She's actually taking meds around the clock for it
Posted By: a vicious cycle sm on 2005-07-15
In Reply to: I have been very, very fortunate.... - andromeda
Vicodin, Percocet, aspirin, ibuprofen, and drinking. She has a rheumatologist, but its so hard to get in to see him. One of her problems is she is really obese, and his first advice to her is lose the weight, taking some strain off her joints. I feel so bad for her, she shouldn't have to live in pain. She doesn't have a quality of life. Maybe it hits people harder than others. But I would be like you, take a more natural approach so you don't get caught up in depending on pain meds.
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...and then we'd be on a clock, taking breaks and lunches just like SM
we were sitting in an office slashing throats over the thermostat. 
TAKING A POLL-PUNCH TIME CLOCK
Who works for a company that requires you to punch a time clock?
Are you taking any meds that cause sleepiness?
If you are, maybe there is something else you could use that is not as sedating.
That is because No whining/Barney is taking her meds.
x
That is because No whining/Barney is taking her meds.
Anyone know what a web clock is?..nm
To get your clock back...
Hover your cursor in that area (taskbar) and right click, then select properties, and on the taskbar tab click to check off "show the clock." That should do it for ya.
I don't trust myself. I set the clock or I know I'd wake up 4 hrs later.
x
ATOMIC CLOCK website
http://www.time.gov/timezone.cgi?Pacific/d/-8/java
you just have to choose your time zone, and it will give you the currect time.
I get it, "real job" as in you can actually CLOCK OUT AND GO HOME!
I know exactly what you mean.
How do I get my clock back in the taskbar? sm
I removed it long ago and now I want it back and can't remember what I did to remove it! I looked on the internet but could not find an answer. I have Windows XP incidentally. TIA!
sorry... but what is an online punch clock??
i feel so out of it!
Yes, but I power nap for 10 min (set a clock) and freel great.
h
What company lets you work off the clock?
I prefer to work off the clock for my extra lines.
I used to have that myself. Feeling dread upon the alarm clock sm
going off. Xanax helps that, too. You should try it. Good luck. I can't wait for this to be OVER!!!
Icon in rt lower screen, by your clock....
Looks like a keyboard and screen, very tiny, set mouse over it and it should say safely remove hardware -- click on it, and it will tell you what peripherals need to be clicked on before removing it. If your peripheral is a USB and it has been installed before -- no, I don't turn my machine off UNLESS, I need to for it to be recognized -- I have an external hard drive that I have to do that with.
Hope this helps
I have a computer program that is an alarm clock for this use nm
nm
That's alot more polite than grabbing the clock and
ROFL !!!! ;D
Can someone help with Windows 98 time/clock? I'm losing about an hour a day (sm)
I have Windows 98 and the same computer since 1999. I have never a problem until this week. The clock setting is losing about an hour a day. I reset it every morning, but around afternoon, it's about a half hour off, but night, its an hour off, etc. I haven't noticed any other problems with any other programs.
Does anybody have any ideas what is causing this and how to fix it, other than just keep resetting it?
Thanks you guys!
re: post about internal clock, there is a web site address
given to us by our MT leader. I've never tried it, but it's supposed to keep the clock in sync. The addresss is www.clock-sync.com/help.html. This may help you with your problem.
some sort of stop watch or alarm clock
nm
it is some type of time clock application..just wondered if anyone used it.
x
The clock does play into how much time is spent with patients
The way the CPT codes bill insurance have guidelines for the physicians built into them that give amounts of time spent with the patient (in addition to certain information covered in the ROS/PE), especially in consultations (whether inpatient or out), hospital discharge codes and critical care time (inpatient or out).
Yes, that computer is in fact billing the insurance company because it not only saves not having to pay an MT, it bypasses a billing clerk (eliminating that salary), and if the doctor's office space is paid for by a hospital, that file is sent to the hospital's database where a *scrubber* compares what the MD submits versus coding guidelines. If it is an independent office, the MD can upload all that day's billing before he walks out the door and leave it unattended to update patient accounts and reconcile the days money intake.
In a nut shell, your doctor is no longer just practicing medicine. Your MD is doing the documentation and billing and saving money on two warm bodies.
I understand your concern as I see it more and more in today's medical care, but yes, this is the way things are going. I am fortunate that my MD has been very computer literate for a long time, so the amount of time he spends with his laptop is minimal. Once he enters the info, he kicks his shoes back and we chat and get into a deeper discussion both professionally and personally (we've known each other a long time). Give your MD a chance to play catch up to what he or she is doing with that computer and you should see a more relaxed physician soon.
Good luck.
At one time, someone posted a link for a free clock timer. sm
I've searched the archives but could not find it. It was for timing your actual time spent transcribing. Anybody remember what it was. TIA.
Some people like to keep a Time Clock thing showing on their monitors, too. But
s
The line rate sounds pretty good compared to other places - by "punch the clock", you mean
it really is not a flexible schedule, even for an IC? That's what I need the most.
Why don't you up the meds?!!!
Your quotes sure are priceless and quite original. You say the same thing, over and over and over again. So go take a shower and maybe the water will help you grow a thought.
Your meds may be the cause.
It could actually be the antidepressant causing the headaches, particularly if you aren't sleeping. Lack of sleep worsens my Wellbutrin headaches. When I was on Paxil, I woke up with severe headaches daily. It's either that or have debilitating depression. Something that antidepressants cause and some folks don't know about is a sort of movement disorder. One of the major complaints is jaw clenching during sleep, which could be one reason you wake up with the pain. I've cracked four molars doing this. I now wear a night guard, but I still have some pain. Do you have frown lines between your brows, neck pain, ear trouble, or jaw pain? Also caused by antidepressants are tics, overall body tension, etc.
meds for
I have been on Wellbutrin for about 4 years secondary to mild depression. The Wellbutrin really seems to have helped that. Then I started seeing a neurologist about a year ago for migraines, and he now has switched me to a different anti-depressant as he believes the Wellbutrin could be contributing to my chronic headaches, not migraines so much being chronic; those seem to have backed off, don't have them nearly as frequent, but I wake up almost every single morning with a dull, but painful, headache. He's had me on Zanaflex for quite a while, and that works okay to help relax me enough to get to sleep but I still wake up with headaches. I told him this at my last couple of visits and that is when he said he wants me to stop the Wellbutrin as he is wondering if that is causing the headaches. He gave me a medication, and I don't remember the brand name (and believe it or not, the brand name isn't on the med bottle where it usually says "so and so generic for ____". Anyway, this is called CDPX/Amitrip 5/12.5 mg. He wants me to taper off the Wellbutrin altogether by taking one in the morning (I take Wellbutrin SR 400 mg daily) and then one of the new pills at night before bed. Well, I started that about a week ago and this new stuff he has me on makes me so tipsy that I have to go to bed right away. It seems to help me sleep better as the Zanaflex wears off VERY early and then I still toss and turn all night (I've told my neurologist this on several visits but he just keeps telling me to "take more mg then.") I have 4-mg tablets and was taking up to 5 per night, but as I said, even that wasn't keeping me asleep for very long. It knocked me out, but then after 2 or so hours I wake up and then hard to get back to sleep. Anyway, back to the CDPX/amtitrip......I feel hung over in the mornings, and am very groggy, with just taking it right before bedtime. It takes me 2 cups of coffee to finally stop feeling hung over and I have never experienced that with Zanaflex. I know when I tell the doctor this he will tell me to take it earlier in the evening (we already had that conversation early on with the Zanaflex issue). But I cannot take it earlier because of mom responsibilities and having to work late hours. The new med (CDPX/ami) makes me start feeling loopy almost immediately, so I am forced to take it just before I literally am ready to fall into bed. I can't find this medication online; all I can find is CDP/amitriptyline (without the X). Anybody know what the "X" stands for? And has anyone else used this med so they can give me some advice? I hate being on so many meds, and am trying to wean myself off of whatever I see isn't working. Thus far, nothing has really helped with the migraines except for Fioricet. He wanted me to take the muscle relaxer at nighttime, thinking that if I was able to relax and get some good sleep I'd not wake up with a headache, but that just does not/has not worked for me. He gives me Fioricet, Lorcet Plus, and Phenergan (for the nausea I get with migraines, but that knocks me out, which, if I have a migraine, is great, but my husband has to be home to take care of the kids because I'm in a coma for a full 12 hours or so and the Phenergan makes me feel hung over as well.) He gives me 30 Fioricet a month, and it seems that if I can take one routinely each morning (I have tried this for a few days at a time) that seems to ease up the "normal" headache I have, rather than try not to take anything, but then I may need one later in the day and since I only have 30 it's hard to make them last if I take one daily, which I don't because of only having 30, but would like to because that routine seems to work. But I'm afraid to ask him to up the # of tablets per month because I type for a pain management doctor who tends to dictate a lot about drug-seeking patients and I don't want my doctor to think this of me!!! I know it sounds crazy, but it's got me so paranoid I'm afraid to ask! I hope this information is understandable....I know I've jumped back and forth...if anyone has any ideas or advice I'm all ears. Thanks!!
meds for
Thanks to you all. You know, I never thought about it being a sleep problem. I have never slept well through the night. I can remember a very few times when I actually slept through the night and woke up refreshed. I have always, always had a terrible time sleeping. I wake up every hour every night, except when I take the Zanaflex and/or the new anti-depressant, and then I wake up after 2 or 3 hours, but then every hour after that. Needless to say, I am so not rested in the mornings. Getting a sleep apnea study is an excellent suggestion. I will mention that to my doctor and see if he can refer me to someone. Thank you all again so much.
You can get meds for that. I know. I am an MT.
x
especially meds
I am in the same boat. I am interested especially in how to use short cuts regarding meds and their dosages. Thanks.
ER psych meds
standard formula given in emergency: Haldol 5 mg, Ativan 2 mg, Benadryl 50 mg
combination of 3 meds usually (sm)
Most hospitals have their own chemo cocktails for mouth sores but most consist of Mylanta/ Maalox, Benadryl and lidocaine or xylocaine anything to numb the soreness of the ulcers.
Okay, bye! Don't forget to take your meds on the way out!
The level of anger and frustration is actually quite sad.
I don't remember how many meds there were, but...
the poor lady was admitted with lightheadedness, dizziness, etc. By the time the doc was done listing the huge list of medications, even I could figure out what her problem was!!! It was no wonder she couldn't stand up straight!
I only add the dosages for very few meds. sm
Toradol 60 mg IM = T60
I found that for most meds that have multiple possible dosages, it just isn't speed-friendly to have multiple macros for 1 drug...like I use "ty" for Tylenol, but having a different one for each possible dose would be like ty325, ty650, ty975, etc., but somehow I'm faster NOT doing this. I only use the toradol one above because I always, always, always here it that way for one of my hospitals.
Other meds..allo is allopurinol, sim is simvastatin, vanc is vancomycin, etc. I tend to use begining syllables for my drug macros.
meds site
Try www.rxlist.com
Thats what I use alot.
Hope it helps! :)
pain meds
possibly...Veregen
(Immunomodulator, topical
Limbrel (osteoarthritis)
Pain Meds
I meant to say
Vergen (immunomodulator, topical)
and
Limbrel (osteoarthritis)
how about 54 discharge meds??
That's got to be a record, at least from my end -- i was thankful when he dictated that reader was referred to chart for most of them -- wow. how can a body handle all that really??
you'd think pronounciation of meds
correctly would be important to the dictating physicians...just had another gem - skilatopram - meaning citalopram....how about a little phonics maybe in med school...
psych meds
you might try the APA site for maybe general info or drugs.com and look under psych conditions, depression, bipolar, schizo-affective, etc.
Has anyone ordered pet meds from Entirely Pets?
My dog has Cushings and is on $200.00/mo worth of meds and we are going broke between them and the $1000.00/year testing needed, not to mention shots, etc. We are paying about $80.00/month for one medicine. I found it at Entirely Pets for $32.00/mo - a big savings. The package they show is the exact same as what we get from the vet, the dosage and the # of pills is also the same. I read the description and it doesn't say anything about it being a generic or anything else that would raise a red flag. I checked this med at 1800PetMeds and it is $60.00/month there.
I'm going to ask my vet tomorrow what she thinks. I don't think she'll have a problem with me getting meds from another source but I'd like to hear feedback from an outside party too.
Agree that over the counter meds for
tapeworm are ineffective. It's not worth the gamble. While you try the OTC out, the tapeworm is depleting nutrition from your pet and making it weaker. It's worth a trip to the vet!! Good luck!
Good for you! I hate meds....
If your headaches become so bad that they interfere with your life and you really want to crawl up and die, check into occipital stimulation. It gets the pain that no medications can even reach. It is a miracle. Two companies make them, ANS and Medtronic. I am really glad you are feeling better!
good site for meds
http://umm.adam.com/pages/multum/infoCenter.asp
shows dosages, click on drug and generics appear, along with brand names and what med is used for. Will not do "fuzzy" search but first few letters will work. Only real drawback is site is occasionally down for updates. Check it out.
Has anyone ever ordered pet meds from 1-800-petmeds.com?? sm
I have to buy heartworm/flea meds and love the Sentinol product. It is much cheaper to buy it from petmeds, but I have never shopped there or know of any one that has. Also, do you need a "Rx" from your vet to buy the med? Thanks!
Any suggestions for meds that dry mucus? nm
nm
About paying out-of-pocket for meds
I don't know what state you are in, but Wal-Mart Pharmacy has a great plan in which you only pay $4.00 for generic medications. I think that Target has a plan comparable to this as well.
Also, there are Patient Assistance plans that are available through some of the leading pharmaceutical manufacturers, which covers the majority cost of the medication if you are within a certain income bracket. For example, my daughter takes a medication, which is about $150.00 for a 30-day supply (there is no generic for this medication yet). I cannot afford it; so we applied for the Patient Assistance plan (which I had to research on the Internet to find out what/how to do this because NOBODY offers info on this sort of thing for some reason). Anyway, being that the MT industry pretty much pays their MTs at poverty level these days, we qualified for the patient assistance program. Now, I only have to pay a $5.00 copay for her medication.
I know how expensive medications can be. I hope that this message offers you some sort of relief in knowing that there is some help out there -- you just have to look for it. Hopefully, you can get some assistance some how.
I wish you much luck!
Most vet. meds/procedures/techniques are
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