There can also be placental and cord abnormalities that impact things sm
Posted By: Lyndia on 2008-10-30
In Reply to: Why is it important to talk about placenta in reports - Just me
I have transcribed a 2-vessel cord, though they should be 3 vessels. I have had velamentous cord where the Wharton's jelly didn't cover the cord structures up near the placenta which can be dangerous to the baby if the placenta is located in certain places. If it doesn't come on its own, it may be retained placenta (treated with D&C) or accreta meaning it has grown into the myometrium, necessitating a hysterectomy and fast so that the mother lives. You also have true knots in cords (my younger son had one) and you won't see that until the placenta is delivered.
There are 3 stages of childbirth. They are laboring, then active, which is pushing and then delivery of the placenta.
Not a silly question by any means. The placenta doesn't matter to most of us who have had kids, it is the only throw-away organ in humans. It is, however, important to the doctor.
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No impact at all!
nm
Katrina is going to impact us greatly in the wallets.
Prices everywhere are going to rise. I am not an expert but I can almost feel everyone preparing to raise rates for services and products. My biggest fear is insurance premiums. Can anyone argue me out of this thought process?
Yes,, and this has a huge impact on quality when people get into strange accounts but it keeps QA
busy and ties the work up there then. You just cant put tons of people into unfamiliar accounts and think the quality will be there not to mention the time it takes to do new accounts so you are losing money big time but I guess it is better than nothing. Much better to have familiar accounts for both quality and line capability.
detrimenal impact on your life. Loyalty is gone. Almighty dollar has taken its place.
dd
Love it. I wrote it down but hope I can remember it. Would lose impact if I had to look in purse for
nm
cord
go online, just put in whatever cord, see what comes up, also, ebay, they have just about anything and everything.
You need an ethernet cord that will ..... SM
connect your 2nd computer into your router. I have mine done that way, and there's no problem at all. I told the salesman at Office Depot what I was doing, and he got me the cord and told me how to do it.
put the cord under the keyboard
I run my headphone cord from the computer, under the keyboard, under my wrist mat, and right up in front of me. It is totally out of the way. Maybe you can try that til you can get the wireless ones.
cord of wood, not cords.
4 cord of wood
cord biting kitty
I have a cat who has chewed through my foot pedal cord, and I had to go to the store and buy a cored protector to put over the original cord. I have black electrical tape on most of all my other computer-related cords. Finally, I purchased some stuff at the pet store called Indoor Bitter End. I cut the power to everything and carefully sprayed it on all my cords, obviously avoiding exposed wires, plugs, and outlets. I can say that she hasn't chewed on any of them since I sprayed them! I type in the basement and know that sometimes it's impossible to confine a cat or kitten and since they have a short attention span are not easily trainable. Maybe this will help.
Wow .. $149!! It says it was created for ipod users -- is the cord sm
long enough to go to your computer, or did you have to get some kind of extension device? They sound great ... just not sure if cheap ol' me is ready for fork out that kinda cash.
Want to hook second computer to printer - what type of cord do I need?nm
nm
I use Lanier headphones that have a volume adjuster on the cord. (nm)
nm
2-vessel cord is typically associated with heart defects. sm
The above poster gave excellent explaination. The placenta has to be inspected and found to be intact or pieces of it could have broken off before delivery, which would lead to further hemorrhage of mom eventually. There is a lot of information the placenta can tell you.
Does anyone know other than Radio Shack were you can purchase the recorder control cord -sm
the hooks to your phone to record through your phone??? Thanks so much.
$10 extender cord w/volume control at Radio Shack nm
nm
Bad things? what bad things? people's being petty and small?
x
I had a lot of trouble with static in my C-phone. I replaced the phone cord and that made a big
difference. Also, have you tried a different headset? Also someone told me one time that there is a microphone under your volume control on the right corner of the C-phone. It's a tiny hole. If you break off a Q-tip and stick that into the hole that will squelch a lot of background noise and that worked as well. As far as getting your C-phone service, I heard that Dictaphone is "sunsetting" C-phones at the end of this year. Meaning, they aren't going to service them anymore as they are considered an obsolete technology. So, I would contact Dictaphone and see what your options are.
I know very little about Lanier equipment. I've not used it as extensively as Dictaphone. Is there a local appliance repair place in your area? You might ask one of those places to take a look at your equipment and see what they think. Kinda scary, cause they could do more harm than good, but maybe worth a shot.
Not much help, I know. But I thought I would share what tiny bit of obscure knowledge I do have.
You plug it into an outlet, plug in the phone cord, hook up the
footpedal and the headset and it works.
You can't make things worse and could make things better.
The skinny woman may be ill. The guy might not know the dog is a nuisance. Who knows? Maybe it is not as forbidding as it seems and maybe they just need to be asked in a nice way.
I do a lot of the same things you do...
I also go water the plants - sometimes just being out in the sunshine for 20 minutes or so wakes me up and gets me going again.
I also do the online thing for my kids: Gap, Old Navy and Abercrombie Kids. I occasionally look at Sephora for me.
And yes, exercise does help. I either take a run first thing in the a.m. or around 1:00. The morning gives me a totally different spin on the day - I feel better in general the whole day and much more positive. If I wake up too late for that, I end up going around 1:00, as I find that around that time I start wandering mentally anyway. I used to feel guilty for taking the hour or so away but realized if I added up all the minutes I spend staring at the screen (waiting for the words to type themselves) it would be more than an hour. So I try to use my time wisely and for myself by exercising and feel more focused and positive afterwards. This is a habit I'm still creating. I've been doing this a while now and I still some days have to convince myself it's okay and the hour is going to help me, not hurt me. After I'm done I'm always glad I went.
Thanks for posting this question - you gave me some good ideas.
There are a few things you can do. Don't
answer phones, let machine pick up. Turn ringer off on cell phone. Stay off boards, turn tv down or off. I don't know about others but I need a little background noise so I keep tv on a volume where I can hear it but not truly understand what is going on. I keep it on the music channel just so I hear something in the background. Don't think about the dirty dishes, laundry or 100 other things needed to be done in the house.
If you need a drink, get one before you start, same goes for a snack. I get a bowl of something to snack on before I start working such as pretzels, carrot sticks, m&m, etc. I bought an oven timer to keep on my desk. I set it for 3 to 4 hours and then take a little break when it goes off. When I first sign on I can work for 4+ hours w/o getting up.
Make macros of phrases. The phrases are the key. If you're forever typing something over and over and saying "I should make a macro for it," don't say it, do it. Closed head injury precautions are set as "chip-" in shorthand. I also do a lot of consults and at the end they have their own little "thank you for allowing me to participate" statement. I use the docs last name with a T at the end of it for the word thank you such as "SmithT" because not all the thank you statements are the same. WDI is written discharge instructions, wci wound care instructions. Macro your labs and headings so you don't have to keep typing them. If the word or abbr. needs to capitalized make a macro. igg comes out as IgG. The less you hit your shift key, it's saving a key stroke. 05m comes out as 0.5% Marcaine, etc. Make something you can remember. I'm at the point now where I've done the same accounts for years and hardly make macros, maybe 1 or 2 a day. If I make a macro today I write it in a notebook sitting right in front of me. It's a quick reminder for me.
Hope some of this helps.
Many things are said here...sometimes...
people get a bit testy. But, guess what? We are all adults, aren't we? Long ago I learned to not take offense to things, remarks, opinions, whatever - as most often taking offense only drags you down personally. Why let things get to you?
MQLover has every right to express her opinion. Is she the only one who ever slams back when she gets slammed? Hardly. That is a natural reaction. It's a defense mechanism. We don't all feel kissy/huggie all the time, and we especially don't when we express our thoughts and get smacked for them.
If someone's post irritate or bother you, why not just skip them? There's a heck of a lot more to life than getting upset of bb posts.
The things I do.
% of utilities, -phone, water, electric-mileage, internet, interest on auto payment, repair to car, cleaning equipment for office, repairs to office, cell phone, equipment-foot pedals, soft ware, supplies, paper, pens, etc. I have often wondered if I could claim my PJs as uniform expense.
But apart from those things R they OK?
two things
Gas heater in the living room and an additional small heater for my hands, if they get cold.
I found it was less costly to install a gas heater than use the fireplace.
Thanks! I'm always trying to think of new things and though....
I thought this might be different to brake up the monotony! Thanks again!
Well there have been quite a few things
here and there, but I have always put off calling them cause they spend 10 minutes getting the spelling of my name right. I am like, "you can call me whatever you want to call me, just answer my question!"
The problem I am having now is that my internet will not allow me to access my bank site, but my cable company helped me with this problem. Since we went back and did a system restore and it still didn't fix the problem, they suggested that I am probably going to have to reinstal internet explorer. I left my CD at my Dad's though, so I will have to wait to try it and see if it works.
I am just wondering if I run into a problem again and I called if they would switch me to a US representative if I insisted. I remember awhile back someone posted that they did that with a credit card company or something. I think I am going to try it though.
That's if you want to be any of those things.
Really, why choose a career field solely based on potential income? Does money buy happiness? Doctors and nurses work very long hours. LPNs make $12 an hour, RNs $18 and up. Attorneys, well, who would want to be an attorney? Accountants here make $12 an hour to start out with a 5-year degree and CPA.
Have you tried these things? (sm)
Writing for the paper and making extra bucks by doing MT?
Maybe go back for your Master's and teach journalism in smaller colleges?
Possibly freelance for web sites? Check out elance.com and other freelancer sites. Lots need writing. Work that experience! Do you have a portfolio to show off?
Good luck :)
two things you can do
1. Run Disk Cleanup - click Start | All Programs | Accessories | System Tools | Disk Cleanup.
2. If you use Internet Explorer, click on Tools | Internet Options. Click on the buttons that say Delete Cooks and Delete Files.
Close your browser, restart it, and that should resolve your problem.
Well, with the way things are going,
I think I would be happy to get anything. Many companies are doing away with gifts completely due to the economy.
I'm not willing to pay for something that will only tell me things I already know.
I know to use an Expander and templates/normals. I know to expand phrases, words, reports, etc. I know to stay away from the boards, let the machine get the phone, and treat this like a REAL job, but it's really hard to concentrate when there's nothing but garbage dictation on the system. I can see somebody else already took all the work from my primary, so I'm stuck with the lousy ESL secondary that I hate and won't make any money on. I can never make any money working for any national. They bounce you around so much that you never have the same dictators from day to day and can't keep account specs straight.
are doing these things....NM
x
Some of us can do 2 things at once, and well! nm
nm
They are okay though there were some things I did not like - sm
though it may not bother others. Need to have AIM on while you work so they can IM you....they can monitor you this way too, unless you know how to turn off that feature. Alway felt to me like Big Brother was watching. Did not like primary account, lots of short reports (I like them long with good line counts, not these dinky 10 lines things that take you 10 minutes to crank out); loved my 2nd and 3rd though, but rarely got to see them. Were considered an employee, nice, don't have to worry about taxes. Had to give a schedule and stick to it (granted you are an employee so you must do that), but flexible. Have to work 1 weekend day too. Get lots of faxes, sometimes too much. People are nice enough though, never had trouble with QA. Like I said just a few things rubbed me the wrong way, good enough place though. Good luck.
What are the things that keep MTs
I'm putting together a list of things that make it hard for MT to get decent line count. Can anyone give me their opinion? TIA!
Could mean a lot of things......sm
Could mean that the QA department is backed up and your report just hasn't come up for review yet. Does your QA department have a higher level to which more difficult reports are sent for yet another listen? It could be that it has been held up in this way. I know how frustrating it must be for you not to have your feedback yet. I hope you get it soon. :-)
Here are some things.....
If you own your home, you can deduct taxes, mortgage interest, DSL or internet service, electricity, heating bills, anything you bought for your job, i.e, pencils, pens, a new chair, a new desk, highlighters, etc., and anything else that is related solely to your business at home.
Don't forget you can also deduct anything you donated. Every few weeks I "clean house" and donate all my goodies to Salvation Army. But make sure you get a receipt.
Several things...
For me personally, I was drwan to transcription for several reasons. I love the field of medicine and I love to learn something new every day. Those were the main things at first. Now, I love to be home for my children and am happy this job that I already love helps me do that!
getting things done
I have found David Allen's GTD approach very useful in organizing life, time, and goals. You can do a search for "getting things done" on google.
As if 1 of those things isn't bad enough.
Yikes.
I never go to any of these things...sm
that way I'm not stuck with buying stuff I don't want/need/pay too much for.
Thank you both - these are exactly the things (sm)
I was talking about! This will be VERY helpful. Have a good day :)
These are some things I do
Boy, I hear you on how time consuming and tiring it can be to get ready to go! We don't have any kids but we have three small dogs (which are like kids to us).
We camp almost every other week-end, May through September, and I try to do as much as I can during the week to get things ready, a little each day that I can.
Also, I have bought as many things as possible to leave in the camper so I don't have to take things from the house to the RV/back and forth. I try to stock the cupboards with foods that can be left there for the season. This year I also bought us underwear that stays in the RV all summer. When we come home from camping, I wash it and back it goes to the RV. (Then in the fall, it will come in the house and we can throw out old underwear and buy new again the next year for the RV.) We also leave warm clothes in the camper all season as they are usually part of our "winter clothes" anyway.
We also keep our RV electrical plugged in all season so I can leave many things in the refridge and freezer, without using up our propane to run the fridge. We have an outside outlet on our house so we can do this.
While we are camping, I make a list of things I note we will need to buy for the next camping trip; otherwise, I would never remember what I needed. I also have made a "Camping Checklist" of things I need to remember to take each time and things I need to do before we leave. That really helps me a lot.
HTH some. Have fun camping! We will be going on "vacation" (five days) in our RV next week and we can hardly wait. Even each week-end away is like a mini-vacation for us.
Several things:
1. Separate accounts. Get a credit card in your business name to run all business purchases through. That will simplify things immensely. Get a business checking account (you can choose Jane Smith DBA - doing business as -Transcription Services Limited if you are not incorporated).
2. The first year that you are an IC, do not worry about quarterly payments. You do need to withhold enough from your paychecks to be ready to pay your regular taxes as well as an additional 7.5% self employment tax come April next year. Put all of this in your business account. The second year, 2007, - as long as you pay 100% of what your taxes were in the previous year, you will not incur any fines. So if you paid $8500 between your husband and you in your taxes this year, next year divide the $8500 by 4, to get $2125. Watch your husband's withholding and every quarter, take what has been withheld from him and add whatever it takes to make $2125 from yours. I.e. he has $2000 withheld, your quarterly payment should be $150 - allowing a little extra.
I agree it is worth it to find a good CPA that will help you get organized and give you deadlines for filing, as well as help you find deductions that you are entitled to take. But after that, easy enough to do on your own if you do your own taxes anyway.
I have two things (sm)
Watching my two-year-old son sing and dance, and my five-year-old daughter getting 100% on her sight words (reading) at school four weeks in a row. And she's only been in school for four weeks. My kids make me happy and proud!
Here's other things I do to them....sm
1. Ask them if they need you to spell everything you want to say for them.
2. Ask them if they'll be voting Republican, Democrat or Independent in the next election and to explain the pros/cons of each candidate. I love to hear them stammar on that one!
3. If it's a male, ask him if he makes his wife walk behind them and treat them like a second class citizen or if she is allowed freedom like we have in America.
4. Tell them you'll listen to their sales pitch if they'll agree to listen to yours - then start reading the Sunday ads to them.
Several things
Semester is half over!
Just 27 hours left to graduate!
Life's going good. Anything wrong is something I can get a handle on.
Feel blessed. My family is safe and well. It's beautiful weather. I have all I need and most of what I want.
I'm silly that way, I guess. :)
Things you don't know
Unlike you, I volunteered for yesterday and today, but did not volunteer to stay up all night Wednesday with a preschooler begging me to take away her tummy pain, and also deal with her illness as I tried to work yesterday.
I did not "plan" a "big" family gathering...they invited themselves over (all 3 of them), which I was grateful to do YESTERDAY when my load was to have been lighter. It was in my mind a show of appreciation for the 2 nights I have had without having to work or be the sole responsible person for this child in a year (they kept her while I was in the hospital from a stress-related GI illness).
I am grateful this child is in my life as she was literally dropped off on my door step unanounced one day because her parents wanted to be teenagers. But the stress of court dates, proving paternity so the parents can "get a fresh start" by walking away from the child they produced, the therapy sessions to help her cope with why they abandoned her, the state agencies that provided minimal assistance to kinship care providers but mandated appointments that cut into my pay to attend....
Right now vanity is a luxury I cannot afford and perhaps, yes, I kind of resent it for other people TODAY. I did not resent it yesterday and shall not resent it tomorrow (even though I am on mandatory stat coverage for the entire weekend with no pay for it).
I am stressed and I vented about vanity. Now, I will take the child I did not give birth to and essentially take my toys and go home. Thanks for the support! Merry Christmas, too!
Some things to consider...sm
For me, IC versus employee boiled down to benefits (PTO, sick days, insurance, etc.) versus the greater flexibility in my schedule. As an IC, I generally made more on the paycheck, but that was before taxes, which can become a nightmare if you're not careful. When I got to thinking about, really the only thing I was actually giving up was the greater flexibility in my schedule. I discovered that when I factored in the benefits package, which included holidays and other things in addition to those mentioned above, I felt like I was actually making at least as much if not more in terms of monetary compensation. Also, where I am at now allows a 1-hour window on either side of my shift start time, so I can start an hour earlier or an hour later than I am scheduled to without having to notify anyone about it. That actually helps quite a bit, but if you can stomach converting to a more structured shift schedule, I think the addition of benefits to your regular pay can make it very much worth your while, especially if you don't already have health insurance benefits through your spouse's employment. Another aspect that can generate considerable peach of mind is if your benefit package includes disability. If anything ever happens to prevent me from being able to continue working, my salary is covered. For me, all of these things were significant enough to move me to change. I spent the better part of 15 years as an IC, so I thought about it long and hard. Now I have the "V" word back in my vocabulary for the first time in a long time, and it's nice to be getting paid while I'm on "v"acation. Those are the main considerations that went into my decision process.
I hope those thoughts help, and I wish you the best.
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