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So, I had a doctor's appointment today... sm

Posted By: PAMT on 2006-07-24
In Reply to:

Thursday during the day, I felt a quick, sharp pain in my left breast. Later that night when I was getting ready to get a shower, I noticed a spot on my bra about nipple level about the size of a lady bug. Naturally, I panicked a bit. At the doctor today, upon "expressing" a bit for her, she did a Hemoccult test, which turned out to be positive. She thinks it is probably just an infection, which I am glad to hear, and says it could even be remnants of the cystitis I had when I was nursing my daughter - 16 years ago !?!? Anyway, at the checkout desk, the nice lady making my appointment to get my mammies grammed said she had the same thing and called it a papilloma in a milk duct and it cleared up on its own eventually, which finally brings me to the point of my post. When I typed papilloma into WebMD to do a little research, I only came up with references to HPV. Was she confused with her terminology? Anyone have anything like this before. I have calmed down since Thursday because the doctor didn't find any lumps. Now, just looking for a little information. TIA!


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Doctor D'oh of my day today. (sm)

A tiny vent!


What is up with them saying "myself" when "I" is not the subject?  Does it just sound more officious then "me?"


I just had "Follow up at _____ Medical Associates with myself, Dr. _____, within one week."  Again for the umpteenth time.


Granted, I had to learn the rules of reflexives from an older, wiser MT than myself, but some days I get a little sick of changing it.     LOL


I've got my loverboy doctor to do today, too.
Plus, an unexpected check dropped off last night, and a cup of Italian dark roast coffee while sitting on the deck in the sunshine.
New nominee for most annoying doctor today s/m
This guy is walking on the treadmill while he's dictating, so not only is he so scatter brained he doesn't know what he's talking about, I get to enjoy the heavy breathing.
I have to share this. Got a call from a doctor today inquiring about my service. See message.
He apparently has been working with a service that outsources to India and he is so fed up at the bad quality of the transcription in addition to the fact that he wants to work with someone who actually speaks English! How about that!! They will all learn the hard way, but they will learn. There may be hope for American MTs yet.
I asked my doc at my last appointment...
and she said she had no idea who did their transcription! She said that it's all digital and she's not sure who actually does the typing, just that there is no one in their office to do it. I was quite shocked that she was so clueless as she's such a great doctor. My husband is in the military so we're pretty limited on what docs we can see for now, otherwise I would be much pickier.
It already HAS - the doc spends the whole appointment
I could come in decapitated and carrying my head, and they'd probably never notice until I told them what the problem was.........
Be persistent! The doc is probably not expediting her next appointment
because your mom may not be physically symptomatic. If it were me, I would call to talk to the doctor personally (not his/her nurse or assistant) and maybe he can give her some reassurance that everything is OK. Good luck.
Did that. Was told not allowed unless I had an appointment. sm
They don't like that where I live. I guess because they get enough interruptions from sales reps. Had negative experience doing that. Thanks, though.
I made an appointment with an oral surgeon and he
You have to start at the very bottom and be as conservative as you can.  A dentist can take x-rays and fit you with an appliance.  I went and found out whats causing my jaw pain and on the x-ray my bones overlap.  I was thinking I needed surgery, but we are going with pain management.  Since i've had the appliance, no pain, that was a week ago.  Very rarely will you need surgery, everyone's jaw "clicks" but if you are a night grinder, this makes it an even playing field for your teeth so they're not fighting against the jaw to become "even" if that makes sense.  Good luck.
I would call and make an appointment to speak with
the clinic manager or with whomever you correspond concerning your transcription agreement and discuss the situation with him/her personally.

Before arranging this meeting, I encourage you to contact another professional MT (hopefully someone you know and trust) to find out if he/she would be interested in this account, and, if so, you could recommend their services for your client.

After the meeting, I would follow up with a letter thanking them for allowing you to be a part of their team for so many years.

Lucky thing for me my MD is in the office tomorrow morning, so I made an appointment for tomorrow.

If it is strep, I'll have her give me a shot of penicillin.  That's what I usually do for strep.  My stomach can't hardly handle taking antibiotics.  I end up with vomiting and diarrhea which makes me feel even worse!


Thing is, I work for a hospital and we already have one girl off indefinitely for medical reasons.  A couple of ladies didn't log on until late today because we had thunderstorms in the area.  And we are way, WAY out of TAT for OPs and Discharges.  So, I feel kind of bad taking a sick day.  My supervisor is so stressed.  She's been begging us to work OT for the last couple of weeks.  How can I call her and tell her I'm sick?


I'm halfway through my shift anyway.  I'll be all right.  The Motrin is really helping and then I can take it easy all weekend.


Thanks for listening.


HELP with Shorthand. Suddenly today when I tried to start work today.sm

my ShortHand would type only the first letter of an expansion and then take all the letters away!  I checked and the Type It button is grayed out!  I have restarted the computer and looked on the Shorthand Help menu but can find nothing that applies.  Can anyone please help me ASAP?  I am lost without it!  TIA


Perhaps you are right. This one is dated today. The original article was on Yahoo today also with

But this article states it would only affect new customers right now.  So I am upset over nothing.  I went through heck with BellSouth when they charged me a surcharge of an extra 50 a month and then would write a letter saying I had to switch to a long distance service and pay by the minute because of my "excessive" use. They told me the unlimited charge was for an average of an hour a day not somebody who worked out of their home and I needed to switch a business plan at over 200 a month charge.  I switched over to cable because of that and then to read that cable was going to charging on a per use fee and not a flat monthly fee it upset me.  It is the nature of our work, VR, only paying for VBC, having headers and footers taken away, now being charged for being on line, etc.  It just seems that everything is done to keep to insure less money.


Call your doctor - this is not a doctor forum! nm
x
You know the difference between God and a doctor? God doesn't think he's a doctor. nm
X
Blasted cold out today. It was 104 degrees last week, but it's 40 degrees today with rain.
However, I do like cozy days like today when I don't have to go anywhere.  I'm done working, the house is clean, there's chili on the stove for dinner already, and I'm just putzing around.  I think I'll go bake some jalapeno cheese bread to go with the chili.
Maybe the doctor
usually sees people with superpowers.
What about the ED ones that say to see your doctor if you have, sm
an erection for over 4 hours. Now I quickly switch the channel if my child or my parents are in the room when those commercials come on.
doctor
I only have 1 doctor and 2 nurse practitioners who speak english - so I don't have to learn any foreign accents.
It isn't the doctor. They have to pay big $$ for
malpractice insurance, which is the main reason the visits are so high.   They also have huge college loans to pay off.  
Please, please go to the doctor
nm
I actually had a doctor who
farted and then let out a huge sigh... Talk about gross.
Definitely tell your doctor...
Not to scare you, but just to be on the safe side. I am praying for you too!
This doctor
likes to go DUBADUBADUBADUBADUBADUBADO while he is thinking of what to say next.  It was funny at first, but 5 minutes in it is becoming very annoying!
Did you ever think to ask your doctor or

dumbo


I think you need to get a doctor.
:P
Thanks....I know I need a doctor, which I am
in the process of doing. I've just moved.

I am wondering if anyone has any ideas what this might be caused from and if there are things I should look for today. Can I wait and see if anything changes? Etc....
doctor know why
nm
I also had a doctor who did not know
his numbers. I always straightened them out for him, always until the day he said I WANT THESE REPORTS EXACTLY AS I DO THEM. Ok, then… he had 1, 4, 2, 10, 3, 9, 6 and the like. Talk about a snot. He asked for it and that is what he got.
Hee hee- we had a doctor
whose middle initial was P and somebody didn't catch that their Expander had kicked in so his name on the signature line came out John Potassium Smith. Even funnier, he sent it back signed John Potassium Smith. Thank goodness he had a sense of humor!
If you don't need to go to the doctor

for the pre-existing conditions I would just get the meds, though is you are going to get Cobra that should cover you until you get insurance.  Cobra is expensive though so you need to look at the financial burden it may place on the family.


Can you work second job part-time until you are eligible for benefits and then go full-time and drop the other job.  Seventy more days is a long time to work 2 FT jobs, plus with the chaos of the holidays on top of that is just too much.


Have you looked into getting a private policy?  I think they have to take you even with a pre-existing condition as long as you have been continuously insured.  That way you wouldn't be tied to a job for insurance reasons. 


A really thorough doctor

One of the doctors that I work for gives a lot of details about his patient but this one really seemed a bit much. 


The patient is seeing him due to snoring. 


The patient states that she snores very loudly.  Her husband complains of her snoring.  She also has a dog that sleeps in her bedroom and the dog snores as well. 


Very important info LOL!


If it's only for one doctor, then you might look..sm
Look for the Philips 9850. They sell it on Novuscript.com and transcriptiongear.com for under $1000. It only has capability for one phone line, so only one doc can call into it at a time. Personally, I can tell you that the digital handheld recorders will allow you to achieve the same results with much less hassle, as you have to set up user accounts, etc., on the call-in unit. Any technical glitches with the call-in unit, you'll be handling so you will need to be well versed in the unit and its parameters or sit on hold with Philips for tech support. However, it's an option for you if you only have one doc and you're more comfortable with call-in dictation. Digital handheld recorders are cheaper, too, so you might really want to look into those, as mentioned by other posters but I've been using the Philips 9850 for a few years now and it works fine as long as you only have one doctor dictating to it at a time.
Please see a doctor.
I have had all these symptoms and more. Medication for this has really helped me. Please see a doctor to get evaluated.
I had a doctor tell me the
He was totally amazed.  I don't see the difference in my speed of typing than a physician that sees 25-30 patients in one day...    It all amazes how healthcare has evolved.  In a hospital, it was definitely quality and serve the physician.  With these online MTSOs, it's cents per line and produce, produce, produce, barely learning the account.  Oh, and make it quick!   
well, certainly I am no doctor, but
it sounds like infection is back. Did he do any studies on fluid he found before? Maybe you should call him. Hope this gets better, I am sure this is miserable.
I have one doctor
who goes the other way. It seems like he uses every big, odd, unheard of word he can think of to sound intelligent. I'm not sure if he is doing it on purpose, but it's just as sickening as those who use made up and incorrect words.
I have a doctor...
That has a dog, sounds like a HUGE dog and the thing barks like the ENTIRE time she is dictating!  I have to try and distinguish what she is saying through dog barks!  Also, another dictator, she will dictate for a good 2 to 3 minutes and then get hung up, looking through medical records, and sit there saying "ummmm, ummmm, ummmm" for a good minute and then she says...."I'm sorry, let's start this over, please delete everything I have said thus far"  UGGHHH that is VERY irritating that I have typed a good page or so and have to delete it all!
new doctor
Yes, I used to do that too. They never tell you anything, even when one leaves! It is ever the same, the Transcriptionist is out of sight, out of mind.
ask doctor
Ask the doctor that from where u need to d/l the dictation. If he is having a FTP site or is he going to send it thru e-mail.
But what if the doctor says...sm
"The patient was taken to the endoscopy suite and prepped and draped for an esophagogastroduodenoscopy..."

Lord have mercy, I could never have worked without my word expander, being such a butterfingers.
I had a doctor do that once (sm)
It was a resident from back in the day. He thought he was being funny by belching while dictating. One time it was a huge long belch. Back then we worked in an office, the secretarial pool, so to speak. There were about 7 of us in the office. We were assigned doctors and they came to our desk to pick up their draft copies for changes.

When he came in to pick up his reports, I had his tape in my player and on speaker and asked him if he could help decipher what was on the tape. He stood there while I played it. Along came his belch after a few sentences. His face turned red and he apologized and I didn't hear it after that again.

A few other doctors thought it was funny until the woman who did their dictation turned them in for being lewd. One was talking about what he was doing, going into detail (using the bathroom) along with sound effects.

No, we shouldn't have to deal with this.
The doctor I used to see 2-3 years ago used something like this - sm

I couldn't stand it - I felt like he was being distracted with typing stuff into his computer and wasn't actually listening to what I was saying.  I looked over his shoulder and could see like a checklist of symptoms and he was going down the list asking me what symptoms I had and checking the appropriate box with his mouse, but it seemed like he was more concerned with filling out the form correctly than listening to my problem.  And typing in my vital signs took him FOREVER!  The last time I saw him I don't think he actually looked at my face once - just kept pecking away at that stupid computer. I would rather they give the patient their full attention and leave the transcription to the experts (us).  Hopefully others feel this way too!


 


 


My doctor did tell me that yesterday....sm

thanks for reconfirming, I wasn't sure if I believed it. He even told me not to let the girls wash their hair everyday, which I knew wasn't good for other reasons but they do anyway.


It's still one of those things that makes you want crawl in a hole and hide. I hope the looks blow over soon.


No I'm not qualified to be a doctor. I only said that it was possible
to do this job without formal training and that I was a nurse before I was an MT  and that did help me get my first job as a transcriptionist. I am not knocking an education, I was just stating a fact.
Talk to a doctor
Find out what is the downside for YOU, then make your decision from there.  Sounds simple, but I'd hate to have to make that decision.  Godspeed.
Doctor's records
When a physician retires or otherwise closes his practice, he must offer his patients the opportunity to pick up a copy of their records, which he may or may not charge for photocopying.  The original records must be kept by the physician for a period of 7 years after the practice closes.
What kind of doctor.
I used to type ENT docs who treated this condition. I would definitely not go to an oral surgeon. They deal with surgery. You want your condition treated not surgically fixed.
Yes, I do correct the doctor. NM
nm
Almighty doctor
Actually...more likely the almighty insurance companies or to take it even further, our almighty govt. is to blame.

MTSO's in order to compete with offshore and with doctors cutting back and insurance companies cutting back, have had to lower what they charge doctors (or lose business to offshore), therefore they have to pay MTs less. It's a vicious cycle. It's happening in the tech industry, as well.

If we don't like it, we should think about how we VOTE, because that's the only power we have left at this point.
Just fired a doctor
I just fired one of my doctors and I feel so much better!  I'm an IC and this office has been a royal pain!  Very late payments, constantly losing reports and blaming me for not transcribing them, never letting me know when they'd be off (wasting my gas and time), getting behind on dictating and then wanting 5+ days of dictation back in twelve hours, etc.  The final straw was when they started making me go in the waiting room and stand at the sign-in window behind all their patients to drop off work.  Of course, if they were on the phone, I'd have to wait even longer when I reached the window... at times up to twenty minutes before the receptionist would open the window and take the work.  I decided my other offices appreciate me too much to allow that one office to treat me like a second class citizen.  To top it off -- what did the wife say when I fired him?  "You can't do that -- you need the money."  Too bad for her, because their money isn't worth my self-respect!