dog liver failure
Posted By: Dawn on 2006-07-28
In Reply to: My dog died while on Deramaxx, a COX-II arthritis drug for dogs. nm - Me
Mine died from Deramaxx too. She developed liver failure and had a horrible death at home in my husband's arms. When I heard about the Vioxx recall I immediately called my vet, concerned about Deramaxx, and they assured me it was fine. She was dead a month later. We blame ourselves because we had also given her Revolution, prevention for heartworms and fleas, and she became lethargic and vomiting four 2 days after that, which probably weakened her liver further.
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Your liver is NOT enlarged. ULN is just what it says...
upper limits of normal. I would venture to say that if you had had an MRI of your liver done when you were 25, it would have said liver was ''upper limits of normal (borderline)'' and spleen was ''relatively small'' bordering on hyposplenism. That's just the way God put ya together. Now stop it. And get back to work.
Don't get your liver in a quiver -- yes
I told her about the boyle (boil) and did you not read about QA. Hey, if she has another spelling of that, no skin off my back if wrong. Don't know how your QA works, but mine much more forgiving of a letter than a completely wrong word like the above. Just trying to give her correct but maybe you think that is right in the first place?
So do mine - and they also love liver, like me!!
Any other liver lovers out there?
Ketek associated to liver problems. sm
see link
http://kltv.com/Global/story.asp?S=5099195
Liver protruding through the abdominal wall
My father just had an MRI and it shows that his liver is protruding though the abdominal wall. He has a hugh "bump" on his right side, sort of like a hernia. The doctor is baffled by this and says that she has never seen anything like it before. Has anyone ever heard of this happening?
To chopped liver, read all of the thread,
thinking that I don't feel so bad now. I have two sons, been through the death of their father at their very young ages, and all the hard times raising them on my own. My younger son NEVER forgets me, even if he has tough financial problems, at the very least he gives me a card and little bouquet of flowers. Anything is a surprise to me because I don't really expect anything, just grew up with that way of thinking. Up until a few years ago, the older son would remember me, and I keep those memories close in my heart, but yesterday, Mother's Day, was the first Mother's Day he remembered since he married a few years the Real Witch of the East! They do not come here for any holiday as she has her own "traditions" which exclude our family, unless we want to go over there and spend the holiday with them. Would be well and fine, but I don't know what is worse; not seeing my son and grandchildren (her stepsons), or putting up with her. Besides, my younger son would NEVER go over there for whatever holiday. I get to see them the day after, except this Easter, when I was told "You'll see the kids on Friday (after Easter)." So you see, you're not alone with the pains / disappointments of holidays. Can't wait until my grandsons get married, and she gets it all back! 
Did they check his liver functions and does he still drink?
My son had that problem a few years ago. He's 30 now and his liver function tests were through the roof when he was checked. Once he stopped all alcohol intake, his night sweats completely disappeared. He used to sweat so much it looked like he wet the entire bed and even his wife would be wet.
The whole notion of a liver detoxification is just a marketing ploy and a myth.
Myth
Health question-liver enlargement? Scared to death
GYN ordered MRI of abdomen and pelvis without contrast due to pelvic pain and previous uterine resuspension suspecting I might have cyst, etc. I am 44 and have been healthy all my life (never smoked or drank or used drugs, exercise, not overweight and eat very healthy) just perimenopausal and using bioidentical progesterone last 1-1/2 years and last 6 months started on thyroid supplementation (low dose T3/T4) for hypothyroidism. Since starting these 2 things, I have been feeling great compared to previous lack of energy, etc. Got results of the MRI today but haven't seen doctor yet. Everything looked fine on abdominal scan (gallbladder, pancreas, adrenals, bone marrow, etc) except report said liver was ''upper limits of normal (borderline)'' and spleen was ''relatively small'' bordering on hyposplenism. Okay, now I am totally freaking out. On routine screening, my LFTs have always been within normal (latest 10/2005). I did use oral contraceptives up until about 6 years ago and used them from ages 18 to 25 and then 28 to 38. I haven't been able to transcribe at all today, just sitting here in tears. Keep thinking of all the reports I have typed which seem to indicate liver enlargement indicative of very serious matters. MRI doesn't mention anything about lesions, nodules, etc., but it was noncontrast so I am wondering whether it would pick this up or not. I am obsessing and wondered if anyone could give me some insight. I have been ''Googling'' all afternoon and everything I read sounds awful. Is it possible to just have a slightly larger liver than what the normal range is? Can the reading of an MRI be influenced by the skill of the radiologist or affected by artifacts (it did begin report saying motion artifact noted but I think this is common on all MRIs from what I have read)? I did do the ''breath-holding technique'' when doing the scan. I am wondering if my years of contraceptives could have predisposed me to this and possibly the absolute worst, liver cancer? I really don't have digestive problems except sometimes it seems like my food sits heavy on my stomach and takes a few more hours than usual before I am hungry again; this is usually around ovulation or right before menses. Sorry this is so long. Just need some insight before I lose my mind here.
To FAILURE: SM
I tried to give some hints and tips above...I'm happy to help with more if I can.
Please don't let this smart-mouthed poster above get to you.
Those who want to know how to increase their line counts absolutely should be asking and we should be sharing all the information we can on it.
you are not a failure
i dont have normals either. I cant remember them enough to be fast with them. however, i do use my autocorrect in word for words. Like wo without, ht for hypothyroidism, hyt for hypertension, bid for b.i.d., etc. Amazingly this really saves you a lot of time. words that any one says or words that you misspell a lot and want to fix while typing or have to fix spell checking. This is one way I have become faster.
Also, I found that if I do 10 reports at a time I am faster. I download 10 reports and I type straight through. Not stopping for ANYTHING. Then I either download 4 more and say to myself you can sit through 4 more or I will take a quick break. But I try to make myself sit there as long as i can without stopping at all. I MAKE myself do it for at least 10. Before I know it, I have 20, 30 reports done and 3 or 4 hours has gone by!
Above all, once you reach your 1000, don't stop with your groove. If you reach 1000 in 4 hours and work an 8 hour shift, dont stop. Keep going and pulling 10 and sitting as long as you can. You then will have done around 2000 in your workday!
I'm a failure!!!
What is going on??? Is this really happening?? I failed the MT test. I don't understand. I have been a Transcriptionist for 7 years. I wanted to work from home again after taking a few years off. I took a job at a hospital making extraordinary money just a year ago. They didn't have a problem with me. At first I thought it was because I have been away, but I don't think a year can make that much difference. HELP!! 
No - you are not a failure -
I feel the same way about my company. I worked at a 600+ bed facility and never had as many different dictators as the place I work for now. I can't make line count either and getting tired of it. - I'm tired of working on my days off trying to learn more and when I learn that ----- they ZAP me with something else.
CMT failure sm
I am so sorry you had this experience. You sound like you have an unforgiving back and like myself, probably will have trouble in this profession down the road. I was a CMT for 18 years. I am now part-time only and can't afford it, but when I was a CMT it was a small town and no credence was given to the certification; in fact, they were afraid I would ask for more money. I did have the certificate on my wall though and was proud that I exceeded my necessary credits each time I recertified. Don't pay attention to the insults, just ask if you can take it again, although I doubt it. Be proud that you tried and you did well! Merry Christmas or whatever holiday you celebrate, don't let them get you down!
I would never classify anyone a failure or
call myself a failure. As for me, I can do at least 2,000 in 6 hours because I have done this same account for 10 years, and I have normals. I may have to change a few words but mostly its all normals.
You're not a failure.
I agree with the poster who said to use lots of phrases. I never ever tell how many lines I transcribe because people don't believe I can do that much in one day or they say I must have worked 24 hours a day. Some even accuse me of cherrypicking. I've never done that and never will. You have to take the good with the bad in this industry. I earn every line I transcribe.
I've been doing my accounts for a very long time and have transcribed everything from the simple docs to the mumbling ESLs.
Use the expanders for phrases. TPWG the patient was given. TPIG the patient is given. TPWS The patient was started on. Set it so you don't have to use your shift key to capitalize things like copd. Type in smaller case and it automatically capitalizes for you.
I used to put post-it notes on the front of my computer of macros I recently made so I would remember what they are. It would help get in my memory faster.
Another thing I do for every hospital or clinic that I work with -I see if they have a website and print out the copy of their physician list. Saves me a lot of time from looking up physician names. I print it up 2 or 3 times a year because most of them keep their lists up to date.
Hope some of this helps!
REVIEWS FOR FAILURE
The things being taken off on for the review is pathetic too. "During this hospitalization" being marked wrong because the reviewer states the dictation said "during this hospital stay", etc. and so on. These so called reviews are jokes. We are educationed professionals and don't appreciate slave driver tactics.
If he's a failure, what's that make all of US?
more sour grapes
Failure to pay and your options
If you are currently an Independent contractor, you are a business. You are hired as a business to conduct work for a MTSO. I strongly urge everyone to be sure that any contract they sign with a company includes a date of expected pay. Also, when hired, note that late payment of services, after a reasonable amount of time for posting, will be cause for a late fee or interest. Be sure to save e-mail or correspondence. The fact that a company notes when payment of your invoice will be ill give them a set time with a reasonable amount of time for postage to get to you.
If, payment is not made, within that reasonable amount of time, and conversations give you the assumption that they will not be paid (especially if it is said we did not get money etc) then it is theft of services. Contact your DA, and the DA of the MTSO. Think of it this way, if you were any other professional, late fees get tacked on if YOU DO NOT PAY, so pass it on. Put it in your correspondence and stick to it. You are an independent contractor supporting your business.
Now, for all of those who think they are an independent contractor but have any of the following terms, you may be considered an employee through the US Labor Board - including scheduled hours of work.
These factors are used to determine if an individual is classified as an Independent Contractor:
* Is the worker required to follow INSTRUCTIONS?
* Does the firm provide training to accomplish the work?
* Is the worker REGULARLY employed at the firm?
* Is the work performed personally by the worker?
* Does the firm DIRECTLY pay the worker's assistants?
* Is there a continuing ongoing work relationship?
* Are there a set number of work HOURS?
* Is the worker engaged full time by the firm?
* Does the worker work on the firm's premises?
* Does the worker work according to a SCHEDULE set by the firm?
* Is the worker required to submit regular reports to the firm?
* Is the worker paid based on time rather than by project?
* Is the worker REIMBURSED for his/her expenses?
* Does the firm furnish the tools and/or materials?
* Does the worker have a vested INTEREST in performing the services?
* Can the worker realize a profit or suffer a loss?
* Does the worker work for more than one firm at a time?
* Does the worker make his services available to the general public?
* Does the firm have the right to DISCHARGE the worker without incurring a legal liability for non-performance under the contract?
* Does the worker have the right to TERMINATE the relationship without incurring a legal liability for non-performance under the contract?
Depending on your responses, you could be an employee or IC - check with your Labor Board BEFORE a problem pops up.
As a professional, we all must protect ourselves and information is key.
I hope those who have problems get them cleared up sooner rather than later.
sorry - power failure - cut off my post!
SORROY - OWER FAILURE CUT OFF THE END OF MY POST!
Don't worry about the little things - she has good parents that are concerned about her. Just make the love, trust and open communication the priority!
You're not a failure! Those tests are brutal!
With 17 years of MT I thought I had it made. I was sooooo frustrated with the testing. I just barely made it and when I got an email that said "congratulations, you passed the test," I was in tears. Probably in tears because I didn't have to take the horrid thing again.
You'll do fine. Test somewhere else. Good luck to ya!
You're not a failure for wanting to quit.
If it isn't working for you, for whatever reason, it doesn't make you a failure.
Individuals cannot be failures. Failure is a process, an action. You are a person.
You know, typically it is considered professional to give a working notice of 2 weeks. What about offering a 2-week notice with an altered schedule?
Generally, employees who do not give a 2-week notice are considered ineligible for rehire - an important question when others may call them for past employment information. Usually all that is asked/given are dates of employment, compensation, and whether the employee is eligible for rehire.
Yeah, most MT's I know have an MBA - you must be a failure in your fictitious field then
LMAO
nice try though
vent on failure in patient care
My husband took my son to see the doc for a tetanus shot after he stepped on a nail. I'm always transcribing and couldn't go there myself. After coming home from the doctor's office, my son and husband tell me that his foot was never even looked at by even a nurse, let alone the doctor. My son got the tetanus shot, and the paperwork said "do not give if a fever is present." Woops, they didn't even take his temperature. Rather than looking at his foot to determine if it was infected, they just asked my son if it was infected. I called the office totally irate, and they reduced the charges from $88 to $7. Wow, didn't expect that. It's a crying shame that we're a society so hung up on paperwork and billing (HIPAA, etc.) that a doctor or nurse would not even take the time to actually look at a patient's wound. What's really ironic is that very day I transcribed a report where the doctor states the patient shouldn't self-medicate with vitamins and supplements. So, we're not smart enough to determine what vitamins and supplements to take, but we are expected to determine whether or not we have an infection?
Thanks! Maybe I'll remove the caps from Failure!! I do use all expanders
almost exactly as you have described! Its my account that specifically wants verbatim and NO canned text. They must "know" about that, and want to make sure they get their pennies worth out of the MTs!!
Your first boss really sealed your fate! You had failure handed to you at the start!
How on earth can you even believe that?? There are thousands of MTs who have worked, and full time, with small children at home. Boy, talk about an encouraging post! Doom and gloom for sure! The continued negativity of the MTs on this forum is astonishing. You don't have to spend thousands and thousands of $$ to get an education, and if she's a single Mom, she'll probably qualify for complete financial aid! And the company board the last week has been full of posts from newbie grads who are getting jobs across the board, and good ones! This business is constantly ebbing and flowing, changing, but always is a lucrative career! Come on! And the person below, fg, who is negative 24/7 calls it dog meat??? I'd like to see any comparable career where I work the minimal hours I do and make fantastic $$. And, gee, me, a lowly self-educated CMT! Doom and gloom is yours if you choose it. From your own post, your first boss set the tone for you, and you accepted it. Think POSITIVE! 
I have 2 middle age couple friends. One couple became pregnant from condom failure.
This is not just "irresponsible" behavior! Both couples are "fixed" now, because for them, reliable birth control was NOT. But it's an error to assume this stuff happens to people who are unmarried or irresponsible. Both these couples are raising 2nd families, now, but it wasn't "irresponsibility" that did them in!
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