PATTI...I see you posting..what are your thoughts??

• Ever approach client of national you used to... - (sm)
  • Better read your contract with the national company before doing that. sm - ic-mt
  • never a client from a national, but...sm - me
    • So no real safe way to put... - (sm)
      • PATTI...I see you posting..what are your thoughts?? - (sm)
        • Not sure if I am the correct Patti - Patti

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Why does anyone still work there?

I don't get it.

Their fee is $40 a month, which I didn't think was too bad.  The total I will be paying them is almost what I am paying now.  The difference will be the interest rates and time it takes to pay them off.  My husband is really upset that we are going to do this, but as I said before, I don't see any other way.  I am keeping one credit card with a low limit for emergencies, travel, etc. and the rest of them will be history!!  When I get out of this mess, it will never happen again.  Again, I appreciate your info.

you don't need to explain yourself to Tikki (aka Kikki) or anyone else on this board.  You took a bashing about the cookies and now about tapes, and money for gas, and on and on and on and on.

You are obviously a very successful and talented MTSO/MT/WOMAN.  I admire you.  May you continue to have good fortune shine down on you.

May you one day realize your life is worth living and trying to impress people on newsboards with what little you have is not necessary to make your life whole or meaningful. 

Prayers and blessings be with you honey.

I know you are busy and I don't want to interrupt you, but you are so knowledgeable about tax questions and I thought maybe you could help me, somehow.   If you could possibly email me, I would really appreciate it, as I do not want to divulge personal tax info on this site.   thanks so much.  When you have time, of course.   

I will only be typing short letters to referring docs. I have listened to some of types and you are right about the meds. I had trouble with some of the topical creams. 

Thanks Again

Patti,

I have had the same account(oncology) for five years. I would also like to pick up other accounts; however, this doctor keeps me sooo busy it is almost impossible to transcribe for someone else. I have picked up dermatology account, but only 26-30 letters per month.

I am going on vacation in June for about three days and worried sick about coming back from vacation and having to type over 200 notes!! This doctor sees over 75 patients a day and also has a Saturday clinic (40-50 patients). Any suggestions????

Thanks Patti!

The medications is what I am having a hard time with as the doctor tends to mumble and speaks very fast. His notes are very short, no OP notes.

What usual drug pages are you referring to - Is this a list that you have started?   

So, there is NO WAY to do any kind of short cuts???

Thanks 

I can't wait to run these ideas and things past our big boss.  Hope it helps them.

While I feel empathy for her family wondering what happened and wanting closure, frankly I'm tired of hearing about the case on the news, and that we have tied up FBI and even the military resources to look for her.  We have people that go missing in the US every day... and people visiting countries disappear - and you only hear about the ones who have families that are rich or well connected with the media. 

In my town there's a college girl who has been missing for over a week and it finally made the newspaper in a small blurb today.  This girl missed a flight to visit her family for a vacation and hasn't been seen or heard from since then, and her family says this isn't like her and that she was excited about the vacation.  Are they getting the attention this chick in Aruba is getting?  No.... because they're an average middle classed family.

I do know how you feel.  There are a few things I've done to cut that type of sress down...

I'm not sure what your company is like, but for mine, we have a primary account, and many people also have secondaries (mine is so busy that I don't usually need back-up work, so I have one major account).  It pulls from several clinics, but with a pool of about 20 or 30 dictators, after awhile, you get the hang of even the hardest ones.  There are some dictators that are just really bad, and I struggle with.  When I can't figure something out, rather than spending 10 hours searching and struggling, I use blanks.  I give it a good faith effort, as best as I can, and then I move on.  Since I usually clip along at a good pace and am pretty confident in 99% of the work I do, I don't let myself feel bad for sending something to an editor, if I truly don't know what it is.  Of course, I do the research, but if I'm looking for something for more than a few minutes, it's been too long.

You may need to look for a different account/specialty or even a new company, if you think that is the problem.  I know that, at one point, I ended up moving from a difficult but high-paying account to an account that paid less, but I was more comfortable with.  I ended up making more with the lower-paying account, because I wasn't having to stop every 2 seconds, and I wasn't tearing my hair out, and ending up in tears at the end of the day.  Of course, people should move up as they feel ready for that, but perhaps you need a workload that doesn't create so much extra work for you.

Those are just some thoughts, but you CAN do it.  Be proactive in finding a situation that works for you.  You are more of an asset to your job when you are comfortable and not stressing and struggling.

Hang in there!

 I would want to know what type of docs run the clinic - whether anesthesiologists, physiatrists, ortho, neurology, etc, as this will guide the typical direction of the dictation.   Because pain med Rx writing is always under scrutiny, there will probably be a fair amount of repetition for every pt on medicolegal issues.  Most, but not all, of my experience is with neuro/physiatry-based pain management.   For both these, I found the doc more likely to do further workup, which leads to much longer and involved reports. In the middle would be those docs who do extensive review of the patient's history and only minimal further testing.   The extreme other side of the coin are those, what I call, in/out pain clinics where the pt shows up every 30 days, re-signs their drug contract, has their BP checked and leaves with a new Rx.   I would always expect the initial H/P to be extensive and the f/u notes relatively brief.  Typically lots of phone call documentation and referral/followup letters or information.   Anesthesiologists lean more toward a lot of injectable therapies, blocks, epidurals, etc., at least initially, putting more of an op bent on their practices. 

As far as interesting, pain patients are very repetitive in their complaints and their needs.  Typically,  by the time a pt gets to a pain management practice, the cause of their pain has already been extensively worked up.  There are true chronic pain sufferers and those who are drug-seeking only.  Things do get interesting with the latter because they are very creative when it comes to trying to con or manipulate the docs.   If I were in your shoes, my first question would be what speciality of docs run the clinic.  As far as job security, it is way up there for legit practices.  More often than not, the average family doc is not willing to prescribe pain meds beyond a certain amount of time/quantity and feel forced to refer the pt to a pain  management practice in order to protect themselves from the medicolegal aspects of the business.    Hope something here helps - best of luck to you. 

Homosexuals as well as other "minorites" have been treated as second class citizens for so long now.  Let them be proud of it!  Do I think they go a bit far sometimes?  I sure do!  But I don't have a problem with it.  If a same sex couple wants to hold hands on the street then let them.  We don't need to stare in disgust and shield our eyes.  They are just trying to have the same freedoms as we have.  Discrimination is alive and well even today.  I know this because I have gay friends and hear about it all the time.  I feel that as long as you are happy and living your own lives then then let them be.  I know many "straight" people who are living in dead-end marriages,  completely unhappy and not doing a darn thing about it.  But their union is so much more sacred?  I think it's hogwash.  We are all different.  Let's celebrate those differences, not put others down because they aren't "fitting the mold" of what's acceptable.

I'm looking forward to Rosie being on The View.  I don't think she'll slam her sexual orientation down our throats at all.  She has very precise views, yes.  And she will talk about them.  She's VERY political and I feel that has nothing to do with her orientation.  SHe's given and helped raise MILLIONS for children and others who are less fortunate than her.  So why is it any time Rosie comes up people automatically make fun of her being gay?  Get over it people.  SHe's a person just like you and me.  jeesh!!!