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PA dictates patient drinks "a gallon" of liquor a day.

Posted By: can this be right? on 2005-12-14
In Reply to:

I hear people drinking a pint or 1/5 a day, but a GALLON.  The guy is only 45. 


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tolerance to liquor

Actually, I rarely drink now. And when I do, I'll nurse one drink over a couple of hours. --- What cured me from drinking too much was the party I went to in the summer of 1991. I threw back twelve 8 oz glasses of punch-flavored moonshine over the course of about six hours. Ever drink moonshine? It's got quite a kick. I didn't mind my head in the toilet, but it was feeling like somebody had taken a baseball bat to my skull that sort of got the message across. Since then, I tend to shy away from liquor.


>>Apparently you have never worked in a hospital, because believe me, there is plenty of drinking going on there - including the doctors.


To my knowledge, there was never any drinking at any of the hospitals I work at, on Long Island. There were three or four of them. Don't remember.

>>>Don't flame me - I didn't say ALL of them - but I worked in hospitals for years and surgeons under the influence did their operations, radiologists read their x-rays, all under the influence. Then, there is the drug abuse - another story.


Define "under the influence." Some might feel a glass of wine puts you "under the influence." I certainly don't. Personally, I don't know how people can even drink that stuff (wine). Bleh!!!! What a horrible taste. --- My husband likes wine on occasion, and I wouldn't know if he had a glass of wine or not, unless I saw him drink it. There's no change in him. And believe, I would definitely see the difference, if there was one.

And as far as performing surgery after the consumption of liquor ... don't even COMPARE performing surgery to MT.


Drug abuse? Well, I can't comment on that, but I know for a fact that you should try to transcribe a medical report after smoking "that stuff." You'll end up with something really strange.


wrong....I've been there, believe me the stockpile of liquor is just as great as in the US
there are just no bars, and there are underground church services all over.  You learn to make your own wine.   Company I worked for had ministers and priests (called them teachers on their work permit), with full active services in a special house.  Believe me its nothing like you all think it is there.   Nothing.
My family's not into hard liquor. Beer on one side and wine on the other.
Ugh. I only "like" to drink alcohol maybe once a month.
LOL gallon
xxxx
gallon a day sm
If you worked for me, I would have you flag the report, as this will follow the patient forever if not correct. Some will sign anything. I once had an ESL dictate, "The patient drinks one and one-half six can beer per day." I am not a mathematician, could be one and one-half six packs but I am not about to "label" anyone. There are "alcoholics" who inherit the disease and there are "drunks" who will drink anything and keep on doing it even when told to stop for their own health. Give people a break, you wouldn't want your family "labeled". The disease itself is punishment itself. Those who stop are just as good as you and I, they had an allergy of the body and a desire of the mind, such as one would have for chocolate, etc., so don't sit in judgement, that's God's job. If someone has stopped, give them a high five, not a label. Just my two cents.
Tell me about it at 2.79 a gallon in gas.
I thought the same thing about age discrimination.
$2.39/gallon - Philadelphia

today it is 2.49 a gallon, NE Indiana
xxx
What does a gallon of gas cost in YOUR town?
$2.39 here. Northwestern Wisconsin. It is pathetic.
Paid $2.69/gallon in So. Cal. today. (nm)


 


Our gas prices are just over $3/gallon and summer's coming!

I'll want to use my A/C in my car plus do a little extra driving in the summertime.


Right now it's costing me about $44 to $46 to fill my tank up.  It HURTS! 


Thinking about buying  a bicycle to get around town on!  lol


 


 


kid drinks in college
And what are you gonna do if you kid does drink at college??  Kidnap him/her and deprogram them?  They are adults when they are in college.  I would hope by the time a child gets to be 17, 18, they have been taught right from wrong and no I would not want to know if my child was partying and drinking in college.  They are living a normal young adults life.  I would want to know he/she is having fun and doing their studies and, of course, if they became a drug addict or alcoholic, they I will be there but normal partying for young adults, Im okay with that..better than being tied to my apron strings.
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.
We just signed up for our propane for winter.. It's gone up a dollar per gallon...
from last year.  There is no shortage of propane as far as I know.  They just raise the price because they can.  We're paying 1.89 per gallon.  Thank goodness we have 2 wood stoves, but I'm sure a cord of wood will double too. . You can't win.
bush bashing? Do you like paying 5 bucks a gallon for gas? NM

get a life.


you don't want to know if your child drinks at college? (sm)
I am praying for you and your daughter. Honey, you had better get your head out of the sand and make it perfectly clear to your daughter, whether at college, home, friends, etc, it is not a good idea for a young girl to drink and lose control or insight into what is going on around her.  That is just asking for something horrible to happen.  Please talk to your daughter! Don't turn your back on something potentially dangerous to your child! When all is said and done, she is still your child, your responsibility, and God forbid something horrible happens to her, you will be blamed.
If an MT drinks a whole bottle of wine while...
working, there is NO WAY that can't have any affect.  Yikes!  There she.he goes now! 
My gma is 87 years old and drinks a beer a day...
She still mows her own lawn, takes care of herself and her home and doesn't have any problems.  She's always been very fit, eaten right, didn't smoke, but when people ask her what her secret is, she swears it is the can of beer she drinks with dinner every night.  She's had cataracts but other than that she hasn't had any health problems and takes no medication. 
thanks but no sweet drinks (diabetic) *S*...NM
.
My kitty drinks out of the toliet as well!
This is my first cat so I'm new to all of this, having dogs all my life. I bet your cat will come back home. My mother's cat goes off all the time and comes back weeks later.
Only 1 cup, but I'm addicted to monster drinks. nm
nm
Holy Cow, a gallon of Jack Daniels? I had a whole juice glass once sm
and was sick for a week, can't imagine a gallon.
It is hard to work for someone who drinks, and even worse
when they don't think they are an alcoholic. It really fries their brain,they are moody and unpredictable, and fly off the handle for no real reason.
My DH drinks 8-12 light beers a day, though he is trying to cut back - sm
but he's been doing it for over 20 years, so I would not be surprised if cirrhosis shows itself. He is in good health, for now. I don't buy him beer anymore since I was enabling him and he did ask me to stop, so that has helped a lot in him cutting back. I think we only have 1 beer in the house tonight so that is good!
Energy drinks. Caffeine and sugar, sm
and all kinds of vitamins. I like the Sobe one. I even drink it in the morning now, instead of coffee.
Staying Focused -Energy Drinks
I am having a huge problem.  I cannot seem to find the energy to work all day.  This sounds so bad because I sit all day!  Seriously though, it feels like I get so bored sitting here at the computer.  When I drink some of a Nos energy drink, however, work is so fun, I have tons of energy, and I make a lot of money sitting here.  I love this work, but what's the deal?  I don't even like consuming caffeine.  I got an energy drink the other night to stay up all night and finish some STATs, and now I feel like I can't work without it.  It was hard to focus even before I started the caffeine.  What is going on here?    Why can't I just get my work done like a normal person?
Photos in today's NYPost show pumps in Brooklyn up over 3.00 a gallon, way over! nm
m
If you try caffeinated drinks, make sure to use Equal or Splenda.
nm
I actually have 1 MD (pvt) who dictates...sm
and I hear him going #1 and flushing the toilet!!!  I hate that and I hate them dictating in their offices with the music on!!!  This same MD will dictate an op report (3-4 pages long) performed in the office, but dictated while he is walking to his vehicle, driving HOME!  I hear all the traffic.....that's got to be THE WORST (along with the music in the offices).
HELP Dr dictates.....
"This patient with a history of AIDS status post Pneumocystis carinii pneumonia,"  Please help with punctuation before and after status post.  My mind is blank.
My son loves Monster drinks before football/basketball practice. I think they are nasty.
I don't drink coffee, but I have to have my Coca Cola first thing in the morning and one more halfway through day.  So I guess I am a little dependent on caffeine!
Client dictates which way, but I have
NEVER in 20 years seen it with the first letter of each word capped, so Low back pain would be correct, unless otherwise dictated by client/BOS. 
If a doc dictates CHF, do you type s/m

CHF or expand into congestive heart failure; and for any other shortened word, do you expand.  The guidelines for my company state type what is dictated and only expand things in the diagnosis section.  Well, someone I know who works for the company said that they just always expand regardless.  That doesn't seem right to me.  I was just curious as to what anyone else does.


Thanks!


After years of drinking diet drinks, I am off Nutrisweet, Splenda, etc. due to health reasons..sm
but I really don't want to drink sugar drinks/juices and cannot stand water!  Does anyone have any drink suggestions?  I am at a loss.  TIA
can't think of one female who dictates well, IMHO.

Resident dictates at end of report...

"Note to transcriptionist...thank you for your time, thank you for your service, and have a great day."


 


WOW, that doesn't happen often, and when it does, it sure feels nice to know we are considered colleagues and not just a typewriter on the other end of the telephone line!


Or making $36 ph on acct that only dictates 1/2
fsa
Yup, same as Diana ... if the work dictates (sm)
I work until it's done even if it's weekends. Technically I don't "have" to since my contracts state M-F but I don't mind the weekends if I don't have huge plans and there's a lot of work to be done.
My DD is a social worker and says that she dictates directly into VR
and the report is on her desk when she gets back to the office. She said everyone in her department loves it!
Question: doc dictates "pt is generally p***ed off."

I'm half tempted to type it just that way....Would you?


RE: Question: doc dictates "pt is generally p***ed off."
Yes, if physician said it, transcribe it exactly as dictated. What is the question concerning "pissed off", if I get the *** correct?
ESL doing rectal exam dictates "I did a rectalization"

I have a doc who dictates the entire address, but not the zip code. SM
or the referring physician (throughout a three state area), and says, "Dr. Smith" and then gives the address. I still have to go online to find the doctors first name. Very annoying.
You are supposed to transcribe exactly as the doctor dictates. sm
However, every "verbatim" account I have done, we are allowed to correct the doctor's spelling mistakes, especially with something like a drug. However, you must be sure of your drug. If there are two that are close, it is safer to use the doctor's spelling and use quotes or whatever the account allows.

Many of them will also allow you to correct a glaring grammar mistake, such as using "is" for "are," etc. If you're not sure, ask the account manager.
Female Elmer Fudd dictates! (sm)

"She has a known history of uterine leio, leiomy, ly, leio, leiom, la...ugh...uterine, um, fibroids."



If the doctor dictates it, you transcribe it, in quotes, as this
is what the patient said.
My company dictates 2/10 to 3/10. Note no dash.nm
x
for GU exam on a female, if doc dictates Normal BUS what does this stand for?


Wouldn't it depend how fast/slow dr dictates,
x
The ones that I hate are where the doctor dictates a full line or paragraph,
and says, "No, wait, go back, change that."  Then you have to delete everything you already typed and retype the new dictation.  Some of these newer doctors do that to nearly every sentence.  By the time you finish the report, you've typed and erased half the report.  Do we get paid for that?  NO.  I don't get it.  We still have to pay for doctor visits if they misdiagnose us, then we have to pay for the subsequent visit to fix what they didn't diagnose the first time.  We should get paid by them for typing what they said, erasing it and retyping what they meant to say.  They're getting our wallets coming and going.
..or when the doc dictates "prior report LOST by XXX Transcription Service...AGAIN." sm
I work for a national MT company, we do hospitals all over the country, I work from home. I have NO control over where the chart goes once I send it in, I'd bet the original chart was never dictated and hence never 'lost' by us....but in the case that it may have been, THEY HAVE THE PHONE NUMBER of the company to call them, they have specific contacts at the company for issues such as this...I CAN'T HELP YOU WITH THIS, especially when all they're doing is bitching at me on a voice file. Funny, it's always the same couple of docs complaining of lost dictations. Curious that it's JUST THEM. ;-)