The hamster release I typed was on a pediatric neurology note. nm
Posted By: OP on 2006-12-31
In Reply to: HA, that was so cute; i've heard of it to - removal from rectum seriously, no joke...nm - LMT
:P
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Offshore typed hamster release instead of hamstring release. As long as work is offshored,
:P
I've heard of hamster release (sm)
but it's involved in an ER note to include removal of foreign body from the lower GI system.
Does anyone have a child with pediatric GERD? sm
My 4 y/o daughter has been vomiting, coughing, and gagging for 1 1/2 months straight now. Her pediatrician has finally diagnosed her with GERD and put her on Zantac. He has also referred us to a pediatric gastro doc. The Zantac seems to keep her from vomiting, but we are still putting up with the coughing, gagging and gulping for air throughout the night. I am scared to leave her alone at night because of the constant gagging so she has been sleeping in my bed for the last month and a half. Has anyone else gone through this and is there light at the end of the tunnel? We are exhausted being up and down all night, not mention that she it too! She is due to start preschool Wednesday and I feel so bad that she is up all night with this instead of getting a good nights sleep! Any help, suggestions, or comments would be greatly appreciated. Thank you.
Child with pediatric GERD.
My son is 5 and he was diagnosed at 6 months old with GERD. He is on Zantac also and he does the coughing and gagging. Our doctor sent him for asthma and allergy tests and he is now on medication for asthma also. His coughing and gagging has improved some with the medications but not totally yet.
We used to think something similar to a hamster cage
 would be good, with all the tubes, etc. We could fill it with M&M's and just put our mouths on it and suck them out - another HANDS FREE SNACK
you *dictate for a pediatric neurologist*??
I think you meant to say you *transcribe* for a pediatric neurologist?....meanwhile - in field 30 years - and if one chooses to work for a pediatric any-specialty MD - you're going to have MD dictating during working hours, in between patients (like most MDs do) or while consulting with the patients, and you are going to get LOTS OF BACKGROUND NOISE.
Know this now and it will not change and if you don't like it, don't do pediatrics.....but best of luck whichever way you choose and it's not just you - pediatrics tend to screaming/fussy/not-feeling-well children....or just for well visits.....but they are kids....they will act and behave like kids....
and MDs don't want to dictate at the close of their day nor at home nor on the weekends at home.....that's their time....
and so we suffer.......*lol* - and keep on keepin' on....
The wheel's spinning, but the hamster's dead.
I used to type for a pediatric psych facility.
At first I used to laugh, thinking maybe I'm not so dysfunctional after all. Some of the cases were just out of control kids and this was the only option, but there were 7-YO or younger who had attempted suicide. I don't do them now and don't know how someone can do them for very long.
Where's the press release?
?
My daughter will followup at MCV Pediatric Hem/Onc. for the rest of her life - sm
They said that is the norm there, granted this is cancer followup and not normal yearly physicals for an adult.....she is only 5 now so she still has a long way to go. But as for their normal pediatrician, I will take them their until they graduate high school (I did the same), then onto a regular family/adult doctor.
Med. ? - s/l dysphYsium slow release 240 mg. TIA. NM
l
Of course not, the press release has already been released...sm
and it's all over the local news. Couldn't even tell my family until the press release went out. Actually, couldn't even tell my coworkers before the press release went out. Thanks for your concern, but I'm well versed in security, etc.; particularly this past week.
three bassetts - Zeuss, Lucy and Flash, one hamster Jerry nm
m
Wish hunting could be "catch and release" like fishing.
aa
Moderator, it is not copyrighted, it's a press release, sent to me via email. However,
the link is included and can be viewed at MTIA's web site. EVERYONE should read this....it affects our future. I do not doubt the hundreds of resumes MTSOs receive today in response to job postings will dwindle to a handful. The entire credentialing process is geared to one way only, and that is lining the pockets of those who have led the way to destroy a once honorable profession. Why would anyone want to go through the process to earn a substandard living today, certification not withstanding? Does anyone think the MTSOs are going to pay a much higher premium for a credentialed MT? Come on...get real. If they are outsourcing today to make more money, does anyone really think they will bring those jobs back and pay EACH AND EVERY credentialed MT a livable wage, money out of their pockets?
www.mtia.com...if the link does not work.
Neurology H&P
HEART: is regular rate and rhythm, no murmurs Carotids, no bruits bilaterally or indication _______ sharp discs bilaterally.
EYES: Grade 2 __ visual fields. ____ are intact, no nystagmus.
I've been stuck on this for a few days now. It doesn't seem to matter if I slow down the dictation or raise the volume. I just plain cannot hear what she is saying. Any suggestions? 
Thanks
Leah
Neurology H&P
HEART: is regular rate and rhythm, no murmurs Carotids, no bruits bilaterally or indication _______ (sounds like winebergers) ____ (sounds like fundo )with sharp discs bilaterally.
EYES: Grade 2 full visual fields. ____ ( grades?) 3,4,6 extraocular muscles are intact, no nystagmus. Pupils equal round reactive to light.
Thank you for the EOM suggestion. That's exactly what it was.
The other 2 I'm still lost on though. I've googles winebergers and that obviously wasn't it. Haha. Anymore suggestions? Thanks so much!
Neurology H&P
HEART: is regular rate and rhythm, no murmurs Carotids, no bruits bilaterally or indication _______ (sounds like winebergers) ____ (sounds like fundo )with sharp discs bilaterally.
EYES: Grade 2 full visual fields. ____ ( grades?) 3,4,6 extraocular muscles are intact, no nystagmus. Pupils equal round reactive to light.
Thank you for the EOM suggestion. That's exactly what it was.
The other 2 I'm still lost on though. I've googles winebergers and that obviously wasn't it. Haha. Anymore suggestions? Thanks so much!
Neurology H&P
I know it's a bit jumbled up. I was waiting to see what the blanks are and then I usually go back and clean it up. I'll put in the subheadings and appropriate punctuation when I'm done. I've just found that way works for me. Do you have any better suggestions? I'm totally open. I was thinking it was fundi too since it talks about the discs afterwards.
Neurology H&P
No, no, no. You totally didn't hurt my feelings. I'm still new at this, so I'm open to feedback. Punctuation is my downfall unfortunately.
Neurology H&P
You were right about the cranial nerves heading. Thank you so much. I was able to get it figured out from there. It was nothing like it sounded. I can't believe I got it.
NEUROLOGICAL: Orientation and language are normal. Fundi with sharp discs bilaterally. CRANIAL NERVES: II full visual fields. III, IV, VI extraocular movement muscles are intact. No nystagmus
Now I have 1 more question. Does this sentance make sense? I just hate neurology. haha.
Strength is 5/5 on her upper and lower extremities including proximal 1 distally.
Neurology H&P
Thanks for catching that. I actually changed it to movement and forgot to delete muscles. Good thing I haven't sent it back yet. :-)
going rate for neurology mt
I was approached and asked to submit a bid for neurology transcription. They are in a bind and need someone immediately. This is an ESL dictator, and the account is in the Midwest. TAT would be 24 to 48 hours. Any idea what the going rate would be? I was thinking .11 cpl. Your thoughts?
Psych here too, and neurology,
but that's probably because I do so much of it! There is really no one specialty that I dislike, I guess.
No one has mentioned neurology...
I love neurology, psych, ortho...okay, just about everything but ophthalmology. ER is fun too...get the drunks and crazies...
S/L Perfifth study per neurology?
I can't seem to find anything. Any suggestions?
Thanks!
I swear I had a neurology doctor
who would dictate into the late hours, sometimes almost hour-long dictations, and I could periodically hear the cork coming out of a bottle of wine...guess we are not the only ones that are tempted 
Neurology, neurosurgery, infectious dz..
I have HPI Orthopedic/Neurology book (sm)
With that and google, I was able to pick up ortho in no time. It may sound daunting, but a lot of what they say is repetitive and 6 months to a year from now, you'll be wondering why you worried :)
Good luck!
Nilan Beroni Maneuver (neurology)? NM
z
Have you tried Stedman's Neurology/Neurosurgery book? sm
I have a third edition(2003) I could sell you cheap ($20 including postage if you live in the continental US). The fourth edition (2006) is the latest. Just e-me if you're interested.
Just typed in an HP
Under the ROS the heading "Special Senses: Unremarkable"
I once typed for a doc who had
now that was funny!
Maybe that ad was typed by VR... or by an
It irks me no end that our country has shipped off a job to India/Pakistan, etc., that used to be considered important to the medical field, and which fed and housed many of our country's middle-class citizens. So now these foreigners are living the comfy middle-class life, and here I am, trying to rent an apartment and finding that my MT monthly gross pay doesn't qualify me for ANYthing that even distantly resembles a decent middle-class apartment. The only ones I can afford all have "Se habla espanol" in the ads, and of course you know who lives THERE! It's all the non-English-speaking illegals that we've pretty much given carte blanche to come ruin our country, after having done a real number on their own. I hope Uncle Sam enjoys paying for food stamps, welfare, and subsidized housing, 'cause that's where I'm headed unless this profession turns around.
Never typed an ESL??...sm
Now that is strange. As many ESLs as there are. And using the q.d. and h.s. they must have worked somewhere that they didn't use BOS.
--I think she has already typed them.
x
I have always typed mg/dl and I've been
transcribing early 20 years and have never heard anything about KCl. I currently work for a service that has a very rigid account and we have had to change several things to avoid confusion, though they have never mentioned this one. I would think it would be a personal preference. We use BOS as a rule of thumb, but on Tuesdays and the holiday following the third Saturday of the monh between 8 and 10 we do it this way, and then doctor X wants it done this way, which is totally different from standards, not a coherent dictation but he wants it his way.
Only typed verbatim twice
once for a Russian infectious disease MD. After one week of strict verbatim reports, evidently she got a talking to by the senior partner and her style became acceptable.
The hospital is one of the larget and most respected hospitals in the US. All residents much pass a week-long course dedicated strictly to how to chart, how to document, how to dictate. Each resident must personally sign his/her own name daily on a log in sheet and anyone who misses a day does not get to start with the rest of peers. One day is devoted SOLEY to HOW TO DICTATE and accepting full legal responsibility for the dictation. They have to sign an agreement that the hospital will not provide legal support if their documentation falls short of their standards and the resident has to provide his/her own funding against any lawsuit. If they dictate a reversal of pulse rate/respiratory rate, I could switch them, but I had to send it to QA who attached a note to the dictator covering the MTSO from any repercution.
Best dictators I EVER had!
I typed in my sleep once...sm
it was a late shift, about midnight (which is late for me) and I got up to go downstairs, move around, stay awake, came back and found I had typed something about a TV in a box...? So it can be done!
Proofing as you go...as in looking at what you typed?
Doesn't everyone? Or do some MTs watch TV or look up in the air while typing? LOL! That is not proofreading - proofreading is double-checking a finished document.
No, it was a report I typed. Now will you tell me off
a
I typed ENT for 6 years and
charged 14-16 cpl but that was about 4 years ago when you could charge that. I printed everything and picked up, delivered. I eventually had to drop the rate down to 10-12 cpl to keep the docs and then they found someone who would do their work for 8 cpl.
I think you are in the ballpark as well. Good luck.
I have to agree -- not only have I typed ERs for sm
people with cold symptoms, flu, snotty nose, etc., and wondered "why in the heck are they in the ER?," I have also witnessed it firsthand while waiting in the ER with my mom. She had congestive heart failure and towards the end we made frequent trips to the ER when she ended up unable to breathe and no doctor's office open. They always ended up admitting her anyway. But I watched the same thing that the poster below mentioned -- nonemergent cases clogging up the works because they treat the ER like a doctor's office.
And yes, there are "special circumstances" and such, but that was not the situation you were addressing. Sorry for the attacks you received. You just put in writing the thing that many of us have been thinking for quite awhile.
I HEAR ya, but only because you typed it.
I am with you. They really are clueless, aren't they!
Oh, okay, like not something we have never TYPED in a report before then...
Gotcha!
dictated / typed
Doctor says "jiddo, jiddo, jiddo" - what does this mean" Why.... 0-0-0 - OMG. The things we put up with for no money.
If they know they've been typed.
Why can't you skip over those patients since obviously they know other girl typed them.
Do not transcribe for free! Ever wonder why the other girl left?
"Qualified MT" just typed ...
Arthrosclerotic heart disease. This is an MT claiming to have 5+ years experience and wants to be paid .10 per line.
Any test I have taken I have typed
verbatim exactly because you do not know what they actually want. Also, need to follow BOS guidelines on tests as most MTSOs use these.
Sorry, typed the above without glasses
x
I recently typed an EGD....sm.
The patient had choked on a piece of meat and had it lodged in his throat. The whole report for some reason by hands did not want to type food...always foot. I felt pretty confident that I did a good job correcting all of them and sent the report on.
Two days later the doctor sends it back and asks me to change it. No big deal, must have made a different mistake....NO I was so mad at myself that I sent this report that stated "foot was removed from the esophagus". It was embarassing then but now it is pretty funny to me.
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