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See pressure valve - needed to vent.

Posted By: Bah-Humbug on 2005-12-20
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please see my post on pressure valve (nm)

See pressure valve - need input - nm
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Schiavo thread has been moved to the Pressure Valve board
Link below
just needed to vent
Thank you. Living paycheck to paycheck was something we (DH and I) thought was far behind us. Due to downsizing (DH had to find a new job, lower pay), taxes that were not paid by former employer (another unexpected out-of-pocket expense), lack of work by my former MTSO, and other issues, we have been playing “catch up”. I have been working diligently on rectifying the situation – but it is a frustrating process... I just had the need to vent.
aortic valve area 0.6 cm2
NM
Mitral valve prolapse

You might want to check with a cardiologist and see if you have mitral valve prolapse.  From 40 on, I would get spells of feeling anxious or wanting to cry for no good reason that I could determine.  It got worse such that I felt dizzy and was sure I was going to pass out, but never did.  I thought it was an ear problem and saw an ENT.  Nothing.  My internal medicine doc sent me to a neurologist.  Nothing.  It got so bad and I was getting so agoraphobic that my next stop was psychiatry for panic attacks after over $1000 worth of lab work.  Imipramine made it worse.  It wasn't until this point that I really started to notice the palpitations and a heart rate in the 120s.  Finally saw a cardiologist who said that this had all the signs of mitral valve prolapse even if it didn't show up on an echocardiogram.  He said it wasn't uncommon in women of a certain age.  He did a Holter and a stress test, too, and put me on low-dose atenolol (beta blocker).  I've been fine since (13 years) save for a few short breakthrough episodes every few years.  Exercise helps.  Really limiting the caffeine is major (although I do cheat on chocolate).  Being careful with OTC medications (no antihistamines) helps.  Something other than Novocain at the dentist.  Atenolol is an old drug, therefore generic and cheap.  I didn't find it sedating, although that is a listed side effect.  I hope you can get a definitive answer, because if you feel anything like I did, then I know it is unpleasant in the extreme.


Need expansions for both mitral valve repair
nm
Anybody with mitral valve prolapse that seems to have problems with palpitations. I have had this
fairly regularly for a few years and have given up caffeine. I think they seem worse when I get on a candy craze and just wondering what other people find with MVP.
not pressure, but

Pressure cooker.
Since I bought my pressure cooker (not a fancy model--just a $49 basic job from Sears), now I use it constantly! Even the toughest meat (chicken or pork) comes out fall-off-the-bone tender with excellent flavor. Quicker than regular oven too.
The pressure of it is the killer. sm

You need support, a support system. You need to take control, change your perception of "they are making me do this" to "I can do this for me" not the insurance company. Your mind is where this will work. You do have the power. It is up to you. Decide on a plan with support from good people, a doctor, a group, talk to people who have done it. But first yourself. Talk to yourself. We'll be listening. Good luck!
That is just it, I am not putting pressure on him at all and support him,
but deep inside I am heartbroken and won't let him know it.
Pressure to work holiday
I don't think you're crabby and appreciate the venting. Usually work volumes sink really low to almost nothing around the major holidays. They certainly are aware of this every time they pressure their employees to work a holiday. Just a thought.
Do you take blood pressure medication? sm
They can make you extremely tired, too. I take Toprol XL and have for 13 years. It peaks about 3 hours after I take it I have trouble staying awake at the PC from 6 am to about 10:30 am. I literally fall asleep with fingers right on the keyboard. It was so bad that I finally changed to the afternoon shift. I asked my doc about it and he said try taking it at night. Well, that brought on the headaches I was trying to avoid. He said to take 1/2 in the a.m. and 1/2 in the p.m. No dice, still had headaches. He won't change my pills, says if it isn't broke, don't try to fix it. He wants to keep my pressure on the low side. My only solution was changing shifts and now I don't fall asleep at the keyboard anymore. I can get 10 hours of sleep at night but still fall asleep about 3 hours after taking that medication. I'm fine if I am up and about and doing things but sitting at the keyboard is another story.
No spin. No blood pressure problems.
I'm not complaining about an Indian MT taking good work from me and I don't know anyone within the company who gives out that information anyway.  I do believe you might resolve your issues by telling the whole story because at first glance it just sounds like you are complaining and really don't want a solution.  If that's the case I am sorry for you.  I am also sorry for you that your source came up with an "Indian MT" taking your work who only wants American doctors to cause your blood to boil.  Not only does this intruder come from India but she leaves you with the lousy Indian dictators.  Not that you sound prejudiced or anything.  But do you really need all that info to perform your job?    Or is someone trying to stir you up like that higher source you have within the company.  Maybe they want you to get mad  and quit!  Be careful who you believe and IF your source information is valid what are you going to do with it but fret?  That's not a good thing friend.
go ahead. i don't feel supervising is any different than pressure of MT or any other job.
so you must transcribe, listen to excuses and have patience. i do that now while transcribing. i listen to excuses why there are no pay increases or why there is no work. i am patient while waiting for work and being told to cut back on work as there isn't enough or work more cause there is too much. i am quite sure i know as much as my supervisor as far as common sense and logic.
My question is why do you want that kind of pressure in a job that requires you to
work 80 hours a week? If working 80 hours is part of the job at any given time, why would you want it?
the stress level, the extreme pressure on the job
The only thing good out of my years in the industry was I had terrific insurance when I got cancer. The bad was, when I got back to work, the whole atmosphere had changed. They thought I should be ready to take on the world, and I was still with secondary illnesses from the chemoradiation. In fact, even today (3 years later), I still have problems.
I try not to pressure myself so I don't get that way. I build up speed naturally. -nm
x
How is the sign-up process? Is it high pressure?
xx
A large part of the problem is pressure to cut costs (sm)
often results in the squeeze being applied to the non-acute-care parts of the equation and very, very often that ends up being the transcription. The services end up bidding jobs lower than they want to and it just trickles right on down.

Then you have some MTSO's who insist on paying for the technology they want and need off of the worker's backs. I used to work for a guy who wanted to do this and it's one reason I don't work for him anymore.

It sucks being a mushroom and it always has. I don't see it getting any better, either.
Well, there's your problem! You're using blood pressure pills instead of birth
control pills!!  See - BP pills are for your heart - BC pills are for your - well, surely you must know! 
well it's really down to the nitty gritty pay issue. everything is relative pressure-wise
I mean if you get paid enough for the pressure it makes it a little more worthwhile than the feast or famine world of the MT. You know what I mean?
If this stops hurting so much with pressure or elevation, you have a bleed, honey.

yep, global warming? But projected path is Galveston due to high pressure &
x
This dumb-and-dumber peer pressure is the pits. And kids with higher
great IQ still means we are all human, and frail, and forgetful, etc, etc, etc. stuff like that happens to me. I tell my son it's because I'm pondering quantum physics, just to make him grin!
Ditto and I wear my gloves inside out so the seam doesn't rub on the pressure points. nm
x
Just a vent.

I have a note (discharge summary) that is 27 minutes long, dictated by RN, that goes into such detail that it might as well be the H&P, every consult, every operative report, and every lab report rolled into 1 document.  She is even dictating  problems the patient had on previous hospitalizations that have nothing to do with this admission.  To make matters worse, she is jumping back and forth between prior problems (that aren't related) and current problems for the hospitalization, as well as listing every single lab test/values from all prior admissions and comparing them to this admission, as well as dictating the whole report for every x-ray the person ever had in this one report.  The guy came in for nausea, vomiting, and dehydration and she's dictating x-ray reports for fractured ankle and rotator cuff MRI from 2 years ago...THE WHOLE MRI REPORT.   Good gravy, missy.  It's good to be thorough, but then too much information just confuses the reader.  arghhhhhhhhhhhhhhh. 


All better now.  Thanks for letting me vent. 


sorry, need to VENT.
I have been working since 5:30 on itty bitty reports - so far I'm making less than minimum wage with all the crap I have to waste time on in the headers etc.....and my back is killing me.

I hate wasting my life like this.
OT: Cat vent!

I've already had enough problems working this weekend with technical problems and down time and now that I'm breezing away and making good money, what happens?  My stupid cat decides she needs attention!  First she rubs on my leg and purrs (so far so good, not really a distraction) but THEN she has to move to look at my face through the crack in my desk where the drop down keyboard rests and reach her stupid little paws through, hit the function key that saves and closes the report (which I cannot alter once it is sent through) on a report of over 100 lines!


ARRRRRGH!!!  I was almost finished and needed to spell check it!!!  That just cost me $10.  Her food costs that much!


Anybody wanna a free soon to be hungry cat??


d~ 


need to vent
Is his boss willing to make things right by paying your husband's back salary for the months that he was unemployed? If so, I think hubby should consider going back to work for them (while searching for something else that pays better than what he is making now).
Need to Vent Out!!!!!!!!!!!!!!!
I am so mad at these big companies.  I know this is has nothing to do with my job as a medical transcriptionist, but I just need to vent a little.  My husband works for the government as a meat inspector and this "BIG" meat packing company just decided yesterday that it was going to up and close with no warning to any of the employees.  It was just "At the end of the day, you will be out of a job."  I cannot even begin to express my feelings for the workers at these plants.  At least my husband still has a paycheck coming in from working for the government.  Today, he is working in a plant that is a 6 hour drive from our home.  We will probably be sent out to the east coast for relocation.  We have 2 daughters that are in high school and a 3 year old that do not want to move.  We have always lived in a very small community of 125 people in the Midwest.  My daughters are so upset and I am just mad.  How can a big company do this to its valued workers without caring?  I am just missing my husband as I know he will be detailed out to just about every state until they decide where THEY want to put him.  I AM SO MAD!!!!!!!!!!!!!!!!! 
Would you put up with this? (Another vent)

I have worked with a company for over seven years as an IC.  I work part time and whatever work I do that morning has to be turned in at 3:00, which gives me around a six hour turn around.  I have two young kids and another account that I work on that has stats that I have to take care of too.  I have only gotten one raise in seven years, and a crappy one at that.  Every other company I have worked for gives me at least about 24 hours to get it back to them.  I am trying to get my kids ready for school and I also have other things going on at the moment.  I get an email in all caps "I NEED THE WORK NOW."  I am just so fed up with this.  I don't want to quit because the work is easy for me since I have been doing it so long, but I feel the need to put my foot down.


Don't use this to vent - I'm
simply asking a question and wondering what other people have dealt with.  No need for "??!!! and get an attorney, etc."  I know that.  I'm just asking people for thier "experience" not their "opinion."  Chill out.
Just a dh vent...

I'll try to make this to the point... ;o) My husband got bought out at the end of January so has been off work since then. His buyout will last us until about next January so for now he's enjoying the time with the kids. I on the other hand have gone from working very part-time to full-time, at home,  "just in case" and to help pay off some debt while I've got Mr. Mom here home to take care of the kids.


For the most part, he's being excellent - doing the majority of the housework, all the cooking, taking care of the kids all day. My only gripe is he sleeps in until 9:30 every day while the kids (ages 4 and 7)are up at about 7:30-8. Mind you this is spring break for the 7 yo but when it's school time he gets him off to school and then goes back to bed. The kids play pretty well on their own but if they come into the bedroom he'll put the TV on for them. This leaving them on their own w/o even getting them breakfast and/or the TV thing drives me batty. I've been a wahm since my first one was born and always made them my priority (working around their schedule very part-time), getting up as soon as they got up, rarely turning the TV on to "babysit" them, etc. I feel like he's undoing what I spent years working so hard at.


Now I get up at 5 to go to the gym and then get my work done ASAP so that I can have time with the kids later as I'm finding it very difficult emotionally to be so unavailable during the day. This is making me even more resentful of my dh with him snoozing until 9:30 while I'm so tired a lot of the time. Then to top it off, he gets hurt that I'm usually too tired to be "interested" by 10 at night and I want to go to bed early...  He supposedly understands that I'm tired but still is putting the guilt trip on me.


I know that a lot of this is my own resentments and largely there's nothing wrong with what he's doing and he needs to do things his own way with regards to the kids - I get that, but I'm still resentful. Any thoughts? Thanks for reading the novel and just letting me vent. So much for it being to the point!;o)


We all have to vent sometime
and it was just your turn. I think we have all had similar experiences with the frustration and lack of understanding by dh's about this type of work and how much it takes out of you. Good luck!
Need to vent. I'm fed up!

I am so sick and tired of day after day trying to figure out what in the heck these ESLs are saying.  I'm tired of them preventing me from making a decent line count and making decent money.  Why in the heck don't they learn English?  From this day on I refuse to make any sense of what they are saying and will type verbatim, stutters, poor grammar and all!  If the company I work for doesn't like it - then fire me.  It's about time MTSOs put it back on the docs to better themselves and NOT us!.  I've been doing this for over 6 years and it gets worse and worse. 


Please do not reply with "I'm sure your ancestors were from another country, etc......"  They were ----and--- now I was born here - AND I SPEAK THE LANGUAGE. 


MTSOs want to send work overseas.  Send all the ESLs.  Also, when it comes time to me "editing" overseas work --- Ha-Ha.... that will definately be my LAST day on the job!  Let the owners of the companies edit the overseas work and see how they like it.


Thanks all. 


NEED TO VENT

Why on earth would a doctor prescribe physical therapy to strengthen a patient's muscles who is in the end-stages of myasthenia gravis?  Money?  A patient with nothing else to do but go to physical therapy?  I don't get it.  This group of doctors are a pain in the ***s.  One has such a high incidence of infections in his surgical patients that I cannot believe he is still allowed to practice - and this one puts everyone into physical therapy - unless they are a 4-limb amputee.  Does anyone know the # to the California Board of Medicine - because I think it is time to call them on this one - work or no work - I am sick of it.  i feel better now. 


NEED TO VENT

No, I am not a doctor and would not care to be one.  But over the years I have seen so many cases go bad and with doctors policing themselves, very few ever suffer any consequences.  My husband works with a doctor who was using cocainen while in surgery.  At one point he was doing a prostate biopsy and passed out on the patient, jamming the needle through the prostate gland.  The other doctors in the  group encouraged him to get treatment or they would kick him out of the group.  So, he got some rehab.  The patient sued, thank God.  But guess what, he is back in the operating room - snorting in the lounge before each case.  The surgery center personnel are afraid of losing their jobs if they report him to the police, so he just goes on doing surgery under the influence.  Perhaps my animosity comes from being abused by several different physicians at different times in my life - and regret at not reporting them.  However, knowing the system, I realize that it is a losing battle.  But, having been through these experiences I can spot these docs a mile away.  Sorry  if I offended anyone - but doctors are human and our lives are at stake, as well as the lives of others when a doctor practices bad medicine.  I appreciate all of the input and understand your anger.  I posted this more as a person than an MT.  I just thank God for what I do know - and wish that there was a way to fix the problem of poor physicians, drug abuse in the medical world, and the patients that suffer at their hands.


Need to Vent
I didn't post anything yesterday - so I guess I am not the only one who has a problem with incompetent physicians.
need to vent
I have to disagree there. My husband's grandmother was very overweight (350 lb) and in a wheelchair. Home Health sent physical therapy out to help her walk again. She had severe osteoarthritis of the knees and hips. This was a total waste of time. She had not been out of a wheelchair in years and could not have supported her weight if she could have stood up, but they insisted. Medicare and her supplement paid the bill - I think a lot of times it all boils down to the money. She was active otherwise, painting, crafting, etc., she just couldn't and would never be able to walk again. She passed away last year and it took the fire department to get her out of the house in order to get her to the funeral home.
To need to vent
Don't be so quick to make judgments on those MDs. The patients might have a lot of infections because of a number of reasons. For instance, it might be bad nursing care at the hospital, patient noncompliance with wound care and medication, and the patients might have multiple medical problems interfering with their healing. With the epidemic of diabetes in this country, wound care centers are booming taking care of patients with slow healing wounds.

Maybe the physical therapy is prescribed to keep the patient as active and strong as possible - to give quality to his/her life. Keeping patients active and strong also helps control their blood pressure and blood sugar.
Just need to vent a bit....

Why is it that the doctors you know can speak perfectly perfect English...don't?  This guy is slurring entire sentences and when I slow him down, he sounds drunk.  And he doesn't even sound as if he is old enough to drink!


Thank you.  Venting over.  Have a good evening.


I'm sorry...I really need to vent about this...

My son just came home from a week-long beach trip with his dad.  My son has three plantar warts on the bottom of his right foot.  I have taken him to the doctor about this and was told to try the OTC remedies.  I have been doing that, and was planning to take him back to the doctor this week actually because they have not gone away.


Anyway, my ex-husband took it upon himself to take a hot knife and attempt to BURN the warts off my 8-year-old son's foot.  My son said it hurt very bad, and now he is limping on his foot.  Now my son has a nasty looking depression on the bottom of his big toe that is very painful.  It's pretty deep, but it's not bleeding at this time, although I'm sure that it was at some point, and my son confirms this.  I have cleaned it and bandaged it and will be taking him to the doctor first thing tomorrow.


WHAT AN I-D-I-O-T!!!!!!  I am the one who takes care of all of our son's medical care.  He lives with me.  I have primary custody of him.  WHY OH WHY did he think he had the right or ability to do this?!?!  Why didn't he call me first and consult with me about what I have been doing to treat the warts?!?!?!?


I have taken photographs and forwarded them to my attorney.  It's a long story, but my ex is one of those people who thinks he knows everything...but really knows nothing.


Thanks, I just needed to get this off my chest.


 


 


 


Need to vent....

I am so angry and I need to vent.  I work for a psychiatric facility and have been there for about three months now.  I really enjoy working there and they have been very flexible with my schedule.  Approximately 2 months ago, a temp was hired because we were so far behind.  The person they hired did not have any experience whatsoever in medical transcription, but she was a fast typist so she was hired. 


A couple of weeks went by and it was noticed that she was making quite a few errors.  One of the other Transcriptionist e-mailed her to inform her of her errors and advised her to proof her work.  She became so upset, she e-mailed a nasty letter back to this particular person.  A few more weeks went by and a different transpcriptionist noticed she was still making these errors so she tried e-mailing her as well with basically the same response.  Well last week I happened to come across one of her reports and noticed some errors that were totally unacceptable.  For example, Licinopril, psychogenetic polydipsia, albuteral, ibuprophen, etc. 


Anyway, I mentioned this to our supervisor and he asked that I correct the report and give him a copy so that he could go over it with her, which I did.  I also brought in a book from the course I took a couple of years ago so that she may review it.  She came in yesterday absolutely livid, she was slamming things around, speaking so loud that we could not hear the doctor and using the most foul language.  I turned to her and asked if there was a problem to which she replied I was not talking to you!  So I stated, in a very calm manner, then could you please keep it down as I cannot hear what the doctor is saying to which she replied that's too bad!  She then proceeded to call our lead and left the room. 


I started to think about the whole situation and could not believe how this person reacted.  I called the supervisor at home and informed him of the problem at hand and told him I was on the verge of walking out as was the other transcriptiont.  I told him this behavior was totally unacceptable and I would not tolerate it.  Mind you, this was all because she was still making errors on her report.  She felt people were talking behind her back.  She does not want us (transcriptionists) to tell her of her errors.  She wants us to speak with the lead, have him write the errors on a piece of paper, place it in an envelope and put it by her work area.  Can you believe this?  Who does she think she is? 


Well a couple of hours ago, my lead called to get my side of the story.  I told him exactly what happened to which the other transcriptionist can attest to.  He stated he would speak with her but that the next time there was a problem with a partiular report, we are to bring it up to him or our supervisor (which I thought I did).  I totally feel she should be reprimanded and that this behavior should not be tolerated by anyone, but it looks like she is just going to be "spoken to."  I am so angry and upset, I literally feel like giving my two weeks notice, but then again, I do not want to give her the satisfaction.  I really enjoy what I do but I am afraid if this type of behavior occurs again, I will not be able to hold my tongue as it took every bit of strength in me not to *******, well you know.


Sorry this was so long, I needed to vent.  I know I probably made 100 mistakes on this post, but I am very upset at the moment. 


Need to vent!!!
ARGGGHHH!! I have a TASP that I use for my clinic account and this clinic account dictates every day, even holidays. I never get a break. However, this weekend, the TASP "misplaced" my dictation voice files. I have not had any dictation since Friday, 09/01. I e-mailed them over the weekend and I heard nothing from them regarding what was going on with my files. Now, just a minute ago I received an e-mail stating that they files would become available over the next hour! They have compromised the TAT for my account, put me in a work bind because now all those files are going to need to go back right away to the clinic, etc., etc. Any advice on how I should handle this with the TASP? I think they are not providing good service and is this possibly a HIPPAA violation? I am not sure..any input would be greatly appreciated! TIA
Just have to vent.....

I just have to vent.  This doctor is chewing in my ear and talking at the same time.  I can feel my blood pressure rise as she talks.    Don't they realize how annoying this is, not to mention rude.  I think colleges should make all doctors take a course in the proper way to dictate.  Sometime I think chewing in the ear is worse than a bad ESL. 


Thanks for listening.  Back to work.  I sure hope her lunch is over soon!!!!


Just another vent
I have a particular ESL who always smacks food while she is talking and says "and" about five times per sentence. If this isn't bad enough, she is the one ESL who makes zero effort to spell anything, not medication, allergies, etc. She tends to get into conversations with other people around her and starts laughing hysterically while talking, but of course she does not repeat the sentence she just laughed right through. Please excuse typos, I am so irritated right now
sure we can vent about anything we want to--sm
I can vent that I never volunteered to work today. I expected to have off until Monday, after having worked all last weekend to make up for it. I was given work today anyway, but I am doing it. I don't like it, but it is a job and it is money in my pocket, and not at any overtime or time and a half either. I don't get extra for holidays or weekends. But I am thankful that I at least have a job I can count on. Maybe, knowing that you had volunteered to work, you should not have planned a big family get together at the same time. That is way too much to attempt to do, no matter what kind of reports you were given to do. JMO. I hope you have a nice holiday, anyway.
Need to vent . . .
How do you deal with the impossible?  One Editor says do not use CNS under a heading -- spell it out.  Okay the next time I spelled it out as instructed and guess what . . . was told I was wrong that the doctor dictated CNS!  Okay rock and a hard place here -- I cannot do it both ways.  Same way with blanks.  Blanks are not supposed to count against us.  They encourage blanks rather than guessing wrong.  So I blanked an ESL doc because I didn't have a clue -- got told I omitted the dictation!  I DID NOT omit -- just DID NOT understand!  What else can you do but blank????  Is there a high rate of suicides among MTs?  Some times there is just no way you can please some of these QA people.
Need to vent
This was under the PE headings where one Editor said spell it out and another said do not spell it out but type the way it was dictated. I do go over my blanks with a fresh ear and yes at times I can get them but today I had an ESL doctor which I only type 1 report for before today and I had to leave blanks. The editor left a smart comment about omitted dictation. I did not omit but blanked because I did not understand. This isn't the first time I was sited as "omitting" when I indeed left a blank and by the same editor. I don't know who they are to report -- they hide behind a number. I only know my editors by their numbers. Before this I would always go the extra mile to find my blanks now I feel no need to go that extra mile -- I'm only cut down in the process by these people.