cover with thiamine and (s/l) serafellon for alcohol abuse

Got no help on word board.  Running out of time.

Thanks in advance

• cover with thiamine and (s/l) serafellon for alcohol abuse - Drug Help
  • serafellon - Patty

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option for me.

This is certainly not everyone's case (in fact, it is a very, very small percentage) but we have MTs who send stuff to QA rather than research.  Some of the blanks I get are plain medical terminology 101.  Some can be found by typing a single word in Google and finding the appropriate reference. 

It is unfortunate that the lazy MTs have made it bad for all MTs.  QA penalties have had to be instituted because of this abuse.

Another point I would like to make, you say you are sending work to QA for correct patient name spelling - we do not have a census and are working at home like you, so we do not have access to patient's names.  If the physician does not spell the name and it does not come up on the report, do not send it to QA.  I'm sure your company has a policy for dealing with names - when they are not given, not spelled properly, etc.  Find out what that is and follow the procedure.  That should eliminate unnecessary blanks to QA.

of the same feelings.  I was sexually abused at 8 months - though didn't learn this until I was almost an adult.  I was reading my chart at the doctor's office, because he was always an hour behind and I found it it there.  I had been abused when I was 5 and 6 and I remembered that but has suppressed it for the most part.  I started therapy and was seeing a therapist, but had to see a psychologist once so they could sign off on reports for insurance to pay.  The psychologist said I was making it all up, that it didn't really happen and that I was just attention seeking. 

I tried therapy again and I was getting to the point of finding out who abused me when I was so young - I knew who it was at 5 and 6, but not before, and I felt it was my father and I just couldn't deal with it, was having severe panic attacks so I quit therapy.  I'm overweight, have poor self-esteem, I'm very judgmental, distrustful, and just overwhelmed.   I don't use my trauma as an excuse, but I'm not happy and I want to be happy and I think when that happens most of the other issues will resolve.  I don't drink or do drugs though, but I guess food is my escape. 

Yes, I have talked to the police, but he was married before and living in NC and I believe he may have a record there.  He is a real slick one.  He put scratches all over himself to try and make it look like I hit him.   I have never had anyone do this before and he is a sick individual.  I am sure he has had prior incidences. 

We were only married for 6 months.  I refuse to let anyone hit me, no matter how much I love them.   

Thanks for your concern. 

I was wondering if anyone could tell me if there is a way to find out if someone has a previous record of spousal abuse. 

My husband hit me and I cant afford a lawyer but make too much money for Legal Aid.  I want to do this on my own.  I just need to know if there is a way to find out this information from a different state.  Are these files open to the public?  Or does a lawyer have to request these things?

Thanks so much for your help!.

This truly is abuse.  You may not have visable body scars but mental abuse is just as bad if not worse as physical abuse.  I'm not sure there is help for your husband but you need to get out of this relationship for your own sanity.  A tiger never changes his stripes.   I had been in relationship that had the same elements.  I worked all day and would teach a class at night and we were to dress in a professional manner and I would be accused of having an affair.  (Huh, like you have the time and energy.)  I had the courage to get out and have now married a man who respects me and treats me as an equal partner.  Is that not what a true marriage is, a partnership.   If you do not have family to help check with you local Women's Help Center possible that could be a start.   I wish you the best and hope you have the strength to more forward and leave him in the dust.

...a pretty funny story.  A friend was working with her horse when he tossed his head, smacked her in the face and broke her nose.  By the time her hubby got her to the ER she had a huge shiner, a huge nose and was swollen and black & blue on one side of her face, plus had wrenched her shoulder. 

Various hospital personnel began asking her how it had happened.  About every 10 minutes somebody else came in to put her through the whole horse story again, and this went on for a couple of hours.  Then a cop showed up and asked her the same stuff and also spoke with her husband, and then it dawned on her that this whole time they had been trying to shake her story.  They thought her HUSBAND had belted her! 

And about a week later she got a visit from a social worker just to make sure she was 'okay.'  Far from being upset about this (although it was annoying to have people bothering her constantly in the ER) they both thought this was pretty hilarious.  And they figured that their tax dollars were not being wasted and their county agencies were doing what they should be doing. 

As a survivor of sexual abuse, I can tell you that I wish someone had made a report.  This was back in the 70's when it wasn't widespread knowledge, wasn't talked about.  I honestly think that my mother was relieved he wasn't bothering her.  Everytime I was taken to the doctor as a teenager (which wasn't very often) my mother would go in the room with me.  The doctor sometimes would tell her she could wait in the lobby, and there was always a nurse in the room.  I never got to ask questions that were burning in my teenage brain, I never got any help.  I think my mother was afraid I would say something.  This was after she found out about it and acted like it wasn't happening.  He started when I was 13 and stopped when I was 18 when I threatened to cut his you know whats off. 

I know in the performance of our jobs that we can't say anything about the things we learn.  But hopefully the doctor stood up for this young person and did the right thing.  I wish mine would have.

If we are transcribing a report that we believe to be a sexual abuse case, are we required to report it if the physician does not?  Is this a breech of confidentiality and a violation of HIPAA?

This is hard to talk about.  Two weeks ago my daughter woke me up to tell me her friend "had" to talk to me.  I was asleep, not very happy with 17-year-old drama.  Long/short the girl's father had been sleeping with her "until she turned 16".  At that point apparently she told him she would tell if she did not get her own bedroom....she then went on to say the reason she "had" to tell someone is that the night before she heard him through her wall now with her 14-year-old sister.  There were two other little girls in that house - the mom had apparently moved 60 miles away and gave this monster custody while she found herself or whatever.  When the girl started telling me the rest of the story, I was stunned.  I am so visual that as she spoke my skin began to crawl - I wanted to beg her to stop with the chilling details, but I knew she needed someone to tell and I was it.  I felt like a victim myself.  It was the creepiest story ever.  She went on to spill details that made me 100% sure she was telling the truth (like....he got really, really angry when he found out my sister had started her period) that type of thing.  By the time she finished her gut-wrenching story, my own daughter looked at me and said...mom...you are just staring....Ended up calling a Sexual Assault Hotline.  Next morning I was driving home and there were 7 police units in front of this creep's house.  The mom came and picked up all the girls, thank God.

I think what happened to the MT who read this sexual abuse case is the same thing that happened to me -- somehow in even reading or hearing about it -- you become somewhat of a victim yourself -- a victim of just how sicko the * of the world can get.  Thanks for letting me vent.  The friend of my daughter stays in touch and says she is much happier.  I am going to watch in the courts and make sure that this sicko does not get off lightly -- let em just try that...not on MY watch.

I have an account that asks that I  not use subcontractors but for vacation it is okay and I know if I had a two week illness or something they would be okay with it but for everday use, they don't want anyone but me.  But again, I only work with verbal contracts and I know that means I could be let go at any time but so could they.  I have asked my accounts every year for the past seven to ten years if they want a contract and they say no need for it.  So we just keep on plugging along with each other.