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x-rays very small part of diagnosing RA. sm

Posted By: MT2RN on 2006-10-06
In Reply to: The orthopedist said I more than likely have - MTanon

If he did blood work like CBC, sed rate, CRP, rheumatoid factor, did an exam and a history, more than likely he has enough for the dx. X-ray may not show early RA but in later RA used more to show progression of disease rather than dx.


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My small part
After reading these recent posts, I have decided that I am going to start asking my health care providers who does their medical transcription. Whenever I can, I will open a dialogue with these providers. I will also mention this whenever I have the opportunity in public and/or private in my small corner of the world.

The last time I asked a physician who did their medical transcription, she said she "didn't know, some outside service". Next time, I will probe more!!

Thanks, all, for your posts over the last few days. You have certainly made be think and decide to be more proactive.

I have very much enjoyed the posts on the main board over the last few days, and I believe they have served an important purpose to us all.
diagnosing
After 30 years in the business, yeah, I diagnose too.  I knew my DTL had twin-twin transfusion syndrome while her mother, a nurse had no idea of her illness.
Even MDs have trouble diagnosing abdominal pain,
so all we could do is guess wildly. Could be digestive, could be ovarian. Could be PID. Abdominal pain that starts low can cause pain to radiate even up into your clavicle area, I believe.

Get thee to your doctor and don't expect an instantaneous diagnosis because it's usually tricky.
Working full time at home with small children is hard but part time works great
is almost impossible. You will either have to work when your spouse is home or for only a few hours during the day and then more when they are asleep. I work part time at home and my kids (2&5 now) have done very, very well. They are great kids, very well behaved, don't get into much. I stop working to check on them/give them some attention every hour or so while I work (5 hours each afternoon or so) and they get all my attention in the morning and at night. It has worked out beautifully for us.
X-rays
Does anyone do x-ray transcription?  I haven't done it in quite a while, but have been offered a position.  I know absolutely nothing about Rad-net!  How do you think your line count compares to acute care lines?   Thanks a lot!
RE: X-rays
I answered your question yesterday on flow voids. I do diagnostic imaging where I work, and my hospital uses RadNet. I cannot answer your question about lines simply because it is too subjective, but if you want to talk about the functionality of Cerner's platform, I would be happy to talk with you via E-mail.
X-rays
Try this website:

http://www.radiologyinfo.org/index.cfm?bhcp=1
x-rays
X-rays are not my favorite, but when I am asked to do them I make $1.50 per report.   Good luck!
weird x-rays
I used to work in a radiology department and we had quite a few patients with such "accidents". It was amazing how many people just happened to be naked and "fell" on mason jars, etc. I actually got to see some of the x-rays. Wild! I still think the AA batteries are pretty creative. Looks like it should have went with something else though. Wonder what made him decide on AA? Why not AAA? Or C? D? Okay, I'm getting silly, but really, how on earth do they decide to do that and how do they just pick some random object?
Back x-rays
The x-rays were ordered for a slight curvature of the spine -- no accident or anything like that.   As for the Gardasil . . .yes I have researched it over and over again and I have had cervical cancer myself, still I would never want that particular injection.  Several girls have died.  Even more girls have had severe permanent side effects in the forms of disease, blood clots, permanent jont damage, ect.  I read about two cases where girls had been hospitalized for 100+ days after Gardasil.  It only protects you again 4 types -- if that.  You still need to be screened on a regular basis.  If caught early, cervical cancer is very treatable.  I am a survivor.  What's the point?  To take the risk of death in order to protect yourself from something that you probably will not get anyway?  Something that is very treatable should that situation arise.  I have also read that 40% of girls who have had Gardasil go on to develop other cancers.  You are trading one for another?  I feel that is just insane.  Also now there have been miscarriages.  I feared birth defects and such.  I see that starting to happen as I follow the developments. 
X-rays and Gardasil
My sister was in a sledding accident when we were in high school and she had rib x-rays. She now has 2 kids. My daughter had quite a few x-rays when she she was diagnosed with scoliosis. No one ever said anything about her age and future fertility.

I also did not have her get Gardasil when she was underage and I told her why ~ no one has any idea what the long term effects are. When she turned 18, she did her own research and also decided she didn't want it.
The x-rays should not cause infertility if so - sm
then I guess my one daughter is in trouble as she has had over 20 chest x-rays to date (and 20+ abdominal ultrasounds)....all part of her cancer screening...she now gets them yearly as we finally passed that hump on the cancer surveilance calendar back in August. However with her x-rays they do put a shield in front of her from waist down or she wears a special pelvic wrap. I am sure they could do that for you and still get what they need for her spine, unless they need the whole thing of course. But one x-ray should not cause infertility.
mammos and chest x-rays
I type a variety of reports and maybe 10 mammos and 10 chest x-rays a couple of times a week.  I type more CTs and MRIs.  I think it depends on what accounts your company has, how many people are on that account. There is at least two other people typing on the same account so I am sure they get some of the mammos and chest also. It is more of a typing pool so you just take what is next.  I have always been a RADMT and never type that many mammos in a day.  
infertility and x-rays of the back
Our ped. wants to have my 17-year-old daughter's back x-rayed.  Does this cause infertility.  I was in a car accident years ago, before having any children and the ER doc would not x-ray my back because he said I was young and didn't have any children yet.   Also, the ped. kicked my out of the room and tried to push Gardasil on my daugther after I adamently refused it.  More and more deaths/side effects are being exposed.  She is a minor -- she cannot yet make that choice.  Isn't this illegal? 
1) No, back x-rays do not cause infertility.
2) Did you leave your daughter alone in the room with the pediatrician? If so, why?
3) Did the pediatrician "push" Gardasil on your daughter or did they simply reiterate the facts out of your presence.
4) What state requires a breast exam for a driver's permit? Our state does not even require one for a commercial license, even though they do require a PE.
5) If you are this unhappy with your daughter's medical provider, you should change physicians.
6) No, it is not illegal to provide medical information to a minor, even out of the presence of their legal guardian.
I use the @ for time of exam when doing chest x-rays - sm
but never for anything else.
Ours do - hosp. is considering having our x-rays done here, but READ in India! (nm)
:(
small mentality usually means small pocketbook
Still make more than you and I but that is deserved. They've put the effort forward and educated themselves.


How about when they're flipping through x-rays and all you can hear is that racket?? nm
nm
Normal x-rays, CT scans, nuclear medicine
scans, nuclear medicine procedures and tests, etc. Anything procedure associated with radiology, which can include op reports dictated by the radiology interventionists.
The easy part is making the decision to leave, the hard part is
actually doing it.  Been in your shoes and it took me a year and a half to leave after I had made the decision to do so.  It was the best thing I have ever done for myself and my girls.  I had family and friends and a counselor telling me what needed to be done and I knew what needed to be done but until I had the courage on my own to do it I stayed.  One day, we had an argument and he spit in my face and that was the last straw for me.  Even though it is something that I will NEVER forget, that day is also a day I will never forget because it is the day that I took my kids and left.  I am a single mom of 2 and have been single and supporting us for 5 years now.  I have been healing ever since and still am to this day.  You can do this.  I know that if I hadn't have left and I would have stayed one of us would be dead by now or both. 
What's up with the CMT part A and part B exams?
I thought it was all one test.  How can a half a test last 6-1/2 hours?  If anyone knows, please share your info!  Thanks! 
Does anyone know if you are a part time employee for 1 company and part time IC for another can you
still claim deductions for IC on your income tax even though you are one of each.
Depends on how part time the part time jobs are.
You can do it. You just have to work out a schedule you can live with.
If one's biz is small I do not think you can....nm

Yes, you should get a small
social worker, psychologist, or whatever. You just have to wade in and start swimming. If you find the right account, that should help you start out.
Huge, I think it's small on my end (NM)
NM
$18,000+, small national. nm
 
Any small MTSO need PT help? sm
Okay, I have tried the big nationals and that did not work out for me.  I would like something for a few hours a day - would love to do family practice SOAP notes again or something where I can just type away and make some decent money.  I promise a fast turn-a-round and I am willing to work hard, but no complicated platforms and no set hours.  
Why not sue in small claims (sm)
You have a business contract with them. It's not a paycheck we are talking about. It's payment for services rendered. Are they going to send someone to your state to defend it? Probably not!
It's actually one of those small bldg. you
added to the house but it's on the same property as the house...I can't really describe what it looks like. I have only seen it a couple of times. Not sure if that would work. It doesn't have to be that. Just whatever would work. I am more interested in seeing what has worked for others. Just wondering. Thanks for your response.:)
my office is a small
table between the kitchen and the dining room. Books are in a closet right next to it. It helps so I can keep an eye on what my toddler is doing.
how did you get your print to be so small?


if you are for real, your best advice is read this board and take good notes.


 


Yes, small services (sm)

used to pay 11 cpl IC, have now sold out to squids who in turn pay 7-8 cpl.


And services left average 8 cpl, if you're really experienced you'll get 10 or 11 and get such bad dictation you'll get a headache you'll never forget. 


Small accounts
What kind of small accounts are you talking about? How do you find them? Thanks.

I know a couple of people who key as fast as you do, so it is possible.


small company
You just keep your eyes open all the time. Keep looking. You will find them. Opportunity comes knocking at the strangest time if you just keep looking.
A very very small family.
z
I had a small MTSO ask that once. sm
As I was heading toward the exit door, she asked me to send her every single one of the normals I used.

So, I sent her the exact ones she had sent me in the beginning, before I refined them to a fine tune, which had taken me hours and hours to do. I'm telling you, I had most tests for every doctor where I could just hop around and fill in the blanks. No way was I giving those hours of work away!
Thanks! The 16" look so small and the 20" so large! nm
x
small MTSOs

There's a great online resource for MTSOs of all sizes, varying benefits and pay, and variety of work.  It's called www.MTJobs.com.  Sign up to be on their mailing list.  There are usually at least 50 companies listed on each newsletter, which comes out twice a month.  Good luck in your search, and prayers for God's healing of your medical problems.  :)


should have said that this is for a small national not
an individual. We are trying to put some new things in place and want to make sure that we put the right things in place.
Small Nationals.
I guess just not the huge places like Medquist. I would like a little bit smaller. I am even interested in any companies that are great to work for and pay okay. I am not having that great of luck working for MTSO and getting paid good.
Thanks!!
thanks (small message)
just that I posted the link in the subject line and it was too long...no problem, though! thanks!
Small ear pieces
Try Lanier Healthcare.  They have a headset that has ear pieces that fit right into your ear without any hard plastic to deal with, just wires and the foam that fits into your ears.  They are the best ones I have ever used. 
Believe me, you are neither weak or small.
You are a very strong lady who simply wants the best for her family (including an abusive husband). You are the only one who can make the choice to stay or leave and it has to be your choice entirely. We can all give advice all day long, but the ultimate decision will be yours. We are here to listen, though, and to pray in your behalf for wisdom to make the right choice. Whatever you decide, don't ever forget that when it seems like you're all alone, God is always with you, leading and guiding.  
As an IC, you are your own small business. As a

contractor you have NOT been in their emloyment.  You have worked as contract labor for them, whether it be 1 month, 1 year or 5 years.  They owe you absolutely nothing at any point in time of the contract.  However, should you contact their clients (as you mentioned below), there can be legal repercussions for you so I would seriously think twice about this before going forward.


As an IC, it seems you would know that you should not put all of your eggs in one basket. I would bet that most of us that are IC's work for at least 2 companies.  For the ones that don't, they probably work for 1 company and have their own accounts, OR better yet have all their own accounts.


TAT is of the utmost importance.  It only takes twice with me and I won't send anymore work to that particular IC anymore, which is my option.  I might give them a second chance IF their work was top notch.


I have 2 - one large, one small
My first was a very nice rose in the upper-inner quadrant of my left breast. I thought about it for 17 years before I did it. It kind of felt like going to the GYN when I had it do. The guy was very professional and let me catch my breath from time to time. The more fill-in work, the more painful. The more it is just an outline, the less painful.

The other is something private but special to me to honor my kids on my lower back, but above the bikini line. That was much more painful but different guy and it went much faster as I cussed a lot more with fewer breaks.

If I ever get another one it will be a circle on top of the sternum with the leters DNR inside!

I have a small flower

a daisy, my favorite flower, in my bikini area where just about any bathing suit would cover it up.  I got it when ankle tatoos were really trendy and knew I A. did not want to have the same thing as everyone else, and B. might not want to show my tattoo to everyone, so I got it somewhere private. 


It made for good conversation in the delivery room lol!


I was thinking of getting another one, but would like a spot that covers up and is not that common. The big toe sounds like a neat idea. I hate toe rings for the discomfort, but like the look. 


Have you ever seen that SNL fake commercial on the tramp stamps (lower back tattoos) and the "roll on" to remove them?  LOL.  I thought briefly about getting one but they are too common. 


BTW the bikini area tatoo basically felt like if someone was taking tweezers and plucking hairs one by one. It was not that bad. It was actually harder dealing with it during the healing period because I had to wear clothes over the site.


Could not do without it. Small learning sm
curve, but worth it.
Two small MTSO (nt)
xx
Small national. nm
x