I have ever had to work with. None of the other Mts, male or female, can get along with her either so she sticks her in an office to herself and then she decides to move me in with her. Obnoxious starts belitting me like she did the others, she acts like she owns the place and I told her to stop. She did not stop so I went to the boss. The boss talks to obnoxious so I got the silent treatment for a while which was better then getting an azz chewing every 5 minutes. But then before I left today she bit my head off again about someone who was buring a candle and it was making her sneeze. I go to the boss, tell her I want to move back in the other MTs. Boss says, your not moving. I don't want Obnoxious to be isolated from EVERYONE! Your going to have to get along.
I know these nationals don't pay as high and I am sure they don't offier as good bennies but they are looking sweeter and sweeter. Help.
Oh my husband knows who is boss of this household.....
and that suits him just fine. He would not want to be in charge, believe me! LOL! I am very lucky to have a laid back, non-domineering and very agreeable husband. As for your other comment about my unhappy home life...? Dear, usually when one assumes something like that about another with no facts whatsoever it is usually that they are expressing what they are feeling about themselves. Have a nice day :)
My Eureka The Boss Pro experience
I was in the aisle looking at vacuum cleaners and a woman recommended it to me. I bought it and absolutely HATE IT. It has to be, hands down, the worst vacuum cleaner I have ever owned. Would not buy another one and would not recommend it to anyone. Glad you are having a great experience. Wish I was :-(
Luv my Eureka Boss SmartVac too!
works excellent on carpets and bare floors. It is fantastic.
My boss always says "I'd rather you take the time to get well because we need you for the long
I understand, I feel the same whenever I am sick. But I too would rather get better so I can produce quality as well as quantity work. When you are ill, that just doesn't happen. I have a great account and great business relationship with my account. So,when I am down and out, I take the time to better. I am no good to anyone, even family, when I am sick.
My advice to you is to take the day off when you are ill. It pays high dividends in the end.
that's exactly correct - the boss and employee
the fights one has with oneself are amazing *rofl* 
My boss is a real nightmare, but at least there is always TOO much to do (sm)
I have "my" account of three docs and two PAs, which already kept me busy every day. Then she recently gave me another account to do three times a week in addition to that, so I have three days that are really busy to the point of stressing me out.
On top of that, I can go into three other accounts whenever I want to help out, because the MTs on those accounts are always behind.
When I am really extra frustrated (like I have been lately) with very late paychecks and my MTSOs ridiculous demands, I do try to focus on the fact that I love my docs and there is as much work as I want.
oh my gosh, Cynical, you and I must have had the same boss - sm
She told me a monkey could do my job. Needless to say, that two and a half monkeys are now doing the job with fewer docs and fewer patients. When I had that job, I ALONE WORKED 40 HOURS for 5 physicians, 3 midwives, and did some other odds and ends pertaining to my job. I was told a monkey could do my job.
The practice has gotten much smaller, fewer clinicians, and the job that I once held alone is now being done by 2-1/2 people. Go figure!!
I hate to break it to you, but my boss
my breast biopsy (being nosey) blatently made note during the cake when it was my last day that "I can fire anyone and do not have to give a reason." This is what she said at my going away party. I thought it was rather odd and I shrugged it off. You can be black-balled, which is worse than being fired. The person that gave you those results was in violation and you put her on the spot by asking. I understand you felt you needed the support and basically wanted to "pull some strings", but now you can't complain because you broke the rules first by asking, and then your coworker broke the rules by giving you the results. I wish you all the best. It is not easy mixing work and your health. The best thing you can do is go to another institution for your healthcare needs. I, unfortunately, learned that the hard way. 
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