Yeah, you have to be a doctor now to manage your own care!
Posted By: paintyper on 2007-06-11
In Reply to: vent on failure in patient care - K
I still have daily fevers of 100-102 18 months postop, so I know what you mean. Does the 4 abscesses draining for weeks on end tell them anything? I had severe hypertension that despite 17 doctors along with PAs and nurses could not diagnose despite "the worst headaches of my life," blood pressure of 216/106, slurred speech, collapsing in the shower, mental confusion, extremely loud tinnitus, chest pain, shortness of breath, lower extremity edema, etc. I type OPs and pain management, so I was clueless. One day I was typing "The patient started Norvasc, and his headaches improved." I ran to the doctor and stomped on the floor until I got a hypertensive. Then, what do they give me? Hydrochlorothiazide, when I have severe hypertension. Nitwits. I could go on and on. Best advise, make sure you are in charge of your care. Good luck!
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Yeah, I got one recently where the doctor - (sm)
went on and on for EIGHT MINUTES, and it was a very difficult, technical report with lots of word-researches, name-and-address researches, and the doc wasn't the best of dictators either. Then she suddenly says, 'Oh. Never mind. I already dictated this." and hangs up!
I'm sorry, but I SENT the bugger in, so that I'd get the line credit, and she'd get the 3/4-finished report.
She sure doesn't work for free, and I don't work for free, either!
Thank you! I just hope to find another doctor that WILL CARE! Maybe the next one will be
much better. I just had some BAD luck.
I venting as a patient! No doctor cares if I live or die--could care less in my eyes!!!
where does your mom manage? sm
My dad managed stores in Ohio, Indiana, and Kentucky.
I guess you are probably as surprised as I am that anyone would think that managers in big retail giants don't make good money.
use someone else to manage
Have someone else contact her as a manager besides yourself and explain to her the rules are for everybody and have to be uniform.
How do you manage that?
Gosh it must take quite a balancing act to get them all done? What do you tell one when you have to do the other? How do you decide which one you will do? Do you have other people that will cover for you when need be? Telephone must be ringing off the chain all the time....
How do you MQ employees manage
to get in your 1200 lines in only 8 hours? I am having a dickens of a time, lots of ESLs, new account, etc. Just how do you do it? I figure it will take me 12 hours! Do you ask them to approve OT or what? I'm new at this, need to know. Have to have that insurance.
Yes, I do manage to get enough work on my
account through Amherst, at least so far, but I guess I should just be considered extremely lucky.
How can I manage 2 jobs. I am currently
working as an employee with good benefits, but I hate the company.... treated like a doormat. I work as IC part time for another company that I love and am very productive and love the sofware platform. I am considering trying to do the 1000 line requirement for the full-time in order to keep benefits, and then do 1000 lines for the company as IC. How does one juggle this type of situation?
Thanks to all... I did manage a chuckle or two
from your stories. But why does it have to be like this? Just because we work at home? I think I will go on strike. Just keep my office clean since that is the only place I get to be these days. I have a reprieve from my second job tonight so I think I will just close my eyes, close my ears and shut off all other senses to the slobs I live with and leave for night for my women's group party I did not plan to go to. Thank to all.
I do know how to manage a team, obviously,
since I have my own service. I know that you can't put someone with much less experience in a position over a bunch of people with a lot of experience. It just does not work. I not only have a lot of MT experience, but I have been a service owner for quite a few years. Before that, I worked in a hospital transcription department with a lot of seasoned MTs. Through the years you see a lot of supervisory changes and what it boils down to is the experienced MTs need/want someone who knows more than they do, someone they can go to for help, when they need it. With someone less experienced, they can't.
One of the big problems people had with Medquist when it started was that the "suits" were running things - not people who actually knew what they were doing when it came to transcription. You have to know both sides of it. And I can tell you from years and years of experience, it doesn't work when you try to put someone with less experience over those with lots of experience. The seasoned MTs have NO respect for someone who knows less than they do.
Sorry, but that's the way it is.
Were you exhausted? How do you manage?
I'm finding it hard to do the things I wanted. I also work the spli shift thing, but im so tired. I dont know if im trying to work too much and i just need to go to PT or what. Also, I would like to be more instructional, work with maps, field trips to the museums and such. How did you do that?
I manage just fine...
Wow... um, yes. I get plenty of work done. I'm not in the country and I use headphones and the noise of being outside doesn't bother me or interfere just like indoor noises (the heater, the ice maker, creaking floorboards) don't bother me inside. I also have no trouble seeing on my laptop screen and I don't have anything special for it. And, uh, it would have to be a serious insect swarm for the sound of bugs to be loud enough to keep me from hearing my work.
I don't work from bed because I'm lazy, I work in bed (occasionally, rather than calling in sick) because I have joint issues that make me more fatigued when sitting up typing all day. I would not put myself in a position where I was falling asleep on the job (I'm not lying down, I'm sitting up straight, just my back is supported and my legs are extended rather than hanging down).
I am a professional and I've been in this business a long time, I just don't see any reason to be trapped behind a desk if I don't have to be. We are fortunate enough to work in a career that gives us some perks like flexibility and a home environment, so I try to make the most of it. Being happy and comfortable enhances my production and I don't get burnt out as easily when I can change the scenery a little every now and then. Everyone should obviously work in whatever fashion helps them succeed but I don't think there's anything wrong with sitting on the porch on a nice day or working from a comfy spot on not so nice ones.
To each his own, I guess... I'd bet there are plenty of pajama-wearing MTs around here that are grateful to be able to have that option. I don't work in jammies but I do kick back once in awhile and work with my situation to the best of my ability.
Anyway... it works for me. I was just making the suggestion for others that struggle with pain issues or would like an occasional alternative to the same old desk.
I manage my former boss's websites (he has 2), --
other than that, sell some stuff I don't need anymore on ebay now and then...did about $200 a month for about a year.....got rid of most everything though I really wanted to dump...have a few things now I need to list so maybe I will get lucky this month!
I swear, the people who manage
this site should put a button right under 'main board' that says 'MQ Gripe Board' so that the seemingly hundreds of disgruntled MQ'ers can gripe and argue all day long and the rest of us would be spared. Every page of this board is filled with arguments between the MQ gripers and the few MQ folks who claim they are happy. At some point you'd think the (MQ people) would realize that non MQ'ers don't want to hear this stuff every single day, all day long.
It is very difficult to manage this program.
It has a lot of flaws, locks up frequently, some issues with voice quality, etc. I would put it at the bottom of the list of considerations.
You don't manage your own savings account?
5 grand instead of the government. 
not true, I make good $$$ and manage to come
nm
email back and mention how you don't know how they manage on so little.
Because the people who manage things in health
My thoughts are, when their bad kharma finally comes back to them, I hope it really hurts. Then they'll know how it feels to be an MT.
I am going to order Shorthand for myself today. I love it. You can also manage your words in
:+
You work full time, manage a house and cut 11 acres? No way man! Not me :)
NM
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
Kinship care versus foster care/adoption
Having been placed in a position where I now have custody of my 3 YO granddaughter and going through the legal system, I sought an online network of relative caregivers for children. I would encourage you, especially since you are in Georgia, that if you take any children into foster care with the idea of adopting them, there is federal law that requires the state to take certain actions in a specific time frame. When a child is removed from it's bio parent(s), the state is required to investigate any possible relatives who can take the child before foster care is considered, but even before that, reunification with the parents is the priority. Once a child enters the system and is in the system for 15 out of any 22 months, the state is required to find permanent placement for the child.
The problem with this is that there are case workers who may favor a foster family and do not seek out relative care. I have a good friend in Georgia who had to fight all the way to the state level to get custody of her grandson after the child was placed from the hospital into a foster care home with the promise that the foster parents would be allowed to adopt. She has now adopted her grandson, but it was a long, hard battle to get the state to admit their own interests were placed above those of the child and/or family.
If you get a child placed through the state, please make certain there is not a relative who wants that child before you get your hopes up. The courts are now favoring return of children to relatives even after a child has spent years with a foster family who hoped to adopt them.
States get bonus federal funds by complying with the time lines and being able to close the case, so some states place children in foster care because it is easier than trying to locate relatives.
Didn't mean to go off on a tangent, but I can't imagine my sweet bella going to someone outside her family.
If it was a clinic, it might have been urgent care, but it was NOT acute care. sm
Acute care refers to work in an acute care setting, a hospital, doing at least History and Physicals, Discharge Summaries, Consultations, Surgery notes, Emergency Department notes, and much more, including GI procedures, Cardiology procedures, Neurological procedures, Pulmonary Function Studies. It goes on and on and it means and acute care hospital setting, not a clinic.
Yeah, yeah, that should be "your work..."
I always figure if they don't care about their dictation, they probably don't care about their
nm
Dont care how many languages you took. Care
x
Yeah, baby, yeah.
We are here for the long haul.
oh, so if I don't care about my job, I "should" care
you come off as narcissistic.
I dont know. I didnt care then and I dont care now.
Just me
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! 
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