One of mine would "tinkle and flush" an open heart surgeon true - @O
Posted By: anonamiss on 2008-12-08
In Reply to: I almost laughed out loud at what he did. - I think in pictures.
nm
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Bless your heart. Mine was 50, so I had him longer. SM
Lots of empathy here for you.
Spoken from the true heart of a company owner (inside)
we read all kinds of things on this site. Most of it terrible things that are done to us. Companies making gross amounts of money over our backs and to spend it buying other companies for gross amounts of money. This company knew what they were doing long before they did it, don't tell me or anyone they didn't. They never even considered this woman let alone knew she was having surgery. You guys don't think that way. You don't see our faces and feel whatever you do to make a profit justifies the means. I am not a religious person but I do know what goes around comes around. Chew that.
As far as "preparing ourselves," how do you do that when pay is low, you have to work umteen hours for a halfway decent line count, and then get let go at Christmas time?
As far as short-sightedness? What is astounding is you would even say such a thing as you are probably sitting by a Christmas tree done done by Neiman Marcus. It is hard to save any money with what is happening to the transcriptionists today.
Do not answer this with attacking me. I don't answer trivial, cruel people.
Open, easily approachable, and true communication is key.
.
yep, they open mine too. But at least I indicated not to bother, there no message! and I apprciate
x
How true, mine is trained quite well....before we married he asked if I would ever divorce him -
abused me in any way. So far so good after 9 years. He admits to cheating on his first wife a couple of times though as she did not like having sex (not the reason of their divorce and long before I met him which was 2 years after his divorce). He is germaphobic so it's amazing he ever cheated in the first place....but I think he was actually trying to get her to divorce him (subconsciously)....took 12 years for it to work though. Luckily they had no kids. She did not want kids either, at least not then. She has since remarried too (a month after he did) and her 2 sons are very close in age to my 2 girls. Weird. Men can be such weenies though. Now to just train him to throw out his used paper towels instead of leaving them all over the kitchen counter (my dad does the same thing too). Oh well.
I had one dictate from the jon and flush over and over again sm
Through, get this FOUR DICTATIONS!!! The pregnant pauses, the bobbing of the roll as he pulled out paper, the echo of the small room followed by FLUSH!!!
and you hear him tinkle and flush,
. . . and he doesn't stop to wash his hands. You just hear the bathroom door close. Ewwwww!
Sounds like a great idea, would flush their "profits" - sm
right down the drain, and may cause them to raise their prices to the same level--the only down side I see is that if they turn in "superior product" and are equal to or better than what is produced in the U.S. then the argument that the offshore work sucks would go bye-bye, and offshore would continue to get our potential work, possibly more of it IF they keep the price down at their end. The other thing is actually getting on of those offshore companies to pay that kind of money; for it they will get mucho production, probably 500-800 lines an hour churned out, which would be difficult to do IF the work is in bad shape. I love the idea but not sure it would help U.S. MTs in the long run (presuming you are trying to do that).
Might want to research the Fat Flush Diet plan or even just healthy fasting as a way of starting
s
You can't just open the attachment. You need to save it to a file and then open SM
your wave player and load it.
I just had a surgeon ask...
his PA if there was such a breast size as F, get an affirmative, and then say, "so she's a double FF? She has the largest breasts I've ever seen". It made me laugh out loud, I don't know why, maybe it was his tone of disbelief or that fact that he's been around a long time and has surely seen many boobs in his day...thought I'd pass it along.
One surgeon I know always says...
when a patient is ready to be discharged, he always says "____ is peeing and pooping normally." Slays me every time! I just find myself giggling like a little kid whenever I hear it! Peeing and pooping are such a great words...embrace them!
Isn't there a book out there called "Everybody poops?"
I have not seen a surgeon yet.
I want to get my finances ready before I schedule the surgery. My previous experience with surgeons and disability is "go back whenever you feel ready"...they don't seem to want to comit to a timeline. The last time I had surgery I went back way too soon and had complications, so would like to avoid that this time around.
Thanks to everyone who has replied, this is all good advice and info. I think I will plan for the worst at 6 weeks or so and hope for best at just a week or two. It certaily won't hurt to have some extra money saved. 
One surgeon
I transcribe for has many times told them to pipe down in the background. I am not sure if it is because he cannot think with the noise or if he is doing it for my benefit, but either way, I appreciate it.
On the other hand, I had an Indian doctor the other day who sang/chanted his entire report. If you have ever been to a Catholic mass and have heard the priest do that singsong kind of thing, well that is how he dictated his entire report. Every now and then he would hold the note a little longer. It was the weirdest thing.
oral surgeon...
I had a similar situation a few years ago. I paid and the ins. co. paid, dentist kept both payments. After 3 phone calls to the office, no money. So, I wrote a letter to the dentist, put PERSONAL AND CONFIDENTIAL on the envelope, put a cc to the state dept of insurance at the bottom of the letter (dept of ins. scares them more than the AMA (if dealing with MDs) or American Dental Association).
Got my money 2 days later.
checking out a surgeon?
is there a way to check out a surgeon or doctor before making an apt with them? (complaints, track record or anthing else). I've never been comfortable with the "referral" from your primary or whoever it might be because I can't shake the idea of friends referring to friends and not based on qualifications. thanks
need a plastic surgeon
Does anyone have any personal experience with Dr. Michael Petrosky with Plastic Surgery Center of the South in Marietta, Georgia? I am considering using him as I consulted with him and I really liked his manner and explanation of the surgery. I would like to talk with someone who has used him before just to see if he is a good doctor, but how can one go about doing that with the HIPPA laws? The only way I know to find out about patients of his is to ask their office and of course they aren't going to give me names/phone numbers. If anyone has any info on this doctor's practice would you mind sharing with me please? Or if you know of a way that I can talk to a few people who have used him, etc. Thanks very much.
Went to an oral surgeon for a consult for
my son to have his wisdom teeth removed. Charged us $75.00 for the consult. I didn't like the oral surgeon and his office staff were very standoffish can I did not make an appointment with him for surgery, but with another oral surgeon. I had to pay the $75.00 up front - no problem, but they filed the insurance with the money coming to them. It has been 5 weeks now since they received payment and I have called twice asking for a refund. They told me the insurance company had 90 days to come back and ask for the money, but I PAID upfront so what difference does that make, they aren't out anything and they have $52.00 of MY money on top of the $75.00. They said they would issue a check next week, but is what they told me 2 weeks ago. It isn't a lot of money, it is the principle of the thing.
Went to another oral surgeon and they didn't charge me anything for the consult and the amount I have to pay upfront is $300.00 less than what the other office quoted me.
Seeing an oral surgeon is very premature! nm
nm
ASR funny. The surgeon has just done a robotic....sm
radical prostatectomy and signing off he says "Please send a copy to Dr. John Doe and to the prostate, and to the chart. End of dictation".
I think the difference here is surgeon quality
and also patient demographics.
Be sure you are seeing a top cataract surgeon who is doing 6-8 a day and has satisfied patients. Do not wait until you're 90 to see an ophthalmologist. Those patients do tend to have problems with surgery.
How do I get it ST to open when escription is open?
I made an appointment with an oral surgeon and he
You have to start at the very bottom and be as conservative as you can. A dentist can take x-rays and fit you with an appliance. I went and found out whats causing my jaw pain and on the x-ray my bones overlap. I was thinking I needed surgery, but we are going with pain management. Since i've had the appliance, no pain, that was a week ago. Very rarely will you need surgery, everyone's jaw "clicks" but if you are a night grinder, this makes it an even playing field for your teeth so they're not fighting against the jaw to become "even" if that makes sense. Good luck.
I transcribe for orthopedic surgeon who utilizes EMR
He dictates notes such as if the patient is having out of hte ordinary symptoms to cover himself should the situation lead to a court room setting. But, yes, between EMR and voice recognition, I believe MTs will over time be less than necessary.
The cost is a major factor. Especially with the population aging like we are. Baby boomers will all be on SS at same time and if health care doesn't figure something out, there are predictions being made that are nightmarish, like the collapse of the health care system. This was said by a person (Dr. Andrew Weil) being interviewed by Larry King.
I do work for a plastic surgeon, insurance will only pay from what I can tell IF - sm
there is a health issue, i.e. continous rash from the folded skin, irritation that medicine will not resolve. But all conservative measures of treating have to be exhausted before they agree to pay for an abdominoplasty. Good luck....I need to lose about 80 pounds and wondering if I will have any sag when done...I have very sensitive skin too so expect some problems (and if so I hope they are enough to warrant my insurance to pay for the removal procedure...otherwise I plan to save up for it)--
I worked for a plastic surgeon for 3 months...sm
and people having face lifts and tummy tucks are in incredible pain after their surgical procedure. My sister chose to have breast implants done and she was in severe pain for about 3 days after surgery. No way am I interested in having elective things like this done!
Well, well, well. Found this blog written by a surgeon sm
who says what he REALLY thinks about the JCAHO. Funny, I found it on Google when I typed in JCAHO and q.i.d. since I wasn't sure what to do about q.i.d. ........
The Death Star of American Medicine
I wish I had written this ( JCAHO Unplugged; registration required), because it gives voice to the feelings that I (and probably 99% of the physicians in this country) have about the Death Star of American medicine -- JCAHO. A few excerpts (emphasis is mine):
That is why it really upsets me to watch the JCAHO people walk through my hospital like they were navigating a toxic waste dump. What upsets me even more is the utter paralysis of normal activity that occurs months before their visit and the huge sums of money spent on mock drills and consultants to prepare for the JCAHO invasion. JCAHO (the Joint Commission on Accreditation of Healthcare Organization) arouses more fear in hospitals than MRSA gone wild, and their "visit" has a greater institutional paralytic effect than circulating a neuromuscular depolarizing agent through the ventilation system.
A few unsigned verbal orders, or an anesthesiologist carrying a syringe of Anectine in his or her scrubs, or not locking up I.V. bottles of normal saline will result in conditional or provisional approval, and failure to take remedial action within 30 days may result in the death penalty, which for the hospital means bad PR, and more significantly, loss of all federal money. That's right, you can get the chair for parking tickets in the JCAHO world.
It doesn't matter that the hospital admits 50,000 patients a year, saves countless lives and performs daily miracles. Write q.i.d. twice and you can get your liver transplant someplace else. !["](http://photos1.blogger.com/blogger/2910/889/200/death_star.jpg") A response by Russell Massaro, MD, FACP, Executive Vice President Accreditation and Certification Operations, JCAHO, follows Dr. Cossman's screed. The only thing I can say about it is that he makes clear that unannounced surveys will be forthcoming in 2006. Oh, joy! A lot of the press in the past few days has been discussing issues such as oversight, accountability, and clearly expressed legal authority. JCAHO operates without any real semblence of these niceties, and does so with all the subtlety of a bureaucracy run by Darth Vader. Watching hospital administrators lose bowel and bladder control the minute a JCAHO inspection is brought up has always reminded me of Vader's underlings wilting in his presence --- and for good reason. Without the JCAHO seal of approval, they cannot operate an otherwise well-run, caring facility. The organization, as it was originally intended, was designed to ensure a basic level of safety for all hospitals. It has now become yet another "certifying" agency which must come up with new "critical" problems to fix in order to ensure its ongoing existence (those of you who have gone through the most recent mental masturbatory experience of banning QD and QID in orders know what I mean). What is most galling to me, however, is that hospitals must fork over a hefty sum for these frequent torture sessions, and the inspections are done not by practicing physicians or nurses, but by folks who long ago gave up the difficulties of actually caring for patients for the safety of a clipboard to hide behind. Maybe I have my metaphors mixed up --- JCAHO comes in like the Death Star, but leaves no room for different institutions to solve problems in their own way. The JCAHO mantra can really be translated as "Resistance is futile. You will be assimilated!" As a result, I suppose JCAHO is really The Borg.
An oral surgeon can do it in his office, give you an IV and you won't
feel a thing.
Having worked for a hand surgeon who deals with WC and a MT..this is what I know.
The poster below me, Just Me, is pretty correct. A lot of our patients filed worker's compensation, but because there are a lot of things you do with your hands in your personal life, it is a diffcult situation to prove. For instance, we had one lady who was an MT for a few years but was also an avid quilter..she lost her case. We have had people who say have worked for the hospital as an MT for 13 and had no other real side hobbies or jobs outside of that that won her case. They only have so long to approve or disapprove your claim. From what I have seen, anyone who has worked multiple jobs at that same time are not going to win the case because the employer you filed on will fight you and tell them that you were working multiple jobs so how do they know that it was your job with them that is solely responsible. So, depending on your circumstance, employer (you do have to file a claim on an employer whom you will name), you could get worker's compensation which would pay for surgery if needed, PT, and time loss benefits after surgery. The first step is filing a notice of injury with your employer and then they submit it to their worker's compensation carrier. I was the hand surgeon's worker's compensation biller so I speak the truth LOL. If you have anymore questions or what to share you personal story and get my honest opinion, I'm here. I've seen every kind of WC claim you can imagine. Most people are honest but some are not and WC is the first one to nail you. They have even had a private investigator follow people. We had one carpal tunnel WC patient who stated he couldnt work because he was in such pain yet he was videotaped making an extensive bird sanctuary, actually building it with his bare hands.. Can you say busted.. I knew you could.
The plastic surgeon on "The Doctors"
is very reputable. I would go to his website (can find through the show's website) and either email him or call for information/opinion.
The key is to deal with someone you know is on the ball and above board.
I received a check today from the oral surgeon. nm
I would see an oral surgeon, since dentists cannot perform surgery and that is probably where they
would send you to next.
Dot Richardson, olympic athlete turned ortho surgeon. nm
x
Oh, I hope you're right. The surgeon just gave her the info and kind of let her sit on it.
He didn't have time to go over it in a lot of detail. She tried to call back to have him give her more info., but he had left for the day and won't be back until Thursday. So, we'll see. Thanks for posting:)
I had to have a bowel resection for a Meckels diverticulum and the surgeon charged 2500 and got 1500
and the hospital bill was 27,000. Until that surgeon gets done paying malpractice, his office costs, taxes, etc. I bet he doesnt get one third of that money plus all the visits I had while in the hospital for 9 days and fu visits. I did have insurance thank God.
Funny! Mine is almost as large, and I don't mind cleaning mine!
It's no problem at all. Besides, I'll take lots of oodles of square footage any day of the week over living in a sardine can!
Thank you ghost! So true! So true! More than one person!
xx
Yer crackin' me up! True, true, true! nm
x
My heart goes out to you...
I know how painful this is...had to do the same with my 12-year-old Cocker Spaniel two years ago, and I still miss his presence so very much! Your little sweetie will always live on in your heart, though, and I truly believe that one day you'll be reunited at the Rainbow Bridge. As 'gh' posted, if you haven't yet, please visit Rainbowbridge.org...it's a wonderful site & has one of the most beautiful poems I have ever read.
Please accept a big ((((HUG)))) & my deepest sympathy.
keep him in your heart
Just wanted to tell you what you probably already know, the pain will get less and less with time. Keep your dad's picture nearby and talk to him when you feel the need. I do it sometimes and my dad died 31 years ago. I believe your voice will be heard and your heart will be comforted.
My heart goes out to you ... sm
I have two 13-year-old lab/collie/chow mixes, Sasha and Keesha. They are sisters, but from different litters. I will be facing the inevitable decision of putting them down before too long. They both have severe arthritis - one in the hind legs, and the other in the shoulder area. I give them medicines for it and lots of TLC, but time is taking a toll on them. They sleep a lot and stay inside in the AC when it is hot outside, and out of the cold weather in the winter as well. They really are my "kids" and I know they have been the greatest children I could ever have. They still greet me with wags and kisses every day. I know I'll miss that when their time comes.
As much as it hurts to have to make this decision, you have loved your dear one with the highest form of love you can give. God bless you and help you through your loss each day. It will get better with time. And, when you are ready, God may bless you with another sweet pet to love. No, it won't be the same, and you'll always think of the ones no longer here, but know that you loved your pet enough to not let her suffer needlessly. That is the truest form of love we can give. You were there for her and did not abandon her. When I think of the decisions ahead of me with my "kids", I know that is what will enable me to love and take care of them one final time. They will always be in our hearts.
God bless you and give you sweet memories.
My heart goes out to you
You and your husband both sound like wonderful people but he has an unfortunate illness that only adds to the real problem I am sure. Some people do not truly understand mental illness that it truly is an illness and the person that has it is not to be blamed as they do not have control over it.
I have had a lot of issues in my life over the years and have learned not to so quickly judge anyone. I always feel what goes around comes around too and I have seen that happen many times in my life.
I don't have much advice (but you seemed to have gotten quite a bit here which I hope you find some helpful) as I have not walked in your shoes. You sound so torn.
I certainly will pray for your and your family. Do you have a pastor or one that you could contact that you both could possibly talk with? Having an impartial third person educated in counseling may be of great benefit.
Wishing you only the very best. Please do keep us posted.
My heart goes out to you
My ADHD son is now 13 and succeeding for the most part in school. I won't give the lengthy history on his struggles, but grade school was horrible for him, I had to fight every year with a new teacher to get his IEP enforced, and for him to get some special education to help him out (granted the schools liked the special education part=more money from the state, but they didn't like the part of having him in a regular classroom for the majority of the day). Once he hit middle school having that break in between classes and being able to move to class to class really helped and he went from a D student to an A student. All I can say is we are out our childs only advocate you have to fight for what they deserve whether the teachers/school like it or not
I heart you.
xx
My heart goes out to you and I'm so sorry
that what I'm assuming is your first MT job is creating such stress for you.
I know it's easier said than done, but you need to relax and think rationally instead of emotionally. Instead of panicking because of contradictions, turn it around and put "yourself" in control of your situation. Document everything from QA!! As FBL stated below,if QA B contradicts QA A, document such and send emails to such; however, my emails would also include a cc to the QA Supervisor and my liaison and/or manager for my account. I would do the same regarding the question about "too" many blanks. I was always taught there was no such thing as "too" many blanks as it was preferred to guessing !! I would present this question to the QA in question, and again my liaison and/or manager,etc. Document - Document!!
To make you feel a little better, I've been in this profession for 40+ years,and I still get contradictions from QA!! Having known I've researched thoroughly all available resources(books,internet),I document such and just forward all info to the above powers of authority. Can't say I don't get pi__ed to this day, but I just don't stress over it !!
Don't underestimate yourself because you're a "newbie". You went to school,you "do" have knowledge that is invaluable that will only be enhanced with experience.
I commend you for pursuing this profession in this day and age with its trials and tribulations.
I wish you nothing but the best!!
You have a very good heart.
forgiving. I do admire your charitable spirit. May this whole incident turn out to be a major blessing for you :)
heart go a flutter
Antonio Banderas, Al Pacino, Robert Deniro..the guy on Cold Case, what is his name, Danny Pino?
Piece of my Heart
When I'm stressed I get to let it all out with that song. lol
Bless your heart
I hope you quickly work your way into a better pay range.
Bummed Out - My heart goes out to you.
I picture myself in this situation daily as job security as a SE is nil & I keep wondering what I think I'm going to do when I'm all of sudden "let go", since our so called "Profession" has sunken to the status comparable to that of a worker at McDonald's.
First of all, our profession since the 1960's has never evolved nor been recognized as a "Profession" - it is a "job" that any "typist" can do - period end!! That being said - around the late 1980s, early 1990's, those savvy in business became aware of the "need" in this job market & saw it as an opportunity for "big bucks" with no knowledge nor regard or concern of the medical knowledge required of those required to produce quality medical records. That's the key - quality has been replaced with quantity.
Only when us "Oldie" transcriptionists leave our beloved field & the physicians eventually become aware of the poor quality of work & the fact that patient care is truly jeopordized & sadly ends up suffering from the consequences of such - will medical transcription ever hope of being recognized as a "Profession."
The sad fact is that as long as us "oldies" stick around & correct the mistakes of the newbies, transcribe the worst of the worst undecipherable dictation & correct the ASR - we are sadly contributing to our own demise. Without us & our medical knowledge - being paid a pittance - the worst of the worst wouldn't be transcribed nor would ASR be edited!! I'd love for the work I now get to be sent overseas & see the end product. Out of thousands of doctors on a teaching hospital roster - I get very few. I get no normals (but did when initially started on this account. I get garbled, faint, cell phone dictation cutting in & out, & the same undecipherable dictators with whom no rhythm can be established - having to listen word by word & typing as such daily. My production keeps decreasing as well as my pay - but I'll bet my "employer" is tickled pink. I'm supposedly at "top pay", therefore, the less I'm capable of doing equals more money in their pocket, i.e. have to pay me less - hire more overseas.
Physicians are our lifeline & need to be made aware of the difference between a "medical transcriptionist" doing their dictation versus a "typist." Albeit most are intrigued by "Voice Recognition" now on the market, I'll bet 95% at hositals are unaware their dictation is being recorded in the background to Automated Speech Recognition - only to try to be deciphered & corrected by a medical transcriptionist. Without our medical knowledge & expertise - whether transcribing or editing - the medical record is worthless & patients are going to suffer. That being said - our expertise is worth more than 7-8 cpl or 2 cpl for editing. Somehow - we need to make physicians aware of the price that is being paid for their savings on their dictation, who is typing their reports & whether HIPAA regulations are being adhered to.
Unskilled workers - that is exactly what we're considered & being paid as such. Unless & until we can collectively convince physicians that quality is more important than the almighty dollar - we're resigned to the designation of "typists" & paid as such -period end !!
I don't know who you've endlessly tested with, nor if you're seeking employee status, full or part-time, or IC or SE status, & will probably get flamed - but have you tried applying at Medquist? Really hesitant to suggest it as I have no clue as to what is happening with their new so-called "Rewards Program" that is supposed to be going into effect - but from the sounds of your past experiences, I wouldn't think it could be any worse -who knows at this point!!
Bless your heart...
you replied with Peace out, & I replied with guns-a-blazin'...what the heck did I do, forget that great thread from yesterday 
my bad...*sigh*
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A response by Russell Massaro, MD, FACP, Executive Vice President Accreditation and Certification Operations, JCAHO, follows Dr. Cossman's screed. The only thing I can say about it is that he makes clear that unannounced surveys will be forthcoming in 2006. Oh, joy!
