Personally, I like the new rule. I think it looks terrible to type

The patient has had intermittent diarrhea for 4-5 days. Do much easier to 'quickly read' the number of days as 4-5.

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Medical bills are debt. Debt is big business. Do not expect to find any compassion for your problems when you show up without insurance. You'll be lucky just to get care when they flag your chart "No Insurance" or "Self Pay."

If you are uninsured and do not qualify for state or federal assistance because earnings are too high, you are gambling on everything you own or will own in the future, including future earnings.

If you require elective medical care and have time to work out a cash payment deal in writing with the provider, you may be protected. You will require a signed agreement by every provider - hospital, radiology, lab, interpreting physicians, etc. If you fail to meet the provisions of the agreements you sign, the following will apply to this debt as well.

If you receive medical care without a prior agreement on payment, you will be responsible for the debt. After the fact, the providers have no legal reason to allow you to set up a payment plan. If you send a monthly payment anyway without a prior agreement, the only thing you can hope for is when they take you to court a sympathetic judge or arbitrator takes this into account. A voluntary payment sent by you won't stop any legal action and, in fact, may hurt you in the future trying to resolve the debt.

Every state has a set amount of time before a creditor can sue you (depending on the type of debt). For most states, medical debt is 2 years. So, from the date of service you have 2 years of collection agencies to deal with and then they simply take you to court at which point they will take everything you own and sell it at auction, enforce liens against your current and future earnings, and take every potential bit of future income or asset you may have.There has been some legal challenge to this in some states - check with your state attorney general's office to see if any headway has been made in protecting patients with medical debt.

If you think you'll just go bankrupt, think again. Medical debt is rarely discharged now since the rules have changed, especially if you at some point indicated you would be willing to do a payment plan with the providers - this is used against you.

If you think you can maintain your health and nothing will happen, you are dreaming. Make sure off the top that you no longer have a GB, appendix or uterus. You'll just have to ride out all the little things - UTI, flu, sinusitis, and forget about routine maintenance care. The stress alone of knowing you must not become ill or injured is enough to make you sick.

Anyone who tells you not to worry about medical debt while uninsured or underinsured is either ignorant of the facts, living in another dimension, or just plain lying.

If I were the parents, I would most likely be blaming myself; not my friends that I left my 2 year old with and not the person who hit the child on the highway! It would have been my responsbility to either have my 2 year old with me or at least make sure the people I left him with were responsible. As for the driver of that car, what were the driving conditions; apparently it was at night; was it raining; was it foggy; did they even see that little,tiny child; was the child standing or crawling or just lying on the road???????? It sounds horrible but maybe the driver just felt a bump! Maybe the driver didn't even realize he had hit a child! Maybe the driver just thought he ran over a board in the road. I'm one of the few, I guess, who believes the safety of your child lies only within your power. According to some, accidents do happen, but I don't believe in accidents! Accidents, according to the dictionary, are considered to be unforseen incidents.....we as parents, however, must use common sense to try to abate these "unforseen incidents".

Again, I do have greath empathy for the parents, their friends and for the driver of that car. They certainly did not preplan this but maybe a little bit of preplanning would have prevented it. I am sure that little 2 year old will be another beautiful angel in Heaven and that eventually his parents will know he is happy and in a good place.

I wonder if the accounts are seeing a reduction in the price that they are being charged -- that is what I want to know. Went through this when NFTA came into effect with my husband and truck drivers. Also the car industry has gone through this with all the jobs going overseas. Pretty soon the doctors won't have any patients because no one will have insurance or jobs or be able to pay so they will be out of a job. I hope it eventually all backfires on them but I doubt it. I have talked to my local doctors, senators, anyone that will listen about this but no one seems to be worried. Tax bases will go to pot with everyone out of work, no one to pay the government. All we can do is to keep voicing our opinions.

in past years has been on Singulair and Nasonex for them. They have always worked well together in the past to keep him from ending up with an upper respiratory infection and eventually nausea and vomiting from all of the mucus. This year; however, those two drugs do not seem to be doing the trick. I took him to the doctor and they switched him to Flonase and an Azmacort inhaler.

I was just wondering if anyone has any experience with these medications and what type of results you got. I know Flonase is supposed to be wonderful for allergies, but I'm curious about the Azmacort. His nasal congestion does seem to be a little better than yesterday but I have not been able to guage any benefit from the Azmacort yet (I know, it's still early to tell). The doc said that if these meds do not work he will have to start getting allergy shots.

He will be 8 on Sunday. He has been suffering every year (this time of year is horrendous) since he was 3. Just curious to hear any comments and/or suggestions.

On DQS acct, lines stink - on three other programs, same as you 300-400 lph. I hate DQS and proud to tell everyone. 35+ yrs trans. The old selectric typewriters were better, even Mag cards were better.

do you think everything posted on these boards is the gospel truth. No, the admin's would not be so foolish as to sink into that territory...

I have to say, I am sooo glad it's Friday. This week has been just awful; whatever could go wrong, did go wrong; dang you Murphy's Law!!!

That's what I was taught. Everyone is in the same boat and has to take the bad with the good. Refusing to do the hard stuff makes it worse for the other MTs on that account, and they will not appreciate it. Until the problem doctors go poof and disappear, nobody has the right to say they can shove all the bad jobs onto the next MT because THEY are here to make money (everyone is, and someone has to type it). And there is such a thing as Karma - one day you might log on to find ALL the work is the dictator you dread, because all the MTs that came on before you felt entitled to leave the crap work for YOU. You really won't make any money on that shift, as opposed to doing a few bad jobs each shift. So type them as you get them, like the rest of us.

If everyone got together and went to management about the problem guy, that's one thing (and yes, we all feel this way about at least one doctor). Deciding you don't have to do it because you don't want to is quite another, and often grounds for disciplinary action. Work is often just that, hard work, and with time and practice it becomes easier. Nobody promised you a rose garden, challenges are what this job entails.

CALEDONIA, Mich. (AP) - A couple sat by their daughter's hospital bedside for weeks after an auto accident until she came out of a coma and they realized she was not their daughter after all, but another blond-haired young woman injured in the wreck. Their own daughter, it turned out, was dead and buried.

In a tragic mix-up, one family had been incorrectly told their daughter had died in the April 26 crash in Indiana, and another was erroneously informed their daughter was in a coma.

The two young women - both students at Indiana's Taylor University - looked remarkably alike, and the one in a coma suffered facial swelling, broken bones and cuts and bruises, and was in a neck brace.

The family of Laura VanRyn, 22, disclosed the mix-up Wednesday on a Web log that they had used to record detailed updates on the young woman's recovery.

``Our hearts are aching as we have learned that the young woman we have been taking care of over the past five weeks has not been our dear Laura, but instead a fellow Taylor student of hers, Whitney Cerak,'' the VanRyns said on the blog.

Cerak's grandfather, Emil Frank, said news of his granddaughter's survival was a shock. ``I still can't get over it. It's like a fairy tale,'' he said.

Coroner Ron Mowery, whose office handled the case, apologized for the mistake. He said acquaintances of the students had identified the survivor as VanRyn, but no scientific tests were conducted to verify the IDs.

``This tragedy unfolded like we could never have imagined,'' he said.

The VanRyns said that as the young woman began regaining consciousness at a rehabilitation center in Grand Rapids, Mich., she said things that made them question her identity.

As recently as Monday, the VanRyns reported: ``While certain things seem to be coming back to her, she still has times where she'll say things that don't make much sense.''

The coroner said that VanRyn's boyfriend raised initial questions about her identity. Then her father became suspicious when she referred to him by a pet name he didn't recognize.

``He started asking questions and the process evolved to where she actually came to and suggested who she was and wrote her name,'' Mowery said.

In a statement, the two families said they took their concerns to hospital officials, and dental records confirmed that the injured woman was Whitney Cerak.

``Both families understand how this could have happened,'' said Bruce Rossman, a spokesman for Spectrum Health, which operated the rehab center.

Frank, a retired minister in Portland, Maine, said his granddaughter's parents declined to look at the body before the funeral. ``They wanted to remember her the way she was,'' he said.

An official at Taylor University, an evangelical Christian college in Upland, Ind., about 60 miles northeast of Indianapolis, said the Grant County coroner had notified the school of the error.

``We rejoice with the Ceraks. We grieve with the VanRyns,'' said Taylor spokesman Jim Garringer.

The VanRyns, who are from Caledonia, Mich., said their daughter and Cerak, 18, of Gaylord, Mich., bore an ``uncanny resemblance.''

The coroner described an accident scene strewn with purses and wallets.

``I can't stress enough that we did everything we knew to do under those circumstances, and trusted the same processes and the same policies that we always do,'' Mowery said.

Four Taylor students and an employee were killed when their van was struck by a tractor-trailer that had drifted across a highway median. Those in the van worked for Taylor's dining services and were preparing for a banquet for the inauguration of a new president of the 1,850-student school.

Most of the crash victims had funerals with closed caskets. A month ago, an overflow crowd of more than 1,400 people turned out for what they thought was Cerak's funeral in Gaylord, Mich.

Joe Sereno, associate pastor at Gaylord Evangelical Free Church, said the casket was closed both for visitation and for the funeral.

``We did everything you usually do,'' Sereno said. ``We had a memorial service at the church. The family did a private burial the next day. Everybody thought it was Whitney.''

The VanRyn family used the blog to provide progress reports on the young woman, reporting, example, that her hair was in pigtails or braids, that she managed to feed herself some applesauce, that she played a game of ``Connect Four'' with one of the therapists and did quite well, and that she performed an exercise in which her therapist gave her a word and she had to supply the word's opposite.

Calls to the VanRyns and Ceraks were not immediately returned, and a young man outside the VanRyns' home declined to comment to a reporter. An attorney for 'the Cerak family did not return a call either.

Prosecutors are weighing criminal charges against the truck driver, saying he may having fallen asleep at the wheel.

A memorial service for VanRyn is scheduled Sunday in Grand Rapids.

They charged me 49 dollars for the modem. Then when I tried to connect, I lost my internet provider because they screwed up something (Vonage). I was not able to type. After many, many phone calls to Vonage and never getting it resolved, I was never able to use it. I was on the phone forever on each call to try to get some technical help - I found it virtually nonexistant.

They never refunded me the 49 dollars for the modem, so I was stuck with nothing but losing 49 bucks and no internet or phone for days, until I got my IPS address straightened out. Vonage messed me up good.

I was not able to work for 2 days, because it did something to my internet services. I had to call my internet provider and they had to fix it for me, but then Vonage would never work. Vonage said the technology is new and they never did fix the problem. I went back to my old phone service. I know people that have it and are very happy, but I found it a total nightmare.

you set your own line rate. However, we all know that NONE of the MTSOs hiring IC MTs allow us to set our own rate. They "offer" a rate, and we accept if it's OK.

I worked for a real cheapo doctor when I first started out. He paid hourly and kept riding my backside to type faster because he only wanted to pay for the actual time dictated instead of the time it took to transcribe. More than once I told him that it takes an average of 3:1 typing to talking ratio to get it done. It worked out to be $.03 per line. I dropped him like a bad habit. He bounced through a few other transcriptionists who all quit on him before he wound up having to pay to outsource to a service.

I use an "f" after any abbreviation that I want to expand. I just use the standard abbreviation plus f, so I do not forget what they are. My ShortHand is full of things like this.