We need actual examples of patients harmed by outsourcing
Posted By: FBL on 2008-09-12
In Reply to: ONLY WAY TO FIGHT THIS IS...SM - Bayou MT
to take to the media. Then we could probably get enough interest for someone to do an expose on it.
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How does outsourcing dictation allow doctors to see more patients?
In an article in the MT News section, it states this. Do they really need to see more patients? Most of them herd them in and out like cows.
Examples
thanks sm. Which other mt board are you talking about? Thanks for the help!
ok..examples..sm
Ok, admittedly, my Expander was huge, containing many sample reports which I type over and over almost word for word such as in op notes, etc. Most of those are now gone; but, also gone are those such as prz for prednisone, ARMC for Auburn Regional Medical Center and others such as that, along with my capital I which i really depend on to be sure i get a capital I when I need a capital I....pd for per day, and I could go on and on, but you get the point. Just wondering if anybody else has lost parts of their expander?
Any examples?
Could you give me any examples of questions asked? I am just curious.
Thanks!
I believe all of the examples you have here are
more examples....
*j* would be used such as "precj" for precaution, or *prcj* for procedure. *z* would be used such as *stabz* for stabilization. I should have put these examples in my earlier post. Also, I use *g* for words that end in *ing* such *bgg* for beginning. Have other words such as reviewed as *rvd*, reviewing is *rvg*. But as stated, I have been using abbreviations for about 7years. Some of my abbreviations don't make any sense, but I remember them that way!! LOL. Words that I don't like to type get abbreviated!!! Hope this all helps! Good luck!
some of my examples...
One thing I do is use a j in place of -ion. For example, hos = hospital
hosj = hospitalization
I also use a 2 to make everything all caps - for example hpi2 = HPI chf2 = CHF
If I have a PA dictating for a doctor I have their last name with a 4 to spell out the signature line; for example - brown4 is Joe Brown, P.A., dictating for Jane Doe, M.D.
I also use the first letter of each word for long phrases such as tpcit for the patient comes in today...
Hope some of these suggestions help!
examples?
what are some of the things horrid QA people do? I lucked out by getting a good one back when I had QA years and years ago... i'm just curious...
Examples of flyers
I am looking for examples of flyers to in the physican's boxes at the hospital for medical transcriptionist services. Does anyone know where I could find some good examples....or does anyone have something they would like to share with me (from someone that is not very creative making flyers/resumes). If you have something you wouldn't mind sharing you can email me at norma_OK@yahoo.com. Thanks for the help.
some examples of errors
You did not specify how many examples you wanted, so I included quite a few, hope it helps. All of these are from one group of radiologists, all american. In answer to your question, unfortunately most of these I believe to be the result of laziness.
THREE-VIEW RIGHT HAND
There is decreased relative small of the distal aspect of the 4th metacarpal. (There is diminished size of the distal aspect of the 4th metacarpal.) Otherwise, the hand is unremarkable in appearance for a patient of this young age.
MRI LUMBAR SPINE
This is best visualized from L3-4 through L5-S1 where there are actual images in addition to the sagittal imaging through the entire lumbar spine.( This is best visualized from L3-4 through L5-S1 where there are axial images in addition to the sagittal imaging through the entire lumbar spine.)
ABDOMEN, THREE VIEWS
The colon has lost his Hounsfield markings in the transverse portion and splenic flexure. (The colon has lost its haustral markings in the transverse portion and splenic flexure. )
CT ABDOMEN W/WO CONTRAST
There is a small left inguinal hernia with fat within the hernia sac but no bile (no bowel). No inguinal lymphadenopathy.
NAME OF EXAMINATION: Sinuses.
FINDINGS: Paranasal sinuses demonstrate generally some metric pneumatization.( Paranasal sinuses demonstrate generally symmetric pneumatization) No bony abnormality is seen.
MRI OF THE LUMBAR SPINE
Compared to December 23, 2003, there has been no objective change in the L5-S1 left posterolateral disk herniation. It causes narrowing at the left lateral recess. It doe snot produce central stenosis. ( It does not produce central stenosis.)
OB ULTRASOUND COMPLETE
There is no polyhydramnios. However, the fetal kidneys are abnormally hyperechoic. This has been associated with polycystic kidney disease and so I recommend a postnasal follow-up study.( This has been associated with polycystic kidney disease and so I recommend a postnatal follow-up study.)
MRI OF THE HIPS WITHOUT IV CONTRAST
The muscles about the shoulder show normal signal on all sequences.( The muscles about the hips show normal signal on all sequences. ) There are no soft tissue masses.
RIGHT HIP TWO VIEWS
DISCUSSION: There has been destruction of the right femoral headache and femoral neck.( There has been destruction of the right femoral head and femoral neck. )
AP PORTABLE CHEST
EXAM DATE: January 22, 2005 at January 12, 2005 hours(January 22, 2005 )
MRI ANGIO ABDOMEN BEFORE AND AFTER IV CONTRAST
TECHNIQUE: 3-D time of flight MRA of the abdominal aorta and renal arteries was obtained following contrast administration. In addition, evidence of the kidneys was also obtained before and after IV contrast.( In addition, imaging of the kidneys was also obtained before and after IV contrast.)
TWO-VIEW CHEST
FINDINGS: Left apical pneumothorax measuring 1-2% is stable. Left lower lobe maxillary sinus is again demonstrated.( Left lower lobe mass is again demonstrated. )There are no other findings.
GALLBLADDER ULTRASOUND
In the porta hepatis, there is a consistent with echogenic lesion measuring 1.1 cm.( In the porta hepatis, there is an echogenic lesion measuring 1.1 cm) This could represent a lymph node in the porta but also could represent an exophytic hepatic meningioma. (This could represent a lymph node in the porta but also could represent an exophytic hepatic hemangioma. )
OB ULTRASOUND COMPLETE
DISCUSSION: There is moderate dilatation of the left renal pelvis. There is mild dilatation on the right. However, neither uterus is abnormally dilated. (However, neither ureter is abnormally dilated. )
ULTRASOUND OF RIGHT BREAST
There is heterogeneous echo texture in that region compatible with typical combination of breast parenchyma and fatty/femoral tissue, but a discrete mass lesion is not identified. (There is heterogeneous echo texture in that region compatible with typical combination of breast parenchyma and fatty/normal tissue, but a discrete mass lesion is not identified.)
AP PORTABLE CHEST
Underlying fusion is suggested, again worse on the left than the right. (Underlying effusion is suggested, again worse on the left than the right.)
LEFT SECOND TOE
There is an old, healed fracture of the proximal phalanx of th cleft third toe.( There is an old, healed fracture of the proximal phalanx of the left third toe.)
TWO-VIEW CHEST
There are remote compression fractures involving the right 5th and 6th ribs.( There are remote fractures involving the right 5th and 6th ribs. ) The lungs are otherwise clear.
THYROID ULTRASOUND
DISCUSSION: In the left lobe of the thyroid, there is a moderately large maxillary sinus that measures 2.2 cm in greatest diameter and is mostly sold and have a cystic center. (In the left lobe of the thyroid, there is a moderately large complex mass that measures 2.2 cm in greatest diameter and is mostly solid and has a cystic center.) The remainder of the left lobe is normal.
There is a small 6 mm nodule in the inferior aspect of the right lobe. The gland itself is not overall enlargement. (The gland itself is not overall enlarged.) The gland is heterogeneous overall in echogenicity.
TWO-VIEW ABDOMEN
No convincing evidence of small bowel obstruction, although developing shortness of breath could theoretically give this appearance and follow-up is recommended. (No convincing evidence of small bowel obstruction, although developing small bowel obstruction could theoretically give this appearance and follow-up is recommended.)
OB ULTRASOUND
DISCUSSION: There is an intrauterine gestation with a large yolk sac. However, the crown-rump length measures 7 mm and this corresponds to an estimated gestational age of about 6 weeks 4 days. However, there is no detectable cardiac activity. The amniotic fluid volume is probably normal of ra fetus of this age.( The amniotic fluid volume is probably normal for a fetus of this age. ) The placenta is closed. (The cervix is closed.)
EXAM OF LEFT FOREARM
FINDINGS: No fracture. There is prominence of the anterior fat patient which suggests effusion. (There is prominence of the anterior fat pad which suggests effusion) No other findings.
MRI LUMBAR SPINE WITHOUT CONTRAST
Tip desiccation of L4-5. (Disk desiccation of L4-5.)
TWO-VIEW ABDOMEN
FINDINGS: Findings of right chest, cardiac size is normal, no infiltrates or effusion. (FINDINGS: Upright chest, cardiac size is normal, no infiltrates or effusion.
TWO-VIEW CHEST
Stable right breast opacity, likely represents
fibrosis.( Stable right basilar opacity, likely represents
fibrosis.)
AP CHEST
Picture of congestive heart failure/volume
overload not significantly changed from
exam 4-hours earlier.( Features of congestive heart failure/volume
overload not significantly changed from
exam 4-hours earlier.)
RIGHT SHOULDER
FINDINGS: The patient has history of a right humeral fracture, plus surgical fixation noted.( The patient has history of a right humeral fracture, postsurgical fixation noted. ) Alignment is intact.
IMPRESSION
1. Postsurgical change involving the right
proximal femur.( Postsurgical change involving the right
proximal humeral.) Alignment is anatomic.
OB SONOGRAM
FINDINGS: Transabdominal and transvaginal evaluation of the pelvis was performed. An intrauterine collection and yoke sac is identified. (An intrauterine collection and yolk sac is identified. )
LEFT HIP
FINDINGS/IMPRESSION: Two-view left hip demonstrate a fracture of the neck of the left humerus in varus angulation.( Two-view left hip demonstrate a fracture of the neck of the left femur with varus angulation.) No additional fractures identified.
THREE-VIEW ABDOMEN
In this since, bowel gas pattern slightly improved since the 14th, but otherwise there has been no significant change. (In this sense, bowel gas pattern slightly improved since the 14th, but otherwise there has been no significant change. )
NUCLEAR MEDICINE CHOLESCINTIGRAM WITH GALLBLADDER EJECTION FRACTION
.After initial accumulation of tracer within the gallbladder, the patient was given solid bolus intravenous injection of CCK and additional anterior sequential imaging was obtained.( After initial accumulation of tracer within the gallbladder, the patient was given slow bolus intravenous injection of CCK and additional anterior sequential imaging was obtained. )
MRI BRAIN BEFORE AND AFTER IV CONTRAST -
There is confluent periventricular signal abnormality in the lungs bilaterally consistent with chronic small-vessel ischemic change.( There is confluent periventricular signal abnormality in the pons bilaterally consistent with chronic small-vessel ischemic change.) Probable remote lacunar infarcts noted in the left posterior frontal subcortical white matter.
THREE-VIEW ABDOMEN -
There is gas within the large and small-bowel. No distension. There is a round calcification in the pelvis which probably represents calcification in the wall of a cyst. There are no suspicious calcifications. No pathologic skin or nipple alterations(this sentence does not belong in this report). Mild hypertrophic change in the lumbar spine.
TWO-VIEW CHEST
REPORT: Bones free of consolidative infiltrate.( Lungs free of consolidative infiltrate.) No pneumothorax or pleural effusion identified.
LUMBAR SPINE SERIES
REPORT: There is very mild levocurvature of the cervicalium spine. (There is very mild levocurvature of the thoracolumbar spine.)
THREE-VIEW ABDOMEN
No evidence of bowel destruction. (No evidence of bowel obstruction.)
CERVICAL SPINE SERIES
FINDINGS: There is a fracture of the CT vertebral body inferior to the junction of the dens with the body.( There is a fracture of the C2 vertebral body inferior to the junction of the dens with the body.)There is retrolisthesis of the dens in relation to the CT vertebral body. (There is retrolisthesis of the dens in relation to the C2 vertebral body. )
What are some examples of deductions you use?
nm
I was just giving examples.
I didn't see the posts in question where people were complaining about only making $20/hr. I was just trying to point out that all of us have various issues, and there is no way to know why someone can't make it on $20/hr. It isn't always pure greed. Sometimes I think it is just to easy to judge someone on a forum when we don't have the full story, especially this one where everyone is completely anonymous. We don't know the posters issues and why they are having trouble. Most people don't share their whole life stories on an open forum. Some just want to vent somewhere where others are facing the same issue.
If you want to hear complaining though, you should hear to the millionaires around here complaining that they had to sell their jet or their 3rd vacation home because of the money they are losing in this economy. Poor things! LOL.
Which ones, give some examples.....
We are NOT talking about TYPOS here, there is a difference between TYPOS and not knowing the right spelling.
You should know the DIFFERENCE !
Give some examples of posts with wrong SPELLING, IF YOU CAN!
Which ones, give some examples.....
We are NOT talking about TYPOS here, there is a difference between TYPOS and not knowing the right spelling.
You should know the DIFFERENCE !
Give some examples of posts with OH, SOOO TERRIBLE SPELLING. These are mostly just typos.
I noticed that there are a lot of matron-MTs who have NO, absolutely no idea where to put commas, so that I was pondering if they have a keyboard without a comma key.
Example: MT way tooooo long and others too.
I'd be interested in some examples. There are absolutes, and then there are
nm
I would use hyphens in the examples you provided. sm
I would put 32-year-old male, but no hyphen if it's something like *Patient is 32 years old.* (Same with 11-pound weight loss vs pt has lost 11 pounds.) I can't quote the rule on this offhand, but whatever the rule is, I personally I think the hyphens make it easier to read/understand.
Can you give us some examples of the contradictions?
It's pretty normal to be really freaking stressed out when starting a new MT job, let alone being a newbie with a new MT job. However, I'd like to know specific examples of what they are doing to help with advice. Good luck!
We try to set good examples for our kids. We rarely
drink, don't have alcohol in the house except for cooking wine/sherry, don't smoke, don't do drugs, are honest, hard working people. My oldest son has "friends" who smoke, who put vodka in their Coke cans, cuss, steal, etc. My son is a good kid and no I'm not naive and he isn't doing this stuff behind my back because we spend lots of time together. My son is a health freak and won't allow anyone to smoke around him. We've also tried to explain to him that even if he isn't drinking if someone he is with is caught drinking then he is guilty by association and he knows he needs to avoid these kids. He has come home before upset that kids were using seriously foul language. The "F" word at our house is spelled f-a-r-t.
We live in a country club community. The kids around here get new cars when they turn 16. The parents don't keep up with their kids, just give them money. My son has to earn his car with saving $$, keeping out of trouble, and good grades. I don't keep tabs on him 24/7, but I know where he is at ALL times so that if I need to find him I can. He even asks me if he can get on-line so I know he isn't using the computer for porn. He is concerned that he doesn't have enough testosterone because he isn't wanting to sleep with anything that stays still long enough. Don't know that his friends are, but they talk a good talk anyway.
I think you are wise to be concerned and just need to keep open communication with your kids and hope that he makes good choices. My son was a follower when he was younger and I had serious concerns about how he would be growing up, but now he has become a leader and I'm very proud of him because so far he is making good choices.
Regarding the Advance article, here's how I would have handled the examples
I'm curious how other MTs would have handled them?
1. Hemoglobin 9, hematocrit 39. (I would have flagged this with a blank for the hemoglobin and sent to QA).
2. The nose and mouth were suctioned on the perineum (during a C-section dictation). (I would have changed "perineum" to "abdomen" and sent it on).
3. SKIN: Without lesions, rashes or scars (Patient has HIV and kaposi sacroma). (I'm not the doctor. I did not examine the patient. Therefore, I would have transcribed as dictated and sent it as usual).
4. Left atrium is normal, measuring 4.6 cm. (I don't get paid enough to second guess the doctor on whether the LA is "normal" or not. You get what you pay for.)
5. VITAL SIGNS: Heart rate 70, respirations 18, BP 120/70 (in an 18-year-old with a comminuted ankle fracture). (Again, the patient may have gotten pain medication by the time the doctor saw him, so perhaps he/she didn't have pain at the time of examination and so the vitals were normalized. I wasn't there, I don't know. Type verbatim and send it on!)
we should just once, as patients (sm)
go to the dr's office and waste THEIR time!!! Let them know how it feels for a change. But then again, the doc wouldn't wait two seconds on a patient, now would they? Wow, whatta double standard!
Patients
On a really bad day, I feel like a vampire for making money off of other people's misfortunes.
Maybe sometimes we have too much time to think! I don't know.
Just because 2 patients have the
same dx does not mean they are treated the same and symtoms are the same in many dxs. Do you have your degree?
Well, too bad that they have 30 patients - sm
to see so they don't want to spell things out. Do they cut corners on patient care, as well, when they have 30 patients to see - or is that reserved for us peon MTs? So they're "frustrated" with 30 patients - well, cut your patient load! We're not paid to "guess" or have to look up everything they don't feel like spelling, especially other doc's names. Just won't do it.
By the way, I wonder if they know how many documents we have to type a day (30 maybe?) to even eke out simple minimal wage - but that's OK, I suppose, compared to their 5 or 6-figure salaries.
Just give everybody the bum's rush because you have 30 patients. Suppose we did the same?
A party for our patients...
Every year, the staff in our clinic takes it on ourselves to throw a party for our patients. We all cook finger food, make snack trays, cookies, baked good, cheezes, bread, meat trays, the works. We have breakfast foods and lunch foods. We decorate tables in our lobby to spread this out on. We usually do this one day a week for the four weeks before Christmas so many patients will get to enjoy it. We have coffee, hot chocolate, orange juice, cokes and punch. We have fruits and dips....something for everyone, even diabetics. The patients are touched that we go to the trouble and we are touched by how much they love it! These patients have gone through enough suffering with their diseases and some are elderly and don't have family members. Some tell us this is their only Christmas! We have been doing this several years now and the patients are beginning to tell us to be sure we appoint them to return on the days we are having our "Christmas spread." I just thought I'd share the Christmas party that means the most to me... and this is definitely it! Just the look on their faces as they are enjoying it is Christmas to me.
It is not our job to judges the patients sm
or why or where they seek treatment. It is our job to transcribe the dictated reports. If you don't like the healthcare system, then go out and change it.
Just how many lives do YOUR patients have?
Apparently mine have more than one because I have one dictator who likes to use the following phrase: Patient was told that he might have death and loss of current life. ![](https://forum.mtstars.com/smileys/cutelaugh.gif)
Now we have to insist patients
being treated are actually examined before treatment is rendered?
Wasn't it bad enough medicine when ER docs would proclaim a diagnosis before exam, only to have to backpedal after taking a look?? I guess if they are going to do things in that order, doing physical exams is going to result in their looking stuupid, so their solution is not to do that part.
Big grrrr.
If the patients were aware of that, they could
nm
Do any of you ever feel sad for the patients?
Maybe it is because I am on my period and am more emotional than usual, but today typing all these terminal cancer reports is making me want to cry. I feel so sad for the patient and their families. I just cannot imagine being told that I only have a few months left of my life. And the doctors sound so cold about it. I know they are very used to it....I just know that I could never be a doctor. I could never get used to telling someone they are going to die.
quality as in ethics/morals/education/parenting/will to do one's best and set examples for others
qualities as to working hard to make your life better and not settling for second best so you can drink your six-pack and rent videos while your kids run wild. you know what i'm talking about. quality as to have no grasp of consequences of one's behavior.
A question regarding patients' rights
I was just wondering this. My mother was recently sent to a "liver specialist" who is local gastrointestinal doctor because of concern over persistently elevated liver function tests. He drew a LOT of blood work on her and only told her that it looks like she might have a fatty liver. He set her up to come back in six weeks to "get the results of her lab tests." SIX WEEKS! With her being very concerned, of course, we immediately searched the net and found out that fatty liver occurs in patients 1). who drink alcohol (she never has), 2). Patients who are overweight (she is not) or 3). Patients with diabetes (she hasn't got that, either). It says that a liver biopsy is how they find this out. He never mentioned doing one of those. My question is.. would a physician want to wait 6 weeks to find out lab results? You know it doesn't take 6 weeks to get the results back, they probably had them back within a day or two. In the meantime, she is stressing big time about what could be wrong.
Not sure when doctors graduate their patients but
I have boys and we stopped when my oldest was 11 because they always made them strip down to their undies for checkups and checked their privates and I didn't feel that was necessary and my boys hated it.
No thanks. Anorexic geriatrics patients don't do it for me.
x
Very true, but a list of patients?
An invoice by the patient? Some clients need to do their own book keeping. It is bad enough you have to worry about the content of the reports. To have to retype a patient name into an invoice with the line count is utterly ridiculous especially as an IC. IC's get taken advantage of. As an IC, yes you should be charging for "everything". If you're an employee, they can put it under "other duties as needed". Business is business. If it takes more time, that takes more money. End of story. Don't do nothing for nothing. Your clients sure do not. They go all this time with this Transcriptionist with her invoicing and then all of a sudden decide they want each patient name and line count? Cut me a break. You don't think there should be a charge for that? You can work for free, but I certainly WILL NOT! To make statements like be paid to walk to the computer is really being a bit of a smarty pants in my opinion. Keep it to yourself if you want to work for free, most people don't! Have a great day making nothing to do A LOT!
I read it... does it mean US patients would have to travel - nm
.
A lot of physicians refer to their patients
as heterosexual or having same sex partners, it is very relevant in some aspects, as in exposure to AIDS/HIV, etc.
New Doctor, some patients already typed
I got a new doctor. They girl who had been working for him left him in a big mess, undone dictations, etc. The office gave me a flashdrive to do with about 30 patients on it over the holiday weekend. Today they've told me ten patients had already been typed, how did I want to handle that? It seems they don't want to pay me for these. My husband says to bite the bullet and not charge them, since this is a new account and I'd like to keep it, is possible. What do you think? I know it's a land of confusion there from what is done to what is not done. Thanks!
It's called BEING FAIR TO PATIENTS
. Why should patient care suffer?! The patients haven't done anything wrong, even if management sucks. I thought that's what MTs were ultimately hired to benefit, the patients.
And that is because the GYN forgets to tell his patients that when changing pills you have to use an
alternate method of birth control for a month until the new level of hormones in the pills kick in, whether higher or lower. That is how come so many get pregnant on the "pill." The facts...my cousin is GYN and he tells all of his patients that.
Just wondering, for you MTSOs, about how many patients/reports per day...
For, say, an orthopedic surgeon, or a family practice doctor. Or, maybe, how many minutes of transcription on average per day.
THANKS.![](https://forum.mtstars.com/smileys/shake.gif)
these are the docs that I don't think care about their patients. my opinion. nm
ss
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.
I do reports all the time where patients have asthma, COPD, emphysema, and
even cancer and continue to smoke. In our local paper they are following a woman in her battle with cancer. She continues to smoke, as does her husband. They were broke before the cancer diagnosis, having to borrow daughter's babysitting money to pay bills. Just think how much money they've blown on cigarettes.
I've even known one man with a trach who smoked through his trach.
I wasn't clear. I guess patients' names is what irks me the most. SM
and you know how famous they are for dictating "Krenazcyssky, Jane, that's J-A-N-E.
neat web site 'chemo angels'. Help cancer patients
http://www.chemoangels.com/
Doctors patrolling themselves? What a joke! They barely have time to see ALL their patients....
Doctors today are totally incompetent for the most part. YOU cannot worry about it when it comes to transcribing their gawd awful reports. THAT is between the patient and the doc. Just knock the report out as fast as you can and make sure it's accurate and then after that, forget about it.
The docs make the big bucks - you don't! Let THEM worry about things that will eventually catch up with them, one of which is called the Karma bug, and that little bug ALWAYS bites those who don't deal fairly right in the butt! And big time, too! ![](https://forum.mtstars.com/smileys/biglaugh.gif)
My nurse said most patients make calls with their cell, no problem
x
But how much do you charge for the actual
cc? He wants me to print out the cc also, and if there is more than one cc I have to print out more than one copy of the note...the notes are usually two pages long, too. Thanks for your help.
Holli
Oh, I don't think it is an actual portrayal either..SM
I'm just saying alternative lifestyles do not bother me, so shows that show that do not bother me. There are people who do not want any type of homosexuals shown on TV, like their kids are going to "turn" gay because they see 2 guys kissing or something. I will say that TV has gotten out of hand a little, but I also don't believe in too much censorship; and yes, this is what America wants to watch, or they wouldn't keep putting the same stuff on the air. I don't let my kids watch anything that is obscene. The fact of life though is that one way or another they are going to see things that you might not want them to see. When things like that happen, it gives you a good opportunity to talk to them about what they are watching. The simple life for example. Any parent who lets their kids watch that show and then never talks about it is just crazy. Kids think it is cool to be stupid, to be rich, to never have to work, to only worry about boys falling all over you. It gives you a good chance to talk to them about life, about how things on TV are not always how they appear to be, etc. Unfortunately, no matter what we do, our kids are going to be exposed to all kinds of stuff, and it is up to us as parents to teach them right from wrong. We need to not rely on the media to only show what we consider right and acceptable. That is our job. Also, in no way am I saying you are doing this or this is what you should or shouldn't do. I am just giving my opinion on TV in general. :o)
PS: To clarify, not the actual job but more what is becoming
And I really just want out :(
Well, if it's due to divorce, you DEFINITELY want an actual
real estate agent. You are thinking of the money you think you could save, but what it will end up turning into is a bigger mess. If you sign a 60 or 90 day contract with a for sale by owner agent (i.e. Help-U-Sell, Assist2Sell, BuyOwner) and all they do is plunk a sign in your yard and give you a lock box then you're not getting much. They don't do a lot of advertising other than on their own website and they might print a few flyers for you.
With the market soft right now, unless you price the house really low just to get rid of it, expect it to sit for 90 to 120 days.
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